Canada

Clinical notes in healthcare facilities are tagged with the International Classification of Diseases (ICD) code; a list of classification codes for medical diagnoses and procedures. ICD coding is a challenging multilabel text classification problem due to noisy clinical document inputs and long-tailed label distribution. Recent automated ICD coding efforts improve performance by encoding medical notes and codes with additional data and knowledge bases. However, most of them do not reflect how human coders generate the code: first, the coders select general code categories and then look for specific subcategories that are relevant to a patient&#39;s condition. Inspired by this, we propose a two-stage decoding mechanism to predict ICD codes. Our model uses the hierarchical properties of the codes to split the prediction into two steps: At first, we predict the parent code and then predict the child code based on the previous prediction. Experiments on the public MIMIC-III data set have shown that our model performs well in single-model settings without external data or knowledge.

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ACL 2023

A Two-Stage Decoder for Efficient ICD Coding

multilable

two-stage

icd coding

It is my great pleasure and honor to welcome you to the 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026), held in San Diego, California, USA, July 2–7, 2026. ACL 2026 continues our fields tradition of excellence in scholarship, innovation, and inclusivity, and I am deeply grateful to the many volunteers who have worked tirelessly to bring this event to life.

It is exciting to see the many developments in the field reflected at our conference, such as the advancement of large language models (born out of our community) into many application directions. This is not without challenges, partly due to unsolved problems, and partly due to misuse of the technology. All this is reflected well at ACL 2026. The conference also reflects that the field is not only about advancing technology, but also the science of fundamentally understanding language and how it is use by many different speaker communities. <br>
[Full Message from General Chair Philipp Koehn](https://drive.google.com/file/d/1QiJFOmMjvDgsDo3i1XzlQnImxe3RU_Cy/view?usp=sharing) <br><br><br>
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ACL 2026

The 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026) will take place in San Diego, California, from July 2 - 7, 2026.

Clinical notes in healthcare facilities are tagged with the International Classification of Diseases (ICD) code; a list of classification codes for medical diagnoses and procedures. ICD coding is a challenging multilabel text classification problem due to noisy clinical document inputs and long-tailed label distribution. Recent automated ICD coding efforts improve performance by encoding medical notes and codes with additional data and knowledge bases. However, most of them do not reflect how human coders generate the code: first, the coders select general code categories and then look for specific subcategories that are relevant to a patient's condition. Inspired by this, we propose a two-stage decoding mechanism to predict ICD codes. Our model uses the hierarchical properties of the codes to split the prediction into two steps: At first, we predict the parent code and then predict the child code based on the previous prediction. Experiments on the public MIMIC-III data set have shown that our model performs well in single-model settings without external data or knowledge.

<iframe src="https://app.sli.do/event/kgQkh7cPzt9VEM52HG3MJu/embed/polls/e6c5f527-ad24-4b2f-9246-2bd7b1c69946" width="300" height="400"></iframe>

poster

### 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.
While the impact of Covid has considerably diminished in terms of traveling, obtaining visas to Canada
entails a very long process. Moreover, the global economic conditions pose challenges for many individuals to travel to conferences. Recognizing these circumstances, we know many participants may not be
able to attend the conference in person. Therefore, we are committed to providing a great virtual platform
so everyone has the opportunity to interact with other participants and enjoy the conference. Based on the
current registered participants, approxiately 30% have chosen to attend the conference virtually. Whether
you join us in person or virtually, we sincerely hope everyone has a remarkable conference experience.<br>
This General Chair’s message is where I express my gratitude to the many individuals who have made
enormous contributions to the conference over the past year.

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.

Recent advancements in multimodal foundation models (e.g., CLIP) have excelled in zero-shot generalization. Prompt tuning involved in the knowledge transfer from foundation models to downstream tasks has gained significant attention recently. Existing prompt-tuning methods in cross-modal learning, however, either solely focus on language branch, or learn vision-language interaction in a shallow mechanism. In this context, we propose a Deeply coupled Cross-modal Prompt learning (DCP) method based on CLIP. DCP flexibly accommodates the interplay between vision and language with a Cross-Modal Prompt Attention (CMPA) mechanism, which enables the mutual exchange of respective representation through a well-connected multi-head attention progressively and strongly. We then conduct comprehensive few-shot learning experiments on 11 image classification datasets and analyze the robustness to domain shift as well. Thorough experimental analysis evidently demonstrates the superb few-shot generalization and compelling domain adaption capacity of a well-executed DCP.

