new

Get trending papers in your email inbox!

Subscribe

Daily Papers

byAK and the research community

Sep 11

A Systematic Literature Review of Automated ICD Coding and Classification Systems using Discharge Summaries

Codification of free-text clinical narratives have long been recognised to be beneficial for secondary uses such as funding, insurance claim processing and research. The current scenario of assigning codes is a manual process which is very expensive, time-consuming and error prone. In recent years, many researchers have studied the use of Natural Language Processing (NLP), related Machine Learning (ML) and Deep Learning (DL) methods and techniques to resolve the problem of manual coding of clinical narratives and to assist human coders to assign clinical codes more accurately and efficiently. This systematic literature review provides a comprehensive overview of automated clinical coding systems that utilises appropriate NLP, ML and DL methods and techniques to assign ICD codes to discharge summaries. We have followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) guidelines and conducted a comprehensive search of publications from January, 2010 to December 2020 in four academic databases- PubMed, ScienceDirect, Association for Computing Machinery(ACM) Digital Library, and the Association for Computational Linguistics(ACL) Anthology. We reviewed 7,556 publications; 38 met the inclusion criteria. This review identified: datasets having discharge summaries; NLP techniques along with some other data extraction processes, different feature extraction and embedding techniques. To measure the performance of classification methods, different evaluation metrics are used. Lastly, future research directions are provided to scholars who are interested in automated ICD code assignment. Efforts are still required to improve ICD code prediction accuracy, availability of large-scale de-identified clinical corpora with the latest version of the classification system. This can be a platform to guide and share knowledge with the less experienced coders and researchers.

Eureka: Human-Level Reward Design via Coding Large Language Models

Large Language Models (LLMs) have excelled as high-level semantic planners for sequential decision-making tasks. However, harnessing them to learn complex low-level manipulation tasks, such as dexterous pen spinning, remains an open problem. We bridge this fundamental gap and present Eureka, a human-level reward design algorithm powered by LLMs. Eureka exploits the remarkable zero-shot generation, code-writing, and in-context improvement capabilities of state-of-the-art LLMs, such as GPT-4, to perform evolutionary optimization over reward code. The resulting rewards can then be used to acquire complex skills via reinforcement learning. Without any task-specific prompting or pre-defined reward templates, Eureka generates reward functions that outperform expert human-engineered rewards. In a diverse suite of 29 open-source RL environments that include 10 distinct robot morphologies, Eureka outperforms human experts on 83% of the tasks, leading to an average normalized improvement of 52%. The generality of Eureka also enables a new gradient-free in-context learning approach to reinforcement learning from human feedback (RLHF), readily incorporating human inputs to improve the quality and the safety of the generated rewards without model updating. Finally, using Eureka rewards in a curriculum learning setting, we demonstrate for the first time, a simulated Shadow Hand capable of performing pen spinning tricks, adeptly manipulating a pen in circles at rapid speed.

TrimR: Verifier-based Training-Free Thinking Compression for Efficient Test-Time Scaling

Large Reasoning Models (LRMs) demonstrate exceptional capability in tackling complex mathematical, logical, and coding tasks by leveraging extended Chain-of-Thought (CoT) reasoning. Test-time scaling methods, such as prolonging CoT with explicit token-level exploration, can push LRMs' accuracy boundaries, but they incur significant decoding overhead. A key inefficiency source is LRMs often generate redundant thinking CoTs, which demonstrate clear structured overthinking and underthinking patterns. Inspired by human cognitive reasoning processes and numerical optimization theories, we propose TrimR, a verifier-based, training-free, efficient framework for dynamic CoT compression to trim reasoning and enhance test-time scaling, explicitly tailored for production-level deployment. Our method employs a lightweight, pretrained, instruction-tuned verifier to detect and truncate redundant intermediate thoughts of LRMs without any LRM or verifier fine-tuning. We present both the core algorithm and asynchronous online system engineered for high-throughput industrial applications. Empirical evaluations on Ascend NPUs and vLLM show that our framework delivers substantial gains in inference efficiency under large-batch workloads. In particular, on the four MATH500, AIME24, AIME25, and GPQA benchmarks, the reasoning runtime of Pangu Pro MoE, Pangu-R-38B, QwQ-32B, and DeepSeek-R1-Distill-Qwen-32B is improved by up to 70% with negligible impact on accuracy.

