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CN107577826B - Classification of diseases coding method and system based on raw diagnostic data - Google Patents

Classification of diseases coding method and system based on raw diagnostic data Download PDF

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CN107577826B
CN107577826B CN201711013514.0A CN201711013514A CN107577826B CN 107577826 B CN107577826 B CN 107577826B CN 201711013514 A CN201711013514 A CN 201711013514A CN 107577826 B CN107577826 B CN 107577826B
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CN107577826A (en
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吴军
宋伟
高希余
桑波
巩玉强
樊昭磊
张琪
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Zhongyang Health Technology Group Co ltd
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Shandong Yang Yang Software Co Ltd
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Abstract

The invention discloses the classification of diseases coding method based on raw diagnostic data and system, include the following steps:Receive input data:Input data includes:Raw diagnostic data;The raw diagnostic data of input is pre-processed;Retrieved in criteria classification coding ICD 10, judge whether to obtain as a result, if it is not, then then filtering out optimal result from the handling result for matching tree to raw diagnostic data progress word segmentation processing, association's conversion processing and search matching tree processing;The coding accuracy of assessment result, exports coding result and accuracy evaluation result.Efficiently solve the problems, such as that the standard diagnostics coding that each medical institutions use is skimble-scamble.

Description

Classification of diseases coding method and system based on raw diagnostic data
Technical field
The present invention relates to medical information technical field and field of artificial intelligence, more particularly to one kind to be examined based on original The classification of diseases coding method of disconnected data and system.
Background technology
With country's deepening continuously and deepen to the layout of public medical and medical reform, medical services are comprehensive to be carried Rise and urgent requirement is proposed to medical information.In medical insurance, public health service, hospital informatioization management etc., medical treatment Informationization is from the process automation management development of completion overall process record to internet+health medical treatment;In present big data and people Under work intelligence background, medical information progressively touches the core business of medical treatment, provides diagnosis and treatment process aid decision and instructs to join Examine.In medical profession and medical teaching, academic exchange, data analysis or even medical artificial intelligence's aid decision, standardization Information (diagnosis, case history, checks, medicine etc.) record and to exchange be the essential even most important thing, wherein it is primary just It is the standardization of diagnosis:Standard diagnostics encode (ICD).
(1) the non-constant disunity of understanding and grasping of the coder for standard code, causes coding result to have differences.
Diagnosis in first page of illness case reports, before medical insurance reimbursement in case history filing, medical record, by case of hospital room coder according to According to《The international statistical classification of diseases and related health problems》(being commonly called as handbook), and defend the standard diagnostics coded word of planning commission's issue Allusion quotation, encodes the diagnosis on first page of illness case.What this work was manually performed, therefore manpower is limited by, encoding human Member's quality, the deciphering to standard and the assurance degree to the huge content of encoder dictionary, and length of service and experience, so that daily Manually to the limited amount of code, and there is a situation where erroneous judgement, and encode fineness and criterion also varies with each individual, not With hospital data contrast with exchange, these problems will be highlighted and are exaggerated, in addition between hospital of same institute different coding person, Same coder's different times, encode that there is also difference.
(2) the actual diagnosis of personalized, the self-defined input of doctor is not exclusively compatible with standard diagnostics code database.
Since the diagnosis actually used in doctor's routine work cannot be completely covered in the diagnosis included in diagnosis coding storehouse, and And for same diagnosis, due to the particularity of Chinese, in the extreme diversity and industry of same the concept of diseases form of presentation simultaneously There is no unified standard this specification of medical terms, the title literary style and structure of the diagnosis that different doctors uses also phase not to the utmost Together, multifarious, the alias used has very big difference;Renewal plus standard diagnostics dictionary takes a long time (national standard ICD10, last time update 2009 apart from this renewal just 8 years as long as in the past 2017), it can not cover in time most emerging Disease and its title;And the clinical practice requirement of doctor is not reached for the parting of particular diagnosis, the level of detail of standard code; Or doctor write diagnose when, can add some additional detailed informations when writing and diagnosing, and standard diagnostics code database The difference classification brought for extraneous information can not embody;Furthermore doctor also can use some only when writing diagnosis Have it is known in the industry write a Chinese character in simplified form referred to as or abbreviation, and these are nor standard diagnostics coding place is included.Essentially, Doctor is the detailed record disease information from diagnosis and treatment operational angle, rather than for sorting code number, so incompatible feelings Condition is inveteracy inevitable, and above-mentioned a variety of causes result in most doctors in hospital's practical business and fill in diagnosis When using procedure selection or hand-written coding, all there are many mistakes.
(3) standard diagnostics code database version disunity.
Mainly in national standard diagnosis coding storehouse, 09 year version combines respectively the code database that current hospital each on the market uses The demand modifications and extensions of a hospital oneself, which are spread out, to be stretched, and the part of modifications and extensions does not have special organisations and institutions' unification Management and distribution, the version between hospital and hospital can not be completely compatible, in addition have hospital use earlier country mark Quasi- version change spreads out what is stretched, even if so causing same disease, the coding used in Different hospital cannot guarantee that Complete unity, and each hospital part stretched of being spread out by national standard version just less can guarantee that unanimously.
