Evidence map›Paper›PMID 34463639›Full record

ArticleJMIR medical informatics2021

Automatic ICD-10 Coding and Training System: Deep Neural Network Based on Supervised Learning.

Pei-Fu Chen, Ssu-Ming Wang, Wei-Chih Liao, Lu-Cheng Kuo, Kuan-Chih Chen, Yu-Cheng Lin, Chi-Yu Yang, Chi-Hao Chiu, Shu-Chih Chang, Feipei Lai

Abstract read
In one paragraph

Article in JMIR medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

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  9. Automated data collection in cancer care: State of play among registries in the United Kingdom and Europe.Health information management : journal of the Health Information Management Association of Australia · 2026
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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

10 authors.

Pei-Fu ChenGraduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-0192-5377
Ssu-Ming WangGraduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-4359-1683
Wei-Chih LiaoGraduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-2016-3483
Lu-Cheng KuoDepartment of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-4247-5197
Kuan-Chih ChenGraduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-6526-8097
Yu-Cheng LinDepartment of Medical Affairs, Far Eastern Memorial Hospital, New Taipei City, Taiwan.ORCID https://orcid.org/0000-0003-2264-4491
Chi-Yu YangDepartment of Information Technology, Far Eastern Memorial Hospital, New Taipei City, Taiwan.ORCID https://orcid.org/0000-0001-5793-0397
Chi-Hao ChiuSection of Health Insurance, Department of Medical Affairs, Far Eastern Memorial Hospital, New Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-6807-8387
Shu-Chih ChangMedical Records Department, Far Eastern Memorial Hospital, New Taipei City, Taiwan.ORCID https://orcid.org/0000-0002-1392-382X
Feipei Lai *Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan.ORCID https://orcid.org/0000-0001-7147-8122

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe International Classification of Diseases (ICD) code is widely used as the reference in medical system and billing purposes. However, classifying diseases into ICD codes still mainly relies on humans reading a large amount of written material as the basis for coding. Coding is both laborious and time-consuming. Since the conversion of ICD-9 to ICD-10, the coding task became much more complicated, and deep learning- and natural language processing-related approaches have been studied to assist disease coders.

objectiveThis paper aims at constructing a deep learning model for ICD-10 coding, where the model is meant to automatically determine the corresponding diagnosis and procedure codes based solely on free-text medical notes to improve accuracy and reduce human effort.

methodsWe used diagnosis records of the National Taiwan University Hospital as resources and apply natural language processing techniques, including global vectors, word to vectors, embeddings from language models, bidirectional encoder representations from transformers, and single head attention recurrent neural network, on the deep neural network architecture to implement ICD-10 auto-coding. Besides, we introduced the attention mechanism into the classification model to extract the keywords from diagnoses and visualize the coding reference for training freshmen in ICD-10. Sixty discharge notes were randomly selected to examine the change in the F

resultsIn experiments on the medical data set of National Taiwan University Hospital, our prediction results revealed F

conclusionsThe proposed model significantly improved the F

Indexed as

deep learningInternational Classification of Diseasesnatural language processingRecurrent Neural Networktext classification

Identifiers

PMID34463639
PMCPMC8441604

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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.