Canada

Electronic phenotyping entails using electronic health records (EHRs) to identify patients with specific health outcomes and determine when those outcomes occurred. Unstructured clinical notes, which contain a vast amount of information, are a valuable resource for electronic phenotyping. However, traditional methods, such as rule-based labeling functions or neural networks, require significant manual effort to tune and may not generalize well to multiple indications. To address these challenges, we propose \textit{HyDE} (hybrid diagnosis extractor). HyDE is a simple framework for electronic phenotyping that integrates labeling functions and a disease-agnostic neural network to assign diagnoses to patients. By training HyDE&#39;s model to correct predictions made by labeling functions, we are able to disambiguate hypertension true positives and false positives with a supervised area under the precision-recall curve (AUPRC) of 0.85. We extend this hypertension-trained model to zero-shot evaluation of four other diseases, generating AUPRC values ranging from 0.82 - 0.95 and outperforming a labeling function baseline by 44 points in F1 score and a Word2Vec baseline by 24 points in F1 score on average. Furthermore, we demonstrate a speedup of &gt;4x by pruning the length of inputs into our language model to ~2.3% of the full clinical notes, with negligible impact to the AUPRC. HyDE has the potential to improve the efficiency and efficacy of interpreting large-scale unstructured clinical notes for accurate EHR phenotyping.

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ACL 2023

Efficient Diagnosis Assignment Using Unstructured Clinical Notes

phenotyping

language model

clinical

### Welcome to ACL 2023, the 61st Annual Meeting of the Association for Computational Linguistics! 
<br>The conference will be held in Toronto, Canada, July 9-14, 2023.<br><br>
Following the succession of the recent conferences in our field, ACL 2023 will adopt a hybrid format.
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Read [**ACL 2023 General Chair's message**](https://docs.google.com/document/d/1WobYM7norbG4dI48s75HfJoD89qgX5a_F-6U8AteLSA/edit?usp=sharing/) in full.

##### **[Conference Handbook](https://2023.aclweb.org/downloads/acl2023-handbook.pdf)**
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The Association for Computational Linguistics (ACL) is the premier international scientific and professional society for people working on computational problems involving human language, a field often referred to as either computational linguistics or natural language processing.

Electronic phenotyping entails using electronic health records (EHRs) to identify patients with specific health outcomes and determine when those outcomes occurred. Unstructured clinical notes, which contain a vast amount of information, are a valuable resource for electronic phenotyping. However, traditional methods, such as rule-based labeling functions or neural networks, require significant manual effort to tune and may not generalize well to multiple indications. To address these challenges, we propose \textit{HyDE} (hybrid diagnosis extractor). HyDE is a simple framework for electronic phenotyping that integrates labeling functions and a disease-agnostic neural network to assign diagnoses to patients. By training HyDE's model to correct predictions made by labeling functions, we are able to disambiguate hypertension true positives and false positives with a supervised area under the precision-recall curve (AUPRC) of 0.85. We extend this hypertension-trained model to zero-shot evaluation of four other diseases, generating AUPRC values ranging from 0.82 - 0.95 and outperforming a labeling function baseline by 44 points in F1 score and a Word2Vec baseline by 24 points in F1 score on average. Furthermore, we demonstrate a speedup of >4x by pruning the length of inputs into our language model to ~2.3% of the full clinical notes, with negligible impact to the AUPRC. HyDE has the potential to improve the efficiency and efficacy of interpreting large-scale unstructured clinical notes for accurate EHR phenotyping.

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poster

Masked language models (MLM) do not explicitly define a distribution over language, i.e., they are not language models per se. However, recent work has implicitly treated them as such for the purposes of generation and scoring. This paper studies methods for deriving explicit joint distributions from MLMs, focusing on distributions over two tokens, which makes it possible to calculate exact distributional properties. We find that an approach based on identifying joints whose conditionals are closest to those of the MLM works well and outperforms existing Markov random field-based approaches. We further find that this derived model's conditionals can even occasionally outperform the original MLM's conditionals.