(4) in the accuracy of Medical Record Statistics data, medical treatment, teaching, the accuracy of scientific research data retrieval, disease packet DRGS Medical insurance pre-payment (DRGS-PPS) sound development etc., diagnosis coding correct and that standard is unified is the base of everything Plinth.
In " 13 " national population health Informatization Development planning, whether in the population health of the unified authority of structure Information platform, health medical treatment data standard, still improve all kinds of basic businesses of population health information using upper on this basis, with And the high-level application after being built in medical information platform, medical information warehouse, including but not limited to medical dynamic monitoring, disease Control, medical research, medical artificial intelligence, aid decision etc., diagnostic message cross-platform exchange and are needed after collecting across mechanism Can keep stablizing with it is consistent, and be based on four reasons noted earlier, diagnostic message is being collected, interact, collected, in analytic process Need by substantial amounts of code standardized work.
The content of the invention
The purpose of the present invention is exactly to solve the above-mentioned problems, there is provided a kind of classification of diseases based on raw diagnostic data is compiled Code method and system, input according to doctor and diagnose, with reference to the parsing participle and semantic understanding to case history, automatic reference standard diagnosis Storehouse ICD-10 is encoded;Its correct possibility can be assessed coding result.
To achieve these goals, the present invention adopts the following technical scheme that:
Classification of diseases coding method based on raw diagnostic data, includes the following steps:
Step (1):Receive input data:The input data includes:Raw diagnostic data;
Step (2):The raw diagnostic data of input is pre-processed;
Step (3):The pre-processed results obtained with step (2) are in GB/T 14396-2016《Classification of diseases and code》And Retrieved in international disease criterion sorting code number ICD-10, judge whether to obtain as a result, if obtain as a result, if direct exports coding As a result;If it is not, enter step (4);
Step (4):Word segmentation processing, association's conversion processing and search matching tree are carried out to pretreated raw diagnostic data Processing, then filters out optimal result from the handling result of matching tree, enters step (5);
Step (5):The coding accuracy of assessment result, exports coding result and accuracy evaluation result.
The pretreatment of the step (2) includes:Punctuation mark is removed, variant Chinese character is converted into upright letters, by double byte character Be converted to half-angle character.
The word segmentation processing, refers to:Will sentence segmentation be segmented for several diagnosis keywords, the diagnosis keyword, Including representing the qualifier for limiting modification and the primary keyword for representing disease;The qualifier refers to descriptive nature, position or journey Spend the word of type;The primary keyword refers to the word for describing disease, abnormal structure, abnormal body or abnormal symptom;
Association's conversion processing, refers to:Obtained qualifier will be segmented and primary keyword is marked in medical semantic network On, association's conversion is carried out respectively to qualifier and primary keyword using medical semantic network, by former primary keyword and former main key The new primary keyword obtained after word association conversion is carried out with the new qualifier obtained after former qualifier and former qualifier association conversion Permutation and combination, finally obtains all combinations between primary keyword and qualifier in raw diagnostic data;
Such as:Basal ganglia infarction, is Basal ganglia and infarct after word segmentation processing, is converted by semantic network, Basal ganglia association Basal ganglia, brain stem and brain are converted into, infarct association is converted into infarct and infraction, then the knot after this two keywords and conversion The result of fruit combination includes:Combination 1:Basal ganglia _ infraction, combination 2:Basal ganglia _ infarct, combination 3:Brain stem _ infraction, combination 4:Brain Dry _ infarct, combination 5:Brain _ infraction, combination 6:Brain _ infarct.Combination 1 to 6 is exactly all combinations.
Described search matching tree processing, refers to:Institute between the primary keyword and qualifier that are obtained according to association's conversion processing There is combination, the corresponding matching tree that leaf is completely covered of each combination is searched out from matching forest, the result is that a matching tree, Several matchings are set or without result;
It is described to filter out optimal result from the handling result of matching tree, refer to:
Step (a1):The keyword quantity on matching tree that will match to carries out descending arrangement and compares respectively, if ranking First it is identical with second or identical with what is ranked the first have it is multiple,
Compared with the keyword quantity split then is carried out ascending order arrangement with the keyword ratio of number of matching tree;If Obtain rank the first it is identical with second or identical with what is ranked the first have multiple, then enter step (a2);
Step (a2):Qualifier and primary keyword are overlapped in the conversion distance of medical semantic network, superposition is tied Fruit carries out descending arrangement and compares, if rank the first it is identical with second or identical with what is ranked the first have it is multiple, into Enter step (a3);
Step (a3):The matching degree of matching tree is calculated, the matching degree of the matching tree is equal to the main pass that participle obtains The quantity of keyword and the primary keyword ratio of number for matching tree, carry out ratio of number descending arrangement and compare;If rank the first It is identical with second or identical with what is ranked the first have multiple, then terminate;
In step (a1)-step (a3), if optimal result only has one, that is, the result to rank the first only has one (second place and follow-up all different from first place), then it represents that current matching tree is Optimum Matching tree.
