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Summarization of clinical narratives is a long-standing research problem. Here, we introduce the task of hospital-course summarization. Given the documentation authored throughout a patient&#39;s hospitalization, generate a paragraph that tells the story of the patient admission. We construct an English, text-to-text dataset of 109,000 hospitalizations (2M source notes) and their corresponding summary proxy: the clinician-authored ``Brief Hospital Course&#39;&#39; paragraph written as part of a discharge note. Exploratory analyses reveal that the BHC paragraphs are highly abstractive with some long extracted fragments; are concise yet comprehensive; differ in style and content organization from the source notes; exhibit minimal lexical cohesion; and represent silver-standard references. Our analysis identifies multiple implications for modeling this complex, multi-document summarization task.

NAACL 2021

What&#39;s in a Summary? Laying the Groundwork for Advances in Hospital-Course Summarization

2021 Annual Conference of the North American Chapter of the Association for Computational Linguistics.

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Summarization of clinical narratives is a long-standing research problem. Here, we introduce the task of hospital-course summarization. Given the documentation authored throughout a patient's hospitalization, generate a paragraph that tells the story of the patient admission. We construct an English, text-to-text dataset of 109,000 hospitalizations (2M source notes) and their corresponding summary proxy: the clinician-authored ``Brief Hospital Course'' paragraph written as part of a discharge note. Exploratory analyses reveal that the BHC paragraphs are highly abstractive with some long extracted fragments; are concise yet comprehensive; differ in style and content organization from the source notes; exhibit minimal lexical cohesion; and represent silver-standard references. Our analysis identifies multiple implications for modeling this complex, multi-document summarization task.

What's in a Summary? Laying the Groundwork for Advances in Hospital-Course Summarization

technical paper

This paper proposes a question-answering (QA) benchmark for spatial reasoning on natural language text which contains more realistic spatial phenomena not covered by prior work and is challenging for state-of-the-art language models (LM). We propose a distant supervision method to improve on this task. Specifically, we design grammar and reasoning rules to automatically generate a spatial description of visual scenes and corresponding QA pairs. Experiments show that further pretraining LMs on these automatically generated data significantly improves LMs' capability on spatial understanding, which in turn helps to better solve two external datasets, bAbI, and boolQ. We hope that this work can foster investigations into more sophisticated models for spatial reasoning over text.

SPARTQA: A Textual Question Answering Benchmark for Spatial Reasoning

Complex question answering often requires finding a reasoning chain that consists of multiple evidence pieces. Current approaches incorporate the strengths of structured knowledge and unstructured text, assuming text corpora is semi-structured. Building on dense retrieval methods, we propose a new multi-step retrieval approach (BeamDR) that iteratively forms an evidence chain through beam search in dense representations. When evaluated on multi-hop question answering, BeamDR is competitive to state-of-the-art systems, without using any semi-structured information. Through query composition in dense space, BeamDR captures the implicit relationships between evidence in the reasoning chain.

Multi-Step Reasoning Over Unstructured Text with Beam Dense Retrieval

Readers of academic research papers often read with the goal of answering specific questions. Question Answering systems that can answer those questions can make consumption of the content much more efficient. However, building such tools requires data that reflect the difficulty of the task arising from complex reasoning about claims made in multiple parts of a paper. In contrast, existing information-seeking question answering datasets usually contain questions about generic factoid-type information. We therefore present QASPER, a dataset of 5,049 questions over 1,585 Natural Language Processing papers. Each question is written by an NLP practitioner who read only the title and abstract of the corresponding paper, and the question seeks information present in the full text. The questions are then answered by a separate set of NLP practitioners who also provide supporting evidence to answers. We find that existing models that do well on other QA tasks do not perform well on answering these questions, underperforming humans by at least 27 F1 points when answering them from entire papers, motivating further research in document grounded, information-seeking QA, which our dataset is designed to facilitate.

A Dataset of Information-Seeking Questions and Answers Anchored in Research Papers

Current commonsense reasoning research focuses on developing models that use commonsense knowledge to answer multiple-choice questions. However, systems designed to answer multiple-choice questions may not be useful in applications that do not provide a small list of candidate answers to choose from. As a step towards making commonsense reasoning research more realistic and useful, we propose to study open-ended commonsense reasoning (OpenCSR) — the task of answering a commonsense question without any pre-defined choices — using as a resource only a knowledge corpus of commonsense facts written in natural language. OpenCSR is challenging due to a large decision space, and because many questions require implicit multi-hop reasoning. As an approach to OpenCSR, we propose DRFACT, an efficient Differentiable model for multi-hop Reasoning over knowledge Facts. To evaluate OpenCSR methods, we adapt three popular multiple-choice datasets and collect multiple new answers to each test question via crowd-sourcing. Experiments show that DrFact outperforms strong baseline methods by a large margin.

