CN115576546B

CN115576546B - Multiplexing DRG grouping method and device

Info

Publication number: CN115576546B
Application number: CN202211222033.1A
Authority: CN
Inventors: 秦晓宏; 刘翠翠; 倪枝梅
Original assignee: Shanghai Clinbrain Information Technology Co Ltd
Current assignee: Shanghai Clinbrain Information Technology Co Ltd
Priority date: 2022-10-08
Filing date: 2022-10-08
Publication date: 2023-07-21
Anticipated expiration: 2042-10-08
Also published as: CN115576546A

Abstract

The embodiment of the invention discloses a multiplexing DRG grouping method and a multiplexing DRG grouping device, wherein the method comprises the following steps: obtaining target case data, and taking MDCA as current MDC; determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on the corresponding relation between the ADRG codes and the preset group entering modes; acquiring group entry condition configuration information corresponding to each ADRG code; matching the target case data with corresponding group entry condition configuration information based on a target group entry mode, and determining a second ADRG code based on a first ADRG code corresponding to the first group entry condition configuration information if the first group entry condition configuration information successfully matched exists; performing anomaly detection on the target case based on the second ADRG code, and determining target complications or complications identification information based on the target case data if the target case is a normal case; and generating a target DRG code according to the second ADRG code and the target complications or the complications identification information, thereby multiplexing in a group-entering mode can be realized.

Description

Multiplexing DRG grouping method and device

Technical Field

The embodiment of the invention relates to a computer technology, in particular to a multiplexing DRG grouping method and device.

Background

The DRG (Diagnosis Related Groups, disease diagnosis related group) is a case combination classification method, which classifies cases into corresponding DRG groups according to age, disease diagnosis, complications, treatment methods, disease severity, and outcome and resource consumption in case data, and generates a DRG code corresponding to the case.

Typically, the DRG grouping procedure is: the cases are classified into a main diagnosis large class MDC (Major Diagnostic Category), then the cases are classified into a core disease diagnosis related group ADRG (Adjacent Diagnosis Related Group) in the MDC, and finally the cases are classified into corresponding DRG groups to generate corresponding DRG codes.

Currently, a corresponding group entry logic code is usually written for the ADRG in each MDC, and by executing the group entry logic code, whether a case can be grouped into the ADRG in the MDC is detected. However, since the ADRGs in different MDCs often have the same group entry logic, the same portion of the group entry logic codes need to be written repeatedly, reducing development efficiency, and when modifying the group entry conditions of the ADRGs based on service requirements, the corresponding group entry logic codes need to be manually modified, reducing maintenance efficiency and flexibility.

Disclosure of Invention

The embodiment of the invention provides a multiplexing DRG grouping method and device, which are used for multiplexing different ADRGs in a grouping mode, improving the development efficiency, realizing the dynamic configuration of grouping conditions and improving the maintenance efficiency and flexibility.

According to an aspect of the present invention, there is provided a multiplexing method for DRG grouping, including:

acquiring target case data corresponding to target cases to be put into a group, and taking the pre-group disease and related operation MDCA as the current MDC;

determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on a corresponding relation between the preset core disease diagnosis related group ADRG codes and the preset group entering modes;

acquiring at least one grouping condition configuration information corresponding to each ADRG code in the current MDC;

matching the target case data with the corresponding group entry condition configuration information based on the target group entry mode, and if at least one first group entry condition configuration information which is successfully matched exists, determining a second ADRG code corresponding to the target case based on a first ADRG code corresponding to the first group entry condition configuration information;

Performing anomaly detection on the target case based on the second ADRG code, and if the target case is a normal case, determining target complications or complications identification information corresponding to the target case based on the target case data;

and generating a target DRG code corresponding to the target case according to the second ADRG code and the target complications or the complications identification information.

According to another aspect of the present invention, there is provided a multiplexing DRG grouping apparatus, comprising:

the target case data acquisition module is used for acquiring target case data corresponding to a target case to be put into a group, and taking the early group disease and related operation MDCA as the current MDC;

the target group entering mode determining module is used for determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on the corresponding relation between the preset core disease diagnosis related group ADRG codes and the preset group entering modes;

the group entering condition configuration information acquisition module is used for acquiring at least one group entering condition configuration information corresponding to each ADRG code in the current MDC;

the second ADRG code determining module is used for matching the target case data with the corresponding group entry condition configuration information based on the target group entry mode, and determining a second ADRG code corresponding to the target case based on a first ADRG code corresponding to the first group entry condition configuration information if at least one successfully matched first group entry condition configuration information exists;

The identification information determining module is used for performing anomaly detection on the target case based on the second ADRG code, and determining target complications or complications identification information corresponding to the target case based on the target case data if the target case is a normal case;

and the target DRG code generation module is used for generating a target DRG code corresponding to the target case according to the second ADRG code and the target complications or the complications identification information.

According to the technical scheme of the embodiment of the invention, through presetting a plurality of preset group entering modes of multiplexing all ADRGs and configuring the corresponding relation between the ADRGs and the preset group entering modes, multiplexing of the group entering modes of different ADRGs is realized, and corresponding group entering condition configuration information is configured for each ADRG in advance, so that dynamic configuration of the ADRG group entering conditions can be realized, and maintenance efficiency and flexibility are improved. In the DRG grouping process, firstly taking a preceding grouping disease and related operation MDCA as a current MDC, determining a target group entering mode corresponding to each ADRG code in the current MDC based on a corresponding relation between the ADRG code and a preset group entering mode, acquiring at least one group entering condition configuration information corresponding to each ADRG code in the current MDC, matching target case data with the corresponding group entering condition configuration information based on the target group entering mode corresponding to each ADRG code in the current MDC, if at least one successfully matched first group entering condition configuration information exists, determining a second ADRG code corresponding to a target case based on the first group entering condition configuration information, carrying out abnormal detection on the target case based on the second ADRG code, if the target case is a normal case, determining target complications or merger identification information corresponding to the target case based on the target case data, and generating target DRG corresponding to the target complications or merger identification information, thereby realizing multiplexing of the target DRG according to the second ADRG code and the target group entering condition configuration information, and realizing multiplexing of the target group entering condition configuration information.

It should be understood that the description in this section is not intended to identify key or critical features of the embodiments of the invention or to delineate the scope of the invention. Other features of the present invention will become apparent from the description that follows.

Drawings

In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the description of the embodiments will be briefly described below, and it is apparent that the drawings in the following description are only some embodiments of the present invention, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.

Fig. 1 is a flowchart of a method for grouping DRGs that can be multiplexed according to a first embodiment of the present invention;

fig. 2 is a flowchart of another method for grouping DRGs that can be multiplexed according to the second embodiment of the present invention;

fig. 3 is a schematic structural diagram of a reusable DRG grouping apparatus according to a third embodiment of the present invention.

