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Mar 12

TransICD: Transformer Based Code-wise Attention Model for Explainable ICD Coding

International Classification of Disease (ICD) coding procedure which refers to tagging medical notes with diagnosis codes has been shown to be effective and crucial to the billing system in medical sector. Currently, ICD codes are assigned to a clinical note manually which is likely to cause many errors. Moreover, training skilled coders also requires time and human resources. Therefore, automating the ICD code determination process is an important task. With the advancement of artificial intelligence theory and computational hardware, machine learning approach has emerged as a suitable solution to automate this process. In this project, we apply a transformer-based architecture to capture the interdependence among the tokens of a document and then use a code-wise attention mechanism to learn code-specific representations of the entire document. Finally, they are fed to separate dense layers for corresponding code prediction. Furthermore, to handle the imbalance in the code frequency of clinical datasets, we employ a label distribution aware margin (LDAM) loss function. The experimental results on the MIMIC-III dataset show that our proposed model outperforms other baselines by a significant margin. In particular, our best setting achieves a micro-AUC score of 0.923 compared to 0.868 of bidirectional recurrent neural networks. We also show that by using the code-wise attention mechanism, the model can provide more insights about its prediction, and thus it can support clinicians to make reliable decisions. Our code is available online (https://github.com/biplob1ly/TransICD)

MetaCoCo: A New Few-Shot Classification Benchmark with Spurious Correlation

Out-of-distribution (OOD) problems in few-shot classification (FSC) occur when novel classes sampled from testing distributions differ from base classes drawn from training distributions, which considerably degrades the performance of deep learning models deployed in real-world applications. Recent studies suggest that the OOD problems in FSC mainly including: (a) cross-domain few-shot classification (CD-FSC) and (b) spurious-correlation few-shot classification (SC-FSC). Specifically, CD-FSC occurs when a classifier learns transferring knowledge from base classes drawn from seen training distributions but recognizes novel classes sampled from unseen testing distributions. In contrast, SC-FSC arises when a classifier relies on non-causal features (or contexts) that happen to be correlated with the labels (or concepts) in base classes but such relationships no longer hold during the model deployment. Despite CD-FSC has been extensively studied, SC-FSC remains understudied due to lack of the corresponding evaluation benchmarks. To this end, we present Meta Concept Context (MetaCoCo), a benchmark with spurious-correlation shifts collected from real-world scenarios. Moreover, to quantify the extent of spurious-correlation shifts of the presented MetaCoCo, we further propose a metric by using CLIP as a pre-trained vision-language model. Extensive experiments on the proposed benchmark are performed to evaluate the state-of-the-art methods in FSC, cross-domain shifts, and self-supervised learning. The experimental results show that the performance of the existing methods degrades significantly in the presence of spurious-correlation shifts. We open-source all codes of our benchmark and hope that the proposed MetaCoCo can facilitate future research on spurious-correlation shifts problems in FSC. The code is available at: https://github.com/remiMZ/MetaCoCo-ICLR24.

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.

Neural networks behave as hash encoders: An empirical study

The input space of a neural network with ReLU-like activations is partitioned into multiple linear regions, each corresponding to a specific activation pattern of the included ReLU-like activations. We demonstrate that this partition exhibits the following encoding properties across a variety of deep learning models: (1) {\it determinism}: almost every linear region contains at most one training example. We can therefore represent almost every training example by a unique activation pattern, which is parameterized by a {\it neural code}; and (2) {\it categorization}: according to the neural code, simple algorithms, such as K-Means, K-NN, and logistic regression, can achieve fairly good performance on both training and test data. These encoding properties surprisingly suggest that {\it normal neural networks well-trained for classification behave as hash encoders without any extra efforts.} In addition, the encoding properties exhibit variability in different scenarios. {Further experiments demonstrate that {\it model size}, {\it training time}, {\it training sample size}, {\it regularization}, and {\it label noise} contribute in shaping the encoding properties, while the impacts of the first three are dominant.} We then define an {\it activation hash phase chart} to represent the space expanded by {model size}, training time, training sample size, and the encoding properties, which is divided into three canonical regions: {\it under-expressive regime}, {\it critically-expressive regime}, and {\it sufficiently-expressive regime}. The source code package is available at https://github.com/LeavesLei/activation-code.

