The medical codes prediction problem from clinical notes has received substantial interest in the NLP community, and several recent studies have shown the state-of-the-art (SOTA) code prediction results of full-fledged deep learning-based methods. However, most previous SOTA works based on deep learning are still in early stages in terms of providing textual references and explanations of the predicted codes, despite the fact that this level of explainability of the prediction outcomes is critical to gaining trust from professional medical coders. This raises the important question of how well current explainability methods apply to advanced neural network models such as transformers to predict correct codes and present references in clinical notes that support code prediction. First, we present an explainable Read, Attend, and Code (xRAC) framework and assess two approaches, attention score-based xRAC-ATTN and model-agnostic knowledge-distillation-based xRAC-KD, through simplified but thorough human-grounded evaluations with SOTA transformer-based model, RAC. We find that the supporting evidence text highlighted by xRAC-ATTN is of higher quality than xRAC-KD whereas xRAC-KD has potential advantages in production deployment scenarios. More importantly, we show for the first time that, given the current state of explainability methodologies, using the SOTA medical codes prediction system still requires the expertise and competencies of professional coders, even though its prediction accuracy is superior to that of human coders. This, we believe, is a very meaningful step toward developing explainable and accurate machine learning systems for fully autonomous medical code prediction from clinical notes.

The current state-of-the-art model HiAGM for hierarchical text classification has two limitations. First, it correlates each text sample with all labels in the dataset which contains irrelevant information. Second, it does not consider any statistical constraint on the label representations learned by the structure encoder, while constraints for representation learning are proved to be helpful in previous work. In this paper, we propose HTCInfoMax to address these issues by introducing information maximization which includes two modules: text-label mutual information maximization and label prior matching. The first module can model the interaction between each text sample and its ground truth labels explicitly which filters out irrelevant information. The second one encourages the structure encoder to learn better representations with desired characteristics for all labels which can better handle label imbalance in hierarchical text classification. Experimental results on two benchmark datasets demonstrate the effectiveness of the proposed HTCInfoMax.

Review rating prediction of text reviews is a rapidly growing technology with a wide range of applications in natural language processing. However, most existing methods either use hand-crafted features or learn features using deep learning with simple text corpus as input for review rating prediction, ignoring the hierarchies among data. In this paper, we propose a Hierarchical bi-directional self-attention Network framework (HabNet) for paper review rating prediction and recommendation, which can serve as an effective decision-making tool for the academic paper review process. Specifically, we leverage the hierarchical structure of the paper reviews with three levels of encoders: sentence encoder (level one), intra-review encoder (level two) and inter-review encoder (level three). Each encoder first derives contextual representation of each level, then generates a higher-level representation, and after the learning process, we are able to identify useful predictors to make the final acceptance decision, as well as to help discover the inconsistency between numerical review ratings and text sentiment conveyed by reviewers. Furthermore, we introduce two new metrics to evaluate models in data imbalance situations. Extensive experiments on a publicly available dataset (PeerRead) and our own collected dataset (OpenReview) demonstrate the superiority of the proposed approach compared with state-of-the-art methods.