Computer Science > Computation and Language
arXiv:2502.14916 (cs)
This paper has been withdrawn by Xinxin You
[Submitted on 19 Feb 2025 (v1), last revised 10 Mar 2026 (this version, v4)]
Title:MKE-Coder: Multi-Axial Knowledge with Evidence Verification in ICD Coding for Chinese EMRs
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Abstract:The task of automatically coding the International Classification of Diseases (ICD) in the medical field has been well-established and has received much attention. Automatic coding of the ICD in the medical field has been successful in English but faces challenges when dealing with Chinese electronic medical records (EMRs). The first issue lies in the difficulty of extracting disease code-related information from Chinese EMRs, primarily due to the concise writing style and specific internal structure of the EMRs. The second problem is that previous methods have failed to leverage the disease-based multi-axial knowledge and lack of association with the corresponding clinical evidence. This paper introduces a novel framework called MKE-Coder: Multi-axial Knowledge with Evidence verification in ICD coding for Chinese EMRs. Initially, we identify candidate codes for the diagnosis and categorize each of them into knowledge under four coding this http URL, we retrieve corresponding clinical evidence from the comprehensive content of EMRs and filter credible evidence through a scoring model. Finally, to ensure the validity of the candidate code, we propose an inference module based on the masked language modeling strategy. This module verifies that all the axis knowledge associated with the candidate code is supported by evidence and provides recommendations accordingly. To evaluate the performance of our framework, we conduct experiments using a large-scale Chinese EMR dataset collected from various hospitals. The experimental results demonstrate that MKE-Coder exhibits significant superiority in the task of automatic ICD coding based on Chinese EMRs. In the practical evaluation of our method within simulated real coding scenarios, it has been demonstrated that our approach significantly aids coders in enhancing both their coding accuracy and speed.
| Comments: | |
| Subjects: | Computation and Language (cs.CL); Artificial Intelligence (cs.AI) |
| Cite as: | arXiv:2502.14916 [cs.CL] |
| (or arXiv:2502.14916v4 [cs.CL] for this version) | |
| https://doi.org/10.48550/arXiv.2502.14916
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arXiv-issued DOI via DataCite
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Submission history
From: Xinxin You [view email][v1] Wed, 19 Feb 2025 08:08:53 UTC (5,887 KB)
[v2] Wed, 26 Feb 2025 04:35:15 UTC (4,186 KB)
[v3] Mon, 21 Jul 2025 08:32:32 UTC (1 KB) (withdrawn)
[v4] Tue, 10 Mar 2026 09:14:55 UTC (1 KB) (withdrawn)
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