# From Triage to Discharge: A Survey of NLP Tasks, Methods, and Open Challenges in the Emergency Department

arXiv: https://arxiv.org/abs/2608.23627 · HTML: https://mlsanity.com/paper/2608.23627/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 52 of its 136 references that are in the map.
- First posted on arXiv 23 Aug 2026.

## Builds on (most cited first, 30 of 52)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformer](https://mlsanity.com/paper/1910.10683/) (2019)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Retrieval-Augmented Generation for Knowledge-Intensive NLP Tasks](https://mlsanity.com/paper/2005.11401/) (2020)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [GLUE: A Multi-Task Benchmark and Analysis Platform for Natural Language Understanding](https://mlsanity.com/paper/1804.07461/) (2018)
- [SWE-bench: Can Language Models Resolve Real-World GitHub Issues?](https://mlsanity.com/paper/2310.06770/) (2023)
- [CIDEr: Consensus-based Image Description Evaluation](https://mlsanity.com/paper/1411.5726/) (2014)
- [SuperGLUE: A Stickier Benchmark for General-Purpose Language Understanding Systems](https://mlsanity.com/paper/1905.00537/) (2019)
- [What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Exams](https://mlsanity.com/paper/2009.13081/) (2020)
- [Get To The Point: Summarization with Pointer-Generator Networks](https://mlsanity.com/paper/1704.04368/) (2017)
- [PubMedQA: A Dataset for Biomedical Research Question Answering](https://mlsanity.com/paper/1909.06146/) (2019)
- [BioGPT: Generative Pre-trained Transformer for Biomedical Text Generation and Mining](https://mlsanity.com/paper/2210.10341/) (2022)
- [Can large language models reason about medical questions?](https://mlsanity.com/paper/2207.08143/) (2022)
- [MediQ: Question-Asking LLMs and a Benchmark for Reliable Interactive Clinical Reasoning](https://mlsanity.com/paper/2406.00922/) (2024)
- [ACI-BENCH: a Novel Ambient Clinical Intelligence Dataset for Benchmarking Automatic Visit Note Generation](https://mlsanity.com/paper/2306.02022/) (2023)
- [Pre-trained Language Models in Biomedical Domain: A Systematic Survey](https://mlsanity.com/paper/2110.05006/) (2021)
- [MMed-RAG: Versatile Multimodal RAG System for Medical Vision Language Models](https://mlsanity.com/paper/2410.13085/) (2024)
- [A Survey of LLM-based Agents in Medicine: How far are we from Baymax?](https://mlsanity.com/paper/2502.11211/) (2025)
- [MEDEC: A Benchmark for Medical Error Detection and Correction in Clinical Notes](https://mlsanity.com/paper/2412.19260/) (2024)
- [End-to-End Knowledge-Routed Relational Dialogue System for Automatic Diagnosis](https://mlsanity.com/paper/1901.10623/) (2019)
- [Generating SOAP Notes from Doctor-Patient Conversations Using Modular Summarization Techniques](https://mlsanity.com/paper/2005.01795/) (2020)
- [Dr. Summarize: Global Summarization of Medical Dialogue by Exploiting Local Structures](https://mlsanity.com/paper/2009.08666/) (2020)
- [What's in a Summary? Laying the Groundwork for Advances in Hospital-Course Summarization](https://mlsanity.com/paper/2105.00816/) (2021)
- [Human Evaluation and Correlation with Automatic Metrics in Consultation Note Generation](https://mlsanity.com/paper/2204.00447/) (2022)
- [Graph-Evolving Meta-Learning for Low-Resource Medical Dialogue Generation](https://mlsanity.com/paper/2012.11988/) (2020)
- [Multimodal Clinical Benchmark for Emergency Care (MC-BEC): A Comprehensive Benchmark for Evaluating Foundation Models in Emergency Medicine](https://mlsanity.com/paper/2311.04937/) (2023)
- [MEDDxAgent: A Unified Modular Agent Framework for Explainable Automatic Differential Diagnosis](https://mlsanity.com/paper/2502.19175/) (2025)
- [A Survey for Efficient Open Domain Question Answering](https://mlsanity.com/paper/2211.07886/) (2022)

## Built on by (most cited first, 1 of 1)

- [LLMs Anchor on Chief Complaint and Fail to Integrate Evidence in Sequential Clinical Triage](https://mlsanity.com/paper/2609.22904/) (2026)

## Abstract (arXiv)

Emergency departments (EDs) operate under time pressure, generating multimodal data such as clinical conversations, triage notes, and discharge documents. Recent advances in natural language processing (NLP), particularly pretrained transformers and large language models, have created new opportunities to support language and time-intensive stages of emergency care. Yet existing surveys map clinical NLP across the broader hospital workflow or focus on specific tasks. This survey analyses 46 papers spanning the three phases of ED: triage, diagnosis, and disposition, covering tasks such as triage classification, clinical summarisation, automatic diagnosis, report generation, and discharge documentation. We examine modelling paradigms, evaluation practices, and emerging benchmarks and shared tasks. Across tasks, we identify common trends, including a shift from task-specific neural architectures to pretrained language models, growing interest in interactive clinical systems, and increasing attention to clinically grounded evaluation. Finally, we detail open challenges such as limited generalisability, noisy clinical inputs, and workflow constraints that inform future ED-NLP research.
