Method, device and equipment for detecting illegal medication of disease and computer storage medium

Abstract

The invention belongs to the field of artificial intelligence, and provides a disease illegal medication detection method, device and equipment and a computer storage medium, and the method comprisesthe steps: obtaining original diagnosis and treatment data of an insured person to be detected; Inputting the original diagnosis and treatment data of the to-be-detected insured person into a preset cleaning model for preprocessing to obtain diagnosis and treatment data of the to-be-detected insured person, the diagnosis and treatment data of the to-be-detected insured person including the hospitalization rate; Inputting the diagnosis and treatment data of the to-be-detected insured person into the trained clustering model for clustering to divide the diagnosis and treatment data of the to-be-detected insured person into a plurality of to-be-detected groups based on different hospitalization rate ranges; Analyzing the feature indexes of the to-be-detected group and the diagnosis and treatment data of the to-be-detected insured person contained in the to-be-detected group so as to detect the diagnosis and treatment data of the abnormal insured person with the disease inconsistent with the medication from the to-be-detected group. From the perspective of the hospitalization rate, anomaly detection is conducted on a large number of insured person diagnosis and treatment data based onthe clustering model, the detection difficulty can be lowered, and the detection efficiency and accuracy are improved.

Description

technical field [0001] The invention relates to the field of artificial intelligence, in particular to a method, device, equipment and computer storage medium for detecting illegal drug use of diseases. Background technique [0002] In the medical insurance system, there are certain restrictions on the use of drugs for different diseases. For example, albumin is only used for hypoalbuminemia. In order to ensure the reasonable expenditure of the medical insurance fund, it is necessary to conduct anomaly detection on the medical data of the insured to verify the drug reimbursement expenses of the insured. Due to the large amount of data that needs to be detected, the traditional way of relying only on manual detection is difficult and inefficient. Contents of the invention [0003] The main purpose of the present invention is to provide a method, device, equipment and computer storage medium for detecting illegal drug use of diseases, aiming to solve the technical problems ...

AI Technical Summary

Problems solved by technology

[0003] The main purpose of the present invention is to provide a method, device, equipment and computer storage medium for detecting illegal drug use of diseases, aiming to solve the technical problems of difficulty and low efficiency in the traditional way of only relying on manual detection of insured person's diagnosis and treatment data

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