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Automatic ICD coding from clinical text is a critical task in medical NLP but remains hindered by the extreme long-tail distribution of diagnostic codes. Thousands of rare and zero-shot ICD codes are severely underrepresented in datasets…

Computation and Language · Computer Science 2025-11-19 Truong Vo , Weiyi Wu , Kaize Ding

Medical coding is essential for standardizing clinical data and communication but is often time-consuming and prone to errors. Traditional Natural Language Processing (NLP) methods struggle with automating coding due to the large label…

The precipitous rise and adoption of Large Language Models (LLMs) have shattered expectations with the fastest adoption rate of any consumer-facing technology in history. Healthcare, a field that traditionally uses NLP techniques, was bound…

Computation and Language · Computer Science 2023-10-10 Surjya Ray , Pratik Mehta , Hongen Zhang , Ada Chaman , Jian Wang , Chung-Jen Ho , Michael Chiou , Tashfeen Suleman

Clinical notes in healthcare facilities are tagged with the International Classification of Diseases (ICD) code; a list of classification codes for medical diagnoses and procedures. ICD coding is a challenging multilabel text classification…

Computation and Language · Computer Science 2023-06-02 Thanh-Tung Nguyen , Viktor Schlegel , Abhinav Kashyap , Stefan Winkler

The translation of medical diagnosis to clinical coding has wide range of applications in billing, aetiology analysis, and auditing. Currently, coding is a manual effort while the automation of such task is not straight forward. Among the…

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 Text Notes (CTNs) contain physicians' reasoning process, written in an unstructured free text format, as they examine and interview patients. In recent years, several studies have been published that provide evidence for the…

Computation and Language · Computer Science 2022-08-19 Hlynur D. Hlynsson , Steindór Ellertsson , Jón F. Daðason , Emil L. Sigurdsson , Hrafn Loftsson

Machine Learning (ML) is widely used to automatically extract meaningful information from Electronic Health Records (EHR) to support operational, clinical, and financial decision-making. However, ML models require a large number of…

Machine Learning · Computer Science 2021-04-14 Martha Dais Ferreira , Michal Malyska , Nicola Sahar , Riccardo Miotto , Fernando Paulovich , Evangelos Milios

In medical coding, experts map unstructured clinical notes to alphanumeric codes for diagnoses and procedures. We introduce Code Like Humans: a new agentic framework for medical coding with large language models. It implements official…

Artificial Intelligence · Computer Science 2025-10-09 Andreas Motzfeldt , Joakim Edin , Casper L. Christensen , Christian Hardmeier , Lars Maaløe , Anna Rogers

Large language models (LLMs) excel at a range of tasks through in-context learning (ICL), where only a few task examples guide their predictions. However, prior research highlights that LLMs often overlook input-label mapping information in…

Computation and Language · Computer Science 2025-06-10 Keqin Peng , Liang Ding , Yuanxin Ouyang , Meng Fang , Yancheng Yuan , Dacheng Tao

Objective: To evaluate the accuracy, computational cost and portability of a new Natural Language Processing (NLP) method for extracting medication information from clinical narratives. Materials and Methods: We propose an original…

This paper addresses the challenges posed by the unstructured nature and high-dimensional semantic complexity of electronic health record texts. A deep learning method based on attention mechanisms is proposed to achieve unified modeling…

Computation and Language · Computer Science 2025-07-03 Ting Xu , Xiaoxiao Deng , Xiandong Meng , Haifeng Yang , Yan Wu

Learning to represent free text is a core task in many clinical machine learning (ML) applications, as clinical text contains observations and plans not otherwise available for inference. State-of-the-art methods use large language models…

Computation and Language · Computer Science 2023-01-30 Lecheng Kong , Christopher King , Bradley Fritz , Yixin Chen

Clinical coding is a critical task in healthcare, although traditional methods for automating clinical coding may not provide sufficient explicit evidence for coders in production environments. This evidence is crucial, as medical coders…

Computation and Language · Computer Science 2025-04-08 Leonor Barreiros , Isabel Coutinho , Gonçalo M. Correia , Bruno Martins

Documentation errors increase healthcare costs and cause unnecessary patient deaths. As the standard language for diagnoses and billing, ICD codes serve as the foundation for medical documentation worldwide. Despite the prevalence of…

Sound · Computer Science 2018-11-28 Albert Haque , Corinna Fukushima

In this paper, we introduce a multi-label lazy learning approach to deal with automatic semantic indexing in large document collections in the presence of complex and structured label vocabularies with high inter-label correlation. The…

Machine Learning · Computer Science 2024-02-06 Francisco J. Ribadas-Pena , Shuyuan Cao , Víctor M. Darriba Bilbao

To address the limitations of Large Language Models (LLMs) in the International Classification of Diseases (ICD) coding task, where they often produce inaccurate and incomplete prediction results due to the high-dimensional and skewed…

Computation and Language · Computer Science 2024-08-15 Rumeng Li , Xun Wang , Hong Yu

Multi-label text classification (MLC) is a challenging task in settings of large label sets, where label support follows a Zipfian distribution. In this paper, we address this problem through retrieval augmentation, aiming to improve the…

Computation and Language · Computer Science 2023-05-23 Ilias Chalkidis , Yova Kementchedjhieva

The standardization of clinical data elements (CDEs) aims to ensure consistent and comprehensive patient information across various healthcare systems. Existing methods often falter when standardizing CDEs of varying representation and…

Information Retrieval · Computer Science 2025-05-08 Komal Gilani , Marlo Verket , Christof Peters , Michel Dumontier , Hans-Peter Brunner-La Rocca , Visara Urovi

The introduction of Large Language Models (LLMs), and the vast volume of publicly available medical data, amplified the application of NLP to the medical domain. However, LLMs are pretrained on data that are not explicitly relevant to the…

Computation and Language · Computer Science 2023-12-12 Chris Solomou