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ICD-10 Healthcare Codes and WIld Pigs - An Experiment with IBM Watson Natural Language Classifier - Part 2

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POSTED IN: Building Bridges from R to IBM Watson

ICD-10 - A few more examples (Part 2)

Use Case to Assist health care providers in better assignment of ICD-10 Codes. Example:  Doctor or Nurse in ER receives patients and trying to assign the best IDC Codes for accuracy, record-keeping and insurance.  65k data points.  Problem:  Loss of fidelity given human limitations.  Benefit:  TOP-10 codes provided so medical practitioner can find "best fit"

 

alcohol poisoning

:   F10    0.9486957042565055 (good fit)

Alcohol abuse, uncomplicatedF1010
Alcohol abuse with intoxication, uncomplicatedF10120
Alcohol abuse with intoxication deliriumF10121
Alcohol abuse with intoxication, unspecifiedF10129
Alcohol abuse with alcohol-induced mood disorderF1014
Alcohol abuse with alcohol-induced psychotic disorder with delusionsF10150
Alcohol abuse with alcohol-induced psychotic disorder with hallucinationsF10151
Alcohol abuse with alcohol-induced psychotic disorder, unspecifiedF10159
Alcohol abuse with alcohol-induced anxiety disorderF10180
Alcohol abuse with alcohol-induced sexual dysfunctionF10181
Alcohol abuse with alcohol-induced sleep disorderF10182
Alcohol abuse with other alcohol-induced disorderF10188
Alcohol abuse with unspecified alcohol-induced disorderF1019
Alcohol dependence, uncomplicatedF1020
Alcohol dependence, in remissionF1021
Alcohol dependence with intoxication, uncomplicatedF10220
Alcohol dependence with intoxication deliriumF10221
Alcohol dependence with intoxication, unspecifiedF10229
Alcohol dependence with withdrawal, uncomplicatedF10230
Alcohol dependence with withdrawal deliriumF10231
Alcohol dependence with withdrawal with perceptual disturbanceF10232
Alcohol dependence with withdrawal, unspecifiedF10239
Alcohol dependence with alcohol-induced mood disorderF1024
Alcohol dependence with alcohol-induced psychotic disorder with delusionsF10250
Alcohol dependence with alcohol-induced psychotic disorder with hallucinationsF10251
Alcohol dependence with alcohol-induced psychotic disorder, unspecifiedF10259
Alcohol dependence with alcohol-induced persisting amnestic disorderF1026
Alcohol dependence with alcohol-induced persisting dementiaF1027
Alcohol dependence with alcohol-induced anxiety disorderF10280
Alcohol dependence with alcohol-induced sexual dysfunctionF10281
Alcohol dependence with alcohol-induced sleep disorderF10282
Alcohol dependence with other alcohol-induced disorderF10288
Alcohol dependence with unspecified alcohol-induced disorderF1029
Alcohol use, unspecified with intoxication, uncomplicatedF10920
Alcohol use, unspecified with intoxication deliriumF10921
Alcohol use, unspecified with intoxication, unspecifiedF10929
Alcohol use, unspecified with alcohol-induced mood disorderF1094
Alcohol use, unspecified with alcohol-induced psychotic disorder with delusionsF10950
Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinationsF10951
Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecifiedF10959
Alcohol use, unspecified with alcohol-induced persisting amnestic disorderF1096
Alcohol use, unspecified with alcohol-induced persisting dementiaF1097
Alcohol use, unspecified with alcohol-induced anxiety disorderF10980
Alcohol use, unspecified with alcohol-induced sexual dysfunctionF10981
Alcohol use, unspecified with alcohol-induced sleep disorderF10982
Alcohol use, unspecified with other alcohol-induced disorderF10988
Alcohol use, unspecified with unspecified alcohol-induced disorderF1099

:   T51    0.4942882787890338  (good fit)

Toxic effect of ethanol, accidental (unintentional), initial encounterT510X1A
Toxic effect of ethanol, accidental (unintentional), subsequent encounterT510X1D
Toxic effect of ethanol, accidental (unintentional), sequelaT510X1S
Toxic effect of ethanol, intentional self-harm, initial encounterT510X2A
Toxic effect of ethanol, intentional self-harm, subsequent encounterT510X2D
Toxic effect of ethanol, intentional self-harm, sequelaT510X2S
Toxic effect of ethanol, assault, initial encounterT510X3A
Toxic effect of ethanol, assault, subsequent encounterT510X3D
Toxic effect of ethanol, assault, sequelaT510X3S
Toxic effect of ethanol, undetermined, initial encounterT510X4A
Toxic effect of ethanol, undetermined, subsequent encounterT510X4D
Toxic effect of ethanol, undetermined, sequelaT510X4S
Toxic effect of methanol, accidental (unintentional), initial encounterT511X1A

:   S50    0.3645307565437628 (fail)

Insect bite (nonvenomous) of unspecified elbow, initial encounterS50369A
Insect bite (nonvenomous) of unspecified elbow, subsequent encounterS50369D


:   T14   0.23300943136973945

Injury, unspecifiedT1490
Suicide attemptT1491

:   O9A   0.22486489517966607

Injury, poisoning and certain other consequences of external causes complicating pregnancy, first trimesterO9A211
Injury, poisoning and certain other consequences of external causes complicating pregnancy, second trimesterO9A212

