Medical information processing method and device, medium and electronic equipment
An information processing method and information table technology, which is applied in the fields of healthcare informatics, informatics, medical reference, etc., can solve problems such as the inability to apply the grouping scheme to disease classification work, affecting the calculation of medical insurance costs, and the lack of surgical operation classification codes, etc.
Inactive Publication Date: 2019-09-17
TAIKANG LIFE INSURANCE CO LTD +1
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Problems solved by technology
But at present, in the medical insurance settlement data in most regions, the surgical operation classification code (ICD9-CM-3) in the inpatient medical records is missing, which is the biggest obstacle to the application of BJ-DRGs and CN-DRGs
At the same time, the diagnosis information recorded in the medical insurance settlement data only includes the main diagnosis, and the second diagnosis information and the third diagnosis information are incomplete; moreover, limited by the level of medical informatization in various regions, the diagnosis and details in some areas will be missing Phenomenon
Therefore, the existing medical insurance settlement data does not fully record this information due to historical reasons, so it is impossible to apply the existing CN-GRGs and BJ-DRGs grouping schemes for disease classification, which affects the calculation of medical insurance costs
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[0025] Example embodiments will now be described more fully with reference to the accompanying drawings. Example embodiments may, however, be embodied in many forms and should not be construed as limited to the examples set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete and fully convey the concept of example embodiments to those skilled in the art.
[0026] Furthermore, the described features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. In the following description, numerous specific details are provided in order to give a thorough understanding of embodiments of the invention. However, those skilled in the art will appreciate that the technical solutions of the present invention may be practiced without one or more of the specific details, or other methods, components, means, steps, etc. may be employed. In other instances, well-known methods, apparatus, implem...
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The invention provides a medical information processing method and device, a medium and electronic equipment, and relates to the technical field of medical information processing. The medical information processing method comprises the following steps: acquiring an international disease classification ICD-10 code according to a doctor-seeing information table of medical insurance settlement data; obtaining a disease category according to the ICD-10 code; obtaining a plurality of independent variables according to the doctor-seeing information table and the ICD-10 code; obtaining dependent variables according to the expense details of the medical insurance settlement data; and inputting the plurality of independent variables and dependent variables into a classification model corresponding to the disease category so as to determine a disease group to which a case corresponding to the medical insurance settlement data belongs in the disease category. According to the technical scheme provided by the invention, the accuracy and effectiveness of disease classification are ensured.
Description
technical field [0001] The present invention relates to the technical field of medical information processing, in particular to a medical information processing method, device, medium and electronic equipment. Background technique [0002] At present, I have seen that most hospitals use the method of payment according to service items to settle the expenses. According to the "Guiding Opinions of the General Office of the State Council on Further Deepening the Reform of Basic Medical Insurance Payment Methods", by 2020, the reform of medical insurance payment methods will cover all medical institutions and medical services, and the proportion of payment by service items will drop significantly. [0003] DRGs (diagnosis-related groups, disease diagnosis-related groups) is a disease classification method specially used in the medical prepayment system. It sorts patients into hundreds of diagnostically relevant groups and then decides how much to reimburse hospitals. DRGs achi...
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Login to View More IPC IPC(8): G06K9/62G16H70/00
CPCG16H70/00G06F18/24
Inventor 樊仲羽刘洪波邓松杨景东方瑛琦
Owner TAIKANG LIFE INSURANCE CO LTD