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A method and system for case grouping

A case and disease technology, applied in the field of medical information management, can solve problems such as inconsistency of clinical practice, and achieve the effect of eliminating human factors and regional differences, efficient treatment, and strong operability.

Active Publication Date: 2021-01-12
北京华搏信息技术有限公司
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  • Description
  • Claims
  • Application Information

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Problems solved by technology

[0008] D. Some medical institutions adopt a fixed generation method, which sometimes does not match the clinical practice. It is common for hospitals to adjust the code according to the project price

Method used

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  • A method and system for case grouping
  • A method and system for case grouping

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Experimental program
Comparison scheme
Effect test

Embodiment 1

[0046] A method 100 of case grouping, such as figure 1 shown, including:

[0047] Step 110, obtain case information, classify them into corresponding basic groups according to the main diagnosis codes and operation codes in the case information, and obtain the basic group codes and basic group names.

[0048] Step 120. When the main diagnosis corresponding to the main diagnosis code does not belong to the hospitalization time-affected type, or the basic group does not belong to a specific basic group, calculate the diagnostic complexity score corresponding to each diagnosis code according to the basic group code and each diagnosis code, Wherein, each diagnosis code includes the main diagnosis code and each secondary diagnosis code in the secondary diagnosis code set in the case information.

[0049] Step 130, according to the diagnostic complexity score corresponding to each diagnostic code, calculate the disease complexity index corresponding to the case information.

[005...

Embodiment 2

[0058] The second embodiment is a case grouping method based on the method 100 described in the first embodiment.

[0059] like image 3 As shown, on the basis of Embodiment 1, step 120 further includes: obtaining the complication exclusion list corresponding to the basic group code, and deleting the secondary diagnosis in the exclusion list from the secondary diagnosis set according to the exclusion list, When a new set of secondary diagnostics is obtained, when the diagnostic complexity score corresponding to each diagnostic code is calculated, each diagnostic code includes the primary diagnostic code and each secondary diagnostic code in the new set of secondary diagnostic codes.

Embodiment 3

[0061] The third embodiment is a case grouping method based on the method 100 described in the first embodiment.

[0062] Since some main diagnoses are greatly affected by hospitalization time (such as cancer chemotherapy) and are greater than the diagnostic complexity score, the subdivision of the case information corresponding to the main diagnosis is carried out according to the hospitalization time in the case information. Therefore, the case Information also includes length of hospital stay.

[0063] Therefore, if image 3 As shown, on the basis of Embodiment 1, the method 100 further includes:

[0064] When the main diagnosis belongs to the hospitalization time-influenced type, the case information is transferred from the basic group to the subdivision group corresponding to the above-mentioned hospitalization time under the basic group, and the disease diagnosis-related group code, disease diagnosis-related group name and relative weight of the disease diagnosis-relate...

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Abstract

The invention relates to a case grouping method and system. The method comprises the steps of obtaining case information, dividing the case information in corresponding basic groups according to main diagnosis codes and operation codes in the case information, and obtaining basic group codes and basic group names; when main diagnosis corresponding to the main diagnosis codes does not belong to a hospitalization time influence type, or, the basic groups do not belong to specific basic groups, performing calculation according to the basic group codes and the diagnosis codes, thereby obtaining diagnosis complexity scores corresponding to the diagnosis codes; according to the diagnosis complexity scores corresponding to the diagnosis codes, performing calculation to obtain a disease complexity index corresponding to the case information; and according to the disease complexity index, dividing the case information in detailed groups from the basic groups, and obtaining disease diagnosis related group codes, disease diagnosis related group names and disease diagnosis related group relative weights, thereby finishing case grouping. According to the case grouping method and system, unified encoding rules can be realized nationwide, so that unified case management of health administrative departments and medical insurance departments is facilitated; and the operability is strong.

Description

technical field [0001] The invention relates to the technical field of medical information management, in particular to a case grouping method and system. Background technique [0002] The full Chinese name of DRG (Diagnosis Related Groups, DRG) is "grouping according to disease diagnosis". It is based on the discharged medical records, comprehensively considers the main diagnosis and main treatment methods of patients, and combines individual characteristics such as age, complications and accompanying symptoms. According to the clinical process similarity and resource consumption similarity (that is, according to the severity of the patient's disease, the complexity of the treatment method and the degree of resource consumption), the medical records are divided into disease groups of a certain bibliography. The first generation DRG system was developed in 1967 by Robert B. Fetter of Yale University and his team (hereinafter referred to as "Yale DRG"). Since then, it has be...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): G16H10/60G16H10/20G16H20/00
Inventor 宋斌于倩
Owner 北京华搏信息技术有限公司
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