CN105303064A - Method for building medical index system based on semantic model - Google Patents

Abstract

The invention discloses a method for building a medical index encoding system based on a semantic model in order to provide a method for semantic encoding of the medical index system. The encoding system is standard in structure, clear in requirements and capable of being flexibly expanded. Definitions of indexes can be visually expressed, quick positioning of the indexes in a framework can be achieved, the structure of the medical indexes is more organized, and the method plays an important guidance role in medical index sorting work.

Description

A kind of construction method of the medical index system based on semantic model

Technical field

The present invention relates to a kind of method of medical index system being carried out to semantic coding.

Background technology

Medical index is as the importance reflecting medical quality in hospital and benefit evaluation work, and its coding builds and improves situation and will directly hinder scientific, the regulation and standardization process of medical quality managent.In real work, find in the collection all kinds of medical indexs that also combing often uses, medical index One's name is legion, complex structure, standard differ, and more index can be derived again according to the demand of different users, cause the construction work of medical index system to get into a difficult position, be difficult to management.

Summary of the invention

The object of this invention is to provide a kind of method of medical index system being carried out to semantic coding.

In order to achieve the above object, technical scheme of the present invention there is provided a kind of construction method of the medical index system based on semantic model, it is characterized in that, comprises the steps:

Step 1, the semanteme embodied according to medical index title, design meets the constitutional formula of the index name of its semanteme, at least comprises following variable in this constitutional formula:

Dimension, representative is observed, analyze the angle of things;

Qualifier comprises close qualifier and general qualifier, and close qualifier refers to the concrete meaning directly describing tolerance, makes the tolerance without business implication become the base values having business implication; General qualifier refers to the specific node in a kind of uncommon dimension;

Tolerance, represents certain numerical value;

Step 2, the constitutional formula obtained according to step 1, encode to the dimension related to, qualifier, tolerance respectively;

The framed structure of step 3, proposition index coding scheme, i.e. index=[tolerance]+[close qualifier]+several [dimensions]+several [general qualifiers];

Step 4, the framed structure obtained according to step, dimension, qualifier, tolerance after the coding that integrating step 2 obtains, design concrete standardize criteria coding rule.

Preferably, in described step 1, described constitutional formula or be: [node of dimension 1] ... [node of dimension n] [qualifier 1] ... [qualifier m] [tolerance] [ratio expression]; Or be: [node of dimension 1] ... [node of dimension n] " each/every " [qualifier 1] ... [qualifier m] [tolerance] " (putting down) equal (secondary) " [qualifier 1] ... [qualifier k] [purity amount].

Preferably, in described step 4, index comprises base values, extended counter, composite index, increased percentage class index.

Preferably, the coding rule of described base values is: NN.NN, and wherein front two NN represents tolerance, and rear two NN represent a close qualifier;

The coding rule of described extended counter is: NN.NN [.DDNN]+[XS]+or NN [.DDNN]+[XS]+, wherein, DD is the dibit encoding representing dimension, DDNN represents certain node in dimension, XS refers to the general qualifier that can not be included into dimension, being can be self-defining, there is one or many in symbol [...]+content represented in square bracket;

The coding rule of described composite index is: NN.NN [.DDNN]+[XS]+: NN.NN [.DDNN]+[XS]+, i.e. the relation of two extended counters or base values, symbol: represent divided by, before be molecule, after be denominator;

The coding rule of described increased percentage class index is: BB-NN.NN [.DDNN]+[XS]+: NN.NN [.DDNN]+[XS]+, wherein, BB representative on year-on-year basis or sequential growth rate number percent, percentage point coding.

The present invention proposes a kind of construction method of the medical index coding scheme based on semantic model, this encoding architecture specification, bore be clear and definite, can flexible expansion; Both can the definition of indicators intuitively, index quick position in the frame can be realized again, make the tissue of medical index have more orderliness, to medical index combing work, there is important directive significance.

Embodiment

For making the present invention become apparent, be hereby described in detail below with preferred embodiment.

