CN109785148A - Processing method, device, equipment and the readable storage medium storing program for executing of hepatopathy reimbursement process - Google Patents
Processing method, device, equipment and the readable storage medium storing program for executing of hepatopathy reimbursement process Download PDFInfo
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- CN109785148A CN109785148A CN201811462364.6A CN201811462364A CN109785148A CN 109785148 A CN109785148 A CN 109785148A CN 201811462364 A CN201811462364 A CN 201811462364A CN 109785148 A CN109785148 A CN 109785148A
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Abstract
The invention discloses processing method, device, equipment and the readable storage medium storing program for executing of a kind of hepatopathy reimbursement process, it is related to big data technology, this method comprises: if detecting, when passing through instruction, the first analysis information of the insured patient of hepatopathy is obtained based on this by access reimbursement audit by instruction by the insured patient of hepatopathy；The subregion parameters sortnig prestored is obtained, the content of parameter of the subregion parameters sortnig of the insured patient of the hepatopathy is extracted from the first analysis information, the content of parameter based on subregion parameters sortnig described in this obtains the target partition of the insured patient of the hepatopathy；The first incidence relation for obtaining the subregion prestored and reimbursement ratio, the target for obtaining the insured patient of the hepatopathy based on the target partition and first incidence relation submit an expense account ratio, the reimbursement based on the insured patient of hepatopathy described in target reimbursement ratio access.The present invention solves the technical issues of hepatopathy imposed uniformity without examining individual cases in the prior art reimbursement mode causes the effective rate of utilization of preset hepatopathy expense to reduce.
Description
Technical field
The present invention relates to the processing method of medical treatment reimbursement technical field more particularly to a kind of hepatopathy reimbursement process, device, set
Standby and readable storage medium storing program for executing.
Background technique
Currently, the slow sick hair rate of disease especially hepatopathy disease hair rate persistently increases the number for leading to enjoy hepatopathy disease medical treatment reimbursement
Also constantly adding, although the population support for enjoying hepatopathy disease medical treatment reimbursement is increasing, existing hepatopathy disease medical treatment report
The reimbursement mode that pin mode is still imposed uniformity without examining individual cases is that the people of all hepatopathy disease medical treatment reimbursements enjoys the expense report of same ratio
Pin, the hepatopathy reimbursement mode of single solution for diverse problems reduce the effective rate of utilization of preset hepatopathy expense.
Summary of the invention
The main purpose of the present invention is to provide a kind of hepatopathy reimbursement processing method of process, device, equipment and readable deposit
Storage media, it is intended to which solving the hepatopathy imposed uniformity without examining individual cases in the prior art reimbursement mode causes the effective rate of utilization of preset hepatopathy expense to reduce
The technical issues of.
To achieve the above object, the present invention provides a kind of processing method of hepatopathy reimbursement process, and the hepatopathy submits an expense account process
Processing method include:
If detecting, the insured patient of hepatopathy when passing through instruction, is obtained based on described by instruction by access reimbursement audit
The first analysis information of the insured patient of hepatopathy；
The subregion parameters sortnig prestored is obtained, is extracted described in the insured patient of the hepatopathy from the first analysis information
The content of parameter of the content of parameter of subregion parameters sortnig, the subregion parameters sortnig based on the insured patient of the hepatopathy obtains institute
State the target partition of the insured patient of hepatopathy；
The first incidence relation for obtaining the subregion prestored and reimbursement ratio, is closed based on the target partition and described first
The target for joining the insured patient of hepatopathy described in Relation acquisition submits an expense account ratio, insured based on hepatopathy described in target reimbursement ratio access
The reimbursement of patient.
Optionally, the subregion parameters sortnig prestored includes the pernicious probability of hepatopathy tubercle and of hepatopathy tubercle
Number；
The parameter of the subregion parameters sortnig that the insured patient of the hepatopathy is extracted from the first analysis information
The content of parameter of content, the subregion parameters sortnig based on the insured patient of the hepatopathy obtains the mesh of the insured patient of the hepatopathy
Marking partitioning step includes:
The the first weight accounting of the pernicious probability of the hepatopathy tubercle in patient's subregion insured hepatopathy prestored is obtained,
And obtain the second weight accounting of the number of the hepatopathy tubercle prestored；
The target malignant probability of the hepatopathy tubercle of the insured patient of the hepatopathy is extracted from the first analysis information
And the target number of the hepatopathy tubercle；
Based on the first weight accounting and the target malignant probability, the second weight accounting and the target
Number, the hepatopathy tubercle prestored pernicious probability the first total score and the hepatopathy tubercle prestored number
The of first computation rule of the pernicious probability of two total scores and the hepatopathy tubercle prestored and the number of hepatopathy tubercle that prestores
Two computation rules calculate the target score of the insured patient of the hepatopathy；
The second incidence relation for obtaining the score value and subregion that prestore, based on second incidence relation and the target point
Value, obtains the target partition of the insured patient of the hepatopathy.
