arXiv subjects

Shivali Dalmia

Publications and source records attributed to Shivali Dalmia.

10 recordsLinked to original sources

arXiv2026

GVD: Governed Versioning and Deduplication for Document Repositories

Document repositories evolve continuously. Guidelines and policies are revised, superseded, and re-uploaded, so the same content recurs in different wording and newer versions refine or contradict earlier ones. These inconsistencies belong to the growing collection rather than to any single document, yet existing work treats versioning, duplicate detection, and contradiction detection as isolated pairwise tasks and stops once a pair is labeled. We present GVD (Governed Versioning and Deduplication), a framework that unifies cross-document version linking with rule-level conflict resolution under an auditable update policy. Incoming documents are assigned to version families through bidirectional rule alignment, and their rules are compared against the family memory to identify duplicates, contradictions, asymmetric refinements, and new knowledge, with Counterfactual Span Probing (CSP) resolving related pairs that inference misclassifies as neutral. Relation-specific policies suppress duplicates and escalate only consequential changes for review, retaining version lineage as an audit trail. The pipeline runs fully locally, with no large language model. On 120 enterprise documents processed as 140 ingestions across 59 version families, GVD reaches an F1 of 0.97 for version-family construction and 0.94 for rule-level consistency, with CSP raising rule consistency from 0.90 to 0.94.

cs.AI↗

arXiv2026

SAGE: Governed Artifact Generation from Enterprise Guidelines

Enterprise guideline documents mix narrative text, complex tables, and embedded images, and converting them into structured work artifacts still takes two to three days of manual effort each. Current language and vision-language models extract from such documents but offer no governed workflow beyond extraction: no validation, no consistency checking, no traceable artifact generation. We introduce SAGE, a governed multi-stage LLM pipeline organized around a shared versioned rule store with stable identifiers, schema-validated inter-stage contracts, and end-to-end provenance tracking. Extracted rules undergo deterministic structural validation and LLM-based semantic scoring, then a consistency module that removes duplicates, flags contradictions, and surfaces specification gaps; only uncertain or flagged items reach reviewers, while high-confidence outputs are auto-approved. On 120 documents, SAGE cuts turnaround from days to 20-100 minutes, achieving a 96% document-level success rate with 3.2% hallucination, extracting 3,896 rules and producing 812 artifacts ready for human review; without governance, hallucination rises to 15.7%.

cs.AI↗

arXiv2026

GUIDE: Governed Unified Intelligence for Document-to-Artifact Generation in Enterprise Settings

Enterprise guideline documents are heterogeneous and multimodal, combining narrative text, complex tables, and embedded images. Existing LLM and VLM systems face hallucinated content, table structure degradation, and lack governed workflows extending beyond extraction to validation and artifact generation. This leaves enterprises to perform this manually, consuming 2-3 days per document. To address this, we introduce GUIDE, a governed multi-agent framework built on a shared versioned rule store with schema-validated inter-agent contracts and end-to-end provenance tracking. Six specialized agents handle parsing, VLM-driven extraction, consistency checking, evaluation, human-in-the-loop (HITL) escalation, and persona-tailored artifact synthesis. Evaluated on 120 real-world enterprise guideline documents, GUIDE achieves 96% document success, extracts 3,896 rules with 71.4% auto-approved, produces 812 deployment-ready artifacts, and reduces turnaround to 40-125 minutes per document.

cs.AI↗

arXiv2026

CareTransition-Audit: A Benchmark to Audit Discharge Summaries for Efficient Care Transitions

Incomplete or inconsistent discharge documentation drives care fragmentation and avoidable readmissions. Despite its critical role in patient safety, auditing discharge summaries relies on manual review and does not scale. We propose an automated framework for auditing discharge summaries using large language models (LLMs). Our approach operationalizes the DISCHARGED framework into a checklist of 46 questions. Using 50 summaries from the MIMIC-IV database, with clinician ground-truth labels, we benchmark 11 LLMs. Model-assessed mean documentation completeness ranges from 54.9% to 74.2%, and the best-performing models achieve a Cohen's kappa values around 0.5 against clinician labels, indicating moderate agreement. All models struggle to identify ambiguous documentation (Unclear), highlighting a key gap in current automated auditing. This work provides a clinician-validated benchmark and zero-shot baselines for systematic quality improvement in clinical documentation.

cs.AI↗

arXiv2026

Measuring What Matters: Benchmarking Generative, Multimodal, and Agentic AI in Healthcare

AI models are increasingly deployed in live clinical environments where they must perform reliably across complex, high-stakes workflows that standard training and validation datasets were never designed to capture. Evaluating these systems requires benchmarks: structured combinations of tasks, datasets, and metrics that enable reproducible, comparable measurement of what a model can do. The central challenge in healthcare AI is not performance alone, but the absence of systematic methods to measure reliability, safety, and clinical relevance under real-world conditions. Most existing benchmarks test what a model knows; too few test whether it can perform reliably and without failing across the full complexity of real clinical tasks. Current benchmarks have accumulated through ad hoc dataset construction optimized for narrow task performance: frontier models achieve near-perfect scores on medical licensing examinations, but when evaluated across real clinical tasks, performance degrades sharply, scoring 0.74--0.85 on documentation, 0.61--0.76 on clinical decision support, and only 0.53--0.63 on administrative and workflow tasks \cite{medhelm}. High benchmark scores give a false sense of deployment readiness, and the gap between performance and utility widens precisely as AI systems take on more consequential clinical roles. Without a principled framework for benchmark design, the field cannot determine whether poor clinical performance reflects model limitations or failures in how performance is being measured.

