China

Large language models (LLMs) such as GPT-4o and o1 have demonstrated strong performance on clinical natural language processing (NLP) tasks across multiple medical benchmarks. Nonetheless, two high-impact NLP tasks — structured tabular reporting from nurse dictations and medical order extraction from doctor-patient consultations — remain underexplored due to data scarcity and sensitivity, despite active industry efforts. Practical solutions to these real-world clinical tasks can significantly reduce the documentation burden on healthcare providers, allowing greater focus on patient care. In this paper, we investigate these two challenging tasks using private and open-source clinical datasets, evaluating the performance of both open- and closed-weight LLMs, and analyzing their respective strengths and limitations. Furthermore, we propose an agentic pipeline for generating realistic, non-sensitive nurse dictations, enabling structured extraction of clinical observations. To support further research in both areas, we release SYNUR and SIMORD, the first open-source datasets for nurse observation extraction and medical order extraction.

EMNLP 2025

Empowering Healthcare Practitioners with Language Models: Structuring Speech Transcripts in Two Real-World Clinical Applications

medical order

nursing

clinical nlp

poster

## Welcome!
"I am excited to welcome you to this year’s edition of the Conference on Empirical Methods in Natural Language Processing! Importantly, it marks the 30th edition of EMNLP. With over 8,000 submissions, more than 3,000 accepted papers, and thousands of attendees, we have come a long way from that first
workshop, which had 14 accepted papers. As the field looks ahead, Suzhou is the fitting location for celebrating this milestone: rooted in a long literary tradition, yet modern and forward-looking, and home to a large share of the NLP community."<br>

*Message from the General Chair, Dirk Hovy*





<br>

Celebrate 30 Years of EMNLP! 
EMNLP 2025 will be held in Suzhou, China from November 5th to November 9th, 2025.

Entity Linking (EL) has traditionally relied on large annotated datasets and extensive model fine-tuning. While recent few-shot methods leverage large language models (LLMs) through prompting to reduce training requirements, they often suffer from inefficiencies due to expensive LLM-based reasoning. ARTER (Adaptive Routing and Targeted Entity Reasoning) presents a structured pipeline that achieves high performance without deep fine-tuning by strategically combining candidate generation, context-based scoring, adaptive routing, and selective reasoning. ARTER computes a small set of complementary signals (both embedding and LLM-based) over the retrieved candidates to categorize contextual mentions into easy and hard cases. The cases are then handled by low-computational entity linker (e.g. ReFinED) and more expensive targeted LLM-based reasoning respectively. On standard benchmarks, ARTER outperforms ReFinED by up to +4.13\%, with an average gain of +2.47\% on 5 out of 6 datasets, and performs comparably to pipelines using LLM-based reasoning for all mentions, while being twice efficient in terms of the number of LLM tokens.

Leveraging the Power of Large Language Models in Entity Linking via Adaptive Routing and Targeted Reasoning

The ubiquity of payment networks generates vast transactional data encoding rich consumer and merchant behavioral patterns. Recent foundation models for transaction analysis process tabular data sequentially but rely on index-based representations for categorical merchant fields, causing substantial semantic information loss by converting rich textual data into discrete tokens. While Large Language Models (LLMs) can address this limitation through superior semantic understanding, their computational overhead challenges real-time financial deployment. We introduce a hybrid framework that uses LLM-generated embeddings as semantic initializations for lightweight transaction models, balancing interpretability with operational efficiency. Our approach employs multi-source data fusion to enrich merchant categorical fields and a one-word constraint principle for consistent embedding generation across LLM architectures. We systematically address data quality through noise filtering and context-aware enrichment. Experiments on large-scale transaction datasets demonstrate significant performance improvements across multiple transaction understanding tasks.

Enhancing Foundation Models in Transaction Understanding with LLM-based Sentence Embeddings

Retrieval-Augmented Generation (RAG) systems leverage Large Language Models (LLMs) to generate accurate and reliable responses that are grounded in retrieved context. However, LLMs often generate inconsistent outputs for semantically equivalent inputs, a problem exacerbated by limited consistency-focused data and the limitations of existing fine-tuning methods for improving consistency. We propose a new approach combining systematic synthetic data generation, triplet loss for better embeddings, and a novel layer-wise model merging approach. Using consistency-aware weights derived from intermediate layer activations, our method effectively integrates knowledge from specialized models. Experimental results how that our merged model significantly enhances output consistency, achieving approximately 47.5% improvement in response similarity over the baseline, thus offering a practical solution for increasing the the reliability of an industrial RAG system.

Harmonizing Diverse Models: A Layer-wise Merging Strategy for Consistent Generation

Large Language Models (LLMs) hold significant promise for transforming digital health by enabling automated medical question answering. However, ensuring these models meet critical industry standards for factual accuracy, usefulness, and safety remains a challenge, especially for open-source solutions. We present a rigorous benchmarking framework via a dataset of over 1,000 health questions. We assess model performance across honesty, helpfulness, and harmlessness. Our results highlight trade-offs between factual reliability and safety among evaluated models---Mistral-7B, BioMistral-7B-DARE, and AlpaCare-13B. AlpaCare-13B achieves the highest accuracy (91.7%) and harmlessness (0.92), while domain-specific tuning in BioMistral-7B-DARE boosts safety (0.90) despite smaller scale. Few-shot prompting improves accuracy from 78% to 85%, and all models show reduced helpfulness on complex queries, highlighting challenges in clinical QA. Our code is available at: \url{https://anonymous.4open.science/r/TTT-C21B/README.md}

