Searle, T;
Ibrahim, Z;
Dobson, RJB;
(2020)
Experimental Evaluation and Development of a Silver-Standard for the MIMIC-III Clinical Coding Dataset.
In:
Proceedings of the 19th SIGBioMed Workshop on Biomedical Language Processing.
(pp. pp. 76-85).
Association for Computational Linguistics (ACL): Online.
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Abstract
Clinical coding is currently a labour-intensive, error-prone, but critical administrative process whereby hospital patient episodes are manually assigned codes by qualified staff from large, standardised taxonomic hierarchies of codes. Automating clinical coding has a long history in NLP research and has recently seen novel developments setting new state of the art results. A popular dataset used in this task is MIMIC-III, a large intensive care database that includes clinical free text notes and associated codes. We argue for the reconsideration of the validity MIMIC-III’s assigned codes that are often treated as gold-standard, especially when MIMIC-III has not undergone secondary validation. This work presents an open-source, reproducible experimental methodology for assessing the validity of codes derived from EHR discharge summaries. We exemplify the methodology with MIMIC-III discharge summaries and show the most frequently assigned codes in MIMIC-III are under-coded up to 35%.
| Type: | Proceedings paper |
|---|---|
| Title: | Experimental Evaluation and Development of a Silver-Standard for the MIMIC-III Clinical Coding Dataset |
| Event: | 19th SIGBioMed Workshop on Biomedical Language Processing (BioNLP) |
| Location: | ELECTR NETWORK |
| Dates: | 09 July 2020 |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.18653/v1/2020.bionlp-1.8 |
| Publisher version: | https://www.aclweb.org/anthology/2020.bionlp-1.8/ |
| Language: | English |
| Additional information: | ACL materials are Copyright © 1963–2020 ACL; other materials are copyrighted by their respective copyright holders. Materials prior to 2016 here are licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 International License. Permission is granted to make copies for the purposes of teaching and research. Materials published in or after 2016 are licensed on a Creative Commons Attribution 4.0 International License. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics > Clinical Epidemiology |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10111316 |
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