# Shimo Lab at "Discharge Me!": Discharge Summarization by Prompt-Driven Concatenation of Electronic Health Record Sections

arXiv: https://arxiv.org/abs/2406.18094 · HTML: https://mlsanity.com/paper/2406.18094/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Builds on 15 of its 41 references that are in the map.
- First posted on arXiv 26 Jun 2024.

## Builds on (most cited first, 15 of 15)

- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [BLOOM: A 176B-Parameter Open-Access Multilingual Language Model](https://mlsanity.com/paper/2211.05100/) (2022)
- [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)
- [Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarization](https://mlsanity.com/paper/2309.07430/) (2023)
- [ACI-BENCH: a Novel Ambient Clinical Intelligence Dataset for Benchmarking Automatic Visit Note Generation](https://mlsanity.com/paper/2306.02022/) (2023)
- [SciFive: a text-to-text transformer model for biomedical literature](https://mlsanity.com/paper/2106.03598/) (2021)
- [Do We Still Need Clinical Language Models?](https://mlsanity.com/paper/2302.08091/) (2023)
- [ClinicalGPT: Large Language Models Finetuned with Diverse Medical Data and Comprehensive Evaluation](https://mlsanity.com/paper/2306.09968/) (2023)
- [Automated Clinical Coding: What, Why, and Where We Are?](https://mlsanity.com/paper/2203.11092/) (2022)
- [Summarizing Patients Problems from Hospital Progress Notes Using Pre-trained Sequence-to-Sequence Models](https://mlsanity.com/paper/2208.08408/) (2022)
- [Overview of the Problem List Summarization (ProbSum) 2023 Shared Task on Summarizing Patients' Active Diagnoses and Problems from Electronic Health Record Progress Notes](https://mlsanity.com/paper/2306.05270/) (2023)
- [WisPerMed at "Discharge Me!": Advancing Text Generation in Healthcare with Large Language Models, Dynamic Expert Selection, and Priming Techniques on MIMIC-IV](https://mlsanity.com/paper/2405.11255/) (2024)

## 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)
- [Benchmarking Large Language Models on Multiple Tasks in Bioinformatics NLP with Prompting](https://mlsanity.com/paper/2503.04013/) (2025)
- [Natural Language Generation in Healthcare: A Review of Methods and Applications](https://mlsanity.com/paper/2505.04073/) (2025)
- [Hidden Data Challenges in Clinical Machine Learning](https://mlsanity.com/paper/2610.13350/) (2026)

## Abstract (arXiv)

In this paper, we present our approach to the shared task "Discharge Me!" at the BioNLP Workshop 2024. The primary goal of this task is to reduce the time and effort clinicians spend on writing detailed notes in the electronic health record (EHR). Participants develop a pipeline to generate the "Brief Hospital Course" and "Discharge Instructions" sections from the EHR. Our approach involves a first step of extracting the relevant sections from the EHR. We then add explanatory prompts to these sections and concatenate them with separate tokens to create the input text. To train a text generation model, we perform LoRA fine-tuning on the ClinicalT5-large model. On the final test data, our approach achieved a ROUGE-1 score of 0.394, which is comparable to the top solutions.