Optionally, described to obtain the insured patient's of the hepatopathy based on the target partition and first incidence relation
Include: after target reimbursement ratio step
If receiving the more new command of the first analysis information, judge whether to carry in the more new command described
The more new information of the first of target malignant probability, or carry the second more new information of the target number；
If carrying the first more new information of the target malignant probability in the more new command, or carry the mesh
The second more new information of number is marked, then updates hepatopathy described in letter and/or the second update information update based on described first
The target of insured patient submits an expense account ratio, to obtain updating reimbursement ratio.
Optionally, if described detect that the insured patient of hepatopathy when passing through instruction, is based on described by access reimbursement audit
Include: by the first analysis information Step that instruction obtains the insured patient of hepatopathy
If detecting, the insured patient of hepatopathy when passing through instruction, is obtained based on described by instruction by access reimbursement audit
The first analysis information of the insured patient of hepatopathy；
Extract the non-picture data of the quantizating index in the first analysis information, the data and quantization of non-quantized index
The raw image data of index；
The insured archives for establishing the insured patient of the hepatopathy, in the insured archives, difference records the quantizating index
Non-picture data, the data of non-quantized index and the raw image data of quantizating index.
Optionally, the data and quantization for distinguishing the non-picture data, non-quantized index that record the quantizating index
The raw image data step of index includes:
Difference records non-picture data, the data of non-quantized index and the original graph of quantizating index of the quantizating index
As data, after the completion of record, the non-picture data of the quantizating index and the original image of corresponding same quantizating index are designed
The two-way points relationship of data.
Optionally, if described detect that the insured patient of hepatopathy when passing through instruction, is based on described by access reimbursement audit
Include: before obtaining the first analysis information Step of the insured patient of hepatopathy by instruction
Receive the data and quantizating index for presetting the non-quantized index for being associated with the insured patient of hepatopathy sent in hospital
Non-picture data；
The non-quantized index number and non-amount of the insured patient of the hepatopathy are extracted from the data of the non-quantized index
Change the type of index, the type based on the non-quantized index number and non-quantized index judges that the insured patient of the hepatopathy is
It is no to be audited by the first access；
If the insured patient of hepatopathy is audited by the first access, to respectively quantization refers in the non-picture data of quantizating index
Target indication range is audited, to judge whether the insured patient of the hepatopathy passes through the audit of the second access；
If the insured patient of hepatopathy is audited by the second access, determine that the insured patient of the hepatopathy is submitted an expense account by access
Audit.
The present invention also provides a kind of processing unit of hepatopathy reimbursement process, the processing unit packet of the hepatopathy reimbursement process
It includes:
First obtains module, if for detecting that the insured patient of hepatopathy submits an expense account when passing through instruction of audit, base by access
In the first analysis information for obtaining the insured patient of hepatopathy by instruction；
Second obtains module, for obtaining the subregion parameters sortnig prestored, from the first analysis information described in extraction
The content of parameter of the subregion parameters sortnig of the insured patient of hepatopathy, the subregion based on the insured patient of the hepatopathy, which sorts, joins
Several content of parameter obtains the target partition of the insured patient of the hepatopathy；
Third obtains module, for obtaining the subregion prestored and submitting an expense account the first incidence relation of ratio, is based on the target
Subregion and first incidence relation obtain the target reimbursement ratio of the insured patient of the hepatopathy, submit an expense account ratio based on the target
The reimbursement of the insured patient of hepatopathy described in example access.
