Extracting method and apparatus for case auditing rule, and case auditing method and system

A technology of cases and rules, applied in the medical field, can solve problems such as inability to guarantee the safety of medical insurance funds, low review efficiency, time-consuming and labor-intensive problems

Active Publication Date: 2016-01-06
NEUSOFT CORP
View PDF7 Cites 10 Cited by
  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

The manual review method is cumbersome, time-consuming and labor-intensive, and the review efficiency is low
In addition,

Method used

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
View more

Image

Smart Image Click on the blue labels to locate them in the text.
Viewing Examples
Smart Image
  • Extracting method and apparatus for case auditing rule, and case auditing method and system
  • Extracting method and apparatus for case auditing rule, and case auditing method and system
  • Extracting method and apparatus for case auditing rule, and case auditing method and system

Examples

Experimental program
Comparison scheme
Effect test

Example Embodiment

[0082] The specific embodiments of the present invention will be described in detail below with reference to the accompanying drawings. It should be understood that the specific embodiments described herein are only used to illustrate and explain the present invention, and not to limit the present invention.

[0083] figure 1 A flowchart of a method for extracting case review rules for a single disease type according to an embodiment of the present invention is shown. Such as figure 1 As shown, the method can include:

[0084] In step S101, word segmentation processing is performed on each case in the training case set to obtain multiple word segmentation, wherein the training case set may include multiple cases belonging to a preset single disease type.

[0085] In the present invention, the cases included in the training case set may be unstructured case data, for example, surgical procedure text used to record the surgical procedure. Since the text of the operation process con...

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
Login to view more

PUM

No PUM Login to view more

Abstract

The invention discloses an extracting method and apparatus for a case auditing rule of a single disease, and a case auditing method and system for the single disease. The extracting method comprises the steps of performing word segment processing on each case of a training case set to obtain a plurality of segmented words, wherein the training case set comprises a plurality of cases belonging to preset single disease; establishing a word co-occurrence graph with multiple segmented words, wherein each segmented word is used as a top point of the word co-occurrence graph, and the weight of the side boundary between two top points is the co-occurrence time of the segmented word, corresponding to the two top points, in the training case set; obtaining key words from the multiple segmented words according to the word co-occurrence graph; forming a key word set according to the obtained key words; and extracting the case auditing rule specific to the single disease from the key word set, wherein the case auditing rule is a sequential key word sequence formed by the multiple key words from the key word set. Therefore, the case auditing rule for the single disease can be extracted for realizing the automatic auditing for cases of the single disease.

Description

technical field [0001] The present invention relates to the medical field, in particular to a method and device for extracting case review rules, and a case review method and system. Background technique [0002] With the expansion of social insurance coverage, the improvement of security levels, and the improvement of service convenience, driven by interests, criminals have begun to illegally extract social security funds in some places. This phenomenon is particularly prominent in the field of health insurance. [0003] A single disease refers to a single disease with no complications. Single-disease payment refers to the costs of laboratory tests, surgery, hospitalization, medical consumables and other expenses incurred during the whole process of patients being admitted to the hospital after being diagnosed, receiving corresponding treatment according to the prescribed clinical pathway, and finally discharged after meeting the clinical curative effect standard. The med...

Claims

the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
Login to view more

Application Information

Patent Timeline
no application Login to view more
IPC IPC(8): G06F19/00
Inventor 赵大哲栗伟周庆华陈锡民王军搏孟勤柳玉辉
Owner NEUSOFT CORP
Who we serve
  • R&D Engineer
  • R&D Manager
  • IP Professional
Why Eureka
  • Industry Leading Data Capabilities
  • Powerful AI technology
  • Patent DNA Extraction
Social media
Try Eureka
PatSnap group products

Browse by: Latest US Patents, China's latest patents, Technical Efficacy Thesaurus, Application Domain, Technology Topic.

© 2024 PatSnap. All rights reserved.Legal|Privacy policy|Modern Slavery Act Transparency Statement|Sitemap