United States

Manual assignment of Anatomical Therapeutic Chemical (ATC) codes to prescription records is a significant bottleneck in healthcare research and operations at Ontario Health and InterRAI Canada, requiring extensive expert time and effort. To automate this process while maintaining data privacy, we develop a practical approach using locally deployable large language models (LLMs). Inspired by recent advances in automatic International Classification of Diseases (ICD) coding, our method frames ATC coding as a hierarchical information extraction task, guiding LLMs through the ATC ontology level-by-level to reduce complexity. We evaluate our approach using GPT-4 as a performance ceiling and focus development on open-source Llama models suitable for privacy-sensitive deployment. Testing across Health Canada drug product data, RABBITS benchmark, and real clinical notes from Ontario Health, our method achieves 78% exact match accuracy with GPT-4 and 60% with Llama 3.1 70B on Health Canada product names, with similar performance on actual clinical prescriptions. We investigate knowledge grounding strategies by augmenting LLM prompts with drug definitions, finding modest improvements in accuracy. Further, we demonstrate that fine-tuned Llama 3.1 8B achieves performance comparable to zero-shot Llama 3.1 70B, suggesting that effective ATC coding is feasible with limited computational resources. Our results establish the viability of automated ATC coding in privacy-sensitive healthcare environments while highlighting practical considerations for deployment. This work provides Ontario Health and InterRAI Canada with a foundation for automating ATC coding processes in healthcare settings, without compromising data privacy or security.

NAACL 2025

Zero-Shot ATC Coding with Large Language Models for Clinical Assessments

medical coding

large language model

information extraction

### Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

Message from the General Chair: 
*It is my great pleasure and honor to welcome you to the 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025), held in beautiful Vienna, Austria, from July 27 to August 1, 2025. ACL2025continues our field’s tradition of excellence in scholarship, innovation, and inclusivity, and I am deeply grateful to the many volunteers who have worked tirelessly to bring this event to life.* 
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ACL 2025

Welcome to The 63rd Annual Meeting of the Association for Computational Linguistics (ACL 2025)

poster

### Welcome to 2025 Annual Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics

Welcome to the 2025 meeting of the Nations of the Americas Chapter of the Association for Computational Linguistics! I am proud to help organize the first NAACL conference to carry the new name of our organization, one that emphasizes inclusion for all of the Americas. I am also pleased to welcome you to Albuquerque, New Mexico, a state whose unique blend of cultural influences will make for an excellent backdrop for NAACL 2025, especially with this year’s special theme on NLP in a Multicultural World. 
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*- Colin Cherry, Google, NAACL 2025 General Chair* 

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Welcome to 2025 Annual Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics

Large Language Models (LLMs) have impacted the writing process, enhancing productivity by collaborating with humans in content creation platforms. However, generating high-quality, user-aligned text to satisfy real-world content creation needs remains challenging. We propose WritingPath, a framework that uses explicit outlines to guide LLMs in generating goal-oriented, high-quality text. Our approach draws inspiration from structured writing planning and reasoning paths, focusing on reflecting user intentions throughout the writing process. To validate our approach in real-world scenarios, we construct a diverse dataset from unstructured blog posts to benchmark writing performance and introduce a comprehensive evaluation framework assessing the quality of outlines and generated texts. Our evaluations with various LLMs demonstrate that the WritingPath approach significantly enhances text quality according to evaluations by both LLMs and professional writers.

Navigating the Path of Writing: Outline-guided Text Generation with Large Language Models

Large Language Models (LLMs) have achieved significant success in open-domain question answering. However, they continue to face challenges such as hallucinations and knowledge cutoffs. These issues can be mitigated through in-context learning by providing LLMs with relevant context before generating answers. Recent literature proposes Knowledge Graph Prompting (KGP) which integrates knowledge graphs with an LLM-based traversal agent to substantially enhance document retrieval quality. 
However, KGP requires costly fine-tuning with large datasets and remains prone to hallucination. 
In this paper, we propose CuriousLLM, an enhancement that integrates a curiosity-driven reasoning mechanism into an LLM agent. This mechanism enables the agent to generate relevant follow-up questions, thereby guiding the information retrieval process more efficiently.
Central to our approach is the development of the new Follow-upQA dataset, which includes questions and supporting evidence as input, with follow-up questions serving as ground truths. 
These follow-up questions either inquire about what is still missing to fully answer the user's query or use special tokens to signify that the retrieved evidence is sufficient. 
Our experiments show that CuriousLLM significantly boosts LLM performance in multi-document question answering (MD-QA), circumventing the substantial computational costs and latency from the original KGP framework.

CuriousLLM: Elevating Multi-Document Question Answering with LLM-Enhanced Knowledge Graph Reasoning

Data scarcity is one of the main problems when it comes to real-world applications of transformer-based models. This is especially evident for task-oriented dialogue (TOD) systems, which require specialized datasets, that are usually not readily available, hindering many companies from adding TOD systems to their services. This study therefore investigates a novel approach to sourcing annotated dialogues from existing monologue material.
Focusing on a real-world example from the travel industry, where a company handles travel inquiries via email, we investigate whether these monologues can be transformed into dialogue formats suitable for training TOD systems. To this end, we fine-tune state-of-the-art Large Language Models for the task of rewriting monologue e-mails as dialogues and annotating them.
To ensure the quality and validity of the generated data, we employ crowd workers to evaluate the dialogues across multiple criteria and to provide gold-standard annotations for the test dataset. We further evaluate the usefulness of the dialogues for training TOD systems.
Our evaluation shows that the dialogues and annotations are of high quality and can serve as a valuable starting point for training TOD systems.
Finally, we make the annotated dataset publicly available to foster future research.

