CN111192643A - Medical record data processing method and related equipment - Google Patents
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Abstract
The embodiment of the disclosure provides a medical record data processing method and device, a computer readable storage medium and electronic equipment, and belongs to the technical field of computers and communication. The method comprises the following steps: acquiring sub-information in medical record data; comparing the extracted sub-information of the medical record data with standard sub-information in an information base; judging whether the sub-information included in the medical record data is reasonable or not according to the comparison result; sending the judgment result to a terminal so as to display the judgment result on the terminal; the sub-information of the medical record data comprises diagnosis information, medication information, examination information, operation information, flow medication, disease types and cost information. The technical scheme of the embodiment of the disclosure provides a medical record data processing method, which can realize the processing of medical record data and improve the efficiency and accuracy of medical record data processing.
Description
Technical Field
The present disclosure relates to the field of computer and communication technologies, and in particular, to a medical record data processing method and apparatus, a computer-readable storage medium, and an electronic device.
Background
The key of medical insurance auditing is whether medical behaviors, medication behaviors and cost are reasonable or not, and with the higher informatization degree of medical record data, the more and more medical record documents of medical insurance auditing are provided, so that higher requirements are provided for auditing efficiency.
The current medical insurance examination and verification mostly depends on the examination and verification of paper documents or electronic documents manually. Because the number of documents for medical insurance audit is huge, a large amount of human resources are needed, so that the period of medical insurance audit is long, and the audit efficiency is low. Therefore, how to perform comprehensive, efficient and accurate medical insurance auditing by using a computer system instead of manual work becomes a technical problem to be solved urgently at present, and a medical record data processing method and device, a computer-readable storage medium and an electronic device are needed.
It is to be noted that the information disclosed in the above background section is only for enhancement of understanding of the background of the present disclosure, and thus may include information that does not constitute prior art known to those of ordinary skill in the art.
Disclosure of Invention
The embodiment of the disclosure provides a medical record data processing method and device, a computer readable storage medium and an electronic device, which can improve the efficiency and accuracy of medical record data processing.
Additional features and advantages of the disclosure will be set forth in the detailed description which follows, or in part will be obvious from the description, or may be learned by practice of the disclosure.
According to one aspect of the disclosure, a method for processing medical record data is provided, which includes:
acquiring sub-information in medical record data;
comparing the extracted sub-information of the medical record data with standard sub-information in an information base;
judging whether the sub-information included in the medical record data is reasonable or not according to the comparison result; and
sending the judgment result to a terminal so as to display the judgment result on the terminal;
the sub-information of the medical record data comprises diagnosis information, medication information, examination information, operation information, flow medication, disease types and cost information.
In one embodiment, the transmitting the result of the judgment to a terminal to display the result of the judgment on the terminal comprises:
and sending one of reasonable, basically reasonable or unreasonable to the terminal so as to display one of reasonable, basically reasonable or unreasonable on the terminal.
In one embodiment, the determining whether the sub-information included in the medical record data is reasonable according to the comparison result includes:
when the total amount of the cost in the medical record data is less than or equal to the average amount of the cost for treating the diseases of the medical record data in the information base, judging the cost detail to be reasonable;
when the total amount of the cost in the medical record data is higher than the highest amount of the cost in the information base for treating the disease range of the medical record data, judging that the cost detail is unreasonable; and
and when the total amount of the cost in the detail of the medical record data is higher than the average amount of the cost in the range of the cost for treating the diseases of the medical record data but is less than or equal to the highest amount of the cost, judging the detail of the cost to be basically reasonable.
In one embodiment, further comprising:
after extracting the sub-information in the medical record data, judging whether the medical record data comprises standard necessary information, wherein the standard necessary information comprises diagnosis information, medication information, inspection information, operation information, flow medication, disease types and cost information;
when the medical record data comprises standard necessary information, comparing the extracted sub-information of the medical record data with standard sub-information in an information base; or
And when the medical record data does not comprise standard necessary information, the medical record data is manually processed.
In one embodiment, when the medical record data includes standard necessary information, comparing the extracted sub-information of the medical record data with standard sub-information in an information base, including:
comparing the extracted diagnosis information and medication information of the medical record data with standard diagnosis information and medication information in an information base.
In one embodiment, when the medical record data includes standard necessary information, comparing the extracted sub-information of the medical record data with standard sub-information in an information base, including:
comparing the extracted diagnosis information and examination information of the medical record data with standard diagnosis information and examination information in an information base;
comparing the extracted surgical information and procedure medication of the medical record data with standard surgical information and procedure medication in an information base; and
comparing the extracted disease category and cost information of the medical record data with standard disease category and cost information in an information base.