cs.AI↗

arXiv2026

Systematic Evaluation of Large Language Models for Post-Discharge Clinical Action Extraction

The work in this paper evaluates zero-shot and few-shot large language models (LLMs) for safety-critical clinical action extraction using the CLIP discharge-note dataset, with particular emphasis on transitions of care and post-discharge patient safety. To manage the complexity of clinical documentation, we introduce a two-stage extraction framework that decomposes discharge notes, that are written in narrative form, into fine-grained, explicitly actionable clinical tasks through a staged prompting strategy. Our contributions include a systematic assessment of generative LLMs for clinical action extraction, a detailed comparison between general-purpose LLMs and task-specific supervised BERT-based models, and an analysis of annotation inconsistencies across different action categories. We show that contemporary LLMs achieve performance comparable to or exceeding supervised models on binary actionability detection, while supervised baselines retain a meaningful advantage on fine-grained multi-label category classification, despite the absence of task-specific fine-tuning and under strict data-privacy constraints. Qualitative error analysis reveals that many failures stem from misalignment between model reasoning and dataset annotation conventions, particularly in cases involving implicit clinical actions and rigid structural labeling rules. These results indicate that reported performance reflects model limitations due to lack of clinical reasoning, that is not captured by plain annotations. Labels without rationales make it impossible to distinguish clinical reasoning failures from annotation convention mismatches. Advancing clinical NLP requires reasoning-annotated datasets that document why specific spans are actionable, not merely which spans were labeled, enabling proper evaluation of model clinical understanding.

cs.AI↗

arXiv2026

ART: Action-based Reasoning Task Benchmarking for Medical AI Agents

Reliable clinical decision support requires medical AI agents capable of safe, multi-step reasoning over structured electronic health records (EHRs). While large language models (LLMs) show promise in healthcare, existing benchmarks inadequately assess performance on action-based tasks involving threshold evaluation, temporal aggregation, and conditional logic. We introduce ART, an Action-based Reasoning clinical Task benchmark for medical AI agents, which mines real-world EHR data to create challenging tasks targeting known reasoning weaknesses. Through analysis of existing benchmarks, we identify three dominant error categories: retrieval failures, aggregation errors, and conditional logic misjudgments. Our four-stage pipeline -- scenario identification, task generation, quality audit, and evaluation -- produces diverse, clinically validated tasks grounded in real patient data. Evaluating GPT-4o-mini and Claude 3.5 Sonnet on 600 tasks shows near-perfect retrieval after prompt refinement, but substantial gaps in aggregation (28--64%) and threshold reasoning (32--38%). By exposing failure modes in action-oriented EHR reasoning, ART advances toward more reliable clinical agents, an essential step for AI systems that reduce cognitive load and administrative burden, supporting workforce capacity in high-demand care settings

cs.AI↗

arXiv2025

LegalWiz: A Multi-Agent Generation Framework for Contradiction Detection in Legal Documents

Retrieval-Augmented Generation (RAG) integrates large language models (LLMs) with external sources, but unresolved contradictions in retrieved evidence often lead to hallucinations and legally unsound outputs. Benchmarks currently used for contradiction detection lack domain realism, cover only limited conflict types, and rarely extend beyond single-sentence pairs, making them unsuitable for legal applications. Controlled generation of documents with embedded contradictions is therefore essential: it enables systematic stress-testing of models, ensures coverage of diverse conflict categories, and provides a reliable basis for evaluating contradiction detection and resolution. We present a multi-agent contradiction-aware benchmark framework for the legal domain that generates synthetic legal-style documents, injects six structured contradiction types, and models both self- and pairwise inconsistencies. Automated contradiction mining is combined with human-in-the-loop validation to guarantee plausibility and fidelity. This benchmark offers one of the first structured resources for contradiction-aware evaluation in legal RAG pipelines, supporting more consistent, interpretable, and trustworthy systems.

cs.AI↗

arXiv2025

Scalable multilingual PII annotation for responsible AI in LLMs

As Large Language Models (LLMs) gain wider adoption, ensuring their reliable handling of Personally Identifiable Information (PII) across diverse regulatory contexts has become essential. This work introduces a scalable multilingual data curation framework designed for high-quality PII annotation across 13 underrepresented locales, covering approximately 336 locale-specific PII types. Our phased, human-in-the-loop annotation methodology combines linguistic expertise with rigorous quality assurance, leading to substantial improvements in recall and false positive rates from pilot, training, and production phases. By leveraging inter-annotator agreement metrics and root-cause analysis, the framework systematically uncovers and resolves annotation inconsistencies, resulting in high-fidelity datasets suitable for supervised LLM fine-tuning. Beyond reporting empirical gains, we highlight common annotator challenges in multilingual PII labeling and demonstrate how iterative, analytics-driven pipelines can enhance both annotation quality and downstream model reliability.

cs.CL↗

arXiv2025

Human + AI for Accelerating Ad Localization Evaluation

Adapting advertisements for multilingual audiences requires more than simple text translation; it demands preservation of visual consistency, spatial alignment, and stylistic integrity across diverse languages and formats. We introduce a structured framework that combines automated components with human oversight to address the complexities of advertisement localization. To the best of our knowledge, this is the first work to integrate scene text detection, inpainting, machine translation (MT), and text reimposition specifically for accelerating ad localization evaluation workflows. Qualitative results across six locales demonstrate that our approach produces semantically accurate and visually coherent localized advertisements, suitable for deployment in real-world workflows.

cs.AI↗