TriageSim: A Conversational Emergency Triage Simulation Framework from Structured Electronic Health Records

• URL: http://arxiv.org/abs/2603.10035v1
• Date: Mon, 02 Mar 2026 03:23:44 GMT
• Title: TriageSim: A Conversational Emergency Triage Simulation Framework from Structured Electronic Health Records
• Abstract summary: TriageSim is a framework for generating persona-conditioned triage conversations from structured records.<n>It produces a corpus of 800 synthetic transcripts and corresponding audio.
• Score: 6.798271454070157
• License: http://creativecommons.org/licenses/by-sa/4.0/
• Abstract: Research in emergency triage is restricted to structured electronic health records (EHR) due to regulatory constraints on nurse-patient interactions. We introduce TriageSim, a simulation framework for generating persona-conditioned triage conversations from structured records. TriageSim enables multi-turn nurse-patient interactions with explicit control over disfluency and decision behaviour, producing a corpus of ~800 synthetic transcripts and corresponding audio. We use a combination of automated analysis for linguistic, behavioural and acoustic fidelity alongside manual evaluation for medical fidelity using a random subset of 50 conversations. The utility of the generated corpus is examined via conversational triage classification. We observe modest agreement for acuity levels across three modalities: generated synthetic text, ASR transcripts, and direct audio inputs. The code, persona schemata and triage policy prompts for TriageSim will be available upon acceptance.

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