The coding accuracy of the assessment result, exists from the matching degree of result and raw diagnostic data, diagnosis keyword Converting for medical semantic network diagnoses order of the keyword with diagnosing keyword in standard diagnostics in distance, raw diagnostic data Three angles of otherness are assessed;
The matching degree of the result and raw diagnostic data, is:In all matching tree results matched, count first Calculate every group of qualifier being syncopated as and primary keyword total quantity and set the ratio between the qualifier included and primary keyword total quantity with matching Value, is the first ratio;Secondly the ratio of number of primary keyword of the primary keyword quantity being syncopated as with matching tree is calculated, is Second ratio;Second ratio and the first ratio, are the matching degree of result and raw diagnostic data.
The diagnosis keyword is in the conversion distance of medical semantic network:Keyword will each be diagnosed medical semantic Network is transformed into the path length that the corresponding diagnosis keyword of matching tree passes through and is denoted as a transformation ratio, calculates all match Diagnosis keyword the sum of transformation ratio natural logrithm, as diagnose conversion distance of the keyword in medical semantic network.
By taking basal ganglia infarction as an example, correspond in cerebral infarction, Basal ganglia is transformed into brain, and conversion weight is 0.3, infarct conversion To infarct, conversion weight is 1, then using the form calculus weighted superposition result of the sum of natural logrithm as ln (0.3)+ln (1)=- 1.204。
The otherness of order of the keyword with diagnosing keyword in ICD-10 is diagnosed in the raw diagnostic data, is:It is first First calculate same position of the diagnosis keyword in raw diagnostic data and in ICD-10 position sequence difference, then calculate The sum of absolute value of sequence difference of all diagnosis keywords.
As a result coding accuracy evaluation formula:
Y=wTX+b;
Wherein, y is estimation accuracy, and X is vector (x1,x2,x3), wherein x1Represent of result and raw diagnostic data With degree, x2Represent diagnosis keyword in the conversion distance of medical semantic network, x3Represent to diagnose keyword in raw diagnostic data Otherness with the order that keyword is diagnosed in ICD-10.
Represent three process datas, w in matching processTFor the transposition of vectorial w, w vectors are (w1,w2,w3), wherein, w1, w2,w3, b is constant.
In the step (1),
Raw diagnostic data, scope include:The discharge diagnosis of diagnosis, first page of illness case in patient file, pathological diagnosis with And the external cause diagnosis of Injuries and poisoning;
The side information includes:Age, gender, site of pathological change, disease property, peri-operation period, hospital infection disease, sheet It is secondary diagnosis and treatment purpose, main diagnostic message, inspection, pathology, imaging information, familial, heredity, oldness, sequelae, congenital Property disease, operation or the mode of production.
Qualifier, including:Position, disease property, orientation, disease parting, degree etc., for example, it is left side, right side, acute, first Nature, icteric, leaf etc. on lung.
Keyword is diagnosed, including:Disease, abnormal structure's component etc., such as pneumonia, deformity, wandering kidney etc..
The cutting structure formed between disease and disease, such as A diseases cause B diseases with B diseases (parallel construction), A diseases Sick (modification limiting structure), A diseases (B diseases), (progressive structure) etc..
The word segmentation processing, refers to according to GB/T 14396-2016《Classification of diseases and code》And international disease criterion point Class encodes ICD-10 and full cutting is carried out to the raw diagnostic data after data cleansing, and each word is closed as diagnosis in cutting result Keyword;Keyword is diagnosed, including:Represent the qualifier for limiting modification and the primary keyword for representing disease;
Semantic network is a kind of structured way that knowledge is represented with figure;In a semantic network, information is expressed For one group of node, node is connected with each other by the directed line of one group of tape label, for representing the relation between node.
The medical treatment semantic network is the semantic network of medical field, and the node body of medical semantic network is medical domain Concept, the medical domain concept node are connected with other medical domain concept nodes, and each medical domain concept node is again It is connected with the disease concept form of expression node of itself;Each medical domain concept node is also general with property concept node, degree Read node, position concept node or the connection of body concept node;Relation between the node of the medical treatment semantic network is medical treatment Relation between field concept.
The medical field concept, including:The physiology region of anatomy, body tissue, component, disease exception, bacterial virus, disease Reason, disease property;
Relation between medical domain concept, including:Correlation, transforming relationship, correlation weight, transforming relationship power The relation of weight and concept to specific manifestation.
Correlation between medical domain concept and concept, including:The including, is affiliated of concept, abstract or specific manifestation;
Transforming relationship between medical domain concept and concept, including:Concept it is close or identical;
By medical semantic network, the association and conversion of real concept, so as to expand search range and the association's model of concept Enclose;And the corresponding specific manifestation of each concept is various informative, and not only include the title of written specification, also cover reality The colloquial title used, thus specification term and the incompatible of practical application of official standard diagnosis of having prevented and conflicting is asked Topic.
More than one for disease quantity in raw diagnostic data, diagnosis cutting result can be divided into two or more portions Point, each part includes a primary keyword and corresponding qualifier.During matching, various pieces are searched as a group input Rope matching tree.Some standard diagnostics include multiple diseases, are made of so it matches leaf some, and each part has Qualifier and keyword, and include the relation between each several part.Relation includes, with concurrently, leading between each several part Cause, not companion, exclude etc..