In one embodiment, the transmitting the result of the judgment to a terminal to display the result of the judgment on the terminal comprises:
when the extracted sub-information of the medical record data is unreasonable, the extracted sub-information of the medical record data and the content included in the sub-information are sent to the terminal for displaying; or
And when the extracted sub-information of the medical record data is unreasonable, sending the extracted sub-information of the medical record data and unreasonable content included in the sub-information to the terminal for displaying.
According to an aspect of the present disclosure, there is provided a medical record data processing apparatus including:
the acquisition module is configured to acquire medical record data, extract sub-information from the medical record data and acquire standard sub-information from an information base;
the information judgment module is configured to judge the extracted sub-information of the medical record data and judge whether the extracted sub-information of the medical record data is reasonable; and
and the judgment result sending module is configured to send the judgment result to a terminal so as to display the judgment result on the terminal.
According to an aspect of the present disclosure, there is provided an electronic device including:
one or more processors;
a storage device configured to store one or more programs, which when executed by the one or more processors, cause the one or more processors to implement the method for processing medical record data according to any one of the above embodiments.
According to an aspect of the present disclosure, there is provided a computer-readable storage medium storing a computer program, which when executed by a processor, implements a method for processing medical record data according to any one of the above embodiments.
In the technical solutions provided by some embodiments of the present disclosure, on one hand, current medical record data of a target object is obtained from a client; extracting sub-information from the medical record data and comparing the sub-information with standard sub-information in an information base; judging whether the sub-information included in the medical record data is reasonable or not according to the comparison result; the processing method improves the efficiency and the accuracy of medical record data processing operation, reduces the workload of medical record data processing operators, and reduces the time cost and the labor cost of insurance companies.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the disclosure.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the present disclosure and together with the description, serve to explain the principles of the disclosure. It is to be understood that the drawings in the following description are merely exemplary of the disclosure, and that other drawings may be derived from those drawings by one of ordinary skill in the art without the exercise of inventive faculty. In the drawings:
fig. 1 is a schematic diagram illustrating an exemplary system architecture to which a method for processing medical record data or a device for processing medical record data according to an embodiment of the present disclosure may be applied;
FIG. 2 illustrates a schematic structural diagram of a computer system suitable for use with the electronic device implementing embodiments of the present disclosure;
FIG. 3 schematically shows a flow diagram of a medical record data processing method according to an embodiment of the disclosure;
FIG. 4 schematically illustrates a flow diagram of a medical record data processing method according to an embodiment of the disclosure;
FIG. 5 schematically illustrates a block diagram of a medical record data processing apparatus according to an embodiment of the present disclosure;
FIG. 6 schematically shows a block diagram of a medical record data processing apparatus according to another embodiment of the invention;
FIG. 7 schematically shows a block diagram of a medical record data processing apparatus according to another embodiment of the invention; and
fig. 8 schematically shows a block diagram of a medical record data processing apparatus according to another embodiment of the invention.
Detailed Description
Example embodiments will now be described more fully with reference to the accompanying drawings. Example embodiments may, however, be embodied in many different forms and should not be construed as limited to the examples set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concept of example embodiments to those skilled in the art.
Furthermore, the described features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. In the following description, numerous specific details are provided to give a thorough understanding of embodiments of the disclosure. One skilled in the relevant art will recognize, however, that the subject matter of the present disclosure can be practiced without one or more of the specific details, or with other methods, components, devices, steps, and so forth. In other instances, well-known methods, devices, implementations, or operations have not been shown or described in detail to avoid obscuring aspects of the disclosure.
The block diagrams shown in the figures are functional entities only and do not necessarily correspond to physically separate entities. I.e. these functional entities may be implemented in the form of software, or in one or more hardware modules or integrated circuits, or in different networks and/or processor means and/or microcontroller means.
The flow charts shown in the drawings are merely illustrative and do not necessarily include all of the contents and operations/steps, nor do they necessarily have to be performed in the order described. For example, some operations/steps may be decomposed, and some operations/steps may be combined or partially combined, so that the actual execution sequence may be changed according to the actual situation.
Fig. 1 shows a schematic diagram of an exemplary system architecture 100 to which a method for processing medical record data or a device for processing medical record data according to an embodiment of the present disclosure can be applied.
As shown in fig. 1, the system architecture 100 may include one or more of terminal devices 101, 102, 103, a network 104, and a server 105. The network 104 is a medium to provide communication links between the terminal devices 101, 102, 103 and the server 105. Network 104 may include various connection types, such as wired, wireless communication links, or fiber optic cables, to name a few.
It should be understood that the number of terminal devices, networks, and servers in fig. 1 is merely illustrative. There may be any number of terminal devices, networks, and servers, as desired for implementation. For example, server 105 may be a server cluster comprised of multiple servers, or the like.
