Table 4 Example of incorrect DRG predictions.
From: DRG-LLaMA : tuning LLaMA model to predict diagnosis-related group for hospitalized patients
Case ID | Pertinent narratives in discharge summary | True DRG | Predicted DRG | Comment |
|---|---|---|---|---|
Case 1 | altered mental status…respiratory failure…acute blood loss anemia and anemia of chronic disease…clostridium difficile infection…hypotension…was initially on levophed and dopamine… | Heart failure and shock with mcc | Respiratory system diagnosis with ventilator support 96 hours | Difficulty in selecting base DRG |
Case 2 | gastrointestinal bleeding…most likely ischemic colitis…viral gastroenteritis…acute renal failure…anemia… | Renal failure with cc | Other digestive system diagnoses with cc | Difficulty in selecting base DRG |
Case 3 | worsening diabetic foot ulcer…diabetic foot infection…svt…cardiology was consulted… | Cellulitis without mcc | Diabetes with cc | Inadequate clinical concept extraction |
Case 4 | neutropenic fevers…infectious workup was negative except for a urine culture growing enterococcus…pt is neutropenic, thrombocytopenic, and anemic…hiv-stable… | Kidney and urinary tract infections without mcc | Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc | Difficulty in selecting base DRG |
Case 5 | reported chest pain…soliatry episode of nsvt..ua without pyuria…safe for d/c home… | Esophagitis gastroenteristis and miscellaneous digestive disorders without mcc | Cardiac arrhythmia and conduction disorders with cc | Correct information needed for DRG prediction not available |
Case 6 | septic arthritis, likely seeded by her recurrence of her e. coli bacteremia…rheum and id recommend wash out…wash out was deferred by orthopedics… | Septicemia or severe sepsis without mv 96 hours with mcc | Revision of hip or knee replacement with mcc | Inadequate clinical concept extraction |
Case 7 | acute to subacute hyponatremia…admitted with low na 120…uti with evidence of pyuria… | Kidney and urinary tract infections without mcc | Renal failure with cc | Inadequate clinical concept extraction |
Case 8 | presents with diffuse acute-on-chronic abdominal pain…gi bleed…treated with octreotide drip and pantoprazole iv…capsule endoscopy was performed…encephalopathy…visual hallucinations… | Septicemia or severe sepsis without mv 96 hours with mcc | G.i. hemorrhage with cc | Possible incorrect DRG label |
Case 9 | admitted for altered mental status…delirium….silent aspiration for which received a peg tube…hypertension treated with amlodipine…osa | Esophagitis gastroenteristis and miscellaneous digestive disorders without mcc | Esophagitis gastroenteritis and miscellaneous digestive disorders with mcc | Erroneous cc/mcc |
Case 10 | presents with word finding difficulties and lethargy…eeg showed moderate encephalopathy…ams was likely due to overmedication…followed by psychiatry - seroquel and abilify were held… | Psychoses | Other disorders of nervous system with cc | Inadequate clinical concept extraction |
