Clinical risk scores enable clinicians to tabulate a set of patient data into simple scores to stratify patients into risk categories. Although risk scores are widely used to inform decision-making at the point-of-care, collecting the information necessary to calculate such scores requires considerable time and effort. Previous studies have focused on specific risk scores and involved manual curation of relevant terms or codes and heuristics for each data element of a risk score. To support more generalizable methods for risk score calculation, we annotate 100 patients in MIMIC-III with elements of CHA2DS2-VASc and PERC scores, and explore using question answering (QA) and off-the-shelf tools. We show that QA models can achieve comparable or better performance for certain risk score elements as compared to heuristic-based methods, and demonstrate the potential for more scalable risk score automation without the need for expert-curated heuristics. Our annotated dataset will be released to the community to encourage efforts in generalizable methods for automating risk scores.

We present emrKBQA, a dataset for answering physician questions from a structured patient record. It consists of questions, logical forms and answers. The questions and logical forms are generated based on real-world physician questions and are slot-filled and answered from patients in the MIMIC-III KB through a semi-automated process. This community-shared release consists of over 940000 question, logical form and answer triplets with 389 types of questions and ~7.5 paraphrases per question type. We perform experiments to validate the quality of the dataset and set benchmarks for question to logical form learning that helps answer questions on this dataset.

Although recent advances in abstractive summarization systems have achieved high scores on standard natural language metrics like ROUGE, their lack of factual consistency remains an open challenge for their use in sensitive real-world settings such as clinical practice. In this work, we propose a novel approach to improve factual correctness of a summarization system by re-ranking the candidate summaries based on a factual vector of the summary. We applied this process during our participation in MEDIQA 2021 Task 3: Radiology Report Summarization, where the task is to generate an impression summary of a radiology report, given findings and background as inputs. In our system, we first used a transformer-based encoder-decoder model to generate top N candidate impression summaries for a report, then trained another transformer-based model to predict a 14-observations-vector of the impression based on the findings and background of the report, and finally, utilized this vector to re-rank the candidate summaries. We also employed a source-specific ensembling technique to accommodate for distinct writing styles from different radiology report sources. Our approach yielded 2nd place in the challenge.