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Deeply Coupled Cross-Modal Prompt Learning

This study presents a dynamic structured neural topic model, which can handle the time-series development of topics while capturing their dependencies.Our model captures the topic branching and merging processes by modeling topic dependencies based on a self-attention mechanism.Additionally, we introduce citation regularization, which induces attention weights to represent citation relations by modeling text and citations jointly.Our model outperforms a prior dynamic embedded topic model regarding perplexity and coherence, while maintaining sufficient diversity across topics.Furthermore, we confirm that our model can potentially predict emerging topics from academic literature.

Dynamic Structured Neural Topic Model with Self-Attention Mechanism

Open-vocabulary state tracking is a more practical version of state tracking that aims to track state changes of entities throughout a process without restricting the state space and entity space. OpenPI (Tandon et al., 2020) is to date the only dataset annotated for open-vocabulary state tracking. However, we identify issues with the dataset quality and evaluation metric. For the dataset, we categorize 3 types of problems on the procedure level, step level and state change level respectively, and build a clean dataset OpenPI-C using multiple rounds of human judgment. For the evaluation metric, we propose a cluster-based metric to fix the original metric's preference for repetition.Model-wise, we enhance the seq2seq generation baseline by reinstating two key properties for state tracking: temporal dependency and entity awareness. The state of the world after an action is inherently dependent on the previous state. We model this dependency through a dynamic memory bank and allow the model to attend to the memory slots during decoding. On the other hand, the state of the world is naturally a union of the states of involved entities. Since the entities are unknown in the open-vocabulary setting, we propose a two-stage model that refines the state change prediction conditioned on entities predicted from the first stage. Empirical results show the effectiveness of our proposed model, especially on the cleaned dataset and the cluster-based metric. The code and data are released at https://github.com/shirley-wu/openpi-c

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OpenPI-C: A Better Benchmark and Stronger Baseline for Open-Vocabulary State Tracking

Generating intermediate steps, or Chain of Thought (CoT), is an effective way to significantly improve language models' (LM) multi-step reasoning capability. However, the CoT lengths can grow rapidly with the problem complexity, easily exceeding the maximum context size. Instead of increasing the context limit, which has already been heavily investigated, we explore an orthogonal direction: making LMs divide a problem into multiple contexts. We propose a new inference framework, called Recursion of Thought (RoT), which introduces several special tokens that the models can output to trigger context-related operations. Extensive experiments with multiple architectures including GPT-3 show that RoT dramatically improves LMs' inference capability to solve problems, whose solution consists of hundreds of thousands of tokens.

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Recursion of Thought: A Divide-and-Conquer Approach to Multi-Context Reasoning with Language Models

In this work, we enhance higher-order graph-based approaches for span-based semantic role labeling (SRL) by means of structured modeling. To decrease the complexity of higher-order modeling, we decompose the edge from predicate word to argument span into three different edges, predicate-to-head (P2H), predicate-to-tail (P2T), and head-to-tail (H2T), where head/tail means the first/last word of the semantic argument span. As such, we use a CRF-based higher-order dependency parser and leverage Mean-Field Variational Inference (MFVI) for higher-order inference. Moreover, since semantic arguments of predicates are often constituents within a constituency parse tree, we can leverage such nice structural property by defining a TreeCRF distribution over all H2T edges, using the idea of partial marginalization to define structural training loss. We further leverage structured MFVI to enhance inference. We experiment on span-based SRL benchmarks, showing the effectiveness of both higher-order and structured modeling and the combination thereof. In addition, we show superior performance of structured MFVI against vanilla MFVI.

