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Given the clinical notes written in electronic health records (EHRs), it is challenging to predict the diagnostic codes which is formulated as a multi-label classification task. The large set of labels, the hierarchical dependency, and the…

Computation and Language · Computer Science 2021-06-25 Shang-Chi Tsai , Chao-Wei Huang , Yun-Nung Chen

The attention mechanism is a core component of the Transformer architecture. Beyond improving performance, attention has been proposed as a mechanism for explainability via attention weights, which are associated with input features (e.g.,…

Computation and Language · Computer Science 2025-08-15 Andrés Carvallo , Denis Parra , Peter Brusilovsky , Hernan Valdivieso , Gabriel Rada , Ivania Donoso , Vladimir Araujo

ICD(International Classification of Diseases) coding involves assigning ICD codes to patients visit based on their medical notes. ICD coding is a challenging multilabel text classification problem due to noisy medical document inputs.…

Computation and Language · Computer Science 2024-09-04 Bin Zhang , Junli Wang

The clinical notes are usually typed into the system by physicians. They are typically required to be marked by standard medical codes, and each code represents a diagnosis or medical treatment procedure. Annotating these notes is time…

Machine Learning · Computer Science 2023-05-10 Guodong Liu

A ubiquitous task in processing electronic medical data is the assignment of standardized codes representing diagnoses and/or procedures to free-text documents such as medical reports. This is a difficult natural language processing task…

Background and Objective: Code assignment is of paramount importance in many levels in modern hospitals, from ensuring accurate billing process to creating a valid record of patient care history. However, the coding process is tedious and…

Computation and Language · Computer Science 2019-10-03 Jinmiao Huang , Cesar Osorio , Luke Wicent Sy

We present a Three-level Hierarchical Transformer Network (3-level-HTN) for modeling long-term dependencies across clinical notes for the purpose of patient-level prediction. The network is equipped with three levels of Transformer-based…

Computation and Language · Computer Science 2021-12-20 Yuqi Si , Kirk Roberts

Non-hierarchical sparse attention Transformer-based models, such as Longformer and Big Bird, are popular approaches to working with long documents. There are clear benefits to these approaches compared to the original Transformer in terms…

Computation and Language · Computer Science 2022-10-12 Ilias Chalkidis , Xiang Dai , Manos Fergadiotis , Prodromos Malakasiotis , Desmond Elliott

Recent advancements in natural language processing (NLP) have led to automation in various domains. However, clinical NLP often relies on benchmark datasets that may not reflect real-world scenarios accurately. Automatic ICD coding, a vital…

Computation and Language · Computer Science 2024-07-25 Abhijith R. Beeravolu , Mirjam Jonkman , Sami Azam , Friso De Boer

This paper achieves state of the art results for the ICD code prediction task using the MIMIC-III dataset. This was achieved through the use of Clinical BERT (Alsentzer et al., 2019). embeddings and text augmentation and label balancing to…

Computation and Language · Computer Science 2020-08-25 Brent Biseda , Gaurav Desai , Haifeng Lin , Anish Philip

Clinical interactions are initially recorded and documented in free text medical notes. ICD coding is the task of classifying and coding all diagnoses, symptoms and procedures associated with a patient's visit. The process is often manual…

Information Retrieval · Computer Science 2020-06-09 Zachariah Zhang , Jingshu Liu , Narges Razavian

This study presents a multimodal machine learning model to predict ICD-10 diagnostic codes. We developed separate machine learning models that can handle data from different modalities, including unstructured text, semi-structured text and…

Healthcare providers usually record detailed notes of the clinical care delivered to each patient for clinical, research, and billing purposes. Due to the unstructured nature of these narratives, providers employ dedicated staff to assign…

Computation and Language · Computer Science 2022-08-03 Chufan Gao , Mononito Goswami , Jieshi Chen , Artur Dubrawski

Clinical notes are assigned ICD codes - sets of codes for diagnoses and procedures. In the recent years, predictive machine learning models have been built for automatic ICD coding. However, there is a lack of widely accepted benchmarks for…

Artificial Intelligence · Computer Science 2023-04-28 Thanh-Tung Nguyen , Viktor Schlegel , Abhinav Kashyap , Stefan Winkler , Shao-Syuan Huang , Jie-Jyun Liu , Chih-Jen Lin

Medical document understanding has gained much attention recently. One representative task is the International Classification of Disease (ICD) diagnosis code assignment. Existing work adopts either RNN or CNN as the backbone network…

Computation and Language · Computer Science 2022-04-21 Ning Zhang , Maciej Jankowski

In the United States, 25% or greater than 200 billion dollars of hospital spending accounts for administrative costs that involve services for medical coding and billing. With the increasing number of patient records, manual assignment of…

Computation and Language · Computer Science 2020-03-18 A. K. Bhavani Singh , Mounika Guntu , Ananth Reddy Bhimireddy , Judy W. Gichoya , Saptarshi Purkayastha

Disease risk prediction has attracted increasing attention in the field of modern healthcare, especially with the latest advances in artificial intelligence (AI). Electronic health records (EHRs), which contain heterogeneous patient…

Artificial Intelligence · Computer Science 2022-01-19 Shuai Niu , Qing Yin , Yunya Song , Yike Guo , Xian Yang

Explainability is a highly demanded requirement for applications in high-risk areas such as medicine. Vision Transformers have mainly been limited to attention extraction to provide insight into the model's reasoning. Our approach combines…

Computer Vision and Pattern Recognition · Computer Science 2025-02-14 Luisa Gallée , Catharina Silvia Lisson , Meinrad Beer , Michael Götz

International Classification of Diseases (ICD) coding assigns diagnosis codes to clinical documents and is essential for healthcare billing and clinical analysis. Reliable coding requires that each predicted code be supported by explicit…

Computation and Language · Computer Science 2026-05-08 Xu Zhang , Wenxin Ma , Chenxu Wu , Rongsheng Wang , Zhiyang He , Xiaodong Tao , Kun Zhang , S. Kevin Zhou

Method: We develop CNN-based methods for automatic ICD coding based on clinical text from intensive care unit (ICU) stays. We come up with the Shallow and Wide Attention convolutional Mechanism (SWAM), which allows our model to learn local…

Computation and Language · Computer Science 2021-01-28 Shu Yuan Hu , Fei Teng