Electronic Medical Coding System Using Expansion Tables
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Solution Overview
Problem
Current medical coding standards face challenges in accurately collecting and mapping medical information due to the use of unique terminologies and the need for specific data collection, which hinders efficient identification of appropriate codes.
Innovation Solution
An electronic medical coding system that receives medical findings, identifies internal codes, retrieves alternative data items from an expansion table, and generates a graphical user interface for users to select codes from standard terminologies, allowing for precise mapping between internal and external medical coding systems.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If multiple unique medical terminologies are used for different coding standards, then each standard can be maintained with its own specific requirements, but the complexity of collecting and mapping medical information increases significantly
Solution Approach 1:
The patent introduces an intermediary component that translates between various medical terminologies and coding standards. This intermediary layer acts as a mediator that receives medical information in one format and converts it to the required coding standard format, thereby maintaining compatibility with multiple standards without requiring separate collection processes for each.
Solution Approach 2:
The system implements a universal information collection mechanism that can handle multiple coding standards (ICD-9, ICD-10, CPT, HCPCS) through a single interface. The system is designed to be multi-functional, accepting various input formats and automatically adapting to the required output format based on the selected coding standard.
2Measurement precision
If detailed and specific data collection is required for accurate coding, then coding precision improves, but the time and effort required for information collection increases
Solution Approach 1:
The system performs preliminary actions by pre-configuring mapping relationships between medical terminologies and coding standards. During the coding process, the system has already prepared the necessary mapping tables and translation rules, allowing for rapid and accurate code identification without requiring extensive real-time data collection and analysis.
3Reliability
If manual code selection from multiple standards is required, then accurate code identification can be achieved, but the productivity and efficiency of the coding process decreases
Solution Approach 1:
The system implements self-service functionality by automatically selecting and assigning appropriate medical codes based on the collected medical information and the selected coding standard. The system autonomously performs the coding task without requiring manual intervention for code selection, thereby maintaining high accuracy through automated logic while significantly improving productivity.
Data Source
AI summary
Systems and methods for coding an aspect of a patient encounter. An example method includes: receiving a medical finding identifying medical information related to a patient, the medical finding being input by a user; identifying an internal medical code of an internal medical terminology that relates to the medical finding; retrieving one or more alternative data items from an expansion table associated with the internal medical code, the alternative data items defining the medical finding input by the user with great specificity; generating a graphical user interface, the graphical user interface displaying the medical finding input by the user and the one or more alternative data items, the displayed one or more alternative data items being selectable by the user; and in response to selecting one of the one or more alternative data items, selecting a code from the standard medical terminology that identifies the medical finding in the standard medical terminology based on the categorical information.