{"id":"https://openalex.org/W4319083881","doi":"https://doi.org/10.1038/s41746-023-00768-0","title":"Automating the overburdened clinical coding system: challenges and next steps","display_name":"Automating the overburdened clinical coding system: challenges and next steps","publication_year":2023,"publication_date":"2023-02-03","ids":{"openalex":"https://openalex.org/W4319083881","doi":"https://doi.org/10.1038/s41746-023-00768-0","pmid":"https://pubmed.ncbi.nlm.nih.gov/36737496"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-023-00768-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00768-0","pdf_url":"https://www.nature.com/articles/s41746-023-00768-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"editorial","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-023-00768-0.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046604438","display_name":"Kaushik P. Venkatesh","orcid":"https://orcid.org/0000-0002-1736-4367"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Kaushik P. Venkatesh","raw_affiliation_strings":["Harvard Medical School, Boston, MA, USA. kaushik_venkatesh@hms.harvard.edu","Harvard Medical School, Boston, MA, USA"],"raw_orcid":"https://orcid.org/0000-0002-1736-4367","affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, MA, USA. kaushik_venkatesh@hms.harvard.edu","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045670851","display_name":"Marium Raza","orcid":"https://orcid.org/0000-0001-8050-9402"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marium M. Raza","raw_affiliation_strings":["Harvard Medical School, Boston, MA, USA"],"raw_orcid":"https://orcid.org/0000-0001-8050-9402","affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059808008","display_name":"Joseph C. Kvedar","orcid":"https://orcid.org/0000-0002-7517-2291"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph C. Kvedar","raw_affiliation_strings":["Harvard Medical School, Boston, MA, USA"],"raw_orcid":"https://orcid.org/0000-0002-7517-2291","affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5046604438"],"corresponding_institution_ids":["https://openalex.org/I136199984"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":14.8405,"has_fulltext":true,"cited_by_count":41,"citation_normalized_percentile":{"value":0.98822927,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":100},"biblio":{"volume":"6","issue":"1","first_page":"16","last_page":"16"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11710","display_name":"Biomedical Text Mining and Ontologies","score":0.9865000247955322,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.9753999710083008,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/coding","display_name":"Coding (social sciences)","score":0.6710261106491089},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.589974045753479},{"id":"https://openalex.org/keywords/medical-classification","display_name":"Medical classification","score":0.44857582449913025},{"id":"https://openalex.org/keywords/revenue","display_name":"Revenue","score":0.4226512610912323},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.41572004556655884},{"id":"https://openalex.org/keywords/transparency","display_name":"Transparency (behavior)","score":0.41546618938446045},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.41520819067955017},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.34001123905181885},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.18912020325660706},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.17648330330848694},{"id":"https://openalex.org/keywords/accounting","display_name":"Accounting","score":0.11182525753974915},{"id":"https://openalex.org/keywords/computer-security","display_name":"Computer security","score":0.10369020700454712}],"concepts":[{"id":"https://openalex.org/C179518139","wikidata":"https://www.wikidata.org/wiki/Q5140297","display_name":"Coding (social sciences)","level":2,"score":0.6710261106491089},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.589974045753479},{"id":"https://openalex.org/C154874363","wikidata":"https://www.wikidata.org/wiki/Q3518464","display_name":"Medical classification","level":2,"score":0.44857582449913025},{"id":"https://openalex.org/C195487862","wikidata":"https://www.wikidata.org/wiki/Q850210","display_name":"Revenue","level":2,"score":0.4226512610912323},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.41572004556655884},{"id":"https://openalex.org/C2780233690","wikidata":"https://www.wikidata.org/wiki/Q535347","display_name":"Transparency (behavior)","level":2,"score":0.41546618938446045},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.41520819067955017},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.34001123905181885},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.18912020325660706},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.17648330330848694},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.11182525753974915},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.10369020700454712},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-023-00768-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00768-0","pdf_url":"https://www.nature.com/articles/s41746-023-00768-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:36737496","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36737496","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:9898522","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9898522","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9898522/pdf/41746_2023_Article_768.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:77c66ac9090942bbbf81fd148aa0201c","is_oa":true,"landing_page_url":"https://doaj.org/article/77c66ac9090942bbbf81fd148aa0201c","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 6, Iss 1, Pp 1-2 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41746-023-00768-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00768-0","pdf_url":"https://www.nature.com/articles/s41746-023-00768-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Industry, innovation and infrastructure","id":"https://metadata.un.org/sdg/9","score":0.5600000023841858}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4319083881.pdf"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1870686808","https://openalex.org/W2007666495","https://openalex.org/W2146417320","https://openalex.org/W2404369708","https://openalex.org/W2778088240","https://openalex.org/W2785420384","https://openalex.org/W2889577585","https://openalex.org/W2964142373","https://openalex.org/W2970738924","https://openalex.org/W3015257991","https://openalex.org/W3084029235","https://openalex.org/W3177019841","https://openalex.org/W3189827190","https://openalex.org/W3213059131","https://openalex.org/W4226269719","https://openalex.org/W4286567174","https://openalex.org/W4291023040","https://openalex.org/W4307138871"],"related_works":["https://openalex.org/W1814740154","https://openalex.org/W3031494915","https://openalex.org/W2265172224","https://openalex.org/W2412024162","https://openalex.org/W3031763252","https://openalex.org/W4226145506","https://openalex.org/W2604748422","https://openalex.org/W2347612500","https://openalex.org/W2244353837","https://openalex.org/W3205118888"],"abstract_inverted_index":{"Artificial":[0],"intelligence":[1],"(AI)":[2],"and":[3,32,35,50,62,69,86,96,110,114],"natural":[4],"language":[5],"processing":[6],"(NLP)":[7],"have":[8,23,89],"found":[9],"a":[10],"highly":[11],"promising":[12],"application":[13],"in":[14],"automated":[15],"clinical":[16,28,37,65,107],"coding":[17,29,99],"(ACC),":[18],"an":[19],"innovation":[20],"that":[21],"will":[22],"profound":[24],"impacts":[25],"on":[26],"the":[27,45,60,74,94],"industry,":[30],"billing":[31],"revenue":[33],"management,":[34],"potentially":[36],"care":[38],"itself.":[39],"Dong":[40],"et":[41],"al.":[42],"recently":[43],"analyzed":[44],"technical":[46],"challenges":[47,55],"of":[48,84,98,112],"ACC":[49,57,87],"proposed":[51],"future":[52],"directions.":[53],"Primary":[54],"for":[56],"exist":[58],"at":[59],"technological":[61],"implementation":[63],"levels;":[64],"documents":[66],"are":[67,76,81],"redundant":[68],"complex,":[70],"code":[71],"sets":[72,80],"like":[73],"ICD-10":[75],"rapidly":[77],"evolving,":[78],"training":[79],"not":[82],"comprehensive":[83],"codes,":[85],"models":[88,116],"yet":[90],"to":[91,117],"fully":[92],"capture":[93],"logic":[95],"rules":[97],"decisions.":[100],"Next":[101],"steps":[102],"include":[103],"interdisciplinary":[104],"collaboration":[105],"with":[106],"coders,":[108],"accessibility":[109],"transparency":[111],"datasets,":[113],"tailoring":[115],"specific":[118],"use":[119],"cases.":[120]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":17},{"year":2024,"cited_by_count":14},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":1}],"updated_date":"2026-01-13T01:12:25.745995","created_date":"2025-10-10T00:00:00"}
