Singapore

Patient portal allows discharged patients to access their personalized discharge instructions in electronic health records (EHRs). However, many patients have difficulty understanding or memorizing their discharge instructions. In this paper, we present PaniniQA, a patient-centric interactive question answering system designed to help patients understand their discharge instructions. PaniniQA first identifies important clinical content from patients&#39; discharge instructions and then formulates patient-specific educational questions.In addition, PaniniQA is also equipped with answer verification functionality to provide timely feedback to correct patients&#39; misunderstandings. Our comprehensive automatic and human evaluation results demonstrate our PaniniQA is capable of improving patients&#39; mastery of their medical instructions through effective interactions.

EMNLP 2023

PaniniQA: Enhancing Patient Education Through Interactive Question Answering

interactive question-answering design

patient education

chatgpt

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Welcome to the largest national, multi-specialty research event featuring research from 750 medical students, residents and fellows, and international medical graduates.


Patient portal allows discharged patients to access their personalized discharge instructions in electronic health records (EHRs). However, many patients have difficulty understanding or memorizing their discharge instructions. In this paper, we present PaniniQA, a patient-centric interactive question answering system designed to help patients understand their discharge instructions. PaniniQA first identifies important clinical content from patients' discharge instructions and then formulates patient-specific educational questions.In addition, PaniniQA is also equipped with answer verification functionality to provide timely feedback to correct patients' misunderstandings. Our comprehensive automatic and human evaluation results demonstrate our PaniniQA is capable of improving patients' mastery of their medical instructions through effective interactions.

technical paper

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Compositional generalization benchmarks seek to assess whether models can accurately compute meanings for novel sentences, but operationalize this in terms of logical form (LF) prediction. This raises the concern that semantically irrelevant details of the chosen LFs could shape model performance. We argue that this concern is realized for the COGS benchmark (Kim and Linzen, 2020). COGS poses generalization splits that appear impossible for present-day models, which could be taken as an indictment of those models. However, we show that the negative results trace to incidental features of COGS LFs. Converting these LFs to semantically equivalent ones and factoring out capabilities unrelated to semantic interpretation, we find that even baseline models get traction. A recent variable-free translation of COGS LFs suggests similar conclusions, but we observe this format is not semantically equivalent; it is incapable of accurately representing some COGS meanings. These findings inform our proposal for ReCOGS, a modified version of COGS that comes closer to assessing the target semantic capabilities while remaining very challenging. Overall, our results reaffirm the importance of compositional generalization and careful benchmark task design.

ReCOGS: How Incidental Details of a Logical Form Overshadow an Evaluation of Semantic Interpretation

Sequence generation models are increasingly being used to translate natural language into programs, i.e. to perform executable semantic parsing. The fact that semantic parsing aims to predict programs that can lead to executed actions in the real world motivates developing safe systems. This in turn makes measuring calibration -- a central component to safety -- particularly important. We investigate the calibration of popular generation models across four popular semantic parsing datasets, finding that it varies across models and datasets.  We then analyze factors associated with calibration error and release new confidence-based challenge splits of two parsing datasets. To facilitate the inclusion of calibration in semantic parsing evaluations, we release a library for computing calibration metrics.

Calibrated Interpretation: Confidence Estimation in Semantic Parsing | VIDEO

The availability of large, high-quality datasets has been a major driver of recent progress in question answering (QA). Such annotated datasets, however, are difficult and costly to collect, and rarely exist in languages other than English, rendering QA technology inaccessible to underrepresented languages. An alternative to building large monolingual training datasets is to leverage pre-trained language models (PLMs) under a few-shot learning setting. Our approach, QAmeleon, uses a PLM to automatically generate multilingual data upon which QA models are fine-tuned, thus avoiding costly annotation. Prompt tuning the PLM with only five examples per language delivers accuracy superior to translation-based baselines; it bridges nearly 60% of the gap between an English-only baseline and a fully-supervised upper bound fine-tuned on almost 50,000 hand-labeled examples; and consistently leads to improvements compared to directly fine-tuning a QA model on labeled examples in low resource settings. Experiments on the TyDiQA-GoldP and MLQA benchmarks show that few-shot prompt tuning for data synthesis scales across languages and is a viable alternative to large-scale annotation.

