Hospital discharge main diagnosis and admission condition correspondence analysis method and device
By automatically comparing the diagnosis data of discharge and admission, the consistency of the diagnosis of hospital discharge and admission conditions was solved, and the diagnosis accuracy and medical service quality were improved.
Patent Information
- Application Number
- CN202411272844.1
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-09-11
- Publication Date
- 2024-12-27
AI Technical Summary
In the prior art, the main discharge diagnosis issued by the hospital and the description of the admission condition are inconsistent, resulting in medical diagnosis errors and affecting the quality of medical services and the treatment effect of patients.
By designing a corresponding analysis method and device for discharge diagnosis and admission condition, the main diagnosis and admission diagnosis data are automatically compared, and the two are consistent according to the set rules, and the judgment results are output to improve the diagnosis accuracy rate.
It improves the accuracy of the main diagnosis of discharge, ensures the quality of medical services, reduces medical errors, and improves the medical service level of the hospital.
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Figure CN119207771A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of medical data processing, and in particular to a method and device for analyzing the correspondence between a main diagnosis at discharge and a condition at admission. Background Art
[0002] In today's medical system, whether the main diagnosis issued by the hospital at discharge is consistent with the description of the patient's condition upon admission can not only be used to evaluate the quality of the hospital's medical services, but also determines whether the patient's subsequent treatment has a reliable medical basis.
[0003] However, the main diagnosis of discharge issued by doctors in hospitals sometimes does not match the description of the condition upon admission, which is not in line with medical standards and is very likely to result in errors in the main medical diagnosis. Therefore, how to invent a technical solution that can determine whether the main diagnosis of discharge is consistent with the description of the condition upon admission, thereby improving the accuracy of the main diagnosis and improving the medical service level of the hospital has become an urgent problem to be solved. Summary of the invention
[0004] To this end, the present invention provides a method and device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission. The method automatically determines whether the main diagnosis of discharge and the description of the condition of admission are consistent, thereby improving the accuracy of the main diagnosis and improving the medical service level of the hospital.
[0005] In order to achieve the above object, the present invention provides the following technical solution: a method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, comprising:
[0006] By connecting to a set data center, extracting the medical record homepage and admission record from the set data center; extracting the discharge main diagnosis and admission condition data from the medical record homepage; extracting the admission diagnosis and preliminary diagnosis data from the admission record;
[0007] Compare the data of the discharge main diagnosis with the admission diagnosis, and determine whether the corresponding state of the admission condition meets the set rules according to the set rules;
[0008] According to whether the corresponding status of the hospitalized condition meets the set rules, the set judgment result is output.
[0009] As a preferred solution of a method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, in the process of judging whether the corresponding state of the condition of admission meets the set rule according to the set rule, the set rule is:
[0010] If the main diagnosis of discharge is the same as the diagnosis of admission, the corresponding status of the admission condition is "yes";
[0011] If the admission diagnosis is "to be determined" or has a "?", and the discharge diagnosis is clear or has the "?" removed, the corresponding status of the admission condition is "clinically undetermined";
[0012] If the main diagnosis for discharge contains a supplementary diagnosis that is not included in the admission diagnosis, the corresponding status of the admission condition is "clinically undetermined", "unclear" or "none".
[0013] As a preferred solution of the method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, in the process of outputting the set judgment result according to the situation that the corresponding state of the condition of admission meets the set rule, if the corresponding state of the condition of admission meets the set rule, the judgment procedure is passed and the judgment result is not input;
[0014] If the corresponding status of the hospitalized condition does not conform to the set rules, the judgment procedure is not passed, and an "inconsistent" judgment result, corresponding content and the corresponding status judgment of the hospitalized condition are output.