MonoTODia: Translating Monologue Requests to Task-Oriented Dialogues

Predicting how long a patient is going to stay in an Intensive Care Unit (ICU) is considered an important problem for hospital administrators. While a number of studies have deployed classification models that use structured clinical variables, recent advances in language models have opened up the possibilities of using unstructured text data like nursing notes, discharge summaries etc. for ICU length-of-stay(LoS) prediction. In this paper, we propose a technique that analyses nursing notes to predict the remaining length of stay of a patient in the ICU. We propose a joint model of latent note categorization for the prediction. This latent categorization allows the model to identify high-level health contexts that influence patterns of disease severity for a patient. We evaluate the performance of our model on the openly available MIMIC-III dataset. Our preliminary results demonstrate that the proposed model outperforms competitive baselines.

Predicting ICU Length of Stay for Patients using Latent Categorization of Health Conditions

With the rise of online retail, customer reviews have become a critical factor in shaping purchasing decisions. The sheer volume of customer reviews being generated continuously presents a challenge for consumers who must sift through an overwhelming amount of feedback. To address this issue, we introduce RevieWeaver, a novel framework that extracts key product features and provides concise review summaries. Our innovative approach not only scales efficiently to 30 million reviews but also ensures reproducibility and controllability. Moreover, it delivers unbiased and reliable assessments of products that accurately reflect the input reviews.

RevieWeaver: Weaving Together Review Insights by Leveraging LLMs and Semantic Similarity

Existing zero-shot product attribute value (aspect) extraction approaches in e-Commerce industry rely on uni-modal or multi-modal models, where the sellers are asked to provide detailed textual inputs (product descriptions) for the products. However, manually providing (typing) the product descriptions is time-consuming and frustrating for the sellers. Thus, we propose a cross-modal zero-shot attribute value generation framework (ViOC-AG) based on CLIP, which only requires product images as the inputs. ViOC-AG follows a text-only training process, where a task-customized text decoder is trained with the frozen CLIP text encoder to alleviate the modality gap and task disconnection. During the zero-shot inference, product aspects are generated by the frozen CLIP image encoder connected with the trained task-customized text decoder. OCR tokens and outputs from a frozen prompt-based LLM correct the decoded outputs for out-of-domain attribute values. Experiments show that ViOC-AG significantly outperforms other fine-tuned vision-language models for zero-shot attribute value extraction.

Visual Zero-Shot E-Commerce Product Attribute Value Extraction

Typical evaluations of Large Language Models (LLMs) report a single metric per dataset, often representing the model's best-case performance under carefully selected settings. Unfortunately, this approach overlooks model robustness and reliability in real-world applications. For instance, simple paraphrasing of prompts on the MMLU-Pro dataset causes accuracy fluctuations of up to 10%, while reordering answer choices in the AGIEval dataset results in accuracy differences of up to 6.1%. While some studies discuss issues with LLM robustness, there is no unified or centralized framework for evaluating the robustness of language models. To address this gap and consolidate existing research on model robustness, we present SCORE (**S**ystematic **CO**nsistency and **R**obustness **E**valuation), a comprehensive framework for non-adversarial evaluation of LLMs. The SCORE framework evaluates models by repeatedly testing them on the same benchmarks in various setups to give a realistic estimate of their accuracy and consistency. 
We will make the code publicly available to facilitate further development and research.

SCORE: Systematic COnsistency and Robustness Evaluation for Large Language Models

The advancement of large language models (LLMs) has led to a greater challenge of having a rigorous and systematic evaluation of complex tasks performed, especially in enterprise applications. Therefore, LLMs need to be benchmarked with enterprise datasets for a variety of NLP tasks. This work explores benchmarking strategies focused on LLM evaluation, with a specific emphasis on both English and Japanese. The proposed evaluation framework encompasses 25 publicly available domain-specific English benchmarks from diverse enterprise domains like financial services, legal, climate, cyber security, and 2 public Japanese finance benchmarks. The diverse performance of 8 models across different enterprise tasks highlights the importance of selecting the right model based on the specific requirements of each task. Code and prompts are available on GitHub.

Evaluating Large Language Models with Enterprise Benchmarks

Self-attention has revolutionized natural language processing by capturing long-range dependencies and improving context understanding. However, it comes with high computational costs and struggles with sequential data's inherent directionality. This paper investigates and presents a simplified approach called "shared weight self-attention," where a single weight matrix is used for Keys, Queries, and Values instead of separate matrices for each. This approach cuts training parameters by more than half and significantly reduces training time. Our method not only improves efficiency but also achieves strong performance on tasks from the GLUE benchmark, even outperforming the standard BERT baseline in handling noisy and out-of-domain data. Experimental results show a 66.53% reduction in parameter size within the attention block and competitive accuracy improvements of 3.81% and 1.06% over symmetric and pairwise attention-based BERT models, respectively. The source code will be publicly available.

Does Self-Attention Need Separate Weights in Transformers?

Advances in Natural Language Processing (NLP) have the potential to transform HR processes, from recruitment to employee management. While recent breakthroughs in NLP have generated significant interest in its industrial applications, a comprehensive overview of how NLP can be applied across HR activities is still lacking. This paper discovers opportunities for NLP researchers and HR practitioners to harness NLP’s transformative potential in this domain. We analyze key tasks such as information extraction and text classification, and their roles in enabling core applications such as recommendation and language generation. We also identify gaps in current research and suggest holistic approaches, stressing the importance of realistic datasets to drive progress.

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