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Jul 28

RePrompT: Recurrent Prompt Tuning for Integrating Structured EHR Encoders with Large Language Models

Large Language Models (LLMs) have shown strong promise for mining Electronic Health Records (EHRs) by reasoning over longitudinal clinical information to capture context-rich patient trajectories. However, leveraging LLMs for structured EHRs (e.g., standardized diagnosis and medication codes) presents two key challenges. First, translating time-stamped EHR sequences into plain text can obscure both temporal structure and code identities, weakening the ability to capture code co-occurrence and longitudinal regularities. Second, unlike cohort-trained predictive models that learn a shared, task-aligned representation space across patients, LLMs are often applied in a case-isolated inference setting where each patient is processed independently without leveraging population-level patterns. To address these challenges, we introduce RePrompT, a time-aware LLM framework that integrates structured EHR encoders through prompt tuning, without modifying underlying architectures. Specifically, RePrompT recurrently incorporates latent states from prior visits to preserve longitudinal information, and injects population-level information through trainable prompt tokens derived from a cohort-trained, task-aligned EHR encoder. Experiments on MIMIC-III and MIMIC-IV demonstrate that RePrompT consistently outperforms both EHR-based and LLM-based baselines across multiple clinical prediction tasks.

  • 5 authors
·
Apr 19

REprompt: Prompt Generation for Intelligent Software Development Guided by Requirements Engineering

The rapid development of large language models is transforming software development. Beyond serving as code auto-completion tools in integrated development environments, large language models increasingly function as foundation models within coding agents in vibe-coding scenarios. In such settings, prompts play a central role in agent-based intelligent software development, as they not only guide the behavior of large language models but also serve as carriers of user requirements. Under the dominant conversational paradigm, prompts are typically divided into system prompts and user prompts. System prompts provide high-level instructions to steer model behavior and establish conversational context, while user prompts represent inputs and requirements provided by human users. Despite their importance, designing effective prompts remains challenging, as it requires expertise in both prompt engineering and software engineering, particularly requirements engineering. To reduce the burden of manual prompt construction, numerous automated prompt engineering methods have been proposed. However, most existing approaches neglect the methodological principles of requirements engineering, limiting their ability to generate artifacts that conform to formal requirement specifications in realistic software development scenarios. To address this gap, we propose REprompt, a multi-agent prompt optimization framework guided by requirements engineering. Experiment results demonstrate that REprompt effectively optimizes both system and user prompts by grounding prompt generation in requirements engineering principles.

  • 7 authors
·
Jan 22