Evidence map›Paper›PMID 30815123›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2018

Computer-Assisted Diagnostic Coding: Effectiveness of an NLP-based approach using SNOMED CT to ICD-10 mappings.

Anthony N Nguyen, Donna Truran, Madonna Kemp, Bevan Koopman, David Conlan, John O'Dwyer, Ming Zhang, Sarvnaz Karimi, Hamed Hassanzadeh, Michael J Lawley and 1 more

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
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  8. Article
  9. Article
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  12. Application of natural language processing algorithms for extracting information from news articles in event-based surveillance.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2020
    Article
  13. Article
  14. Construction of a semi-automatic ICD-10 coding system.BMC medical informatics and decision making · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Anthony N NguyenThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
Donna TruranThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
Madonna KempThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
Bevan KoopmanThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
David ConlanThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
John O'DwyerThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
Ming ZhangThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
Sarvnaz KarimiData61, CSIRO, Sydney, Australia.
Hamed HassanzadehThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
Michael J LawleyThe Australian e-Health Research Centre, CSIRO, Brisbane/Sydney/Perth, Australia.
Damian GreenGold Coast Hospital and Health Service, Department of Health, Queensland Government, Gold Coast, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Computer-assisted (diagnostic) coding (CAC) aims to improve the operational productivity and accuracy of clinical coders. The level of accuracy, especially for a wide range of complex and less prevalent clinical cases, remains an open research problem. This study investigates this problem on a broad spectrum of diagnostic codes and, in particular, investigates the effectiveness of utilising SNOMED CT for ICD-10 diagnosis coding. Hospital progress notes were used to provide the narrative rich electronic patient records for the investigation. A natural language processing (NLP) approach using mappings between SNOMED CT and ICD-10-AM (Australian Modification) was used to guide the coding. The proposed approach achieved 54.1% sensitivity and 70.2% positive predictive value. Given the complexity of the task, this was encouraging given the simplicity of the approach and what was projected as possible from a manual diagnosis code validation study (76.3% sensitivity). The results show the potential for advanced NLP-based approaches that leverage SNOMED CT to ICD-10 mapping for hospital in-patient coding.

Indexed as

International Classification of DiseasesNatural Language ProcessingSystematized Nomenclature of MedicineAustraliaClinical CodingElectronic Health RecordsHospitalsHumansUnified Medical Language System

Identifiers

PMID30815123
PMCPMC6371260

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.