diff --git a/docs/api/processors.rst b/docs/api/processors.rst
index 25de2fece..ccaa4bfd4 100644
--- a/docs/api/processors.rst
+++ b/docs/api/processors.rst
@@ -33,6 +33,7 @@ Available Processors
 
 - ``ImageProcessor``: For image data (e.g., chest X-rays)
 - ``TextProcessor``: For text/clinical notes data
+- ``TupleTimeTextProcessor``: For text paired with temporal information (time-aware text)
 - ``AudioProcessor``: For audio signal data
 - ``SignalProcessor``: For general signal data (e.g., EEG, ECG)
 - ``TimeseriesProcessor``: For time-series data
@@ -266,6 +267,7 @@ Common string keys for automatic processor selection:
 - ``"multilabel"``: For multi-label classification
 - ``"regression"``: For regression targets
 - ``"text"``: For text data
+- ``"tuple_time_text"``: For text paired with temporal information
 - ``"image"``: For image data
 - ``"audio"``: For audio data
 - ``"signal"``: For signal data
@@ -456,6 +458,7 @@ API Reference
     processors/pyhealth.processors.RegressionLabelProcessor
     processors/pyhealth.processors.ImageProcessor
     processors/pyhealth.processors.TextProcessor
+    processors/pyhealth.processors.TupleTimeTextProcessor
     processors/pyhealth.processors.AudioProcessor
     processors/pyhealth.processors.SignalProcessor
     processors/pyhealth.processors.TimeseriesProcessor
diff --git a/docs/api/processors/pyhealth.processors.TupleTimeTextProcessor.rst b/docs/api/processors/pyhealth.processors.TupleTimeTextProcessor.rst
new file mode 100644
index 000000000..b83dc0349
--- /dev/null
+++ b/docs/api/processors/pyhealth.processors.TupleTimeTextProcessor.rst
@@ -0,0 +1,67 @@
+pyhealth.processors.TupleTimeTextProcessor
+============================================
+
+Processor for tuple time-based text data with temporal information.
+
+.. autoclass:: pyhealth.processors.TupleTimeTextProcessor
+    :members:
+    :undoc-members:
+    :show-inheritance:
+
+**Overview**
+
+``TupleTimeTextProcessor`` handles clinical text paired with temporal information (time differences), enabling automatic modality routing in multimodal fusion pipelines.
+
+**Input/Output**
+
+- **Input:** ``Tuple[List[str], List[float]]`` (texts, time differences)
+- **Output:** ``Tuple[List[str], torch.Tensor, str]`` (texts, 1D time tensor, modality tag)
+
+**Use Case**
+
+The ``type_tag`` parameter enables automatic modality routing without hardcoding feature names in multimodal pipelines:
+
+- ``type_tag="note"`` routes to text encoder
+- ``type_tag="image"`` routes to vision encoder  
+- ``type_tag="ehr"`` routes to EHR encoder
+
+**Example Usage**
+
+.. code-block:: python
+
+    from pyhealth.processors import TupleTimeTextProcessor
+
+    # Initialize processor with modality tag
+    processor = TupleTimeTextProcessor(type_tag="clinical_note")
+
+    # Patient notes with time differences (hours since admission)
+    texts = [
+        "Patient admitted with chest pain.",
+        "Follow-up: symptoms improved.",
+        "Discharge: stable condition."
+    ]
+    time_diffs = [0.0, 24.0, 72.0]
+
+    # Process tuple
+    processed_texts, time_tensor, modality_tag = processor.process((texts, time_diffs))
+    
+    print(time_tensor)      # tensor([0., 24., 72.])
