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In order to effectively allocate healthcare resource, a proper triage classification system plays an important role in assessing the severity of on-boarding patients at the emergency department. One of the major items in the current triage system is to assess the level of pain intensity, which relies solely on patients self-report numerical-rating scale (NRS) at the moment. The nature of self-report on pain level poses a challenge in maintaining the validity and consistency of the triage classification outcome. While there has been algorithms developed to automatically detect pain from expressive behaviors, most of them concentrate only on facial or body gestural expressions within the context of physical exercises. In this work, we propose to utilize stacked bottleneck acoustic representations in a long-short term memory neural networks (LSTMs) architecture as features for pain severity classification in a database consists of …