Truth, Trust, and Trouble: Medical AI on the Edge

In a technology company, quality of customer service that involves providing
troubleshooting assistance and advice to customers is a crucial asset.
Often, insights from historical customer service data are used to make decisions related to future product offerings. In this paper, we address the challenging problem of automatic assignment of product names and software version labels to customer Service Requests (SRs) related to BLIND, a company in the networking domain.
We study the effectiveness of state-of-the-art Large Language Models (LLMs) in assigning the correct product name codes and software versions from several possible label options and their ``non-canonical'' mentions in the associated SR data. To this end, we frame the assignment as a multiple-choice question answering task instead of conventional prompts and devise, to our knowledge, a novel pipeline of employing a classifier for filtering inputs to the LLM for saving usage costs. On our experimental dataset based on real SRs, we are able to correctly identify product name and software version labels when they are mentioned with over 90% accuracy while cutting LLM costs by ~40-60% on average, thus providing a viable solution for practical deployment.

On Assigning Product and Software Codes to Customer Service Requests with Large Language Models

Despite recent advancements in Multilingual Information Retrieval (MLIR), a significant gap remains between research and practical deployment. Many studies assess MLIR performance in isolated settings, limiting their applicability to real-world scenarios.
In this work, we leverage the unique characteristics of the Quranic multilingual corpus to examine the optimal strategies to develop an ad-hoc IR system for the Islamic domain that is designed to satisfy users' information needs in multiple languages. 
We prepared eleven retrieval models employing four training approaches: monolingual, cross-lingual, translate-train-all, and a novel mixed method combining cross-lingual and monolingual techniques. 
Evaluation on an in-domain dataset demonstrates that the mixed approach achieves promising results across diverse retrieval scenarios. Furthermore, we provide a detailed analysis of how different training configurations affect the embedding space and their implications for multilingual retrieval effectiveness.
Finally, we discuss deployment considerations, emphasizing the cost-efficiency of deploying a single versatile, lightweight model for real-world MLIR applications.

Efficient and Versatile Model for Multilingual Information Retrieval of Islamic Text: Development and Deployment in Real-World Scenarios

Repetitive practice with isomorphic math problems is crucial for mathematics education. To automate the creation of such problems at scale, recent techniques using Large Language Models(LLM) have shown promise, yet they remain unsuitable for production environments due to their failure to ensure mathematical correctness and structural consistency. To bridge this gap, we introduce the task of Isomorphic Math Problem Generation (IMPG) and propose Computational Blueprints for Isomorphic Twins (CBIT) to tackle it. In this framework, the LLM authors a reusable program that generates problems, rather than the problem text itself. Extensive experiments demonstrate that CBIT achieves mathematical accuracy, structural consistency, and efficiency. Furthermore, problems generated via CBIT shows competitive performance against those from human experts when deployed in a real-world educational setting.

Computational Blueprints: Generating Isomorphic Math Problems with Large Language Models

Recent advances in Large Language Models (LLMs) have brought significant improvements to various service domains, including chatbots and medical pre-consultation applications. In the healthcare domain, the most common approach for adapting LLMs to multi-turn dialogue generation is Supervised Fine-Tuning (SFT). However, datasets for SFT in tasks like medical pre-consultation typically exhibit a skewed turn-count distribution. Training on such data induces a novel failure mechanism we term **Format Inertia**, where models tend to generate repetitive, format-correct, but diagnostically uninformative questions in long medical dialogues. To mitigate this observed failure mechanism, we adopt a simple, data-centric method that rebalances the turn-count distribution of the training dataset. Experimental results show that our approach substantially alleviates Format Inertia in medical pre-consultation.

Format Inertia: A Failure Mechanism of LLMs in Medical Pre-Consultation

Developing document understanding models at enterprise scale requires large, diverse, and well-annotated datasets spanning a wide range of document types. However, collecting such data is prohibitively expensive due to privacy constraints, legal restrictions, and the sheer volume of manual annotation needed - costs that can scale into millions of dollars. We introduce FlexDoc, a scalable synthetic data generation framework that combines Stochastic Schemas and Parameterized Sampling to produce realistic, multilingual semi-structured documents with rich annotations. By probabilistically modeling layout patterns, visual structure, and content variability, FlexDoc enables the controlled generation of diverse document variants at scale. Experiments on Key Information Extraction (KIE) tasks demonstrate that FlexDoc-generated data improves the absolute F1 Score by up to 11% when used to augment real datasets, while reducing annotation effort by over 90% compared to traditional hard-template methods. The solution is in active deployment, where it has accelerated the development of enterprise-grade document understanding models while significantly reducing data acquisition and annotation costs.

FlexDoc: Parameterized Sampling for Diverse Multilingual Synthetic Documents for Training Document Understanding Models

Input errors in question-answering (QA) systems often lead to incorrect responses. Large language models (LLMs) struggle with this task, frequently failing to interpret user intent (misinterpretation) or unnecessarily altering the original question's structure (over-correction).
We propose QuestionRAG, a framework that tackles these problems. To address misinterpretation, it enriches the input with external knowledge (e.g., search results, related entities). To prevent over-correction, it uses reinforcement learning (RL) to align the model's objective with precise correction, not just paraphrasing.
Our results demonstrate that knowledge augmentation is critical for understanding faulty questions. Furthermore, RL-based alignment proves significantly more effective than traditional supervised fine-tuning (SFT), boosting the model's ability to follow instructions and generalize. By integrating these two strategies, QuestionRAG unlocks the full potential of LLMs for the question correction task.

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Leveraging the Power of Large Language Models in Entity Linking via Adaptive Routing and Targeted Reasoning

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