[0015] As a preferred solution of the method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, in the process of outputting the judgment result of "inconsistency", the corresponding content and the corresponding state judgment of the condition of admission, if the diagnosis conclusion in the main diagnosis of discharge is not mentioned in the diagnosis of admission, then the output is: Inconsistency: The diagnosis conclusion in the main diagnosis of discharge is not mentioned in the diagnosis of admission, and the condition of admission should not be "X"; wherein "X" is the corresponding state that does not meet the set rules;
[0016] If the diagnostic conclusion in the main diagnosis for discharge has relevant content in the admission diagnosis, the output is: Inconsistency: The diagnostic conclusion in the main diagnosis for discharge corresponds to the diagnostic content in the admission diagnosis, and the admission condition should not be "X"; where "X" is the corresponding state that does not comply with the set rules.
[0017] As a preferred solution for the method of analyzing the correspondence between the main discharge diagnosis and the admission condition, in the process of comparing the data of the main discharge diagnosis with the data of the admission diagnosis, if the data of the admission diagnosis is empty, the data of the preliminary diagnosis is selected for comparison.
[0018] The present invention also provides a device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, based on the above method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, comprising:
[0019] A data extraction module is used to extract the medical record front page and admission record from the set data center by connecting to the set data center; extract the discharge main diagnosis and admission condition data from the medical record front page; extract the admission diagnosis and preliminary diagnosis data from the admission record;
[0020] A data comparison and judgment module is used to compare the data of the discharge main diagnosis with the admission diagnosis, and judge whether the corresponding state of the admission condition meets the set rules according to the set rules;
[0021] The judgment result output module is used to output the set judgment result according to whether the corresponding state of the admission condition meets the set rules.
[0022] As a preferred solution of a device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, in the data comparison and judgment module, in the process of judging whether the corresponding state of the condition of admission meets the set rule according to the set rule, the set rule is:
[0023] If the main diagnosis of discharge is the same as the diagnosis of admission, the corresponding status of the admission condition is "yes";
[0024] If the admission diagnosis is "to be determined" or has a "?", and the discharge diagnosis is clear or has the "?" removed, the corresponding status of the admission condition is "clinically undetermined";
[0025] If the main diagnosis for discharge contains a supplementary diagnosis that is not included in the admission diagnosis, the corresponding status of the admission condition is "clinically undetermined", "unclear" or "none".
[0026] As a preferred solution of the device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, in the judgment result output module, in the process of outputting the set judgment result according to the situation that the corresponding state of the condition of admission meets the set rule, if the corresponding state of the condition of admission meets the set rule, the judgment result is not input through the judgment procedure;
[0027] If the corresponding status of the hospitalized condition does not conform to the set rules, the judgment procedure is not passed, and an "inconsistent" judgment result, corresponding content and the corresponding status judgment of the hospitalized condition are output.
[0028] As a preferred solution of the device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, in the judgment result output module, in the process of outputting the judgment result of "inconsistency", the corresponding content and the corresponding state judgment of the condition of admission, if the diagnosis conclusion in the main diagnosis of discharge is not mentioned in the diagnosis of admission, then the output is: Inconsistency: The diagnosis conclusion in the main diagnosis of discharge is not mentioned in the diagnosis of admission, and the condition of admission should not be "X"; wherein "X" is the corresponding state that does not meet the set rules;
[0029] If the diagnostic conclusion in the main diagnosis for discharge has relevant content in the admission diagnosis, the output is: Inconsistency: The diagnostic conclusion in the main diagnosis for discharge corresponds to the diagnostic content in the admission diagnosis, and the admission condition should not be "X"; where "X" is the corresponding state that does not comply with the set rules.
[0030] As a preferred solution of the device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, in the data comparison and judgment module, in the process of comparing the data of the main diagnosis of discharge with the data of the admission diagnosis, if the data of the admission diagnosis is empty, the data of the preliminary diagnosis is selected for comparison.
