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An artificial intelligence framework for end-to-end rare disease phenotyping from clinical notes using large language models

Researchers develop innovative frameworks and methods to enhance AI capabilities in phenotyping, causal discovery, and planning

AI-Synthesized from 5 sources

By Emergent Science Desk

Wednesday, February 25, 2026

An artificial intelligence framework for end-to-end rare disease phenotyping from clinical notes using large language models

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Researchers develop innovative frameworks and methods to enhance AI capabilities in phenotyping, causal discovery, and planning

The field of artificial intelligence (AI) has witnessed significant advancements in recent years, with researchers continually pushing the boundaries of what is possible with language models and planning. Five new studies have made notable contributions to the field, addressing challenges in rare disease phenotyping, causal discovery, planning, and human-AI interaction.

One of the studies presents RARE-PHENIX, an end-to-end AI framework for rare disease phenotyping that utilizes large language models to extract features from clinical text, standardize them to Human Phenotype Ontology (HPO) terms, and prioritize diagnostically informative phenotypes. This framework has been trained on data from 2,671 patients across 11 clinical sites and externally validated on 16,357 real-world clinical notes. (Source 1)

Another study introduces DMCD, a semantic-statistical framework for causal discovery that combines large language model-based semantic drafting with statistical validation on observational data. DMCD has been evaluated on three real-world benchmarks and achieves competitive or leading performance against diverse causal discovery baselines. (Source 2)

In the realm of planning, researchers have developed Diffusion Modulation via Environment Mechanism Modeling (DMEMM), a novel diffusion-based planning method that incorporates key reinforcement learning environment mechanisms, such as transition dynamics and reward functions. DMEMM has demonstrated state-of-the-art performance for planning with offline reinforcement learning. (Source 3)

The study on Implicit Intelligence presents an evaluation framework for testing whether AI agents can reason about implicit requirements, such as accessibility needs, privacy boundaries, and contextual constraints. This framework is paired with Agent-as-a-World, a harness that simulates interactive worlds defined in human-readable YAML files and tests AI agents' ability to fulfill user requests. (Source 4)

Lastly, the study on Learning to Rewrite Tool Descriptions proposes a curriculum learning framework called Trace-Free+, which progressively transfers supervision from trace-rich settings to trace-free deployment, encouraging the model to abstract reusable interface-usage patterns and tool usage outcomes. This framework aims to improve the reliability of LLM-agent tool use. (Source 5)

These studies collectively demonstrate the rapid progress being made in AI research, with a focus on developing more sophisticated language models, improving causal discovery, and enhancing planning capabilities. As AI continues to advance, it is likely to have a significant impact on various fields, including healthcare, finance, and education.

One of the key takeaways from these studies is the importance of integrating multiple approaches to achieve better results. For instance, the RARE-PHENIX framework combines large language models with ontology-grounded standardization to improve rare disease phenotyping. Similarly, DMCD combines semantic drafting with statistical validation to enhance causal discovery.

Another significant trend emerging from these studies is the emphasis on developing more human-centered AI systems. The Implicit Intelligence framework, for example, evaluates AI agents' ability to reason about implicit requirements and fulfill user requests. This focus on human-AI interaction is crucial for developing AI systems that can effectively collaborate with humans and provide meaningful assistance.

In conclusion, these five studies represent significant advancements in AI research, showcasing the potential of language models and planning to transform various fields. As researchers continue to push the boundaries of what is possible with AI, we can expect to see even more innovative applications in the future.

References:

  • Source 1: "An artificial intelligence framework for end-to-end rare disease phenotyping from clinical notes using large language models"
  • Source 2: "DMCD: Semantic-Statistical Framework for Causal Discovery"
  • Source 3: "Diffusion Modulation via Environment Mechanism Modeling for Planning"
  • Source 4: "Implicit Intelligence -- Evaluating Agents on What Users Don't Say"
  • Source 5: "Learning to Rewrite Tool Descriptions for Reliable LLM-Agent Tool Use"

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