Typed Neuro-Symbolic Autoformalization of Quantitative Clinical Language: Executable Constraints and Selective Verification

Aleksandra Beliaeva


Abstract
Clinical eligibility criteria express numerical comparisons and Boolean relations in prose. We translate them into executable typed formulas using a neural parser, grammar and ontology constraints, and an independent symbolic verifier. The formulas have precise semantics, source-linked predicates, and an auditable record of type, unit, grounding, and consistency checks. On 200 independently double- annotated criteria, a development-selected threshold yields 89.2% logical correctness at 78.5% coverage. At a matched 78% coverage, neuro-symbolic, neural, and rule selection achieve 89.7%, 88.5%, and 85.3% correctness, respectively. We evaluate these trade-offs with exact logical equivalence, confidence intervals, and full risk–coverage curves. Structural breakdowns, candidate oracles, augmentation experiments, and controlled edits across two backbones identify Boolean scope and omitted predicates as the main remaining errors. The symbolic interface makes these failures inspectable while separating formal validity from semantic correctness. The study provides an executable approach to quantitative semantic parsing and a controlled testbed for diagnosing its compositional bottlenecks.
Anthology ID:
2026.mathnlp-main.10
Volume:
The Proceedings of the 4th Workshop on Mathematical Natural Language Processing (MathNLP 2026)
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Marco Valentino, Deborah Ferreira, Mokanarangan Thayaparan, Leonardo Ranaldi, Jo-Ku Cheng, Andre Freitas
Venues:
MathNLP | WS
SIG:
Publisher:
Association for Computational Linguistics
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Pages:
126–135
Language:
URL:
https://aclanthology.org/2026.mathnlp-main.10/
DOI:
Bibkey:
Cite (ACL):
Aleksandra Beliaeva. 2026. Typed Neuro-Symbolic Autoformalization of Quantitative Clinical Language: Executable Constraints and Selective Verification. In The Proceedings of the 4th Workshop on Mathematical Natural Language Processing (MathNLP 2026), pages 126–135, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
Typed Neuro-Symbolic Autoformalization of Quantitative Clinical Language: Executable Constraints and Selective Verification (Beliaeva, MathNLP 2026)
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PDF:
https://aclanthology.org/2026.mathnlp-main.10.pdf