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Praphul Singh

Publications and source records attributed to Praphul Singh.

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ContractEval: Query-Conditioned Execution Matching for Procedural Instruction Conformance

As LLM agents move from answering questions to carrying out procedures, failures can be unwarranted rather than visibly wrong: the final response looks acceptable even though the system skipped the check, branch, dependency, or invariant that made the answer justified. Output-only evaluation sees the answer, and trace-aware judging sees activity, but neither identifies which obligations were active for the query. We introduce CONTRACTEVAL, a diagnostic framework for making those active obligations explicit. It represents procedural instructions as query-active obligations and matches them against response or trace evidence, turning omissions, wrong branches, ordering errors, extra actions, invariant breaches, and output-contract violations into distinct conformance failures. On a controlled suite of audited procedural contracts, output-only and trace-aware LLM judges miss many injected structural failures; under gold expected and observed graphs, ContractEval detects and localizes all of them. LLM-backed extraction preserves much of this signal but remains calibration-sensitive. ContractEval is therefore not a compliance guarantee; it makes procedural conformance auditable rather than implicit in final-answer quality.

cs.AI

Beyond Endpoint Gains: A Weight-Delta Audit of Medical Specialization

Specialist language models are usually understood through endpoint gains: the generalist scores lower, the specialist scores higher, and the difference is treated as evidence of specialization. This leaves the released update itself largely unexamined. We propose a paired weight-delta path audit and apply it to two public, aligned generalist-to-medical-specialist checkpoint pairs: Gemma-3-4B-IT to MedGemma-4B-IT and Qwen2.5-7B-Instruct to HuatuoGPT-o1-7B. In both pairs, the full decoder-side update strongly reconstructs measured medical benchmark movement (0.974 and 1.183 endpoint-normalized retention), making each decoder delta an appropriate substrate for the audit. Yet the movement is not cleanly localized. MLP is the strongest broad component family in both pairs, but mixed off-domain movements, 10-seed matched controls, and endpoint-anchored rollbacks prevent a unique coarse-family explanation. The audit therefore separates update-level reconstruction from component-level explanation. Its claims concern text-only multiple-choice benchmark movement, not clinical validation, repair, or circuit-level mechanism.

cs.AI

OG-Rank: Learning to Rank Fast and Slow with Uncertainty and Reward-Trend Guided Adaptive Exploration

Clinicians need ranking systems that work in real time and still justify their choices. Motivated by the need for a low-latency, decoder-based reranker, we present OG-Rank, a single-decoder approach that pairs a pooled first-token scoring signal with an uncertainty-gated explanation step. The model scores all candidates in one pass and generates a brief, structured rationale only when the list is genuinely ambiguous, keeping latency predictable. Trained with a curriculum that concentrates effort on hard cases, OG-Rank delivers strong effectiveness on encounter-scoped order selection (fast path: Recall@1~0.45, nDCG@20~0.625) and improves further when the gate activates (Recall@1~0.56, nDCG@20~0.699 at a 45\% gate rate), while compact backbones show similar gains under the same policy. Encoder baselines trail in both effectiveness and flexibility. The result is a practical recipe: rank fast by default and explain when it helps, a pattern that applies broadly to decision tasks where selective generation buys accuracy at acceptable cost. The single-policy design simplifies deployment and budget planning, and the curriculum principle (spend more on the hard cases, less on the easy ones) readily transfers beyond clinical order selection.

cs.AI

JEDA: Query-Free Clinical Order Search from Ambient Dialogues

Clinical conversations mix explicit directives (order a chest X-ray) with implicit reasoning (the cough worsened overnight, we should check for pneumonia). Many systems rely on LLM rewriting, adding latency, instability, and opacity that hinder real-time ordering. We present JEDA (Joint Embedding for Direct and Ambient clinical orders), a domain-initialized bi-encoder that retrieves canonical orders directly and, in a query-free mode, encodes a short rolling window of ambient dialogue to trigger retrieval. Initialized from PubMedBERT and fine-tuned with a duplicate-safe contrastive objective, JEDA aligns heterogeneous expressions of intent to shared order concepts. Training uses constrained LLM guidance to tie each signed order to complementary formulations (command only, context only, command+context, context+reasoning), producing clearer inter-order separation, tighter query extendash order coupling, and stronger generalization. The query-free mode is noise-resilient, reducing sensitivity to disfluencies and ASR errors by conditioning on a short window rather than a single utterance. Deployed in practice, JEDA yields large gains and substantially outperforms its base encoder and recent open embedders (Linq Embed Mistral, SFR Embedding, GTE Qwen, BGE large, Embedding Gemma). The result is a fast, interpretable, LLM-free retrieval layer that links ambient context to actionable clinical orders in real time.

cs.AI

Optimizing Long-Form Clinical Text Generation with Claim-Based Rewards

Automating clinical documentation with large language models requires precise alignment with priorities such as completeness and factual grounding. We present an evaluation-integrated reinforcement learning framework for long-form clinical text generation that couples Group Relative Policy Optimization (GRPO) with DocLens, a claim-level evaluator that provides deterministic, dialogue-grounded rewards. Our method directly optimizes factual grounding and completeness without training a separate reward model or relying on human-authored references. Empirically, the approach improves clinical note quality and reduces training cost via a simple reward-gating strategy. An independent GPT-5 qualitative evaluation further supports these gains, showing higher preference for GRPO outputs in factuality, completeness, and brevity, with fewer omissions and hallucinations. Because the benchmarks are relatively clean and the base model already well aligned, these improvements likely represent a conservative lower bound. The framework is scalable to real-world settings and can incorporate custom objectives such as guideline adherence or billing preferences.

cs.CL

RedactOR: An LLM-Powered Framework for Automatic Clinical Data De-Identification

Ensuring clinical data privacy while preserving utility is critical for AI-driven healthcare and data analytics. Existing de-identification (De-ID) methods, including rule-based techniques, deep learning models, and large language models (LLMs), often suffer from recall errors, limited generalization, and inefficiencies, limiting their real-world applicability. We propose a fully automated, multi-modal framework, RedactOR for de-identifying structured and unstructured electronic health records, including clinical audio records. Our framework employs cost-efficient De-ID strategies, including intelligent routing, hybrid rule and LLM based approaches, and a two-step audio redaction approach. We present a retrieval-based entity relexicalization approach to ensure consistent substitutions of protected entities, thereby enhancing data coherence for downstream applications. We discuss key design desiderata, de-identification and relexicalization methodology, and modular architecture of RedactOR and its integration with the Oracle Health Clinical AI system. Evaluated on the i2b2 2014 De-ID dataset using standard metrics with strict recall, our approach achieves competitive performance while optimizing token usage to reduce LLM costs. Finally, we discuss key lessons and insights from deployment in real-world AI- driven healthcare data pipelines.

cs.AI

Mitigating Uncertainty of Classifier for Unsupervised Domain Adaptation

Understanding unsupervised domain adaptation has been an important task that has been well explored. However, the wide variety of methods have not analyzed the role of a classifier's performance in detail. In this paper, we thoroughly examine the role of a classifier in terms of matching source and target distributions. We specifically investigate the classifier ability by matching a) the distribution of features, b) probabilistic uncertainty for samples and c) certainty activation mappings. Our analysis suggests that using these three distributions does result in a consistently improved performance on all the datasets. Our work thus extends present knowledge on the role of the various distributions obtained from the classifier towards solving unsupervised domain adaptation.

cs.LG