Healthcare AI · Interpretability
ShifaMind: A Multiplicative Concept Bottleneck for Interpretable ICD-10 Coding
Automated ICD-10 coding from clinical discharge summaries requires models that are both accurate on long-tailed multi-label classification tasks and interpretable to clinicians. We present ShifaMind, a concept-grounded architecture built around a Multiplicative Concept Bottleneck (MCB), which changes the form, rather than the width, of the bottleneck. Instead of projecting through a narrow concept layer, ShifaMind uses a learned multiplicative gate over a concept-grounded representation while retaining a scalar concept interface for inspection. On MIMIC-IV top-50 ICD-10 coding, ShifaMind achieves performance competitive with the strongest baseline LAAT across F1, AUC, and ranking metrics, while outperforming five additional ICD-coding baselines and providing concept-mediated explanations.
0.712
Macro-F1
MIMIC-IV top-50
4.3×
over Vanilla CBM
0.704
CSTPR