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Publikation

A Neurosymbolic Approach for Constructing Planning Domain Models from Clinical Narratives

Ranveer Singh; Saurabh Mathur; Michael A. Skinner; Prasad Tadepalli; Kristian Kersting; Sriraam Natarajan
In: Computing Research Repository eprint Journal (CoRR), Vol. abs/2608.21186, Pages 1-9, ar, 2026.

Zusammenfassung

Surgical procedures such as laparoscopic appendectomy are complex, high-stakes processes, yet formalizing their work- flows for decision support remains a significant challenge. Inducing probabilistic planning domain models in this set- ting is particularly difficult due to the lack of structured event data and the prevalence of implicit actions in clinical narra- tives, which neither empirical symbolic methods nor Large Language Models (LLMs) can adequately address on their own. We introduce NSPIN, a neurosymbolic framework for inducing probabilistic planning domain models from unstruc- tured clinical narratives. Our method extracts and imputes structured event sequences from raw text using a pretrained LLM, then induces a PPDDL model and refines its precon- ditions with LLM-proposed revisions, guided by empirical validation. We evaluate the approach on 2,660 laparoscopic appendectomy notes written by 9 surgeons. NSPIN yields models that generalize to unseen notes, and expert clinical review indicates its induced knowledge is largely consistent with surgical practice.

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