Faculty Publications
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Item FarSight: Long-Term Disease Prediction Using Unstructured Clinical Nursing Notes(IEEE Computer Society, 2021) Gangavarapu, T.; S. Krishnan, G.S.; Kamath S?, S.; Jeganathan, J.Accurate risk stratification using patient data is a vital task in channeling prioritized care. Most state-of-the-art models are predominantly reliant on digitized data in the form of structured Electronic Health Records (EHRs). Those models overlook the valuable patient-specific information embedded in unstructured clinical notes, which is the prevalent medium employed by caregivers to record patients' disease timeline. The availability of such patient-specific data presents an unprecedented opportunity to build intelligent systems that provide exclusive insights into patients' disease physiology. Moreover, very few works have attempted to benchmark the performance of deep neural architectures against the state-of-the-art models on publicly available datasets. This article presents significant observations from our benchmarking experiments on the applicability of deep learning models for the clinical task of ICD-9 code group prediction. We present FarSight, a long-term aggregation mechanism intended to recognize the onset of the disease with the earliest detected symptoms. Vector space and topic modeling approaches are utilized to capture the semantic information in the patient representations. Experiments on MIMIC-III database underscored the superior performance of the proposed models built on unstructured data when compared to structured EHR based state-of-the-art model, achieving an improvement of 19.34 percent in AUPRC and 5.41 percent in AUROC. © 2013 IEEE.Item Multi-channel, convolutional attention based neural model for automated diagnostic coding of unstructured patient discharge summaries(Elsevier B.V., 2021) Mayya, V.; Kamath S?, S.S.; S. Krishnan, G.S.; Gangavarapu, T.Effective coding of patient records in hospitals is an essential requirement for epidemiology, billing, and managing insurance claims. The prevalent practice of manual coding, carried out by trained medical coders, is error-prone and time-consuming. Mitigating this labor-intensive process by developing diagnostic coding systems built on patients’ Electronic Medical Records (EMRs) is vital. However, developing nations with low digitization rates have limited availability of structured EMRs, thereby necessitating a need for systems that leverage unstructured data sources. Despite the rich clinical information available in such unstructured data, modeling them is complex, owing to the variety and sparseness of diagnostic codes, complex structural and temporal nature of summaries, and prolific use of medical jargon. This work proposes a context-attentive network to facilitate automatic diagnostic code assignment as a multi-label classification problem. The proposed model facilitates information aggregation across a patient's discharge summary via multi-channel, variable-sized convolutional filters to extract multi-granular snippets. The attention mechanism enables selecting vital segments in those snippets that map to the clinical codes. The model's superior performance underscores its effectiveness compared to the state-of-the-art on the MIMIC-III database. Additionally, experimental validation using the CodiEsp dataset exhibited the model's interpretability and explainability. © 2021 Elsevier B.V.