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.
翻译:临床说明载有超出实验室值和药物等结构化数据的患者信息,但是,临床说明相对于结构化数据使用不足,因为注释是高维和稀疏的,这项工作利用双向变压器(ClinicBERT)发展并评价临床说明的表述方式;临床BERT发现了人类判断的医疗概念之间的高质量关系;临床Bert利用排放摘要和特护单位头几天的注释,在30天的医院重新接纳预测中,临床比基线高出30天的基线;有代码和模型参数。