The user may use the terminal devices 101, 102, 103 to interact with the server 105 via the network 104 to receive or send messages or the like. The terminal devices 101, 102, 103 may be various electronic devices having display screens including, but not limited to, smart phones, tablets, portable and desktop computers, digital cinema projectors, and the like.
The server 105 may be a server that provides various services. For example, the user sends a medical record data processing request to the server 105 by using the terminal device 103 (or the terminal device 101 or 102). The server 105 can extract sub-information in the medical record data based on the medical record data, and meanwhile, obtain standard sub-information in an information base (evidence-based medical rule knowledge base); the extracted sub-information of the medical record data is compared with standard sub-information in an information base, whether the sub-information included in the medical record data is reasonable or not is judged according to the comparison result, the judgment result is sent to the terminal equipment 103, the judgment result is displayed on the terminal equipment 103, a user can view the corresponding processing conclusion of the current medical record data based on the content displayed on the terminal equipment 103, and the medical record data can be determined to pass the processing or be manually processed according to the judgment result of the medical record data displayed on the terminal equipment 103.
Also, for example, the terminal device 103 (also may be the terminal device 101 or 102) may be a smart tv, a VR (virtual Reality)/AR (Augmented Reality) helmet display, or a mobile terminal such as a smart phone, a tablet computer, etc. on which navigation, network appointment, instant messaging, video Application (APP) and the like are installed, and the user may send a processing request of medical record data to the server 105 through the smart tv, the VR/AR helmet display or the navigation, network appointment, instant messaging, video APP. The server 105 can obtain a result of processing the medical record data based on the request for processing the medical record data, and return the result of processing the medical record data to the smart television, the VR/AR head mounted display or the navigation, network appointment vehicle, the instant messaging, and the video APP, and then display the result of processing the returned medical record data through the smart television, the VR/AR head mounted display or the navigation, network appointment vehicle, the instant messaging, and the video APP.
FIG. 2 illustrates a schematic structural diagram of a computer system suitable for use in implementing the electronic device of an embodiment of the present disclosure.
It should be noted that the computer system 200 of the electronic device shown in fig. 2 is only an example, and should not bring any limitation to the functions and the scope of the application of the embodiments of the present disclosure.
As shown in fig. 2, the computer system 200 includes a Central Processing Unit (CPU)201 that can perform various appropriate actions and processes in accordance with a program stored in a Read-Only Memory (ROM) 202 or a program loaded from a storage section 208 into a Random Access Memory (RAM) 203. In the RAM 203, various programs and data necessary for system operation are also stored. The CPU 201, ROM202, and RAM 203 are connected to each other via a bus 204. An input/output (I/O) interface 205 is also connected to bus 204.
The following components are connected to the I/O interface 205: an input portion 206 including a keyboard, a mouse, and the like; an output section 207 including a Cathode Ray Tube (CRT), a Liquid Crystal Display (LCD), and the like, a speaker, and the like; a storage section 208 including a hard disk and the like; and a communication section 209 including a Network interface card such as a LAN (Local Area Network) card, a modem, or the like. The communication section 209 performs communication processing via a network such as the internet. A drive 210 is also connected to the I/O interface 205 as needed. A removable medium 211, such as a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, or the like, is mounted on the drive 210 as necessary, so that a computer program read out therefrom is installed into the storage section 208 as necessary.
In particular, the processes described below with reference to the flowcharts may be implemented as computer software programs, according to embodiments of the present disclosure. For example, embodiments of the present disclosure include a computer program product comprising a computer program embodied on a computer readable storage medium, the computer program containing program code for performing the method illustrated by the flow chart. In such embodiments, the computer program may be downloaded and installed from a network via the communication section 209 and/or installed from the removable medium 211. The computer program, when executed by a Central Processing Unit (CPU)201, performs various functions defined in the methods and/or apparatus of the present application.
It should be noted that the computer readable storage medium shown in the present disclosure may be a computer readable signal medium or a computer readable storage medium or any combination of the two. A computer readable storage medium may be, for example, but not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device, or any combination of the foregoing. More specific examples of the computer readable storage medium may include, but are not limited to: an electrical connection having one or more wires, a portable computer diskette, a hard disk, a Random Access Memory (RAM), a Read-Only Memory (ROM), an Erasable Programmable Read-Only Memory (EPROM) or flash Memory), an optical fiber, a portable compact disc Read-Only Memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the foregoing. In the present disclosure, a computer readable storage medium may be any tangible medium that can contain, or store a program for use by or in connection with an instruction execution system, apparatus, or device. In contrast, in the present disclosure, a computer-readable signal medium may include a propagated data signal with computer-readable program code embodied therein, for example, in baseband or as part of a carrier wave. Such a propagated data signal may take many forms, including, but not limited to, electro-magnetic, optical, or any suitable combination thereof. A computer readable signal medium may also be any computer readable storage medium that is not a computer readable storage medium and that can communicate, propagate, or transport a program for use by or in connection with an instruction execution system, apparatus, or device. Program code embodied on a computer readable storage medium may be transmitted using any appropriate medium, including but not limited to: wireless, wire, fiber optic cable, RF (radio frequency), etc., or any suitable combination of the foregoing.