Differentiable Open-Ended Commonsense Reasoning

Word Sense Disambiguation (WSD) is a historical NLP task aimed at linking words in contexts to discrete sense inventories and it is usually cast as a multi-label classification task. Recently, several neural approaches have employed sense definitions to better represent word meanings. Yet, these approaches do not observe the input sentence and the sense definition candidates all at once, thus potentially reducing the model performance and generalization power.

ESC: Redesigning WSD with Extractive Sense Comprehension

Several cluster-based methods for semantic change detection with contextual embeddings emerged recently. They allow a fine-grained analysis of word use change by aggregating embeddings into clusters that reflect the different usages of the word. However, these methods are unscalable in terms of memory consumption and computation time. We propose a novel scalable method for word usage change detection that offers large gains in processing time and significant memory savings while offering the same interpretability and better performance than unscalable methods. We demonstrate the applicability of the proposed method by analysing a large corpus of news articles about COVID-19.

Scalable and Interpretable Semantic Change Detection

We present a method for constructing taxonomic trees (e.g., WordNet) using pretrained language models. Our approach is composed of two modules, one that predicts parenthood relations and another that reconciles those predictions into trees. The parenthood prediction module produces likelihood scores for each potential parent-child pair, creating a graph of parent-child relation scores. The tree reconciliation module treats the task as a graph optimization problem and outputs the maximum spanning tree of this graph. We train our model on subtrees sampled from WordNet, and test on non-overlapping WordNet subtrees. We show that incorporating web-retrieved glosses can further improve performance. On the task of constructing subtrees of English WordNet, the model achieves 66.7 ancestor F1, a 20.0% relative increase over the previous best published result on this task. In addition, we convert the original English dataset into nine other languages using Open Multilingual WordNet and extend our results across these languages.

Constructing Taxonomies from Pretrained Language Models

Within the context of event modeling and understanding, we propose a new method for neural sequence modeling that takes partially-observed sequences of discrete, external knowledge into account. We construct a sequential neural variational autoencoder, which uses Gumbel-Softmax reparametrization within a carefully defined encoder, to allow for successful backpropagation during training. The core idea is to allow semisupervised external discrete knowledge to guide, but not restrict, the variational latent parameters during training. Our experiments indicate that our approach not only outperforms multiple baselines and the state-of-the-art in narrative script induction but also converges more quickly.

Event Representation with Sequential, Semi-Supervised Discrete Variables

This paper presents an efficient graph-enhanced approach to multi-document summarization (MDS) with an encoder-decoder Transformer model. This model is based on recent advances in pre-training both encoder and decoder on very large text data (Lewis et al., 2019), and it incorporates an efficient encoding mechanism (Beltagy et al., 2020) that avoids the quadratic memory growth typical for traditional Transformers. We show that this powerful combination not only scales to large input documents commonly found when summarizing news clusters; it also enables us to process additional input in the form of auxiliary graph representations, which we derive from the multi-document clusters. We present a mechanism to incorporate such graph information into the encoder-decoder model that was pre-trained on text only. Our approach leads to significant improvements on the Multi-News dataset, overall leading to an average 1.8 ROUGE score improvement over previous work (Li et al., 2020). We also show improvements in a transfer-only setup on the DUC-2004 dataset. The graph encodings lead to summaries that are more abstractive. Human evaluation shows that they are also more informative and factually more consistent with their input documents.

Efficiently Summarizing Text and Graph Encodings of Multi-Document Clusters

Abstractive summarization, the task of generating a concise summary of input documents, requires: (1) reasoning over the source document to determine the salient pieces of information scattered across the long document, and (2) composing a cohesive text by reconstructing these salient facts into a shorter summary that faithfully reflects the complex relations connecting these facts. In this paper, we adapt TP-Transformer (Schlag et al., 2019), an architecture that enriches the original Transformer (Vaswani et al., 2017) with the explicitly compositional Tensor Product Representation (TPR), for the task of abstractive summarization. The key feature of our model is a structural bias that we introduce by encoding two separate representations for each token to represent the syntactic structure (with role vectors) and semantic content (with filler vectors) separately. The model then binds the role and filler vectors into the TPR as the layer output. We argue that the structured intermediate representations enable the model to take better control of the contents (salient facts) and structures (the syntax that connects the facts) when generating the summary. Empirically, we show that our TP-Transformer outperforms the Transformer and the original TP-Transformer significantly on several abstractive summarization datasets based on both automatic and human evaluations. On several syntactic and semantic probing tasks, we demonstrate the emergent structural information in the role vectors and improved syntactic interpretability in the TPR layer outputs. Code and models are available at https://github.com/jiangycTarheel/TPT-Summ.

What's in a Summary? Laying the Groundwork for Advances in Hospital-Course Summarization

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