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Structured Mean-Field Variational Inference for Higher-Order Span-Based Semantic Role

With the rise of task-specific pre-training objectives, abstractive summarization models like PEGASUS offer appealing zero-shot performance on downstream summarization tasks. However, the performance of such unsupervised models still lags significantly behind their supervised counterparts. Similarly to the supervised setup, we notice a very high variance in quality among summary candidates from these models while only one candidate is kept as the summary output. In this paper, we propose to re-rank summary candidates in an unsupervised manner, aiming to close the performance gap between unsupervised and supervised models. Our approach improves the unsupervised PEGASUS by up to 7.27% and ChatGPT by up to 6.86% relative mean ROUGE across four widely-adopted summarization benchmarks ; and achieves relative gains of 7.51% (up to 23.73% from XSum to WikiHow) averaged over 30 zero-shot transfer setups (finetuning on a dataset, evaluating on another).

Unsupervised Summarization Re-ranking

Most existing event causality identification (ECI) methods rarely consider the event causal label information and the interaction information between event pairs. In this paper, we propose a framework to enrich the representation of event pairs by introducing the event causal label information and the event pair interaction information. In particular, 1) we design an event-causal-label-aware module to model the event causal label information, in which we design the event causal label prediction task as an auxiliary task of ECI, aiming to predict which events are involved in the causal relationship (we call them causality-related events) by mining the dependencies between events. 2) We further design an event pair interaction graph module to model the interaction information between event pairs, in which we construct the interaction graph with event pairs as nodes and leverage graph attention mechanism to model the degree of dependency between event pairs. The experimental results show that our approach outperforms previous state-of-the-art methods on two benchmark datasets EventStoryLine and Causal-TimeBank.

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Enhancing Event Causality Identification with Event Causal Label and Event Pair Interaction Graph

Building robust deep neural networks (DNNs) against adversarial attacks is an important but challenging task. Previous defense approaches mainly focus on developing new model structures or training algorithms, but they do little to tap the potential of training instances, especially instances with robust patterns carring innate robustness. In this paper, we show that robust and non-robust instances in the training dataset, though are both important for test performance, have contrary impacts on robustness, which makes it possible to build a highly robust model by leveraging the training dataset in a more effective way. We propose a new method that can distinguish between robust instances from non-robust ones according to the model's sensitivity to perturbations on individual instances during training. Surprisingly, we find that the model under standard training easily overfits the robust instances by relying on their simple patterns before the model completely learns their robust features. Finally, we propose a new mitigation algorithm to further release the potential of robust instances. Experimental results show that proper use of robust instances in the original dataset is a new line to achieve highly robust models.

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Characterizing the Impacts of Instances on Robustness

Re-rankers, which order retrieved documents with respect to the relevance score on the given query, have gained attention for the information retrieval (IR) task. Rather than fine-tuning the pre-trained language model (PLM), the large-scale language model (LLM) is utilized as a zero-shot re-ranker with excellent results. While LLM is highly dependent on the prompts, the impact and the optimization of the prompts for the zero-shot re-ranker are not explored yet. Along with highlighting the impact of optimization on the zero-shot re-ranker, we propose a novel discrete prompt optimization method, Constrained Prompt generation (Co-Prompt), with the metric estimating the optimum for re-ranking. Co-Prompt guides the generated texts from PLM toward optimal prompts based on the metric without parameter update. The experimental results demonstrate that Co-Prompt leads to outstanding re-ranking performance against the baselines. Also, Co-Prompt generates more interpretable prompts for humans against other prompt optimization methods.

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Discrete Prompt Optimization via Constrained Generation for Zero-shot Re-ranker

When scoring argumentative essays in an educational context, not only the presence or absence of certain argumentative elements but also their quality is important. On the recently published student essay dataset PERSUADE, we first show that the automatic scoring of argument quality benefits from additional information about context, writing prompt and argument type. We then explore the different combinations of three tasks: automated span detection, type and quality prediction. Results show that a multi-task learning approach combining the three tasks outperforms sequential approaches that first learn to segment and then predict the quality/type of a segment.

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Deeply Coupled Cross-Modal Prompt Learning

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