Rios Anthony, Kavuluru Ramakanth
Department of Computer Science, University of Kentucky, Lexington, KY,
Division of Biomedical Informatics, University of Kentucky, Lexington, KY,
Proc Conf. 2018 Jun;2018:2081-2091. doi: 10.18653/v1/N18-1189.
Coding EMRs with diagnosis and procedure codes is an indispensable task for billing, secondary data analyses, and monitoring health trends. Both speed and accuracy of coding are critical. While coding errors could lead to more patient-side financial burden and mis-interpretation of a patient's well-being, timely coding is also needed to avoid backlogs and additional costs for the healthcare facility. In this paper, we present a new neural network architecture that combines ideas from few-shot learning matching networks, multi-label loss functions, and convolutional neural networks for text classification to significantly outperform other state-of-the-art models. Our evaluations are conducted using a well known deidentified EMR dataset (MIMIC) with a variety of multi-label performance measures.
使用诊断和程序代码对电子病历进行编码是计费、二次数据分析以及监测健康趋势必不可少的任务。编码的速度和准确性都至关重要。虽然编码错误可能会给患者带来更多经济负担,并对患者的健康状况产生误解,但及时编码对于避免医疗保健机构的积压和额外成本也是必要的。在本文中,我们提出了一种新的神经网络架构,该架构结合了少样本学习匹配网络、多标签损失函数以及用于文本分类的卷积神经网络的思想,以显著优于其他现有最先进模型。我们使用一个著名的去标识化电子病历数据集(MIMIC)并采用各种多标签性能指标进行评估。