Detailed Description

In order that those skilled in the art will better understand the present invention, a technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in which it is apparent that the described embodiments are only some embodiments of the present invention, not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the present invention without making any inventive effort, shall fall within the scope of the present invention.

It should be noted that the term "object" and the like in the description of the present invention and the claims and the above drawings are used for distinguishing between similar objects and not necessarily for describing a particular sequential or chronological order. It is to be understood that the data so used may be interchanged where appropriate such that the embodiments of the invention described herein may be implemented in sequences other than those illustrated or otherwise described herein. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.

Example 1

Fig. 1 is a flowchart of a reusable DRG grouping method according to an embodiment of the present invention, where the embodiment may be applicable to a situation in which DRG grouping is performed on a patient case, and a DRG code corresponding to the patient case is generated. The method may be performed by a reusable DRG grouping apparatus, which may be implemented in hardware and/or software, which may be configured in an electronic device. As shown in fig. 1, the method specifically includes the following steps:

S110, acquiring target case data corresponding to target cases to be entered into the group, and taking the pre-group disease and related operation MDCA as the current MDC.

The target case may refer to a patient case currently in the group. The target case data may refer to key case data for DRG groupings extracted from the case front data of the target patient case. For example, the target case data may include, but is not limited to: sex, age less than 1 year old, birth weight, primary diagnosis, other diagnosis, primary surgery, and other surgery.

The main diagnosis of large MDC refers to the classification of main diagnosis by anatomic systems and other large categories. Table 1 shows the 26 MDCs divided, coding MDCA-MDCZ, respectively.

TABLE 1 major diagnostics of general MDC

The current MDC may refer to an MDC that detects whether the target case can be included in the group at the current time. The present embodiment may take the first MDCA as the current MDCA to first detect if the target case is eligible for group entry to the MDCA. It should be noted that, because the MDCA has a large digestion of resources, it is also necessary to first detect whether a group can be entered into the MDCA.

Illustratively, before taking the pre-packet disease and related operations MDCA as the current MDC, it may further comprise: based on the locally used medical insurance code version, the diagnosis code and the operation code in the target case data are converted, for example, the diagnosis code and the operation code are converted from the national clinical version to the medical insurance version, so that the follow-up unified grouping based on the medical insurance version code is realized, the grouping accuracy is ensured, and the generated DRG code can meet the local requirement. If the diagnosis code or the operation code in the target case does not have the map of the medical insurance code and cannot be transcoded, the target case can be indicated to be not in accordance with the group-entering requirement, and the group-entering of the target case can be stopped at the moment.

Illustratively, before taking the pre-packet disease and related operations MDCA as the current MDC, it may further comprise: and (3) carrying out data verification on the inpatient date, inpatient expense, age and birth weight in the target case data, and if the data abnormal condition is met, stopping grouping the target cases, so that more accurate DRG grouping can be carried out on the target cases with normal data verification, and the accuracy of the DRG grouping is further ensured.

S120, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on a corresponding relation between the preset group entering modes and the preset group entering modes.

Wherein, the core disease diagnosis related group ADRG is a group of clinical process similar case combinations such as disease diagnosis or operation and the like which are mainly classified according to clinical characteristics of the disease. ADRG cannot be directly applied to management or payment and needs to be further subdivided into DRGs before use. Each MDC may include a particular ADRG code. For example, MDCA includes an ADRG code of: AA1 (heart transplant), AB1 (liver transplant), AC1 (pancreas/kidney joint transplant), AD1 (pancreas transplant), AE1 (kidney transplant), AF1 (lung transplant), AG1 (allogeneic bone marrow/hematopoietic stem cell transplant), AG2 (autologous bone marrow/hematopoietic stem cell transplant), and AH1 (invasive ventilator support for ≡96 hours or ECMO or total artificial heart transplant), wherein the first digit of each ADRG code is used to characterize the MDC to which it belongs. Different MDCs include different ADRG codes.

The preset grouping mode may be preset multiplexing ADRG grouping logic. The embodiment can perform common extraction based on the group entering logic of each ADRG, and extract the part with the same group entering logic as a group entering rule, namely, the multiplexing preset group entering mode of different ADRGs.

For example, the group entry logic for ADRG encoded as AC1 in MDCA is:

the method comprises the following operations: 52.8000 (surgical code), pancreas transplantation (surgical name); 52.8200, pancreatic allograft, and 52.8300, pancreatic xenograft, and 55.6100, kidney autograft; 55.6901, at least one of renal allografts.

The group-in logic of ADRG encoded as FB1 in MDCF is:

the method comprises the following operations: 35.9900x002, tricuspid closure (single ventricle); 37.3300x017, heart valve lesion (neoplasm) excision; 37.3300x026, aortic valve neoplasm removal, and 00.6600x004, percutaneous transluminal coronary angioplasty; 00.6601 percutaneous transluminal coronary angioplasty; 17.5500x002, percutaneous transluminal coronary atherectomy, etc. The grouping logic for ADRG encoded as FE1 in MDCF is also similar.

It can be seen that the matching conditions of the operations and operations corresponding to the ADRG codes are different, but the commonality extraction is performed on the group-entering logic, and the group-entering logic is as follows: the fields of the [ main operation and operation code ] and the [ other operation and operation codes ] of the group to be input data are respectively matched with the [ group input condition-operation and operation code-1 ] and the [ group input condition-operation and operation code-2 ] in sequence, or are respectively matched with the [ group input condition-operation and operation code-2 ] and the [ group input condition-operation and operation code-1 ] in sequence, and ADRG codes which can be matched with the group input condition are taken as ADRG codes corresponding to the case. Accordingly, each grouping logic of the ADRG may be packaged as a grouping rule, i.e., a preset grouping mode, and each preset grouping mode may be encoded, so as to distinguish different preset grouping modes. For example, table 2 shows 22 preset grouping modes.

Table 2 preset grouping mode

The preset group entry mode codes "R10, R10.5, R11,", R94, R98 "in the above table 2 may also be referred to as the" rules R10, R10.5, R11, ", R94, R98" of the present invention.

Specifically, a preset group entering mode that each ADRG code needs to use may be determined from all preset group entering modes in advance based on group entering logic corresponding to each ADRG code, and a correspondence between the ADRG codes and the preset group entering modes may be established. During grouping, each ADRG code in the current MDC can be acquired, and the preset group entering mode corresponding to each ADRG code in the current MDC is determined as the ADRG code target group entering mode based on the corresponding relation between the ADRG and the preset group entering modes. Different ADRG codes in the current MDC can correspond to the same target grouping mode, so that multiplexing of the grouping mode is realized. For example, table 3 shows the corresponding group entry logic, i.e., grouping scheme, for each ADRG code in the MDCA.