The flowchart and block diagrams in the figures illustrate the architecture, functionality, and operation of possible implementations of methods, apparatus, and computer program products according to various embodiments of the present disclosure. In this regard, each block in the flowchart or block diagrams may represent a module, segment, or portion of code, which comprises one or more executable instructions for implementing the specified logical function(s). It should also be noted that, in some alternative implementations, the functions noted in the block may occur out of the order noted in the figures. For example, two blocks shown in succession may, in fact, be executed substantially concurrently, or the blocks may sometimes be executed in the reverse order, depending upon the functionality involved. It will also be noted that each block of the block diagrams or flowchart illustration, and combinations of blocks in the block diagrams or flowchart illustration, can be implemented by special purpose hardware-based systems which perform the specified functions or acts, or combinations of special purpose hardware and computer instructions.
The modules and/or units and/or sub-units described in the embodiments of the present disclosure may be implemented by software, or may be implemented by hardware, and the described modules and/or units and/or sub-units may also be disposed in a processor. Wherein the names of such modules and/or units and/or sub-units in some cases do not constitute a limitation on the modules and/or units and/or sub-units themselves.
As another aspect, the present application also provides a computer-readable storage medium, which may be contained in the electronic device described in the above embodiment; or may exist separately without being assembled into the electronic device. The computer-readable storage medium carries one or more programs which, when executed by an electronic device, cause the electronic device to implement the method described in the embodiments below. For example, the electronic device may implement the steps shown in fig. 3 or fig. 4.
In the related art, medical record data processing can be performed by using, for example, a machine learning method, a deep learning method, or the like, and the application range of different methods is different. The common conclusions for medical record data processing include: reasonable, basically reasonable and unreasonable, the common conclusion of medical record data processing is progressive, and research on such progressive problems is less and less applied to the processing of medical record data.
Fig. 3 schematically shows a flow chart of a medical record data processing method according to an embodiment of the disclosure. The method steps of the embodiment of the present disclosure may be executed by the terminal device, the server, or both, for example, the server 105 in fig. 1 may be executed by the terminal device and the server, but the present disclosure is not limited thereto.
In step S310, medical record data is acquired.
The medical record data to be processed or checked can be acquired from a client, where the client can be pre-installed in a terminal device, and an applicant, an insured, an insurance agent, an insurance broker, or an operator of an insurance company, and can submit a medical record data processing request through the client, where the medical record data processing request carries treatment data of the target object, and the target object may be, for example, an insured. Specifically, the treatment data of the target object may include sub-information such as diagnosis information, medication information, examination information, procedure medication, disease type, treatment information, medical record information, discharge summary, operation information, examination report, medical order information, and cost information generated by the target object during the treatment of a disease. The present disclosure is not so limited and the treatment data may also include other sub-information generated during the treatment. In the following description, medication information, examination reports, and charge details data are exemplified, but the present disclosure is not limited thereto, and any factors related to medical treatment of a target object may be considered in the medical record data processing. When the server receives the medical record data of the target object, the server can express the physical examination report data in the form of a feature vector.
In one embodiment, when the medical record is a paper medical record, converting the paper medical record into the medical record data through scanning; and when the medical record data is in a picture format, identifying the text and the digital information included in the medical record data through text identification software.
In the embodiments of the present disclosure, the terminal device may be implemented in various forms. For example, the terminal described in the present disclosure may include a mobile terminal such as a mobile phone, a tablet computer, a notebook computer, a palmtop computer, a Personal Digital Assistant (PDA), a Portable Media Player (PMP), a medical record data processing apparatus, a wearable device, a smart band, a pedometer, a robot, an unmanned vehicle, and the like, and a fixed terminal such as a digital TV (television), a desktop computer, and the like.
In step S320, sub-information in the medical record data is extracted.
In this step, one or more sub-information such as diagnosis information, medication information, medical record information, discharge summary, operation information, examination report, medical order information, and expense details included in the medical record data in step S310 may be acquired. The sub-information of the medical record data may include detailed information related to the sub-information, for example, the medication information may include a list of all medications used by the target subject during the medical treatment, the examination report may include all examinations performed by the target subject during the medical treatment, and the expense details may include all expense details and total expense generated by the target subject during the medical treatment.
In one embodiment, the sub-information of the medical record data includes diagnosis information, medication information, examination information, surgery information, procedure medication, disease category and cost information.
In step S330, the extracted sub-information of the medical record data is compared with the standard sub-information in the information base.
