Canada

Discharge summaries are comprehensive medical records that encompass vital information about a patient&#39;s hospital stay. A crucial aspect of discharge summaries is the temporal information of treatments administered throughout the patient&#39;s illness. With an extensive volume of clinical documents, manually extracting and compiling a patient&#39;s medication list can be laborious, time-consuming, and susceptible to errors. The objective of this paper is to build upon the recent development on clinical NLP by temporally classifying treatments in clinical texts, specifically determining whether a treatment was administered between the time of admission and discharge from the hospital. State-of-the-art NLP methods including prompt-based learning on Generative Pre-trained Transformers (GPTs) models and fine-tuning on pre-trained language models (PLMs) such as BERT were employed to classify temporal relations between treatments and hospitalisation periods in discharge summaries. Fine-tuning with the BERT model achieved an F1 score of 92.45\% and a balanced accuracy of 77.56\%, while prompt learning using the T5 model and mixed templates resulted in an F1 score of 90.89\% and a balanced accuracy of 72.07\%. Our codes and data are available at \url{https://github.com/HECTA-UoM/MedTem}.

ACL 2023

MedTem2.0: Prompt-based Temporal Classification of Treatment Events from Discharge Summaries

treatment events

llms

temporal relations

prompting

clinical nlp

### Welcome!
The 62nd Annual Meeting of the Association for Computational Linguistics (ACL 2024) will take place in Bangkok, Thailand from August 11th to 16th, 2024. <br>Our Virtual Poster Sessions will take place online Thursday, August 22, 2024.<br><br><br>

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ACL 2024

The 62nd Annual Meeting of the Association for Computational Linguistics (ACL 2024) will take place in Bangkok, Thailand from August 11th to 16th, 2024. More information will be announced soon.

Discharge summaries are comprehensive medical records that encompass vital information about a patient's hospital stay. A crucial aspect of discharge summaries is the temporal information of treatments administered throughout the patient's illness. With an extensive volume of clinical documents, manually extracting and compiling a patient's medication list can be laborious, time-consuming, and susceptible to errors. The objective of this paper is to build upon the recent development on clinical NLP by temporally classifying treatments in clinical texts, specifically determining whether a treatment was administered between the time of admission and discharge from the hospital. State-of-the-art NLP methods including prompt-based learning on Generative Pre-trained Transformers (GPTs) models and fine-tuning on pre-trained language models (PLMs) such as BERT were employed to classify temporal relations between treatments and hospitalisation periods in discharge summaries. Fine-tuning with the BERT model achieved an F1 score of 92.45\% and a balanced accuracy of 77.56\%, while prompt learning using the T5 model and mixed templates resulted in an F1 score of 90.89\% and a balanced accuracy of 72.07\%. Our codes and data are available at \url{https://github.com/HECTA-UoM/MedTem}.

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)**
<br><br><br><br>

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.

A buzzer quiz is a genre of quiz in which multiple players simultaneously listen to a quiz being read aloud and respond it by buzzing in as soon as they can predict the answer. Because incorrect answers often result in penalties, a buzzer-quiz answering system must not only predict the answer from only part of a question but also estimate the predicted answer's accuracy. In this paper, we introduce two types of buzzer-quiz answering systems: (1) a system that directly generates an answer from part of a question by using an autoregressive language model; and (2) a system that first reconstructs the entire question by using an autoregressive language model and then determines the answer according to the reconstructed question. We then propose a method to estimate the accuracy of the answers for each system by using the internal scores of each model.

Building a Buzzer-quiz Answering System

Tokenization is fundamental to pretrained language models (PLMs). Existing tokenization methods for Chinese PLMs typically treat each character as an indivisible token. However, they ignore the unique feature of the Chinese writing system where additional linguistic information exists below the character level, i.e., at the sub-character level. To utilize such information, we propose sub-character (SubChar for short) tokenization. Specifically, we first encode the input text by converting each Chinese character into a short sequence based on its glyph or pronunciation, and then construct the vocabulary based on the encoded text with sub-word segmentation. Experimental results show that SubChar tokenizers have two main advantages over existing tokenizers: 1) They can tokenize inputs into much shorter sequences, thus improving the computational efficiency. 2) Pronunciation-based SubChar tokenizers can encode Chinese homophones into the same transliteration sequences and produce the same tokenization output, hence being robust to homophone typos. At the same time, models trained with SubChar tokenizers perform competitively on downstream tasks. We release our code and models at https://github.com/thunlp/SubCharTokenization to facilitate future work.

<iframe src="https://app.sli.do/event/uyG7EHDP5trs2LHubv2Gj8/embed/polls/d74d21ab-9548-46bd-8f43-430be1c33820" width="300" height="400"></iframe>

Sub-Character Tokenization for Chinese Pretrained Language Models

Generalising dialogue state tracking (DST) to new data is especially challenging due to the strong reliance on abundant and fine-grained supervision during training. Sample sparsity, distributional shift and the occurrence of new concepts and topics frequently lead to severe performance degradation during inference. In this paper we propose a training strategy to build extractive DST models without the need for fine-grained manual span labels. Two novel input-level dropout methods mitigate the negative impact of sample sparsity. We propose a new model architecture with a unified encoder that supports value as well as slot independence by leveraging the attention mechanism. We combine the strengths of triple copy strategy DST and value matching to benefit from complementary predictions without violating the principle of ontology independence. Our experiments demonstrate that an extractive DST model can be trained without manual span labels. Our architecture and training strategies improve robustness towards sample sparsity, new concepts and topics, leading to state-of-the-art performance on a range of benchmarks.   We further highlight our model's ability to effectively learn from non-dialogue data.