If the construction method of a kind of medical index coding scheme based on semantic model provided by the invention is applied in the medical index system coding involved by hospital, then comprise the steps:

Steps A: the present invention defends based on 88 Medical service regulation class core index of planning commission's proposition by Shanghai City, and semantic in accordance with index, design objective constitutional formula is as follows,

The node of constitutional formula-I:[dimension 1] ... [node of dimension n] [qualifier 1] ... [qualifier m] [tolerance] [ratio expression]; The node of constitutional formula-II:[dimension 1] ... [node of dimension n] " each/every " [qualifier 1] ... [qualifier m] [tolerance] " (putting down) equal (secondary) " [qualifier 1] ... [qualifier k] [purity amount].

The angle of things is observed, is analyzed in the representative of dimension that semantic model index constitutional formula I or II relates to, generally can with index combination in any.At medical field, common dimension comprises hospital, section office, sick kind, drug variety etc.Qualifier is generally divided into close qualifier and general qualifier.Close qualifier refers to the concrete meaning directly describing tolerance, makes the tolerance without business implication become the base values having business implication; General qualifier represents the specific node in a kind of uncommon dimension, may change the bore of index calculate.Tolerance represents certain numerical value, does not generally comprise operational implication, as number, person-time, number of days etc.

Step B: according to semantic constitutional formula I and II of semantic model index in steps A, respectively dimension, qualifier, tolerance in constitutional formula are encoded.Code segment is as shown in following table 1, table 2 and table 3.

Table 1 dimension index is encoded

Dimension is encoded	Dimension name	Node in dimension
			JZ	Visit type	Emergency call 01 outpatient service 02 emergency treatment 03 is in hospital 04
TX	Whether special procure	Common 00 special procures 01
			SS	Operation	To select a time between 01 day 02 aseptic 03 clean 04
DJ	Grade/classification sequence number	One-level first 01 secondary second 02 3 grades the third 03 level Four fourth 04
			......	......	......

Table 2 qualifier index is encoded

Qualifier is encoded	Tolerance title
		LLRJ	Clinical path enters footpath
TB12	One or two generation cynnematin
		YLJF	Medical tangle
NH	Energy consumption
		......	......

Table 3 Measure Indexes is encoded

Tolerance coding	Tolerance title
		01	Person-time
02	Number
		03	Expenditure
04	Number of cases
		......	......

Step C: according to the semantic constitutional formula of semantic model index in steps A, refine the framed structure of index coding scheme, i.e. index=[tolerance]+[close qualifier]+several [dimensions]+several [general qualifiers].

Step D: according to the framed structure of index coding scheme in step C, in integrating step B, dimension, qualifier, tolerance coding, design concrete standardize criteria coding rule.Index coding rule is divided into base values, extended counter, composite index, increased percentage (percentage point) class index etc. by design result, and all kinds of index coding rule is as follows.

The coding of base values: NN.NN, wherein front two NN represents tolerance; Rear two NN represent a close qualifier.The coding of extended counter: NN.NN [.DDNN]+[XS]+or NN [.DDNN]+[XS]+, wherein DD is the dibit encoding representing dimension, DDNN represents certain node in dimension, and XS refers to and can not be included into dimension.The coding of composite index: NN.NN [.DDNN]+[XS]+: NN.NN [.DDNN]+[XS]+, i.e. the relation of two " extended counters " or " base values ", ": " representative " divided by ", before be molecule, after be denominator.The coding of increased percentage: BB-NN.NN [.DDNN]+[XS]+: NN.NN [.DDNN]+[XS]+, wherein BB representative on year-on-year basis or sequential growth rate number percent, percentage point coding.There is one or many in the content that wherein " [...]+" represents in square bracket.

According to above-mentioned coding rule, illustrate as follows to all kinds of index coding:

Base values encoding examples: leave hospital person-time 01.01, outpatient service flow 01.02, health check-up person-time 01.03, medical person-time 01.05, Emergency call person-time 01.06 etc.

Extended counter encoding examples: being encoded to of " dead number of cases of choosing date for operation in hospital ": 04.02.SS01.JZ04; Wherein 04.02 represent dead number of cases, SS01 representative is chosen date for operation, and JZ04 representative is in hospital.

