Symphony for Text Generation: Benchmarking Clinical Note Generation

Daniel Varab, Victor Petrén Bach Hansen, Asbjørn W. Helge, Kevin Pelgrims, Mathias Baltzersen +6 more
10/6/2026
cs.LGcs.AIcs.CL

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Abstract

Ambient documentation systems are rapidly gaining adoption, yet their impact on clinical note quality remains poorly characterized. We introduce MedConv, a multilingual dataset of 300 clinical encounters in English, Danish, and German, and use it alongside the Ambient Clinical Intelligence benchmark (ACI-BENCH) to compare Corti, a clinical AI platform, with two leading, accessible ambient scribe software applications built on general-purpose AI. We present a controlled clinical evaluation framework that combines entailment metrics with LLM-judged pairwise comparisons across eight dimensions adopted from PDSQI-9. Results show that Corti's API-based text-generation infrastructure is on par with or outperforms leading commercial scribes. We further show that Corti's configurable API provides the flexibility necessary to fine-tune quality dimensions for specific documentation use cases. We present the evaluation methodology and release a dataset to support future reproducible comparison of ambient documentation systems.

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Cite this paper

@article{varab2026symphony,
  title  = {Symphony for Text Generation: Benchmarking Clinical Note Generation},
  author = {Daniel Varab and Victor Petrén Bach Hansen and Asbjørn W. Helge and Kevin Pelgrims and Mathias Baltzersen and Adrian Young-San Roessler and Vanessa Klungtvedt and Maximilian Brand and Lasse Krogsbøll and Henrik Cullen and Lars Maaløe},
  year   = {2026},
  eprint = {2610.08161},
  archivePrefix = {arXiv},
  url    = {http://arxiv.org/abs/2610.08161v1}
}

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