Clinical Text Notes (CTNs) contain physicians' reasoning process, written in an unstructured free text format, as they examine and interview patients. In recent years, several studies have been published that provide evidence for the utility of machine learning for predicting doctors' diagnoses from CTNs, a task known as ICD coding. Data annotation is time consuming, particularly when a degree of specialization is needed, as is the case for medical data. This paper presents a method of augmenting a sparsely annotated dataset of Icelandic CTNs with a machine-learned imputation in a semi-self-supervised manner. We train a neural network on a small set of annotated CTNs and use it to extract clinical features from a set of un-annotated CTNs. These clinical features consist of answers to about a thousand potential questions that a physician might find the answers to during a consultation of a patient. The features are then used to train a classifier for the diagnosis of certain types of diseases. We report the results of an evaluation of this data augmentation method over three tiers of data availability to the physician. Our data augmentation method shows a significant positive effect which is diminished when clinical features from the examination of the patient and diagnostics are made available. We recommend our method for augmenting scarce datasets for systems that take decisions based on clinical features that do not include examinations or tests.

Training deep neural networks often requires careful hyper-parameter tuning and significant computational resources. In this paper, we propose ConvTimeNet (CTN): an off-the-shelf deep convolutional neural network (CNN) trained on diverse univariate time series classification (TSC) source tasks. Once trained, CTN can be easily adapted to new TSC target tasks via a small amount of fine-tuning using labeled instances from the target tasks. We note that the length of convolutional filters is a key aspect when building a pre-trained model that can generalize to time series of different lengths across datasets. To achieve this, we incorporate filters of multiple lengths in all convolutional layers of CTN to capture temporal features at multiple time scales. We consider all 65 datasets with time series of lengths up to 512 points from the UCR TSC Benchmark for training and testing transferability of CTN: We train CTN on a randomly chosen subset of 24 datasets using a multi-head approach with a different softmax layer for each training dataset, and study generalizability and transferability of the learned filters on the remaining 41 TSC datasets. We observe significant gains in classification accuracy as well as computational efficiency when using pre-trained CTN as a starting point for subsequent task-specific fine-tuning compared to existing state-of-the-art TSC approaches. We also provide qualitative insights into the working of CTN by: i) analyzing the activations and filters of first convolution layer suggesting the filters in CTN are generically useful, ii) analyzing the impact of the design decision to incorporate multiple length decisions, and iii) finding regions of time series that affect the final classification decision via occlusion sensitivity analysis.