+    print(modality_tag)     # "clinical_note"
+
+**Multimodal Fusion**
+
+Use different type tags for automatic routing in multimodal models:
+
+.. code-block:: python
+
+    # Different modalities with different type tags
+    note_processor = TupleTimeTextProcessor(type_tag="note")
+    ehr_processor = TupleTimeTextProcessor(type_tag="ehr")
+
+    # Process different data types
+    note_texts, note_times, note_tag = note_processor.process((notes, note_time_diffs))
+    ehr_texts, ehr_times, ehr_tag = ehr_processor.process((events, event_time_diffs))
+
+    # Tags enable automatic routing to appropriate encoders
+    # note_tag="note" -> TextEmbedding encoder
+    # ehr_tag="ehr" -> EHR encoder
diff --git a/examples/text_embedding_tutorial.ipynb b/examples/text_embedding_tutorial.ipynb
index 75f405632..112d230ed 100644
--- a/examples/text_embedding_tutorial.ipynb
+++ b/examples/text_embedding_tutorial.ipynb
@@ -13,7 +13,8 @@
     "- Initialize TextEmbedding with Bio_ClinicalBERT\n",
     "- Demonstrate 128-token chunking for long clinical notes\n",
     "- Show different pooling modes (none, cls, mean)\n",
-    "- Verify mask output and backward compatibility"
+    "- Verify mask output and backward compatibility\n",
+    "- Use TupleTimeTextProcessor for temporal text data"
    ]
   },
   {
@@ -309,6 +310,89 @@
     "print(f\"Outputs identical in eval mode: {is_equal}\")"
    ]
   },
+  {
+   "cell_type": "markdown",
+   "id": "tuple_time_processor",
+   "metadata": {},
+   "source": [
+    "## 10. TupleTimeTextProcessor for Temporal Data\n",
+    "\n",
+    "The `TupleTimeTextProcessor` handles clinical text paired with temporal information (time differences). This is useful for multimodal models that need to automatically route different modality types."
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": null,
+   "id": "tuple_time_basic",
+   "metadata": {},
+   "outputs": [],
+   "source": [
+    "from pyhealth.processors import TupleTimeTextProcessor\n",
+    "\n",
+    "# Initialize processor with type tag for modality routing\n",
+    "processor = TupleTimeTextProcessor(type_tag=\"clinical_note\")\n",
+    "\n",
+    "# Clinical notes with time differences (e.g., hours since admission)\n",
+    "texts = [\n",
+    "    \"Patient admitted with chest pain.\",\n",
+    "    \"Follow-up: symptoms improved.\",\n",
+    "    \"Discharge: stable condition.\"\n",
+    "]\n",
+    "time_diffs = [0.0, 24.0, 72.0]  # hours\n",
+    "\n",
+    "# Process tuple\n",
+    "processed_texts, time_tensor, modality_tag = processor.process((texts, time_diffs))\n",
+    "\n",
+    "print(f\"Texts: {processed_texts}\")\n",
+    "print(f\"Time tensor: {time_tensor}\")\n",
+    "print(f\"Time tensor shape: {time_tensor.shape}\")\n",
+    "print(f\"Modality tag: '{modality_tag}'\")\n",
+    "print(f\"\\nProcessor repr: {repr(processor)}\")"
+   ]
+  },
+  {
+   "cell_type": "markdown",
+   "id": "tuple_time_multimodal",
+   "metadata": {},
+   "source": [
+    "### Multimodal Fusion Example\n",
+    "\n",
+    "The `type_tag` enables automatic routing in multimodal pipelines without hardcoding feature names:"
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": null,
+   "id": "tuple_time_fusion",
+   "metadata": {},
+   "outputs": [],
+   "source": [
+    "# Different modality types with different processors\n",
+    "note_processor = TupleTimeTextProcessor(type_tag=\"note\")\n",
+    "ehr_processor = TupleTimeTextProcessor(type_tag=\"ehr\")\n",
+    "observation_processor = TupleTimeTextProcessor(type_tag=\"observation\")\n",
+    "\n",
+    "# Process different data types\n",
+    "notes = [\"Admission note\", \"Progress note\"]\n",
+    "note_times = [0.0, 24.0]\n",
+    "_, note_tensor, note_tag = note_processor.process((notes, note_times))\n",
+    "\n",
+    "ehr_events = [\"Lab ordered\", \"Medication given\"]\n",
+    "ehr_times = [2.0, 6.0]\n",
+    "_, ehr_tensor, ehr_tag = ehr_processor.process((ehr_events, ehr_times))\n",
