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+ Copyright (c) 2026 Elias Dahl Lunøe & Lucas E. Bülow Mortensen
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README.md CHANGED
@@ -1,62 +1,202 @@
1
  ---
2
  license: apache-2.0
 
 
 
3
  language:
4
  - en
5
  - nl
6
  - da
7
  - es
8
- - fr
9
  tags:
10
- - text2text-generation
11
  - icd
12
  - historical-demography
13
  - digital-humanities
14
- base_model: google/flan-t5-base
 
15
  ---
16
 
17
- # codLLM base (deployment checkpoint)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
18
 
19
- Fine-tuned FLAN-T5-base that assigns **ICD-10h** codes to free-text causes of
20
- death from historical death registers (roughly 1850-1939), across Dutch, Danish,
21
- Spanish, French, English and Latin phrasings with archaic spellings.
22
 
23
- ## Input format matters, a lot
 
 
24
 
25
- The model is highly sensitive to its input shape. Two formats were trained:
 
 
 
 
 
26
 
27
- | format | example |
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
28
  |---|---|
29
- | `cod` | `tabes meseraica` |
30
- | `cod_age_sex` | `cod: stuipen \\| age: unknown \\| sex: male` |
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
31
 
32
- Rules that are easy to get wrong:
33
 
34
- * **cod-only is a bare string** with no `cod: ` prefix.
35
- * **cod_age_sex always emits all three fields**, using the literal string
36
- `unknown` when a value is missing or unmappable. Omitting a field produces a
37
- shape the model never saw in training.
38
 
39
- Which format performs better is **source dependent**. On held-out sources scored
40
- by leave-one-source-out checkpoints, exact match ranged from 0.043 to 0.593 on
41
- the same records purely by changing the format. Measure on your own data rather
42
- than assuming a default.
43
 
44
- ## Output
 
 
 
 
 
 
 
 
 
 
45
 
46
- Comma-separated ICD-10h codes; the task is multi-label. Pair the model with the
47
- included `ICD10h_Masterlist_2024.tsv` for code descriptions.
48
 
49
- ## Uncertainty
50
 
51
- Mean token entropy over the generated sequence is a usable abstention signal.
52
- The reference operating point is `0.127`, chosen for roughly 80% coverage on an
53
- unseen-string slice. Entropy correlates with output length, so it is a better
54
- ranking signal than an absolute per-record probability.
55
 
56
- ## Limitations
 
 
57
 
58
- * Sub-code granularity may follow a different archive's coding convention than
59
- yours; the broader category is often right where the sub-code differs.
60
- * On cause strings never seen in training, accuracy drops substantially.
61
- * Confident wrong codes occur, particularly for convention mismatches, so a
62
- low-entropy prediction is not a guarantee of correctness.
 
1
  ---
2
  license: apache-2.0
3
+ library_name: transformers
4
+ pipeline_tag: text2text-generation
5
+ base_model: google/flan-t5-base
6
  language:
7
  - en
8
  - nl
9
  - da
10
  - es
 
11
  tags:
 
12
  - icd
13
  - historical-demography
14
  - digital-humanities
15
+ - multi-label
16
+ - text2text-generation
17
  ---
18
 
