TY - JOUR
T1 - Large Language Model with Retrieval-Augmented Generation and Chain-of-Thought Reasoning for Differential Diagnosis Generation from Emergency Department Triage Notes and Vital Signs
AU - Isabella Garcia
AU - Diego Herrera
JF - Journal of Artificial Intelligence for Healthcare Systems
JO - J. Artif. Intell. Healthc. Syst.
SN - 3149-8981
Y1 - 2026
VL - 5
IS - 2
SP - 129
N2 - This article proposes a conceptual framework for a diagnostic support system in emergency departments that leverages large language models, retrieval-augmented generation, and chain-of-thought reasoning. By combining triage notes and vital signs, the system generates a ranked differential diagnosis list to assist clinicians without replacing their judgment. The framework includes components like a triage note encoder, a vital sign encoder, a retrieval module, and a diagnosis ranker, using evidence from clinical guidelines, curated references, and de-identified prior cases. The approach grounds the model in authoritative knowledge while ensuring transparency and explainability in the diagnostic process. However, prospective validation, integration into workflows, and clinician oversight are crucial before implementation to ensure safety and effectiveness.
UR - https://cirpublications.com/k345628701
ER -