+    "\n",
+    "# Tags can be used for automatic routing in models\n",
+    "print(f\"Note modality tag: '{note_tag}'\")\n",
+    "print(f\"EHR modality tag: '{ehr_tag}'\")\n",
+    "print(f\"\\nNote times: {note_tensor}\")\n",
+    "print(f\"EHR times: {ehr_tensor}\")\n",
+    "\n",
+    "# Can combine tensors for temporal modeling\n",
+    "combined_times = torch.cat([note_tensor, ehr_tensor])\n",
+    "print(f\"\\nCombined times: {combined_times}\")\n",
+    "print(f\"Combined shape: {combined_times.shape}\")"
+   ]
+  },
   {
    "cell_type": "markdown",
    "id": "summary",
@@ -316,7 +400,7 @@
    "source": [
     "## Summary\n",
     "\n",
-    "The `TextEmbedding` module provides:\n",
+    "The `TextEmbedding` module and `TupleTimeTextProcessor` provide:\n",
     "\n",
     "| Feature | Description |\n",
     "|---------|-------------|\n",
@@ -324,7 +408,9 @@
     "| **Pooling** | none/cls/mean modes for different use cases |\n",
     "| **Mask** | Boolean tensor compatible with TransformerLayer |\n",
     "| **Guardrails** | max_chunks prevents OOM on long texts |\n",
-    "| **Compatibility** | return_mask=False for legacy code |"
+    "| **Compatibility** | return_mask=False for legacy code |\n",
+    "| **Temporal Processing** | TupleTimeTextProcessor for time-aware text data |\n",
+    "| **Modality Routing** | Type tags enable automatic multimodal fusion |"
    ]
   }
  ],
diff --git a/pyhealth/processors/__init__.py b/pyhealth/processors/__init__.py
index 15512c2d7..dde39f17d 100644
--- a/pyhealth/processors/__init__.py
+++ b/pyhealth/processors/__init__.py
@@ -46,6 +46,7 @@ def get_processor(name: str):
 from .timeseries_processor import TimeseriesProcessor
 from .audio_processor import AudioProcessor
 from .ignore_processor import IgnoreProcessor
+from .tuple_time_text_processor import TupleTimeTextProcessor
 
 # Expose public API
 __all__ = [
@@ -64,4 +65,5 @@ def get_processor(name: str):
     "TextProcessor",
     "TimeseriesProcessor",
     "AudioProcessor",
+    "TupleTimeTextProcessor",
 ]
diff --git a/pyhealth/processors/tuple_time_text_processor.py b/pyhealth/processors/tuple_time_text_processor.py
new file mode 100644
index 000000000..ecc59c030
--- /dev/null
+++ b/pyhealth/processors/tuple_time_text_processor.py
@@ -0,0 +1,106 @@
+"""Processor for tuple time-based text data with temporal information.
+
+This processor handles clinical notes or text entries paired with temporal
+information (time differences), preparing them for multimodal fusion where
+different modality types need to be distinguished automatically.
+
+Input/Output:
+    Input:  Tuple[List[str], List[float]]
+            - List[str]: Clinical text entries (e.g., discharge notes, progress notes)
+            - List[float]: Time differences between entries (in any time unit)
+    
+    Output: Tuple[List[str], torch.Tensor, str]
+            - List[str]: Same text entries (unmodified)
+            - torch.Tensor: 1D float tensor of time differences
+            - str: Type tag for automatic modality routing (default: "note")
+
+Use Case:
+    This processor enables automatic modality bucketing in multimodal pipelines.
+    The type_tag allows downstream models to automatically route different feature
+    types to appropriate encoders without hardcoding feature names:
+    
+    - type_tag="note" routes to text encoder
+    - type_tag="image" routes to vision encoder
+    - type_tag="ehr" routes to EHR encoder
+    
+    This design eliminates the need to manually map task schema feature_keys to
+    specific model components.
+
+Example:
+    >>> from pyhealth.processors import TupleTimeTextProcessor
+    >>> processor = TupleTimeTextProcessor(type_tag="note")
+    >>> 
+    >>> # Clinical notes with time differences
+    >>> texts = [
+    ...     "Patient admitted with chest pain.",
+    ...     "Follow-up: symptoms improved.",
+    ...     "Discharge: stable condition."