Matching forest includes several matching trees, each matching tree, including:Tree root, trunk, branch and leaf;Described Tree root with tree represents diagnosis concept, shows as ICD codings;The trunk of the matching tree represents the performance diagnosis name of diagnosis concept Claim;(usual standard diagnostics only have one for the concrete composition part of the branch expression diagnosis concept performance diagnosis name of the matching tree A disease, trunk is one;When shelves standard diagnostics include multiple diseases, trunk is corresponding number);The tree of the matching tree Leaf represents the qualifier and primary keyword of the concrete composition part of diagnosis concept performance diagnosis name.
Match the forming process of forest:Single standard diagnostics are a concepts, and concept includes several forms of expression;Often Kind of the form of expression have the structure of oneself, the conceptual entity included and comprising each conceptual entity between correlation;Each Concept that standard diagnostics represent, structure, the conceptual entity included and comprising each conceptual entity between correlation tree Structure represents, is defined as matching tree, and the matching tree of all standard diagnostics forms matching forest, also, is referred to according to icd standard South, in forest is matched, there are priority and inclusion relation between matching tree.
The form of expression, such as:Title.
Every kind of form of expression has the structure of oneself:Side by side, progressive explanation, cause and effect etc.;
Every kind of form of expression has the conceptual entity included of oneself:Symptom, disease, operation etc.;
Every kind of form of expression has the correlation between each conceptual entity included of oneself:Keyword and qualifier, limit Periodical repair decorations etc.;
The root of the matching tree represents diagnosis concept, its concept shows as ICD codings;Such as:What Meniere disease was stated Concept is that a kind of pathological change is labyrintine hydrops, clinical manifestation be the rotatory vertigo of recurrent exerbation, fluctuation Hearing, Tinnitus and the idiopathic disease of inner ear of the swollen sense of ear muffle.
Since concept is abstract things, it is necessary to which a unique mark corresponds to mark, title is one kind of concept Performance, and exactly the corresponding of each disease identifies standard diagnostics coding ICD, also just becomes the unique of each concept naturally Mark, that is, the performance of the concept of diseases.
Such as the concept of Meniere disease expressed above, in standard diagnostics, the ICD of Meniere disease is encoded to H81.000, So this ICD codings H81.000 is exactly the performance of the concept of Meniere disease, meanwhile, the root as the matching tree of Meniere disease.
The trunk of the matching tree represents diagnosis concept performance diagnosis name;Such as:The performance title of Meniere disease concept There are Meniere disease, auditory vertigo and labyrintine hydrops.
The branch of the matching tree represents the concrete composition part of diagnosis concept performance diagnosis name, such as mitral stenosis With tricuspid insufficiency, there are two branches, be respectively mitral stenosis and tricuspid insufficiency;
The leaf of the matching tree represents the qualifier of the concrete composition part of diagnosis concept performance diagnosis name and main pass Keyword;Such as:Auditory vertigo, primary keyword are dizziness, and qualifier is auditory.
Word segmentation processing is carried out to medical record data file using natural language processing program ansj_seg, the result after processing is The data of structuring;The word separated is stored classifiedly according to generic, such as is categorized as personnel, organ, the time, place, Frequency, symptom, operation, medicine, medical history etc. store classifiedly the data as structuring;From the data of structuring, extract and examine Disconnected relevant information, such as:The cause of disease such as perinatal period, bacterium, fungi such as gestation, childbirth, puerperium, family's disease, genetic disease Or the disease property such as congenital, posteriority, damage, the external cause of poisoning, the cytomorphology classification of cancer.
Described search matching tree processing, there is three kinds of situations,
The first is without as a result, the result of output is sky, then the reason for prompting is without matching result is original diagnostic information Deficiency.
Second is to have as a result, the optimal result selected that finally sorts only has one, then using this optimal result as Final matching results export.
The third be have as a result, the optimal result selected have it is multiple, then output result for sky, and prompt without matching result The reason for be have multiple matching degrees it is identical as a result, and using multiple optimal results as prompt message a part export;Need Re-enter diagnosis and more detailed information is provided in original basis.
Classification of diseases coded system based on raw diagnostic data, including:Memory, processor and storage are on a memory And the computer instruction run on a processor, when the computer instruction is executed by processor, complete following steps:
Step (1):Receive input data:The input data includes:Raw diagnostic data;
Step (2):The raw diagnostic data of input is pre-processed;
Step (3):The pre-processed results obtained with step (2) are in GB/T 14396-2016《Classification of diseases and code》And Retrieved in international disease criterion sorting code number ICD-10, judge whether to obtain as a result, if obtain as a result, if direct exports coding As a result;If it is not, enter step (4);
Step (4):Word segmentation processing, association's conversion processing and search matching tree are carried out to pretreated raw diagnostic data Processing, then filters out optimal result from the handling result of matching tree, enters step (5);
Step (5):The coding accuracy of assessment result, exports coding result and accuracy evaluation result.
A kind of computer-readable recording medium, is stored thereon with computer instruction, and the computer instruction is held by processor During row, following steps are completed:
Step (1):Receive input data:The input data includes:Raw diagnostic data;
Step (2):The raw diagnostic data of input is pre-processed;
Step (3):The pre-processed results obtained with step (2) are in GB/T 14396-2016《Classification of diseases and code》And Retrieved in international disease criterion sorting code number ICD-10, judge whether to obtain as a result, if obtain as a result, if direct exports coding As a result;If it is not, enter step (4);
Step (4):Word segmentation processing, association's conversion processing and search matching tree are carried out to pretreated raw diagnostic data Processing, then filters out optimal result from the handling result of matching tree, enters step (5);
Step (5):The coding accuracy of assessment result, exports coding result and accuracy evaluation result.
