# PragyaDoc: A Universal Document Intelligence Framework for Multilingual Medical Document Understanding in Low-Resource Settings

arXiv: https://arxiv.org/abs/2608.07478 · HTML: https://mlsanity.com/paper/2608.07478/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 7 of its 10 references that are in the map.
- First posted on arXiv 1 Jun 2026.

## Builds on (most cited first, 7 of 7)

- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [An End-to-End Trainable Neural Network for Image-based Sequence Recognition and Its Application to Scene Text Recognition](https://mlsanity.com/paper/1507.05717/) (2015)
- [CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning](https://mlsanity.com/paper/1711.05225/) (2017)
- [Character Region Awareness for Text Detection](https://mlsanity.com/paper/1904.01941/) (2019)
- [Real-time Scene Text Detection with Differentiable Binarization](https://mlsanity.com/paper/1911.08947/) (2019)
- [IndicTrans2: Towards High-Quality and Accessible Machine Translation Models for all 22 Scheduled Indian Languages](https://mlsanity.com/paper/2305.16307/) (2023)
- [Scene Text Recognition with Permuted Autoregressive Sequence Models](https://mlsanity.com/paper/2207.06966/) (2022)

## Abstract (arXiv)

India's 22 official languages create a critical accessibility barrier: the majority of medical documentation exists exclusively in English, yet the patients who most urgently require this information - rural populations, ASHA workers, and patient families - are functionally excluded from understanding it. This paper presents PragyaDoc, a Universal Document Intelligence Framework that addresses this gap through a four-layer pipeline: a parallel ensemble OCR extraction layer, a geometric-lexical fusion layer, a deterministic domain structuring layer, and a dual-LLM medical reasoning and localization layer