COLING 2022main10 citations

Automatic ICD Coding Exploiting Discourse Structure and Reconciled Code Embeddings

Shurui Zhang, Bozheng Zhang, Fuxin Zhang, Bo Sang, Wanchun Yang

Abstract

The International Classification of Diseases (ICD) is the foundation of global health statistics and epidemiology. The ICD is designed to translate health conditions into alphanumeric codes. A number of approaches have been proposed for automatic ICD coding, since manual coding is labor-intensive and there is a global shortage of healthcare workers. However, existing studies did not exploit the discourse structure of clinical notes, which provides rich contextual information for code assignment. In this paper, we exploit the discourse structure by leveraging section type classification and section type embeddings. We also focus on the class-imbalanced problem and the heterogeneous writing style between clinical notes and ICD code definitions. The proposed reconciled embedding approach is able to tackle them simultaneously. Experimental results on the MIMIC dataset show that our model outperforms all previous state-of-the-art models by a large margin. The source code is available at https://github.com/discnet2022/discnet

BibTeX
@inproceedings{zhang-etal-2022-automatic,
    title = "Automatic {ICD} Coding Exploiting Discourse Structure and Reconciled Code Embeddings",
    author = "Zhang, Shurui  and
      Zhang, Bozheng  and
      Zhang, Fuxin  and
      Sang, Bo  and
      Yang, Wanchun",
    editor = "Calzolari, Nicoletta  and
      Huang, Chu-Ren  and
      Kim, Hansaem  and
      Pustejovsky, James  and
      Wanner, Leo  and
      Choi, Key-Sun  and
      Ryu, Pum-Mo  and
      Chen, Hsin-Hsi  and
      Donatelli, Lucia  and
      Ji, Heng  and
      Kurohashi, Sadao  and
      Paggio, Patrizia  and
      Xue, Nianwen  and
      Kim, Seokhwan  and
      Hahm, Younggyun  and
      He, Zhong  and
      Lee, Tony Kyungil  and
      Santus, Enrico  and
      Bond, Francis  and
      Na, Seung-Hoon",
    booktitle = "Proceedings of the 29th International Conference on Computational Linguistics",
    month = oct,
    year = "2022",
    address = "Gyeongju, Republic of Korea",
    publisher = "International Committee on Computational Linguistics",
    url = "https://aclanthology.org/2022.coling-1.254/",
    pages = "2883--2891"
}