Automatic International Classification of Diseases (ICD) coding plays a crucial role in the extraction of relevant information from clinical notes for proper recording and billing. One of the most important directions for boosting the performance of automatic ICD coding is modeling ICD code relations. However, current methods insufficiently model the intricate relationships among ICD codes and often overlook the importance of context in clinical notes. In this paper, we propose a novel approach, a contextualized and flexible framework, to enhance the learning of ICD code representations. Our approach, unlike existing methods, employs a dependent learning paradigm that considers the context of clinical notes in modeling all possible code relations. We evaluate our approach on six public ICD coding datasets and the experimental results demonstrate the effectiveness of our approach compared to state-of-the-art baselines.

Pretraining has proven to be a powerful technique in natural language processing (NLP), exhibiting remarkable success in various NLP downstream tasks. However, in the medical domain, existing pretrained models on electronic health records (EHR) fail to capture the hierarchical nature of EHR data, limiting their generalization capability across diverse downstream tasks using a single pretrained model. To tackle this challenge, this paper introduces a novel, general, and unified pretraining framework called MedHMP, specifically designed for hierarchically multimodal EHR data. The effectiveness of the proposed MedHMP is demonstrated through experimental results on eight downstream tasks spanning three levels. Comparisons against eighteen baselines further highlight the efficacy of our approach.

The competition of extracting COVID-19 events from Twitter is to develop systems that can automatically extract related events from tweets. The built system should identify different pre-defined slots for each event, in order to answer important questions (e.g., Who is tested positive? What is the age of the person? Where is he/she?). To tackle these challenges, we propose the Joint Event Multi-task Learning (JOELIN) model. Through a unified global learning framework, we make use of all the training data across different events to learn and fine-tune the language model. Moreover, we implement a type-aware post-processing procedure using named entity recognition (NER) to further filter the predictions. JOELIN outperforms the BERT baseline by 17.2% in micro F1.