C. Ho

Surjya Ray, Pratik Mehta, Hongen Zhang et al.

The precipitous rise and adoption of Large Language Models (LLMs) have shattered expectations with the fastest adoption rate of any consumer-facing technology in history. Healthcare, a field that traditionally uses NLP techniques, was bound to be affected by this meteoric rise. In this paper, we gauge the extent of the impact by evaluating the performance of LLMs for the task of medical coding on real-life noisy data. We conducted several experiments on MIMIC III and IV datasets with encoder-based LLMs, such as BERT. Furthermore, we developed Segmented Harmonic Loss, a new loss function to address the extreme class imbalance that we found to prevail in most medical data in a multi-label scenario by segmenting and decoupling co-occurring classes of the dataset with a new segmentation algorithm. We also devised a technique based on embedding similarity to tackle noisy data. Our experimental results show that when trained with the proposed loss, the LLMs achieve significant performance gains even on noisy long-tailed datasets, outperforming the F1 score of the state-of-the-art by over ten percentage points.

Jiaqi Guo, Chon Wai Ho, Sumeetpal S. Singh

The Markov Decision Process (MDP) is a popular framework for sequential decision-making problems, and uncertainty quantification is an essential component of it to learn optimal decision-making strategies. In particular, a Bayesian framework is used to maintain beliefs about the optimal decisions and the unknown ingredients of the model, which are also to be learned from the data, such as the rewards and state dynamics. However, many existing Bayesian approaches for learning the optimal decision-making strategy are based on unrealistic modelling assumptions and utilise approximate inference techniques. This raises doubts whether the benefits of Bayesian uncertainty quantification are fully realised or can be relied upon. We focus on infinite-horizon and undiscounted MDPs, with finite state and action spaces, and a terminal state. We provide a full Bayesian framework, from modelling to inference to decision-making. For modelling, we introduce a likelihood function with minimal assumptions for learning the optimal action-value function based on Bellman's optimality equations, analyse its properties, and clarify connections to existing works. For deterministic rewards, the likelihood is degenerate and we introduce artificial observation noise to relax it, in a controlled manner, to facilitate more efficient Monte Carlo-based inference. For inference, we propose an adaptive sequential Monte Carlo algorithm to both sample from and adjust the sequence of relaxed posterior distributions. For decision-making, we choose actions using samples from the posterior distribution over the optimal strategies. While commonly done, we provide new insight that clearly shows that it is a generalisation of Thompson sampling from multi-arm bandit problems. Finally, we evaluate our framework on the Deep Sea benchmark problem and demonstrate the exploration benefits of posterior sampling in MDPs.