Challenge: Existing methods of automatic coding prediction have been successful, but the interpretability of predicted codes is a challenge.
Approach: They propose an online system that can predict ICD codes for Chinese clinical notes by using a Dilated Convolutional Attention network with N-gram Matching mechanism.
Outcome: The proposed system is able to provide supporting information in clinical decision making.

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Challenge: Existing automated ICD coding systems face several fundamental challenges due to the limited availability of publicly available Chinese ICD datasets.
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Medical Code Assignment with Gated Convolution and Note-Code Interaction (2021.findings-acl)

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Challenge: Medical code assignment from clinical text is a longstanding challenge due to lengthy semantic information in medical notes.
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Accurate and Well-Calibrated ICD Code Assignment Through Attention Over Diverse Label Embeddings (2024.eacl-long)

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Challenge: Existing approaches to assigning ICD codes to clinical text are time-consuming, labor intensive, and error-prone.
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A Neural Architecture for Automated ICD Coding (P18-1)

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Challenge: Medical coding is time-consuming, expensive, and error prone.
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Explainable Prediction of Medical Codes from Clinical Text (N18-1)

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Challenge: Clinical notes are text documents that are created by clinicians for each patient encounter.
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Challenge: Medical coding is time-consuming and error-prone due to large label space, lengthy text inputs, and the absence of supporting evidence annotations.
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Less is More: Explainable and Efficient ICD Code Prediction with Clinical Entities (2025.acl-long)

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Challenge: Clinical coding is labor-intensive and prone to delays, leading to global backlogs.
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Scalable Wide and Deep Learning for Computer Assisted Coding (N18-3)

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Challenge: In recent years the use of electronic medical records has accelerated resulting in large volumes of medical data when a patient visits a healthcare facility.
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ICDAGENT: Empowering Agentic Large Language Models for Explainable Medical Coding (2026.acl-long)

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Challenge: Existing models lack convincing, human-understandable explanations, making them difficult for physicians to trust and use in practice.
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Analyzing Code Embeddings for Coding Clinical Narratives (2021.findings-acl)

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Challenge: Recent work on automated ICD coding learn mappings between low-dimensional representations of clinical text reports and codes.
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