A Deep Learning Model of Common Sense Knowledge for Augmenting Natural Language Processing Tasks in Portuguese Language

To unlock information present in clinical description, automatic medical text classification is highly useful in the arena of natural language processing (NLP). For medical text classification tasks, machine learning techniques seem to be quite effective; however, it requires extensive effort from human side, so that the labeled training data can be created. For clinical and translational research, a huge quantity of detailed patient information, such as disease status, lab tests, medication history, side effects, and treatment outcomes, has been collected in an electronic format, and it serves as a valuable data source for further analysis. Therefore, a huge quantity of detailed patient information is present in the medical text, and it is quite a huge challenge to process it efficiently. In this work, a medical text classification paradigm, using two novel deep learning architectures, is proposed to mitigate the human efforts. The first approach is that a quad channel hybrid long short-term memory (QC-LSTM) deep learning model is implemented utilizing four channels, and the second approach is that a hybrid bidirectional gated recurrent unit (BiGRU) deep learning model with multihead attention is developed and implemented successfully. The proposed methodology is validated on two medical text datasets, and a comprehensive analysis is conducted. The best results in terms of classification accuracy of 96.72% is obtained with the proposed QC-LSTM deep learning model, and a classification accuracy of 95.76% is obtained with the proposed hybrid BiGRU deep learning model.

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

JMIR Medical Informatics ◽

10.2196/23230 ◽

2021 ◽

Vol 9 (8) ◽

pp. e23230

Author(s):

Pei-Fu Chen ◽

Ssu-Ming Wang ◽

Wei-Chih Liao ◽

Lu-Cheng Kuo ◽

Kuan-Chih Chen ◽

...

Keyword(s):

Neural Network ◽

Deep Learning ◽

Natural Language Processing ◽

Natural Language ◽

Language Processing ◽

Deep Neural Network ◽

University Hospital ◽

Classification Model ◽

Icd 10 ◽

And Training

Background The 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. Objective This 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. Methods We 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 F1-score and the coding time by coders before and after using our model. Results In experiments on the medical data set of National Taiwan University Hospital, our prediction results revealed F1-scores of 0.715 and 0.618 for the ICD-10 Clinical Modification code and Procedure Coding System code, respectively, with a bidirectional encoder representations from transformers embedding approach in the Gated Recurrent Unit classification model. The well-trained models were applied on the ICD-10 web service for coding and training to ICD-10 users. With this service, coders can code with the F1-score significantly increased from a median of 0.832 to 0.922 (P<.05), but not in a reduced interval. Conclusions The proposed model significantly improved the F1-score but did not decrease the time consumed in coding by disease coders.

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