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Main Authors: Glen, Jamie, Han, Lifeng, Rayson, Paul, Nenadic, Goran
Format: Preprint
Published: 2024
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Online Access:https://arxiv.org/abs/2407.13638
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author Glen, Jamie
Han, Lifeng
Rayson, Paul
Nenadic, Goran
author_facet Glen, Jamie
Han, Lifeng
Rayson, Paul
Nenadic, Goran
contents This study aims to explore the implementation of Natural Language Processing (NLP) and machine learning (ML) techniques to automate the coding of medical letters with visualised explainability and light-weighted local computer settings. Currently in clinical settings, coding is a manual process that involves assigning codes to each condition, procedure, and medication in a patient's paperwork (e.g., 56265001 heart disease using SNOMED CT code). There are preliminary research on automatic coding in this field using state-of-the-art ML models; however, due to the complexity and size of the models, the real-world deployment is not achieved. To further facilitate the possibility of automatic coding practice, we explore some solutions in a local computer setting; in addition, we explore the function of explainability for transparency of AI models. We used the publicly available MIMIC-III database and the HAN/HLAN network models for ICD code prediction purposes. We also experimented with the mapping between ICD and SNOMED CT knowledge bases. In our experiments, the models provided useful information for 97.98\% of codes. The result of this investigation can shed some light on implementing automatic clinical coding in practice, such as in hospital settings, on the local computers used by clinicians , project page \url{https://github.com/Glenj01/Medical-Coding}.
format Preprint
id arxiv_https___arxiv_org_abs_2407_13638
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle A Comparative Study on Automatic Coding of Medical Letters with Explainability
Glen, Jamie
Han, Lifeng
Rayson, Paul
Nenadic, Goran
Computation and Language
Artificial Intelligence
This study aims to explore the implementation of Natural Language Processing (NLP) and machine learning (ML) techniques to automate the coding of medical letters with visualised explainability and light-weighted local computer settings. Currently in clinical settings, coding is a manual process that involves assigning codes to each condition, procedure, and medication in a patient's paperwork (e.g., 56265001 heart disease using SNOMED CT code). There are preliminary research on automatic coding in this field using state-of-the-art ML models; however, due to the complexity and size of the models, the real-world deployment is not achieved. To further facilitate the possibility of automatic coding practice, we explore some solutions in a local computer setting; in addition, we explore the function of explainability for transparency of AI models. We used the publicly available MIMIC-III database and the HAN/HLAN network models for ICD code prediction purposes. We also experimented with the mapping between ICD and SNOMED CT knowledge bases. In our experiments, the models provided useful information for 97.98\% of codes. The result of this investigation can shed some light on implementing automatic clinical coding in practice, such as in hospital settings, on the local computers used by clinicians , project page \url{https://github.com/Glenj01/Medical-Coding}.
title A Comparative Study on Automatic Coding of Medical Letters with Explainability
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2407.13638