Table 3 each ADRG code in MDCA corresponds to an in-group logic

Matching the group entering logic corresponding to each ADRG code of the MDCA in table 3 with the group entering logic of each preset group entering mode in table 2 can determine that the target group entering mode corresponding to the MDCA is a preset group entering mode R20 (only one field information needs to be matched) and a preset group entering mode R40 (two field information needs to be matched), so that the group entering processing of all the ADRG codes in the MDCA can be performed only by multiplexing the preset group entering mode R20 and the preset group entering mode R40.

It should be noted that, if a certain group entering logic of an ADRG code needs to be modified, for example, a preset group entering mode of R40 needs to be added, the group entering logic of a preset group entering mode R40 is directly multiplexed, so that only the corresponding relation between the ADRG code and the preset group entering mode R40 needs to be added, and R40 is taken as a target group entering mode corresponding to the ADRG code, so that the group entering logic of the preset group entering mode R40 can be directly utilized to carry out group entering processing on the ADRG code, and other logic codes do not need to be modified, thereby greatly improving maintenance efficiency and flexibility.

S130, acquiring at least one grouping condition configuration information corresponding to each ADRG code in the current MDC.

Wherein, corresponding group entering condition configuration information can be configured in advance for each ADRG code. Each ADRG code may correspond to one or more of the ingress condition configuration information. Each entry condition configuration information is used to characterize a case that meets the ADRG encoded entry requirement. Each of the group entry condition configuration information may include: group entry conditional diagnostic information and/or group entry conditional surgical procedure information. The condition diagnosis information may include field information such as a main diagnosis code, an age of less than 1 year old, and a birth weight of a newborn. For example, table 4 shows an ADRG entry condition diagnostic information configuration table. The group entry conditional surgical procedure information may include: surgical and operative code 1, surgical and operative code 2, surgical and operative code 3, surgical and operative code 4, age less than 1 year old, neonatal birth weight, and the like. For example, table 5 shows an ADRG entry group conditional surgical procedure information configuration table.

TABLE 4 ADRG group entry condition diagnostic information configuration Table

TABLE 5 ADRG group entry conditional surgical procedure information configuration Table

Specifically, after all the group entry condition configuration information corresponding to each ADRG code is configured, a correspondence between the ADRG codes and the group entry condition configuration information may be established, where the correspondence may be that one ADRG code corresponds to one group entry condition configuration information, or that one ADRG code corresponds to a plurality of group entry condition configuration information, so that all the group entry condition configuration information corresponding to each ADRG code in the current MDC may be obtained based on the correspondence.

And S140, matching the target case data with corresponding group entry condition configuration information based on a target group entry mode, and if at least one first group entry condition configuration information which is successfully matched exists, determining a second ADRG code corresponding to the target case based on a first ADRG code corresponding to the first group entry condition configuration information.

The first ADRG code may be an ADRG code corresponding to the first group-entering condition configuration information that is successfully matched. The first ADRG code may refer to an alternative ADRG code to which the target case is divided. The number of first ADRG codes may be plural. The second ADRG code may refer to the ADRG code to which the target case is ultimately divided.

Specifically, for each ADRG code in the current MDC, based on the target group entry mode corresponding to the ADRG code, matching the target case data with each group entry condition configuration information corresponding to the ADRG code, and taking the group entry condition configuration information successfully matched as the first group entry condition configuration information. For example, if the ADRG code in the current MDC is R40, the two fields of the main operation and operation code and the other operation and operation code in the target case data may be sequentially matched with the operation and operation code 1 and the operation and operation code 2 in the group entry condition configuration information corresponding to AA1, or sequentially matched with the operation and operation code 2 and the operation and operation code 1, respectively, if the matching of the codes is successful, it indicates that the target case may be divided into AA1, and at this time, AA1 is used as the first ADRG code. If there is only one first ADRG code, the first ADRG code may be directly used as the second ADRG code corresponding to the target case. If there are a plurality of first ADRG codes, one ADRG code may be selected from the plurality of first ADRG codes as a second ADRG code corresponding to the target case.

For example, if the matching of the target case data and each group entry condition configuration information corresponding to the current MDC fails, based on the preset group entry sequence corresponding to each MDC, the next MDC of the current MDC is taken as the current MDC, and the operation of S120 is performed back.

The preset group entering sequence may be an MDC group entering sequence set in advance based on service requirements. For example, the preset group entry order may be sequentially arranged in the order of MDCA-MDCZ. Because the MDCA has great resource consumption, the MDCP needs to consider the age of the case, and the MDCY and the MDCZ need to consider the main diagnosis and other diagnoses at the same time, so MDCA, MDCP, MDCY and MDCZ can be prioritized, and other MDCs can be reordered, so that after the MDCA is judged to be in groups, the MDCP, the MDCY and the MDCZ are preferentially judged, and the group-entering efficiency is further improved.

Specifically, if matching fails between the target case data and all the group entry condition configuration information corresponding to each ADRG code in the current MDC based on the target group entry mode corresponding to each ADRG code in the current MDC, it indicates that the target case is not matched with all the ADRG codes in the current MDC, and the target case cannot be grouped into the ADRG codes in the current MDC, and at this time, the next MDC of the current MDC in the preset group entry sequence may be returned as the current MDC to execute the steps of S120-S140 to determine whether the target case can be grouped into the ADRG codes in the next MDC. The implementation may be performed by a cyclic grouping mode, according to a preset grouping order, for example, the 4 MDCs in the 26 MDCs are prioritized: MDCA, MDCP, MDCY and MDCZ, 22 remaining after ordering: MDCB, MDCC, MDCD, and so on, and sequentially detecting whether the target case can be grouped into each MDC until the target case stops when it is grouped into the ADRG code in a certain MDC, or when the current MDC is the most one, at this point, indicating that the target case cannot be grouped.

S150, performing anomaly detection on the target case based on the second ADRG code, and if the target case is a normal case, determining target complications or complications identification information corresponding to the target case based on the target case data.

Wherein, complications or complications (Complication or Comorbidity, CC) refer to the conditions which are caused directly by main diagnosis and have causal relation with the main diagnosis, and complications refer to the conditions which are not directly related with the main diagnosis and the complications but have certain influence on the medical process. The effect is greater, called "severe complications or complications (Major Complication or Comorbidity, MCC)". The present embodiment uses different identification information to indicate whether there is a complication or a complication. For example, identification information "1" indicates that a serious complication or complication is accompanied; identification information "3" indicates complications or complications; the identification information "5" indicates no complications or complications.

