Coding method and system for first page of medical records

Abstract

The present application discloses a method and system for coding the front page of medical records, wherein the method includes: in response to the original name and original code in the input front page information of the medical record, for each original name, determine whether the original name matches the International Classification of Diseases ICD standard table; In response to the fact that the original name does not match the International Classification of Diseases ICD standard table, it is determined whether the original code meets the preset inclusion and sorting conditions of the pre-established ICD feature knowledge base; The library obtains the coding classification feature and obtains the name classification feature from the ICD feature knowledge base according to the original name; determines whether the name classification feature matches the coding classification feature; in response to the name classification feature matching the coding classification feature, the original code is added to the candidate coding list; The pre-established coding rule knowledge base adjusts the coding content and / or order of the candidate coding list; outputs the correct coding list. The invention enables to improve the correctness of the encoding.

Description

technical field [0001] This application relates to the field of electronic digital data processing, in particular to a coding method and system for the first page of a medical record. Background technique [0002] The International Classification of Diseases (ICD) is an international unified classification of various diseases issued by the World Health Organization (WHO) in order to enable health practitioners to exchange health information around the world. Diseases are classified into categories according to the rules and expressed by codes, which contain tens of thousands of unique codes related to injuries, diseases and causes of death. The most widely used ICD versions in the world are ICD10 and ICD9. [0003] ICD enables the standardization and formatting of disease terminology, which is the application basis of medical informatization and medical information management, and also an important basis for medical insurance settlement. Therefore, the effective use of ICD ...

AI Technical Summary

Problems solved by technology

This prior art obtains outpatient diagnosis coding information by mapping medical terms or original diagnostic names to ICD10 codes in a dictionary library, which cannot handle the coding of non-standardized medical terms and has low scalability; moreover, the mapping of medical terms to ICD10 codes can only solve The one-to-one coding correctness problem cannot solve the core business problems such as the choice between multiple codes (such as the main diagnosis selection, the main operation selection problem) and the main operation and diagnosis matching

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