[0031] The present invention has the following advantages: by docking with a set data center, extracting the medical record homepage and admission record from the set data center; extracting the discharge main diagnosis and admission condition data from the medical record homepage; extracting the admission diagnosis and preliminary diagnosis data from the admission record; comparing the discharge main diagnosis with the admission diagnosis data, judging whether the corresponding state of the admission condition complies with the set rule according to the set rule; outputting the set judgment result according to the situation that the corresponding state of the admission condition complies with the set rule. In the process of judging whether the corresponding state of the admission condition complies with the set rule according to the set rule, the set rule is: if the discharge main diagnosis and the admission diagnosis have the same diagnostic conclusion connotation, the corresponding state of the admission condition is "yes"; if the admission diagnosis is "to be checked" or has "?", and the discharge main diagnosis clarifies the diagnosis or removes "?", the corresponding state of the admission condition is "clinically undetermined"; if the discharge main diagnosis has a supplementary diagnosis that is not in the admission diagnosis, the corresponding state of the admission condition is "clinically undetermined", "unclear" or "no". In the process of outputting the set judgment result according to the situation that the corresponding state of the admission condition meets the set rule, if the corresponding state of the admission condition meets the set rule, the judgment procedure is passed and the judgment result is not input; if the corresponding state of the admission condition does not meet the set rule, the judgment procedure is not passed, and the "inconsistent" judgment result, corresponding content and the corresponding state judgment of the admission condition are output. The present invention automatically judges whether the discharge main diagnosis and the admission condition description are consistent, thereby improving the accuracy of the main diagnosis and improving the medical service level of the hospital. BRIEF DESCRIPTION OF THE DRAWINGS
[0032] In order to more clearly illustrate the implementation methods of the present invention or the technical solutions in the prior art, the following briefly introduces the drawings required for the implementation methods or the description of the prior art. Obviously, the drawings in the following description are only exemplary, and for ordinary technicians in this field, other implementation drawings can be derived from the provided drawings without creative work.
[0033] The structures, proportions, sizes, etc. illustrated in this specification are only used to match the contents disclosed in the specification so as to facilitate understanding and reading by persons familiar with the technology. They are not used to limit the conditions under which the present invention can be implemented, and therefore have no substantial technical significance. Any structural modification, change in proportion or adjustment of size shall still fall within the scope of the technical contents disclosed in the present invention without affecting the effects and purposes that can be achieved by the present invention.
[0034] Figure 1 This is a flow chart of a method for analyzing the correspondence between the main diagnosis at discharge and the condition at admission provided in Example 1 of the present invention;
[0035] Figure 2 This is a schematic diagram of a specific implementation process of a method for analyzing the correspondence between a main diagnosis at discharge and a condition at admission provided in Example 1 of the present invention;
[0036] Figure 3 This is a schematic diagram of the architecture of a device for analyzing the correspondence between the main diagnosis upon discharge and the condition upon admission provided in Example 2 of the present invention. DETAILED DESCRIPTION
[0037] The following is a description of the implementation of the present invention by specific embodiments. People familiar with the art can easily understand other advantages and effects of the present invention from the contents disclosed in this specification. Obviously, the described embodiments are part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
[0038] Example 1
[0039] See also Figure 1 and Figure 2 Embodiment 1 of the present invention provides a method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, comprising the following steps:
[0040] S1. By connecting to a set data center, extract the medical record homepage and admission record from the set data center; extract the discharge main diagnosis and admission condition data from the medical record homepage; extract the admission diagnosis and preliminary diagnosis data from the admission record;
[0041] S2, comparing the data of the discharge main diagnosis with the admission diagnosis, and judging whether the corresponding state of the admission condition meets the set rules according to the set rules;
[0042] S3. Output a setting judgment result according to whether the corresponding status of the hospitalized condition meets the setting rule.
[0043] In this embodiment, in step S1, by connecting to a set data center, extracting the medical record homepage and admission record from the set data center; extracting the discharge main diagnosis and admission condition data from the medical record homepage; extracting the admission diagnosis and preliminary diagnosis data from the admission record;
[0044] Among them, the admission condition refers to the assessment of the patient's condition when he or she is admitted to the hospital.