Specifically, whether the second position in the second ADRG code is a medical type identifier can be detected to determine whether the ADRG code is successfully matched, if so, the matching is successful, and at this time, whether the main operation and operation codes in the target case data are consistent with the main operation and operation codes corresponding to the second ADRG code can be continuously detected, if so, the target case can be determined to be a normal case matched with the second ADRG code, otherwise, the target case is determined to be an abnormal case. When the target case is a normal case, whether the target case has complications or complications can be determined based on the target case data, so that target complications or complications identification information corresponding to the target case is determined. The accuracy of the DRG grouping can be further ensured through the abnormality detection of the target case.

S160, generating a target DRG code corresponding to the target case according to the second ADRG code and the target complications or the complications identification information.

Wherein, the DRG code may be composed of 4-bit code, the three-bit code before the DRG code is ADRG code, and the fourth bit code is complication or complication identification information, such as arabic number, for representing whether there is a complication or a complication. The ADRG code is composed of 3-bit codes, wherein the first bit code is English letters and used for representing the MDC to which the ADRG code belongs, the second bit code is English letters and used for representing the type of the DRG group, and the 9 letters A-J are used for representing a surgical part; K-Q these 6 letters represent the non-operating room surgical parts; R-Z9 letters represent the internal medicine part; the third bit code is Arabic numerals 0-9, and is used for representing the sequence code of the DRG group.

Specifically, the second ADRG code and the target complication or complication identification information may be combined according to a DRG code generation manner, and the combination result is used as a target DRG code corresponding to the target case, thereby implementing a reusable DRG packet. For example, if the second ADRG code is: AH1, target complications or complications identification information is: if the complications are serious complications or complications '1', the target DRG obtained by combining the second ADRG code and the target complications or complications identification information is encoded as follows: AH11.

For example, after generating the target DRG code, the target DRG code may be matched with all existing DRG codes, if the target DRG code exists in all existing DRG codes, it indicates that the target DRG code is a valid DRG code, at this time, the target DRG code may be used as a final DRG code corresponding to the target case, if the target DRG code does not exist in all existing DRG codes, the target complication or complication identification information in the target DRG code may be replaced with non-distinguishing identification information, for example, an arabic numeral 9, to generate a new target DRG code, and match the new target DRG code with all existing DRG codes, and if the new target DRG code exists in all existing DRG codes, it determines that the new target DRG code is the final DRG code corresponding to the target case. For example, if the second ADRG code corresponding to a certain case is DD2 and there is no complication or complication, the target DRG code generated is: DD25. When DD25 does not exist in all existing DRG codes, replacing a non-complication or complication '5' with non-distinguishing identification information '9', and obtaining a new target DRG code: DD29 exists in all existing DRG codes, and the DD29 is determined to be the final DRG code corresponding to the case.

According to the technical scheme of the embodiment of the invention, through presetting a plurality of preset group entering modes of multiplexing all ADRGs and configuring the corresponding relation between the ADRGs and the preset group entering modes, multiplexing of the group entering modes of different ADRGs is realized, and corresponding group entering condition configuration information is configured for each ADRG in advance, so that dynamic configuration of the ADRG group entering conditions can be realized, and maintenance efficiency and flexibility are improved. In the DRG grouping process, firstly taking a preceding grouping disease and related operation MDCA as a current MDC, determining a target group entering mode corresponding to each ADRG code in the current MDC based on a corresponding relation between the ADRG code and a preset group entering mode, acquiring at least one group entering condition configuration information corresponding to each ADRG code in the current MDC, matching target case data with corresponding group entering condition configuration information based on the target group entering mode corresponding to each ADRG code in the current MDC, if at least one successfully matched first group entering condition configuration information exists, determining a second ADRG code corresponding to a target case based on the first group entering condition configuration information, carrying out abnormal detection on the target case based on the second ADRG code, if the target case is a normal case, determining target complication or mergence identification information corresponding to the target case based on the target case data, generating a target DRG code corresponding to the target according to the second ADRG code and the target complication or mergence identification information, and realizing the multiplexing of the target group entering condition configuration information by using the multiplexing condition configuration information.

It should be noted that the steps of S120-S140 described above may be performed with each MDC as the current MDC in order to determine whether the target case may be incorporated into the ADRG code in each MDC. Because the MDCP needs to consider the age of the case, the MDCY and the MDCZ need to consider the main diagnosis and other diagnoses at the same time, when the MDCP, the MDCY and the MDCZ are grouped, specific condition verification can be firstly carried out, and subsequent grouping processing can be carried out after the specific condition is met, so that the grouping efficiency and grouping accuracy can be further improved. For example, when entering the group MDCP, the age condition is checked first, and after the age condition is satisfied, the group entering process of the MDCP is performed. When entering the group MDCK or MDCZ, firstly checking the diagnosis conditions, and after meeting the diagnosis conditions, performing the group entering treatment of the MDCK or MDCZ.

In this embodiment, the 26 MDCs perform the grouping processing according to the preset grouping sequence, for example, the processing may be sequentially performed according to the order of MDCA-MDCZ, or sequentially performed according to the order of MDCA, MDCP, MDCY, MDCZ and other 22 MDCs. The embodiment is not limited to the order of priority of 26 MDCs.

Based on the above technical solution, S120 may include: if the current MDC is MDCP, detecting whether the age less than 1 year old in the target case data is in a preset age range, and whether at least one discharge diagnosis code in the target case data is MDCP disease code; if yes, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on a corresponding relation between the preset group entering modes and the preset group entering modes.

Specifically, when judging whether the target case can be included in the ADRG codes in the MDCP, it may first detect whether the age of less than 1 year old in the target case data is within a preset age range, for example, within 0-12 months, and whether at least one discharge diagnosis code in the target case data is an MDCP disease code, if so, it indicates that the target case may be a neonate or other perinatal neonate, and at this time, the MDCP group-entering operation may be continued, for example, the target group-entering mode corresponding to the MDCP is the rule R13, the rule R11, and the rule R21. If the age of less than 1 year old in the target case data is not within the preset age range, or if all discharge diagnosis codes in the target case data are not codes for the MDCP disease and the month number of less than 1 year old in the target case data is greater than the preset month number, for example, 29/31=0.93 month, it indicates that the target case is unlikely to be a neonate or other perinatal neonate disease, at this time, the next MDC of the current MDC may be used as the current MDC based on the preset group-entering sequence corresponding to each MDC, and the operation of S120 is performed again so as to continue the group-entering detection of the next MDC. If all discharge diagnosis codes in the target case data are not the MDCP disease codes and the age of less than 1 year old in the target case data is less than or equal to a preset value, such as 0.93, the target case is an abnormal case, no MDC capable of entering the group exists, and at the moment, the group entering operation can be finished.

