@inproceedings{jeong-etal-2024-bridging,
    title = "Bridging the Code Gap: A Joint Learning Framework across Medical Coding Systems",
    author = "Jeong, Geunyeong  and
      Jeong, Seokwon  and
      Sun, Juoh  and
      Kim, Harksoo",
    editor = "Calzolari, Nicoletta  and
      Kan, Min-Yen  and
      Hoste, Veronique  and
      Lenci, Alessandro  and
      Sakti, Sakriani  and
      Xue, Nianwen",
    booktitle = "Proceedings of the 2024 Joint International Conference on Computational Linguistics, Language Resources and Evaluation (LREC-COLING 2024)",
    month = may,
    year = "2024",
    address = "Torino, Italia",
    publisher = "ELRA and ICCL",
    url = "https://aclanthology.org/2024.lrec-main.227",
    pages = "2520--2525",
    abstract = "Automated Medical Coding (AMC) is the task of automatically converting free-text medical documents into predefined codes according to a specific medical coding system. Although deep learning has significantly advanced AMC, the class imbalance problem remains a significant challenge. To address this issue, most existing methods consider only a single coding system and disregard the potential benefits of reflecting the relevance between different coding systems. To bridge this gap, we introduce a Joint learning framework for Across Medical coding Systems (JAMS), which jointly learns different coding systems through multi-task learning. It learns various representations using a shared encoder and explicitly captures the relationships across these coding systems using the medical code attention network, a modification of the graph attention network. In the experiments on the MIMIC-IV ICD-9 and MIMIC-IV ICD-10 datasets, connected through General Equivalence Mappings, JAMS improved the performance consistently regardless of the backbone models. This result demonstrates its model-agnostic characteristic, which is not constrained by specific model structures. Notably, JAMS significantly improved the performance of low-frequency codes. Our analysis shows that these performance gains are due to the connections between the codes of the different coding systems.",
}

Automated Medical Coding (AMC) is the task of automatically converting free-text medical documents into predefined codes according to a specific medical coding system. Although deep learning has significantly advanced AMC, the class imbalance problem remains a significant challenge. To address this issue, most existing methods consider only a single coding system and disregard the potential benefits of reflecting the relevance between different coding systems. To bridge this gap, we introduce a Joint learning framework for Across Medical coding Systems (JAMS), which jointly learns different coding systems through multi-task learning. It learns various representations using a shared encoder and explicitly captures the relationships across these coding systems using the medical code attention network, a modification of the graph attention network. In the experiments on the MIMIC-IV ICD-9 and MIMIC-IV ICD-10 datasets, connected through General Equivalence Mappings, JAMS improved the performance consistently regardless of the backbone models. This result demonstrates its model-agnostic characteristic, which is not constrained by specific model structures. Notably, JAMS significantly improved the performance of low-frequency codes. Our analysis shows that these performance gains are due to the connections between the codes of the different coding systems.
Jeong, Geunyeong Jeong, Seokwon Sun, Juoh Kim, Harksoo
Bridging the Code Gap: A Joint Learning Framework across Medical Coding Systems