Raw Text is All you Need: Knowledge-intensive Multi-turn Instruction Tuning for Large Language Model

Instruction tuning as an effective technique aligns the outputs of large language models (LLMs) with human preference. But how to generate the seasonal multi-turn dialogues from raw documents for instruction tuning still requires further exploration. In this paper, we present a novel framework named R2S that leverages the CoD-Chain of Dialogue logic to guide large language models (LLMs) in generating knowledge-intensive multi-turn dialogues for instruction tuning. By integrating raw documents from both open-source datasets and domain-specific web-crawled documents into a benchmark K-BENCH, we cover diverse areas such as Wikipedia (English), Science (Chinese), and Artifacts (Chinese). Our approach first decides the logic flow of the current dialogue and then prompts LLMs to produce key phrases for sourcing relevant response content. This methodology enables the creation of the G I NSTRUCT instruction dataset, retaining raw document knowledge within dialoguestyle interactions. Utilizing this dataset, we fine-tune GLLM, a model designed to transform raw documents into structured multi-turn dialogues, thereby injecting comprehensive domain knowledge into the SFT model for enhanced instruction tuning. This work signifies a stride towards refining the adaptability and effectiveness of LLMs in processing and generating more accurate, contextually nuanced responses across various fields.

REALM: RAG-Driven Enhancement of Multimodal Electronic Health Records Analysis via Large Language Models

The integration of multimodal Electronic Health Records (EHR) data has significantly improved clinical predictive capabilities. Leveraging clinical notes and multivariate time-series EHR, existing models often lack the medical context relevent to clinical tasks, prompting the incorporation of external knowledge, particularly from the knowledge graph (KG). Previous approaches with KG knowledge have primarily focused on structured knowledge extraction, neglecting unstructured data modalities and semantic high dimensional medical knowledge. In response, we propose REALM, a Retrieval-Augmented Generation (RAG) driven framework to enhance multimodal EHR representations that address these limitations. Firstly, we apply Large Language Model (LLM) to encode long context clinical notes and GRU model to encode time-series EHR data. Secondly, we prompt LLM to extract task-relevant medical entities and match entities in professionally labeled external knowledge graph (PrimeKG) with corresponding medical knowledge. By matching and aligning with clinical standards, our framework eliminates hallucinations and ensures consistency. Lastly, we propose an adaptive multimodal fusion network to integrate extracted knowledge with multimodal EHR data. Our extensive experiments on MIMIC-III mortality and readmission tasks showcase the superior performance of our REALM framework over baselines, emphasizing the effectiveness of each module. REALM framework contributes to refining the use of multimodal EHR data in healthcare and bridging the gap with nuanced medical context essential for informed clinical predictions.