LiveBench: A Challenging, Contamination-Free LLM Benchmark

Test set contamination, wherein test data from a benchmark ends up in a newer model's training set, is a well-documented obstacle for fair LLM evaluation and can quickly render benchmarks obsolete. To mitigate this, many recent benchmarks crowdsource new prompts and evaluations from human or LLM judges; however, these can introduce significant biases, and break down when scoring hard questions. In this work, we introduce a new benchmark for LLMs designed to be immune to both test set contamination and the pitfalls of LLM judging and human crowdsourcing. We release LiveBench, the first benchmark that (1) contains frequently-updated questions from recent information sources, (2) scores answers automatically according to objective ground-truth values, and (3) contains a wide variety of challenging tasks, spanning math, coding, reasoning, language, instruction following, and data analysis. To achieve this, LiveBench contains questions that are based on recently-released math competitions, arXiv papers, news articles, and datasets, and it contains harder, contamination-free versions of tasks from previous benchmarks such as Big-Bench Hard, AMPS, and IFEval. We evaluate many prominent closed-source models, as well as dozens of open-source models ranging from 0.5B to 110B in size. LiveBench is difficult, with top models achieving below 65% accuracy. We release all questions, code, and model answers. Questions will be added and updated on a monthly basis, and we will release new tasks and harder versions of tasks over time so that LiveBench can distinguish between the capabilities of LLMs as they improve in the future. We welcome community engagement and collaboration for expanding the benchmark tasks and models.

T-GVC: Trajectory-Guided Generative Video Coding at Ultra-Low Bitrates

Recent advances in video generation techniques have given rise to an emerging paradigm of generative video coding for Ultra-Low Bitrate (ULB) scenarios by leveraging powerful generative priors. However, most existing methods are limited by domain specificity (e.g., facial or human videos) or excessive dependence on high-level text guidance, which tend to inadequately capture fine-grained motion details, leading to unrealistic or incoherent reconstructions. To address these challenges, we propose Trajectory-Guided Generative Video Coding (dubbed T-GVC), a novel framework that bridges low-level motion tracking with high-level semantic understanding. T-GVC features a semantic-aware sparse motion sampling pipeline that extracts pixel-wise motion as sparse trajectory points based on their semantic importance, significantly reducing the bitrate while preserving critical temporal semantic information. In addition, by integrating trajectory-aligned loss constraints into diffusion processes, we introduce a training-free guidance mechanism in latent space to ensure physically plausible motion patterns without sacrificing the inherent capabilities of generative models. Experimental results demonstrate that T-GVC outperforms both traditional and neural video codecs under ULB conditions. Furthermore, additional experiments confirm that our framework achieves more precise motion control than existing text-guided methods, paving the way for a novel direction of generative video coding guided by geometric motion modeling.

LOCO Codes Can Correct as Well: Error-Correction Constrained Coding for DNA Data Storage

As a medium for cold data storage, DNA stands out as it promises significant gains in storage capacity and lifetime. However, it comes with its own data processing challenges to overcome. Constrained codes over the DNA alphabet {A,T,G,C} have been used to design DNA sequences that are free of long homopolymers to increase stability, yet effective error detection and error correction are required to achieve reliability in data retrieval. Recently, we introduced lexicographically-ordered constrained (LOCO) codes, namely DNA LOCO (D-LOCO) codes, with error detection. In this paper, we equip our D-LOCO codes with error correction for substitution errors via syndrome-like decoding, designated as residue decoding. We only use D-LOCO codewords of indices divisible by a suitable redundancy metric R(m) > 0, where m is the code length, for error correction. We provide the community with a construction of constrained codes forbidding runs of length higher than fixed ell in {1,2,3} and GC-content in big [0.5-1{2K},0.5+1{2K}big ] that correct K segmented substitution errors, one per codeword. We call the proposed codes error-correction (EC) D-LOCO codes. We also give a list-decoding procedure with near-quadratic time-complexity in m to correct double-substitution errors within EC D-LOCO codewords, which has > 98.20% average success rate. The redundancy metric is projected to require 2log_2(m)+O(1)-bit allocation for a length-m codeword. Hence, our EC D-LOCO codes are projected to be capacity-approaching with respect to the error-free constrained system.

Semantics-Guided Diffusion for Deep Joint Source-Channel Coding in Wireless Image Transmission