Robust Dialogue State Tracking with Weak Supervision and Sparse Data

Many current NLP systems are built from language models trained to optimize unsupervised objectives on large amounts of raw text. Under what conditions might such a procedure acquire meaning? Our systematic experiments with synthetic data reveal that, with languages where all expressions have context-independent denotations (i.e., languages with strong transparency), both autoregressive and masked language models successfully learn to emulate semantic relations between expressions.However, when denotations are changed to be context-dependent with the language otherwise unmodified, this ability degrades. Turning to natural language, our experiments with a specific phenomenon -- referential opacity -- add to the growing body of evidence that current language models do not represent natural language semantics well. We show this failure relates to the context-dependent nature of natural language form-meaning mappings.

Transparency Helps Reveal When Language Models Learn Meaning

It has been suggested that pretrained language models can be viewed as knowledge bases. One of the prerequisites for using language models as knowledge bases is how accurately they can store and retrieve world knowledge. It is already revealed that language models can store much 1-to-1 relational knowledge, such as ''country and its capital,'' with high memorization accuracy.

On the other hand, world knowledge includes not only 1-to-1 but also 1-to-N relational knowledge, such as ''parent and children.'' However, it is not clear how accurately language models can handle 1-to-N relational knowledge. To investigate language models' abilities toward 1-to-N relational knowledge, we start by designing the problem settings. Specifically, we organize the character of 1-to-N relational knowledge and define two essential skills: (i) memorizing multiple objects individually and (ii) retrieving multiple stored objects without excesses or deficiencies at once. We inspect LMs' ability to handle 1-to-N relational knowledge on the controlled synthesized data.

As a result, we report that it is possible to memorize multiple objects with high accuracy, but generalizing the retrieval ability (expressly, enumeration) is challenging.

Can LMs Store and Retrieve 1-to-N Relational Knowledge?

With the success of neural language models (LMs), their language acquisition has gained much attention. This work sheds light on the second language (L2) acquisition of LMs, while previous work has explored their first language (L1) acquisition. Specifically, we trained bilingual LMs with a scenario similar to human L2 acquisition and analyzed their cross-lingual transfer from linguistic perspectives. Our experiments demonstrated that the L1 pretraining accelerated their linguistic generalization in L2, and language transfer configurations (e.g., the L1 choice, presence of parallel texts) substantially affected their generalizations. These also highlight that their L2 acquisition is not human-like in particular aspects.

Second Language Acquisition of Neural Language Models

Gender Stereotyping in Popular Children's Videos

<iframe src="https://app.sli.do/event/uyG7EHDP5trs2LHubv2Gj8/embed/polls/73472ace-e9f6-4e7c-9ea2-2b163163e3e0" width="300" height="400"></iframe>

Gender Stereotyping in Popular Children's Videos

In this paper, we study the viability of the deployment of language models towards non-playable character (NPC) scripts, by introducing a novel pipeline for the automatic construction of NPC scripts using Transformer-based believable scripts for a variety of game genres and specifications. In addition, we propose a self-diagnosis method inspired by previous work to develop language models, tailored specifically to desirable NPC qualities such as coherency, believability, and degree of repetition. Finally, we propose a new benchmark, called The Turing Quest, which we use to show that the pipeline, when applied to GPT-3, can generate for a variety of game genres and contexts, NPC scripts that can fool judges in thinking they have been written by humans. We believe that these findings can greatly benefit both the gaming industry and its global community of users, since many current games continue to base their NPCs on manually-curated scripts that are resource-demanding and may curb the immersiveness and enjoyment of the user.

The Turing Quest: Can Transformers Make Good NPCs?

Recent advances in large language models have led to renewed interest in natural language processing in healthcare using the free text of clinical notes. One distinguishing characteristic of clinical notes is their long time span over multiple long documents. The unique structure of clinical notes creates a new design choice: when the context length for a language model predictor is limited, which part of clinical notes should we choose as the input? Existing studies either choose the inputs with domain knowledge or simply truncate them. We propose a framework to analyze the sections with high predictive power. Using MIMIC-III, we show that: 1) predictive power distribution is different between nursing notes and discharge notes and 2) combining different types of notes could improve performance when the context length is large. Our findings suggest that a carefully selected sampling function could enable more efficient information extraction from clinical notes.

Making the Most Out of the Limited Context Length: Predictive Power Varies with Clinical Note Type and Note Section

The Ninth Revision of the International Classification of Diseases (ICD-9) is a standardized coding system used to classify health conditions. It is used for billing, tracking individual patient conditions, and for epidemiology. The highly detailed and technical nature of the codes and their associated medical conditions make it difficult for humans to accurately record them. Researchers have explored the use of neural networks, particularly language models, for automated ICD-9 code assignment. However, the imbalanced distribution of ICD-9 codes leads to poor performance. One solution is to use domain knowledge to incorporate a useful prior. This paper evaluates the usefulness of the correlation bias: we hypothesize that correlations between ICD-9 codes and other medical codes could help improve language models' performance. We showed that while the correlation bias worsens the overall performance, the effect on individual class can be negative or positive. Performance on classes that are more imbalanced and less correlated with other codes is more sensitive to incorporating the correlation bias. This suggests that while the correlation bias has potential to improve ICD-9 code assignment in certain cases, the applicability criteria need to be more carefully studied.

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