Tong Ruan

Ruihui Hou, Siyi Zhu, Ziyue Huai et al.

Large language models (LLMs) have been widely adopted in healthcare, yet they still encounter significant challenges in complex clinical decision-making scenarios. Existing benchmarks primarily assess LLM performance in single-course settings and lack systematic evaluation in multi-course scenarios, where a patient's condition evolves over time. To address this gap, we propose ClinicalMC, a benchmark for multi-course clinical decision-making. It includes 1,275 Chinese and 5,804 English samples across four stages from admission to discharge. These stages cover triage, first-course examination/diagnosis/treatment, subsequent multi-course examination/assessment/treatment, and final diagnosis. In ClinicalMC, patients in the English dataset undergo an average of 5.11 clinical courses, whereas those in the Chinese dataset undergo 3.42. To assess LLM performance, we construct a multi-agent evaluation framework that includes patient, examiner, and doctor agents. Based on the benchmark and framework, we design two experimental settings -- a single-turn static setting and a multi-turn dynamic setting -- and assess three categories of LLMs: 1) closed-source LLMs like GPT5-mini; 2) open-source LLMs like DeepSeek-V3.2; and 3) medical LLMs like HuatuoGPT-o1. Through extensive evaluation, we aim to better understand LLM performance in the medical domain and support its effective deployment in healthcare.

Jingping Liu, Yuqiu Song, Kui Xue et al.

Prompt tuning is an emerging way of adapting pre-trained language models to downstream tasks. However, the existing studies are mainly to add prompts to the input sequence. This way would not work as expected due to the intermediate multi-head self-attention and feed-forward network computation, making model optimization not very smooth. Hence, we propose a novel tuning way called layer tuning, aiming to add learnable parameters in Transformer layers. Specifically, we focus on layer tuning for feed-forward network in the Transformer, namely FL-tuning. It introduces additional units into the hidden layer of each feed-forward network. We conduct extensive experiments on the public CLUE benchmark. The results show that: 1) Our FL-tuning outperforms prompt tuning methods under both full-data and few-shot settings in almost all cases. In particular, it improves accuracy by 17.93% (full-data setting) on WSC 1.0 and F1 by 16.142% (few-shot setting) on CLUENER over P-tuning v2. 2) Our FL-tuning is more stable and converges about 1.17 times faster than P-tuning v2. 3) With only about 3% of Transformer's parameters to be trained, FL-tuning is comparable with fine-tuning on most datasets, and significantly outperforms fine-tuning (e.g., accuracy improved by 12.9% on WSC 1.1) on several datasets. The source codes are available at https://github.com/genggui001/FL-Tuning.

Ruihui Hou, Shencheng Chen, Yongqi Fan et al.

Clinical diagnosis is critical in medical practice, typically requiring a continuous and evolving process that includes primary diagnosis, differential diagnosis, and final diagnosis. However, most existing clinical diagnostic tasks are single-step processes, which does not align with the complex multi-step diagnostic procedures found in real-world clinical settings. In this paper, we propose a Chinese clinical diagnostic benchmark, called MSDiagnosis. This benchmark consists of 2,225 cases from 12 departments, covering tasks such as primary diagnosis, differential diagnosis, and final diagnosis. Additionally, we propose a novel and effective framework. This framework combines forward inference, backward inference, reflection, and refinement, enabling the large language model to self-evaluate and adjust its diagnostic results. To this end, we test open-source models, closed-source models, and our proposed framework.The experimental results demonstrate the effectiveness of the proposed method. We also provide a comprehensive experimental analysis and suggest future research directions for this task.

Ruihui Hou, Ziyue Huai, Chennuo Zhang et al.