Beneficial effects of the present invention:
1. solve doctor's raw diagnostic correspond to standard diagnostics can only be by being accomplished manually, mainly by coder The medical knowledge and coding specification knowledge understood by itself, could complete the problem of this works.It is partial to breach needs By language understanding, the difficulty thought deeply by medical knowledge.Solve the unfettered limitation of term that doctor inputs diagnosis, no doctor Vocabulary standard, which can refer to caused same diagnosis concept, but several diagnosis names and substantial amounts of different specific literary styles, so that The problem of difficulty is compareed with standard diagnostics.
2. efficiently solve the problems, such as that the standard diagnostics coding that each medical institutions use is skimble-scamble.Autocoding is used Afterwards, raw diagnostic is corresponded on same set of standard diagnostics coding, and criteria for classification is unified, is protected during medical institutions' data exchange Card standard is unified.
3. criteria for classification is stablized, it is unstable to solve coder's criteria for classification caused by being subject to the description word of raw diagnostic It is fixed, it is corresponding several times before and after same diagnosis to encode the problem of inconsistent.
4. using computer program autocoding, the human resources of flood tide are not only saved, and the very big amplitude of efficiency carries Height, accuracy compares h coding's raising and criteria for classification is unified.The diagnosis number that a province (such as Shandong Province) produces in theory Amount can be completed to encode within several hours.
5. automatic diagnosis coding advantageously ensures that medical treatment, teaching, the data-searching accuracy of scientific research, and disease packet The development of DRGS.In " 13 " national population health Informatization Development planning, the population health information of unified authority is built Platform, health medical treatment data standard, autocoding will play power-assisted effect.
6. since autocoding is quick and classification is stablized, it can be achieved that high-volume encodes original case history in a short time Classification, can be that the big data application of medical field and artificial intelligence quickly prepare and arranges data, based on the field Function plays the role of irreplaceable.
Brief description of the drawings
Fig. 1 is standard diagnostics Auto-matching flow chart;
Fig. 2 is semantic network structure diagram;
Fig. 3 is matching tree construction schematic diagram;
Embodiment
The invention will be further described with embodiment below in conjunction with the accompanying drawings.
As shown in Figure 1, the classification of diseases coding method based on raw diagnostic data, includes the following steps:
Step (1):Receive input data:The input data includes:Raw diagnostic data;
Step (2):The raw diagnostic data of input is pre-processed;
Step (3):The pre-processed results obtained with step (2) are in GB/T 14396-2016《Classification of diseases and code》And Retrieved in international disease criterion sorting code number ICD-10, judge whether to obtain as a result, if obtain as a result, if direct exports coding As a result;If it is not, enter step (4);
Step (4):Word segmentation processing, association's conversion processing and search matching tree are carried out to pretreated raw diagnostic data Processing, then filters out optimal result from the handling result of matching tree, enters step (5);
Step (5):The coding accuracy of assessment result, exports coding result and accuracy evaluation result.
As shown in Fig. 2, medical semantic network is made of the oriented relation between node and node, node includes conceptual entity And point of specific manifestation, conceptual entity include the disease, region of anatomy, body tissue, component, disease in the classification of medical field Matter etc..Oriented relation between node include comprising, belong to, specific manifestation, abstract, nearly justice etc..Such as in figure:Uveitis is One conceptual entity, is inclusion relation with conceptual entities such as posterior uveitis, anterior uveitis;It is scorching with pigmented film eye and tunica vasculose It is nearly justice/synonymy;Uveitis belongs to illness in eye at the same time.
As shown in figure 3, each standard diagnostics matching tree construction includes:Concept is diagnosed, specific manifestation form is standard diagnostics Coding, can be using pictute as tree root;Diagnosis concept specifically show title, can be one be also likely to be it is multiple, can be with shape As being described as trunk;For each title, multiple diseases or referred to as some, each disease or part may be wherein included Can using pictute as trunk, between disease and disease in other words part part between pass of the relationship description between branch System;And keyword possessed by each disease or part can be described as leaf.When the combination of some keywords can be covered completely The keyword (leaf) of lid disease (branch), then mean that matching has suffered this disease;In matching at the same time between each disease Relation character standardization diagnosis in each disease or partial relation, then represent matching in this disease title, Jin Erbiao What is reached is the content of this concept of diseases statement or the subclass of a subdivision.
System and method is included with lower module and algorithm:
1. the characteristic matching network in standard diagnostics storehouse:
Single standard diagnostics essence is a concept, and concept has many forms, is segmented again under every kind of form of expression Connecting each other between conceptual entity, and the conceptual entity of subdivision and structure, the conceptual entity of subdivision is in medical semantic network In there is same or similar conceptual entity to associate and convert again, so, the concept and its knot that each standard diagnostics represent Structure and comprising concept can be represented with the structure of tree, form a matching tree, and the matching tree of all standard diagnostics is formed Match forest.
Matching forest is combined with medical semantic network, constitutes new characteristic matching network:By semantic network, realize Association and conversion, so that search and association's scope are expanded, and can be by the matching of characteristic matching completion standard diagnostics.
