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Register a new userMedical Code Assignment with Gated Convolution and Note-Code Interaction
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Added by
Shaoxiong Ji
Publication date
2020
fields
Informatics Engineering
and research's language is
English
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Medical code assignment from clinical text is a fundamental task in clinical information system management. As medical notes are typically lengthy and the medical coding systems code space is large, this task is a long-standing challenge. Recent work applies deep neural network models to encode the medical notes and assign medical codes to clinical documents. However, these methods are still ineffective as they do not fully encode and capture the lengthy and rich semantic information of medical notes nor explicitly exploit the interactions between the notes and codes. We propose a novel method, gated convolutional neural networks, and a note-code interaction (GatedCNN-NCI), for automatic medical code assignment to overcome these challenges. Our methods capture the rich semantic information of the lengthy clinical text for better representation by utilizing embedding injection and gated information propagation in the medical note encoding module. With a novel note-code interaction design and a graph message passing mechanism, we explicitly capture the underlying dependency between notes and codes, enabling effective code prediction. A weight sharing scheme is further designed to decrease the number of trainable parameters. Empirical experiments on real-world clinical datasets show that our proposed model outperforms state-of-the-art models in most cases, and our model size is on par with light-weighted baselines.
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Medical code assignment, which predicts medical codes from clinical texts, is a fundamental task of intelligent medical information systems. The emergence of deep models in natural language processing has boosted the development of automatic assignment methods. However, recent advanced neural architectures with flat convolutions or multi-channel feature concatenation ignore the sequential causal constraint within a text sequence and may not learn meaningful clinical text representations, especially for lengthy clinical notes with long-term sequential dependency. This paper proposes a Dilated Convolutional Attention Network (DCAN), integrating dilated convolutions, residual connections, and label attention, for medical code assignment. It adopts dilated convolutions to capture complex medical patterns with a receptive field which increases exponentially with dilation size. Experiments on a real-world clinical dataset empirically show that our model improves the state of the art.
Unsupervised pretraining is an integral part of many natural language processing systems, and transfer learning with language models has achieved remarkable results in many downstream tasks. In the clinical application of medical code assignment, diagnosis and procedure codes are inferred from lengthy clinical notes such as hospital discharge summaries. However, it is not clear if pretrained models are useful for medical code prediction without further architecture engineering. This paper conducts a comprehensive quantitative analysis of various contextualized language models performance, pretrained in different domains, for medical code assignment from clinical notes. We propose a hierarchical fine-tuning architecture to capture interactions between distant words and adopt label-wise attention to exploit label information. Contrary to current trends, we demonstrate that a carefully trained classical CNN outperforms attention-based models on a MIMIC-III subset with frequent codes. Our empirical findings suggest directions for improving the medical code assignment application.
Medical coding translates professionally written medical reports into standardized codes, which is an essential part of medical information systems and health insurance reimbursement. Manual coding by trained human coders is time-consuming and error-prone. Thus, automated coding algorithms have been developed, building especially on the recent advances in machine learning and deep neural networks. To solve the challenges of encoding lengthy and noisy clinical documents and capturing code associations, we propose a multitask recalibrated aggregation network. In particular, multitask learning shares information across different coding schemes and captures the dependencies between different medical codes. Feature recalibration and aggregation in shared modules enhance representation learning for lengthy notes. Experiments with a real-world MIMIC-III dataset show significantly improved predictive performance.
Human coders assign standardized medical codes to clinical documents generated during patients hospitalization, which is error-prone and labor-intensive. Automated medical coding approaches have been developed using machine learning methods such as deep neural networks. Nevertheless, automated medical coding is still challenging because of the imbalanced class problem, complex code association, and noise in lengthy documents. To solve these difficulties, we propose a novel neural network called Multi-task Balanced and Recalibrated Neural Network. Significantly, the multi-task learning scheme shares the relationship knowledge between different code branches to capture the code association. A recalibrated aggregation module is developed by cascading convolutional blocks to extract high-level semantic features that mitigate the impact of noise in documents. Also, the cascaded structure of the recalibrated module can benefit the learning from lengthy notes. To solve the class imbalanced problem, we deploy the focal loss to redistribute the attention of low and high-frequency medical codes. Experimental results show that our proposed model outperforms competitive baselines on a real-world clinical dataset MIMIC-III.
Source code summarization aims at generating concise descriptions of given programs functionalities. While Transformer-based approaches achieve promising performance, they do not explicitly incorporate the code structure information which is important for capturing code semantics. Besides, without explicit constraints, multi-head attentions in Transformer may suffer from attention collapse, leading to poor code representations for summarization. Effectively integrating the code structure information into Transformer is under-explored in this task domain. In this paper, we propose a novel approach named SG-Trans to incorporate code structural properties into Transformer. Specifically, to capture the hierarchical characteristics of code, we inject the local symbolic information (e.g., code tokens) and global syntactic structure (e.g., data flow) into the self-attention module as inductive bias. Extensive evaluation shows the superior performance of SG-Trans over the state-of-the-art approaches.
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