CN105303064B - A kind of construction method of the medical index system based on semantic model - Google Patents

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

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CN105303064B
CN105303064B CN201510880722.5A CN201510880722A CN105303064B CN 105303064 B CN105303064 B CN 105303064B CN 201510880722 A CN201510880722 A CN 201510880722A CN 105303064 B CN105303064 B CN 105303064B
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index
qualifier
dimension
measurement
ddnn
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CN105303064A (en
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王晔
李光亚
陈诚
陆均暐
朱丹丹
张琪
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WANDA INFORMATION CO Ltd
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Abstract

The object of the present invention is to provide a kind of methods carrying out semantic coding to medical index system.In order to achieve the above object, the present invention proposes a kind of construction method of the medical index coding scheme based on semantic model, and the encoding architecture specification, bore be clear, can flexible expansion;Not only can intuitive indicators definition, but also the quick positioning of index in the frame may be implemented, so that the tissue of medical index is had more orderliness, combing work to medical index has important directive significance.

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 methods carrying out semantic coding to medical index system.
Background technology
Medical index as reflection medical quality in hospital and benefit evaluation work importance, coding structure and it is perfect Situation will directly hinder scientific, the regulation and standardization process of medical quality managent.In real work, is collecting and combing It is found in all kinds of medical indexes being commonly used, medical index is large number of, complicated, standard differs, and according to difference The demand of user can derive more indexs again, cause the construction work of medical index system to get into a difficult position, it is difficult to manage Reason.
Invention content
The object of the present invention is to provide a kind of methods carrying out semantic coding to medical index system.
In order to achieve the above object, the technical solution of the present invention is to provide a kind of medical index body based on semantic model The construction method of system, which is characterized in that include the following steps:
Step 1, the semanteme embodied according to medical index title, design meet the composition of its semantic index name Formula includes at least following variable in this composition formula:
Dimension, the angle for representing observation, analyzing things;
Qualifier includes close qualifier and general qualifier, and close qualifier refers to the specific meaning of direct description measurement Justice makes the measurement of no business meaning become the base values for having business meaning;General qualifier refers in a kind of uncommon dimension Specific node;
Measurement, represents certain numerical value;
Step 2, the constitutional formula obtained according to step 1 respectively encode the dimension, qualifier, the measurement that are related to;
Step 3, the frame structure for proposing index coding scheme, i.e. index=[measurement]+[close qualifier]+several [dimension]+several [general qualifiers];
Step 4, the frame structure obtained according to step, dimension, qualifier, measurement after the coding obtained in conjunction with step 2, Design specific criterion coding rule.
Preferably, in the step 1, the constitutional formula or it is:[node of dimension 1] ... [node of dimension n] [modification Word 1] ... [qualifier m] [measurement] [ratio expression];Or it is:[node of dimension 1] ... [node of dimension n] " each/every " [modification Word 1] ... [qualifier m] [measurement] " (flat) is equal (secondary) " [qualifier 1] ... [qualifier k] [purity amount].
Preferably, in the step 4, index includes base values, extended counter, composite index, increased percentage class Index.
Preferably, the coding rule of the base values is:NN.NN, wherein front two NN represent measurement, rear two NN generations One close qualifier of table;
The coding rule of the extended counter is:NN.NN [.DDNN]+[XS]+or NN [.DDNN]+[XS]+, wherein DD It is the dibit encoding for representing dimension, DDNN represents certain node in dimension, and XS refers to the general qualifier that cannot be included into dimension, is Can be customized, the content of symbol [...]+represent in square brackets occurs one or many;
The coding rule of the composite index is:NN.NN[.DDNN]+[XS]+:NN.NN [.DDNN]+[XS]+, i.e., two The relationship of extended counter or base values, symbol:Represent divided by, before be molecule, be followed by denominator;
The coding rule of the increased percentage class index is:BB-NN.NN[.DDNN]+[XS]+:NN.NN[.DDNN]+ [XS]+, wherein BB represents year-on-year or sequential growth rate percentage, percentage point coding.
The present invention proposes a kind of construction method of the medical index coding scheme based on semantic model, the coding body tying Structure specification, bore be clear, can flexible expansion;Not only can intuitive indicators definition, but also index may be implemented in the frame Quick positioning, so that the tissue of medical index is had more orderliness, to medical index comb work have important directive significance.
Specific implementation mode
In order to make the present invention more obvious and understandable, it is hereby described in detail below with preferred embodiment.
It is being cured if a kind of construction method of the medical index coding scheme based on semantic model provided by the invention is applied In the medical index system coding that institutes is related to, then include the following steps:
Step A:The present invention by Shanghai City defend planning commission proposition 88 Medical service regulation class core index based on, in accordance with Index is semantic, and design objective constitutional formula is as follows,
