# Toward Complete Hospital Discharge Summarization with Abstract Meaning Representation

arXiv: https://arxiv.org/abs/2609.13581 · HTML: https://mlsanity.com/paper/2609.13581/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 30 of its 65 references that are in the map.
- First posted on arXiv 11 Sep 2026.

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

- [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)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [BART: Denoising Sequence-to-Sequence Pre-training for Natural Language Generation, Translation, and Comprehension](https://mlsanity.com/paper/1910.13461/) (2019)
- [Self-Consistency Improves Chain of Thought Reasoning in Language Models](https://mlsanity.com/paper/2203.11171/) (2022)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Neural Message Passing for Quantum Chemistry](https://mlsanity.com/paper/1704.01212/) (2017)
- [Lost in the Middle: How Language Models Use Long Contexts](https://mlsanity.com/paper/2307.03172/) (2023)
- [PEGASUS: Pre-training with Extracted Gap-sentences for Abstractive Summarization](https://mlsanity.com/paper/1912.08777/) (2019)
- [On Faithfulness and Factuality in Abstractive Summarization](https://mlsanity.com/paper/2005.00661/) (2020)
- [Evaluating the Factual Consistency of Abstractive Text Summarization](https://mlsanity.com/paper/1910.12840/) (2019)
- [GraphRNN: Generating Realistic Graphs with Deep Auto-regressive Models](https://mlsanity.com/paper/1802.08773/) (2018)
- [Why Language Models Hallucinate](https://mlsanity.com/paper/2509.04664/) (2025)
- [Optimizing the Factual Correctness of a Summary: A Study of Summarizing Radiology Reports](https://mlsanity.com/paper/1911.02541/) (2019)
- [Heterogeneous Graph Neural Networks for Extractive Document Summarization](https://mlsanity.com/paper/2004.12393/) (2020)
- [Multi-domain Clinical Natural Language Processing with MedCAT: the Medical Concept Annotation Toolkit](https://mlsanity.com/paper/2010.01165/) (2020)
- [AMR Parsing via Graph-Sequence Iterative Inference](https://mlsanity.com/paper/2004.05572/) (2020)
- [Toward Abstractive Summarization Using Semantic Representations](https://mlsanity.com/paper/1805.10399/) (2018)
- [Abstract Meaning Representation for Multi-Document Summarization](https://mlsanity.com/paper/1806.05655/) (2018)
- [What's in a Summary? Laying the Groundwork for Advances in Hospital-Course Summarization](https://mlsanity.com/paper/2105.00816/) (2021)
- [Summarizing Patients Problems from Hospital Progress Notes Using Pre-trained Sequence-to-Sequence Models](https://mlsanity.com/paper/2208.08408/) (2022)
- [InterrogateLLM: Zero-Resource Hallucination Detection in LLM-Generated Answers](https://mlsanity.com/paper/2403.02889/) (2024)
- [Towards Clinical Encounter Summarization: Learning to Compose Discharge Summaries from Prior Notes](https://mlsanity.com/paper/2104.13498/) (2021)
- [A Human Evaluation of AMR-to-English Generation Systems](https://mlsanity.com/paper/2004.06814/) (2020)
- [I Know What You Asked: Graph Path Learning using AMR for Commonsense Reasoning](https://mlsanity.com/paper/2011.00766/) (2020)
- [When Does Divide and Conquer Work for Long Context LLM? A Noise Decomposition Framework](https://mlsanity.com/paper/2506.16411/) (2025)
- [Leveraging Summary Guidance on Medical Report Summarization](https://mlsanity.com/paper/2302.04001/) (2023)
- [Fully Dynamic Electrical Flows: Sparse Maxflow Faster Than Goldberg-Rao](https://mlsanity.com/paper/2101.07233/) (2021)
- [Neural Summarization of Electronic Health Records](https://mlsanity.com/paper/2305.15222/) (2023)
- [Adapting Abstract Meaning Representation Parsing to the Clinical Narrative -- the SPRING THYME parser](https://mlsanity.com/paper/2405.09153/) (2024)

## Abstract (arXiv)

Discharge summaries are lengthy medical documents that summarize a hospital in-patient visit. Automatically generating them can reduce documentation burden and return clinician time to patient care. Whereas Large Language Model (LLMs) could be used for this task, their Achilles heel is hallucinations, which can have drastic consequences for clinical documentation. We present an evidence-driven alignment framework for discharge summarization at the clinical encounter level, that treats provenance as a first-class constraint, using semantic graphs and deep learning models. Each summary sentence is selected and organized via cross-document semantic alignment and is accompanied by explicit evidence links to its source spans. We show our results on two corpora: a publicly available corpus (MIMIC-III) and clinical notes written by physicians at the University of Illinois Hospital (UIC Health). Additionally, we make source code and trained models available.
