# Towards Error-Free EHRs: Reasoning-Intensive Consistency Verification Between Clinical Notes and Structured Tables in Electronic Health Records

arXiv: https://arxiv.org/abs/2605.26463 · HTML: https://mlsanity.com/paper/2605.26463/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 9 of its 43 references that are in the map.
- First posted on arXiv 26 May 2026.

## Builds on (most cited first, 9 of 9)

- [Qwen3 Technical Report](https://mlsanity.com/paper/2505.09388/) (2025)
- [Gemini 2.5: Pushing the Frontier with Advanced Reasoning, Multimodality, Long Context, and Next Generation Agentic Capabilities](https://mlsanity.com/paper/2507.06261/) (2025)
- [ToolLLM: Facilitating Large Language Models to Master 16000+ Real-world APIs](https://mlsanity.com/paper/2307.16789/) (2023)
- [gpt-oss-120b & gpt-oss-20b Model Card](https://mlsanity.com/paper/2508.10925/) (2025)
- [OpenAI GPT-5 System Card](https://mlsanity.com/paper/2601.03267/) (2025)
- [MedGemma Technical Report](https://mlsanity.com/paper/2507.05201/) (2025)
- [TableMind: An Autonomous Programmatic Agent for Tool-Augmented Table Reasoning](https://mlsanity.com/paper/2509.06278/) (2025)
- [SheetBrain: A Neuro-Symbolic Agent for Accurate Reasoning over Complex and Large Spreadsheets](https://mlsanity.com/paper/2510.19247/) (2025)
- [Mixture-of-Minds: Multi-Agent Reinforcement Learning for Table Understanding](https://mlsanity.com/paper/2510.20176/) (2025)

## Abstract (arXiv)

Data consistency between unstructured clinical notes and structured tables in Electronic Health Records (EHRs) is essential for patient safety and clinical decision-making. However, existing work on note-table consistency verification mainly relies on surface-level matching of numeric values or simple events. Such approaches fail to capture the reasoning underlying real-world EHR documentation, including clinical interpretation, event relations, and temporal changes. To address this gap, we introduce EHR-ReasonCon, a reasoning-intensive benchmark for note-table consistency verification. Built on MIMIC-III with expert-guided annotations, it comprises 8,048 entities derived from clinical notes and provides high-quality ground-truth labels. The annotation protocol is supported by specialized table-exploration tools to ensure systematic evidence retrieval and reliable consistency assessment. We also propose EHR-Inspector, an LLM-based framework that segments notes, extracts anchor entities and temporal references, and uses table-exploration tools to verify consistency against structured tables. Evaluated using expert-validated LLM-as-a-judge metrics under harsh and lenient criteria, EHR-Inspector achieves state-of-the-art performance across multiple model backbones. Analyses further demonstrate the effectiveness of its components and highlight differences from human verification.