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byAK and the research community

Jan 7

DRAFT-ing Architectural Design Decisions using LLMs

Architectural Knowledge Management (AKM) is crucial for software development but remains challenging due to the lack of standardization and high manual effort. Architecture Decision Records (ADRs) provide a structured approach to capture Architecture Design Decisions (ADDs), but their adoption is limited due to the manual effort involved and insufficient tool support. Our previous work has shown that Large Language Models (LLMs) can assist in generating ADDs. However, simply prompting the LLM does not produce quality ADDs. Moreover, using third-party LLMs raises privacy concerns, while self-hosting them poses resource challenges. To this end, we experimented with different approaches like few-shot, retrieval-augmented generation (RAG) and fine-tuning to enhance LLM's ability to generate ADDs. Our results show that both techniques improve effectiveness. Building on this, we propose Domain Specific Retreival Augumented Few Shot Fine Tuninng, DRAFT, which combines the strengths of all these three approaches for more effective ADD generation. DRAFT operates in two phases: an offline phase that fine-tunes an LLM on generating ADDs augmented with retrieved examples and an online phase that generates ADDs by leveraging retrieved ADRs and the fine-tuned model. We evaluated DRAFT against existing approaches on a dataset of 4,911 ADRs and various LLMs and analyzed them using automated metrics and human evaluations. Results show DRAFT outperforms all other approaches in effectiveness while maintaining efficiency. Our findings indicate that DRAFT can aid architects in drafting ADDs while addressing privacy and resource constraints.

  • 5 authors
·
Apr 10, 2025

Natural Language Processing in Electronic Health Records in Relation to Healthcare Decision-making: A Systematic Review

Background: Natural Language Processing (NLP) is widely used to extract clinical insights from Electronic Health Records (EHRs). However, the lack of annotated data, automated tools, and other challenges hinder the full utilisation of NLP for EHRs. Various Machine Learning (ML), Deep Learning (DL) and NLP techniques are studied and compared to understand the limitations and opportunities in this space comprehensively. Methodology: After screening 261 articles from 11 databases, we included 127 papers for full-text review covering seven categories of articles: 1) medical note classification, 2) clinical entity recognition, 3) text summarisation, 4) deep learning (DL) and transfer learning architecture, 5) information extraction, 6) Medical language translation and 7) other NLP applications. This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Result and Discussion: EHR was the most commonly used data type among the selected articles, and the datasets were primarily unstructured. Various ML and DL methods were used, with prediction or classification being the most common application of ML or DL. The most common use cases were: the International Classification of Diseases, Ninth Revision (ICD-9) classification, clinical note analysis, and named entity recognition (NER) for clinical descriptions and research on psychiatric disorders. Conclusion: We find that the adopted ML models were not adequately assessed. In addition, the data imbalance problem is quite important, yet we must find techniques to address this underlining problem. Future studies should address key limitations in studies, primarily identifying Lupus Nephritis, Suicide Attempts, perinatal self-harmed and ICD-9 classification.

  • 8 authors
·
Jun 22, 2023