2. diagnosis is split and conceptual entity identification module:
Natural language processing is carried out to raw diagnostic, after character pre-processing, medical concept entity is identified, gives standard Diagnostic characteristic matching network is used to be marked on matching network.
In identification process, medical concept dictionary is refined from actual traffic data, thus in medical field ratio General dictionary is related to more professional and deep.The structure of diagnosis is parsed in medical concept entity procedure is identified, judges to examine Disconnected is reasonable and normative, for lifting accuracy in the matching process.
3. the matching algorithm of diagnosis:
Keyword and structure after splitting will be diagnosed, will be projected on matching network, by the association and conversion of semantic network, The conceptual entity that will likely be expressed is tagged in matching network on semantic network, and then the conceptual entity of these marks passes through matching Tree finds the standard diagnostics for the condition that meets.Standard diagnostics to meeting condition, establishing criteria are diagnosed to original diagnostic information and knot The degree of structure covering, associates conversion pathway length, and the priority and belonging relation of standard diagnostics, selection on semantic network Go out most suitable matching diagnosis.
4. encode accuracy evaluation module:
During matching and diagnosing, by optimal matching result, by coupling path, and raw diagnostic and matched mark The information level of coverage and similarity degree of quasi- diagnosis are recorded.By above-mentioned each factor with different weights collect calculating one it is credible Value, the foundation as this matched correctness of assessment.
5. result output module:
As a result output module, is output in interactive interface or specified file or in database.
The step of autocoding of the present invention, is as follows:
1a obtains the diagnosis of input from interface.
1b is obtained from database and diagnosed, and corresponding diagnosis and therapy recording, patient file.If there is patient file, then hand over Handled by participle program,
Raw diagnostic by diagnostic analysis and conceptual entity identification module, is carried out natural language processing, with medicine semantic net by 2 Based on network, by all possible cutting and identification conceptual entity mode list, and by cutting and recognition result it is unreasonable or Incomplete result progress beta pruning, each conceptual entity then analyzed to rational cutting and recognition result, and in concept Whether the syntactic structure that diagnosis is judged in the structure of entity composition is rational structure, verifies cutting identification conceptual entity in turn Reasonability.
Standard diagnostics matching module below is transferred to select different matching schemes to be matched according to the structure after cutting.
3 standard diagnostics matching modules are by the cutting recognition result and structural information of raw diagnostic, in the matching of standard diagnostics On network, scanned for according to matching algorithm.Each diagnosis concept and modification limit concept in search procedure, successively by tool Body surface is existing to concept, and concept to association and approximation, include concept, concept and conceptual combinations to standard diagnostics specific manifestation, standard Diagnose search and conversion pathway of the specific manifestation to standard diagnostics concept.
Meanwhile the degree that includes that can record conversions concepts is searched in conversion process, searching route length, raw diagnostic is split The concept that the concept that goes out is included with end product meet and level of coverage.
If 4 are not reached as a result, or drawing multiple due to matching module caused by necessary information missing in raw diagnostic Level of coverage is identical but conceptually differ more diagnosis if, just need to extract side information from patient file at this time. Patient file is segmented by participle program and is converted into the document of structuring, is therefrom extracted with diagnosing relevant necessary letter Breath, is supplemented in the concept of raw diagnostic fractionation, is scanned for again in matching network.
5 accuracy evaluation modules will be searched in matching process, be associated the path of conversion, be searched for matched path, original to examine The disconnected concept matching degree for splitting concept and standard diagnostics, the reasonability of raw diagnostic structure and journey similar to standard diagnostics structure Degree, collects calculating by different weights, the accuracy according to result of calculation assessment to code.
Although above-mentioned be described the embodiment of the present invention with reference to attached drawing, model not is protected to the present invention The limitation enclosed, those skilled in the art should understand that, on the basis of technical scheme, those skilled in the art are not Need to make the creative labor the various modifications that can be made or deformation still within protection scope of the present invention.

Claims (8)

1. the classification of diseases coding method based on raw diagnostic data, it is characterized in that, include the following steps:
Step (1):Receive input data:The input data includes:Raw diagnostic data;
Step (2):The raw diagnostic data of input is pre-processed;
Step (3):The pre-processed results obtained with step (2) are in GB/T 14396-2016《Classification of diseases and code》It is and international Retrieved in disease criterion sorting code number ICD-10, judge whether to obtain as a result, if obtain as a result, if direct exports coding knot Fruit;If it is not, enter step (4);
Step (4):Pretreated raw diagnostic data is carried out at word segmentation processing, association's conversion processing and search matching tree Reason, then filters out optimal result from the handling result of matching tree, enters step (5);
It is described to filter out optimal result from the handling result of matching tree, refer to:
Step (a1):The keyword quantity on matching tree that will match to carries out descending arrangement and compares respectively, if ranked the first It is identical with second or identical with what is ranked the first have it is multiple,
Compared with the keyword quantity split then is carried out ascending order arrangement with the keyword ratio of number of matching tree;If obtain Rank the first it is identical with second or identical with what is ranked the first have multiple, then enter step (a2);
Step (a2):Qualifier and primary keyword are overlapped in the conversion distance of medical semantic network, to stack result into The arrangement of row descending is compared, if rank the first it is identical with second or identical with what is ranked the first have multiple, enter step Suddenly (a3);
Step (a3):The matching degree of matching tree is calculated, the matching degree of the matching tree is equal to the primary keyword that participle obtains Quantity with match tree primary keyword ratio of number, to ratio of number carry out descending arrangement compare;If rank the first with Second it is identical or identical with what is ranked the first have multiple, then terminate;
In step (a1)-step (a3), if optimal result only has one, that is, the result to rank the first only has one, then table It is Optimum Matching tree to show current matching tree;
Step (5):The coding accuracy of assessment result, exports coding result and accuracy evaluation result.