Optionally, the subregion parameters sortnig prestored includes the pernicious probability of hepatopathy tubercle and of hepatopathy tubercle
Number；
Described second, which obtains module, includes:
First acquisition unit, for obtain prestore in patient's subregion insured hepatopathy the hepatopathy tubercle it is pernicious general
First weight accounting of rate, and obtain the second weight accounting of the number of the hepatopathy tubercle prestored；
First extraction unit, for extracting the hepatopathy knot of the insured patient of the hepatopathy from the first analysis information
The target number of the target malignant probability of section and the hepatopathy tubercle；
Computing unit, for being accounted for based on the first weight accounting and the target malignant probability, second weight
Than and the target number, the hepatopathy tubercle prestored pernicious probability the first total score and the hepatopathy that prestores
First computation rule of the pernicious probability of the second total score of the number of tubercle and the hepatopathy tubercle prestored and the hepatopathy prestored
Second computation rule of the number of tubercle, calculates the target score of the insured patient of the hepatopathy；
Second acquisition unit, for obtaining the second incidence relation of the score value and subregion that prestore, based on second association
Relationship and the target score, obtain the target partition of the insured patient of the hepatopathy.
Optionally, the processing unit of the hepatopathy reimbursement process further include:
Judgment module, if the more new command for receiving the first analysis information, judges in the more new command
The first more new information of the target malignant probability whether is carried, or carries the second of the target number and updates letter
Breath；
Update module, if the first more new information for carrying the target malignant probability in the more new command, or
Person carries the second more new information of the target number, then updates letter and/or the second update letter based on described first
The target that breath updates the insured patient of hepatopathy submits an expense account ratio, to obtain updating reimbursement ratio.
Optionally, the first acquisition module includes:
Third acquiring unit, if for detecting that the insured patient of hepatopathy submits an expense account when passing through instruction of audit, base by access
In the first analysis information for obtaining the insured patient of hepatopathy by instruction；
Second extraction unit, for extracting the non-picture data, non-quantized of the quantizating index in the first analysis information
The data of index and the raw image data of quantizating index；
Recording unit, for establishing the insured archives of the insured patient of the hepatopathy, in the insured archives, difference record
The raw image data of the non-picture data of the quantizating index, the data of non-quantized index and quantizating index.
Optionally, the recording unit includes:
Distinguish subelement, for distinguish the non-picture data for recording the quantizating index, non-quantized index data and
The raw image data of quantizating index designs the non-picture data of the quantizating index and corresponding same amount after the completion of record
Change the two-way points relationship of the raw image data of index.
Optionally, the processing unit of the hepatopathy reimbursement process further include:
Receiving module, for receive the insured patient of hepatopathy sent in default association hospital non-quantized index data with
And the non-picture data of quantizating index；
4th obtains module, for extracting the non-quantized of the insured patient of the hepatopathy from the data of the non-quantized index
The type of index number and non-quantized index, the type based on the non-quantized index number and non-quantized index judge institute
State whether the insured patient of hepatopathy passes through the audit of the first access；
Auditing module, if being audited for the insured patient of the hepatopathy by the first access, to the non-image of quantizating index
The indication range of each quantizating index is audited in data, is examined with judging whether the insured patient of the hepatopathy passes through the second access
Core；
Determination module determines the insured disease of the hepatopathy if auditing for the insured patient of the hepatopathy by the second access
People is submitted an expense account by access and is audited.
In addition, to achieve the above object, the present invention also provides a kind of processing equipment of hepatopathy reimbursement process, the hepatopathy reports
The processing equipment of pin process includes: memory, processor, and communication bus and the hepatopathy being stored on memory reimbursement are flowed
The processing routine of journey,
The communication bus is for realizing the communication connection between processor and memory；
The processor is used to execute the processing routine of the hepatopathy reimbursement process, to perform the steps of
If detecting, the insured patient of hepatopathy when passing through instruction, is obtained based on described by instruction by access reimbursement audit
The first analysis information of the insured patient of hepatopathy；
The subregion parameters sortnig prestored is obtained, is extracted described in the insured patient of the hepatopathy from the first analysis information
The content of parameter of the content of parameter of subregion parameters sortnig, the subregion parameters sortnig based on the insured patient of the hepatopathy obtains institute
State the target partition of the insured patient of hepatopathy；
The first incidence relation for obtaining the subregion prestored and reimbursement ratio, is closed based on the target partition and described first
The target for joining the insured patient of hepatopathy described in Relation acquisition submits an expense account ratio, insured based on hepatopathy described in target reimbursement ratio access
The reimbursement of patient.