Clinical order generation serves as a critical bridge between clinical decision-making and real-world practice, translating medical decisions into concrete and executable orders. Existing agents mainly focus on coarse-grained decisions and overlook the fine-grained, executable information required for clinical orders. To address this gap, we propose CAREAgent, an agent for clinical order generation. To support its training, we introduce a two-stage agentic reasoning data construction method. First, we design an agent framework that constructs verifiable reasoning trajectories aligned with realistic clinical tool usage. Second, we filter reasoning trajectories by format compliance, order validity, and clinical plausibility. Building on the constructed data, the model is first trained via supervised fine-tuning to acquire fundamental reasoning formats and medical knowledge, and is subsequently optimized through reinforcement learning with multi-dimensional reward functions to enhance complex clinical reasoning capabilities. Experiments on multiple benchmarks demonstrate the effectiveness of CAREAgent. On ClinicalBench (unseen during training), CAREAgent improves the F1 score by 5.05%, 2.09%, and 0.86% over the single-agent, multi-agent, and agentic reasoning methods, respectively.

Xiaoming Shi, Jie Xu, Jinru Ding et al.

There is an increasing interest in developing LLMs for medical diagnosis to improve diagnosis efficiency. Despite their alluring technological potential, there is no unified and comprehensive evaluation criterion, leading to the inability to evaluate the quality and potential risks of medical LLMs, further hindering the application of LLMs in medical treatment scenarios. Besides, current evaluations heavily rely on labor-intensive interactions with LLMs to obtain diagnostic dialogues and human evaluation on the quality of diagnosis dialogue. To tackle the lack of unified and comprehensive evaluation criterion, we first initially establish an evaluation criterion, termed LLM-specific Mini-CEX to assess the diagnostic capabilities of LLMs effectively, based on original Mini-CEX. To address the labor-intensive interaction problem, we develop a patient simulator to engage in automatic conversations with LLMs, and utilize ChatGPT for evaluating diagnosis dialogues automatically. Experimental results show that the LLM-specific Mini-CEX is adequate and necessary to evaluate medical diagnosis dialogue. Besides, ChatGPT can replace manual evaluation on the metrics of humanistic qualities and provides reproducible and automated comparisons between different LLMs.

Yongyu Yan, Kui Xue, Xiaoming Shi et al.

Continual pretraining is a popular way of building a domain-specific pretrained language model from a general-domain language model. In spite of its high efficiency, continual pretraining suffers from catastrophic forgetting, which may harm the model's performance in downstream tasks. To alleviate the issue, in this paper, we propose a continual pretraining method for the BERT-based model, named Attention-FFN Adapter. Its main idea is to introduce a small number of attention heads and hidden units inside each self-attention layer and feed-forward network. Furthermore, we train a domain-specific language model named AF Adapter based RoBERTa for the Chinese biomedical domain. In experiments, models are applied to downstream tasks for evaluation. The results demonstrate that with only about 17% of model parameters trained, AF Adapter achieves 0.6%, 2% gain in performance on average, compared to strong baselines. Further experimental results show that our method alleviates the catastrophic forgetting problem by 11% compared to the fine-tuning method.

Jun Liu, Tong Ruan, Haofen Wang et al.

The medical dialogue system is a promising application that can provide great convenience for patients. The dialogue state tracking (DST) module in the medical dialogue system which interprets utterances into the machine-readable structure for downstream tasks is particularly challenging. Firstly, the states need to be able to represent compound entities such as symptoms with their body part or diseases with degrees of severity to provide enough information for decision support. Secondly, these named entities in the utterance might be discontinuous and scattered across sentences and speakers. These also make it difficult to annotate a large corpus which is essential for most methods. Therefore, we first define a multi-hierarchical state structure. We annotate and publish a medical dialogue dataset in Chinese. To the best of our knowledge, there are no publicly available ones before. Then we propose a Prompt-based Generative Approach which can generate slot values with multi-hierarchies incrementally using a top-down approach. A dialogue style prompt is also supplemented to utilize the large unlabeled dialogue corpus to alleviate the data scarcity problem. The experiments show that our approach outperforms other DST methods and is rather effective in the scenario with little data.

Xiaosong Wang, Xiaofan Zhang, Guotai Wang et al.