Stable Code Technical Report

We introduce Stable Code, the first in our new-generation of code language models series, which serves as a general-purpose base code language model targeting code completion, reasoning, math, and other software engineering-based tasks. Additionally, we introduce an instruction variant named Stable Code Instruct that allows conversing with the model in a natural chat interface for performing question-answering and instruction-based tasks. In this technical report, we detail the data and training procedure leading to both models. Their weights are available via Hugging Face for anyone to download and use at https://huggingface.co/stabilityai/stable-code-3b and https://huggingface.co/stabilityai/stable-code-instruct-3b. This report contains thorough evaluations of the models, including multilingual programming benchmarks, and the MT benchmark focusing on multi-turn dialogues. At the time of its release, Stable Code is the state-of-the-art open model under 3B parameters and even performs comparably to larger models of sizes 7 billion and 15 billion parameters on the popular Multi-PL benchmark. Stable Code Instruct also exhibits state-of-the-art performance on the MT-Bench coding tasks and on Multi-PL completion compared to other instruction tuned models. Given its appealing small size, we also provide throughput measurements on a number of edge devices. In addition, we open source several quantized checkpoints and provide their performance metrics compared to the original model.

Security Attacks on LLM-based Code Completion Tools

The rapid development of large language models (LLMs) has significantly advanced code completion capabilities, giving rise to a new generation of LLM-based Code Completion Tools (LCCTs). Unlike general-purpose LLMs, these tools possess unique workflows, integrating multiple information sources as input and prioritizing code suggestions over natural language interaction, which introduces distinct security challenges. Additionally, LCCTs often rely on proprietary code datasets for training, raising concerns about the potential exposure of sensitive data. This paper exploits these distinct characteristics of LCCTs to develop targeted attack methodologies on two critical security risks: jailbreaking and training data extraction attacks. Our experimental results expose significant vulnerabilities within LCCTs, including a 99.4% success rate in jailbreaking attacks on GitHub Copilot and a 46.3% success rate on Amazon Q. Furthermore, We successfully extracted sensitive user data from GitHub Copilot, including 54 real email addresses and 314 physical addresses associated with GitHub usernames. Our study also demonstrates that these code-based attack methods are effective against general-purpose LLMs, such as the GPT series, highlighting a broader security misalignment in the handling of code by modern LLMs. These findings underscore critical security challenges associated with LCCTs and suggest essential directions for strengthening their security frameworks. The example code and attack samples from our research are provided at https://github.com/Sensente/Security-Attacks-on-LCCTs.

An Exploratory Study on Fine-Tuning Large Language Models for Secure Code Generation

AI-powered coding assistants such as GitHub Copilot and OpenAI ChatGPT have achieved notable success in automating code generation. However, these tools rely on pre-trained Large Language Models (LLMs) that are typically trained on human-written code sourced from open-source project hosting sites like GitHub, which often contains inherent security vulnerabilities. These vulnerabilities may then be mirrored in the code generated by these LLMs, a critical risk revealed and highlighted by recent empirical studies. In this work, we present an exploratory study on whether fine-tuning pre-trained LLMs on datasets of vulnerability-fixing commits can promote secure code generation. We explored two parameter-efficient fine-tuning techniques (LoRa and IA3) on two pre-trained LLMs for code generation. We crawled a fine-tuning dataset (14,622 C and C++ files) for secure code generation by collecting code fixes of confirmed vulnerabilities from open-source repositories. Our evaluation dataset comprises 52 vulnerability scenarios designed to cover the top most dangerous C and C++ Common Weakness Enumerations (CWEs). Each scenario is a prompt that may induce LLMs to generate vulnerable code. Our exploration reveals that fine-tuning LLMs can improve secure code generation by 6.4% in C language and 5.4% in C++ language. We further experimented with fine-tuning LLMs using different versions of the collected secure code dataset (block, function, and line). We found that fine-tuning with function-level and block-level datasets achieves the best secure code generation performance, compared to the alternatives (file-level and line-level).

Qiskit Code Assistant: Training LLMs for generating Quantum Computing Code

Code Large Language Models (Code LLMs) have emerged as powerful tools, revolutionizing the software development landscape by automating the coding process and reducing time and effort required to build applications. This paper focuses on training Code LLMs to specialize in the field of quantum computing. We begin by discussing the unique needs of quantum computing programming, which differ significantly from classical programming approaches or languages. A Code LLM specializing in quantum computing requires a foundational understanding of quantum computing and quantum information theory. However, the scarcity of available quantum code examples and the rapidly evolving field, which necessitates continuous dataset updates, present significant challenges. Moreover, we discuss our work on training Code LLMs to produce high-quality quantum code using the Qiskit library. This work includes an examination of the various aspects of the LLMs used for training and the specific training conditions, as well as the results obtained with our current models. To evaluate our models, we have developed a custom benchmark, similar to HumanEval, which includes a set of tests specifically designed for the field of quantum computing programming using Qiskit. Our findings indicate that our model outperforms existing state-of-the-art models in quantum computing tasks. We also provide examples of code suggestions, comparing our model to other relevant code LLMs. Finally, we introduce a discussion on the potential benefits of Code LLMs for quantum computing computational scientists, researchers, and practitioners. We also explore various features and future work that could be relevant in this context.