Classifying Unstructured Clinical Notes via Automatic Weak Supervision
This addresses the costly and error-prone manual coding process in healthcare, though it is incremental as it builds on existing weak supervision and language model techniques.
The authors tackled the problem of automating diagnostic coding from unstructured clinical notes by introducing a weakly-supervised text classification framework that learns from class-label descriptions without human-labeled data, achieving competitive performance on real-world datasets including the MIMIC-III database.
Healthcare providers usually record detailed notes of the clinical care delivered to each patient for clinical, research, and billing purposes. Due to the unstructured nature of these narratives, providers employ dedicated staff to assign diagnostic codes to patients' diagnoses using the International Classification of Diseases (ICD) coding system. This manual process is not only time-consuming but also costly and error-prone. Prior work demonstrated potential utility of Machine Learning (ML) methodology in automating this process, but it has relied on large quantities of manually labeled data to train the models. Additionally, diagnostic coding systems evolve with time, which makes traditional supervised learning strategies unable to generalize beyond local applications. In this work, we introduce a general weakly-supervised text classification framework that learns from class-label descriptions only, without the need to use any human-labeled documents. It leverages the linguistic domain knowledge stored within pre-trained language models and the data programming framework to assign code labels to individual texts. We demonstrate the efficacy and flexibility of our method by comparing it to state-of-the-art weak text classifiers across four real-world text classification datasets, in addition to assigning ICD codes to medical notes in the publicly available MIMIC-III database.