Based on the above technical solution, S120 may include: if the current MDC is MDCK, detecting whether at least one discharge diagnosis code in the target case data is MDCK disease code or not; if yes, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on a corresponding relation between the preset group entering modes and the preset group entering modes.

Specifically, when determining whether the target case can be set into the ADRG code in the MDCY, it may first detect whether at least one discharge diagnosis code in the target case data is the MDCY disease code, if so, it indicates that the target case may be an HIV-infected disease and related operations, and at this time, the set-in operation of the MDCY may be continued, for example, the set-in mode of the target corresponding to the MDCY is the rule R10.5 and the rule R94. If all discharge diagnosis codes in the target case data are not MDCK disease codes, the target case is unlikely to be HIV infection diseases and related operations, at this time, the next MDC of the current MDC can be used as the current MDC based on the preset group entering sequence corresponding to each MDC, and the operation of S120 is returned to be executed so as to continue the group entering detection of the next MDC.

Based on the above technical solution, S120 may include: if the current MDC is MDCZ, matching each discharge diagnosis code in the target case data with a plurality of preset ADRG codes; if at least two successfully matched discharge diagnosis codes exist and the successfully matched discharge diagnosis codes correspond to at least two different preset ADRG codes, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on the corresponding relation between the preset core disease diagnosis related group ADRG codes and the preset group entering modes; and if the discharge diagnosis codes which are successfully matched do not exist, performing multiple important trauma non-operative ZZ1 identification on the target case.

The preset ADRG codes may refer to partial ADRG codes in MDCZ, such as Z01-Z09.

Specifically, when judging whether the target case can be admitted to the ADRG codes in the MDCZ, it may first detect that each discharge diagnosis code in the target case data matches with a disease code corresponding to each preset ADRG code, if there are at least two discharge diagnosis codes that match successfully with the disease codes corresponding to the preset ADRG codes, and the discharge diagnosis codes that match successfully correspond to at least two different preset ADRG codes, it indicates that the target case may be severely wounded, and at this time, the group admission operation of the MDCZ may be continued, for example, the group admission mode of the target corresponding to the MDCZ is R20. If there are no at least two discharge diagnosis codes and disease codes corresponding to the preset ADRG codes, or the discharge diagnosis codes with successful match correspond to two different preset ADRG codes, it indicates that the target case is unlikely to be severely wounded, at this time, the next MDC of the current MDC may be used as the current MDC based on the preset group entering sequence corresponding to each MDC, and the operation of S120 is performed again, so as to continue to perform group entering detection on the next MDC.

Illustratively, when the MDCZ is judged to be in groups, if the matching of the target case data and the condition configuration information of each in groups corresponding to the MDCZ fails, the target case is marked by multiple important wounds without operation ZZ 1. ZZ1 refers to an ADRG code in MDCZ and is used for representing that multiple important wounds are not operated.

Accordingly, S160 may include: if the ZZ1 mark exists in the target case, detecting whether a second position code in the second ADRG code is a medical category mark or not; if yes, updating the second ADRG code into a ZZ1 code in the MDCZ, and generating a target DRG code corresponding to the target case based on the ZZ1 code and the target complication or the complication identification information; if not, generating a target DRG code corresponding to the target case according to the second ADRG code and the target complications or the complications identification information.

Specifically, if the target case has a ZZ1 identifier, it indicates that the group entering operation of the MDCZ is triggered on the target case, and at this time, whether the second code in the second ADRG code is a medical category identifier, such as an R-Z identifier, may be detected, if yes, the ZZ1 code in the MDCZ is used as the second ADRG code corresponding to the target case, so as to update the second ADRG code, and based on the ZZ1 code and the target complication or the complication identifier information, a target DRG code corresponding to the target case is generated. If the second bit code in the second ADRG code is not a medical category identifier, such as an a-Q surgical category identifier and a non-operating room surgical category identifier, the current second ADRG code may be kept, and a target DRG code corresponding to the target case is generated based on the current second ADRG code and the target complication or complication identifier information, so as to further improve the accuracy of DRG group entry.

Based on the above technical solution, S120 may include: if the current MDC is an MDC other than MDCP, MDCA, MDCY and MDCZ, detecting that at least one discharge diagnosis code in the target case data is a disease code corresponding to an MDC other than the preset ADRG code of MDCP, MDCY, MDCZ, and if so, determining a target group entry mode corresponding to each ADRG code in the other MDCs from a plurality of reusable preset group entry modes based on a correspondence between the preset group entry modes and the preset core disease diagnosis-related group ADRG code.

Specifically, when judging whether the target case can be grouped into other MDCs except MDCP, MDCA, MDCY and MDCZ, it may first detect that at least one discharge diagnosis code in the target case data is a disease code corresponding to the MDC except the preset ADRG code of MDCP, MDCY, MDCZ, if so, it indicates that the target case may be other MDC disease, where the grouping operation of other MDCs may be continued, for example, the grouping modes of the targets corresponding to all other MDCs are the regulators R56, R30, R53, R10, R50, R98, R40, R92 and R20, where these regulators are determined by matching with the rule grouping logic based on all ADRG coding grouping schemes in other MDCs, and by multiplexing these regulators, the case grouping may be uniformly performed, so as to improve the DRG grouping efficiency. If all discharge diagnosis codes in the target case data are not disease codes corresponding to the MDCs except for the preset ADRG code of MDCP, MDCY, MDCZ, the target case is an abnormal case, no MDCs capable of entering the group exist, and the group entering operation can be finished. It should be noted that, other MDCs except MDCP, MDCA, MDCY and MDCZ may be used as the current MDC at the same time, so that the simultaneous group-entering judgment is performed on all other MDCs, so that the DRG packet efficiency may be improved.

Example two

Fig. 2 is a flowchart of a multiplexing DRG grouping method according to a second embodiment of the present invention, where the step of determining a second ADRG code corresponding to a target case based on a first ADRG code corresponding to first group entry condition configuration information is optimized based on the above embodiments, and explanation of the same or corresponding terms as those of the above embodiments is not repeated herein.

Referring to fig. 2, the method for grouping the reusable DRGs provided in this embodiment specifically includes the following steps:

s210, acquiring target case data corresponding to target cases to be entered into a group, and taking the pre-group disease and related operation MDCA as the current MDC.

S220, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on the corresponding relation between the preset group entering modes and the preset group entering modes.

S230, obtaining at least one grouping condition configuration information corresponding to each ADRG code in the current MDC.

S240, matching the target case data with corresponding group entry condition configuration information based on a target group entry mode, detecting whether each first group entry condition configuration information successfully matched corresponds to only one target group entry mode, if so, executing step S250, and if not, executing step S260.