[0045] In this embodiment, in step S2, the data of the discharge main diagnosis and the admission diagnosis are compared, and it is determined according to the set rules whether the corresponding state of the admission condition meets the set rules;
[0046] Among them, the main diagnosis at discharge is compared with the diagnosis at admission, and is divided into "yes", "clinically undetermined", "unclear situation", and "no" according to whether the diagnostic conclusion of the main diagnosis at discharge was already present when the patient was admitted to the hospital.
[0047] Specifically, "yes": the corresponding discharge diagnosis was clear at the time of admission. For example, the patient was admitted for "breast cancer" and was diagnosed with "breast cancer" by mammography and needle aspiration cytology before admission, and was also diagnosed with breast cancer by pathology after surgery.
[0048] Specifically, "clinically undetermined": the corresponding discharge diagnosis was clinically undetermined at the time of admission, or the diagnosis was a suspected diagnosis at the time of admission. For example, a patient was admitted for treatment due to "breast malignancy cannot be excluded", "breast cancer?" or "breast tumor", and the nature of the tumor was undetermined due to the lack of pathological results. At the time of discharge, the pathological diagnosis was clearly breast cancer or breast fibroids.
[0049] Specifically, "Unclear Situation": The corresponding discharge diagnosis was unclear at the time of admission. For example: the window period of hepatitis B virus and the incubation period of community-acquired pneumonia. Because the patient was in the window period or incubation period when admitted to the hospital, this diagnosis was not considered or was not subjectively determined at the time of admission.
[0050] Specifically, "None": Newly occurred during hospitalization, and there is no corresponding diagnosis item at the time of admission. For example: The patient has perioperative myocardial infarction.
[0051] Given the characteristics of the "main diagnosis at discharge", there are generally only two conditions at admission: "yes" and "clinically undetermined".
[0052] In the process of judging whether the corresponding state of the hospitalization condition meets the set rules according to the set rules, the set rules are:
[0053] If the main diagnosis of discharge is the same as the diagnosis of admission, the corresponding status of the admission condition is "yes";
[0054] Specifically, if the admission diagnosis in the admission record is: A with B; the discharge diagnosis on the first page of the medical record is: B; then the admission condition should be "yes". For example: Admission diagnosis: bronchiectasis with infection; Discharge diagnosis: bronchiectasis, then the admission condition should be "yes".
[0055] If the admission diagnosis is "to be determined" or has a "?", and the discharge diagnosis is clear or has the "?" removed, the corresponding status of the admission condition is "clinically undetermined";
[0056] Specifically, if the diagnosis in the admission record is: xxx space-occupying mass; and the final diagnosis is: xxx malignant tumor; then the admission condition should be "clinically undetermined".
[0057] Example 1: Admission record: Admission diagnosis: Vertigo to be investigated. Medical record front page: Discharge diagnosis: Vertigo, admission condition: "Yes".
[0058] Note: The diagnosis is pending, and the admission condition should be "clinically undetermined";
[0059] Then the corresponding status of this hospitalization condition does not meet the above judgment rules.
[0060] Example 2: Admission record: Admission diagnosis: 1. Dizziness to be investigated: posterior circulation ischemia? Cervical spondylosis? . Medical record homepage: Discharge diagnosis: posterior circulation ischemia; Admission condition: "yes"; Discharge diagnosis: cervical disc herniation; Admission condition: "yes".
[0061] Note: The diagnosis is pending. After the diagnosis is confirmed, both suspected diseases exist and the admission condition of each disease should be "clinically undetermined".
[0062] Then the corresponding status of this hospitalization condition does not meet the above judgment rules.
[0063] Example 3: Admission record: Admission diagnosis: 1. The cause of upper gastrointestinal bleeding is to be investigated: Peptic tumor rupture bleeding? Peptic ulcer and bleeding? Portal hypertension rupture bleeding? .
[0064] Medical record front page: Discharge diagnosis: Duchenne ulcer with bleeding, admission condition: "yes";
[0065] Note: Diagnosis is pending, and the condition upon admission should be "clinically undetermined".
[0066] Then the corresponding status of this hospitalization condition does not meet the above judgment rules.