:   T41   0.17478268627980906
:   T17   0.12769657998822115
:   N46   0.12620003097168594

 

 

 

child's left hand got caught in a snowblower

 1:   T23    0.9341808546884104 (partial fit)

Corrosion of third degree of multiple right fingers (nail), including thumb, sequelaT23741S
Corrosion of third degree of multiple left fingers (nail), including thumb, initial encounterT23742A
Corrosion of third degree of multiple left fingers (nail), including thumb, subsequent encounterT23742D

 2:   S60    0.8760524000698714

Contusion of left hand, initial encounterS60222A
Contusion of left hand, subsequent encounterS60222D
Contusion of left hand, sequelaS60222S
Contusion of unspecified hand, initial encounterS60229A
Contusion of right little finger with damage to nail, initial encounterS60151A
Contusion of right little finger with damage to nail, subsequent encounterS60151D

 3:   Z62    0.8007449637476742 (some good options here :)

Inadequate parental supervision and controlZ620
Parental overprotectionZ621
Child in welfare custodyZ6221
Institutional upbringingZ6222
Other upbringing away from parentsZ6229
Hostility towards and scapegoating of childZ623
Other specified problems related to upbringingZ62898


 4:   R62    0.5488520982645316

Delayed milestone in childhoodR620
Unspecified lack of expected normal physiological development in childhoodR6250
Failure to thrive (child)R6251
Short stature (child)R6252
Other lack of expected normal physiological development in childhoodR6259


 5:   G43   0.21820536448567082 (low confidence % fail)

Abdominal migraine, not intractableG43D0
Abdominal migraine, intractableG43D1

 6:   E50   0.12459075970093968
 7:   M79   0.10025324974146899

Pain in left forearmM79632

 

left ear shot off with a laser weapon by foreign invaders

    class           confidence
 1:   S51   0.4376178886976261 (fail initially - but learn over time to de-boost)

Laceration with foreign body of left elbow, initial encounterS51022A
Laceration with foreign body of left elbow, subsequent encounterS51022D
Laceration with foreign body of left elbow, sequelaS51022S

 2:   T16   0.4160066981626896 (GOOD FIT)

Foreign body in right ear, initial encounterT161XXA
Foreign body in right ear, subsequent encounterT161XXD
Foreign body in right ear, sequelaT161XXS
Foreign body in left ear, initial encounterT162XXA
Foreign body in left ear, subsequent encounterT162XXD
Foreign body in left ear, sequelaT162XXS
Foreign body in ear, unspecified ear, initial encounterT169XXA
Foreign body in ear, unspecified ear, subsequent encounterT169XXD
Foreign body in ear, unspecified ear, sequelaT169XXS

 3:   S01  0.30483601858502346

Unspecified open wound of left ear, initial encounterS01302A
Unspecified open wound of left ear, subsequent encounterS01302D
Unspecified open wound of left ear, sequelaS01302S
Unspecified open wound of unspecified ear, initial encounterS01309A
Unspecified open wound of unspecified ear, subsequent encounterS01309D
Unspecified open wound of unspecified ear, sequelaS01309S

 4:   R40  0.20145241400992742

SomnolenceR400

 5:   S61   0.1913841150899643 (Fail)

Laceration without foreign body of right thumb without damage to nail, subsequent encounterS61011D

 6:   H93  0.14747055459306135
 7:   T28   0.1414368596835139
 8:   W90  0.10969710144335153 (GOOD FIT)

Exposure to radiofrequency, initial encounterW900XXA
Exposure to radiofrequency, subsequent encounterW900XXD
Exposure to radiofrequency, sequelaW900XXS
Exposure to infrared radiation, initial encounterW901XXA
Exposure to infrared radiation, subsequent encounterW901XXD
Exposure to infrared radiation, sequelaW901XXS
Exposure to laser radiation, initial encounterW902XXA
Exposure to laser radiation, subsequent encounterW902XXD
Exposure to laser radiation, sequelaW902XXS
Exposure to other nonionizing radiation, initial encounterW908XXA
Exposure to other nonionizing radiation, subsequent encounterW908XXD
Exposure to other nonionizing radiation, sequelaW908XXS

 

 9:   Z65  0.10449654337755801v(good)

Victim of crime and terrorismZ654
Exposure to disaster, war and other hostilitiesZ655
Other specified problems related to psychosocial circumstancesZ658

10:   V92  0.09954253516440265vv(fail)

Drowning and submersion due to fall off canoe or kayak, sequelaV9205XS

 

 

 

 

 

 

 

 

 

 

 

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About the Author

Ryan Anderson

Ryan Anderson

Hi! I like to play with data, analytics and hack around with robots and gadgets in my garage. Lately I've been learning about machine learning.

About this blog

This is an informal blog that explores tools, code and tricks that group members have developed to engage IBM Watson cognitive computing services - from the R Programming Language. Packages include RCURL to access Watson APIs - for services that include Natural Language Classifier and Speech to Text. THIS IS MY PERSONAL BLOG - it does not represent the views of my employer. Code is presented as 'use at your own risk' (it has lots of bugs)

Created: September 13, 2015

English

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