Specifically, the current MDC may correspond to one target grouping method or may correspond to a plurality of different target grouping methods. And matching the target case data with the group entry condition configuration information corresponding to the ADRG code based on the target group entry mode corresponding to each ADRG code in the current MDC, and determining all target group entry modes corresponding to the successfully matched first group entry condition configuration information. For example, the current MDC is MDCA, the target group entry ways corresponding to the MDCA are R20 and R40, where the target group entry way corresponding to the ADRG code in part of the MDCA is R20, the target group entry ways corresponding to the rest of the ADRG codes are R40, if there is only one target group entry way corresponding to all the first group entry condition configuration information that is successfully matched, such as R20 or R40, the operation of step S250 is executed, and if there are at least two different target group entry ways, such as R20 and R40, the operation of step S260 is executed.

S250, sorting the first ADRG codes based on the coding priority of the first ADRG codes corresponding to each first grouping condition configuration information, and determining a second ADRG code corresponding to the target case.

The first ADRG code refers to an ADRG code corresponding to the first group-entering condition configuration information which is successfully matched. The coding priority may be used to characterize the importance of the ADRG coding, e.g., the more important the ADRG coding, the higher the coding priority. The present embodiment may use the third bit code (i.e. arabic numerals 0-9) in the first ADRG code to characterize the coding priority, i.e. the smaller the value of the third bit code, the higher the coding priority.

Specifically, when there is only one target grouping mode, all first ADRG codes corresponding to all first grouping condition configuration information that is successfully matched can be obtained, the first ADRG codes are arranged in descending order of priority based on the coding priority corresponding to each first ADRG code, and the ordered first ADRG codes can be determined to be second ADRG codes corresponding to the target case.

Illustratively, S250 may include: and determining the first ADRG code with the highest priority as the second ADRG code corresponding to the target case based on the code priority of the first ADRG code corresponding to the first group entry condition configuration information.

Specifically, the coding priority corresponding to each first ADRG code may be directly compared, and the first ADRG code with the highest coding priority is determined as the second ADRG code corresponding to the target case.

S260, sorting the first ADRG codes based on the priority of the group entering mode corresponding to each target group entering mode and the coding priority of the first ADRG codes corresponding to each first group entering condition configuration information, and determining the second ADRG codes corresponding to the target cases.

The priority of the group entering mode may be used to characterize the importance of the target group entering mode, for example, the more important the target group entering mode is, the higher the priority of the group entering mode is. The present embodiment may use the numerical value in the target group entry mode encoding to partially characterize the group entry mode priority, for example, the larger the numerical value, the higher the group entry mode priority, for example, the higher the group entry mode priority of R40 than the group entry mode priority of R20.

Specifically, when there are only at least two different target grouping modes, the priority descending order of the first ADRG codes may be performed based on the grouping mode priority and the coding priority at the same time, and the ordered first ADRG codes may be determined as second ADRG codes corresponding to the target case.

Illustratively, S260 may include: determining a target grouping mode with the highest priority based on the grouping mode priority corresponding to each target grouping mode; acquiring a first ADRG code corresponding to first group entry condition configuration information successfully matched based on a target group entry mode with highest priority; and determining the first ADRG code with the highest priority as the second ADRG code corresponding to the target case based on the code priority corresponding to each first ADRG code.

Specifically, the target group entering mode with the highest priority, such as R40, may be determined based on the group entering mode priority corresponding to each target group entering mode, and the first ADRG code corresponding to the first group entering condition configuration information successfully matched based on the target group entering mode with the highest priority may be obtained, such as the first ADRG code successfully matched by using R40, and in the first ADRG codes successfully matched, the first ADRG code with the highest coding priority may be directly determined as the second ADRG code corresponding to the target case, so as to obtain the optimal second ADRG code, and further improve the DRG grouping efficiency.

S270, performing anomaly detection on the target case based on the second ADRG code, and if the target case is a normal case, determining target complications or complications identification information corresponding to the target case based on the target case data.

Illustratively, "abnormality detection for the target case based on the second ADRG code" in S270 may include: detecting whether a second bit code in the second ADRG code is a medical type identifier; if the internal medicine type codes are the internal medicine type codes, determining a reference MDC corresponding to the target case based on the main operation and operation codes in the target case data and the corresponding relation between the MDC and the main operation and operation codes; if the current MDC is the same as the reference MDC, determining the target case as a normal case.

Specifically, after determining the second ADRG code, it may be detected whether the second code in the second ADRG code is a medical type identifier, such as R-Z, and if not, it indicates that the second ADRG code is mismatched, where the target case may be marked as an abnormal case, and the grouping operation is stopped. If the identification is the internal medicine type identification, the MDC corresponding to the main operation and operation codes in the target case data can be determined to be the reference MDC based on the corresponding relation between the MDC and the main operation and operation codes, whether the current MDC is the same as the reference MDC or not is detected, if so, the second ADRG code is accurately matched, the target case is a normal case, and the grouping operation can be continued. If the current MDC is different from the reference MDC, the target case is marked as an abnormal case, and the grouping operation is stopped. The accuracy of the DRG packet can be further ensured through anomaly detection.

S280, generating a target DRG code corresponding to the target case according to the second ADRG code and the target complications or the complications identification information.

Illustratively, S280 may include: determining candidate complications or complications identification information corresponding to the target case based on the complications or complications CC table, the severe complications or complications MCC table and other diagnostic codes in the target case data; screening candidate complications or complications identification information based on the CC exclusion table, the MCC exclusion table and main diagnosis codes in the target case data, and obtaining screened complications or complications identification information to be selected; and determining target complications or complications identification information corresponding to the target case from the complications or complications identification information to be selected based on the priorities of the complications or complications identification information.

Specifically, matching other diagnosis codes in the target case data with secondary diagnosis codes in the complications or complications CC table, and if the matching is successful, determining that the candidate complications or complications identification information corresponding to the target case is identification information corresponding to the accompanying CC.

And matching other diagnosis codes in the target case data with secondary diagnosis codes in the severe complications or complications MCC table, and if the matching is successful, determining that the candidate complications or complications identification information corresponding to the target case is identification information corresponding to the MCC.

If both the two items fail to match, it may be determined that the candidate complication or complication identification information corresponding to the target case is identification information corresponding to the non-accompanying CC, and at this time, the target complication or complication identification information corresponding to the target case is directly identification information corresponding to the non-accompanying CC, for example, "5".

If the candidate complication or complication identification information is identification information corresponding to the accompanying CC, the discharge main diagnosis code in the target case data and the main diagnosis code in the CC exclusion table are also required to be matched, if the matching is successful, the candidate complication or complication identification information can be excluded, and at the moment, the candidate complication or complication identification information can be deleted.

