Managing Map Cardinality in Automatic Disease Classification Mapping: Balancing Precision, Recall and Coverage

Automatic mapping between disease classification systems, such as the International Classification of Diseases (ICD), is a challenging yet essential task for integrating health data and conducting longitudinal data analysis. Existing embedding-based methods primarily focus on \emph{one-to-one} mappings, overlooking more complex \emph{one-to-many} scenarios. The threshold-based and top-K methods offer natural extensions; however, they involve inherent trade-offs between \emph{precision}, \emph{recall} and \emph{mapping coverage} -- the proportion of source codes with at least one mapping to a target code. To address this challenge, we introduce a novel method, which is inspired by the \emph{blocking-and-matching} pipeline commonly used in \emph{entity resolution}. In particular, we first generate a block of candidate matches (\emph{blocking}) and then employ a large language model (LLM) to identify all valid mappings within each block (\emph{matching}). Empirically, we show that the proposed method achieves higher precision with comparable recall and broader coverage across multiple ICD version pairs (ICD-9-CM$\leftrightarrow$ICD-10-CM and ICD-10-AM$\leftrightarrow$ICD-11). Our source code and dataset is available at: https://tinyurl.com/46kyn7wp.

Classification of kinetic-related injury in hospital triage data using NLP

Triage notes, created at the start of a patient's hospital visit, contain a wealth of information that can help medical staff and researchers understand Emergency Department patient epidemiology and the degree of time-dependent illness or injury. Unfortunately, applying modern Natural Language Processing and Machine Learning techniques to analyse triage data faces some challenges: Firstly, hospital data contains highly sensitive information that is subject to privacy regulation thus need to be analysed on site; Secondly, most hospitals and medical facilities lack the necessary hardware to fine-tune a Large Language Model (LLM), much less training one from scratch; Lastly, to identify the records of interest, expert inputs are needed to manually label the datasets, which can be time-consuming and costly. We present in this paper a pipeline that enables the classification of triage data using LLM and limited compute resources. We first fine-tuned a pre-trained LLM with a classifier using a small (2k) open sourced dataset on a GPU; and then further fine-tuned the model with a hospital specific dataset of 1000 samples on a CPU. We demonstrated that by carefully curating the datasets and leveraging existing models and open sourced data, we can successfully classify triage data with limited compute resources.