19
+ # codLLM-base-deploy
20
+
21
+ A fine-tuned **FLAN-T5-base** model that maps historical free-text causes of death to **ICD10h codes**.
22
+ This is the deployment checkpoint from our June 2026 bachelor's thesis at the Technical University of Denmark (DTU).
23
+ The main model series for the forthcoming publication will be released separately.
24
+
25
+ [Thesis (PDF)][thesis] · [Source code][code] · [codLLM organization](https://huggingface.co/codllm)
26
+
27
+ | Property | Description |
28
+ |---|---|
29
+ | Task | Sequence-to-sequence, multi-label ICD10h coding |
30
+ | Base model | [google/flan-t5-base](https://huggingface.co/google/flan-t5-base) |
31
+ | Training input | Cause-of-death text, age, and sex |
32
+ | Output | One or more comma-separated ICD10h codes |
33
+ | Intended use | Historical mortality research with expert review |
34
+ | Authors | Lucas E. B. Mortensen and Elias Dahl Lunøe |
35
+
36
+ ## Quick start
37
+
38
+ Install the inference dependencies; Transformers 5.1.0 is the version recorded with this checkpoint:
39
+
40
+ ```bash
41
+ uv add "transformers==5.1.0" torch sentencepiece
42
+ ```
43
+
44
+ The repository is currently private. An account with access must first authenticate with `hf auth login`.
45
+
46
+ ```python
47
+ import torch
48
+ from transformers import AutoModelForSeq2SeqLM, AutoTokenizer
49
+
50
+ model_id = "codllm/codllm-base-deploy"
51
+ tokenizer = AutoTokenizer.from_pretrained(model_id)
52
+ model = AutoModelForSeq2SeqLM.from_pretrained(model_id)
53
+ model.eval()
54
+
55
+ text = "cod: fever | age: unknown | sex: unknown"
56
+ inputs = tokenizer(text, return_tensors="pt", truncation=True, max_length=256)
57
+
58
+ with torch.inference_mode():
59
+ outputs = model.generate(
60
+ **inputs,
61
+ max_new_tokens=32,
62
+ do_sample=False,
63
+ num_beams=1,
64
+ )
65
+
66
+ prediction = tokenizer.decode(outputs[0], skip_special_tokens=True)
67
+ codes = [code.strip() for code in prediction.split(",") if code.strip()]
68
+ print(codes)
69
+ ```
70
+
71
+ This is a minimal CPU example with an illustrative input. It does not compute uncertainty or reproduce the thesis evaluation.
72
+ The explicit generation limit overrides the bundled `generation_config.json` default of `max_length=20`.
73
+ The training pipeline raises its target budget when needed for longer multi-code targets; check for truncation in such cases.
74
+
75
+ ## Input and output
76
 
77
+ Use the deployment training format, with all three fields in this order:
 
 
78
 
79
+ ```text
80
+ cod: fever | age: unknown | sex: unknown
81
+ ```
82
 
83
+ - Preserve the `cod: `, `age: `, and `sex: ` prefixes and the ` | ` separators.
84
+ - Use the literal `unknown` for missing or unmappable metadata; keep the field in the input.
85
+ - Follow the project's [input preprocessing](https://github.com/murrodroid/codllm/blob/main/src/codllm/input/transform.py)
86
+ for age and sex normalization. The quick start assumes text has already been formatted.
87
+ - COD-only inputs were studied in separate experiments. Their bare-string format should not be treated as
88
+ interchangeable with this checkpoint's metadata input or as reproducing its reported scores.
89
 
