text: This study explores the creation of a machine learning model to automatically identify whether a Neonatal Intensive Care Unit (NICU) patient was diagnosed with neonatal jaundice during a particular hospitalization based on their associated clinical notes. We develop a number of techniques for text preprocessing and feature selection and compare the effectiveness of different classification models. We show that using ensemble decision tree classification, both with AdaBoost and with bagging, outperforms support vector machines (SVM), the current state-of-the-art technique for neonatal jaundice coding.
  @cite_24: Deep learning is currently an extremely active research area in machine learning and pattern recognition society. It has gained huge successes in a broad area of applications such as speech recognition, computer vision, and natural language processing. With the sheer size of data available today, big data brings big opportunities and transformative potential for various sectors; on the other hand, it also presents unprecedented challenges to harnessing data and information. As the data keeps getting bigger, deep learning is coming to play a key role in providing big data predictive analytics solutions. In this paper, we provide a brief overview of deep learning, and highlight current research efforts and the challenges to big data, as well as the future trends.
  @cite_7: International Classification of Diseases(ICD) is an authoritative health care classification system of different diseases and conditions for clinical and management purposes. Considering the complicated and dedicated process to assign correct codes to each patient admission based on overall diagnosis, we propose a hierarchical deep learning model with attention mechanism which can automatically assign ICD diagnostic codes given written diagnosis. We utilize character-aware neural language models to generate hidden representations of written diagnosis descriptions and ICD codes, and design an attention mechanism to address the mismatch between the numbers of descriptions and corresponding codes. Our experimental results show the strong potential of automated ICD coding from diagnosis descriptions. Our best model achieves 0.53 and 0.90 of F1 score and area under curve of receiver operating characteristic respectively. The result outperforms those achieved using character-unaware encoding method or without attention mechanism. It indicates that our proposed deep learning model can code automatically in a reasonable way and provide a framework for computer-auxiliary ICD coding.
summary: At least one attempt has been made to use deep learning (namely character-level recurrent neural networks) to build more general coding models, but with limited success @cite_7 . The main limitation with this method is that deep learning models require a large amount of data to train @cite_24 , but even a large clinical dataset may only contain a few examples of case files with any given ICD code. Additionally, the ICD-9 standard contains over 14,000 different codes; treating coding as a simple multi-class classification problem with 14,000 different classes is infeasible.