Making the Most Out of the Limited Context Length: Predictive Power Varies with Clinical Note Type and Note Section

Hongyi Zheng, Yixin Zhu, Lavender Jiang, Kyunghyun Cho, Eric Oermann


Abstract
Recent advances in large language models have led to renewed interest in natural language processing in healthcare using the free text of clinical notes. One distinguishing characteristic of clinical notes is their long time span over multiple long documents. The unique structure of clinical notes creates a new design choice: when the context length for a language model predictor is limited, which part of clinical notes should we choose as the input? Existing studies either choose the inputs with domain knowledge or simply truncate them. We propose a framework to analyze the sections with high predictive power. Using MIMIC-III, we show that: 1) predictive power distribution is different between nursing notes and discharge notes and 2) combining different types of notes could improve performance when the context length is large. Our findings suggest that a carefully selected sampling function could enable more efficient information extraction from clinical notes.
Anthology ID:
2023.acl-srw.18
Volume:
Proceedings of the 61st Annual Meeting of the Association for Computational Linguistics (Volume 4: Student Research Workshop)
Month:
July
Year:
2023
Address:
Toronto, Canada
Editors:
Vishakh Padmakumar, Gisela Vallejo, Yao Fu
Venue:
ACL
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
104–108
Language:
URL:
https://aclanthology.org/2023.acl-srw.18
DOI:
10.18653/v1/2023.acl-srw.18
Bibkey:
Cite (ACL):
Hongyi Zheng, Yixin Zhu, Lavender Jiang, Kyunghyun Cho, and Eric Oermann. 2023. Making the Most Out of the Limited Context Length: Predictive Power Varies with Clinical Note Type and Note Section. In Proceedings of the 61st Annual Meeting of the Association for Computational Linguistics (Volume 4: Student Research Workshop), pages 104–108, Toronto, Canada. Association for Computational Linguistics.
Cite (Informal):
Making the Most Out of the Limited Context Length: Predictive Power Varies with Clinical Note Type and Note Section (Zheng et al., ACL 2023)
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PDF:
https://aclanthology.org/2023.acl-srw.18.pdf