Audit diagnosis and treat rule generation method and device, computer device and storage medium

A technology of rules and elements, applied in the fields of devices, computer equipment and storage media, and methods for generating audit and diagnosis and treatment rules, can solve the problems of low efficiency of audit rule formulation and waste of staff time, and achieve the effect of improving formulation efficiency and saving time and cost.

CN109411079AActive Publication Date: 2019-03-01PING AN TECH (SHENZHEN) CO LTD
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Patent Information

Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Publication Date
2019-03-01

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Abstract

The present invention relates to an audit diagnosis and treat rule generation method and device, a computer device and a storage medium. The method comprises the steps of: obtaining a diagnosis and treat rule generation demand; extracting a disease name and an audit element from the diagnosis and treat rule generation demand; finding a diagnosis and treat knowledge topological graph correspondingto the disease name, wherein the diagnosis and treat knowledge topological graph is constructed based on mass of medical data; finding a first diagnosis and treat key field corresponding to the auditelement in the diagnosis and treat knowledge topological graph; obtaining a first medical element field associated with the first diagnosis and treat key field, and generating diagnosis and treat audit detail according to the first diagnosis and treat key field and the first medical element field; and according to the diagnosis and treat audit detail, generating a diagnosis and treat audit rule. The method is employed to improve the making efficiency of the audit rule.
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Description

technical field

[0001] The present application relates to the field of computer technology, in particular to a method, device, computer equipment and storage medium for generating review diagnosis and treatment rules. Background technique

[0002] When reviewing medical insurance data and commercial insurance data, there is often a need to review over-medication and over-medication in the process of medical diagnosis and treatment.

[0003] Due to the large variety of diseases and the complex medical knowledge system involved, when formulating audit rules for the above-mentioned diagnosis and treatment audit rule generation needs, it is generally necessary to rely on experienced staff to search a large amount of clinical data and medical classics to collect diagnosis and treatment. The medical data involved in the process and the analysis of the correlation between various medical data require a lot of staff time, and the efficiency of formulating audit rules is very low. ...

Examples

Embodiment Construction

[0060] In order to make the purpose, technical solution and advantages of the present application clearer, the present application will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present application, not to limit the present application.

[0061] The verification diagnosis and treatment rule generation method provided by this application can be applied to such as figure 1shown in the application environment. Wherein, the terminal 102 communicates with the server 104 through the network. The server 104 receives the diagnosis and treatment audit rule generation requirement sent by the terminal 102, extracts the disease name and audit elements from the diagnosis and treatment audit rule generation requirement, searches for the diagnosis and treatment knowledge topology map corresponding to the disease name, and searches for th...