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Deriving Language Models from Masked Language Models

Video sentence localization aims to locate moments in an unstructured video according to a given natural language query. A main challenge is the expensive annotation costs and the annotation bias. In this work, we study video sentence localization in a zero-shot setting, which learns with only video data without any annotation. Existing zero-shot pipelines usually generate event proposals and then generate a pseudo query for each event proposal. However, their event proposals are obtained via visual feature clustering, which is query-independent and inaccurate; and the pseudo-queries are short or less interpretable. Moreover, existing approaches ignores the risk of pseudo-label noise when leveraging them in training. To address the above problems, we propose a Structure-based Pseudo Label generation (SPL), which first generate free-form interpretable pseudo queries before constructing query-dependent event proposals by modeling the event temporal structure. To mitigate the effect of pseudo-label noise, we propose a noise-resistant iterative method that repeatedly re-weight the training sample based on noise estimation to train a grounding model and correct pseudo labels. Experiments on the ActivityNet Captions and Charades-STA datasets demonstrate the advantages of our approach. Code can be found at https://github.com/minghangz/SPL.

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Generating Structured Pseudo Labels for Noise-resistant Zero-shot Video Sentence Localization

Recent years have witnessed a proliferation of valuable original natural language contents found in subscription-based media outlets, web novel platforms, and outputs of large language models. Without proper security measures, however, these contents are susceptible to illegal piracy and potential misuse. This calls for a secure watermarking system to guarantee copyright protection through leakage tracing or ownership identification. To effectively combat piracy and protect copyrights, a watermarking framework should be able not only to embed adequate bits of information but also extract the watermarks in a robust manner despite possible corruption. In this work, we explore ways to advance both payload and robustness by following a well-known proposition from image watermarking and identify features in natural language that are invariant to minor corruption. Through a systematic analysis of the possible sources of errors, we further propose a corruption-resistant infill model. Our full method improves upon the previous work on robustness by +16.8% point on average on four datasets, three corruption types, and two corruption ratios.

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Robust Multi-bit Natural Language Watermarking through Invariant Features

Current methods for prompt learning in zero-shot scenarios widely rely on a development set with sufficient human-annotated data to select the best-performing prompt template a posteriori. This is not ideal because in a real-world zero-shot scenario of practical relevance, no labelled data is available. Thus, we propose a simple yet effective method for screening reasonable prompt templates in zero-shot text classification: Perplexity Selection (Perplection). We hypothesize that language discrepancy can be used to measure the efficacy of prompt templates, and thereby develop a substantiated perplexity-based scheme allowing for forecasting the performance of prompt templates in advance. Experiments show that our method leads to improved prediction performance in a realistic zero-shot setting, eliminating the need for any labelled examples.

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What Makes Pre-trained Language Models Better Zero-shot Learners?

Various datasets have been proposed to promote the development of Table Question Answering (TQA) technique. However, the problem setting of existing TQA benchmarks suffers from two limitations. First, they directly provide models with explicit table structures where row headers and column headers of the table are explicitly annotated and treated as model input during inference. Second, they only consider tables of limited types and ignore other tables especially complex tables with flexible header locations. Such simplified problem setting cannot cover practical scenarios where models need to process tables without header annotations in the inference phase or tables of different types. To address above issues, we construct a new TQA dataset with implicit and multi-type table structures, named IM-TQA, which not only requires the model to understand tables without directly available header annotations but also to handle multi-type tables including previously neglected complex tables. We investigate the performance of recent methods on our dataset and find that existing methods struggle in processing implicit and multi-type table structures. Correspondingly, we propose an RGCN-RCI framework outperforming recent baselines. We will release our dataset to facilitate future research.

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IM-TQA: A Chinese Table Question Answering Dataset with Implicit and Multi-type Table Structures

Long-form question answering (LFQA) aims at answering complex, open-ended questions with detailed, paragraph-length responses. The de facto paradigm of LFQA necessitates two procedures: information retrieval, which searches for relevant supporting facts, and information synthesis, which integrates these facts into a coherent answer. In this paper, we introduce WebCPM, the first Chinese LFQA dataset. One unique feature of WebCPM is that its information retrieval is based on interactive web search, which engages with a search engine in real time. Following WebGPT, we develop a web search interface. We recruit annotators to search for relevant information using our interface and then answer questions. Meanwhile, the web search behaviors of our annotators would be recorded. In total, we collect 5,500 high-quality question-answer pairs, together with 15,372 supporting facts and 125,954 web search actions. We fine-tune pre-trained language models to imitate human behaviors for web search and to generate answers based on the collected facts. Our LFQA pipeline, built on these fine-tuned models, generates answers that are no worse than human-written ones in 32.5% and 47.5% of the cases on our dataset and DuReader, respectively. The interface, dataset, and codes are publicly available at https://github.com/thunlp/WebCPM.

