System Report for CCL25-Eval Task 8: ClinSplitFT: Enhancing ICD Coding in Chinese EMRs with Prompt Engineering and Candidate Set Splitting

Pusheng Chen, Qiangyu Tan, Zhiwen Tang


Abstract
"CCL25-Eval Task 8 focuses on ICD coding from clinical narratives. The challenge of this task lies in the imbalanced and complex label space, with primary diagnoses having a small, focused set of labels and secondary diagnoses involving a much larger, intricate set. To address these challenges, we propose ClinSplitFT (Clinical Code Split Fine-Tuning), a novel framework that enhances ICD coding accuracy using large language models (LLMs). The key innovation of ClinSplitFT is its candidate set split strategy, which splits the full candidate set into several manageable subsets and fine-tunes the model separately on each. During inference, predictions from all subsets are aggregated to produce the final output. This split-based fine-tuning approach enables more focused learning and better generalization in multi-label settings, making it an effective solution for clinical code prediction at scale. Experimental results show significant improvements in ICD coding performance. The code for our system is publicly available at https://github.com/277CPS/ICD-Code-prediction."
Anthology ID:
2025.ccl-2.39
Volume:
Proceedings of the 24th China National Conference on Computational Linguistics (CCL 2025)
Month:
August
Year:
2025
Address:
Jinan, China
Editors:
Hongfei Lin, Bin Li, Hongye Tan
Venue:
CCL
SIG:
Publisher:
Chinese Information Processing Society of China
Note:
Pages:
331–337
Language:
URL:
https://preview.aclanthology.org/ingest-ccl/2025.ccl-2.39/
DOI:
Bibkey:
Cite (ACL):
Pusheng Chen, Qiangyu Tan, and Zhiwen Tang. 2025. System Report for CCL25-Eval Task 8: ClinSplitFT: Enhancing ICD Coding in Chinese EMRs with Prompt Engineering and Candidate Set Splitting. In Proceedings of the 24th China National Conference on Computational Linguistics (CCL 2025), pages 331–337, Jinan, China. Chinese Information Processing Society of China.
Cite (Informal):
System Report for CCL25-Eval Task 8: ClinSplitFT: Enhancing ICD Coding in Chinese EMRs with Prompt Engineering and Candidate Set Splitting (Chen et al., CCL 2025)
Copy Citation:
PDF:
https://preview.aclanthology.org/ingest-ccl/2025.ccl-2.39.pdf