Modelling Temporal Document Sequences for Clinical ICD Coding
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Abstract (arXiv)
Past studies on the ICD coding problem focus on predicting clinical codes primarily based on the discharge summary. This covers only a small fraction of the notes generated during each hospital stay and leaves potential for improving performance by analysing all the available clinical notes. We propose a hierarchical transformer architecture that uses text across the entire sequence of clinical notes in each hospital stay for ICD coding, and incorporates embeddings for text metadata such as their position, time, and type of note. While using all clinical notes increases the quantity of data substantially, superconvergence can be used to reduce training costs. We evaluate the model on the MIMIC-III dataset. Our model exceeds the prior state-of-the-art when using only discharge summaries as input, and achieves further performance improvements when all clinical notes are used as input.
Key facts. Cited by 7 papers in the map (data through 7 Oct 2026). Builds on 20 of its 28 references that are in the map. First posted on arXiv 24 Feb 2023.
Builds on
20 of 28 references.
References · 20
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8 more
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Built on by
Citing papers per year: 2023: 1; 2024: 5; 2025: 1.
7 papers.
- 2024CoRelation: Boosting Automatic ICD Coding Through Contextualized Code Relation Learningcited by 17
- 2024A Survey on Responsible Generative AI: What to Generate and What Notcited by 8
- 2024TempoFormer: A Transformer for Temporally-aware Representations in Change Detectioncited by 5
- 2023Sig-Networks Toolkit: Signature Networks for Longitudinal Language Modellingcited by 2
- 2024Continuous Predictive Modeling of Clinical Notes and ICD Codes in Patient Health Recordscited by 1
- 2024Don't Pay Attention, PLANT It: Pretraining Attention via Learning-to-Rankcited by 0
- 2025Predictive Multimodal Modeling of Diagnoses and Treatments in EHRcited by 0
- 2025Predictive Multimodal Modeling of Diagnoses and Treatments in EHR14 Aug 2025
- 2024Don't Pay Attention, PLANT It: Pretraining Attention via Learning-to-Rank30 Oct 2024
- 2024TempoFormer: A Transformer for Temporally-aware Representations in Change Detection28 Aug 2024
- 2024Continuous Predictive Modeling of Clinical Notes and ICD Codes in Patient Health Records19 May 2024
- 2024A Survey on Responsible Generative AI: What to Generate and What Not8 Apr 2024
- 2024CoRelation: Boosting Automatic ICD Coding Through Contextualized Code Relation Learning24 Feb 2024
- 2023Sig-Networks Toolkit: Signature Networks for Longitudinal Language Modelling6 Dec 2023