QAmeleon: Multilingual QA with Only 5 Examples | VIDEO

When applying multimodal machine learning in downstream inference, both joint and coordinated multimodal representations rely on the complete presence of modalities as in training. However, the modal-incomplete data, where certain modalities are missing, greatly reduces performance in Multimodal Sentiment Analysis (MSA) due to varying input forms and semantic information deficiencies. This limits the applicability of the predominant MSA methods in the real world, where the completeness of multimodal data is uncertain and variable. The generation-based methods attempt to generate the missing modality, yet they require complex hierarchical architecture with huge computational costs and struggle with the representation gaps across different modalities. Diversely, we propose a novel representation learning approach named MissModal, devoting to increasing robustness to missing modality in a classification approach. Specifically, we adopt constraints with geometric contrastive loss, distribution distance loss, and sentiment semantic loss to align the representations of modal-missing and modal-complete data, without impacting the sentiment inference for the complete modalities. Furthermore, we do not demand any changes in the multimodal fusion stage, highlighting the generality of our method in other multimodal learning systems. Extensive experiments demonstrate that the proposed method achieves superior performance with minimal computational costs in various missing modalities scenarios (flexibility), including severely missing modality (efficiency) on two public MSA datasets.

MissModal: Increasing Robustness to Missing Modality in Multimodal Sentiment Analysis

Byte-pair encoding (BPE) is widely used in NLP for performing subword tokenization. It uncovers redundantpatterns for compressing the data, and hence alleviates the sparsity problem in downstream applications.Subwords discovered during the first merge operations tend to have the most substantial impact on thecompression of texts. However, the structural underpinnings of this effect have not been analyzedcross-linguistically. We conduct in-depth analyses across 47 typologically diverse languages and threeparallel corpora, and thereby show that the types of recurrent patterns that have the strongest impact oncompression are an indicator of morphological typology. For languages with richer inflectional morphologythere is a preference for highly productive subwords on the early merges, while for languages with lessinflectional morphology, idiosyncratic subwords are more prominent. Both types of patterns contribute toefficient compression. Counter to the common perception that BPE subwords are not linguistically relevant,we find patterns across languages that resemble those described in traditional typology. We thus propose anovel way to characterize languages according to their BPE subword properties, inspired by the notion ofmorphological productivity in linguistics. This allows us to have language vectors that encode typologicalknowledge induced from raw text. Our approach is easily applicable to a wider range of languages and texts,as it does not require annotated data or any external linguistic knowledge. We discuss its potentialcontributions to quantitative typology and multilingual NLP.

Languages through the Looking Glass of BPE Compression

To what extent can neural network models learn generalizations about language structure, and how do we find out what they have learned? We explore these questions by training neural models for a range of natural language processing tasks on a massively multilingual dataset of Bible translations in 1,295 languages. The learned language representations are then compared to existing typological databases as well as to a novel set of quantitative syntactic and morphological features obtained through annotation projection. We conclude that some generalizations are surprisingly close to traditional features from linguistic typology, but that most of our models, as well as those of previous work, do not appear to have made linguistically meaningful generalizations. Careful attention to details in the evaluation turns out to be essential to avoid false positives. Furthermore, to encourage continued work in this field, we release several resources covering most or all of the languages in our data: (1) multiple sets of language representations, (2) multilingual word embeddings, (3) projected and predicted syntactic and morphological features, (4) software to provide linguistically sound evaluations of language representations.

