Evidence map›Paper›PMID 32923430›Full record

ArticleFrontiers in bioengineering and biotechnology2020

Explainable Prediction of Medical Codes With Knowledge Graphs.

Fei Teng, Wei Yang, Li Chen, LuFei Huang, Qiang Xu

Abstract read
In one paragraph

Article in Frontiers in bioengineering and biotechnology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. [Overview of the application of knowledge graphs in the medical field].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
    Article
  8. Article
  9. Article
  10. AnEMIC: A Framework for Benchmarking ICD Coding Models.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2022
    Article
  11. Review
  12. Review
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

5 authors.

Fei TengSchool of Information Science and Technology, Southwest Jiaotong University, Chengdu, China.
Wei YangSchool of Information Science and Technology, Southwest Jiaotong University, Chengdu, China.
Li ChenThe Third People's Hospital of Chengdu, Chengdu, China.
LuFei HuangSchool of Information Science and Technology, Southwest Jiaotong University, Chengdu, China.
Qiang XuSchool of Information Engineering, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

International Classification of Diseases (ICD) is an authoritative health care classification system of different diseases. It is widely used for disease and health records, assisted medical reimbursement decisions, and collecting morbidity and mortality statistics. The most existing ICD coding models only translate the simple diagnosis descriptions into ICD codes. And it obscures the reasons and details behind specific diagnoses. Besides, the label (code) distribution is uneven. And there is a dependency between labels. Based on the above considerations, the knowledge graph and attention mechanism were expanded into medical code prediction to improve interpretability. In this study, a new method called G_Coder was presented, which mainly consists of Multi-CNN, graph presentation, attentional matching, and adversarial learning. The medical knowledge graph was constructed by extracting entities related to ICD-9 from freebase. Ontology contains 5 entity classes, which are disease, symptom, medicine, surgery, and examination. The result of G_Coder on the MIMIC-III dataset showed that the micro-F1 score is 69.2% surpassing the state of art. The following conclusions can be obtained through the experiment: G_Coder integrates information across medical records using Multi-CNN and embeds knowledge into ICD codes. Adversarial learning is used to generate the adversarial samples to reconcile the writing styles of doctor. With the knowledge graph and attention mechanism, most relevant segments of medical codes can be explained. This suggests that the knowledge graph significantly improves the precision of code prediction and reduces the working pressure of the human coders.

Indexed as

automated ICD codingexplainableknowledge graphsmedical recordsnatural language processing

Identifiers

PMID32923430
PMCPMC7456905

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.