Contextualised word embeddings is a powerful tool to detect contextual synonyms. However, most of the current state-of-the-art (SOTA) deep learning concept extraction methods remain supervised and underexploit the potential of the context. In this paper, we propose a self-supervised pre-training approach which is able to detect contextual synonyms of concepts being training on the data created by shallow matching. We apply our methodology in the sparse multi-class setting (over 15,000 concepts) to extract phenotype information from electronic health records. We further investigate data augmentation techniques to address the problem of the class sparsity. Our approach achieves a new SOTA for the unsupervised phenotype concept annotation on clinical text on F1 and Recall outperforming the previous SOTA with a gain of up to 4.5 and 4.0 absolute points, respectively. After fine-tuning with as little as 20% of the labelled data, we also outperform BioBERT and ClinicalBERT. The extrinsic evaluation on three ICU benchmarks also shows the benefit of using the phenotypes annotated by our model as features.

Insufficient or even unavailable training data of emerging classes is a big challenge of many classification tasks, including text classification. Recognising text documents of classes that have never been seen in the learning stage, so-called zero-shot text classification, is therefore difficult and only limited previous works tackled this problem. In this paper, we propose a two-phase framework together with data augmentation and feature augmentation to solve this problem. Four kinds of semantic knowledge (word embeddings, class descriptions, class hierarchy, and a general knowledge graph) are incorporated into the proposed framework to deal with instances of unseen classes effectively. Experimental results show that each and the combination of the two phases achieve the best overall accuracy compared with baselines and recent approaches in classifying real-world texts under the zero-shot scenario.