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Applying Deep Learning Model to Predict Diagnosis Code of Medical Records

The International Classification of Diseases (ICD) code is a diagnostic classification standard that is frequently used as a referencing system in healthcare and insurance. However, it takes time and effort to find and use the right diagnosis code based on a patient’s medical records. In response, d...

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Autores principales: Masud, Jakir Hossain Bhuiyan, Kuo, Chen-Cheng, Yeh, Chih-Yang, Yang, Hsuan-Chia, Lin, Ming-Chin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340491/
https://www.ncbi.nlm.nih.gov/pubmed/37443689
http://dx.doi.org/10.3390/diagnostics13132297
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author Masud, Jakir Hossain Bhuiyan
Kuo, Chen-Cheng
Yeh, Chih-Yang
Yang, Hsuan-Chia
Lin, Ming-Chin
author_facet Masud, Jakir Hossain Bhuiyan
Kuo, Chen-Cheng
Yeh, Chih-Yang
Yang, Hsuan-Chia
Lin, Ming-Chin
author_sort Masud, Jakir Hossain Bhuiyan
collection PubMed
description The International Classification of Diseases (ICD) code is a diagnostic classification standard that is frequently used as a referencing system in healthcare and insurance. However, it takes time and effort to find and use the right diagnosis code based on a patient’s medical records. In response, deep learning (DL) methods have been developed to assist physicians in the ICD coding process. Our findings propose a deep learning model that utilized clinical notes from medical records to predict ICD-10 codes. Our research used text-based medical data from the outpatient department (OPD) of a university hospital from January to December 2016. The dataset used clinical notes from five departments, and a total of 21,953 medical records were collected. Clinical notes consisted of a subjective component, objective component, assessment, plan (SOAP) notes, diagnosis code, and a drug list. The dataset was divided into two groups: 90% for training and 10% for test cases. We applied natural language processing (NLP) technique (word embedding, Word2Vector) to process the data. A deep learning-based convolutional neural network (CNN) model was created based on the information presented above. Three metrics (precision, recall, and F-score) were used to calculate the achievement of the deep learning CNN model. Clinically acceptable results were achieved through the deep learning model for five departments (precision: 0.53–0.96; recall: 0.85–0.99; and F-score: 0.65–0.98). With a precision of 0.95, a recall of 0.99, and an F-score of 0.98, the deep learning model performed the best in the department of cardiology. Our proposed CNN model significantly improved the prediction performance for an automated ICD-10 code prediction system based on prior clinical information. This CNN model could reduce the laborious task of manual coding and could assist physicians in making a better diagnosis.
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spelling pubmed-103404912023-07-14 Applying Deep Learning Model to Predict Diagnosis Code of Medical Records Masud, Jakir Hossain Bhuiyan Kuo, Chen-Cheng Yeh, Chih-Yang Yang, Hsuan-Chia Lin, Ming-Chin Diagnostics (Basel) Article The International Classification of Diseases (ICD) code is a diagnostic classification standard that is frequently used as a referencing system in healthcare and insurance. However, it takes time and effort to find and use the right diagnosis code based on a patient’s medical records. In response, deep learning (DL) methods have been developed to assist physicians in the ICD coding process. Our findings propose a deep learning model that utilized clinical notes from medical records to predict ICD-10 codes. Our research used text-based medical data from the outpatient department (OPD) of a university hospital from January to December 2016. The dataset used clinical notes from five departments, and a total of 21,953 medical records were collected. Clinical notes consisted of a subjective component, objective component, assessment, plan (SOAP) notes, diagnosis code, and a drug list. The dataset was divided into two groups: 90% for training and 10% for test cases. We applied natural language processing (NLP) technique (word embedding, Word2Vector) to process the data. A deep learning-based convolutional neural network (CNN) model was created based on the information presented above. Three metrics (precision, recall, and F-score) were used to calculate the achievement of the deep learning CNN model. Clinically acceptable results were achieved through the deep learning model for five departments (precision: 0.53–0.96; recall: 0.85–0.99; and F-score: 0.65–0.98). With a precision of 0.95, a recall of 0.99, and an F-score of 0.98, the deep learning model performed the best in the department of cardiology. Our proposed CNN model significantly improved the prediction performance for an automated ICD-10 code prediction system based on prior clinical information. This CNN model could reduce the laborious task of manual coding and could assist physicians in making a better diagnosis. MDPI 2023-07-06 /pmc/articles/PMC10340491/ /pubmed/37443689 http://dx.doi.org/10.3390/diagnostics13132297 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Masud, Jakir Hossain Bhuiyan
Kuo, Chen-Cheng
Yeh, Chih-Yang
Yang, Hsuan-Chia
Lin, Ming-Chin
Applying Deep Learning Model to Predict Diagnosis Code of Medical Records
title Applying Deep Learning Model to Predict Diagnosis Code of Medical Records
title_full Applying Deep Learning Model to Predict Diagnosis Code of Medical Records
title_fullStr Applying Deep Learning Model to Predict Diagnosis Code of Medical Records
title_full_unstemmed Applying Deep Learning Model to Predict Diagnosis Code of Medical Records
title_short Applying Deep Learning Model to Predict Diagnosis Code of Medical Records
title_sort applying deep learning model to predict diagnosis code of medical records
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340491/
https://www.ncbi.nlm.nih.gov/pubmed/37443689
http://dx.doi.org/10.3390/diagnostics13132297
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