Composite index encoding examples: being encoded to of " Emergency call antibacterials expense accounting ": 09.02.YW02.JZ01:09.02.JZ01; Wherein, 09.02 represents drug expenditure, and YW02 represents antibacterials, and JZ01 represents Emergency call.Molecule is Emergency call antibacterials expenses, and denominator is Emergency call drug expenditure.

The composite index encoding examples of " general qualifier ": being encoded to of " medical institutions' bad operation behavior incidence ": 04.05.BLZY.YLJG:04.05.YLJG; Wherein 04.05 for there is number of cases, BLZY and YLJG fails to be included into common dimension " general qualifier ", represents " bad operation behavior " and " medical institutions " respectively.

Step e: according to semantic coding rule in step D, 88 " Medical service regulation " core index Shanghai City being defended to planning commission's proposition are encoded, current part index number coding achievement is as shown in table 4:

Table 4 part index number semantic coding achievement

By above-mentioned steps of the present invention, 88 " Medical service regulation " core index Shanghai City being defended to planning commission's proposition are encoded, and have 64 indexs to be combined by base values and dimension completely and define; Have 20 indexs to need to define by means of " general qualifier ", wherein have nearly 1/3 to be the index of health supervision class, its business vocabulary and medical profession have notable difference; All the other 4 molecules due to index itself or composing indexes, denominator is indefinite can not define.By comprehensive assessment, improve the strip of tissue rationality of medical index by semantic model index coding scheme entirety of the present invention, have more directive significance.

Claims (4)

1., based on a construction method for the medical index system of semantic model, it is characterized in that, comprise the steps:

Step 1, the semanteme embodied according to medical index title, design meets the constitutional formula of the index name of its semanteme, at least comprises following variable in this constitutional formula:

Dimension, representative is observed, analyze the angle of things;

Qualifier comprises close qualifier and general qualifier, and close qualifier refers to the concrete meaning directly describing tolerance, makes the tolerance without business implication become the base values having business implication; General qualifier refers to the specific node in a kind of uncommon dimension;

Tolerance, represents certain numerical value;

Step 2, the constitutional formula obtained according to step 1, encode to the dimension related to, qualifier, tolerance respectively;

The framed structure of step 3, proposition index coding scheme, i.e. index=[tolerance]+[close qualifier]+several [dimensions]+several [general qualifiers];

Step 4, the framed structure obtained according to step, dimension, qualifier, tolerance after the coding that integrating step 2 obtains, design concrete standardize criteria coding rule.

2. the construction method of a kind of medical index system based on semantic model as claimed in claim 1, it is characterized in that, in described step 1, described constitutional formula or be: [node of dimension 1] ... [node of dimension n] [qualifier 1] ... [qualifier m] [tolerance] [ratio expression]; Or be: [node of dimension 1] ... [node of dimension n] " each/every " [qualifier 1] ... [qualifier m] [tolerance] " (putting down) equal (secondary) " [qualifier 1] ... [qualifier k] [purity amount].

3. the construction method of a kind of medical index system based on semantic model as claimed in claim 1, it is characterized in that, in described step 4, index comprises base values, extended counter, composite index, increased percentage class index.

4. the construction method of a kind of medical index system based on semantic model as claimed in claim 3, is characterized in that:

The coding rule of described base values is: NN.NN, and wherein front two NN represents tolerance, and rear two NN represent a close qualifier;

The coding rule of described extended counter is: NN.NN [.DDNN]+[XS]+or NN [.DDNN]+[XS]+, wherein, DD is the dibit encoding representing dimension, DDNN represents certain node in dimension, XS refers to the general qualifier that can not be included into dimension, being can be self-defining, there is one or many in symbol [...]+content represented in square bracket;

The coding rule of described composite index is: NN.NN [.DDNN]+[XS]+: NN.NN [.DDNN]+[XS]+, i.e. the relation of two extended counters or base values, symbol: represent divided by, before be molecule, after be denominator;

The coding rule of described increased percentage class index is: BB-NN.NN [.DDNN]+[XS]+: NN.NN [.DDNN]+[XS]+, wherein, BB representative on year-on-year basis or sequential growth rate number percent, percentage point coding.