The emerging trend of advancing generalist artificial intelligence, such as GPTv4 and Gemini, has reshaped the landscape of research (academia and industry) in machine learning and many other research areas. However, domain-specific applications of such foundation models (e.g., in medicine) remain untouched or often at their very early stages. It will require an individual set of transfer learning and model adaptation techniques by further expanding and injecting these models with domain knowledge and data. The development of such technologies could be largely accelerated if the bundle of data, algorithms, and pre-trained foundation models were gathered together and open-sourced in an organized manner. In this work, we present OpenMEDLab, an open-source platform for multi-modality foundation models. It encapsulates not only solutions of pioneering attempts in prompting and fine-tuning large language and vision models for frontline clinical and bioinformatic applications but also building domain-specific foundation models with large-scale multi-modal medical data. Importantly, it opens access to a group of pre-trained foundation models for various medical image modalities, clinical text, protein engineering, etc. Inspiring and competitive results are also demonstrated for each collected approach and model in a variety of benchmarks for downstream tasks. We welcome researchers in the field of medical artificial intelligence to continuously contribute cutting-edge methods and models to OpenMEDLab, which can be accessed via https://github.com/openmedlab.

Jingping Liu, Ziyan Liu, Zhedong Cen et al.

Spatial relation reasoning is a crucial task for multimodal large language models (MLLMs) to understand the objective world. However, current benchmarks have issues like relying on bounding boxes, ignoring perspective substitutions, or allowing questions to be answered using only the model's prior knowledge without image understanding. To address these issues, we introduce SpatialMQA, a human-annotated spatial relation reasoning benchmark based on COCO2017, which enables MLLMs to focus more on understanding images in the objective world. To ensure data quality, we design a well-tailored annotation procedure, resulting in SpatialMQA consisting of 5,392 samples. Based on this benchmark, a series of closed- and open-source MLLMs are implemented and the results indicate that the current state-of-the-art MLLM achieves only 48.14% accuracy, far below the human-level accuracy of 98.40%. Extensive experimental analyses are also conducted, suggesting the future research directions. The benchmark and codes are available at https://github.com/ziyan-xiaoyu/SpatialMQA.git.

Ziyan Liu, Junwen Li, Kaiwen Li et al.

Multimodal entity linking plays a crucial role in a wide range of applications. Recent advances in large language model-based methods have become the dominant paradigm for this task, effectively leveraging both textual and visual modalities to enhance performance. Despite their success, these methods still face two challenges, including unnecessary incorporation of image data in certain scenarios and the reliance only on a one-time extraction of visual features, which can undermine their effectiveness and accuracy. To address these challenges, we propose a novel LLM-based framework for the multimodal entity linking task, called Intra- and Inter-modal Collaborative Reflections. This framework prioritizes leveraging text information to address the task. When text alone is insufficient to link the correct entity through intra- and inter-modality evaluations, it employs a multi-round iterative strategy that integrates key visual clues from various aspects of the image to support reasoning and enhance matching accuracy. Extensive experiments on three widely used public datasets demonstrate that our framework consistently outperforms current state-of-the-art methods in the task, achieving improvements of 3.2%, 5.1%, and 1.6%, respectively. Our code is available at https://github.com/ziyan-xiaoyu/I2CR/.

Cheng Yuan, Xinkai Rui, Yongqi Fan et al.

Despite the remarkable performance of Large Language Models (LLMs) in automated discharge summary generation, they still suffer from hallucination issues, such as generating inaccurate content or fabricating information without valid sources. In addition, electronic medical records (EMRs) typically consist of long-form data, making it challenging for LLMs to attribute the generated content to the sources. To address these challenges, we propose LCDS, a Logic-Controlled Discharge Summary generation system. LCDS constructs a source mapping table by calculating textual similarity between EMRs and discharge summaries to constrain the scope of summarized content. Moreover, LCDS incorporates a comprehensive set of logical rules, enabling it to generate more reliable silver discharge summaries tailored to different clinical fields. Furthermore, LCDS supports source attribution for generated content, allowing experts to efficiently review, provide feedback, and rectify errors. The resulting golden discharge summaries are subsequently recorded for incremental fine-tuning of LLMs. Our project and demo video are in the GitHub repository https://github.com/ycycyc02/LCDS.

Yongqi Fan, Hongli Sun, Kui Xue et al.

