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README.md
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---
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language: nl
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license: mit
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pipeline_tag: text-classification
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inference: false
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---
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# Regression Model for Exercise Tolerance Functioning Levels (ICF b455)
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## Description
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A fine-tuned regression model that assigns a functioning level to Dutch sentences describing exercise tolerance 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 exercise tolerance functions in clinical text in Dutch, use the [icf-domains](https://huggingface.co/CLTL/icf-domains) classification model.
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## Functioning levels
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Level | Meaning
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---|---
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5 | MET>6. Can tolerate jogging, hard exercises, running, climbing stairs fast, sports.
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4 | 4≤MET≤6. Can tolerate walking / cycling at a brisk pace, considerable effort (e.g. cycling from 16 km/h), heavy housework.
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3 | 3≤MET<4. Can tolerate walking / cycling at a normal pace, gardening, exercises without equipment.
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2 | 2≤MET<3. Can tolerate walking at a slow to moderate pace, grocery shopping, light housework.
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1 | 1≤MET<2. Can tolerate sitting activities.
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0 | 0≤MET<1. Can physically tolerate only recumbent activities.
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The predictions generated by the model might sometimes be outside of the scale (e.g. 5.2); this is normal in a regression model.
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## Intended uses and limitations
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- 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).
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- The model was fine-tuned with the [Simple Transformers](https://simpletransformers.ai/) 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.
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## How to use
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To generate predictions with the model, use the [Simple Transformers](https://simpletransformers.ai/) library:
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```
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from simpletransformers.classification import ClassificationModel
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model = ClassificationModel(
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'roberta',
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'CLTL/icf-levels-ins',
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use_cuda=False,
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)
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example = 'kan nog goed traplopen, maar flink ingeleverd aan conditie na Corona'
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_, raw_outputs = model.predict([example])
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predictions = np.squeeze(raw_outputs)
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```
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The prediction on the example is:
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```
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3.13
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```
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The raw outputs look like this:
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```
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[[3.1300993]]
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```
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## Training data
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- 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.
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- The annotation guidelines used for the project can be found [here](https://github.com/cltl/a-proof-zonmw/tree/main/resources/annotation_guidelines).
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## Training procedure
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The default training parameters of Simple Transformers were used, including:
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- Optimizer: AdamW
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- Learning rate: 4e-5
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- Num train epochs: 1
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- Train batch size: 8
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## Evaluation results
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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).
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| | Sentence-level | Note-level
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|---|---|---
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mean absolute error | 0.69 | 0.61
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mean squared error | 0.80 | 0.64
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root mean squared error | 0.89 | 0.80
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## Authors and references
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### Authors
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Jenia Kim, Piek Vossen
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### References
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TBD
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