Evidence map›Paper›PMID 41911379›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2026

Med.ai ASK: an agentic system for biomedical question answering.

Nhung T H Nguyen, Dmytro S Lituiev, Zhimin Liu, Aditya Kashyap, Garrett Jenkinson, Kevin Kuhl, Christopher Corrado, Naisargi Manishkumar Patel, Kirti Snigdha, Sirwe Saeedi and 3 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Nhung T H NguyenData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Dmytro S LituievData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Zhimin LiuData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Aditya KashyapData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Garrett JenkinsonData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Kevin KuhlData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Christopher CorradoArchitecture and Engineering, JJT; Johnson & Johnson, Raritan, NJ, United States.
Naisargi Manishkumar PatelData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Kirti SnigdhaData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Sirwe SaeediData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
David SmithDiscovery, Product Development & Supply, Innovative Medicine; Johnson & Johnson, San Diego, CA, United States.
Nicholas BaroData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.
Timothy SchultzData Science and Digital Health, Innovative Medicine, Johnson & Johnson, Titusville, NJ, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIntelligent agent-driven research co-pilots, leveraging advances in generative AI, are transforming how scientists access biomedical knowledge. This paper presents Med.ai ASK, an agentic question-answering system designed to address biomedical inquiries through dynamic retrieval augmentation and tool-driven reasoning. We aim to develop a system capable of parsing the nuance in biomedical scientists' research questions to provide reliable, grounded responses that are more accurate than other generative AI solutions. MATERIALS AND

methodsWe adopt the ReAct framework's tool-calling architecture and leverage atomic reasoning from Self-Discover to build Med.ai ASK. It selectively queries multiple biomedical knowledge bases and employs map-reduce tools for vector database retrieval, alongside external API and NER tool integration. We ingested 44 million biomedical documents from diverse sources. The agent is evaluated on a range of biomedical question-answering datasets.

resultsHuman evaluation on an internal dataset shows strong performance and stability. Ratings from a large language model are aligned with human assessments, supporting its use in further experiments. Automatic evaluations indicate superior performance in long-form answers regarding accuracy, faithfulness, factuality, and reduced hallucinations. For short-form and multiple-choice answers, performance is competitive with state-of-the-art systems. The agent's detailed answers are more interpretable than other systems attributed to its agentic design. The agent effectively selects tools based on question type and is deployed in a production-level chat platform with over 1600 users and 25 000 answered questions.

conclusionMed.ai ASK dynamically orchestrates biomedical information retrieval tools to deliver robust interpretative, accurate, and factual answers, which is crucial in the biomedical domain.

Indexed as

Artificial IntelligenceBiomedical ResearchInformation Storage and RetrievalGenerative Artificial IntelligenceHumansIntelligent SystemsLarge Language ModelsNatural Language Processingagentic AIbiomedical question answeringlarge language modelreasoningretrieval-augmented generation

Identifiers

PMID41911379
PMCPMC13197175

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.