Grouping method and device, electronic equipment and storage medium

A sub-unit and surgical technology, applied in the field of data processing, can solve the problems of inaccurate DRG grouping results and inaccurate data on the first page of medical records.

Active Publication Date: 2021-03-09
TAIKANG LIFE INSURANCE CO LTD +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, in reality, the data on the first page of medical records filled in by hospitals may not be accurate, so grouping based on inaccurate data on the first page of medical records will lead to inaccurate DRG grouping results

Method used

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  • Grouping method and device, electronic equipment and storage medium
  • Grouping method and device, electronic equipment and storage medium
  • Grouping method and device, electronic equipment and storage medium

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Embodiment Construction

[0034] In order to make the above objects, features and advantages of the present invention more comprehensible, the present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.

[0035] refer to figure 1 , shows a system interaction diagram of the embodiment of the present invention. Such as figure 1 As shown, the system interaction process may include:

[0036] 1. After the insured person is discharged from the hospital for settlement, the hospital HIS (Hospital Information System, hospital information system) system initiates a settlement request to the financial insurance core system, and the hospital HIS system submits medical record information, expense details and other data to the financial insurance core system.

[0037] 2. The Jinbao core system obtains the data submitted by the hospital's HIS system, performs discharge settlement based on these data, and submits settlement data (settlement data...

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Abstract

The invention provides a grouping method and device, electronic equipment and a storage medium. The grouping device comprises: an obtaining module used for obtaining medical record home page data andexpense detail data, wherein the medical record home page data comprises a main diagnosis code, and the expense detail data comprises a first charging item code; a correction module which is used fordetermining a corrected main operation code based on the first charging item code, a preset charging item and operation relationship knowledge base, the main diagnosis code and a preset diagnosis andoperation knowledge base after judging that the main operation code of the medical record home page data needs to be corrected; and a grouping module which is used for grouping based on the main diagnosis code and the corrected main operation code to obtain a diagnosis related grouping DRG grouping result. According to the invention, grouping is carried out based on the corrected main operation codes, so that the accuracy of the DRG grouping result can be improved.

Description

technical field [0001] The present invention relates to the technical field of data processing, in particular to a grouping method, device, electronic equipment and storage medium. Background technique [0002] DRG (Diagnosis Related Groups, Diagnosis Related Groups) is a case combination classification scheme, which divides patients into several groups according to factors such as age, disease diagnosis, comorbidities, complications, treatment methods, disease severity and outcome, and resource consumption. A system for the management of the diagnostic team. What DRG brings is a win-win situation for medical insurance, doctors and patients. As far as medical insurance is concerned, the implementation of DRG-based multi-component medical payment methods can achieve predictable and controllable cost growth and expenditure through top-level design and detailed control at the practical level. [0003] In the prior art, the DRG grouping is usually performed relying on the fron...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G16H10/60G06F16/903
CPCG16H10/60G06F16/90344
Inventor 刘伟奇冉宁肖胜波
Owner TAIKANG LIFE INSURANCE CO LTD
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