Hybrid Knowledge Approach for Determining Health Care Provider Specialty from Patient Diagnoses
In an access-control situation, the role of a user determines whether a data request is appropriate. This paper combines vetted web mining and logic modeling to build a lightweight system for determining the role of a health care provider based only on their prior authorized requests. The model identifies provider roles with 100% recall from very little data. This shows the value of vetted web mining in AI systems, and suggests the impact of the ICD classification on medical practice.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1315737Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 652
 Centers for Medicaid and Medicare Services. “International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM).” 2011.
 Centers for Medicaid and Medicare Services. “Medicare National Coverage Determinations (NCD) Manual.” 2015.
 C. Palmer, N. Chungoora, R. I. M. Young, A. G. Guendran, Z. Usman, K. Case, and J. A. Harding. "Exploiting unified modelling language (UML) as a preliminary design tool for Common Logic-based ontologies in manufacturing." International Journal of Computer Integrated Manufacturing, vol. 26, pp. 267-283, 2013.
 N. Maguire. “Cardiology Coding Unmasked - Part 4 Cardiology Diagnosis Coding, ICD-9 and ICD-10.” Codeapedia, no date. Available http://codapedia.com/article_592_Cardiology-Coding-Unmasked-Part-4-Cardiology-Diagnosis-Coding-ICD-9-and-ICD-10.cfm. Accessed April 24, 2015.
 P. A. Myer, A. Mannalithara, G. Singh, G. Singh, P. J. Pasricha, and U. Ladabaum. “Table A1. List of ICD-9-CM codes for GI disease definition.” From “Clinical and Economic Burden of Emergency Department Visits Due to Gastrointestinal Diseases in the United States.” American Journal of Gastroenterology, vol. 108, pp. 1496-1507, September 2013. Available http://www.nature.com/ajg/journal/v108/n9/ fig_tab/ajg2013199t6.html. Accessed April 24, 2015.
 P. A. Humphrey, L. P. Dehner, and J. D. Pfeifer. “ICD-9 Codes for General Surgical Pathology.” The Washington Manual of Surgical Pathology, 2012. Available http://hemaonco.tmu.edu.tw/ ICD9.pdf. Accessed April 25, 2015.
 A. Howard. “Coding for Pain.” For The Record , vol. 10, p. 38, 2007. Available http://www.fortherecordmag.com/archives/ ftr_05292007p38.shtml. Accessed April 25, 2015.
 World Health Organization. “History of the Development of the ICD.” No date. Available http://www.who.int/classifications/icd/en/ HistoryOfICD.pdf. Accessed April 20, 2015.
 M. Pippenger, R. G. Holloway, and B. G. Vickrey. “Neurologists’ use of ICD-9CM codes for dementia.” Neurology, vol. 56, pp. 1206-1209, May 2001.