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From Guidelines to Guarantees: A Graph-Based Evaluation Harness for Domain-Specific Evaluation of LLMs

Jessica M. Lundin, Usman Nasir Nakakana, Guillaume Chabot-Couture · Aug 28, 2025 · Citations: 0

How to use this page

Low trust

Use this as background context only. Do not make protocol decisions from this page alone.

Best use

Background context only

What to verify

Validate the evaluation procedure and quality controls in the full paper before operational use.

Evidence quality

Low

Derived from extracted protocol signals and abstract evidence.

Abstract

Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable. Static, manually curated datasets do not satisfy these properties. We present a graph-based evaluation harness that transforms structured clinical guidelines into a queryable knowledge graph and dynamically instantiates evaluation queries via graph traversal. The framework provides three guarantees: (1) complete coverage of guideline relationships; (2) surface-form contamination resistance through combinatorial variation; and (3) validity inherited from expert-authored graph structure. Applied to the WHO IMCI guidelines, the harness generates clinically grounded multiple-choice questions spanning symptom recognition, treatment, severity classification, and follow-up care. Evaluation across five language models reveals systematic capability gaps. Models perform well on symptom recognition but show lower accuracy on treatment protocols and clinical management decisions. The framework supports continuous regeneration of evaluation data as guidelines evolve and generalizes to domains with structured decision logic. This provides a scalable foundation for evaluation infrastructure.

Abstract-only analysis — low confidence

All signals on this page are inferred from the abstract only and may be inaccurate. Do not use this page as a primary protocol reference.

  • This paper looks adjacent to evaluation work, but not like a strong protocol reference.
  • The available metadata is too thin to trust this as a primary source.

Should You Rely On This Paper?

This paper is adjacent to HFEPX scope and is best used for background context, not as a primary protocol reference.

Best use

Background context only

Use if you need

A secondary eval reference to pair with stronger protocol papers.

Main weakness

This paper looks adjacent to evaluation work, but not like a strong protocol reference.

Trust level

Low

Usefulness score

0/100 • Low

Treat as adjacent context, not a core eval-method reference.

Human Feedback Signal

Not explicit in abstract metadata

Evaluation Signal

Detected

Usefulness for eval research

Adjacent candidate

Extraction confidence 35%

What We Could Verify

These are the protocol signals we could actually recover from the available paper metadata. Use them to decide whether this paper is worth deeper reading.

Human Feedback Types

missing

None explicit

No explicit feedback protocol extracted.

"Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable."

Evaluation Modes

partial

Automatic Metrics

Includes extracted eval setup.

"Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable."

Quality Controls

missing

Not reported

No explicit QC controls found.

"Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable."

Benchmarks / Datasets

missing

Not extracted

No benchmark anchors detected.

"Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable."

Reported Metrics

partial

Accuracy

Useful for evaluation criteria comparison.

"Models perform well on symptom recognition but show lower accuracy on treatment protocols and clinical management decisions."

Rater Population

partial

Domain Experts

Helpful for staffing comparability.

"The framework provides three guarantees: (1) complete coverage of guideline relationships; (2) surface-form contamination resistance through combinatorial variation; and (3) validity inherited from expert-authored graph structure."

Human Feedback Details

  • Uses human feedback: No
  • Feedback types: None
  • Rater population: Domain Experts
  • Expertise required: Medicine

Evaluation Details

  • Evaluation modes: Automatic Metrics
  • Agentic eval: None
  • Quality controls: Not reported
  • Evidence quality: Low
  • Use this page as: Background context only

Protocol And Measurement Signals

Benchmarks / Datasets

No benchmark or dataset names were extracted from the available abstract.

Reported Metrics

accuracy

Research Brief

Metadata summary

Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable.

Based on abstract + metadata only. Check the source paper before making high-confidence protocol decisions.

Key Takeaways

  • Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable.
  • Static, manually curated datasets do not satisfy these properties.
  • We present a graph-based evaluation harness that transforms structured clinical guidelines into a queryable knowledge graph and dynamically instantiates evaluation queries via graph traversal.

Researcher Actions

  • Compare this paper against nearby papers in the same arXiv category before using it for protocol decisions.
  • Validate inferred eval signals (Automatic metrics) against the full paper.
  • Use related-paper links to find stronger protocol-specific references.

Caveats

  • Generated from abstract + metadata only; no PDF parsing.
  • Signals below are heuristic and may miss details reported outside the abstract.

Research Summary

Contribution Summary

  • Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable.
  • We present a graph-based evaluation harness that transforms structured clinical guidelines into a queryable knowledge graph and dynamically instantiates evaluation queries via graph traversal.
  • Evaluation across five language models reveals systematic capability gaps.

Why It Matters For Eval

  • Rigorous evaluation of domain-specific language models requires benchmarks that are comprehensive, contamination-resistant, and maintainable.
  • We present a graph-based evaluation harness that transforms structured clinical guidelines into a queryable knowledge graph and dynamically instantiates evaluation queries via graph traversal.

Researcher Checklist

  • Gap: Human feedback protocol is explicit

    No explicit human feedback protocol detected.

  • Pass: Evaluation mode is explicit

    Detected: Automatic Metrics

  • Gap: Quality control reporting appears

    No calibration/adjudication/IAA control explicitly detected.

  • Gap: Benchmark or dataset anchors are present

    No benchmark/dataset anchor extracted from abstract.

  • Pass: Metric reporting is present

    Detected: accuracy

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Papers are ranked by protocol overlap, extraction signal alignment, and semantic proximity.

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