preprintarXiv (Cornell University)Apr 10, 2019GREEN OA

ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmission

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Abstract

Clinical notes contain information about patients that goes beyond structured data like lab values and medications. However, clinical notes have been underused relative to structured data, because notes are high-dimensional and sparse. This work develops and evaluates representations of clinical notes using bidirectional transformers (ClinicalBERT). ClinicalBERT uncovers high-quality relationships between medical concepts as judged by humans. ClinicalBert outperforms baselines on 30-day hospital readmission prediction using both discharge summaries and the first few days of notes in the intensive care unit. Code and model parameters are available.

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615
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33
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Authors

3

Topics & keywords

Keywords
  • Intensive care unit
  • Transformer
  • Computer science
  • Medical record
  • Hospital readmission
  • Data mining
  • Medicine
  • Emergency medicine
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