A generative approach for semantic auditing of electronic health records

Irena Girshovitz, Atai Ambus, Moni Shahar, Ran Gilad-Bachrach · 2026

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Description

Irena Girshovitz and colleagues proposed testing health records the way engineers test software. Published in 2026, the method, called Medical Data Pecking, uses language models to write context-aware checks that peck at gaps between recorded data and known disease patterns. Current record checks catch syntax slips or need hand-built rules, missing deeper meaning errors that can mislead clinical AI.

A reference tool built on retrieval-augmented generation turned medical literature into runnable checks. Applied to three datasets, it produced dozens of tests per group and flagged mismatches between observed rates and expected patterns. Some flags marked true data errors, while others reflected how patient groups were chosen. The authors offer a first framework for scalable semantic auditing, shifting trust from manual rules to generative verification.

Catalog record

CREATORIrena Girshovitz, Atai Ambus, Moni Shahar, Ran Gilad-Bachrach
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE41 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13522542

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