+    ... ]
+    >>> time_diffs = [0.0, 2.5, 5.0]  # hours since admission
+    >>> 
+    >>> result = processor.process((texts, time_diffs))
+    >>> texts_out, time_tensor, tag = result
+    >>> print(f"Texts: {texts_out}")
+    >>> print(f"Time tensor: {time_tensor}")
+    >>> print(f"Type tag: {tag}")
+    
+Args:
+    type_tag (str): Modality identifier for automatic routing in multimodal
+        models. Common values: "note", "image", "ehr", "signal".
+        Default: "note"
+"""
+
+from typing import Any, List, Tuple
+import torch
+from .base_processor import FeatureProcessor
+from . import register_processor
+
+
+@register_processor("tuple_time_text")
+class TupleTimeTextProcessor(FeatureProcessor):
+    """Processes (text, time_diff) tuples for multimodal temporal fusion.
+    
+    Converts paired text and temporal data into a format suitable for models
+    that need to distinguish between different modality types automatically.
+    """
+    
+    def __init__(self, type_tag: str = "note"):
+        """Initialize the processor.
+        
+        Args:
+            type_tag: Modality identifier for automatic routing. Default: "note"
+        """
+        super().__init__()
+        self.type_tag = type_tag
+
+    def process(self, value: Tuple[List[str], List[float]]) -> Tuple[List[str], torch.Tensor, str]:
+        """Process a tuple of texts and time differences.
+        
+        Args:
+            value: Tuple containing:
+                - List[str]: Text entries (clinical notes, observations, etc.)
+                - List[float]: Time differences corresponding to each text entry
+        
+        Returns:
+            Tuple containing:
+                - List[str]: Original text entries (unmodified)
+                - torch.Tensor: 1D float tensor of time differences [shape: (N,)]
+                - str: Type tag for modality routing
+                
+        Example:
+            >>> processor = TupleTimeTextProcessor(type_tag="clinical_note")
+            >>> texts = ["Note 1", "Note 2"]
+            >>> times = [0.0, 24.0]  # hours
+            >>> result = processor.process((texts, times))
+            >>> print(result[1])  # tensor([0., 24.])
+        """
+        texts, time_diffs = value
+        time_tensor = torch.tensor(time_diffs, dtype=torch.float32)
+        return texts, time_tensor, self.type_tag
+    
+    def size(self):
+        """Return the size of the processor vocabulary (not applicable for this processor)."""
+        return None
+    
+    def __repr__(self):
+        return f"TupleTimeTextProcessor(type_tag='{self.type_tag}')"
diff --git a/tests/test_tuple_time_text_processor.py b/tests/test_tuple_time_text_processor.py
new file mode 100644
index 000000000..7a8dfd5b5
--- /dev/null
+++ b/tests/test_tuple_time_text_processor.py
@@ -0,0 +1,31 @@
+"""Unit test for TupleTimeTextProcessor."""
+import torch
+from pyhealth.processors import TupleTimeTextProcessor
+
+
+def test_tuple_time_text_processor():
+    """Test TupleTimeTextProcessor basic functionality."""
+    # Test default initialization
+    processor = TupleTimeTextProcessor()
+    assert processor.type_tag == "note"
+    
+    # Test custom type tag
+    processor = TupleTimeTextProcessor(type_tag="clinical_note")
+    assert processor.type_tag == "clinical_note"
+    
+    # Test processing
+    texts = ["Patient admitted", "Follow-up visit", "Discharge"]
+    time_diffs = [0.0, 24.0, 72.0]
+    result_texts, time_tensor, tag = processor.process((texts, time_diffs))
+    
+    # Verify outputs
+    assert result_texts == texts
+    assert isinstance(time_tensor, torch.Tensor)
+    assert time_tensor.shape == (3,)
+    assert torch.equal(time_tensor, torch.tensor([0.0, 24.0, 72.0]))
+    assert tag == "clinical_note"
+    
+    # Test registration
+    from pyhealth.processors import get_processor
+    ProcessorClass = get_processor("tuple_time_text")
+    assert ProcessorClass is TupleTimeTextProcessor