An Automatic SOAP Classification System Using Weakly Supervision And Transfer Learning

In this paper, we introduce a comprehensive framework for developing a machine learning-based SOAP (Subjective, Objective, Assessment, and Plan) classification system without manually SOAP annotated training data or with less manually SOAP annotated training data. The system is composed of the following two parts: 1) Data construction, 2) A neural network-based SOAP classifier, and 3) Transfer learning framework. In data construction, since a manual construction of a large size training dataset is expensive, we propose a rule-based weak labeling method utilizing the structured information of an EHR note. Then, we present a SOAP classifier composed of a pre-trained language model and bi-directional long-short term memory with conditional random field (Bi-LSTM-CRF). Finally, we propose a transfer learning framework that re-uses the trained parameters of the SOAP classifier trained with the weakly labeled dataset for datasets collected from another hospital. The proposed weakly label-based learning model successfully performed SOAP classification (89.99 F1-score) on the notes collected from the target hospital. Otherwise, in the notes collected from other hospitals and departments, the performance dramatically decreased. Meanwhile, we verified that the transfer learning framework is advantageous for inter-hospital adaptation of the model increasing the models' performance in every cases. In particular, the transfer learning approach was more efficient when the manually annotated data size was smaller. We showed that SOAP classification models trained with our weakly labeling algorithm can perform SOAP classification without manually annotated data on the EHR notes from the same hospital. The transfer learning framework helps SOAP classification model's inter-hospital migration with a minimal size of the manually annotated dataset.

Context Variance Evaluation of Pretrained Language Models for Prompt-based Biomedical Knowledge Probing

Pretrained language models (PLMs) have motivated research on what kinds of knowledge these models learn. Fill-in-the-blanks problem (e.g., cloze tests) is a natural approach for gauging such knowledge. BioLAMA generates prompts for biomedical factual knowledge triples and uses the Top-k accuracy metric to evaluate different PLMs' knowledge. However, existing research has shown that such prompt-based knowledge probing methods can only probe a lower bound of knowledge. Many factors like prompt-based probing biases make the LAMA benchmark unreliable and unstable. This problem is more prominent in BioLAMA. The severe long-tailed distribution in vocabulary and large-N-M relation make the performance gap between LAMA and BioLAMA remain notable. To address these, we introduce context variance into the prompt generation and propose a new rank-change-based evaluation metric. Different from the previous known-unknown evaluation criteria, we propose the concept of "Misunderstand" in LAMA for the first time. Through experiments on 12 PLMs, our context variance prompts and Understand-Confuse-Misunderstand (UCM) metric makes BioLAMA more friendly to large-N-M relations and rare relations. We also conducted a set of control experiments to disentangle "understand" from just "read and copy".

MedJEx: A Medical Jargon Extraction Model with Wiki's Hyperlink Span and Contextualized Masked Language Model Score

This paper proposes a new natural language processing (NLP) application for identifying medical jargon terms potentially difficult for patients to comprehend from electronic health record (EHR) notes. We first present a novel and publicly available dataset with expert-annotated medical jargon terms from 18K+ EHR note sentences ($MedJ$). Then, we introduce a novel medical jargon extraction ($MedJEx$) model which has been shown to outperform existing state-of-the-art NLP models. First, MedJEx improved the overall performance when it was trained on an auxiliary Wikipedia hyperlink span dataset, where hyperlink spans provide additional Wikipedia articles to explain the spans (or terms), and then fine-tuned on the annotated MedJ data. Secondly, we found that a contextualized masked language model score was beneficial for detecting domain-specific unfamiliar jargon terms. Moreover, our results show that training on the auxiliary Wikipedia hyperlink span datasets improved six out of eight biomedical named entity recognition benchmark datasets. Both MedJ and MedJEx are publicly available.

Knowledge Injected Prompt Based Fine-tuning for Multi-label Few-shot ICD Coding

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 (tens of thousands of ICD codes) and the long-tail challenge: only a few codes (common diseases) are frequently assigned while most codes (rare diseases) are infrequently assigned. This study addresses the long-tail challenge by adapting a prompt-based fine-tuning technique with label semantics, which has been shown to be effective under few-shot setting. To further enhance the performance in medical domain, we propose a knowledge-enhanced longformer by injecting three domain-specific knowledge: hierarchy, synonym, and abbreviation with additional pretraining using contrastive learning. Experiments on MIMIC-III-full, a benchmark dataset of code assignment, show that our proposed method outperforms previous state-of-the-art method in 14.5% in marco F1 (from 10.3 to 11.8, P<0.001). To further test our model on few-shot setting, we created a new rare diseases coding dataset, MIMIC-III-rare50, on which our model improves marco F1 from 17.1 to 30.4 and micro F1 from 17.2 to 32.6 compared to previous method.

Advanced Conditional Variational Autoencoders (A-CVAE): Towards interpreting open-domain conversation generation via disentangling latent feature representation

Currently end-to-end deep learning based open-domain dialogue systems remain black box models, making it easy to generate irrelevant contents with data-driven models. Specifically, latent variables are highly entangled with different semantics in the latent space due to the lack of priori knowledge to guide the training. To address this problem, this paper proposes to harness the generative model with a priori knowledge through a cognitive approach involving mesoscopic scale feature disentanglement. Particularly, the model integrates the macro-level guided-category knowledge and micro-level open-domain dialogue data for the training, leveraging the priori knowledge into the latent space, which enables the model to disentangle the latent variables within the mesoscopic scale. Besides, we propose a new metric for open-domain dialogues, which can objectively evaluate the interpretability of the latent space distribution. Finally, we validate our model on different datasets and experimentally demonstrate that our model is able to generate higher quality and more interpretable dialogues than other models.

