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Schulz, S; Seddig, T; Hanser, S; Zaiß, A; Daumke, P.
Checking Coding Completeness by Mining Discharge Summaries.
Stud Health Technol Inform. 2011; 169: 594-598.
PubMed
- Leading authors Med Uni Graz
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Schulz Stefan
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- Abstract:
- Incomplete coding is a known problem in hospital information systems. In order to detect non-coded secondary diseases we developed a text classification system which scans discharge summaries for drug names. Using a drug knowledge base in which drug names are linked to sets of ICD-10 codes, the system selects those documents in which a drug name occurs that is not justified by any ICD-10 code within the corresponding record in the patient database. Treatment episodes with missing codes for diabetes mellitus, Parkinson's disease, and asthma/COPD were subject to investigation in a large German university hospital. The precision of the method was 79%, 14%, and 45% respectively, roughly estimated recall values amounted to 43%, 70%, and 36%. Based on these data we predict roughly 716 non-coded diabetes cases, 13 non-coded Parkinson cases, and 420 non-coded asthma/COPD cases among 34,865 treatment episodes.
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Algorithms -
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Asthma - classification
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Data Mining - methods
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Diabetes Mellitus - classification
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Humans -
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Information Systems - organization and administration
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Parkinson Disease - classification
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