ICLR 2026 Poster accepted paper at ICLR 2026. Electronic medical records (EMRs) are vital for healthcare research, but their use is limited by privacy concerns. Synthetic EMR generation offers a promising alternative, yet most existing methods merely imitate real records without adhering to rigorous clinical quality principles. To address this, we introduce LLM-CARe, a stage-wise cyclic refinement framework that progressively improves EMR quality through three stages, each targeting a specific granularity: corpus, section and document. At each stage, a Critic, an Adviser, and a Reviser collaborate iteratively to evaluate, provide feedback, and refine the drafts.
