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CLTL/
icf-levels-etn

Name: icf-levels-etn
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Regression Model for Eating Functioning Levels (ICF d550)

Description

A fine-tuned regression model that assigns a functioning level to Dutch sentences describing eating functions. The model is based on a pre-trained Dutch medical language model (link to be added): a RoBERTa model, trained from scratch on clinical notes of the Amsterdam UMC. To detect sentences about eating functions in clinical text in Dutch, use the icf-domains classification model.

Functioning levels

Level	Meaning
4	Can eat independently (in culturally acceptable ways), good intake, eats according to her/his needs.
3	Can eat independently but with adjustments, and/or somewhat reduced intake (>75% of her/his needs), and/or good intake can be achieved with proper advice.
2	Reduced intake, and/or stimulus / feeding modules / nutrition drinks are needed (but not tube feeding / TPN).
1	Intake is severely reduced (<50% of her/his needs), and/or tube feeding / TPN is needed.
0	Cannot eat, and/or fully dependent on tube feeding / TPN.

The predictions generated by the model might sometimes be outside of the scale (e.g. 4.2); this is normal in a regression model.

Intended uses and limitations

The model was fine-tuned (trained, validated and tested) on medical records from the Amsterdam UMC (the two academic medical centers of Amsterdam). It might perform differently on text from a different hospital or text from non-hospital sources (e.g. GP records).
The model was fine-tuned with the Simple Transformers library. This library is based on Transformers but the model cannot be used directly with Transformers pipeline and classes; doing so would generate incorrect outputs. For this reason, the API on this page is disabled.

How to use

To generate predictions with the model, use the Simple Transformers library:

from simpletransformers.classification import ClassificationModel

model = ClassificationModel(
    'roberta',
    'CLTL/icf-levels-etn',
    use_cuda=False,
)

example = 'Sondevoeding is geïndiceerd'
_, raw_outputs = model.predict([example])
predictions = np.squeeze(raw_outputs)

The prediction on the example is:

0.89

The raw outputs look like this:

[[0.8872931]]

Training data

The training data consists of clinical notes from medical records (in Dutch) of the Amsterdam UMC. Due to privacy constraints, the data cannot be released.
The annotation guidelines used for the project can be found here.

Training procedure

The default training parameters of Simple Transformers were used, including:

Optimizer: AdamW
Learning rate: 4e-5
Num train epochs: 1
Train batch size: 8

Evaluation results

The evaluation is done on a sentence-level (the classification unit) and on a note-level (the aggregated unit which is meaningful for the healthcare professionals).

	Sentence-level	Note-level
mean absolute error	0.59	0.50
mean squared error	0.65	0.47
root mean squared error	0.81	0.68