Method and system for intelligently recommending doctor diagnosis and treatment medical insurance charge control scheme

A medical insurance, intelligent technology, applied in the field of medical informatization, can solve problems such as difficulty in standard diagnosis and comparison

Pending Publication Date: 2019-10-11
ZHONGSHAN POLYTECHNIC
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  • Summary
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  • Description
  • Claims
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AI Technical Summary

Problems solved by technology

[0006] Aiming at the problems in the prior art, the present invention provides a method and system for an intelligent recommendation scheme for doctor diagnosis and treatment, medical insurance and cost control. knowledge and coding taxonomy knowledge is required to complete the work of the problem
It solves the problem that the terminology entered by doctors is not restricted, and there is no medical vocabulary standard to refer to, but the same diagnostic concept has several diagnostic names and a large number of different specific writing methods, thus solving the problem of difficulty in comparing with standard diagnoses

Method used

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Embodiment Construction

[0027] In order to facilitate the understanding of those skilled in the art, the present invention will be further described below in conjunction with the examples, and the content mentioned in the embodiments is not a limitation of the present invention. The present invention is described in detail below.

[0028] A method for intelligently recommending a medical insurance expense control plan for a doctor, comprising the following steps:

[0029] Step A, receiving input data, the input data including original diagnosis data;

[0030] Step B, prototyping the input raw diagnostic data;

[0031] Step C, the prototyping processing results obtained in step B are searched in GB / T 14396-2016 "Classification and Codes of Diseases" and the International Standard Classification of Diseases code ICD-10, to determine whether the results are obtained, and if the results are obtained, directly output the codes Result; if not, go to step D;

[0032] Step D, perform word segmentation pro...

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PUM

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Abstract

The invention relates to the technical field of medical informatization, in particular to a method and system for intelligently recommending a doctor diagnosis and treatment medical insurance fee control scheme, and the method comprises the following steps: step A, receiving input data which comprises original diagnosis data; step B, carrying out prototyping processing on the input original diagnosis data; step C, searching according to the prototyping processing result obtained in the step B, judging whether a result is obtained or not, and if the result is obtained, directly outputting a coding result; if not, entering the step D; step D, performing word segmentation processing, association conversion processing and matching tree searching processing on the original diagnosis data subjected to prototyping processing, and then screening out an optimal result from processing results of a matching tree; and step E, matching ICD associated social security according to the optimal result,and listing an intelligently recommended ICD scheme. According to the invention, the problem that the original diagnosis of doctors corresponds to the standard diagnosis and can only be completed manually, so that the comparison with the standard diagnosis is difficult is solved.

Description

technical field [0001] The present invention relates to the field of medical informatization technology, in particular to a method and system for an intelligent recommendation scheme for doctor diagnosis and treatment, medical insurance and cost control. Background technique [0002] With the continuous deepening and deepening of the country's layout of public medical care and medical reform, the all-round improvement of medical services has put forward urgent requirements for medical informatization. In terms of medical insurance, public health services, and hospital informatization management, medical informatization has developed from the process automation management that completes the entire process of recording to Internet + health care; under the current background of big data and artificial intelligence, medical informatization gradually touches the core of medical care. The core business is to provide auxiliary decision-making and guidance reference for the diagnosi...

Claims

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Application Information

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IPC IPC(8): G06F17/27G16H15/00G16H50/20G16H80/00
CPCG16H50/20G16H80/00G16H15/00G06F40/30
Inventor 刘艳飞黄春秀杨庆琛何智信
Owner ZHONGSHAN POLYTECHNIC
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