Position: Real-World Clinical NLP Robustness Requires Messy, Multimodal, Longitudinal, Privacy-Preserving Corpora

Azmine Toushik Wasi, Shahriyar Zaman Ridoy


Abstract
Real-world healthcare data is inherently complex: noisy, incomplete, heterogeneous, and temporally irregular, making clinically robust AI development difficult. Traditional models, trained on idealized datasets, fail to capture these operational realities, limiting real-world performance. We propose the Messy Clinic paradigm: a dataset and blueprint for building AI systems grounded in authentic clinical complexity. This framework enables seamless multimodal data integration across EHRs, imaging, genomics, and wearables, using privacy-preserving methods such as federated learning, synthetic data, and differential privacy. It provides (1) structured methodologies for longitudinal multimodal management, (2) AI techniques resilient to noise and missing data, and (3) governance mechanisms for consent, accountability, and bias mitigation. By embracing the “Messy Clinic,” healthcare AI can shift from artificial idealism to real-world robustness, accelerating research, enabling personalized care, and aligning AI with the true complexity of clinical practice.
Anthology ID:
2026.findings-aacl.59
Volume:
Findings of the Association for Computational Linguistics: IJCNLP-AACL 2026
Month:
November
Year:
2026
Address:
Hengqin, China
Editors:
Yue Zhang, Ruifeng Xu, Ayu Purwarianti, Tong Rong, Jun Suzuki
Venue:
Findings
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
1163–1180
Language:
URL:
https://aclanthology.org/2026.findings-aacl.59/
DOI:
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Cite (ACL):
Azmine Toushik Wasi and Shahriyar Zaman Ridoy. 2026. Position: Real-World Clinical NLP Robustness Requires Messy, Multimodal, Longitudinal, Privacy-Preserving Corpora. In Findings of the Association for Computational Linguistics: IJCNLP-AACL 2026, pages 1163–1180, Hengqin, China. Association for Computational Linguistics.
Cite (Informal):
Position: Real-World Clinical NLP Robustness Requires Messy, Multimodal, Longitudinal, Privacy-Preserving Corpora (Wasi & Ridoy, Findings 2026)
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https://aclanthology.org/2026.findings-aacl.59.pdf