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Clinical coding is the task of transforming medical information in a patient's health records into structured codes so that they can be used for statistical analysis. This is a cognitive and time-consuming task that follows a standard…

Computation and Language · Computer Science 2022-10-11 Hang Dong , Matúš Falis , William Whiteley , Beatrice Alex , Joshua Matterson , Shaoxiong Ji , Jiaoyan Chen , Honghan Wu

We present a system that uses a learned autocompletion mechanism to facilitate rapid creation of semi-structured clinical documentation. We dynamically suggest relevant clinical concepts as a doctor drafts a note by leveraging features from…

Machine Learning · Computer Science 2020-07-31 Divya Gopinath , Monica Agrawal , Luke Murray , Steven Horng , David Karger , David Sontag

Coding of unstructured clinical free-text to produce interoperable structured data is essential to improve direct care, support clinical communication and to enable clinical research.However, manual clinical coding is difficult and time…

Mapping clinical documents to standardised clinical vocabularies is an important task, as it provides structured data for information retrieval and analysis, which is essential to clinical research, hospital administration and improving…

Computation and Language · Computer Science 2025-09-15 Mingyang Li , Viktor Schlegel , Tingting Mu , Warren Del-Pinto , Goran Nenadic

Good communication is vital in healthcare, both among healthcare professionals, and between healthcare professionals and their patients. And well-written documents, describing and/or explaining the information in structured databases may be…

cmp-lg · Computer Science 2008-02-03 Alison J. Cawsey , Bonnie L. Webber , Ray B. Jones

Clinical notes are text documents that are created by clinicians for each patient encounter. They are typically accompanied by medical codes, which describe the diagnosis and treatment. Annotating these codes is labor intensive and error…

Computation and Language · Computer Science 2018-04-18 James Mullenbach , Sarah Wiegreffe , Jon Duke , Jimeng Sun , Jacob Eisenstein

Automatic coding of International Classification of Diseases (ICD) is a multi-label text categorization task that involves extracting disease or procedure codes from clinical notes. Despite the application of state-of-the-art natural…

Machine Learning · Computer Science 2023-10-17 Chang Lu , Chandan K. Reddy , Ping Wang , Yue Ning

Medical coding translates free-text clinical documentation into standardized codes drawn from classification systems that contain tens of thousands of entries and are updated annually. It is central to billing, clinical research, and…

Artificial Intelligence · Computer Science 2026-04-01 Joakim Edin , Andreas Motzfeldt , Simon Flachs , Lars Maaløe

The text of clinical notes can be a valuable source of patient information and clinical assessments. Historically, the primary approach for exploiting clinical notes has been information extraction: linking spans of text to concepts in a…

Computation and Language · Computer Science 2019-06-11 Sarah Wiegreffe , Edward Choi , Sherry Yan , Jimeng Sun , Jacob Eisenstein

Automated medical coding is a process of codifying clinical notes to appropriate diagnosis and procedure codes automatically from the standard taxonomies such as ICD (International Classification of Diseases) and CPT (Current Procedure…

Machine Learning · Computer Science 2022-07-15 Jeshuren Chelladurai , Sudarsun Santhiappan , Balaraman Ravindran

Clinical coding is crucial for healthcare billing and data analysis. Manual clinical coding is labour-intensive and error-prone, which has motivated research towards full automation of the process. However, our analysis, based on US English…

Computation and Language · Computer Science 2025-06-19 Yidong Gan , Maciej Rybinski , Ben Hachey , Jonathan K. Kummerfeld

Computerised clinical coding approaches aim to automate the process of assigning a set of codes to medical records. While there is active research pushing the state of the art on clinical coding for hospitalized patients, the outpatient…

In order to submit a claim to insurance companies, a doctor needs to code a patient encounter with both the diagnosis (ICDs) and procedures performed (CPTs) in an Electronic Health Record (EHR). Identifying and applying relevant procedures…

Machine Learning · Statistics 2021-12-30 Hasham Ul Haq , Rameel Ahmad , Sibt Ul Hussain

Prediction of medical codes from clinical notes is a practical and essential need for every healthcare delivery organization within current medical systems. Automating annotation will save significant time and excessive effort that human…

Machine Learning · Computer Science 2022-11-01 Byung-Hak Kim

Medical coding is essential for standardizing clinical data and communication but is often time-consuming and prone to errors. Traditional Natural Language Processing (NLP) methods struggle with automating coding due to the large label…

Clinical trial records are variable resources or the analysis of patients and diseases. Information extraction from free text such as eligibility criteria and summary of results and conclusions in clinical trials would better support…

Computation and Language · Computer Science 2020-01-01 Yingcheng Sun , Kenneth Loparo

In recent years, the trend of deploying digital systems in numerous industries has hiked. The health sector has observed an extensive adoption of digital systems and services that generate significant medical records. Electronic health…

Computation and Language · Computer Science 2022-03-01 Neel Kanwal , Giuseppe Rizzo

Medical information extraction consists of a group of natural language processing (NLP) tasks, which collaboratively convert clinical text to pre-defined structured formats. Current state-of-the-art (SOTA) NLP models are highly integrated…

Computation and Language · Computer Science 2022-03-09 Enwei Zhu , Qilin Sheng , Huanwan Yang , Jinpeng Li

In this paper, the challenges of maintaining a healthy IT operational environment have been addressed by proactively analyzing IT Service Desk tickets, customer satisfaction surveys, and social media data. A Cognitive solution goes beyond…

Computation and Language · Computer Science 2022-01-11 Abbas Raza Ali

Scientific models hold the key to better understanding and predicting the behavior of complex systems. The most comprehensive manifestation of a scientific model, including crucial assumptions and parameters that underpin its usability, is…

Software Engineering · Computer Science 2022-03-01 Varish Mulwad , Andrew Crapo , Vijay S. Kumar , James Jobin , Alfredo Gabaldon , Nurali Virani , Sharad Dixit , Narendra Joshi
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