Medical data annotation requires highly qualified expertise. Despite the efforts devoted to medical entity linking in different languages, available data is very sparse in terms of both data volume and languages. In this work, we establish benchmarks for cross-lingual medical entity linking using clinical reports, clinical guidelines, and medical research papers. We present a test set filtering procedure designed to analyze the “hard cases” of entity linking approaching zero-shot cross-lingual transfer learning, evaluate state-of-the-art models, and draw several interesting conclusions based on our evaluation results.

We present RuCCoN, a new dataset for clinical concept normalization in Russian manually annotated by medical professionals. It contains over 16,028 entity mentions manually linked to over 2,409 unique concepts from the Russian language part of the UMLS ontology. We provide train/test splits for different settings (stratified, zero-shot, and CUI-less) and present strong baselines obtained with state-of-the-art models such as SapBERT. At present, Russian medical NLP is lacking in both datasets and trained models, and we view this work as an important step towards filling this gap. Our dataset and annotation guidelines are available at https://github.com/sberbank-ai-lab/RuCCoN.

Biomedical information retrieval has often been studied as a task of detecting whether a system correctly detects entity spans and links these entities to concepts from a given terminology. Most academic research has focused on evaluation of named entity recognition (NER) and entity linking (EL) models which are key components to recognizing diseases and genes in PubMed abstracts. In this work, we perform a fine-grained evaluation intended to understand the efficiency of state-of-the-art BERT-based information extraction (IE) architecture as a biomedical search engine. We present a novel manually annotated dataset of abstracts for disease and gene search. The dataset contains 23K query-abstract pairs, where 152 queries are selected from logs of our target discovery platform and PubMed abstracts annotated with relevance judgments. Specifically, the query list also includes a subset of concepts with at least one ambiguous concept name. As a baseline, we use off-she-shelf Elasticsearch with BM25. Our experiments on NER, EL, and retrieval in a zero-shot setup show the neural IE architecture shows superior performance for both disease and gene concept queries.

The global growth of social media usage over the past decade has opened research avenues for mining health related information that can ultimately be used to improve public health. The Social Media Mining for Health Applications (#SMM4H) shared tasks in its sixth iteration sought to advance the use of social media texts such as Twitter for pharmacovigilance, disease tracking and patient centered outcomes. #SMM4H 2021 hosted a total of eight tasks that included reruns of adverse drug effect extraction in English and Russian and newer tasks such as detecting medication non-adherence from Twitter and WebMD forum, detecting self-reported adverse pregnancy outcomes, detecting cases and symptoms of COVID-19, identifying occupations mentioned in Spanish by Twitter users, and detecting self-reported breast cancer diagnosis. The eight tasks included a total of 12 individual subtasks spanning three languages requiring methods for binary classification, multi-class classification, named entity recognition and entity normalization. With a total of 97 registering teams and 40 teams submitting predictions, the interest in the shared tasks grew by 70% and participation grew by 38% compared to the previous iteration.

This paper describes neural models developed for the Social Media Mining for Health (SMM4H) 2021 Shared Task. We participated in two tasks on classification of tweets that mention an adverse drug effect (ADE) (Tasks 1a & 2) and two tasks on extraction of ADE concepts (Tasks 1b & 1c). For classification, we investigate the impact of joint use of BERTbased language models and drug embeddings obtained by chemical structure BERT-based encoder. The BERT-based multimodal models ranked first and second on classification of Russian (Task 2) and English tweets (Task 1a) with the F1 scores of 57% and 61%, respectively. For Task 1b and 1c, we utilized the previous year’s best solution based on the EnDR-BERT model with additional corpora. Our model achieved the best results in Task 1c, obtaining an F1 of 29%.

The vast amount of data on social media presents significant opportunities and challenges for utilizing it as a resource for health informatics. The fifth iteration of the Social Media Mining for Health Applications (#SMM4H) shared tasks sought to advance the use of Twitter data (tweets) for pharmacovigilance, toxicovigilance, and epidemiology of birth defects. In addition to re-runs of three tasks, #SMM4H 2020 included new tasks for detecting adverse effects of medications in French and Russian tweets, characterizing chatter related to prescription medication abuse, and detecting self reports of birth defect pregnancy outcomes. The five tasks required methods for binary classification, multi-class classification, and named entity recognition (NER). With 29 teams and a total of 130 system submissions, participation in the #SMM4H shared tasks continues to grow.

This paper describes neural models developed for the Social Media Mining for Health (SMM4H) 2020 shared tasks. Specifically, we participated in two tasks. We investigate the use of a language representation model BERT pretrained on a large-scale corpus of 5 million health-related user reviews in English and Russian. The ensemble of neural networks for extraction and normalization of adverse drug reactions ranked first among 7 teams at the SMM4H 2020 Task 3 and obtained a relaxed F1 of 46%. The BERT-based multilingual model for classification of English and Russian tweets that report adverse reactions ranked second among 16 and 7 teams at two first subtasks of the SMM4H 2019 Task 2 and obtained a relaxed F1 of 58% on English tweets and 51% on Russian tweets.

Linking of biomedical entity mentions to various terminologies of chemicals, diseases, genes, adverse drug reactions is a challenging task, often requiring non-syntactic interpretation. A large number of biomedical corpora and state-of-the-art models have been introduced in the past five years. However, there are no general guidelines regarding the evaluation of models on these corpora in single- and cross-terminology settings. In this work, we perform a comparative evaluation of various benchmarks and study the efficiency of state-of-the-art neural architectures based on Bidirectional Encoder Representations from Transformers (BERT) for linking of three entity types across three domains: research abstracts, drug labels, and user-generated texts on drug therapy in English. We have made the source code and results available at https://github.com/insilicomedicine/Fair-Evaluation-BERT.

This paper describes a system developed for the Social Media Mining for Health (SMM4H) 2019 shared tasks. Specifically, we participated in three tasks. The goals of the first two tasks are to classify whether a tweet contains mentions of adverse drug reactions (ADR) and extract these mentions, respectively. The objective of the third task is to build an end-to-end solution: first, detect ADR mentions and then map these entities to concepts in a controlled vocabulary. We investigate the use of a language representation model BERT trained to obtain semantic representations of social media texts. Our experiments on a dataset of user reviews showed that BERT is superior to state-of-the-art models based on recurrent neural networks. The BERT-based system for Task 1 obtained an F1 of 57.38%, with improvements up to +7.19% F1 over a score averaged across all 43 submissions. The ensemble of neural networks with a voting scheme for named entity recognition ranked first among 9 teams at the SMM4H 2019 Task 2 and obtained a relaxed F1 of 65.8%. The end-to-end model based on BERT for ADR normalization ranked first at the SMM4H 2019 Task 3 and obtained a relaxed F1 of 43.2%.

In this work, we consider the medical concept normalization problem, i.e., the problem of mapping a health-related entity mention in a free-form text to a concept in a controlled vocabulary, usually to the standard thesaurus in the Unified Medical Language System (UMLS). This is a challenging task since medical terminology is very different when coming from health care professionals or from the general public in the form of social media texts. We approach it as a sequence learning problem with powerful neural networks such as recurrent neural networks and contextualized word representation models trained to obtain semantic representations of social media expressions. Our experimental evaluation over three different benchmarks shows that neural architectures leverage the semantic meaning of the entity mention and significantly outperform existing state of the art models.