Language Embeddings Sometimes Contain Typological Generalizations | VIDEO

This paper shows that the universal generation problem (Heinz, Kobele, and Riggle 2009) for Optimality Theory (OT, Prince and Smolensky 1993, 2004) is PSPACE-complete. While prior work has shown that universal generation is at least NP-hard (Eisner 1997, 2000b; Wareham 1998; Idsardi 2006) and at most EXPSPACE-hard (Riggle 2004), our results place universal generation in between those two classes, assuming that NP ≠ PSPACE. We additionally show that when the number of constraints is bounded in advance, universal generation is at least NL-hard and at most NPNP-hard. Our proofs rely on a close connection between OT and the intersection non-emptiness problem for finite automata, which is PSPACE-complete in general (Kozen 1977) and NL-complete when the number of automata is bounded (Jones 1975). Our analysis shows that constraint interaction is the main contributor to the complexity of OT: the ability to factor transformations into simple, interacting constraints allows OT to furnish compact descriptions of intricate phonological phenomena.

Universal Generation for Optimality Theory Is PSPACE-Complete | VIDEO

Transformer-based language models have been shown to be highly effective for several NLP tasks. In this paper, we consider three transformer models, BERT, RoBERTa, and XLNet, in both small and large versions, and investigate how faithful their representations are with respect to the semantic content of texts. We formalize a notion of semantic faithfulness, in which the semantic content of a text should causally figure in a model's inferences in question answering. We then test this notion by observing a model's behavior on answering questions about a story after performing two novel semantic interventions—deletion intervention and negation intervention. While transformer models achieve high performance on standard question answering tasks, we show that they fail to be semantically faithful once we perform these interventions for a significant number of cases (∼ 50% for deletion intervention, and ∼ 20% drop in accuracy for negation intervention). We then propose an intervention-based training regime that can mitigate the undesirable effects for deletion intervention by a significant margin (from ∼ 50% to ∼ 6%). We analyze the inner-workings of the models to better understand the effectiveness of intervention-based training for deletion intervention. But we show that this training does not attenuate other aspects of semantic unfaithfulness such as the models' inability to deal with negation intervention or to capture the predicate-argument structure of texts. We also test InstructGPT, via prompting, for its ability to handle the two interventions and to capture predicate-argument structure. While InstructGPT models do achieve very high performance on predicate-argument structure task, they fail to respond adequately to our deletion and negation interventions.

Analyzing Semantic Faithfulness of Language Models via Input Intervention on Question Answering | VIDEO

Large Language Models (LLMs) evaluation is a patchy and inconsistent landscape, and it is becoming clear that the quality of automatic evaluation metrics is not keeping up with the pace of development of generative models. We aim to improve the understanding of current models' performance by providing a preliminary and hybrid evaluation on a range of open and closed-source generative LLMs on three NLP benchmarks: text summarisation, text simplification and grammatical error correction (GEC), using both automatic and human evaluation. We also explore the potential of the recently released GPT-4 to act as an evaluator. We find that ChatGPT consistently outperforms many other popular models according to human reviewers on the majority of metrics, while scoring much more poorly when using classic automatic evaluation metrics. We also find that human reviewers rate the gold reference as much worse than the best models' outputs, indicating the poor quality of many popular benchmarks. Finally, we find that GPT-4 is capable of ranking models' outputs in a way which aligns reasonably closely to human judgement despite task-specific variations, with a lower alignment in the GEC task.

Evaluation Metrics in the Era of GPT-4: Reliably Evaluating Large Language Models on Sequence to Sequence Tasks

We present the Granular AMR Parsing Evaluation Suite (GrAPES), a challenge set for Abstract Meaning Representation (AMR) parsing with accompanying evaluation metrics. AMR parsers now obtain high scores on the standard AMR evaluation metric Smatch, close to or even above reported inter-annotator agreement. But that does not mean that AMR parsing is solved; in fact, human evaluation in previous work indicates that current parsers still quite frequently make errors on node labels or graph structure that substantially distort sentence meaning. Here, we provide an evaluation suite that tests AMR parsers on a range of phenomena of practical, technical, and linguistic interest. Our 36 categories range from seen and unseen labels, to structural generalization, to coreference. GrAPES reveals in depth the abilities and shortcomings of current AMR parsers.

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