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Revisiting the MIMIC-IV Benchmark: Experiments Using Language Models for Electronic Health Records

Text-based models fine-tuned on EHR data are competitive with tabular classifiers for predicting patient mortality, while zero-shot models struggle with EHR representations.

Year
2025
Venue
arXiv 2025
Authors
5
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arxiv.org/abs/2504.20547ARXIV-DEFAULT
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Abstract

The lack of standardized evaluation benchmarks in the medical domain for text inputs can be a barrier to widely adopting and leveraging the potential of natural language models for health-related downstream tasks. This paper revisited an openly available MIMIC-IV benchmark for electronic health records (EHRs) to address this issue. First, we integrate the MIMIC-IV data within the Hugging Face datasets library to allow an easy share and use of this collection. Second, we investigate the application of templates to convert EHR tabular data to text. Experiments using fine-tuned and zero-shot LLMs on the mortality of patients task show that fine-tuned text-based models are competitive against robust tabular classifiers. In contrast, zero-shot LLMs struggle to leverage EHR representations. This study underlines the potential of text-based approaches in the medical field and highlights areas for further improvement.

Authors

5