阅读说明：本技术 一种chs-drg分组器自动入组方法及系统 (Automatic grouping method and system for CHS-DRG (tunnel boring machine-dry data group) grouter ) 是由 卢法臣 吴军 高希余 樊昭磊 支应然 王子阳 李朋飞 于 2020-12-21 设计创作，主要内容包括：本公开提供了一种CHS-DRG分组器自动入组方法及系统,所述方案包括确立国家临床版诊断编码到国家医保版诊断编码的第一映射关系；根据预设规则筛选出可入DRG组的国家医保版诊断编码；根据所述第一映射关系,将国家临床版诊断编码分为可入DRG组编码集合与不可入DRG组编码集合；确立不可入DRG组编码到可入DRG组编码的第二映射关系,根据所述第二映射关系实现分组器的自动入组；通过所述方案可以自动治理不需要专人进行编码,减少病案室编码员的工作负担,且能有效避免编码错误,提高入组率。(The scheme comprises the steps of establishing a first mapping relation from a national clinical edition diagnosis code to a national medical insurance edition diagnosis code; screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule; dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation; establishing a second mapping relation from the non-accessible DRG group code to the accessible DRG group code, and realizing automatic grouping of the grouping device according to the second mapping relation; through the scheme, the method can automatically treat the disease case without special people for coding, reduces the workload of a coder of the disease case room, can effectively avoid coding errors, and improves the group entry rate.)

1. An automatic grouping method for a CHS-DRG (session discovery gateway) grouper is characterized by comprising the following steps:

establishing a first mapping relation from a national clinical edition diagnosis code to a national medical insurance edition diagnosis code;

screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule;

dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation;

and establishing a second mapping relation from the non-accessible DRG group code to the accessible DRG group code, and realizing automatic grouping of the grouping device according to the second mapping relation.

2. The method according to claim 1, wherein the establishing a mapping relationship between the national clinical version diagnosis code and the national medical insurance version diagnosis code specifically comprises:

the diagnosis names are directly corresponding to the cases with the same diagnosis name;

if the codes are the same, corresponding the meaning similarity exceeding a set threshold;

and (5) under the condition that the diagnosis names and the codes are different, manually searching, comparing and corresponding by medical experts.

3. The automatic grouping method of the CHS-DRG grouter of claim 1, wherein the screening of the national medical insurance revision diagnostic codes that can enter the DRG group according to the preset rules specifically comprises:

extracting all diagnostic codes which can enter MDC in the CHS-DRG grouping scheme to form a first set;

extracting all diagnostic codes which can be input into ADRG in the CHS-DRG grouping scheme to form a second set;

and merging the first set and the second set to obtain the national medical insurance edition diagnosis codes which can enter the DRG group.

4. The automatic grouping method of the CHS-DRG grouper of claim 1, wherein the dividing of the national clinical edition diagnostic codes into the accessible DRG group code set and the inaccessible DRG group code set comprises:

according to the mapping relation from the national clinical edition diagnosis code to the national medical insurance edition diagnosis code, enabling the national medical insurance edition diagnosis code sets capable of entering the DRG group to correspond to the accessible DRG sets of the national clinical edition diagnosis code one by one;

the remaining national clinical edition diagnostic codes are grouped into an inaccessible DRG group set of national clinical edition diagnostic codes.

5. The method of claim 1, wherein the establishing a mapping relationship from an inaccessible DRG group code to an accessible DRG group code comprises:

finding out the national medical insurance edition diagnosis codes corresponding to the codes in the national clinical edition diagnosis codes which cannot be entered into the DRG group one by one;

searching all item codes which can enter a DRG group under the same suborder code of the national medical insurance edition diagnosis code;

dividing the search results into three types and processing the three types respectively;

the selected diagnosis codes of the national medical insurance edition correspond to the diagnosis codes of the national clinical edition;

and summarizing the results to obtain the corresponding relation between the diagnosis codes of the national clinical edition non-accessible DRG group and the diagnosis codes of the national clinical edition accessible DRG group.

6. The CHS-DRG grouper automatic grouping method of claim 1, wherein the search results are classified into the following categories:

(1) and (3) regularly: all diagnostic detail codes were entered into the same ADRG group;

(2) common case: there are cases where all diagnostic detail codes are entered into the same ADRG group;

(3) and (4) irregularity.

7. The method as claimed in claim 1, wherein the independent processing for different categories of the search result comprises:

and (3) regularly: comparing the diagnosis names of the inaccessible DRG group with the names of all the detail codes under the suborder codes to which the inaccessible DRG group belongs, selecting the code with the highest semantic similarity as a result, and ensuring that the diagnosis of each inaccessible DRG group has one result;

common case: comparing the diagnosis names of the inaccessible DRG group with the names of all the detail codes under the suborder codes of the inaccessible DRG group, and selecting one code with the highest semantic similarity as a result, wherein the condition that no corresponding result exists can exist;

irregular: no treatment is done.

