CoPHE: A Count-Preserving Hierarchical Evaluation Metric in Large-Scale Multi-Label Text Classification
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Abstract (arXiv)
Large-Scale Multi-Label Text Classification (LMTC) includes tasks with hierarchical label spaces, such as automatic assignment of ICD-9 codes to discharge summaries. Performance of models in prior art is evaluated with standard precision, recall, and F1 measures without regard for the rich hierarchical structure. In this work we argue for hierarchical evaluation of the predictions of neural LMTC models. With the example of the ICD-9 ontology we describe a structural issue in the representation of the structured label space in prior art, and propose an alternative representation based on the depth of the ontology. We propose a set of metrics for hierarchical evaluation using the depth-based representation. We compare the evaluation scores from the proposed metrics with previously used metrics on prior art LMTC models for ICD-9 coding in MIMIC-III. We also propose further avenues of research involving the proposed ontological representation.
Key facts. Cited by 9 papers in the map (data through 7 Oct 2026). Builds on 8 of its 14 references that are in the map. First posted on arXiv 10 Sep 2021.
Builds on
8 of 14 references.
References · 8
- 2018BERT: Pre-training of Deep Bidirectional Transformers for Language Understandingcited by 40,204
- 2018Explainable Prediction of Medical Codes from Clinical Textcited by 231
- 2019Large-Scale Multi-Label Text Classification on EU Legislationcited by 104
- 2013Evaluation Measures for Hierarchical Classification: a unified view and novel approachescited by 46
- 2020An Empirical Study on Large-Scale Multi-Label Text Classification Including Few and Zero-Shot Labelscited by 44
- 2021Does the Magic of BERT Apply to Medical Code Assignment? A Quantitative Studycited by 39
- 2020Explainable Automated Coding of Clinical Notes using Hierarchical Label-wise Attention Networks and Label Embedding Initialisationcited by 38
- 2020Layer-wise Guided Training for BERT: Learning Incrementally Refined Document Representationscited by 3
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Citing papers per year: 2022: 3; 2023: 0; 2024: 2; 2025: 2; 2026: 2.
9 papers.
- 2022Automated Clinical Coding: What, Why, and Where We Are?cited by 33
- 2022A Unified Review of Deep Learning for Automated Medical Codingcited by 26
- 2024Can GPT-3.5 Generate and Code Discharge Summaries?cited by 12
- 2022Can Current Explainability Help Provide References in Clinical Notes to Support Humans Annotate Medical Codes?cited by 7
- 2024Aligning AI Research with the Needs of Clinical Coding Workflows: Eight Recommendations Based on US Data Analysis and Critical Reviewcited by 5
- 2026Evaluating Open-Source LLMs for Multi-Label ATT&CK Technique Classification on CTI Reportscited by 1
- 2025Semantic F1 Scores: Fair Evaluation Under Fuzzy Class Boundariescited by 0
- 2025MedPath: Multi-Domain Cross-Vocabulary Hierarchical Paths for Biomedical Entity Linkingcited by 0
- 2026Slogans or Stance? A Label-Light Diagnostic for Entrepreneurial-Discourse Measurement on Chinese SOE Speechescited by 0
- 2026Evaluating Open-Source LLMs for Multi-Label ATT&CK Technique Classification on CTI Reports16 Jun 2026
- 2026Slogans or Stance? A Label-Light Diagnostic for Entrepreneurial-Discourse Measurement on Chinese SOE Speeches27 May 2026
- 2025MedPath: Multi-Domain Cross-Vocabulary Hierarchical Paths for Biomedical Entity Linking14 Nov 2025
- 2025Semantic F1 Scores: Fair Evaluation Under Fuzzy Class Boundaries25 Sep 2025
- 2024Aligning AI Research with the Needs of Clinical Coding Workflows: Eight Recommendations Based on US Data Analysis and Critical Review23 Dec 2024
- 2024Can GPT-3.5 Generate and Code Discharge Summaries?24 Jan 2024
- 2022Can Current Explainability Help Provide References in Clinical Notes to Support Humans Annotate Medical Codes?28 Oct 2022
- 2022Automated Clinical Coding: What, Why, and Where We Are?21 Mar 2022
- 2022A Unified Review of Deep Learning for Automated Medical Coding8 Jan 2022