In this step, the sub information extracted in step S320 is compared with the standard sub information in the information base. The information base is a knowledge base of evidence-based medical rules, and the knowledge base may include various information of related diseases in the treatment process, such as information of methods for treating various diseases, medication, examination, and cost. In this step, medication information can be extracted from the medical record data, for example, and then the medication information in the medical record data is compared with standard sub-medication information in the information base for treating the disease of the medical record data; for example, the examination report can be extracted from the medical record data, and then the examination report recorded in the medical record data is compared with the standard examination sub-information required for treating the disease of the medical record data in the information base; alternatively, the cost details can be extracted from the medical record data, for example, and the cost details recorded in the medical record data can be compared to standard cost information in the information repository required to treat the medical record data for the disease.
In one embodiment, comparing the sub information extracted in step S320 with the standard sub information in the information base includes: comparing the extracted diagnosis information and medication information of the medical record data with standard diagnosis information and medication information in an information base.
In one embodiment, comparing the sub information extracted in step S320 with the standard sub information in the information base includes: comparing the extracted diagnosis information and examination information of the medical record data with standard diagnosis information and examination information in an information base.
In one embodiment, comparing the sub information extracted in step S320 with the standard sub information in the information base includes: comparing the extracted surgical information and procedure medication of the medical record data with standard surgical information and procedure medication in an information base.
In one embodiment, comparing the sub information extracted in step S320 with the standard sub information in the information base includes: comparing the extracted disease category and cost information of the medical record data with standard disease category and cost information in an information base.
In step S340, whether the sub information included in the medical record data is reasonable is determined according to the comparison result.
In this step, it is determined whether or not the sub information included in the medical record data is reasonable based on the comparison result in step S330. The specific judgment can be, for example, if the drugs in the medication information in the medical record data all belong to the standard medication for treating the disease in the medical record data in the information base, the medication sub-information is judged to be reasonable; if the medicines in the medication information in the medical record data comprise standard medications which do not belong to the information base and are used for treating the diseases of the medical record data, judging that the medication sub-information is unreasonable; if one or more drugs in the medication information in the medical record data belong to the standard medication in the information base for treating the disease of the medical record data, but the frequency of the one or more drugs in treating the disease is low (for example, less than or equal to 5 percent) and the price of the drug is relatively high (for example, the unit price is greater than or equal to 1000), the medication sub-information is judged to be basically reasonable.
Specific judgment can also be made, for example, if the examinations in the examination report in the medical record data all belong to the standard examinations in the information base for treating the diseases of the medical record data, the sub-information of the examination report is judged to be reasonable; if the examination in the examination report in the medical record data comprises standard examination which does not belong to the information base and is used for treating the diseases of the medical record data, judging that the sub-information of the examination report is unreasonable; if one or more of the tests in the medical record data belong to the standard test reports in the information base for treating the disease of the medical record data, but the one or more tests are used less frequently (e.g., less than or equal to 5 percent) for treating the disease and the test report price is relatively high (e.g., the unit price is greater than or equal to 1000), the test report sub-information is judged to be substantially reasonable.
The specific determination can also be made, for example, if the total amount of the cost in the detail of the medical record data is less than or equal to the average amount of the cost in the information base for treating the disease in the medical record data, the information of the detail of the cost is determined to be reasonable; if the total amount of the cost in the detail of the medical record data is higher than the highest amount of the cost range for treating the diseases of the medical record data in the information base, judging that the sub-information of the cost detail is unreasonable; if the total amount of the cost in the detail of the cost in the medical record data is higher than the average amount of the cost range for treating the diseases of the medical record data but is less than or equal to the maximum amount, the sub-information of the examination report is judged to be basically reasonable.
In step S350, the result of the determination is transmitted to the terminal, so that the result of the determination is displayed on the terminal.
In this step, the result of the determination is transmitted to the terminal according to the determination result of the step S340 to display the result of the determination on the terminal.
The specific display may be, for example, to display "medication information is reasonable" when the medication information is reasonable; for example, when the medication information is not reasonable, "medication information is not reasonable" is displayed and unreasonable medicine information (such as name, quantity, and price) is displayed; for example, when the medication information is substantially reasonable, "medication information is substantially reasonable" is displayed and substantially reasonable medicine information (such as name, quantity, and price) is displayed. However, the present disclosure is not limited thereto, and other information contents included in the medication information may be displayed at the same time.
The specific judgment may also be, for example, that "the inspection report is reasonable" is displayed when the inspection report is reasonable; for example, when the inspection report is not reasonable, "the inspection report is not reasonable" is displayed and unreasonable inspection reports (such as name, quantity, and price) are displayed; for example, when the inspection report is substantially reasonable, "the inspection report is substantially reasonable" is displayed and the inspection report (for example, name, quantity, and price) that is substantially reasonable is displayed. The present disclosure is not limited thereto, and other information contents included in the inspection report may be displayed at the same time.