If the candidate complication or complication identification information is the identification information corresponding to the MCC, the discharge main diagnosis code in the target case data is matched with the main diagnosis code in the MCC exclusion table, if the matching is successful, the candidate complication or complication identification information can be excluded, and the candidate complication or complication identification information can be deleted at the moment, so that the candidate complication or complication identification information is screened, and the residual candidate complication or complication identification information is used as candidate complication or complication identification information.

If the candidate complication or complication identification information comprises identification information corresponding to the CC and identification information corresponding to the MCC, determining the target complication or complication identification information as the identification information corresponding to the MCC because the MCC has higher priority than the CC.

If the candidate complications or complications identification information only comprises identification information corresponding to the CC, determining the target complications or complications identification information as identification information corresponding to the CC.

If the candidate complication or complication identification information only comprises the identification information corresponding to the MCC, the target complication or complication identification information is determined to be the identification information corresponding to the MCC.

According to the technical scheme of the embodiment, the second ADRG codes can be more accurately determined from the first ADRG codes based on the group entering mode priority and the coding priority of the first ADRG codes, so that the accuracy of the DRG grouping can be further improved.

The following is an embodiment of a reusable DRG grouping apparatus provided in the embodiment of the present invention, which belongs to the same inventive concept as the reusable DRG grouping method of the above embodiments, and details of which are not described in detail in the embodiment of the reusable DRG grouping apparatus may be referred to the embodiment of the reusable DRG grouping method.

Example III

Fig. 3 is a schematic structural diagram of a reusable DRG grouping apparatus according to a third embodiment of the present invention. As shown in fig. 3, the apparatus specifically includes: the target case data acquisition module 310, the target grouping mode determination module 320, the grouping condition configuration information acquisition module 330, the second ADRG code determination module 340, the identification information determination module 350, and the target DRG code generation module 360.

The target case data obtaining module 310 is configured to obtain target case data corresponding to a target case to be entered into a group, and take an early group disease and related operation MDCA as a current MDC; a target group entering mode determining module 320, configured to determine, from a plurality of reusable preset group entering modes, a target group entering mode corresponding to each ADRG code in the current MDC based on a correspondence between the preset core disease diagnosis related group ADRG codes and the preset group entering modes; a grouping condition configuration information obtaining module 330, configured to obtain at least one grouping condition configuration information corresponding to each ADRG code in the current MDC; a second ADRG code determining module 340, configured to match the target case data with the corresponding group entry condition configuration information based on the target group entry manner, and if there is at least one first group entry condition configuration information that is successfully matched, determine a second ADRG code corresponding to the target case based on a first ADRG code corresponding to the first group entry condition configuration information; the identification information determining module 350 is configured to perform anomaly detection on the target case based on the second ADRG code, and determine target complications or complications identification information corresponding to the target case based on the target case data if the target case is a normal case; and the target DRG code generating module 360 is configured to generate a target DRG code corresponding to the target case according to the second ADRG code and the target complication or complication identification information.

Optionally, the apparatus further comprises: and the current MDC updating module is used for taking the next MDC of the current MDC as the current MDC based on the preset group entering sequence corresponding to each MDC if the matching of the target case data and each group entering condition configuration information corresponding to the current MDC fails, and returning to execute the operation based on the corresponding relation between the pre-configured MDC and the group entering mode, and determining the target group entering mode corresponding to the current MDC from a plurality of reusable preset group entering modes.

Optionally, the second ADRG code determination module 340 is configured to: if the first group entry condition configuration information which is successfully matched corresponds to only one target group entry mode, sorting the first ADRG codes based on the coding priority of the first ADRG codes corresponding to each first group entry condition configuration information, and determining a second ADRG code corresponding to the target case;

and if the first grouping condition configuration information which is successfully matched corresponds to at least two different target grouping modes, sorting the first ADRG codes based on the grouping mode priority corresponding to each target grouping mode and the coding priority of the first ADRG codes corresponding to each first grouping condition configuration information, and determining the second ADRG codes corresponding to the target cases.

Optionally, the second ADRG code determination module 340 is specifically configured to: determining a target grouping mode with the highest priority based on the grouping mode priority corresponding to each target grouping mode; acquiring a first ADRG code corresponding to first group entry condition configuration information successfully matched based on the target group entry mode with the highest priority; and determining the first ADRG code with the highest priority as the second ADRG code corresponding to the target case based on the code priority corresponding to each first ADRG code.

Optionally, the identification information determining module 350 includes: the abnormality detection unit is specifically configured to detect whether the second bit code in the second ADRG code is a medical type identifier; if the target case data is the internal medicine type code, determining a reference MDC corresponding to the target case based on the main operation and operation code in the target case data and the corresponding relation between the MDC and the main operation and operation code; and if the current MDC is the same as the reference MDC, determining that the target case is a normal case.

Optionally, the identification information determining module 350 includes: the identification information determining unit is specifically configured to determine candidate complications or complications identification information corresponding to the target case based on the complications or complications CC table, the serious complications or complications MCC table, and other diagnostic codes in the target case data; screening the candidate complications or complications identification information based on the CC exclusion table, the MCC exclusion table and the main diagnosis codes in the target case data to obtain screened complications or complications identification information to be selected; and determining target complications or complications identification information corresponding to the target case from the complications or complications identification information to be selected based on the priorities of the complications or complications identification information.

Optionally, the target grouping mode determining module 320 is specifically configured to: if the current MDC is MDCP, detecting whether the age less than 1 year old in the target case data is in a preset age range, and whether at least one discharge diagnosis code in the target case data is MDCP disease code; if yes, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on a corresponding relation between the preset group entering modes and the preset group entering modes.

Optionally, the target grouping manner determining module 320 is further specifically configured to: if the current MDC is MDCY, detecting whether at least one discharge diagnosis code in the target case data is an MDCY disease code or not; if yes, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on a corresponding relation between the preset group entering modes and the preset group entering modes.

Optionally, the target grouping manner determining module 320 is further specifically configured to: if the current MDC is MDCZ, matching each discharge diagnosis code in the target case data with disease codes corresponding to a plurality of preset ADRG codes; if at least two successfully matched discharge diagnosis codes exist and the successfully matched discharge diagnosis codes correspond to at least two different preset ADRG codes, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on the corresponding relation between the preset core disease diagnosis related group ADRG codes and the preset group entering modes.

Optionally, the apparatus further comprises: the ZZ1 identification module is used for carrying out multiple important wound non-operation ZZ1 identification on the target case if the matching of the target case data and the group-entering condition configuration information corresponding to the MDCZ fails;

the target DRG code generation module 360 is specifically configured to: if the ZZ1 mark exists in the target case, detecting whether a second position code in the second ADRG code is a medical category mark or not; if yes, updating the second ADRG code into a ZZ1 code in the MDCZ, and generating a target DRG code corresponding to the target case based on the ZZ1 code and the target complications or the complications identification information; if not, generating a target DRG code corresponding to the target case according to the second ADRG code and the target complications or the complications identification information.

