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Clinical Coding

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Development of an Automatic Coding System for Digestive Endoscopies.

Studies in health technology and informatics
Digestive endoscopies, along with all medical procedures in France are coded with the CCAM. This task is done by the physicians, is time-consuming and requires a good knowledge of the terminology besides a medical knowledge. This method offers an aut...

Comparative Analysis of Algorithmic Approaches for Auto-Coding with ICD-10-AM and ACHI.

Studies in health technology and informatics
Clinical coding is done using ICD-10-AM (International Classification of Diseases, version 10, Australian Modification) and ACHI (Australian Classification of Health Interventions) in acute and sub-acute hospitals in Australia for funding, insurance ...

Assigning clinical codes with data-driven concept representation on Dutch clinical free text.

Journal of biomedical informatics
Clinical codes are used for public reporting purposes, are fundamental to determining public financing for hospitals, and form the basis for reimbursement claims to insurance providers. They are assigned to a patient stay to reflect the diagnosis and...

Identifying Falls Risk Screenings Not Documented with Administrative Codes Using Natural Language Processing.

AMIA ... Annual Symposium proceedings. AMIA Symposium
Quality reporting that relies on coded administrative data alone may not completely and accurately depict providers' performance. To assess this concern with a test case, we developed and evaluated a natural language processing (NLP) approach to iden...

Predicting Changes in Pediatric Medical Complexity using Large Longitudinal Health Records.

AMIA ... Annual Symposium proceedings. AMIA Symposium
Medically complex patients consume a disproportionate amount of care resources in hospitals but still often end up with sub-optimal clinical outcomes. Predicting dynamics of complexity in such patients can potentially help improve the quality of care...

Predicting Length of Stay for Obstetric Patients via Electronic Medical Records.

Studies in health technology and informatics
Obstetric care refers to the care provided to patients during ante-, intra-, and postpartum periods. Predicting length of stay (LOS) for these patients during their hospitalizations can assist healthcare organizations in allocating hospital resources...

Evaluating electronic health record data sources and algorithmic approaches to identify hypertensive individuals.

Journal of the American Medical Informatics Association : JAMIA
OBJECTIVE: Phenotyping algorithms applied to electronic health record (EHR) data enable investigators to identify large cohorts for clinical and genomic research. Algorithm development is often iterative, depends on fallible investigator intuition, a...

A method for modeling co-occurrence propensity of clinical codes with application to ICD-10-PCS auto-coding.

Journal of the American Medical Informatics Association : JAMIA
OBJECTIVE: Natural language processing methods for medical auto-coding, or automatic generation of medical billing codes from electronic health records, generally assign each code independently of the others. They may thus assign codes for closely re...

Using ontologies to improve semantic interoperability in health data.

Journal of innovation in health informatics
The present-day health data ecosystem comprises a wide array of complex heterogeneous data sources. A wide range of clinical, health care, social and other clinically relevant information are stored in these data sources. These data exist either as s...

An Introduction to Natural Language Processing: How You Can Get More From Those Electronic Notes You Are Generating.

Pediatric emergency care
Electronically stored clinical documents may contain both structured data and unstructured data. The use of structured clinical data varies by facility, but clinicians are familiar with coded data such as International Classification of Diseases, Nin...