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WebCPM: Interactive Web Search for Chinese Long-form Question Answering

The personalized dialogue explores the consistent relationship between dialogue generation and personality. Existing personalized dialogue agents model persona profiles from three resources: sparse or dense persona descriptions and dialogue histories. However, sparse structured persona attributes are explicit but uninformative, dense persona texts contain rich persona descriptions with much noise, and dialogue history query is both noisy and uninformative for persona modeling. In this work, we combine the advantages of the three resources to obtain a richer and more accurate persona. We design a Contrastive Latent Variable-based model (CLV) that clusters the dense persona descriptions into sparse categories, which are combined with the history query to generate personalized responses. Experimental results on Chinese and English datasets demonstrate our model's superiority in personalization.

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Enhancing Personalized Dialogue Generation with Contrastive Latent Variables: Combining Sparse and Dense Persona

Automatic summarization generates concise summaries that contain key ideas of source documents.As the most mainstream datasets for the news sub-domain, CNN/DailyMail and BBC XSum have been widely used for performance benchmarking. However, the reference summaries of those datasets turn out to be noisy, mainly in terms of factual hallucination and information redundancy. To address this challenge, we first annotate new expert-writing Element-aware test sets following the "Lasswell Communication Model proposed by Lasswell, allowing reference summaries to focus on more fine-grained news elements objectively and comprehensively. Utilizing the new test sets, we observe the surprising zero-shot summary ability of LLMs, which addresses the issue of the inconsistent results between human preference and automatic evaluation metrics of LLMs' zero-shot summaries in prior work. Further, we propose a Summary Chain-of-Thought (SumCoT) technique to elicit LLMs to generate summaries step by step, which helps them integrate more fine-grained details of source documents into the final summaries that correlate with the human writing mindset. Experimental results show our method outperforms state-of-the-art fine-tuned PLMs and zero-shot LLMs by +4.33/+4.77 in ROUGE-L on the two datasets, respectively. Dataset and code are publicly available at https://github.com/Alsace08/SumCoT.

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Element-aware Summarization with Large Language Models: Expert-aligned Evaluation and Chain-of-Thought Method

Hierarchical text classification (HTC) is a challenging task, in which the labels of texts can be organized into a category hierarchy. To deal with the HTC problem, many existing works focus on utilizing the parent-child relationships that are explicitly shown in the hierarchy. However, texts with a category hierarchy also have some latent relevancy among labels in the same level of the hierarchy. We refer to these labels as peer labels, from which the peer effects are originally utilized in our work to improve the classification performance. To fully explore the peer-label relationship, we develop a PeerHTC method. This method innovatively measures the latent relevancy of peer labels through several metrics and then encodes the relevancy with a Graph Convolutional Neural Network. We also propose a sample importance learning method to ameliorate the side effects raised by modelling the peer label relevancy. Our experiments on several standard datasets demonstrate the evidence of peer labels and the superiority of PeerHTC over other state-of-the-art HTC methods in terms of classification accuracy.

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Peer-Label Assisted Hierarchical Text Classification

With the evergrowing sizes of pre-trained models (PTMs), it has been an emerging practice to only provide the inference APIs for users, namely model-as-a-service (MaaS) setting. To adapt PTMs with model parameters frozen, most current approaches focus on the input side, seeking powerful prompts to stimulate models for correct answers. However, we argue that input-side adaptation could be arduous due to the lack of gradient signals and they usually require thousands of API queries, resulting in high computation and time costs. Specifically, DecT first extracts prompt-stimulated output scores for initial predictions. On top of that, we train an additional decoder network on the output representations to incorporate posterior data knowledge. By gradient-based optimization, DecT can be trained within several seconds and requires only one PTM query per sample. Empirically, we conduct extensive natural language understanding experiments and show that DecT significantly outperforms state-of-the-art algorithms with a 200x speed-up. Our code is available at https://github.com/thunlp/DecT.

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