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A Non-Destructive Methodological Framework for Modernizing Legacy Clinical Reporting Systems for AI-Driven Pharmacoinformatics: A SAS Case Study

arXiv 2605.13905 ↗First posted 13 May 2026cs.SE cs.AIcited by 0

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Abstract (arXiv)

Drug development and pharmacovigilance are frequently bottlenecked by legacy clinical reporting pipelines. These monolithic systems encode regulatory-grade logic but resist AI integration by producing opaque output with no machine-readable intermediate layer. Existing modernization approaches force a choice between full rewrites and incremental refactoring that preserves structural barriers. We present a non-destructive methodological framework achieving AI-driven pharmacoinformatics readiness without altering legacy source code. A metadata layer--comprising a bridge map, a typed Intermediate Representation (IR), and an orchestrator--wraps existing components and re-exposes their outputs as structured data consumable by LLMs. It enables optional incremental consolidation, replacing selected legacy components with metadata-configured core routines while the remainder operates unchanged. Validated on a 558-component SAS reporting library (373,000 lines of code), the framework demonstrated immediate AI-readiness under coexistence mode, yielding machine-readable output. Where consolidation was elected, the modernized core achieved a 92% reduction in proprietary code. Parity validation on 14 report types from a Phase III study achieved cell-level parity of 80% or above on 11 reports (mean 82.7%, best 99.2%). A benchmark using CDISC CDISCPilot01 data achieved 100% parity across 5 reports. LLM experiments confirmed the IR enables automated pharmacovigilance, table summarization, and trial configuration generation. The framework offers a regulation-aware path to AI-integrated clinical reporting, accelerating drug development without interrupting regulatory submissions.

Key facts. No citing papers in the map yet (data through 14 Oct 2026). Builds on 5 of its 42 references that are in the map. First posted on arXiv 13 May 2026.

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References · 5

  1. 2022BioGPT: Generative Pre-trained Transformer for Biomedical Text Generation and Miningcited by 538
  2. 2023How is ChatGPT's behavior changing over time?cited by 270
  3. 2023Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarizationcited by 246
  4. 2018A Corpus with Multi-Level Annotations of Patients, Interventions and Outcomes to Support Language Processing for Medical Literaturecited by 79
  5. 2024Using Large Language Models to Generate Clinical Trial Tables and Figurescited by 3

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