Joint source-channel coding (JSCC) offers a promising avenue for enhancing transmission efficiency by jointly incorporating source and channel statistics into the system design. A key advancement in this area is the deep joint source and channel coding (DeepJSCC) technique that designs a direct mapping of input signals to channel symbols parameterized by a neural network, which can be trained for arbitrary channel models and semantic quality metrics. This paper advances the DeepJSCC framework toward a semantics-aligned, high-fidelity transmission approach, called semantics-guided diffusion DeepJSCC (SGD-JSCC). Existing schemes that integrate diffusion models (DMs) with JSCC face challenges in transforming random generation into accurate reconstruction and adapting to varying channel conditions. SGD-JSCC incorporates two key innovations: (1) utilizing some inherent information that contributes to the semantics of an image, such as text description or edge map, to guide the diffusion denoising process; and (2) enabling seamless adaptability to varying channel conditions with the help of a semantics-guided DM for channel denoising. The DM is guided by diverse semantic information and integrates seamlessly with DeepJSCC. In a slow fading channel, SGD-JSCC dynamically adapts to the instantaneous signal-to-noise ratio (SNR) directly estimated from the channel output, thereby eliminating the need for additional pilot transmissions for channel estimation. In a fast fading channel, we introduce a training-free denoising strategy, allowing SGD-JSCC to effectively adjust to fluctuations in channel gains. Numerical results demonstrate that, guided by semantic information and leveraging the powerful DM, our method outperforms existing DeepJSCC schemes, delivering satisfactory reconstruction performance even at extremely poor channel conditions.

InterCode: Standardizing and Benchmarking Interactive Coding with Execution Feedback

Humans write code in a fundamentally interactive manner and rely on constant execution feedback to correct errors, resolve ambiguities, and decompose tasks. While LLMs have recently exhibited promising coding capabilities, current coding benchmarks mostly consider a static instruction-to-code sequence transduction process, which has the potential for error propagation and a disconnect between the generated code and its final execution environment. To address this gap, we introduce InterCode, a lightweight, flexible, and easy-to-use framework of interactive coding as a standard reinforcement learning (RL) environment, with code as actions and execution feedback as observations. Our framework is language and platform agnostic, uses self-contained Docker environments to provide safe and reproducible execution, and is compatible out-of-the-box with traditional seq2seq coding methods, while enabling the development of new methods for interactive code generation. We use InterCode to create two interactive code environments with Bash and SQL as action spaces, leveraging data from the static Spider and NL2Bash datasets. We demonstrate InterCode's viability as a testbed by evaluating multiple state-of-the-art LLMs configured with different prompting strategies such as ReAct and Plan & Solve. Our results showcase the benefits of interactive code generation and demonstrate that InterCode can serve as a challenging benchmark for advancing code understanding and generation capabilities. InterCode is designed to be easily extensible and can even be used to incorporate new tasks such as Capture the Flag, a popular coding puzzle that is inherently multi-step and involves multiple programming languages. Project site with code and data: https://intercode-benchmark.github.io

Planning In Natural Language Improves LLM Search For Code Generation

While scaling training compute has led to remarkable improvements in large language models (LLMs), scaling inference compute has not yet yielded analogous gains. We hypothesize that a core missing component is a lack of diverse LLM outputs, leading to inefficient search due to models repeatedly sampling highly similar, yet incorrect generations. We empirically demonstrate that this lack of diversity can be mitigated by searching over candidate plans for solving a problem in natural language. Based on this insight, we propose PLANSEARCH, a novel search algorithm which shows strong results across HumanEval+, MBPP+, and LiveCodeBench (a contamination-free benchmark for competitive coding). PLANSEARCH generates a diverse set of observations about the problem and then uses these observations to construct plans for solving the problem. By searching over plans in natural language rather than directly over code solutions, PLANSEARCH explores a significantly more diverse range of potential solutions compared to baseline search methods. Using PLANSEARCH on top of Claude 3.5 Sonnet achieves a state-of-the-art pass@200 of 77.0% on LiveCodeBench, outperforming both the best score achieved without search (pass@1 = 41.4%) and using standard repeated sampling (pass@200 = 60.6%). Finally, we show that, across all models, search algorithms, and benchmarks analyzed, we can accurately predict performance gains due to search as a direct function of the diversity over generated ideas.

Pre-training A Neural Language Model Improves The Sample Efficiency of an Emergency Room Classification Model

To build a French national electronic injury surveillance system based on emergency room visits, we aim to develop a coding system to classify their causes from clinical notes in free-text. Supervised learning techniques have shown good results in this area but require a large amount of expert annotated dataset which is time consuming and costly to obtain. We hypothesize that the Natural Language Processing Transformer model incorporating a generative self-supervised pre-training step can significantly reduce the required number of annotated samples for supervised fine-tuning. In this preliminary study, we test our hypothesis in the simplified problem of predicting whether a visit is the consequence of a traumatic event or not from free-text clinical notes. Using fully re-trained GPT-2 models (without OpenAI pre-trained weights), we assess the gain of applying a self-supervised pre-training phase with unlabeled notes prior to the supervised learning task. Results show that the number of data required to achieve a ginve level of performance (AUC>0.95) was reduced by a factor of 10 when applying pre-training. Namely, for 16 times more data, the fully-supervised model achieved an improvement <1% in AUC. To conclude, it is possible to adapt a multi-purpose neural language model such as the GPT-2 to create a powerful tool for classification of free-text notes with only a small number of labeled samples.