Numerous advanced Large Language Models (LLMs) now support context lengths up to 128K, and some extend to 200K. Some benchmarks in the generic domain have also followed up on evaluating long-context capabilities. In the medical domain, tasks are distinctive due to the unique contexts and need for domain expertise, necessitating further evaluation. However, despite the frequent presence of long texts in medical scenarios, evaluation benchmarks of long-context capabilities for LLMs in this field are still rare. In this paper, we propose MedOdyssey, the first medical long-context benchmark with seven length levels ranging from 4K to 200K tokens. MedOdyssey consists of two primary components: the medical-context "needles in a haystack" task and a series of tasks specific to medical applications, together comprising 10 datasets. The first component includes challenges such as counter-intuitive reasoning and novel (unknown) facts injection to mitigate knowledge leakage and data contamination of LLMs. The second component confronts the challenge of requiring professional medical expertise. Especially, we design the ``Maximum Identical Context'' principle to improve fairness by guaranteeing that different LLMs observe as many identical contexts as possible. Our experiment evaluates advanced proprietary and open-source LLMs tailored for processing long contexts and presents detailed performance analyses. This highlights that LLMs still face challenges and need for further research in this area. Our code and data are released in the repository: \url{https://github.com/JOHNNY-fans/MedOdyssey.}

Guangya Yu, Yanhao Li, Zongying Jiang et al.

Medical quality control indicators are essential to assess the qualifications of healthcare institutions for medical services. With the impressive performance of large language models (LLMs) like GPT-4 in the medical field, leveraging these technologies for the Medical Quality Control Indicator Calculation (MQCIC) presents a promising approach. In this work, (1) we introduce a real-world task MQCIC and propose an open-source Chinese electronic medical records (EMRs)-based dataset (CMQCIC-Bench) comprising 785 instances and 76 indicators. (2) We propose a semi-automatic method to enhance the rule representation. Then we propose the Clinical Facts-based Inferential Rule (CF-IR) method that disentangles the clinical fact verification and inferential rule reasoning actions. (3) We conduct comprehensive experiments on 20 representative LLMs, covering general and medical models. Our findings reveal that CF-IR outperforms Chain-of-Thought methods in MQCIC tasks. (4) We conduct an error analysis and investigate the capabilities of clinical fact verification and inferential rule reasoning, providing insights to improve performance in the MQCIC further. The dataset and code is available in this repository https://github.com/YuY-2001/C-MQCIC.

Binbin Li, Tianxin Meng, Xiaoming Shi et al.

It is becoming increasingly emphasis on the importance of LLM participating in clinical diagnosis decision-making. However, the low specialization refers to that current medical LLMs can not provide specific medical advice, which are more like a medical Q\&A. And there is no suitable clinical guidance tree data set that can be used directly with LLM. To address this issue, we first propose LLM-executavle clinical guidance tree(CGT), which can be directly used by large language models, and construct medical diagnostic decision-making dataset (MedDM), from flowcharts in clinical practice guidelines. We propose an approach to screen flowcharts from medical literature, followed by their identification and conversion into standardized diagnostic decision trees. Constructed a knowledge base with 1202 decision trees, which came from 5000 medical literature and covered 12 hospital departments, including internal medicine, surgery, psychiatry, and over 500 diseases.Moreover, we propose a method for reasoning on LLM-executable CGT and a Patient-LLM multi-turn dialogue framework.

Zhongzhen Huang, Kui Xue, Yongqi Fan et al.

Large-scale language models (LLMs) have achieved remarkable success across various language tasks but suffer from hallucinations and temporal misalignment. To mitigate these shortcomings, Retrieval-augmented generation (RAG) has been utilized to provide external knowledge to facilitate the answer generation. However, applying such models to the medical domain faces several challenges due to the lack of domain-specific knowledge and the intricacy of real-world scenarios. In this study, we explore LLMs with RAG framework for knowledge-intensive tasks in the medical field. To evaluate the capabilities of LLMs, we introduce MedicineQA, a multi-round dialogue benchmark that simulates the real-world medication consultation scenario and requires LLMs to answer with retrieved evidence from the medicine database. MedicineQA contains 300 multi-round question-answering pairs, each embedded within a detailed dialogue history, highlighting the challenge posed by this knowledge-intensive task to current LLMs. We further propose a new \textit{Distill-Retrieve-Read} framework instead of the previous \textit{Retrieve-then-Read}. Specifically, the distillation and retrieval process utilizes a tool calling mechanism to formulate search queries that emulate the keyword-based inquiries used by search engines. With experimental results, we show that our framework brings notable performance improvements and surpasses the previous counterparts in the evidence retrieval process in terms of evidence retrieval accuracy. This advancement sheds light on applying RAG to the medical domain.