8. A CHS-DRG grouper automatic grouping system, comprising:

the first mapping relation determining unit is used for establishing a first mapping relation from the national clinical edition diagnosis code to the national medical insurance edition diagnosis code;

the second mapping relation determining unit is used for screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule; dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation; establishing a second mapping relationship of the inaccessible DRG group code to the accessible DRG group code,

and the grouping unit is used for realizing automatic grouping of the grouping device according to the second mapping relation.

9. An electronic device comprising a memory, a processor, and a computer program stored and executed on the memory, wherein the processor implements the automatic CHS-DRG grouper grouping method when executing the program.

10. A non-transitory computer readable storage medium having stored thereon a computer program, wherein the program when executed by a processor implements a CHS-DRG grouper auto-grouping method as recited in any one of claims 1 to 7.

Technical Field

The disclosure relates to the technical field of ward management, in particular to an automatic grouping method and system for a CHS-DRG (Chronic Marigold-data-logging) grouping device.

Background

The statements in this section merely provide background information related to the present disclosure and may not constitute prior art.

The diagnosis code used in the first page of the medical record of each hospital in China at present is the diagnosis code of ICD-10 national clinic edition 2.0 promoted by Weijian Commission. The diagnostic code used in the CHS-DRG grouping scheme introduced by the national medical insurance Bureau is the 'medical insurance edition diagnostic code'.

The most important grouping parameter in the CHS-DRG grouping scheme is the primary diagnostic code, which makes it possible to decide with a high probability whether a case can enter the DRG group. If cases are to be grouped by using the CHS-DRG grouper, a mapping of codes is first needed-ICD-10 national clinics version 2.0 diagnostic code is mapped to the national medical insurance version diagnostic code.

The inventors have found that not all "health insurance diagnostic codes" can be entered into the DRG group. Similarly, there are also some "ICD-10 national clinical version 2.0 diagnostic codes" that cannot enter the DRG group after corresponding to "medicare version diagnostic codes"; meanwhile, the current situation is that the grouping rate of the data of the secondary hospital is only about 80% under the condition of not treating. In order to increase the group entry rate of the final DRG, a tool is needed to let the encoder know in advance which "ICD-10 national clinic version 2.0 diagnostic code" is unable to enter the DRG group, and indicate which codes are similar to the diagnostic meaning and can enter the DRG group, which greatly increases the burden of the encoder and is very easy to make mistakes by human operation.

Disclosure of Invention

In order to solve the above problems, the present disclosure provides an automatic grouping method and system for a CHS-DRG grouper, which does not require a specially-assigned person to perform coding, reduces the workload of a medical record room coder, effectively avoids coding errors, and improves the grouping rate.

According to a first aspect of the embodiments of the present disclosure, there is provided a CHS-DRG grouter automatic grouping method, including:

establishing a first mapping relation from a national clinical edition diagnosis code to a national medical insurance edition diagnosis code;

screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule;

dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation;

and establishing a second mapping relation from the non-accessible DRG group code to the accessible DRG group code, and realizing automatic grouping of the grouping device according to the second mapping relation.

Further, the establishing of the mapping relationship from the national clinical edition diagnosis code to the national medical insurance edition diagnosis code specifically includes:

the diagnosis names are directly corresponding to the cases with the same diagnosis name;

if the codes are the same, corresponding the meaning similarity exceeding a set threshold;

under the condition that the diagnosis names and the codes are different, manually searching, comparing and corresponding by medical experts;

further, the screening of the national medical insurance edition diagnosis code which can enter the DRG group according to the preset rule specifically includes:

extracting all diagnostic codes which can enter MDC in the CHS-DRG grouping scheme to form a first set;

extracting all diagnostic codes which can be input into ADRG in the CHS-DRG grouping scheme to form a second set;

and merging the first set and the second set to obtain the national medical insurance edition diagnosis codes which can enter the DRG group.

Further, the dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set specifically includes:

according to the mapping relation from the national clinical edition diagnosis code to the national medical insurance edition diagnosis code, enabling the national medical insurance edition diagnosis code sets capable of entering the DRG group to correspond to the accessible DRG sets of the national clinical edition diagnosis code one by one;

the remaining national clinical edition diagnostic codes are grouped into an inaccessible DRG group set of national clinical edition diagnostic codes.