[0067] If the main diagnosis for discharge contains a supplementary diagnosis that is not included in the admission diagnosis, the corresponding status of the admission condition is "clinically undetermined", "unclear" or "none".
[0068] In this embodiment, in step S3, a setting judgment result is output according to whether the corresponding state of the admission condition meets the setting rule.
[0069] If the corresponding status of the hospitalization condition meets the set rule, the judgment procedure is passed without inputting the judgment result;
[0070] If the corresponding status of the hospitalized condition does not conform to the set rules, the judgment procedure is not passed, and an "inconsistent" judgment result, corresponding content and the corresponding status judgment of the hospitalized condition are output.
[0071] In the process of outputting the judgment result of "inconsistency", the corresponding content and the corresponding state judgment of the admission condition, if the diagnosis conclusion in the main diagnosis of discharge is not mentioned in the admission diagnosis, then the output is: Inconsistency: The diagnosis conclusion in the main diagnosis of discharge is not mentioned in the admission diagnosis, and the admission condition should not be "X"; where "X" is the corresponding state that does not meet the set rules;
[0072] If the diagnostic conclusion in the main diagnosis for discharge has relevant content in the admission diagnosis, the output is: Inconsistency: The diagnostic conclusion in the main diagnosis for discharge corresponds to the diagnostic content in the admission diagnosis, and the admission condition should not be "X"; where "X" is the corresponding state that does not comply with the set rules.
[0073] Specifically,
[0074] Example 1: Output result: Inconsistency: The discharge diagnosis (iodine-131 treatment for thyroid cancer bone metastasis) was not mentioned in the admission diagnosis, and the admission condition should not be "yes".
[0075] Example 2: Output result: Inconsistency: The discharge diagnosis (lung infection) corresponds to the admission diagnosis (lung infection?), and the admission condition should not be "yes".
[0076] In summary, the present invention extracts the medical record homepage and admission record from the set data center by docking with the set data center; extracts the discharge main diagnosis and admission condition data from the medical record homepage; extracts the admission diagnosis and preliminary diagnosis data from the admission record; compares the discharge main diagnosis with the admission diagnosis data, and judges whether the corresponding state of the admission condition complies with the set rule according to the set rule; outputs the set judgment result according to the corresponding state of the admission condition complies with the set rule. In the process of judging whether the corresponding state of the admission condition complies with the set rule according to the set rule, the set rule is: if the discharge main diagnosis and the admission diagnosis have the same diagnostic conclusion connotation, the corresponding state of the admission condition is "yes"; if the admission diagnosis is "to be checked" or has "?", and the discharge main diagnosis clarifies the diagnosis or removes "?", the corresponding state of the admission condition is "clinically undetermined"; if the discharge main diagnosis has a supplementary diagnosis that is not in the admission diagnosis, the corresponding state of the admission condition is "clinically undetermined", "unclear" or "no". In the process of outputting the set judgment result according to the situation that the corresponding state of the admission condition meets the set rule, if the corresponding state of the admission condition meets the set rule, the judgment procedure is passed and the judgment result is not input; if the corresponding state of the admission condition does not meet the set rule, the judgment procedure is not passed, and the "inconsistent" judgment result, corresponding content and the corresponding state judgment of the admission condition are output. The present invention automatically judges whether the discharge main diagnosis and the admission condition description are consistent, thereby improving the accuracy of the main diagnosis and improving the medical service level of the hospital.
[0077] It should be noted that the method of the embodiment of the present disclosure can be performed by a single device, such as a computer or a server. The method of the present embodiment can also be applied in a distributed scenario and completed by multiple devices cooperating with each other. In the case of such a distributed scenario, one of the multiple devices can only perform one or more steps in the method of the embodiment of the present disclosure, and the multiple devices will interact with each other to complete the described method.
[0078] It should be noted that the above describes some embodiments of the present disclosure. Other embodiments are within the scope of the appended claims. In some cases, the actions or steps recorded in the claims can be performed in an order different from that in the above embodiments and still achieve the desired results. In addition, the processes depicted in the accompanying drawings do not necessarily require the specific order or continuous order shown to achieve the desired results. In some embodiments, multitasking and parallel processing are also possible or may be advantageous.
