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Automated clinical coding using off-the-shelf large language models
Joseph S. Boyle, Antanas Kascenas, Pat Lok, Maria Liakata, Alison Q. O'Neil
arXiv·2023
The task of assigning diagnostic ICD codes to patient hospital admissions is typically performed by expert human coders. Efforts towards automated ICD coding are dominated by supervised deep learning models. However, difficulties in learning to predict the large number of rare codes remain a barrier to adoption in clinical practice. In this work, we leverage off-the-shelf pre-trained generative large language models (LLMs) to develop a practical solution that is suitable for zero-shot and few-shot code assignment, with no need for further task-specific training. Unsupervised pre-training alone does not guarantee precise knowledge of the ICD ontology and specialist clinical coding task, therefore we frame the task as information extraction, providing a description of each coded concept and asking the model to retrieve related mentions. For efficiency, rather than iterating over all codes, we leverage the hierarchical nature of the ICD ontology to sparsely search for relevant codes.
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View paper →The Geometry of Truth: Emergent Linear Structure in Large Language Model Representations of True/False Datasets
Samuel Marks, Max Tegmark
arXiv·2023
Large Language Models (LLMs) have impressive capabilities, but are prone to outputting falsehoods. Recent work has developed techniques for inferring whether a LLM is telling the truth by training probes on the LLM's internal activations. However, this line of work is controversial, with some authors pointing out failures of these probes to generalize in basic ways, among other conceptual issues. In this work, we use high-quality datasets of simple true/false statements to study in detail the structure of LLM representations of truth, drawing on three lines of evidence: 1. Visualizations of LLM true/false statement representations, which reveal clear linear structure. 2. Transfer experiments in which probes trained on one dataset generalize to different datasets. 3. Causal evidence obtained by surgically intervening in a LLM's forward pass, causing it to treat false statements as true and vice versa. Overall, we present evidence that at sufficient scale, LLMs linearly represent the truth or falsehood of factual statements. We also show that simple difference-in-mean probes generalize as well as other probing techniques while identifying directions which are more causally implicated in model outputs.
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View paper →MemGPT: Towards LLMs as Operating Systems
Charles Packer, Sarah Wooders, Kevin Lin, Vivian Fang, Shishir G. Patil, Ion Stoica, Joseph E. Gonzalez
arXiv·2023
Large language models (LLMs) have revolutionized AI, but are constrained by limited context windows, hindering their utility in tasks like extended conversations and document analysis. To enable using context beyond limited context windows, we propose virtual context management, a technique drawing inspiration from hierarchical memory systems in traditional operating systems that provide the appearance of large memory resources through data movement between fast and slow memory. Using this technique, we introduce MemGPT (Memory-GPT), a system that intelligently manages different memory tiers in order to effectively provide extended context within the LLM's limited context window, and utilizes interrupts to manage control flow between itself and the user. We evaluate our OS-inspired design in two domains where the limited context windows of modern LLMs severely handicaps their performance: document analysis, where MemGPT is able to analyze large documents that far exceed the underlying LLM's context window, and multi-session chat, where MemGPT can create conversational agents that remember, reflect, and evolve dynamically through long-term interactions with their users. We release MemGPT code and data for our experiments at https://memgpt.ai.
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