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Active learning for medical code assignment

2021-04-12 · Martha Dais Ferreira, Michal Malyska, Nicola Sahar, Riccardo Miotto, Fernando Paulovich, Evangelos Milios

Machine Learning (ML) is widely used to automatically extract meaningful information from Electronic Health Records (EHR) to support operational, clinical, and financial decision-making. However, ML models require a large number of annotated examples to provide satisfactory results, which is not possible in most healthcare scenarios due to the high cost of clinician-labeled data. Active Learning (AL) is a process of selecting the most informative instances to be labeled by an expert to further train a supervised algorithm. We demonstrate the effectiveness of AL in multi-label text classification in the clinical domain. In this context, we apply a set of well-known AL methods to help automatically assign ICD-9 codes on the MIMIC-III dataset. Our results show that the selection of informative instances provides satisfactory classification with a significantly reduced training set (8.3\% of the total instances). We conclude that AL methods can significantly reduce the manual annotation cost while preserving model performance.

📄 PDF Abstract BibTeX arXiv:2104.05741

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Active LearningDecision MakingGeneral ClassificationMulti Label Text ClassificationMulti-Label Text Classificationtext-classificationText Classification

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