[0079] Example 2
[0080] See also Figure 3 Embodiment 2 of the present invention further provides a device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, comprising:
[0081] The data extraction module 001 is used to extract the medical record homepage and admission record from the set data center by connecting to the set data center; extract the discharge main diagnosis and admission condition data from the medical record homepage; extract the admission diagnosis and preliminary diagnosis data from the admission record;
[0082] The data comparison and judgment module 002 is used to compare the data of the discharge main diagnosis with the admission diagnosis, and judge whether the corresponding state of the admission condition meets the set rules according to the set rules;
[0083] The judgment result output module 003 is used to output the set judgment result according to whether the corresponding state of the admission condition meets the set rules.
[0084] In this embodiment, in the data comparison and judgment module 002, in the process of judging whether the corresponding state of the admission condition meets the set rule according to the set rule, the set rule is:
[0085] If the main diagnosis of discharge is the same as the diagnosis of admission, the corresponding status of the admission condition is "yes";
[0086] If the admission diagnosis is "to be determined" or has a "?", and the discharge diagnosis is clear or has the "?" removed, the corresponding status of the admission condition is "clinically undetermined";
[0087] If the main diagnosis for discharge contains a supplementary diagnosis that is not included in the admission diagnosis, the corresponding status of the admission condition is "clinically undetermined", "unclear" or "none".
[0088] In this embodiment, in the judgment result output module 003, in the process of outputting the set judgment result according to the situation that the corresponding state of the admission condition meets the set rule, if the corresponding state of the admission condition meets the set rule, the judgment procedure is passed and the judgment result is not input;
[0089] If the corresponding status of the hospitalized condition does not conform to the set rules, the judgment procedure is not passed, and an "inconsistent" judgment result, corresponding content and the corresponding status judgment of the hospitalized condition are output.
[0090] In this embodiment, in the judgment result output module 003, in the process of outputting the judgment result of "inconsistency", the corresponding content and the corresponding state judgment of the admission condition, if the diagnosis conclusion in the main diagnosis of discharge is not mentioned in the admission diagnosis, then the output is: Inconsistency: The diagnosis conclusion in the main diagnosis of discharge is not mentioned in the admission diagnosis, and the admission condition should not be "X"; wherein "X" is the corresponding state that does not meet the set rules;
[0091] If the diagnostic conclusion in the main diagnosis for discharge has relevant content in the admission diagnosis, the output is: Inconsistency: The diagnostic conclusion in the main diagnosis for discharge corresponds to the diagnostic content in the admission diagnosis, and the admission condition should not be "X"; where "X" is the corresponding state that does not comply with the set rules.
[0092] In this embodiment, in the data comparison and judgment module 002, in the process of comparing the data of the discharge main diagnosis with the data of the admission diagnosis, if the data of the admission diagnosis is empty, the data of the preliminary diagnosis is selected for comparison.
[0093] It should be noted that the information interaction, execution process and other contents between the modules of the above-mentioned system are based on the same concept as the method embodiment in Example 1 of the present application, and the technical effects they bring are the same as those of the method embodiment of the present application. For specific contents, please refer to the description in the method embodiment shown above in the present application, and will not be repeated here.
[0094] Example 3
[0095] Embodiment 3 of the present invention provides a non-transitory computer-readable storage medium, in which a program code for a method for analyzing the correspondence between a main diagnosis of discharge and an admission condition is stored. The program code includes instructions for executing a method for analyzing the correspondence between a main diagnosis of discharge and an admission condition of embodiment 1 or any possible implementation thereof.
[0096] The computer-readable storage medium may be any available medium that can be accessed by a computer or a data storage device such as a server or a data center that includes one or more available media. The available medium may be a magnetic medium (e.g., a floppy disk, a hard disk, a tape), an optical medium (e.g., a DVD), or a semiconductor medium (e.g., a solid-state drive (SSD)).
