WisPerMed at ArchEHR-QA 2026: Retrieval-Augmented Prompting for Grounded EHR Question Answering

Abstract

ArchEHR-QA is a grounded question-answering (QA) task for electronic health records (EHRs) comprising four subtasks: (1) question rewriting, (2) evidence identification, (3) grounded answer generation, and (4) answer-evidence alignment. In this work, we present a modular pipeline centered on retrieval-augmented generation (RAG). For Subtask 1, RAG few-shot prompting outperformed both PEFT and prompt-only baselines on the development set; however, Claude few-shot proved substantially more robust on the test set, ranking 6th out of 13 participating teams (score: 26.94). For Subtask 2, a union ensemble of open-weight LLMs (GPT-OSS-120B and Qwen3-30B-A3B) achieved a 56.7 micro-F1, rivaling the proprietary Claude Opus 4.6 while demonstrating higher recall (53.6). For Subtask 3, our RAG few-shot approach using Claude Opus 4.5 achieved the 1st place out of 13 participating teams (score: 36.33). Finally, for Subtask 4, a zero-shot Claude Opus 4.6 configuration ranked 2nd out of 16 participating teams (score: 81.3).

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