Xiaoming Shi, Zeming Liu, Li Du et al.

This paper surveys and organizes research works on medical dialog systems, which is an important yet challenging task. Although these systems have been surveyed in the medical community from an application perspective, a systematic review from a rigorous technical perspective has to date remained noticeably absent. As a result, an overview of the categories, methods, and evaluation of medical dialogue systems remain limited and underspecified, hindering the further improvement of this area. To fill this gap, we investigate an initial pool of 325 papers from well-known computer science, and natural language processing conferences and journals, and make an overview. Recently, large language models have shown strong model capacity on downstream tasks, which also reshaped medical dialog systems' foundation. Despite the alluring practical application value, current medical dialogue systems still suffer from problems. To this end, this paper lists the grand challenges of medical dialog systems, especially of large language models.

Nan Wang, Yongqi Fan, yansha zhu et al.

Large Language Models (LLMs) face challenges in knowledge-intensive reasoning tasks like classic multi-hop question and answering, which involves reasoning across multiple facts. This difficulty arises because the chain of thoughts (CoTs) generated by LLMs in such tasks often deviate from real or a priori reasoning paths. In contrast, knowledge graphs (KGs) explicitly represent the logical connections between facts through entities and relationships. This reflects a significant gap. Meanwhile, large reasoning models (LRMs), such as o1, have demonstrated that long-step reasoning significantly enhances the performance of LLMs. Building on these insights, we propose KG-o1, a four-stage approach that integrates KGs to enhance the multi-hop reasoning abilities of LLMs. We first filter out initial entities and generate complex subgraphs. Secondly, we construct logical paths for subgraphs and then use knowledge graphs to build a dataset with a complex and extended brainstorming process, which trains LLMs to imitate long-term reasoning. Finally, we employ rejection sampling to generate a self-improving corpus for direct preference optimization (DPO), further refining the LLMs reasoning abilities. We conducted experiments on two simple and two complex datasets. The results show that KG-o1 models exhibit superior performance across all tasks compared to existing LRMs.

Yongqi Fan, Yating Wang, Guandong Wang et al.

Open-ended question answering (QA) is a key task for evaluating the capabilities of large language models (LLMs). Compared to closed-ended QA, it demands longer answer statements, more nuanced reasoning processes, and diverse expressions, making refined and interpretable automatic evaluation both crucial and challenging. Traditional metrics like ROUGE and BERTScore struggle to capture semantic similarities due to different patterns between model responses and reference answers. Current LLM-based evaluation approaches, such as pairwise or listwise comparisons of candidate answers, lack intuitive interpretability. While pointwise scoring of each response provides some descriptions, it fails to adapt across different question contents. Most notably, existing methods overlook the distinction between factoid and non-factoid questions. To address these challenges, we propose \textbf{MinosEval}, a novel evaluation method that first distinguishes open-ended questions and then ranks candidate answers using different evaluation strategies. For factoid questions, it applies an adaptive key-point scoring strategy, while for non-factoid questions, it uses an instance-aware listwise ranking strategy. Experiments on multiple open-ended QA datasets, including self-built ones with more candidate responses to complement community resources, show that MinosEval better aligns with human annotations and offers more interpretable results.

Mianxin Liu, Jinru Ding, Jie Xu et al.

