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How Machines Work in Healthcare.pdf
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2021-02-22
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
How macHineS learn in HealtHcare
Machine learning is transforming every facet of healthcare, as computer
systems are being taught how to use Big Data to derive insights and support
decision making. In this respect, teaching a computer, no less than teaching
a child, is to “shape the future.” Educating a computer is a surprisingly labor-
intensive process, requiring massive amounts of data, a nuanced understanding
of every data element from every data source, years of trial and error, and
extensive domain expertise. The key differentiator in machine learning is not the
specic technology and science applied; it is in the volume and quality of the
instructional material and the knowledge of the instructor.
22
ADVANCES IN DATA SCIENCE
ANDREI STOICA, PHD



astoica@iqvia.com
Today, we’re surrounded by computing systems that
can learn from experience and handle new situations.

music curation, and virtual assistants, computers
are studying away, becoming “smarter” with each
interaction we have with them.
Machine learning is destined to accelerate the pace
of healthcare transformation, as it allows us to extract
meaning from otherwise insurmountable volumes
of data. It is proving valuable in supporting research

improving diagnostics, providing clinical decision


much the same way as humans. The ingredients



together in the right way, machines are able to perform
high-volume automation, recognize patterns, spot


outcomes with great reliability.


data than we could effectively move over the internet

data. Today, we are in a similar position with
machine learning. The term has been over-hyped by
vendors that have limited experience with healthcare




the entire process from data processing to analytics
and the intrinsic interdependencies between the
various stages underpinning the quality of results.
This article provides additional details about data
processing as the foundation for analytics.
GOOD DATA HYGIENE

calls for data of great breadth. Other times, for data
of great depth. But in most cases, and especially for
business critical decisions, the data must be clean.
That’s why most data mining systems that claim they

cleansing step prior to data processing. It’s worth
reviewing the three basic steps involved in data
cleansing and processing: bridging, coding and

they are the foundation for quality machine learning
in processing and analytics stages.

to entities (such as diagnoses, products, physicians,



hundreds of attributes, including details on the
procedures, imaging, notes, etc.
In some cases, there are standard codes by which
these entities can be referenced, such as the National


as this exist, they must be assigned to the entity in
the data record and subsequently validated. This
assignment is called bridging. If the entity does not
have a standard code, a unique one must be created
as a reference in a process called coding.
To prepare data for bridging and coding, simple

example, one basic rule might be to remove all extra

Machine learning requires human, healthcare knowledge
Machine learning is destined to accelerate the pace of healthcare transformation,
as it allows us to extract meaning from otherwise insurmountable volumes of data
continued on next page

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