Constitutional formula-I:[node of dimension 1] ... [node of dimension n] [qualifier 1] ... [qualifier m] [measurement] [ratio Example expression];Constitutional formula-II:[node of dimension 1] ... [node of dimension n] " each/every " [qualifier 1] ... [qualifier m] [measurement] " (flat) is equal (secondary) " [qualifier 1] ... [qualifier k] [purity amount].
Dimension that semantic model index constitutional formula I or II are related to represent observation, analysis things angle, generally can be with Index arbitrarily combines.In medical field, common dimension includes hospital, section office, disease, drug variety etc..Qualifier generally divides For close qualifier and general qualifier.Close qualifier refers to the specific meaning of direct description measurement, makes no business meaning Measurement becomes the base values for having business meaning;General qualifier represents the specific node in a kind of uncommon dimension, may Change the bore that index calculates.Measurement represent certain numerical value, generally do not include operational meaning, as number, person-time, number of days Deng.
Step B:According to semantic model index semanteme constitutional formula I and II in step A, respectively to dimension, modification in constitutional formula Word, measurement are encoded.Code segment is as shown in the following table 1, table 2 and table 3.
1 dimension index of table encodes
Dimension encodes Dimension name Node in dimension
JZ Visit type 01 outpatient service of Emergency call, 02 emergency treatment 03 be hospitalized 04
TX Whether special procure Common 00 special procures 01
SS Operation 02 sterile 03 cleaning 04 between selecting a time 01
DJ Grade/classification sequence number Level-one 01 two level of first 02 three-level of second the third 03 level Four fourth 04
...... ...... ......
2 qualifier index of table encodes
Modify Chinese word coding Measure title
LLRJ Clinical path enters diameter
TB12 One or two generation cephalosporins
YLJF Medical tangle
NH Energy consumption
...... ......
3 Measure Indexes of table encode
Measurement coding Measure title
01 Person-time
02 Number
03 Expenditure
04 Number of cases
...... ......
Step C:According to semantic model index semanteme constitutional formula in step A, the frame structure of index coding scheme is refined, i.e., Index=[measurement]+[close qualifier]+several [dimensions]+several [general qualifiers].
Step D:According to the frame structure of index coding scheme in step C, compiled in conjunction with dimension, qualifier, measurement in step B Code, designs specific criterion coding rule.Design result by index coding rule be divided into base values, extended counter, Composite index, increased percentage (percentage point) class index etc., all kinds of index coding rules are as follows.
The coding of base values:NN.NN, wherein front two NN represent measurement;Two NN represent a close qualifier afterwards. The coding of extended counter:NN.NN [.DDNN]+[XS]+or NN [.DDNN]+[XS]+, wherein DD is two volumes for representing dimension Code, DDNN represent certain node in dimension, and XS refers to that cannot be included into dimension.The coding of composite index:NN.NN[.DDNN]+ [XS]+:NN.NN [.DDNN]+[XS]+, i.e. the relationship of two " extended counters " or " base values ", ":" representative " divided by ", it is preceding Face is molecule, is followed by denominator.The coding of increased percentage:BB-NN.NN[.DDNN]+[XS]+:NN.NN[.DDNN]+[XS] +, wherein BB represents year-on-year or sequential growth rate percentage, percentage point coding.Wherein " [...]+" represents the content in square brackets Occur one or many.
According to above-mentioned coding rule, all kinds of indexs coding is illustrated below:
Base values encoding examples:Discharge person-time 01.01, outpatient service flow 01.02, physical examination person-time 01.03, medical person-time 01.05, Emergency call person-time 01.06 etc..
Extended counter encoding examples:" dead number of cases of choosing date for operation in hospital " is encoded to:04.02.SS01.JZ04;Wherein 04.02 represents dead number of cases, and SS01 representatives are chosen date for operation, and JZ04 representatives are hospitalized.
Composite index encoding examples:" Emergency call antibacterials expense accounting " is encoded to:09.02.YW02.JZ01: 09.02.JZ01;Wherein, 09.02 drug expenditure is represented, YW02 represents antibacterials, and JZ01 represents Emergency call.Molecule is that door is anxious Antibacterials expense is examined, denominator is Emergency call drug expenditure.
The composite index encoding examples of " general qualifier ":" the bad operation behavior incidence of medical institutions " is encoded to: 04.05.BLZY.YLJG:04.05.YLJG;Wherein 04.05 is occurs number of cases, and BLZY and YLJG are the failure to be included into common dimension " general qualifier " respectively represents " bad operation behavior " and " medical institutions ".
Step E:According to semantic coding rule in step D, Shanghai City is defended 88 " Medical service regulations " of planning commission's proposition Core index is encoded, and part index number coding achievement is as shown in table 4 at present:
4 part index number semantic coding achievement of table
Above-mentioned steps through the invention, 88 " Medical service regulation " core index that planning commission's proposition is defended to Shanghai City carry out Coding has 64 indexs that can be defined completely by base values and dimension combination;There are 20 indexs to need by means of " generally repairing Excuse " is defined, wherein it is the index of health supervision class to have nearly 1/3, business vocabulary has notable difference with medical profession;Its Remaining 4 due to the molecule of index itself or composing indexes, denominator is indefinite to define.By comprehensive assessment, through the invention Semantic model index coding scheme be integrally improved the tissue logic of medical index, have more directive significance.