The specific judgment can also be, for example, when the expense detail is reasonable, display the 'expense detail is reasonable'; for example, when the charge details are not reasonable, "charge details are not reasonable" and unreasonable charge details (such as total charge and normal charge range) are displayed; for example, when the charge details are substantially reasonable, "the charge details are substantially reasonable" and the substantially reasonable charge details (for example, the total charge and the normal charge range) are displayed. However, the present disclosure is not limited thereto, and other information contents included in the charge list may be displayed at the same time.
The specific display process may be displayed when processing of a single sub-information is finished, or may be displayed in a summary manner for all sub-information after processing of medical record data is finished, but the disclosure is not limited thereto.
In one embodiment, when the extracted sub-information of the medical record data is unreasonable or substantially reasonable, the extracted sub-information of the medical record data is manually processed.
In one embodiment, the transmitting the result of the judgment to a terminal to display the result of the judgment on the terminal comprises:
and sending one of reasonable, basically reasonable or unreasonable to the terminal so as to display one of reasonable, basically reasonable or unreasonable on the terminal.
In one embodiment, the determining whether the sub-information included in the medical record data is reasonable according to the comparison result includes:
when the total amount of the cost in the medical record data is less than or equal to the average amount of the cost for treating the diseases of the medical record data in the information base, judging the cost detail to be reasonable;
when the total amount of the cost in the medical record data is higher than the highest amount of the cost in the information base for treating the disease range of the medical record data, judging that the cost detail is unreasonable; and
and when the total amount of the cost in the detail of the medical record data is higher than the average amount of the cost in the range of the cost for treating the diseases of the medical record data but is less than or equal to the highest amount of the cost, judging the detail of the cost to be basically reasonable.
Specifically, after the server side judges the medical record data of the object according to the medical record data of the target object, the server side can return the judgment result to the terminal equipment provided with the client side, so that a user can visually and conveniently check the processing result of the medical record data.
According to the sub-medical record processing method provided by the embodiment of the disclosure, on one hand, the current medical record data of the target object is obtained from the client; extracting sub-information from the medical record data and comparing the sub-information with standard sub-information in an information base; judging whether the sub-information included in the medical record data is reasonable or not according to the comparison result; the processing method improves the efficiency and the accuracy of medical record data processing operation, reduces the workload of medical record data processing operators, and reduces the time cost and the labor cost of insurance companies.
In one embodiment, the medical record data, the result of comparing the sub-information of the medical record data with the standard sub-information in the information base and the result of the judgment are stored; and when the extracted sub-information of the medical record data is unreasonable, manually processing the medical record data, and storing the result of the manual processing. The stored information can be used for subsequent reference or reference, can also be used for intelligent learning of the system, and can provide reference for a user in a prompt information mode when similar problems are encountered.
Fig. 4 schematically shows a flow chart of a medical record data processing method according to an embodiment of the disclosure.
Referring to fig. 4, in step S311, medical record data is acquired. The medical record data can include sub-information such as diagnosis information, medication information, treatment information, medical record information, discharge summary, operation information, inspection report, examination report, medical advice information, expense detail and the like generated by the target object in the treatment process.
In step S312, it is determined whether the medical record data includes standard necessary information. In this step, after extracting the sub-information in the medical record data, if the medical record data includes standard necessary information, such as diagnosis information, medication information, treatment information, medical record information, discharge summary, operation information, examination report, medical order information, and expense details generated by the target object during the treatment process, it is determined that the medical record data includes the standard necessary information, and then the operation of step S320 and the subsequent operations are continued. And if the medical record data does not comprise the necessary information of the standard, such as medication information, inspection reports or expense details, judging that the medical record data does not comprise the necessary information of the standard, and transferring the medical record data to manual processing.
Fig. 5 schematically shows a block diagram of a medical record data processing apparatus according to an embodiment of the present disclosure. The medical record data processing apparatus 500 provided in the embodiment of the present disclosure may be provided on a terminal device, a server, or a part of the medical record data processing apparatus 500 may be provided on a terminal device and a part of the medical record data processing apparatus may be provided on a server, for example, the medical record data processing apparatus may be provided on the server 105 in fig. 1, but the present disclosure is not limited thereto.
The medical record data processing apparatus 500 provided by the embodiment of the present disclosure may include an obtaining module 510, an information determining module 520, and a determination result sending module 530.
The obtaining module 510 may be configured to obtain medical record data of the target object from the client, extract sub-information from the medical record data, and obtain standard sub-information from the information repository. The information determination module 520 can be configured to determine the extracted sub-information of the medical record data and determine whether the extracted sub-information of the medical record data is reasonable. The determination result transmitting module 530 may be configured to transmit the result of the determination to the terminal to display the result of the determination on the terminal.