Further, the establishing a mapping relationship from the non-accessible DRG group code to the accessible DRG group code specifically includes:

finding out the national medical insurance edition diagnosis codes corresponding to the codes in the national clinical edition diagnosis codes which cannot be entered into the DRG group one by one;

searching all item codes which can enter a DRG group under the same suborder code of the national medical insurance edition diagnosis code;

dividing the search results into three types and processing the three types respectively;

the selected diagnosis codes of the national medical insurance edition correspond to the diagnosis codes of the national clinical edition;

and summarizing the results to obtain the corresponding relation between the diagnosis codes of the national clinical edition non-accessible DRG group and the diagnosis codes of the national clinical edition accessible DRG group.

Further, the search results are classified into the following categories:

(1) and (3) regularly: all diagnostic detail codes were entered into the same ADRG group;

(2) common case: there are cases where all diagnostic detail codes are entered into the same ADRG group;

(3) and (4) irregularity.

Further, the respective processing is performed for different categories of the search result, including:

and (3) regularly: comparing the diagnosis names of the inaccessible DRG group with the names of all the detail codes under the suborder codes to which the inaccessible DRG group belongs, selecting the code with the highest semantic similarity as a result, and ensuring that the diagnosis of each inaccessible DRG group has one result;

common case: comparing the diagnosis names of the inaccessible DRG group with the names of all the detail codes under the suborder codes to which the inaccessible DRG group belongs, and selecting one code with the highest semantic similarity as a result, wherein the condition that no corresponding result exists can exist.

Irregular: no treatment is done.

According to a second aspect of the embodiments of the present disclosure, there is provided a CHS-DRG grouper automatic grouping system, including:

the first mapping relation determining unit is used for establishing a first mapping relation from the national clinical edition diagnosis code to the national medical insurance edition diagnosis code;

the second mapping relation determining unit is used for screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule; dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation; establishing a second mapping relationship of the inaccessible DRG group code to the accessible DRG group code,

and the grouping unit is used for realizing automatic grouping of the grouping device according to the second mapping relation.

According to a third aspect of the embodiments of the present disclosure, there is provided an electronic device, including a memory, a processor, and a computer program stored in the memory and running on the memory, where the processor implements the method for automatically grouping the CHS-DRG grouters when executing the program.

According to a fourth aspect of the embodiments of the present disclosure, there is provided a non-transitory computer-readable storage medium having stored thereon a computer program which, when executed by a processor, implements a CHS-DRG grouper automatic grouping method as described.

Compared with the prior art, the beneficial effect of this disclosure is:

according to the scheme, a first mapping relation from a national clinical edition diagnosis code to a national medical insurance edition diagnosis code is established; screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule; dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation; establishing a second mapping relation from the non-accessible DRG group code to the accessible DRG group code, and realizing automatic grouping of the grouping device according to the second mapping relation; the method can automatically treat the disease record without special encoding, reduce the workload of the medical record room encoder, effectively avoid encoding errors and improve the group entry rate.

Advantages of additional aspects of the disclosure will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the disclosure.

Drawings

The accompanying drawings, which are included to provide a further understanding of the disclosure, illustrate embodiments of the disclosure and together with the description serve to explain the disclosure and are not to limit the disclosure.

Fig. 1 is a schematic diagram of a group of national medical insurance diagnosis codes according to a first embodiment of the present disclosure;

fig. 2 is a flowchart illustrating a mapping relationship obtaining process from a national clinical edition diagnosis code non-accessible DRG group code to an accessible DRG group code according to a first embodiment of the disclosure.

Detailed Description

It should be noted that the following detailed description is exemplary and is intended to provide further explanation of the disclosure. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs.

It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of example embodiments according to the present disclosure. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.

The first embodiment is as follows:

the embodiment aims to provide an automatic grouping method for a CHS-DRG grouping device.

A CHS-DRG grouping device automatic grouping method comprises the following steps:

establishing a first mapping relation from a national clinical edition diagnosis code to a national medical insurance edition diagnosis code;

screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule;

dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation;

and establishing a second mapping relation from the non-accessible DRG group code to the accessible DRG group code, and realizing automatic grouping of the grouping device according to the second mapping relation.

Specifically, the technical solution of this embodiment includes the following steps:

step 1: formulating a mapping relation from the ICD-10 national clinical edition 2.0 diagnosis code to the national medical insurance edition diagnosis code; the method specifically comprises the following steps:

1) case of identical diagnostic name: directly corresponding;

2) case of the same code: corresponding the meanings which are similar;

3) the diagnosis names and codes are different: and (5) manually searching, comparing and corresponding by medical experts.