90
+ Predictions are comma-separated code strings. Evaluation treats codes as an unordered set.
91
+ Use the included [ICD10h 2024 masterlist](./ICD10h_Masterlist_2024.tsv) for code descriptions and validity checks;
92
+ free generation does not enforce membership in the masterlist.
93
+
94
+ ## Training and data
95
+
96
+ The thesis describes 1,525,048 historical records from Amsterdam, Copenhagen, Madrid, Belgium, and Ipswich,
97
+ plus English reference strings. Raw archival records are subject to a data-use agreement and are not distributed here.
98
+ The model uses masterlist pretraining followed by historical fine-tuning.
99
+
100
+ The project's [reviewed language inventory][languages] identifies Dutch (including Flemish/Belgian Dutch), Danish,
101
+ Spanish, and English. The Belgian dataset owner's clarification supersedes the thesis's French/Dutch description.
102
+ Historical Latin expressions can occur within records; this is not a separately evaluated Latin capability.
103
+
104
+ <details>
105
+ <summary>Deployment training recipe</summary>
106
+
107
+ Settings below are reported in the thesis, Sections 6.1–6.2 and Table 6.4.
108
+
109
+ | Setting | Value |
110
  |---|---|
111
+ | Historical split | Random record-level 90/5/5; data seed 333 |
112
+ | Input fields | COD + age + sex |
113
+ | Rare-code upsampling floor | 200 |
114
+ | Synthetic multi-COD ratio | 0.30 |
115
+ | Base perturbation rate | 0.50 |
116
+ | Learning rate / schedule | 2.5e-5 / constant with warmup |
117
+ | Warmup ratio | 0.10 |
118
+ | Effective batch size | 256 |
119
+ | Maximum fine-tuning epochs | 80 |
120
+ | Early-stopping patience | 10 epochs |
121
+ | Checkpoint selection | Highest validation macro-F1 |
122
+ | Source / target token budgets | 256 / 32 by default; target budget raised when necessary |
123
+
124
+ These are the thesis recipe settings. Current publication experiment specifications describe later work.
125
+
126
+ </details>
127
+
128
+ ## Evaluation
129
+
130
+ The following are **thesis-reported results for codLLM-base-deploy**, Table 7.1, on historical records with
131
+ English reference strings excluded. They have not been recomputed for this card update.
132
+
133
+ | Metric | Full historical test | Unseen-string slice |
134
+ |---|---:|---:|
135
+ | Records | 76,249 | 5,862 |
136
+ | Exact-match accuracy | 0.985 ± 0.001 | 0.843 ± 0.009 |
137
+ | Jaccard | 0.989 ± 0.001 | 0.884 ± 0.007 |
138
+ | Macro-F1 | 0.749 | 0.625 |
139
+ | Micro-F1 | 0.987 ± 0.001 | 0.902 ± 0.006 |
140
+
141
+ **Split context matters:** 92.19% of historical test records share their exact cause text with a training record
142
+ (thesis Table 5.3). The unseen-string slice excludes cause strings appearing verbatim in training or validation.
143
+ It is a subset of the same record-level split, not an independently grouped or source-held-out test.
144
+ Rare causes and near-duplicate wording affect its interpretation.
145
+
146
+ The ± values are 95% cluster-bootstrap half-widths over distinct input strings, using 5,000 resamples.
147
+ They describe a fixed model and test set, not variation across training seeds. Macro-F1 is reported without an interval.
148
+
149
+ The thesis's leave-one-source-out results use **five separately trained holdout checkpoints** (Section 7.4).
150
+ They are not transfer scores for this uploaded checkpoint and do not establish cross-lingual performance.
151
+
152
+ ## Uncertainty and limitations
153
+
154
+ The thesis ranks predictions by mean token entropy to study selective prediction.
155
+ On the unseen-string slice, retaining the most confident 80% raises exact-match accuracy from 0.843 to 0.925
156
+ (Figure 7.3). This is a rank-based result, not a calibrated probability or a universal entropy threshold.
157
+ Evaluate any acceptance rule on representative target data before using it to defer records for review.
158
+
159
+ - Performance depends on the archive's wording, label conventions, and representation in training.
160
+ - Rare codes and unfamiliar cause strings are harder; a correct broad category can still have an incorrect sub-code.
161
+ - Confident errors occur, and generated codes should be checked against the reference vocabulary.
162
+ - Training labels come from human-coded registers and can contain errors. The thesis does not establish performance
163
+ across repeated training seeds or arbitrary new archives.
164
+
165
+ Use the model as support for historical coding and expert review. Clinical diagnosis and contemporary medical coding
166
+ were not evaluated.
167
 
168
+ ## Citation
169
 
170
+ Lucas E. B. Mortensen and Elias Dahl Lunøe (2026).
171
+ *Automated Historical Cause-of-Death Coding Using Fine-Tuned Language Models.*
172
+ Bachelor's thesis, DTU Compute, Technical University of Denmark. [Read the thesis][thesis].
 
173
 
174
+ <details>
175
+ <summary>BibTeX</summary>
 
 
176
 
177
+ ```bibtex
178
+ @thesis{mortensen_lunoe_2026_codllm,
179
+ author = {Mortensen, Lucas E. B. and Lunøe, Elias Dahl},
180
+ title = {Automated Historical Cause-of-Death Coding Using Fine-Tuned Language Models},
181
+ institution = {Technical University of Denmark},
182
+ type = {Bachelor's thesis},
183
+ year = {2026},
184
+ month = jun,
185
+ url = {https://huggingface.co/spaces/codllm/README/resolve/main/codLLM_Thesis.pdf}
186
+ }
187
+ ```
188
 
189
+ </details>
 
190
 
191
+ ## License
192
 
193
+ The [codLLM project source code][code] is licensed under the **MIT License**.
194
+ An unchanged copy of the project's license, including the authors' copyright notice, is included as [LICENSE](./LICENSE).
 
 
195
 
196
+ This checkpoint retains its existing **Apache-2.0** license declaration; see [LICENSE-APACHE](./LICENSE-APACHE).
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+ It modifies Google's [FLAN-T5-base](https://huggingface.co/google/flan-t5-base) weights through codLLM fine-tuning.
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+ The project-code license does not replace the checkpoint license or grant rights to third-party archival data or reference materials.
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+ [thesis]: https://huggingface.co/spaces/codllm/README/resolve/main/codLLM_Thesis.pdf
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+ [code]: https://github.com/murrodroid/codllm
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+ [languages]: https://github.com/murrodroid/codllm/blob/main/data/curation/source_languages.toml