The medical record data processing apparatus 500 can obtain the current medical record data of the target object; extracting sub-information from the medical record data and comparing the sub-information with standard sub-information in an information base; judging whether the sub-information included in the medical record data is reasonable or not according to the comparison result; the device improves the efficiency and the accuracy of medical record data processing operation, lightens the workload of medical record data processing operators, and reduces the time cost and the labor cost of insurance companies.
According to an embodiment of the present disclosure, the medical record data processing apparatus 500 can be used to implement the medical record data processing method described in the embodiments of fig. 3 and fig. 4.
Fig. 6 schematically shows a block diagram of a medical record data processing apparatus 600 according to another embodiment of the invention.
As shown in fig. 6, the medical record data processing apparatus 600 further includes a display module 610 in addition to the acquiring module 510, the information determining module 520 and the determination result sending module 530 described in the embodiment of fig. 5.
Specifically, the display module 610 displays the determination result on the terminal after the determination result sending module 530 sends the determination result to the terminal.
In the medical record data processing apparatus 600, the display module 610 can perform visual display of the determination result.
Fig. 7 schematically shows a block diagram of a medical record data processing apparatus 700 according to another embodiment of the invention.
As shown in fig. 7, the obtaining module 510 includes a first calling module 511 and a second calling module 512.
Specifically, the first calling module 511 is configured to extract sub information of medical record data, and the second calling module 512 is configured to call standard sub information in an information base.
Fig. 8 schematically shows a block diagram of a medical record data processing apparatus 800 according to another embodiment of the invention.
As shown in fig. 8, in addition to the acquiring module 510, the information determining module 520, and the determination result sending module 530 described in the embodiment of fig. 5, the medical record data processing apparatus 800 further includes a storage module 810.
Specifically, the storage module 810 is configured to store the medical record data and the processing result of the medical record data, so as to facilitate invoking and referencing by a worker.
It is understood that the obtaining module 510, the information determining module 520, the determination result sending module 530, the displaying module 610, the first calling module 511, the second calling sub-module 512, and the storing module 810 may be combined to be implemented in one module, or any one of the modules may be split into a plurality of modules. Alternatively, at least part of the functionality of one or more of these modules may be combined with at least part of the functionality of the other modules and implemented in one module. According to the embodiment of the present invention, at least one of the obtaining module 510, the information determining module 520, the determination result sending module 530, the displaying module 610, the first calling module 511, the second calling sub-module 512, and the storing module 810 may be at least partially implemented as a hardware circuit, such as a Field Programmable Gate Array (FPGA), a Programmable Logic Array (PLA), a system on a chip, a system on a substrate, a system on a package, an Application Specific Integrated Circuit (ASIC), or may be implemented in hardware or firmware in any other reasonable manner of integrating or packaging a circuit, or implemented in a suitable combination of three implementations of software, hardware, and firmware. Alternatively, at least one of the obtaining module 510, the information judging module 520, the judgment result transmitting module 530, the display module 610, the first calling module 511, the second calling sub-module 512, and the storage module 810 may be at least partially implemented as a computer program module, and when the program is executed by a computer, the function of the corresponding module may be performed.
For details that are not disclosed in the embodiment of the medical record data processing apparatus of the present invention, please refer to the embodiment of the medical record data processing method of the present invention described above for the details that are not disclosed in the embodiment of the medical record data processing apparatus of the present invention, because each module of the medical record data processing apparatus of the exemplary embodiment of the present invention can be used to implement the steps of the exemplary embodiment of the medical record data processing method described above in fig. 3 and fig. 4.
The medical record data processing device provided by the embodiment of the disclosure acquires the current sub-medical record of the target object from the client; extracting sub-information from the medical record data and comparing the sub-information with standard sub-information in an information base; judging whether the sub-information included in the medical record data is reasonable or not according to the comparison result; and sending the judgment result to a terminal so as to display the judgment result on the terminal, thereby improving the efficiency and accuracy of medical record data processing operation, reducing the workload of medical record data processing operators and reducing the time cost and the labor cost of insurance companies.
The specific implementation of each module, unit and subunit in the medical record data processing apparatus provided in the embodiments of the present disclosure may refer to the content in the medical record data processing method, and is not described herein again.
It should be noted that although several modules, units and sub-units of the apparatus for action execution are mentioned in the above detailed description, such division is not mandatory. Indeed, the features and functionality of two or more modules, units and sub-units described above may be embodied in one module, unit and sub-unit, in accordance with embodiments of the present disclosure. Conversely, the features and functions of one module, unit and sub-unit described above may be further divided into embodiments by a plurality of modules, units and sub-units.