[0097] Example 4
[0098] Embodiment 4 of the present invention provides an electronic device, including: a memory and a processor;
[0099] The processor and the memory communicate with each other via a bus; the memory stores program instructions that can be executed by the processor, and the processor calls the program instructions to execute a method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission in Example 1 or any possible implementation thereof.
[0100] Specifically, the processor can be implemented by hardware or by software. When implemented by hardware, the processor can be a logic circuit, an integrated circuit, etc.; when implemented by software, the processor can be a general-purpose processor implemented by reading software codes stored in a memory. The memory can be integrated in the processor or can be located outside the processor and exist independently.
[0101] In the above embodiments, it can be implemented in whole or in part by software, hardware, firmware or any combination thereof. When implemented using software, it can be implemented in whole or in part in the form of a computer program product. The computer program product includes one or more computer instructions. When the computer program instructions are loaded and executed on a computer, the process or function described in the embodiment of the present invention is generated in whole or in part. The computer can be a general-purpose computer, a special-purpose computer, a computer network, or other programmable systems. The computer instructions can be stored in a computer-readable storage medium, or transmitted from a computer-readable storage medium to another computer-readable storage medium, for example, the computer instructions can be transmitted from a website site, computer, server or data center by wired (e.g., coaxial cable, optical fiber, digital subscriber line (DSL)) or wireless (e.g., infrared, wireless, microwave, etc.) mode to another website site, computer, server or data center.
[0102] Obviously, those skilled in the art should understand that the above modules or steps of the present invention can be implemented by a general computing system, they can be concentrated on a single computing system, or distributed on a network composed of multiple computing systems, and optionally, they can be implemented by a program code executable by a computing system, so that they can be stored in a storage system and executed by the computing system, and in some cases, the steps shown or described can be executed in a different order than here, or they can be made into individual integrated circuit modules, or multiple modules or steps therein can be made into a single integrated circuit module for implementation. Thus, the present invention is not limited to any specific combination of hardware and software.
[0103] Although the present invention has been described in detail above by general description and specific embodiments, it is obvious to those skilled in the art that some modifications or improvements can be made to the present invention. Therefore, these modifications or improvements made without departing from the spirit of the present invention all belong to the scope of protection claimed by the present invention.
Claims
1. A method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, characterized in that: include: By connecting to a set data center, extracting the medical record homepage and admission record from the set data center; extracting the discharge main diagnosis and admission condition data from the medical record homepage; extracting the admission diagnosis and preliminary diagnosis data from the admission record; Compare the data of the discharge main diagnosis with the admission diagnosis, and determine whether the corresponding state of the admission condition meets the set rules according to the set rules; According to whether the corresponding status of the hospitalized condition meets the set rules, the set judgment result is output.
2. The method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission according to claim 1, characterized in that: In the process of judging whether the corresponding state of the hospitalization condition meets the set rules according to the set rules, the set rules are: If the main diagnosis of discharge is the same as the diagnosis of admission, the corresponding status of the admission condition is "yes"; If the admission diagnosis is "to be determined" or has a "?", and the discharge primary diagnosis confirms the diagnosis or removes the "?", the corresponding status of the admission condition is "clinically undetermined"; If the main diagnosis at discharge contains a supplementary diagnosis that is not included in the admission diagnosis, the corresponding status of the admission condition is "clinically undetermined", "unclear" or "none".
3. The method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission according to claim 2, characterized in that: In the process of outputting the set judgment result according to the situation that the corresponding state of the hospitalized condition meets the set rule, if the corresponding state of the hospitalized condition meets the set rule, the judgment procedure is passed without inputting the judgment result; If the corresponding status of the hospitalized condition does not conform to the set rules, the judgment procedure will not be passed, and an "inconsistent" judgment result, corresponding content and the corresponding status judgment of the hospitalized condition will be output.
