Automatic medical coding assigns ICD codes to clinical notes, but it remains challenging due to long documents, imbalanced label distributions, and diverse terms. These challenges are especially sever...
The paper introduces Span-Centric Learning (SCL), a method that decouples coding knowledge acquisition from its application in full clinical documents. SCL first trains on short text spans to learn coding knowledge, then fine‑tunes on a small set of annotated documents, enabling an 8B LLM to outperform state‑of‑the‑art methods with only 248 full documents. The approach also yields explicit, human‑aligned supporting evidence for each predicted ICD code and can learn code knowledge from spans even when the codes are absent from the full documents.
By Xu Zhang, Wenxin Ma, Chenxu Wu, Rongsheng Wang, Zhiyang He, Xiaodong Tao, Kun Zhang, S. Kevin Zhou
EHRAdapt is an adapter that maps electronic health record tuples directly into a frozen language model’s embedding space, using learned embeddings for modality, time gaps, and dedicated vectors for event codes. It represents each event vector as a sum of a frozen, ontology‑trained semantic prior and a low‑rank evidence residual, enabling robust learning even for rare clinical events. Experiments on four million patient records with three large language model backbones show that the full adapter outperforms all ablations in next‑event prediction and improves rare‑disease discrimination in classification tasks.
By Andre R Goncalves, Vincent Liu, Priyadip Ray
arXiv:2607. 11954v1 Announce Type: cross Abstract: Clinical code prediction maps unstructured discharge summaries to ICD-10-CM leaf codes in a large, sparse, and deeply hierarchical label space.
By Amritpal Singh, Sebastian Torres, Khawar Shakeel, Syed Ahmad Chan Bukhari
arXiv:2608.20887v1 Announce Type: cross
Abstract: Automatic Medical Coding (AMC), which assigns standardized International Classification of Diseases (ICD) codes to clinical notes, is essential for m...
By Xubin Chen, Yipeng Zhou, Wen Sun, Chengkai Huang, Xiaoming Fu, Quan Z. Sheng
arXiv:2609.22734v1 Announce Type: cross
Abstract: Clinical domain classification plays an important role in organizing and analyzing large volumes of unstructured medical text. However, medical trans...
By Sravani Pottipati, Lakshmikar R. Polamreddy