Through the above description of the embodiments, those skilled in the art will readily understand that the exemplary embodiments described herein may be implemented by software, or by software in combination with necessary hardware. Therefore, the technical solution according to the embodiments of the present disclosure may be embodied in the form of a software product, which may be stored in a non-volatile storage medium (which may be a CD-ROM, a usb disk, a removable hard disk, etc.) or on a network, and includes several instructions to enable a computing device (which may be a personal computer, a server, a touch terminal, or a network device, etc.) to execute the method according to the embodiments of the present disclosure.
Other embodiments of the disclosure will be apparent to those skilled in the art from consideration of the specification and practice of the disclosure disclosed herein. This application is intended to cover any variations, uses, or adaptations of the disclosure following, in general, the principles of the disclosure and including such departures from the present disclosure as come within known or customary practice within the art to which the disclosure pertains. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the disclosure being indicated by the following claims.
It will be understood that the present disclosure is not limited to the precise arrangements described above and shown in the drawings and that various modifications and changes may be made without departing from the scope thereof. The scope of the present disclosure is limited only by the appended claims.
Claims (10)
1. A medical record data processing method is characterized by comprising the following steps:
acquiring sub-information in medical record data;
comparing the extracted sub-information of the medical record data with standard sub-information in an information base;
judging whether the sub-information included in the medical record data is reasonable or not according to the comparison result; and
sending the judgment result to a terminal so as to display the judgment result on the terminal;
the sub-information of the medical record data comprises diagnosis information, medication information, examination information, operation information, flow medication, disease types and cost information.
2. The method of claim 1, wherein sending the result of the determination to a terminal to display the result of the determination on the terminal comprises:
and sending one of reasonable, basically reasonable or unreasonable to the terminal so as to display one of reasonable, basically reasonable or unreasonable on the terminal.
3. The method of claim 2, wherein determining whether sub-information included in the medical record data is reasonable based on the comparison comprises:
when the total amount of the cost in the medical record data is less than or equal to the average amount of the cost for treating the diseases of the medical record data in the information base, judging the cost detail to be reasonable;
when the total amount of the cost in the medical record data is higher than the highest amount of the cost in the information base for treating the disease range of the medical record data, judging that the cost detail is unreasonable; and
and when the total amount of the cost in the detail of the medical record data is higher than the average amount of the cost in the range of the cost for treating the diseases of the medical record data but is less than or equal to the highest amount of the cost, judging the detail of the cost to be basically reasonable.
4. The method of claim 1, further comprising:
after extracting the sub-information in the medical record data, judging whether the medical record data comprises standard necessary information, wherein the standard necessary information comprises diagnosis information, medication information, inspection information, operation information, flow medication, disease types and cost information;
when the medical record data comprises standard necessary information, comparing the extracted sub-information of the medical record data with standard sub-information in an information base; or
And when the medical record data does not comprise standard necessary information, the medical record data is manually processed.
5. The method of claim 4, wherein comparing the extracted sub-information of the medical record data with the normative sub-information in the information repository when the medical record data includes normative required information comprises:
comparing the extracted diagnosis information and medication information of the medical record data with standard diagnosis information and medication information in an information base.
6. The method of claim 4, wherein comparing the extracted sub-information of the medical record data with the normative sub-information in the information repository when the medical record data includes normative required information comprises:
comparing the extracted diagnosis information and examination information of the medical record data with standard diagnosis information and examination information in an information base;
comparing the extracted surgical information and procedure medication of the medical record data with standard surgical information and procedure medication in an information base; and
comparing the extracted disease category and cost information of the medical record data with standard disease category and cost information in an information base.
7. The method of claim 1, wherein sending the result of the determination to a terminal to display the result of the determination on the terminal comprises:
when the extracted sub-information of the medical record data is unreasonable, the extracted sub-information of the medical record data and the content included in the sub-information are sent to the terminal for displaying; or
And when the extracted sub-information of the medical record data is unreasonable, sending the extracted sub-information of the medical record data and unreasonable content included in the sub-information to the terminal for displaying.
8. A medical record data processing apparatus, comprising:
the acquisition module is configured to acquire medical record data, extract sub-information from the medical record data and acquire standard sub-information from an information base;
the information judgment module is configured to judge the extracted sub-information of the medical record data and judge whether the extracted sub-information of the medical record data is reasonable; and
and the judgment result sending module is configured to send the judgment result to a terminal so as to display the judgment result on the terminal.
9. An electronic device, comprising:
one or more processors;
a storage device configured to store one or more programs that, when executed by the one or more processors, cause the one or more processors to implement the method of processing medical record data according to any one of claims 1 to 7.
10. A computer-readable storage medium storing a computer program, wherein the computer program, when executed by a processor, implements the medical record data processing method according to any one of claims 1 to 7.
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Application publication date: 20200522 |