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Method and device for DRGs grouping of medical insurance data, and electronic equipment

A technology of data and medical insurance, applied in the medical field

Inactive Publication Date: 2020-01-17
上海金仕达卫宁软件科技有限公司
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Problems solved by technology

[0004] The embodiment of the present invention provides a method, device and electronic equipment for grouping DRGs of medical insurance data, so as to solve the problem of how to divide the medical insurance data into multiple MDC groups as the data to be analyzed when there is no medical record front page and only medical insurance data The problem

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  • Method and device for DRGs grouping of medical insurance data, and electronic equipment
  • Method and device for DRGs grouping of medical insurance data, and electronic equipment
  • Method and device for DRGs grouping of medical insurance data, and electronic equipment

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Embodiment Construction

[0025] The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are some of the embodiments of the present invention, but not all of them. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.

[0026] figure 1 is a schematic flowchart of a method for grouping medical insurance data into DRGs according to an embodiment of the present invention, figure 1 The shown method can be performed by the device for grouping DGRs of medical insurance data, such as figure 1 As shown, the method includes:

[0027] In step S102, the data to be analyzed is obtained, and the data to be analyzed includes the basic information of the patient's visit and item l...

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Abstract

The invention discloses a method and device for DRGs (Diagnosis Related Groups) grouping of medical insurance data, and electronic equipment. The method comprises the steps of: obtaining to-be-analyzed data which comprises treatment basic information and project list information of a patient; applying a grouping model to obtain an MDCA group according to the operation information in the project list information; applying the grouping model to obtain an MDCP group according to the patient birth date information and the patient admission date information in the treatment basic information; and obtaining other MDC (Major Diagnostic Category) groups except the MDCA group and the MDCP group in the 26 MDC groups by applying the grouping model based on the diagnosis information in the treatment basic information and the operation information in the project list information. According to the method, the to-be-analyzed data can be divided into the MDC groups by applying the grouping model, theto-be-analyzed data is grouped to obtain the MDCA group and the MDCP group, and then the remaining to-be-analyzed data is grouped to obtain other MDC groups, so that the whole operation process is simple, and the grouping efficiency is improved.

Description

technical field [0001] The invention relates to the field of medical technology, in particular to a method for grouping DRGs of medical insurance data. Background technique [0002] Diagnosis-related groups (DRGs) are important management tools in the field of medical services and are widely used in planning, budgeting, payment, performance evaluation, quality control and other fields. The grouping logic of the existing diagnosis-related groups is roughly as follows: First, classify the acquired medical record front pages according to the main diagnostic methods to obtain the MDC group (MajorDiagnostic Category, the main diagnostic category), and then group the MDC group multiple times to obtain the diagnosis-related Group. In the absence of the first page of the medical record and only the settlement data, there is currently no suitable way to divide the settlement data into multiple MDC groups. ) and prescription details (that is, item list information), the basic inform...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G16H10/60G06Q40/08
CPCG16H10/60G06Q40/08
Inventor 赵蒙海茅煜宸
Owner 上海金仕达卫宁软件科技有限公司
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