Claims (1)

1. a kind of construction method of the medical index system based on semantic model, which is characterized in that include the following steps:
Step 1, the semanteme embodied according to medical index title, design meet the constitutional formula of its semantic index name, should Following variable is included at least in constitutional formula:
Dimension, the angle for representing observation, analyzing things;
Qualifier includes close qualifier and general qualifier, and close qualifier refers to the specific meaning of direct description measurement, is made The measurement of no business meaning becomes the base values for having business meaning;General qualifier refers to specific in a kind of uncommon dimension Node;
Measurement, represents certain numerical value;
Step 2, the constitutional formula obtained according to step 1 respectively encode the dimension, qualifier, the measurement that are related to;
Step 3, the frame structure for proposing index coding scheme, i.e. index=[measurement]+[close qualifier]+several [dimensions]+ Several [general qualifiers];
Step 4, the frame structure obtained according to step, dimension, qualifier, measurement after the coding obtained in conjunction with step 2, design Specific criterion coding rule, index include base values, extended counter, composite index, increased percentage class index, Wherein:
The coding rule of the base values is:NN.NN, wherein front two NN represent measurement, and rear two NN represent one closely Qualifier;
The coding rule of the extended counter is:NN.NN [.DDNN]+[XS]+or NN [.DDNN]+[XS]+, wherein DD is generation The dibit encoding of table dimension, DDNN represent certain node in dimension, and XS refers to the general qualifier that cannot be included into dimension, and being can be with Customized, the content of symbol [...]+represent in square brackets occurs one or many;
The coding rule of the composite index is:NN.NN[.DDNN]+[XS]+:NN.NN [.DDNN]+[XS]+, i.e., two extensions The relationship of index or base values, symbol:Represent divided by, before be molecule, be followed by denominator;
The coding rule of the increased percentage class index is:BB-NN.NN[.DDNN]+[XS]+:NN.NN[.DDNN]+[XS] +, wherein BB represents year-on-year or sequential growth rate percentage, percentage point coding.
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