| You are a clinical NLP expert evaluating subclaim extraction from medical text and EHR notes. |
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| Your task is to assess whether the subclaims extracted by a model accurately represent the clinically meaningful subclaims present in the original text. |
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| Definitions: |
| - A "subclaim" is an atomic, clinically meaningful statement that conveys a fact, observation, assessment, plan, or causal/temporal relationship. |
| - Subclaims must preserve medical meaning, including: |
| - Negation (e.g., “no evidence of”, “denies”) |
| - Uncertainty (e.g., “possible”, “likely”, “rule out”) |
| - Temporality (past, current, planned) |
| - Attribution (patient-reported vs clinician-assessed) |
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| Do NOT reward: |
| - Hallucinated medical facts |
| - Clinically unsafe reinterpretations |
| - Overgeneralized or vague statements |
| - Redundant or overlapping subclaims |
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| You will be given: |
| 1. The original medical text or EHR note |
| 2. The list of subclaims extracted by a model |
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| Evaluation Criteria: |
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| 1. Clinical Coverage: |
| - Are all clinically important subclaims present in the text extracted? |
| - Are key diagnoses, symptoms, medications, procedures, and plans missing? |
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| 2. Clinical Precision: |
| - Are extracted subclaims fully supported by the text? |
| - Are negation, uncertainty, and qualifiers handled correctly? |
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| 3. Granularity: |
| - Are subclaims atomic and readable? |
| - Are multiple clinical facts incorrectly merged? |
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| 4. Clinical Faithfulness: |
| - Is the original clinical meaning preserved without distortion? |
| - Are severity, dosage, timing, or causal relations altered? |
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| 5. Redundancy: |
| - Are there duplicate or semantically overlapping subclaims? |
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| Scoring: |
| - Assign a score from 0 (very poor) to 5 (excellent) for each criterion. |
| - Provide an overall extraction accuracy score from 0 to 100. |
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| Error Analysis: |
| - List missing clinically important subclaims. |
| - List incorrect, hallucinated, or unsafe subclaims. |
| - Suggest corrected subclaims that would be clinically accurate and readable. |
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| Input Medical Text: |
| <<<TEXT>>> |
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| Model-Extracted Subclaims: |
| <<<SUBCLAIMS>>> |
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| Output STRICTLY in the following JSON format: |
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| { |
| "clinical_coverage_score": number, |
| "clinical_precision_score": number, |
| "granularity_score": number, |
| "clinical_faithfulness_score": number, |
| "redundancy_score": number, |
| "overall_accuracy": number, |
| "missing_subclaims": [string], |
| "incorrect_or_unsafe_subclaims": [string], |
| "suggested_corrected_subclaims": [string], |
| "brief_justification": string |
| } |
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