# QUB-Cirdan at "Discharge Me!": Zero shot discharge letter generation by open-source LLM

arXiv: https://arxiv.org/abs/2406.00041 · HTML: https://mlsanity.com/paper/2406.00041/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Builds on 11 of its 49 references that are in the map.
- First posted on arXiv 27 May 2024.

## Builds on (most cited first, 11 of 11)

- [Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformer](https://mlsanity.com/paper/1910.10683/) (2019)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Retrieval-Augmented Generation for Large Language Models: A Survey](https://mlsanity.com/paper/2312.10997/) (2023)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [MedAgents: Large Language Models as Collaborators for Zero-shot Medical Reasoning](https://mlsanity.com/paper/2311.10537/) (2023)
- [BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domains](https://mlsanity.com/paper/2402.10373/) (2024)
- [AlignScore: Evaluating Factual Consistency with a Unified Alignment Function](https://mlsanity.com/paper/2305.16739/) (2023)
- [HuatuoGPT, towards Taming Language Model to Be a Doctor](https://mlsanity.com/paper/2305.15075/) (2023)
- [Foundation Model for Advancing Healthcare: Challenges, Opportunities, and Future Directions](https://mlsanity.com/paper/2404.03264/) (2024)
- [Sam-Guided Enhanced Fine-Grained Encoding with Mixed Semantic Learning for Medical Image Captioning](https://mlsanity.com/paper/2311.01004/) (2023)

## Built on by (most cited first, 4 of 4)

- [Overview of the First Shared Task on Clinical Text Generation: RRG24 and "Discharge Me!"](https://mlsanity.com/paper/2409.16603/) (2024)
- [Agentic LLM Workflows for Generating Patient-Friendly Medical Reports](https://mlsanity.com/paper/2408.01112/) (2024)
- [Fine-Tuning a Local LLaMA-3 Large Language Model for Automated Privacy-Preserving Physician Letter Generation in Radiation Oncology](https://mlsanity.com/paper/2408.10715/) (2024)
- [Comparing Moral Values in Western English-speaking societies and LLMs with Word Associations](https://mlsanity.com/paper/2505.19674/) (2025)

## Abstract (arXiv)

The BioNLP ACL'24 Shared Task on Streamlining Discharge Documentation aims to reduce the administrative burden on clinicians by automating the creation of critical sections of patient discharge letters. This paper presents our approach using the Llama3 8B quantized model to generate the "Brief Hospital Course" and "Discharge Instructions" sections. We employ a zero-shot method combined with Retrieval-Augmented Generation (RAG) to produce concise, contextually accurate summaries. Our contributions include the development of a curated template-based approach to ensure reliability and consistency, as well as the integration of RAG for word count prediction. We also describe several unsuccessful experiments to provide insights into our pathway for the competition. Our results demonstrate the effectiveness and efficiency of our approach, achieving high scores across multiple evaluation metrics.