Ensuring the general efficacy and goodness for human beings from medical large language models (LLM) before real-world deployment is crucial. However, a widely accepted and accessible evaluation process for medical LLM, especially in the Chinese context, remains to be established. In this work, we introduce "MedBench", a comprehensive, standardized, and reliable benchmarking system for Chinese medical LLM. First, MedBench assembles the currently largest evaluation dataset (300,901 questions) to cover 43 clinical specialties and performs multi-facet evaluation on medical LLM. Second, MedBench provides a standardized and fully automatic cloud-based evaluation infrastructure, with physical separations for question and ground truth. Third, MedBench implements dynamic evaluation mechanisms to prevent shortcut learning and answer remembering. Applying MedBench to popular general and medical LLMs, we observe unbiased, reproducible evaluation results largely aligning with medical professionals' perspectives. This study establishes a significant foundation for preparing the practical applications of Chinese medical LLMs. MedBench is publicly accessible at https://medbench.opencompass.org.cn.

Ming Liang, Kui Xue, Tong Ruan

Medical terminology normalization aims to map the clinical mention to terminologies come from a knowledge base, which plays an important role in analyzing Electronic Health Record(EHR) and many downstream tasks. In this paper, we focus on Chinese procedure terminology normalization. The expression of terminologies are various and one medical mention may be linked to multiple terminologies. Previous study explores some methods such as multi-class classification or learning to rank(LTR) to sort the terminologies by literature and semantic information. However, these information is inadequate to find the right terminologies, particularly in multi-implication cases. In this work, we propose a combined recall and rank framework to solve the above problems. This framework is composed of a multi-task candidate generator(MTCG), a keywords attentive ranker(KAR) and a fusion block(FB). MTCG is utilized to predict the mention implication number and recall candidates with semantic similarity. KAR is based on Bert with a keywords attentive mechanism which focuses on keywords such as procedure sites and procedure types. FB merges the similarity come from MTCG and KAR to sort the terminologies from different perspectives. Detailed experimental analysis shows our proposed framework has a remarkable improvement on both performance and efficiency.

Kui Xue, Yangming Zhou, Zhiyuan Ma et al.

Entity and relation extraction is the necessary step in structuring medical text. However, the feature extraction ability of the bidirectional long short term memory network in the existing model does not achieve the best effect. At the same time, the language model has achieved excellent results in more and more natural language processing tasks. In this paper, we present a focused attention model for the joint entity and relation extraction task. Our model integrates well-known BERT language model into joint learning through dynamic range attention mechanism, thus improving the feature representation ability of shared parameter layer. Experimental results on coronary angiography texts collected from Shuguang Hospital show that the F1-score of named entity recognition and relation classification tasks reach 96.89% and 88.51%, which are better than state-of-the-art methods 1.65% and 1.22%, respectively.

Jiahui Qiu, Yangming Zhou, Zhiyuan Ma et al.

Clinical text structuring is a critical and fundamental task for clinical research. Traditional methods such as taskspecific end-to-end models and pipeline models usually suffer from the lack of dataset and error propagation. In this paper, we present a question answering based clinical text structuring (QA-CTS) task to unify different specific tasks and make dataset shareable. A novel model that aims to introduce domain-specific features (e.g., clinical named entity information) into pre-trained language model is also proposed for QA-CTS task. Experimental results on Chinese pathology reports collected from Ruijing Hospital demonstrate our presented QA-CTS task is very effective to improve the performance on specific tasks. Our proposed model also competes favorably with strong baseline models in specific tasks.

Xuli Liu, Jihao Jin, Qi Wang et al.

Medical activities, such as diagnoses, medicine treatments, and laboratory tests, as well as temporal relations between these activities are the basic concepts in clinical research. However, existing relational data model on electronic medical records (EMRs) lacks explicit and accurate semantic definitions of these concepts. It leads to the inconvenience of query construction and the inefficiency of query execution where multi-table join queries are frequently required. In this paper, we propose a patient event graph (PatientEG) model to capture the characteristics of EMRs. We respectively define five types of medical entities, five types of medical events and five types of temporal relations. Based on the proposed model, we also construct a PatientEG dataset with 191,294 events, 3,429 distinct entities, and 545,993 temporal relations using EMRs from Shanghai Shuguang hospital. To help to normalize entity values which contain synonyms, hyponymies, and abbreviations, we link them with the Chinese biomedical knowledge graph. With the help of PatientEG dataset, we are able to conveniently perform complex queries for clinical research such as auxiliary diagnosis and therapeutic effectiveness analysis. In addition, we provide a SPARQL endpoint to access PatientEG dataset and the dataset is also publicly available online. Also, we list several illustrative SPARQL queries on our website.

