US Patent 11176441 Neural network architecture for performing medical coding

Mechanisms are provided to implement a medical coding engine to perform medical coding using a neural network architecture that leverages hierarchical semantics between medical concepts. The medical coding engine configures a medical coding neural network to comprise an first layer of nodes comprising preferred terminology (PT) nodes, a second layer comprising lowest level terminology (LLT) nodes, and a third layer comprising weighted values for each connection between each PT node and each LLT node forming a PT node/LLT node connection. Responsive to receiving an adverse event from a cognitive system, a PT node is identified in the first layer associated with a citation from the adverse event. One or more nodes are identified from the second layer based on the identification PT node and a weight associated with the PT node/LLT node connection. A medical code associated with each the one or more LLT nodes is then output.