4. The method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission according to claim 3, characterized in that: In the process of outputting the judgment result of "inconsistency", the corresponding content and the corresponding state judgment of the admission condition, if the diagnosis conclusion in the main diagnosis of discharge is not mentioned in the admission diagnosis, then the output is: Inconsistency: The diagnosis conclusion in the main diagnosis of discharge is not mentioned in the admission diagnosis, and the admission condition should not be "X"; where "X" is the corresponding state that does not meet the set rules; If the diagnostic conclusion in the main diagnosis for discharge has relevant content in the admission diagnosis, the output is: Inconsistency: The diagnostic conclusion in the main diagnosis for discharge corresponds to the diagnostic content in the admission diagnosis, and the admission condition should not be "X"; where "X" is the corresponding state that does not comply with the set rules.
5. The method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission according to claim 4, characterized in that: In the process of comparing the data of the main discharge diagnosis with the data of the admission diagnosis, if the data of the admission diagnosis is empty, the data of the preliminary diagnosis is selected for comparison.
6. A device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission, using the method for analyzing the correspondence between the main diagnosis of discharge and the condition of admission as claimed in any one of claims 1 to 5, characterized in that: include: A data extraction module is used to extract the medical record front page and admission record from the set data center by connecting to the set data center; extract the discharge main diagnosis and admission condition data from the medical record front page; extract the admission diagnosis and preliminary diagnosis data from the admission record; A data comparison and judgment module is used to compare the data of the discharge main diagnosis with the admission diagnosis, and judge whether the corresponding state of the admission condition meets the set rules according to the set rules; The judgment result output module is used to output the set judgment result according to whether the corresponding state of the admission condition meets the set rules.
7. The device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission according to claim 6, characterized in that: In the data comparison and judgment module, in the process of judging whether the corresponding state of the admission condition meets the set rules according to the set rules, the set rules are: If the main diagnosis of discharge is the same as the diagnosis of admission, the corresponding status of the admission condition is "yes"; If the admission diagnosis is "to be determined" or has a "?", and the discharge primary diagnosis confirms the diagnosis or removes the "?", the corresponding status of the admission condition is "clinically undetermined"; If the main diagnosis at discharge contains a supplementary diagnosis that is not included in the admission diagnosis, the corresponding status of the admission condition is "clinically undetermined", "unclear" or "none".
8. The device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission according to claim 7, characterized in that: In the judgment result output module, in the process of outputting the set judgment result according to the situation that the corresponding state of the admission condition meets the set rule, if the corresponding state of the admission condition meets the set rule, the judgment result is not input through the judgment procedure; If the corresponding status of the hospitalized condition does not conform to the set rules, the judgment procedure will not be passed, and an "inconsistent" judgment result, corresponding content and the corresponding status judgment of the hospitalized condition will be output.
9. The device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission according to claim 8, characterized in that: In the judgment result output module, in the process of outputting the judgment result of "inconsistency", the corresponding content and the corresponding state judgment of the admission condition, if the diagnosis conclusion in the main diagnosis of discharge is not mentioned in the admission diagnosis, then the output is: Inconsistency: The diagnosis conclusion in the main diagnosis of discharge is not mentioned in the admission diagnosis, and the admission condition should not be "X"; wherein "X" is the corresponding state that does not meet the set rules; If the diagnostic conclusion in the main diagnosis for discharge has relevant content in the admission diagnosis, the output is: Inconsistency: The diagnostic conclusion in the main diagnosis for discharge corresponds to the diagnostic content in the admission diagnosis, and the admission condition should not be "X"; where "X" is the corresponding state that does not comply with the set rules.
10. The device for analyzing the correspondence between the main diagnosis of discharge and the condition of admission according to claim 9, characterized in that: In the data comparison and judgment module, in the process of comparing the data of the discharge main diagnosis with the data of the admission diagnosis, if the data of the admission diagnosis is empty, the data of the preliminary diagnosis is selected for comparison.
Citation Information
Patent Citations
Hospital admission condition identification method and device
CN110827978A
Computer software for processing medical billing record information
US5933809A