Jiahui Qiu, Qi Wang, Yangming Zhou et al.

Clinical Named Entity Recognition (CNER) aims to identify and classify clinical terms such as diseases, symptoms, treatments, exams, and body parts in electronic health records, which is a fundamental and crucial task for clinical and translation research. In recent years, deep learning methods have achieved significant success in CNER tasks. However, these methods depend greatly on Recurrent Neural Networks (RNNs), which maintain a vector of hidden activations that are propagated through time, thus causing too much time to train models. In this paper, we propose a Residual Dilated Convolutional Neural Network with Conditional Random Field (RD-CNN-CRF) to solve it. Specifically, Chinese characters and dictionary features are first projected into dense vector representations, then they are fed into the residual dilated convolutional neural network to capture contextual features. Finally, a conditional random field is employed to capture dependencies between neighboring tags. Computational results on the CCKS-2017 Task 2 benchmark dataset show that our proposed RD-CNN-CRF method competes favorably with state-of-the-art RNN-based methods both in terms of computational performance and training time.

Qi Wang, Jiahui Qiu, Yangming Zhou et al.

Coronary artery disease (CAD) is one of the leading causes of cardiovascular disease deaths. CAD condition progresses rapidly, if not diagnosed and treated at an early stage may eventually lead to an irreversible state of the heart muscle death. Invasive coronary arteriography is the gold standard technique for CAD diagnosis. Coronary arteriography texts describe which part has stenosis and how much stenosis is in details. It is crucial to conduct the severity classification of CAD. In this paper, we employ a recurrent capsule network (RCN) to extract semantic relations between clinical named entities in Chinese coronary arteriography texts, through which we can automatically find out the maximal stenosis for each lumen to inference how severe CAD is according to the improved method of Gensini. Experimental results on the corpus collected from Shanghai Shuguang Hospital show that our proposed method achieves an accuracy of 97.0\% in the severity classification of CAD.

Qi Wang, Chenming Xu, Yangming Zhou et al.

Named entities are usually composable and extensible. Typical examples are names of symptoms and diseases in medical areas. To distinguish these entities from general entities, we name them \textit{compound entities}. In this paper, we present an attention-based Bi-GRU-CapsNet model to detect hypernymy relationship between compound entities. Our model consists of several important components. To avoid the out-of-vocabulary problem, English words or Chinese characters in compound entities are fed into the bidirectional gated recurrent units. An attention mechanism is designed to focus on the differences between the two compound entities. Since there are some different cases in hypernymy relationship between compound entities, capsule network is finally employed to decide whether the hypernymy relationship exists or not. Experimental results demonstrate

Qi Wang, Yuhang Xia, Yangming Zhou et al.

Clinical Named Entity Recognition (CNER) aims to identify and classify clinical terms such as diseases, symptoms, treatments, exams, and body parts in electronic health records, which is a fundamental and crucial task for clinical and translational research. In recent years, deep neural networks have achieved significant success in named entity recognition and many other Natural Language Processing (NLP) tasks. Most of these algorithms are trained end to end, and can automatically learn features from large scale labeled datasets. However, these data-driven methods typically lack the capability of processing rare or unseen entities. Previous statistical methods and feature engineering practice have demonstrated that human knowledge can provide valuable information for handling rare and unseen cases. In this paper, we address the problem by incorporating dictionaries into deep neural networks for the Chinese CNER task. Two different architectures that extend the Bi-directional Long Short-Term Memory (Bi-LSTM) neural network and five different feature representation schemes are proposed to handle the task. Computational results on the CCKS-2017 Task 2 benchmark dataset show that the proposed method achieves the highly competitive performance compared with the state-of-the-art deep learning methods.