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  ---
 
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  license: mit
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- language:
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- - nl
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- base_model:
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- - FacebookAI/roberta-base
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  pipeline_tag: text-classification
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- ---
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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  ---
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+ language: nl
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  license: mit
 
 
 
 
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  pipeline_tag: text-classification
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+ inference: false
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+ ---
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+
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+ # Regression Model for Respiration Functioning Levels
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+
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+ ## Description
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+ A fine-tuned regression model that assigns a functioning level to Dutch sentences describing respiration functions. The model is based on a pre-trained Dutch medical language model ([link to be added]()): a RoBERTa model, trained from scratch on clinical notes of the Amsterdam UMC. To detect sentences about respiration functions in clinical text in Dutch, use the [icf17-domains](https://huggingface.co/CLTL/icf17-domains) classification model. We use a single classifier for 17 different ICF categories to determine the level of functioning.
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+
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+ The following ICF categories are covered:
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+
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+
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+ ICF code | Domain | name in repo
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+ ---|---|---
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+ b1300 | Energy level | ENR
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+ b140 | Attention functions | ATT
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+ b152 | Emotional functions | STM
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+ b440 | Respiration functions | ADM
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+ b455 | Exercise tolerance functions | INS
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+ b530 | Weight maintenance functions | MBW
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+ d450 | Walking | FAC
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+ d550 | Eating | ETN
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+ d840-d859 | Work and employment | BER
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+ B280 | Sensations of pain | SOP
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+ B134 | Sleep functions | SLP
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+ D760 | Family relationships | FML
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+ B164 | Higher-level cognitive functions | HLC
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+ D465 | Moving around using equipment | MAE
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+ D410 | Changing basic body position | CBP
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+ B230 | Hearing functions | HRN
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+ D240 | Handling stress and other psychological demands | HSP
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+
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+ ## Functioning levels
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+ Level | Meaning
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+ ---|---
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+ 5 | No problem functioning
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+ 4 | No problem functioning or almost complete functioning
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+ 3 | Shortness of breath in exercise (saturation ≥90), and/or respiratory rate is slightly increased (EWS: 21-30).
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+ 2 | Shortness of breath in rest (saturation ≥90), and/or respiratory rate is fairly increased (EWS: 31-35).
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+ 1 | Needs oxygen at rest or during exercise (saturation <90), and/or respiratory rate >35.
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+ 0 | Mechanical ventilation is needed.
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+
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+ The predictions generated by the model might sometimes be outside of the scale (e.g. 4.2); this is normal in a regression model.
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+
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+
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+ ## Intended uses and limitations
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+ - The model was fine-tuned (trained, validated and tested) on medical records from the Amsterdam UMC (the two academic medical centers of Amsterdam). It might perform differently on text from a different hospital or text from non-hospital sources (e.g. GP records).
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+ - The model was fine-tuned with the [Simple Transformers](https://simpletransformers.ai/) library. This library is based on Transformers but the model cannot be used directly with Transformers `pipeline` and classes; doing so would generate incorrect outputs. For this reason, the API on this page is disabled.
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+
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+ ## How to use
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+ To generate predictions with the model, use the [Simple Transformers](https://simpletransformers.ai/) library:
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+ ```
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+ from simpletransformers.classification import ClassificationModel
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+
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+ model = ClassificationModel(
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+ 'roberta',
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+ 'CLTL/icf-levels-adm',
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+ use_cuda=False,
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+ )
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+
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+ example = 'Nu sinds 5-6 dagen progressieve benauwdheidsklachten (bij korte stukken lopen al kortademig), terwijl dit eerder niet zo was.'
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+ _, raw_outputs = model.predict([example])
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+ predictions = np.squeeze(raw_outputs)
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+ ```
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+ The prediction on the example is:
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+ ```
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+ 2.26
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+ ```
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+ The raw outputs look like this:
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+ ```
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+ [[2.26074648]]
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+ ```
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+
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+ ## Training data
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+ - The training data consists of clinical notes from medical records (in Dutch) of the Amsterdam UMC. Due to privacy constraints, the data cannot be released.
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+ - The annotation guidelines used for the project can be found [here](https://github.com/cltl/a-proof-zonmw/tree/main/resources/annotation_guidelines).
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+
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+ ## Training procedure
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+ The default training parameters of Simple Transformers were used, including:
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+ - Optimizer: AdamW
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+ - Learning rate: 4e-5
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+ - Num train epochs: 1
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+ - Train batch size: 8
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+
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+ ## Evaluation results
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+ The evaluation is done on a sentence-level (the classification unit) and on a note-level (the aggregated unit which is meaningful for the healthcare professionals).
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+
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+ | | Sentence-level | Note-level
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+ |---|---|---
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+ mean absolute error | 0.48 | 0.37
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+ mean squared error | 0.55 | 0.34
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+ root mean squared error | 0.74 | 0.58
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+
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+ ## Authors and references
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+ ### Authors
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+ Jenia Kim, Piek Vossen
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+
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+ ### References
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+ When using this repository please cite:
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+
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+ J. Kim, S. Verkijk, E. Geleijn, M. van der Leeden, C. Meskers, C. Meskers, S. van der Veen, P. Vossen, and G. Widdershoven, Modeling dutch medical texts for detecting functional categories and levels of covid-19 patients, 2022. In: Proceedings of the 13th Language Resources and Evaluation Conference, Marseille, June, 2022.
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+
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+ Bibtext:
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+
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+ @proceedings{kim-etal-lrec2022, author={Jenia Kim and Stella Verkijk and Edwin Geleijn and Marieke van der Leeden and Carel Meskers and Caroline Meskers and Sabina van der Veen and Piek Vossen and Guy Widdershoven}, title={Modeling Dutch Medical Texts for Detecting Functional Categories and Levels of COVID-19 Patients}, booktitle={Proceedings of the 13th Language Resources and Evaluation Conference, Marseille, June, 2022}, year={2022} }