Search arXiv⌕ Search
Home/Archive/arXiv

arXiv · 2308.02984

Decision Knowledge Graphs: Construction of and Usage in Question Answering for Clinical Practice Guidelines

Vasudhan Varma Kandula·Pushpak Bhattacharyya
View original source ↗Read source document ↗Export metadata ↓

Abstract

In the medical domain, several disease treatment procedures have been documented properly as a set of instructions known as Clinical Practice Guidelines (CPGs). CPGs have been developed over the years on the basis of past treatments, and are updated frequently. A doctor treating a particular patient can use these CPGs to know how past patients with similar conditions were treated successfully and can find the recommended treatment procedure. In this paper, we present a Decision Knowledge Graph (DKG) representation to store CPGs and to perform question-answering on CPGs. CPGs are very complex and no existing representation is suitable to perform question-answering and searching tasks on CPGs. As a result, doctors and practitioners have to manually wade through the guidelines, which is inefficient. Representation of CPGs is challenging mainly due to frequent updates on CPGs and decision-based structure. Our proposed DKG has a decision dimension added to a Knowledge Graph (KG) structure, purported to take care of decision based behavior of CPGs. Using this DKG has shown 40\% increase in accuracy compared to fine-tuned BioBert model in performing question-answering on CPGs. To the best of our knowledge, ours is the first attempt at creating DKGs and using them for representing CPGs.

Explore related subjects

cs.IR

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Vasudhan Varma Kandula, Pushpak Bhattacharyya. 2023-08-06. Decision Knowledge Graphs: Construction of and Usage in Question Answering for Clinical Practice Guidelines. https://arxiv.org/abs/2308.02984

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

WebArxiv: A Reproducible Benchmark for Evaluating Multimodal Web Agents on arXiv Tasks

Foundation models now enable autonomous agents to interact with real-world websites, but existing benchmarks emphasize general-purpose browsing, underrepresent research-oriented environments and scholarly discovery workflows, and often depend on live sites whose changing content and structure undermine reproducibility. arXiv provides a realistic, reproducible, hierarchically structured, information-centric testbed without privacy-sensitive interactions. We introduce WebArxiv, a static-snapshot benchmark comprising 510 time-invariant tasks, each with a unique deterministic ground truth. Its diverse, realistic scholarly tasks go beyond simple information lookup and rule following to emphasize multi-constraint paper retrieval, fine-grained content extraction, and cross-paper comparison. Evaluations of a range of foundation-model-based web agents show that WebArxiv remains challenging. Behavioral analysis reveals that agents over-rely on fixed interaction histories, causing incomplete or repetitive reasoning. We therefore equip agents with a lightweight dynamic-memory mechanism for adaptive retrieval and reasoning over relevant context. The benchmark and code are available at https://anonymous.4open.science/r/74E4423BVNW/README.md.

cs.IR↗
arXiv2026

GreekBarRetrieval: A Benchmark for Greek Statutory Retrieval

Statutory retrieval is necessary for citation-grounded legal question answering, but remains underexplored for Greek. We introduce GreekBarRetrieval, a public retrieval benchmark derived from, and complementing GreekBarBench, which did not include retrieval. The new benchmark comprises 283 bar-exam questions, each accompanied by the facts of the case it refers to, and 6,308 candidate statutory articles to retrieve from. Questions and facts are stated in everyday language, but need to be mapped to the formal terminology of statutes and their abstract legal concepts. A further complication is that not all of the case facts are relevant to each question of a case. Experimenting with three BM25 variants and nine dense retrievers, we find that vanilla dense retrieval far outperforms vanilla sparse retrieval in Recall@100. However, LLM-based query reformulation helps BM25 close that gap, while also improving dense retrieval. With a ten-round ReAct-like LLM reformulation loop that we introduce, BM25 improves further in Recall@100 and obtains the best nDCG and MAP scores of all tested retrievers. Query reformulation also outperforms pseudo-relevance feedback, sparse-dense fusion, and English translation.

cs.IR↗
arXiv2026

Parameterized Dense-Sparse Fusion for Hybrid Retrieval: Tuning a Rank-Score Mix on BEIR SciFact with Qdrant

We study a parameterized hybrid ranker that fuses a dense embedding list and a sparse lexical list. The method has a small, explicit parameter vector: a dense prior $α\in [0,1]$, a score-versus-rank mix $λ\in [0,1]$, an RRF smoothing parameter $κ> 0$, optional list-geometry coefficients that move $α$ per query, and a router margin $τ$ that can turn sparse search off. We grid-search those ranges on SciFact train (809 queries) and freeze the chosen values on SciFact test (300). The tuned rank-score mix ($α= 0.8$, $λ= 0.75$, $κ= 20$) reaches 0.753 nDCG@10 and 0.889 recall@10, outperforming dense BGE (0.742 / 0.871) and equal-weight RRF (0.707 nDCG@10) on that test split. A list-conditioned $α$ adds +0.0006 nDCG; a sparse-off router is rejected by the same train split (any $τ$ that skipped approximately 50% of queries lost nDCG). These coefficients are dataset-specific. Equal RRF with the same models does not beat dense on a nine-zip BEIR macro-average (0.479 vs. 0.519 nDCG@10). Repeating the same train-then-freeze sweep independently on all 20 indexed units beats equal RRF on 20/20 and dense on 16/20 (unit-mean nDCG@10 0.467 vs. 0.462 dense vs. 0.420 RRF). Other corpora should reuse the ranges, not a copy of the SciFact point.

cs.IR↗