Hyperspectral image reconstruction for spectral camera based on ghost imaging via sparsity constraints using V-DUnet

Spectral camera based on ghost imaging via sparsity constraints (GISC spectral camera) obtains three-dimensional (3D) hyperspectral information with two-dimensional (2D) compressive measurements in a single shot, which has attracted much attention in recent years. However, its imaging quality and real-time performance of reconstruction still need to be further improved. Recently, deep learning has shown great potential in improving the reconstruction quality and reconstruction speed for computational imaging. When applying deep learning into GISC spectral camera, there are several challenges need to be solved: 1) how to deal with the large amount of 3D hyperspectral data, 2) how to reduce the influence caused by the uncertainty of the random reference measurements, 3) how to improve the reconstructed image quality as far as possible. In this paper, we present an end-to-end V-DUnet for the reconstruction of 3D hyperspectral data in GISC spectral camera. To reduce the influence caused by the uncertainty of the measurement matrix and enhance the reconstructed image quality, both differential ghost imaging results and the detected measurements are sent into the network's inputs. Compared with compressive sensing algorithm, such as PICHCS and TwIST, it not only significantly improves the imaging quality with high noise immunity, but also speeds up the reconstruction time by more than two orders of magnitude.

A Simple Meta-learning Paradigm for Zero-shot Intent Classification with Mixture Attention Mechanism

Zero-shot intent classification is a vital and challenging task in dialogue systems, which aims to deal with numerous fast-emerging unacquainted intents without annotated training data. To obtain more satisfactory performance, the crucial points lie in two aspects: extracting better utterance features and strengthening the model generalization ability. In this paper, we propose a simple yet effective meta-learning paradigm for zero-shot intent classification. To learn better semantic representations for utterances, we introduce a new mixture attention mechanism, which encodes the pertinent word occurrence patterns by leveraging the distributional signature attention and multi-layer perceptron attention simultaneously. To strengthen the transfer ability of the model from seen classes to unseen classes, we reformulate zero-shot intent classification with a meta-learning strategy, which trains the model by simulating multiple zero-shot classification tasks on seen categories, and promotes the model generalization ability with a meta-adapting procedure on mimic unseen categories. Extensive experiments on two real-world dialogue datasets in different languages show that our model outperforms other strong baselines on both standard and generalized zero-shot intent classification tasks.

Learning as Conversation: Dialogue Systems Reinforced for Information Acquisition

We propose novel AI-empowered chat bots for learning as conversation where a user does not read a passage but gains information and knowledge through conversation with a teacher bot. Our information-acquisition-oriented dialogue system employs a novel adaptation of reinforced self-play so that the system can be transferred to various domains without in-domain dialogue data, and can carry out conversations both informative and attentive to users. Our extensive subjective and objective evaluations on three large public data corpora demonstrate the effectiveness of our system to deliver knowledge-intensive and attentive conversations and help end users substantially gain knowledge without reading passages. Our code and datasets are publicly available for follow-up research.

ScAN: Suicide Attempt and Ideation Events Dataset

Suicide is an important public health concern and one of the leading causes of death worldwide. Suicidal behaviors, including suicide attempts (SA) and suicide ideations (SI), are leading risk factors for death by suicide. Information related to patients' previous and current SA and SI are frequently documented in the electronic health record (EHR) notes. Accurate detection of such documentation may help improve surveillance and predictions of patients' suicidal behaviors and alert medical professionals for suicide prevention efforts. In this study, we first built Suicide Attempt and Ideation Events (ScAN) dataset, a subset of the publicly available MIMIC III dataset spanning over 12k+ EHR notes with 19k+ annotated SA and SI events information. The annotations also contain attributes such as method of suicide attempt. We also provide a strong baseline model ScANER (Suicide Attempt and Ideation Events Retriever), a multi-task RoBERTa-based model with a retrieval module to extract all the relevant suicidal behavioral evidences from EHR notes of an hospital-stay and, and a prediction module to identify the type of suicidal behavior (SA and SI) concluded during the patient's stay at the hospital. ScANER achieved a macro-weighted F1-score of 0.83 for identifying suicidal behavioral evidences and a macro F1-score of 0.78 and 0.60 for classification of SA and SI for the patient's hospital-stay, respectively. ScAN and ScANER are publicly available.

Caption Feature Space Regularization for Audio Captioning

Audio captioning aims at describing the content of audio clips with human language. Due to the ambiguity of audio, different people may perceive the same audio differently, resulting in caption disparities (i.e., one audio may correlate to several captions with diverse semantics). For that, general audio captioning models achieve the one-to-many training by randomly selecting a correlated caption as the ground truth for each audio. However, it leads to a significant variation in the optimization directions and weakens the model stability. To eliminate this negative effect, in this paper, we propose a two-stage framework for audio captioning: (i) in the first stage, via the contrastive learning, we construct a proxy feature space to reduce the distances between captions correlated to the same audio, and (ii) in the second stage, the proxy feature space is utilized as additional supervision to encourage the model to be optimized in the direction that benefits all the correlated captions. We conducted extensive experiments on two datasets using four commonly used encoder and decoder architectures. Experimental results demonstrate the effectiveness of the proposed method. The code is available at https://github.com/PRIS-CV/Caption-Feature-Space-Regularization.