2. the classification of diseases coding method based on raw diagnostic data as claimed in claim 1, it is characterized in that, at the participle Reason, refers to:It is that several diagnosis keywords, the diagnosis keyword, including expression limit modification by sentence segmentation to be segmented Qualifier and the primary keyword for representing disease;The qualifier refers to the word of descriptive nature, position or degree type;The master Keyword refers to the word for describing disease, abnormal structure, abnormal body or abnormal symptom;
Association's conversion processing, refers to:Obtained qualifier will be segmented and primary keyword is marked on medical semantic network, profit Association's conversion is carried out respectively to qualifier and primary keyword with medical semantic network, former primary keyword and former primary keyword are associated The new primary keyword obtained after conversion carries out arrangement group with the new qualifier obtained after former qualifier and former qualifier association conversion Close, finally obtain all combinations between primary keyword and qualifier in raw diagnostic data.
3. the classification of diseases coding method based on raw diagnostic data as claimed in claim 2, it is characterized in that,
Described search matching tree processing, refers to:All groups between the primary keyword and qualifier that are obtained according to association's conversion processing Close, the corresponding matching tree that leaf is completely covered of each combination is searched out from matching forest, the result is that a matching sets, is some A matching is set or without result.
4. the classification of diseases coding method based on raw diagnostic data as claimed in claim 1, it is characterized in that,
The coding accuracy of the assessment result, from the matching degree of result and raw diagnostic data, diagnosis keyword in medical treatment Semantic network converts the difference that order of the keyword with diagnosing keyword in standard diagnostics is diagnosed in distance, raw diagnostic data Three angles of property are assessed;
The matching degree of the result and raw diagnostic data, is:In all matching tree results matched, calculate first every Qualifier and primary keyword total quantity that group is syncopated as set the ratio of the qualifier included and primary keyword total quantity with matching, i.e., For the first ratio;Secondly the ratio of number of primary keyword of the primary keyword quantity being syncopated as with matching tree is calculated, is second Ratio;Second ratio and the first ratio, are the matching degree of result and raw diagnostic data;
The diagnosis keyword is in the conversion distance of medical semantic network:Keyword will each be diagnosed in medical semantic network Be transformed into the path length that the corresponding diagnosis keyword of matching tree passes through and be denoted as a transformation ratio, calculate it is all match examine The sum of transformation ratio natural logrithm of disconnected keyword, as diagnoses conversion distance of the keyword in medical semantic network;
The otherness of order of the keyword with diagnosing keyword in ICD-10 is diagnosed in the raw diagnostic data, is:Count first Calculate same position of the diagnosis keyword in raw diagnostic data and in ICD-10 position sequence difference, then calculate all Diagnose the sum of absolute value of sequence difference of keyword.
5. the classification of diseases coding method based on raw diagnostic data as claimed in claim 1, it is characterized in that,
The medical treatment semantic network is the semantic network of medical field, and the node body of medical semantic network is general for medical domain Read, the medical domain concept node is connected with other medical domain concept nodes, each medical domain concept node but with The disease concept form of expression node connection of itself;Each medical domain concept node also with property concept node, degree concept Node, position concept node or the connection of body concept node;Relation between the node of the medical treatment semantic network is medical treatment neck Relation between the concept of domain;
The medical field concept, including:The physiology region of anatomy, body tissue, component, disease exception, bacterial virus, pathology, Disease property;
Relation between medical domain concept, including:Correlation, transforming relationship, correlation weight, transforming relationship weight and Relation of the concept to specific manifestation;
Correlation between medical domain concept and concept, including:The including, is affiliated of concept, abstract or specific manifestation;
Transforming relationship between medical domain concept and concept, including:Concept it is close or identical.
