Collaborative residual learners for automatic icd10 prediction using prescribed medications

원문 초록

Clinical coding is an administrative process that involves the translation of diagnostic data from episodes of care into a standard code format such as ICD10. It has many critical applications such as billing and aetiology research. The automation of clinical coding is very challenging due to data sparsity, low interoperability of digital health systems, complexity of real-life diagnosis coupled with the huge size of ICD10 code space. Related work suffer from low applicability due to reliance on many data sources, inefficient modelling and less generalizable solutions. We propose a novel collaborative residual learning based model to automatically predict ICD10 codes employing only prescriptions data. Extensive experiments were performed on two real-world clinical datasets (outpatient & inpatient) from Maharaj Nakorn Chiang Mai Hospital with real case-mix distributions. We obtain multi-label classification accuracy of 0.71 and 0.57 of average precision, 0.57 and 0.38 of F1-score and 0.73 and 0.44 of accuracy in predicting principal diagnosis for inpatient and outpatient datasets respectively.