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MT-clinical BERT: scaling clinical information extraction with multitask learning.

Andriy Mulyar1, Ozlem Uzuner2, Bridget McInnes2

  • 1Computer Science Department, Virginia Commonwealth University, Richmond, Virginia, USA.

Journal of the American Medical Informatics Association : JAMIA
|August 1, 2021
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Summary

A single deep learning model, Multitask-Clinical BERT, performs 8 clinical information extraction tasks simultaneously. While slightly underperforming task-specific models, it offers significant computational benefits and competitive overall performance.

Keywords:
clinical natural language processing, named entity recognition, textual entailment, semantic text similaritymultitask learningnatural language processing

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Area of Science:

  • Natural Language Processing
  • Clinical Informatics
  • Deep Learning

Background:

  • Clinical notes contain valuable patient data that is difficult to access automatically.
  • Current information extraction systems require extensive training data and are developed in isolation, leading to inefficiencies.
  • Managing multiple task-specific systems creates engineering debt and limits performance.

Purpose of the Study:

  • To develop a unified deep learning model for simultaneous clinical information extraction.
  • To address the limitations of disjointed, task-specific information extraction systems.
  • To evaluate the performance and efficiency of a multitask learning approach in the clinical domain.

Main Methods:

  • Developed Multitask-Clinical BERT, a single deep learning model.
  • The model simultaneously performs 8 clinical tasks, including entity extraction and personal health information identification.
  • Representations are shared across tasks to improve efficiency and generalization.

Main Results:

  • The Multitask-Clinical BERT system demonstrated competitive performance against state-of-the-art task-specific models.
  • A slight, consistent performance degradation was observed compared to sequential fine-tuning approaches.
  • The single system achieved significant computational benefits during inference.

Conclusions:

  • A single multitask model can perform competitively across multiple clinical information extraction tasks.
  • Multitask learning in this context offers substantial computational advantages at inference.
  • While there's a minor trade-off in performance compared to specialized models, the overall efficiency and competitive results are promising.