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From Medical Records to Diagnostic Dialogues: A Clinical-Grounded Approach and Dataset for Psychiatric Comorbidity

arXiv:2510.25232v2 Announce Type: replace Abstract: Psychiatric comorbidity is clinically significant yet challenging due to the complexity of multiple co-occurring disorders. To address this, we develop a novel approach integrating synthetic patient electronic medical record (EMR) construction and multi-agent diagnostic dialogue generation. We create 502 synthetic EMRs for common comorbid conditions using a pipeline that ensures clinical relevance and diversity. Our multi-agent framework transfers the clinical interview protocol into a hierarchical state machine and context tree, supporting over 130 diagnostic states while maintaining clinical standards. Through this rigorous process, we construct PsyCoTalk, the first large-scale dialogue dataset supporting comorbidity, containing 3,000 multi-turn diagnostic dialogues validated by psychiatrists. This dataset enhances diagnostic accuracy and treatment planning, offering a valuable resource for psychiatric comorbidity research. Compared to real-world clinical transcripts, PsyCoTalk exhibits high structural and linguistic fidelity in terms of dialogue length, token distribution, and diagnostic reasoning strategies. Licensed psychiatrists confirm the realism and diagnostic validity of the dialogues. This dataset enables the development and evaluation of models capable of multi-disorder psychiatric screening in a single conversational pass.
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ROMA: Recursive Open Meta-Agent Framework for Long-Horizon Multi-Agent Systems

arXiv:2602.01848v2 Announce Type: replace Abstract: Current agentic frameworks underperform on long-horizon tasks. As reasoning depth increases, sequential orchestration becomes brittle, context windows impose hard limits that degrade performance, and opaque execution traces make failures difficult to localize or debug. We introduce ROMA (Recursive Open Meta-Agents), a domain-agnostic framework that addresses these limitations through recursive task decomposition and structured aggregation. ROMA decomposes goals into dependency-aware subtask trees that can be executed in parallel, while aggregation compresses and validates intermediate results to control context growth. Our framework standardizes agent construction around four modular roles --Atomizer (which decides whether a task should be decomposed), Planner, Executor, and Aggregator -- which cleanly separate orchestration from model selection and enable transparent, hierarchical execution traces. This design supports heterogeneous multi-agent systems that mix models and tools according to cost, latency, and capability. To adapt ROMA to specific tasks without fine-tuning, we further introduce GEPA$+$, an improved Genetic-Pareto prompt proposer that searches over prompts within ROMA's component hierarchy while preserving interface contracts. We show that ROMA, combined with GEPA+, delivers leading system-level performance on reasoning and long-form generation benchmarks. On SEAL-0, which evaluates reasoning over conflicting web evidence, ROMA instantiated with GLM-4.6 improves accuracy by 9.9\% over Kimi-Researcher. On EQ-Bench, a long-form writing benchmark, ROMA enables DeepSeek-V3 to match the performance of leading closed-source models such as Claude Sonnet 4.5. Our results demonstrate that recursive, modular agent architectures can scale reasoning depth while remaining interpretable, flexible, and model-agnostic.
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