6. the classification of diseases coding method based on raw diagnostic data as claimed in claim 1, it is characterized in that,
More than one for disease quantity in raw diagnostic data, diagnosis cutting result can be divided into two or more parts, often A part includes a primary keyword and corresponding qualifier;During matching, various pieces scan for as the input of group With tree;
Matching forest includes several matching trees, each matching tree, including:Tree root, trunk, branch and leaf;The matching tree Tree root represent diagnosis concept, show as ICD coding;The trunk of the matching tree represents the performance diagnosis name of diagnosis concept; The branch of the matching tree represents the concrete composition part of diagnosis concept performance diagnosis name;The leaf of the matching tree represents to examine The qualifier and primary keyword of the concrete composition part of disconnected concept performance diagnosis name;
Match the forming process of forest:Single standard diagnostics are a concepts, and concept includes several forms of expression;Every kind of table Existing form have the structure of oneself, the conceptual entity included and comprising each conceptual entity between correlation;Each standard Diagnose represent concept, structure, the conceptual entity included and comprising each conceptual entity between correlation tree structure To represent, matching tree is defined as, and the matching tree of all standard diagnostics forms matching forest, also, according to icd standard guide, In forest is matched, there are priority and inclusion relation between matching tree;
The form of expression, including:Title;
Every kind of form of expression has the structure of oneself, including:Side by side, progressive explanation or cause and effect;
Every kind of form of expression has the conceptual entity included of oneself, including:Symptom, disease or operation;
Every kind of form of expression has the correlation between each conceptual entity included of oneself, including:Keyword and qualifier or Limit modification;
The root of the matching tree represents diagnosis concept, its concept shows as ICD codings;
Described search matching tree processing, there is three kinds of situations,
The first is without as a result, the result of output is sky, then the reason for prompting is without matching result is original diagnostic information deficiency;
Second is to have as a result, the optimal result selected that finally sorts only has one, then using this optimal result as final Matching result exports;
The third be have as a result, the optimal result selected have it is multiple, then output result for sky, and prompt the original without matching result Because being to have multiple matching degrees identical as a result, and being exported multiple optimal results as a part for prompt message;Need weight New input diagnoses and more detailed information is provided in original basis.
7. the classification of diseases coded system based on raw diagnostic data, it is characterized in that, including:Memory, processor and it is stored in The computer instruction run on memory and on a processor, when the computer instruction is executed by processor, completes following step Suddenly:
Step (1):Receive input data:The input data includes:Raw diagnostic data;
Step (2):The raw diagnostic data of input is pre-processed;
Step (3):The pre-processed results obtained with step (2) are in GB/T 14396-2016《Classification of diseases and code》It is and international Retrieved in disease criterion sorting code number ICD-10, judge whether to obtain as a result, if obtain as a result, if direct exports coding knot Fruit;If it is not, enter step (4);
Step (4):Pretreated raw diagnostic data is carried out at word segmentation processing, association's conversion processing and search matching tree Reason, then filters out optimal result from the handling result of matching tree, enters step (5);
It is described to filter out optimal result from the handling result of matching tree, refer to:
Step (a1):The keyword quantity on matching tree that will match to carries out descending arrangement and compares respectively, if ranked the first It is identical with second or identical with what is ranked the first have it is multiple,
Compared with the keyword quantity split then is carried out ascending order arrangement with the keyword ratio of number of matching tree;If obtain Rank the first it is identical with second or identical with what is ranked the first have multiple, then enter step (a2);
Step (a2):Qualifier and primary keyword are overlapped in the conversion distance of medical semantic network, to stack result into The arrangement of row descending is compared, if rank the first it is identical with second or identical with what is ranked the first have multiple, enter step Suddenly (a3);
Step (a3):The matching degree of matching tree is calculated, the matching degree of the matching tree is equal to the primary keyword that participle obtains Quantity with match tree primary keyword ratio of number, to ratio of number carry out descending arrangement compare;If rank the first with Second it is identical or identical with what is ranked the first have multiple, then terminate;
In step (a1)-step (a3), if optimal result only has one, that is, the result to rank the first only has one, then table It is Optimum Matching tree to show current matching tree;
Step (5):The coding accuracy of assessment result, exports coding result and accuracy evaluation result.
8. a kind of computer-readable recording medium, it is characterized in that, computer instruction is stored thereon with, the computer instruction is located When managing device execution, following steps are completed:
Step (1):Receive input data:The input data includes:Raw diagnostic data;
Step (2):The raw diagnostic data of input is pre-processed;
Step (3):The pre-processed results obtained with step (2) are in GB/T 14396-2016《Classification of diseases and code》It is and international Retrieved in disease criterion sorting code number ICD-10, judge whether to obtain as a result, if obtain as a result, if direct exports coding knot Fruit;If it is not, enter step (4);
Step (4):Pretreated raw diagnostic data is carried out at word segmentation processing, association's conversion processing and search matching tree Reason, then filters out optimal result from the handling result of matching tree, enters step (5);
It is described to filter out optimal result from the handling result of matching tree, refer to:
Step (a1):The keyword quantity on matching tree that will match to carries out descending arrangement and compares respectively, if ranked the first It is identical with second or identical with what is ranked the first have it is multiple,
Compared with the keyword quantity split then is carried out ascending order arrangement with the keyword ratio of number of matching tree;If obtain Rank the first it is identical with second or identical with what is ranked the first have multiple, then enter step (a2);
Step (a2):Qualifier and primary keyword are overlapped in the conversion distance of medical semantic network, to stack result into The arrangement of row descending is compared, if rank the first it is identical with second or identical with what is ranked the first have multiple, enter step Suddenly (a3);
Step (a3):The matching degree of matching tree is calculated, the matching degree of the matching tree is equal to the primary keyword that participle obtains Quantity with match tree primary keyword ratio of number, to ratio of number carry out descending arrangement compare;If rank the first with Second it is identical or identical with what is ranked the first have multiple, then terminate;
In step (a1)-step (a3), if optimal result only has one, that is, the result to rank the first only has one, then table It is Optimum Matching tree to show current matching tree;
Step (5):The coding accuracy of assessment result, exports coding result and accuracy evaluation result.
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