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HFEPX · Eval paper review

LTR-ICD: A Ranking-Aware Framework for Automatic ICD Coding

Mohammad Mansoori, Amira Soliman, Farzaneh Etminani

Published

Oct 15, 2025

Citations

0

Trust level

Moderate

Usefulness score

65/100 (Medium)

Extraction confidence

70% (Moderate)

Derived from extracted protocol signals and abstract evidence.

Rater population

Domain Experts

Signals refreshed

Aug 21, 2026

Should you rely on this paper?

This paper has useful evaluation signal, but protocol completeness is partial; pair it with related papers before deciding implementation strategy.

Use this for comparison and orientation, not as your only source.

Best use

Secondary protocol comparison source

Use if you need

A secondary eval reference to pair with stronger protocol papers.

What to verify

Validate the evaluation procedure and quality controls in the full paper before operational use.

Main weakness

No major weakness surfaced.

Human feedback signal
Detected
From extracted signals
Evaluation signal
Detected
Eval setup described
Usefulness for eval research
65/100
Moderate-confidence candidate

Useful as a secondary reference; validate protocol details against neighboring papers.

Abstract

Clinical notes contain unstructured text provided by clinicians during patient encounters. These notes are usually accompanied by a sequence of diagnostic codes following the International Classification of Diseases (ICD). Correctly assigning and ordering ICD codes is essential for medical diagnosis and reimbursement. However, automating this task remains challenging. State-of-the-art methods treated this problem as a classification task, leading to ignoring the order of ICD codes that is essential for different purposes. In this work, as a first attempt, we approach this task from a retrieval system perspective to consider the order of codes, thus formulating this problem as a classification and ranking task. Our results and analysis show that the proposed framework has a superior ability to identify high-priority codes compared to other methods. For instance, our model's accuracy in correctly ranking primary diagnosis codes is 47%, compared to 20% for the state-of-the-art classifier. Additionally, in terms of classification metrics, the proposed model achieves a micro- and macro-F1 scores of 0.6065 and 0.2904, respectively, surpassing the previous best model with scores of 0.6035 and 0.2741.

What we could verify

These are the protocol signals we could actually recover from the available paper metadata. Use them to decide whether this paper is worth deeper reading.

Human Feedback Types

strong

Expert Verification

Directly usable for protocol triage.

"Clinical notes contain unstructured text provided by clinicians during patient encounters."

Evaluation Modes

strong

Automatic Metrics

Includes extracted eval setup.

"Clinical notes contain unstructured text provided by clinicians during patient encounters."

Quality Controls

missing

Not reported

No explicit QC controls found.

"Clinical notes contain unstructured text provided by clinicians during patient encounters."

Benchmarks / Datasets

missing

Not extracted

No benchmark anchors detected.

"Clinical notes contain unstructured text provided by clinicians during patient encounters."

Reported Metrics

strong

Accuracy, F1, F1 macro

Useful for evaluation criteria comparison.

"For instance, our model's accuracy in correctly ranking primary diagnosis codes is 47%, compared to 20% for the state-of-the-art classifier."

Rater Population

strong

Domain Experts

Helpful for staffing comparability.

"Clinical notes contain unstructured text provided by clinicians during patient encounters."

Benchmarks and datasets

No benchmark or dataset names were extracted from the available abstract.

Reported metrics

accuracyf1f1 macro
Human feedback details
Uses human feedback
Yes
Feedback types
Expert Verification
Rater population
Domain Experts
Unit of annotation
Ranking
Expertise required
Medicine, Coding
Evaluation details
Evaluation modes
Automatic Metrics
Agentic eval
None
Quality controls
Not reported
Evidence quality
Moderate
Use this page as
Secondary protocol comparison source

Research brief

Metadata summary

Clinical notes contain unstructured text provided by clinicians during patient encounters.

Based on abstract + metadata only. Check the source paper before making high-confidence protocol decisions.

Key takeaways

  • Clinical notes contain unstructured text provided by clinicians during patient encounters.
  • These notes are usually accompanied by a sequence of diagnostic codes following the International Classification of Diseases (ICD).
  • Correctly assigning and ordering ICD codes is essential for medical diagnosis and reimbursement.

Researcher actions

  • Compare this paper against nearby papers in the same arXiv category before using it for protocol decisions.
  • Validate inferred eval signals (Automatic metrics) against the full paper.
  • Use related-paper links to find stronger protocol-specific references.

Caveats

  • Generated from abstract + metadata only; no PDF parsing.
  • Signals below are heuristic and may miss details reported outside the abstract.

Recommended queries

Contribution summary

  • For instance, our model's accuracy in correctly ranking primary diagnosis codes is 47%, compared to 20% for the state-of-the-art classifier.
  • Additionally, in terms of classification metrics, the proposed model achieves a micro- and macro-F1 scores of 0.6065 and 0.2904, respectively, surpassing the previous best model with scores of 0.6035 and 0.2741.

Researcher checklist

  • Human feedback protocol is explicit

    Detected: Expert Verification

  • Evaluation mode is explicit

    Detected: Automatic Metrics

  • Quality control reporting appears

    No calibration/adjudication/IAA control explicitly detected.

  • Benchmark or dataset anchors are present

    No benchmark/dataset anchor extracted from abstract.

  • Metric reporting is present

    Detected: accuracy, f1, f1 macro