# Towards Multidisciplinary Summarization of Hospital Stays: Efficient Sentence-Level Clinical Provenance Categorization

arXiv: https://arxiv.org/abs/2606.02487 · HTML: https://mlsanity.com/paper/2606.02487/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 4 of its 8 references that are in the map.
- First posted on arXiv 1 Jun 2026.

## Builds on (most cited first, 4 of 4)

- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [TocBERT: Medical Document Structure Extraction Using Bidirectional Transformers](https://mlsanity.com/paper/2406.19526/) (2024)
- [Bridging the Domain Divide: Supervised vs. Zero-Shot Clinical Section Segmentation from MIMIC-III to Obstetrics](https://mlsanity.com/paper/2602.17513/) (2026)

## Abstract (arXiv)

Effective "all-team" summarization in high-complexity settings like the Neonatal Intensive Care Unit (NICU) requires aggregating insights from diverse disciplines (physicians, nurses, therapists) spread across hundreds of clinical free-text notes. Simply pooling heterogeneous text often leads to incoherent outputs. Structured summarization therefore first requires accurate categorization of sentence-level provenance across multi-source notes. This pilot study introduces a clinical provenance categorization pipeline using supervised fine-tuning (SFT) of large language models (LLMs). We adapted two Llama-3 models (8B and 70B) to MedSecId, a corpus of 2,002 MIMIC-III (Adult ICU) notes annotated with clinical provenance headers, achieving in-domain Macro F1 scores above 92% for both models. To evaluate cross-domain generalization, we assessed model capacity (8B vs. 70B) and quantization on a gold-standard dataset of 227 sentence-level spans derived from three multi-disciplinary NICU summaries. Experimental results demonstrate a scale-dependent transfer effect: while SFT produced only marginal changes for the 8B model, it substantially improved the 70B model, increasing Macro F1 by 7%. Notably, the quantized fine-tuned 70B model outperformed its full-precision baseline while substantially reducing computational requirements. These findings suggest that sufficient model capacity is critical for preserving semantic flexibility during cross-domain clinical transfer and that efficient quantized adaptation can enable structured provenance modeling for downstream summarization.