ICD coding is a process of assigning the International Classification of Disease diagnosis codes to clinical/medical notes documented by health professionals (e.g. clinicians). This process requires significant human resources, and thus is costly and prone to error. To handle the problem, machine learning has been utilized for automatic ICD coding. Previous state-of-the-art models were based on convolutional neural networks, using a single/several fixed window sizes. However, the lengths and interdependence between text fragments related to ICD codes in clinical text vary significantly, leading to the difficulty of deciding what the best window sizes are. In this paper, we propose a new label attention model for automatic ICD coding, which can handle both the various lengths and the interdependence of the ICD code related text fragments. Furthermore, as the majority of ICD codes are not frequently used, leading to the extremely imbalanced data issue, we additionally propose a hierarchical joint learning mechanism extending our label attention model to handle the issue, using the hierarchical relationships among the codes. Our label attention model achieves new state-of-the-art results on three benchmark MIMIC datasets, and the joint learning mechanism helps improve the performances for infrequent codes.

The system proposed in this study provides automatic identification and characterisation of cancers from large collections of free-text death certificates. This allows organisations such as Cancer Registries to monitor and report on cancer mortality in a timely and accurate manner. In addition, the methods and findings are generally applicable beyond cancer classification and to other sources of medical text besides death certificates.

Practical quantum computing will require error rates well below those achievable with physical qubits. Quantum error correction1,2 offers a path to algorithmically relevant error rates by encoding logical qubits within many physical qubits, for which increasing the number of physical qubits enhances protection against physical errors. However, introducing more qubits also increases the number of error sources, so the density of errors must be sufficiently low for logical performance to improve with increasing code size. Here we report the measurement of logical qubit performance scaling across several code sizes, and demonstrate that our system of superconducting qubits has sufficient performance to overcome the additional errors from increasing qubit number. We find that our distance-5 surface code logical qubit modestly outperforms an ensemble of distance-3 logical qubits on average, in terms of both logical error probability over 25 cycles and logical error per cycle ((2.914 ± 0.016)% compared to (3.028 ± 0.023)%). To investigate damaging, low-probability error sources, we run a distance-25 repetition code and observe a 1.7 × 10−6 logical error per cycle floor set by a single high-energy event (1.6 × 10−7 excluding this event). We accurately model our experiment, extracting error budgets that highlight the biggest challenges for future systems. These results mark an experimental demonstration in which quantum error correction begins to improve performance with increasing qubit number, illuminating the path to reaching the logical error rates required for computation.