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May 18

A medical coding language model trained on clinical narratives from a population-wide cohort of 1.8 million patients

Medical coding translates clinical documentation into standardized codes for billing, research, and public health, but manual coding is time-consuming and error-prone. Existing automation efforts rely on small datasets that poorly represent real-world patient heterogeneity. We trained a language model on 5.8 million electronic health records from 1.8 million patients across nearly all specialties in Eastern Denmark (2006--2016) to predict ICD-10 codes from clinical notes, medications, and laboratory results. Evaluated on 270,000 held-out patients, the model achieved a micro F1 of 71.8% and a top-10 recall of 95.5%. Performance varied by specialty (F1: 53--91%), with higher scores in specialties with well-defined diagnostic criteria. Codes appearing predominantly as secondary diagnoses had markedly lower F1 scores. For three such codes (suicide-related behaviors, weight disorders, and hypertension), the model identified thousands of uncoded cases, of which 76-86% were confirmed valid upon manual review, suggesting systematic under-coding rather than model error. These findings suggest under-coding of secondary diagnoses in Eastern Denmark during this period, with potential implications for epidemiological research, public health surveillance, and understanding of multimorbidity. Similar time constraints and reimbursement structures in other healthcare systems suggest this may not be isolated to this dataset. The model can automate coding for approximately 50% of cases and provide accurate suggestions for most others, and may offer a practical solution to help capture missed secondary conditions.

  • 6 authors
·
Mar 2

Q-Palette: Fractional-Bit Quantizers Toward Optimal Bit Allocation for Efficient LLM Deployment

We study weight-only post-training quantization (PTQ), which quantizes the weights of a large language model (LLM) without retraining, using little or no calibration data. Weight-only PTQ is crucial for reducing the memory footprint and latency of LLM inference, especially in memory-bound, small-batch inference scenarios, such as personalized inference on edge devices. Despite its importance, irregular weight distributions with heavy-tailed outliers in LLMs complicate quantization, recently motivating rotation-based methods that transform weights into near-Gaussian distributions, which are more regular with fewer outliers, thereby reducing quantization error. In this work, we first derive the information-theoretically optimal bit allocation for Gaussianized weights under given bit budgets, revealing that fine-grained fractional-bit quantizers approaching the Gaussian distortion-rate bound are essential to achieve near-optimal quantization performance. To bridge this theoretical insight and practical implementation, we introduce Q-Palette, a versatile collection of fractional-bit quantizers that range from trellis-coded quantizers offering near-optimal distortion to simpler vector and scalar quantizers optimized for faster inference, all efficiently implemented with optimized CUDA kernels across various bitwidths. Furthermore, leveraging Q-Palette as a foundational component, we propose a novel mixed-scheme quantization framework, jointly optimizing quantizer choices and layer fusion decisions given resource constraints. The code is available at https://github.com/snu-mllab/Q-Palette.

Discovering highly efficient low-weight quantum error-correcting codes with reinforcement learning

The realization of scalable fault-tolerant quantum computing is expected to hinge on quantum error-correcting codes. In the quest for more efficient quantum fault tolerance, a critical code parameter is the weight of measurements that extract information about errors to enable error correction: as higher measurement weights require higher implementation costs and introduce more errors, it is important in code design to optimize measurement weight. This underlies the surging interest in quantum low-density parity-check (qLDPC) codes, the study of which has primarily focused on the asymptotic (large-code-limit) properties. In this work, we introduce a versatile and computationally efficient approach to stabilizer code weight reduction based on reinforcement learning (RL), which produces new low-weight codes that substantially outperform the state of the art in practically relevant parameter regimes, extending significantly beyond previously accessible small distances. For example, our approach demonstrates savings in physical qubit overhead compared to existing results by 1 to 2 orders of magnitude for weight 6 codes and brings the overhead into a feasible range for near-future experiments. We also investigate the interplay between code parameters using our RL framework, offering new insights into the potential efficiency and power of practically viable coding strategies. Overall, our results demonstrate how RL can effectively advance the crucial yet challenging problem of quantum code discovery and thereby facilitate a faster path to the practical implementation of fault-tolerant quantum technologies.

  • 2 authors
·
Feb 20, 2025 4