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CliniChat: A Multi-Source Knowledge-Driven Framework for Clinical Interview Dialogue Reconstruction and Evaluation

14 April 2025
J. Chen
Zhihua Wei
W. Zhang
Yingying Hu
Qiong Zhang
    LM&MA
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Abstract

Large language models (LLMs) hold great promise for assisting clinical interviews due to their fluent interactive capabilities and extensive medical knowledge. However, the lack of high-quality interview dialogue data and widely accepted evaluation methods has significantly impeded this process. So we propose CliniChat, a framework that integrates multi-source knowledge to enable LLMs to simulate real-world clinical interviews. It consists of two modules: Clini-Recon and Clini-Eval, each responsible for reconstructing and evaluating interview dialogues, respectively. By incorporating three sources of knowledge, Clini-Recon transforms clinical notes into systematic, professional, and empathetic interview dialogues. Clini-Eval combines a comprehensive evaluation metric system with a two-phase automatic evaluation approach, enabling LLMs to assess interview performance like experts. We contribute MedQA-Dialog, a high-quality synthetic interview dialogue dataset, and CliniChatGLM, a model specialized for clinical interviews. Experimental results demonstrate that CliniChatGLM's interview capabilities undergo a comprehensive upgrade, particularly in history-taking, achieving state-of-the-art performance.

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@article{chen2025_2504.10418,
  title={ CliniChat: A Multi-Source Knowledge-Driven Framework for Clinical Interview Dialogue Reconstruction and Evaluation },
  author={ Jing Chen and Zhihua Wei and Wei Zhang and Yingying Hu and Qiong Zhang },
  journal={arXiv preprint arXiv:2504.10418},
  year={ 2025 }
}
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