INTELLIGENT RESOLUTON OF CODES IN A CLASSIFICATION SYSTEM

• US 20140136559A1
• Filed: 02/12/2013
• Published: 05/15/2014
• Est. Priority Date: 11/15/2012
• Status: Active Grant

• Current Assignee: International Business Machines Corporation
• Original Assignee: International Business Machines Corporation
• Inventors: Kottaram, Sanjay F.
• Granted Patent: US 8,903,787 B2
• Time in Patent Office: Days
• US Class Current: 707/756
• CPC Class Codes: G06F 16/258 Data format conversion from or to a database
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

Intelligent delegation of codes for mapping between versions of a classification system includes a method for receiving data that is classified with a first code. The first code is defined by a first version of the classification system, and the first code is to be re-classified to a second code that is defined by a second version of the classification system. The method also includes searching a database of profiles for content that matches at least a portion of the data, sending the data to a converter system having one of the profiles that is associated with the content responsive to the searching, and receiving, from the converter system, a mapping of the first code to the second code. The method further includes updating a database of codes with results of the mapping.

Claims

1. A method, comprising:

receiving, by a computer processor, data that is classified with a first code, the first code defined by a first version of a classification system, the first code to be re-classified to a second code that is defined by a second version of the classification system;

searching a database of profiles for content that matches at least a portion of the data;

sending the data to a converter system having one of the profiles that is associated with the content responsive to the searching;

receiving, from the converter system, a mapping of the first code to the second code; and

updating, by the computer processor, a database of codes with results of the mapping.

2. The method of claim 1, wherein the data is indicative of at least one of a medical condition, treatment performed, and medical symptom.

3. The method of claim 2, wherein the first version of the classification system is a first version of a diagnostic and procedure codes index that is updated from a second version of the diagnostic and procedure codes index, the second version of the diagnostic and procedure codes index corresponding to the second version of the classification system.

4. The method of claim 2, wherein the data is received by the computer processor on a medical claim form.

5. The method of claim 1, further comprising:

analyzing, over a duration of time, mapping activities performed by a coder via the converter system, the mapping activities including mapping of codes between the first version of the classification system and the second version of the classification system;

determining an accuracy level of the mapping activities with respect to the coder; and

updating a profile of the coder, based on the accuracy level, to include a proficiency of the coder with respect to a subject matter area that relates to the data.

6. The method of claim 1, wherein the mapping of the first code also includes a mapping of the first code to a third code defined by the second version of the classification system.

7. The method of claim 1, wherein the mapping of the first code further includes a mapping of multiple codes defined by the first classification system to the second code defined by the second version of the classification system.

8. The method of claim 1, wherein the converter system represents a first converter system and the computer processor represents a second converter system having a profile corresponding to the first version of the classification system, the method further comprising:

accessing, via the first converter system, the profile of the second converter system corresponding to the first version of the classification system;

accessing, via the first converter system, a profile of a third converter system having a profile corresponding to the second version of the classification system; and

mapping, via the first converter system, the first code associated with the profile of the first version to the second code associated with the second version.

9. A method, comprising:

receiving, by a computer processor, data that is classified with a first code, the first code defined by a first version of a classification system, the first code to be re-classified to a second code that is defined by a second version of the classification system;

searching a database associated with the second version for attributes matching the data;

assigning, by the computer processor, a relevance value to those of the attributes matching the data;

upon determining the relevance value meets a threshold level, converting the first code to the second code; and

updating, by the computer processor, a database of codes with results of the converting.

10. The method of claim 9, further comprising:

upon determining the relevance value does not meet the threshold level;

searching a database of profiles for content that matches at least a portion of the data;

sending the data to a converter system having one of the profiles that is associated with the content responsive to the searching;

receiving, from the converter system, a mapping of the first code to the second code; and

updating the database of codes with results of the mapping.