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Automatic International Classification of Diseases (ICD) coding is defined as a kind of text multi-label classification problem, which is difficult because the number of labels is very large and the distribution of labels is unbalanced. The…

Computation and Language · Computer Science 2021-06-21 Yifan Wu , Min Zeng , Ying Yu , Min Li

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

International Classification of Diseases(ICD) is an authoritative health care classification system of different diseases and conditions for clinical and management purposes. Considering the complicated and dedicated process to assign…

Computation and Language · Computer Science 2022-01-13 Haoran Shi , Pengtao Xie , Zhiting Hu , Ming Zhang , Eric P. Xing

The extraction of lung lesion information from clinical and medical imaging reports is crucial for research on and clinical care of lung-related diseases. Large language models (LLMs) can be effective at interpreting unstructured text in…

Computation and Language · Computer Science 2024-11-18 Diya Li , Asim Kadav , Aijing Gao , Rui Li , Richard Bourgon

Automatic medical coding has the potential to ease documentation and billing processes. For this task, transparency plays an important role for medical coders and regulatory bodies, which can be achieved using explainability methods.…

Computation and Language · Computer Science 2025-07-03 Katharina Beckh , Elisa Studeny , Sujan Sai Gannamaneni , Dario Antweiler , Stefan Rüping

Addressing the complexity of accurately classifying International Classification of Diseases (ICD) codes from medical discharge summaries is challenging due to the intricate nature of medical documentation. This paper explores the use of…

Machine Learning · Computer Science 2024-11-12 Zeyd Boukhers , AmeerAli Khan , Qusai Ramadan , Cong Yang

In-Context Learning (ICL) enables transformer-based language models to adapt to new tasks by conditioning on demonstration examples. However, traditional example-driven in-context learning lacks explicit modules for knowledge retrieval and…

Computation and Language · Computer Science 2026-03-31 Pan Chen , Shaohong Chen , Mark Wang , Shi Xuan Leong , Priscilla Fung , Varinia Bernales , Alan Aspuru-Guzik

Automatic International Classification of Diseases (ICD) coding aims to assign multiple ICD codes to a medical note with average length of 3,000+ tokens. This task is challenging due to a high-dimensional space of multi-label assignment…

Computation and Language · Computer Science 2022-10-14 Zhichao Yang , Shufan Wang , Bhanu Pratap Singh Rawat , Avijit Mitra , Hong Yu

Recent advances in large language models (LLMs) show potential for clinical applications, such as clinical decision support and trial recommendations. However, the GPT-4 LLM predicts an excessive number of ICD codes for medical coding…

Computation and Language · Computer Science 2023-11-27 Zhichao Yang , Sanjit Singh Batra , Joel Stremmel , Eran Halperin

As demand for mental health care outpaces clinician-delivered assessment, scalable screening tools are increasingly needed. Large language models (LLMs) may identify psychiatric risk from patient narratives, but their reliability across…

Computation and Language · Computer Science 2026-05-26 Jianfeng Zhu , Megan Korhummel , Ruoming Jin , Karin G. Coifman

In real-world NLP applications, Large Language Models (LLMs) offer promising solutions due to their extensive training on vast datasets. However, the large size and high computation demands of LLMs limit their practicality in many…

Artificial Intelligence · Computer Science 2025-04-01 Juanhui Li , Sreyashi Nag , Hui Liu , Xianfeng Tang , Sheikh Sarwar , Limeng Cui , Hansu Gu , Suhang Wang , Qi He , Jiliang Tang

The vast majority of research in computer assisted medical coding focuses on coding at the document level, but a substantial proportion of medical coding in the real world involves coding at the level of clinical encounters, each of which…

Computation and Language · Computer Science 2019-11-19 Han-Chin Shing , Guoli Wang , Philip Resnik

Clinical notes are unstructured text generated by clinicians during patient encounters. Clinical notes are usually accompanied by a set of metadata codes from the International Classification of Diseases(ICD). ICD code is an important code…

Artificial Intelligence · Computer Science 2021-11-12 Tak-Sung Heo , Yongmin Yoo , Yeongjoon Park , Byeong-Cheol Jo , Kyungsun Kim

Linking clinical narratives to standardized vocabularies and coding systems is a key component of unlocking the information in medical text for analysis. However, many domains of medical concepts lack well-developed terminologies that can…

Computation and Language · Computer Science 2021-03-11 Denis Newman-Griffis , Eric Fosler-Lussier

Code translation migrates codebases across programming languages. Recently, large language models (LLMs) have achieved significant advancements in software mining. However, handling the syntactic structure of source code remains a…

Software Engineering · Computer Science 2025-10-14 Yali Du , Hui Sun , Ming Li

Codification of free-text clinical narratives have long been recognised to be beneficial for secondary uses such as funding, insurance claim processing and research. The current scenario of assigning codes is a manual process which is very…

Computation and Language · Computer Science 2021-07-23 Rajvir Kaur , Jeewani Anupama Ginige , Oliver Obst

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

Medical coding is a complex task, requiring assignment of a subset of over 72,000 ICD codes to a patient's notes. Modern natural language processing approaches to these tasks have been challenged by the length of the input and size of the…

Machine Learning · Computer Science 2022-08-17 Jay DeYoung , Han-Chin Shing , Luyang Kong , Christopher Winestock , Chaitanya Shivade

Large language models (LLMs) are able to solve various tasks with only a few demonstrations utilizing their in-context learning (ICL) abilities. However, LLMs often rely on their pre-trained semantic priors of demonstrations rather than on…

Computation and Language · Computer Science 2024-04-16 Joonwon Jang , Sanghwan Jang , Wonbin Kweon , Minjin Jeon , Hwanjo Yu

In-context learning (ICL) has emerged as an effective solution for few-shot learning with large language models (LLMs). However, how LLMs leverage demonstrations to specify a task and learn a corresponding computational function through ICL…

Computation and Language · Computer Science 2025-11-17 Yu Bai , Heyan Huang , Cesare Spinoso-Di Piano , Marc-Antoine Rondeau , Sanxing Chen , Yang Gao , Jackie Chi Kit Cheung