The multiplexing DRG grouping device provided by the embodiment of the invention can execute the multiplexing DRG grouping method provided by any embodiment of the invention, and has the corresponding functional modules and beneficial effects of executing the multiplexing DRG grouping method. It should be noted that, in the embodiment of the above-mentioned reusable DRG grouping apparatus, each unit and module included are only divided according to the functional logic, but not limited to the above-mentioned division, so long as the corresponding functions can be implemented; in addition, the specific names of the functional units are also only for distinguishing from each other, and are not used to limit the protection scope of the present invention.

It should be appreciated that various forms of the flows shown above may be used to reorder, add, or delete steps. For example, the steps described in the present invention may be performed in parallel, sequentially, or in a different order, so long as the desired results of the technical solution of the present invention are achieved, and the present invention is not limited herein.

The above embodiments do not limit the scope of the present invention. It will be apparent to those skilled in the art that various modifications, combinations, sub-combinations and alternatives are possible, depending on design requirements and other factors. Any modifications, equivalent substitutions and improvements made within the spirit and principles of the present invention should be included in the scope of the present invention.

Claims

1. A method for multiplexing DRG packets, comprising:

based on the target group entering mode, matching the target case data with the corresponding group entering condition configuration information, and if at least one first group entering condition configuration information which is successfully matched exists, acquiring a first ADRG code corresponding to the first group entering condition configuration information;

if only one first ADRG code exists, the second ADRG code corresponding to the target case is used; if a plurality of first ADRG codes exist, selecting one first ADRG code as a second ADRG code corresponding to the target case, wherein the first ADRG code refers to an optional ADRG code divided by the target case, and the second ADRG code refers to an ADRG code finally divided by the target case;

detecting whether a second bit code in the second ADRG code is a medical type identifier or not; if the target case data is the internal medicine type code, determining a reference MDC corresponding to the target case based on the main operation and operation code in the target case data and the corresponding relation between the MDC and the main operation and operation code; if the current MDC is the same as the reference MDC, determining that the target case is a normal case;

If the target case is a normal case, determining target complications or complications identification information corresponding to the target case based on the target case data;

2. The method according to claim 1, wherein the method further comprises:

if the matching of the target case data and each group entry condition configuration information corresponding to the current MDC fails, taking the next MDC of the current MDC as the current MDC based on the preset group entry sequence corresponding to each MDC, and returning to execute the corresponding relation between the preset group entry mode and the preset group entry mode based on the preset core disease diagnosis related group ADRG code, and determining the operation of the target group entry mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entry modes.

3. The method of claim 1, wherein selecting a first ADRG code as the second ADRG code corresponding to the target case comprises:

if the first group entry condition configuration information which is successfully matched corresponds to only one target group entry mode, sorting the first ADRG codes based on the coding priority of the first ADRG codes corresponding to each first group entry condition configuration information, and determining a second ADRG code corresponding to the target case;

4. A method according to claim 3, wherein said determining the second ADRG code corresponding to the target case based on the group entry priority corresponding to each of the target group entry and the coding priority of the first ADRG code corresponding to each of the first group entry condition configuration information by sorting the first ADRG codes includes:

determining a target grouping mode with the highest priority based on the grouping mode priority corresponding to each target grouping mode;

acquiring a first ADRG code corresponding to first group entry condition configuration information successfully matched based on the target group entry mode with the highest priority;

and determining the first ADRG code with the highest priority as the second ADRG code corresponding to the target case based on the code priority corresponding to each first ADRG code.

5. The method of claim 1, wherein the determining target complications or complications identification information corresponding to the target case based on the target case data comprises:

determining candidate complications or complications identification information corresponding to the target case based on the complications or complications CC table, the severe complications or complications MCC table and other diagnostic codes in the target case data;

screening the candidate complications or complications identification information based on the CC exclusion table, the MCC exclusion table and the main diagnosis codes in the target case data to obtain screened complications or complications identification information to be selected;

and determining target complications or complications identification information corresponding to the target case from the complications or complications identification information to be selected based on the priorities of the complications or complications identification information.

6. The method according to any one of claims 1-5, wherein determining a target group entry mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entry modes based on a correspondence between preconfigured core disease diagnosis-related group ADRG codes and preset group entry modes, comprises:

If the current MDC is MDCP, detecting whether the age less than 1 year old in the target case data is in a preset age range, and whether at least one discharge diagnosis code in the target case data is MDCP disease code;

if yes, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on a corresponding relation between the preset group entering modes and the preset group entering modes.

7. The method according to any one of claims 1-5, wherein determining a target group entry mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entry modes based on a correspondence between preconfigured core disease diagnosis-related group ADRG codes and preset group entry modes, comprises:

if the current MDC is MDCY, detecting whether at least one discharge diagnosis code in the target case data is an MDCY disease code or not;

8. The method according to any one of claims 1-5, wherein determining a target group entry mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entry modes based on a correspondence between preconfigured core disease diagnosis-related group ADRG codes and preset group entry modes, comprises:

if the current MDC is MDCZ, matching each discharge diagnosis code in the target case data with disease codes corresponding to a plurality of preset ADRG codes;

if at least two successfully matched discharge diagnosis codes exist and the successfully matched discharge diagnosis codes correspond to at least two different preset ADRG codes, determining a target group entering mode corresponding to each ADRG code in the current MDC from a plurality of reusable preset group entering modes based on the corresponding relation between the preset core disease diagnosis related group ADRG codes and the preset group entering modes.

9. A reusable DRG packet apparatus, comprising:

the second ADRG code determining module is used for matching the target case data with the corresponding group-entering condition configuration information based on the target group-entering mode, and if at least one first group-entering condition configuration information which is successfully matched exists, a first ADRG code corresponding to the first group-entering condition configuration information is acquired; if only one first ADRG code exists, the second ADRG code corresponding to the target case is used; if a plurality of first ADRG codes exist, selecting one first ADRG code as a second ADRG code corresponding to the target case, wherein the first ADRG code refers to an optional ADRG code divided by the target case, and the second ADRG code refers to an ADRG code finally divided by the target case;

The identification information determining module is used for detecting whether the second bit code in the second ADRG code is a medical type identification or not; if the target case data is the internal medicine type code, determining a reference MDC corresponding to the target case based on the main operation and operation code in the target case data and the corresponding relation between the MDC and the main operation and operation code; if the current MDC is the same as the reference MDC, determining that the target case is a normal case, and if the target case is a normal case, determining target complications or complications identification information corresponding to the target case based on the target case data;