SymptomWise: A Deterministic Reasoning Layer for Reliable and Efficient AI Systems
SymptomWise is a novel framework that separates language understanding from diagnostic reasoning to eliminate AI hallucinations in medical settings. By using a deterministic reasoning layer, it achieves high accuracy and traceability in complex clinical cases.
Computer Science > Artificial Intelligence
Title:SymptomWise: A Deterministic Reasoning Layer for Reliable and Efficient AI Systems
View PDFAbstract:AI-driven symptom analysis systems face persistent challenges in reliability, interpretability, and hallucination. End-to-end generative approaches often lack traceability and may produce unsupported or inconsistent diagnostic outputs in safety-critical settings. We present SymptomWise, a framework that separates language understanding from diagnostic reasoning. The system combines expert-curated medical knowledge, deterministic codex-driven inference, and constrained use of large language models. Free-text input is mapped to validated symptom representations, then evaluated by a deterministic reasoning module operating over a finite hypothesis space to produce a ranked differential diagnosis. Language models are used only for symptom extraction and optional explanation, not for diagnostic inference. This architecture improves traceability, reduces unsupported conclusions, and enables modular evaluation of system components. Preliminary evaluation on 42 expert-authored challenging pediatric neurology cases shows meaningful overlap with clinician consensus, with the correct diagnosis appearing in the top five differentials in 88% of cases. Beyond medicine, the framework generalizes to other abductive reasoning domains and may serve as a deterministic structuring and routing layer for foundation models, improving precision and potentially reducing unnecessary computational overhead in bounded tasks.
Bibliographic and Citation Tools
Code, Data and Media Associated with this Article
Demos
Recommenders and Search Tools
arXivLabs: experimental projects with community collaborators
arXivLabs is a framework that allows collaborators to develop and share new arXiv features directly on our website.
Both individuals and organizations that work with arXivLabs have embraced and accepted our values of openness, community, excellence, and user data privacy. arXiv is committed to these values and only works with partners that adhere to them.
Have an idea for a project that will add value for arXiv's community? Learn more about arXivLabs.
Source: arXiv cs.AI Recent
