Table 2 Edges description.
From: Fraud detection and explanation in medical claims using GNN architectures
Edge type | Description |
|---|---|
Activity_for_patient | Connects the encounter to the patient that received the service |
Activity_executedBy_clinician | Connects the encounter to the clinician who performed the associated service |
Activity_contains_service | Connects the encounter to the service node representing the medical service or procedure performed |
Activity_primary_diagnosis | Connects the encounter to the primary diagnosis |
Activity_secondary_diagnosis | Connects the encounter to the secondary diagnosis |
Activity_rfv_diagnosis | Connects the encounter to the diagnosis associated with a reason for visit (RFV) |
Activity_partOf_claim | Connects the claim to its constituents (encounters) |
Activity_by_provider | Connects the encounter to the provider that submitted the claim |
Diagnosis_requires_service | Connects the diagnosis to the medical service or procedure occurring along with it |
