Medical record home page coding method and system

Abstract

The application discloses a medical record home page coding method and system. The method comprises the steps: responding to the existence of original names and original codes in inputted medical record home page information, and determining whether the original name matches an international disease classification ICD standard table or not for each original name; in response to the fact that the original name does not match the international disease classification ICD standard table, determining whether the original code meets a preset accepting and excluding condition of a pre-established ICDfeature knowledge base or not; in response to the fact that the original code meets a preset accepting and excluding condition, acquiring a code classification feature from an ICD feature knowledge base according to the original code and acquiring a name classification feature from the ICD feature knowledge base according to the original name; determining whether the name classification featuresmatch the code classification features or not; in response to matching of the name classification features and the code classification features, adding the original codes into a candidate code list; adjusting the coding content and / or sequence of the candidate coding list according to a pre-established coding rule knowledge base; and outputting the correct coding list. According to the invention,the coding correctness can be improved.

Description

technical field [0001] This application relates to the field of electronic digital data processing, in particular to a coding method and system for the first page of a medical record. Background technique [0002] The International Classification of Diseases (ICD) is an international unified classification of various diseases issued by the World Health Organization (WHO) in order to enable health practitioners to exchange health information around the world. Diseases are classified into categories according to the rules and expressed by codes, which contain tens of thousands of unique codes related to injuries, diseases and causes of death. The most widely used ICD versions in the world are ICD10 and ICD9. [0003] ICD enables the standardization and formatting of disease terminology, which is the application basis of medical informatization and medical information management, and also an important basis for medical insurance settlement. Therefore, the effective use of ICD ...

AI Technical Summary

Problems solved by technology

This prior art obtains outpatient diagnosis coding information by mapping medical terms or original diagnostic names to ICD10 codes in a dictionary library, which cannot handle the coding of non-standardized medical terms and has low scalability; moreover, the mapping of medical terms to ICD10 codes can only solve The one-to-one coding correctness problem cannot solve the core business problems such as the choice between multiple codes (such as the main diagnosis selection, the main operation selection problem) and the main operation and diagnosis matching

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