Step 2: screening out 'national medical insurance edition diagnosis codes' which can enter DRG group;

1) extracting all diagnostic codes which can enter MDC in the CHS-DRG grouping scheme;

2) extracting all diagnostic codes which can be input into ADRG in the CHS-DRG grouping scheme;

3) combining the above 2 sets to make a 'national medical insurance edition diagnosis code' set which can enter a DRG group;

and step 3: based on the steps 1 and 2, dividing the diagnosis code of ICD-10 national clinic version 2.0 into two sets of accessible DRG group codes and inaccessible DRG group codes;

1) and according to the mapping relation from the ICD-10 national clinical version 2.0 diagnostic code to the national medical insurance diagnostic code, the set of the national medical insurance diagnostic codes which can be entered into the DRG group is in one-to-one correspondence to the set of the DRG groups which can be entered into the ICD-10 national clinical version 2.0 diagnostic code.

2) The remaining ICD-10 national clinical version 2.0 diagnostic codes were grouped into the set of "inaccessible DRG groups of ICD-10 national clinical version 2.0 diagnostic codes".

And 4, step 4: the mapping relation from 'inaccessible DRG group code' to 'accessible DRG group code' is worked out, and the method specifically comprises the following steps:

1) finding out the national medical insurance edition diagnosis codes corresponding to the codes in the inaccessible DRG group of the ICD-10 national clinical edition 2.0 diagnosis codes one by one;

2) and searching all item codes which can enter a DRG group under the same suborder code of the national medical insurance edition diagnosis code.

3) Based on the results of the previous step, three cases (national medical insurance edition diagnostic code) are listed:

A. and (3) regularly: all diagnostic detail codes were entered into the same ADRG group;

B. common case: there are cases where all diagnostic detail codes are entered into the same ADRG group (where some detail codes may also be entered into other ADRGs individually);

C. and (4) irregularity.

4) The treatment of 3 cases specifically comprises the following steps:

for the ' case A and the ' rule ', the diagnosis name of the inaccessible DRG group is compared with the names of all ' item codes ' under the ' sub-item codes ' to which the diagnosis name belongs, and one code with the most similar meaning is selected as a result. Ensure that there is one outcome for each diagnosis of the inaccessible DRG group;

for the 'case B and public case', the diagnosis name of the inaccessible DRG group is compared with the names of all 'item codes' under the 'suborder code' to which the diagnosis name belongs, and one code with the most similar meaning is selected as a result. There may be cases where there is no corresponding result;

for "case C, irregular", no processing is done.

5) And corresponding the diagnosis codes of the national medical insurance edition selected in the previous step to diagnosis codes of ICD-10 national clinical edition 2.0.

6) Summarizing the results of the steps 1), 4) and 5), the corresponding relation from the diagnosis code of the ICD-10 national clinical version 2.0 inaccessible DRG group to the diagnosis code of the ICD-10 national clinical version 2.0 accessible DRG group can be obtained.

And 5: and 4, realizing automatic grouping of the grouping device according to the mapping relation obtained in the step 4.

Example two:

it is an object of the present embodiment to provide a CHS-DRG grouper automatic grouping system.

A CHS-DRG grouper auto-grouping system comprising:

the first mapping relation determining unit is used for establishing a first mapping relation from the national clinical edition diagnosis code to the national medical insurance edition diagnosis code;

the second mapping relation determining unit is used for screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule; dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation; establishing a second mapping relationship of the inaccessible DRG group code to the accessible DRG group code,

and the grouping unit is used for realizing automatic grouping of the grouping device according to the second mapping relation.

Example three:

the embodiment aims at providing an electronic device.

An electronic device comprising a memory, a processor and a computer program stored in the memory for execution, wherein the processor implements the automatic CHS-DRG grouper grouping method when executing the program, and the method comprises:

establishing a first mapping relation from a national clinical edition diagnosis code to a national medical insurance edition diagnosis code;

screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule;

dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation;

and establishing a second mapping relation from the non-accessible DRG group code to the accessible DRG group code, and realizing automatic grouping of the grouping device according to the second mapping relation.

Example four:

it is an object of the present embodiments to provide a non-transitory computer-readable storage medium.

A non-transitory computer readable storage medium having stored thereon a computer program which when executed by a processor implements a CHS-DRG grouper automatic grouping method as described, comprising:

establishing a first mapping relation from a national clinical edition diagnosis code to a national medical insurance edition diagnosis code;

screening out national medical insurance edition diagnosis codes which can enter a DRG group according to a preset rule;

dividing the national clinical edition diagnosis codes into an accessible DRG group code set and a non-accessible DRG group code set according to the first mapping relation;

and establishing a second mapping relation from the non-accessible DRG group code to the accessible DRG group code, and realizing automatic grouping of the grouping device according to the second mapping relation.

The above description is only a preferred embodiment of the present disclosure and is not intended to limit the present disclosure, and various modifications and changes may be made to the present disclosure by those skilled in the art. Any modification, equivalent replacement, improvement and the like made within the spirit and principle of the present disclosure should be included in the protection scope of the present disclosure.