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JAN: Joint Attention Networks for Automatic ICD Coding

delete2022-10-01
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PRE
AI
Y
Yuzhou Wu
陈
陈志刚 (Zhigang Chen) *
X
Xin Yao
X
Xuechen Chen
J
Jinkai Xue
DOI:10.1109/JBHI.2022.3189404delete
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摘要

摘要

En 中文
The International Classification of Diseases (ICD) code is a disease classification method formulated by the World Health Organization(WHO). ICD coding usually requires clinicians to manually allocate ICD codes to clinical documents, which is labor-intensive, expensive, and error-prone. Therefore, many methods have been introduced for automatic ICD coding. However, most of the methods have ignored or cannot combine two essential features well: long-tailed label distribution and label correlation. In this paper, we propose a novel end-to-end Joint Attention Network (JAN) to solve these two problems. JAN includes Document-based attention and Label-based attention to capture semantic information from clinical document text and label description, respectively, which helps solve the classification of dense and sparse data in long-tailed label distribution. Besides, an Adaptive fusion layer and CorNet block are presented to adaptively adjust the weight of these two attentions and exploit label co-occurrence relations, respectively. Experiments on the MIMIC-III and MIMIC-II datasets demonstrate that our proposed JAN outperformed previous state-of-art methods achieving Micro-F1 of 0.553, Micro-AUC of 0.989 and precision at top 8(P@8) of 0.735. Finally, we also provide attention and label correlation visualization to verify the effectiveness of our model and improve the interpretation of our deep learning-based method.
Keyword:
Codes
Encoding
Correlation
Diseases
Semantics
MIMICs
Computer science
Automatic ICD coding
attention network
long-tailed label distribution
label correlation

期刊

IEEE Journal of Biomedical and Health Informatics 封面图
IEEE Journal of Biomedical and Health Informatics
IF:
6.8
论文数:
4.7K
被引数:
2.0W

机构

C
Central South University
学者数:
10.0W
论文数: 7.2W
被引数: 10.9W
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