自动化ICD10编码远程咨询在初级保健中的结论
Bénédicte Melot1,2, Florian Drouet1, Caroline Alvarez1
1Qare, Paris, France.
Studies in health technology and informatics
|October 23, 2023
概括
一个新的算法准确地将国际疾病分类第10版 (ICD-10) 代码分配给初级保健电话咨询笔记. 这种方法增强了数据收集,以改善医疗保健研究和电子健康记录 (EHR) 的利用.
科学领域:
- 医疗信息学 医疗信息学
- 初级保健研究研究初级保健研究
- 健康 数据科学 数据科学
背景情况:
- 凯尔远程咨询平台通过共享电子健康记录 (EHR) 促进初级保健数据的收集.
- 远程咨询结论通常以文本形式记录,初级保健医生有限地使用国际疾病分类第10版 (ICD-10) 代码.
研究的目的:
- 开发和评估一个算法,自动分配ICD-10代码,从电话咨询的文本结论.
- 提高编码远程咨询的数量,以便在初级保健中改进数据的再利用.
主要方法:
- 开发基于文本的算法,使用"词袋"方法.
- 对算法在将ICD-10代码与文字远程咨询结论相关联方面的性能进行评估.
主要成果:
- 开发的算法表现出强的性能,在分配ICD-10类别时达到88%至89%的一致性.
- 该算法有效地将文本诊断结论与标准化的ICD-10代码联系起来.
结论:
- 该算法显示了增加编码远程咨询次数的巨大潜力.
- 这种自动编码可以提高初级保健数据的可用性,用于研究和临床见解.
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