In addition, to achieve the above object, the present invention also provides a kind of readable storage medium storing program for executing, the readable storage medium storing program for executing storage
Have one perhaps more than one program the one or more programs can be held by one or more than one processor
Row is to be used for:
If detecting, the insured patient of hepatopathy when passing through instruction, is obtained based on described by instruction by access reimbursement audit
The first analysis information of the insured patient of hepatopathy；
The subregion parameters sortnig prestored is obtained, is extracted described in the insured patient of the hepatopathy from the first analysis information
The content of parameter of the content of parameter of subregion parameters sortnig, the subregion parameters sortnig based on the insured patient of the hepatopathy obtains institute
State the target partition of the insured patient of hepatopathy；
The first incidence relation for obtaining the subregion prestored and reimbursement ratio, is closed based on the target partition and described first
The target for joining the insured patient of hepatopathy described in Relation acquisition submits an expense account ratio, insured based on hepatopathy described in target reimbursement ratio access
The reimbursement of patient.
If the present invention, which passes through, detects that the insured patient of hepatopathy when passing through instruction, is led to by access reimbursement audit based on described
Cross the first analysis information that instruction obtains the insured patient of hepatopathy；The subregion parameters sortnig prestored is obtained, from described first point
The content of parameter that the subregion parameters sortnig of the insured patient of the hepatopathy is extracted in analysis information, is based on the insured patient of the hepatopathy
The content of parameter of the subregion parameters sortnig obtain the target partition of the insured patient of the hepatopathy；Obtain the subregion and report prestored
First incidence relation of pin ratio obtains the insured patient of hepatopathy based on the target partition and first incidence relation
Target submit an expense account ratio, based on the target reimbursement ratio access described in the insured patient of hepatopathy reimbursement.In this application, if inspection
The insured patient of hepatopathy is measured by reimbursement audit, then acquires the content of parameter of subregion parameters sortnig, it is insured to obtain hepatopathy
The target partition of patient, and the target partition of the insured patient of hepatopathy and reimbursement ratio are associated, thus, it is possible to acquire liver
The reimbursement ratio of the insured patient of disease, i.e., in this application, reimbursement ratio are no longer the modes imposed uniformity without examining individual cases, but with the insured disease of hepatopathy
The affiliated subregion of people is associated, and affiliated subregion is as insured in can be influence hepatopathy with the subregion parameters sortnig of the insured patient of hepatopathy
Patient's severity parameter association, thus, it is possible to improve the effective rate of utilization of preset hepatopathy expense, thus solve existing
The technical issues of hepatopathy reimbursement mode imposed uniformity without examining individual cases in technology causes the effective rate of utilization of preset hepatopathy expense to reduce.
Detailed description of the invention
Fig. 1 is the flow diagram for the processing method first embodiment that hepatopathy of the present invention submits an expense account process；
Fig. 2 is the subregion parameters sortnig that the present invention extracts the insured patient of the hepatopathy from the first analysis information
Content of parameter, the content of parameter of the subregion parameters sortnig based on the insured patient of the hepatopathy obtains the insured disease of hepatopathy
The refinement flow diagram of the target partition step of people；
Fig. 3 is the device structure schematic diagram for the hardware running environment that present invention method is related to.
The embodiments will be further described with reference to the accompanying drawings for the realization, the function and the advantages of the object of the present invention.
Specific embodiment
It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not intended to limit the present invention.
The present invention provides a kind of processing method of hepatopathy reimbursement process, submits an expense account the processing method of process in hepatopathy of the present invention
In first embodiment, the processing method of the hepatopathy reimbursement process is applied to hepatopathy medical treatment all-in-one machine, referring to Fig.1, the hepatopathy
Reimbursement process processing method include:
Step S10, if detecting, the insured patient of hepatopathy when passing through instruction, is passed through by access reimbursement audit based on described
Instruction obtains the first analysis information of the insured patient of hepatopathy；
Step S20 obtains the subregion parameters sortnig prestored, extracts the insured disease of the hepatopathy from the first analysis information
The content of parameter of the subregion parameters sortnig of people, in the parameter of the subregion parameters sortnig based on the insured patient of the hepatopathy
Hold the target partition for obtaining the insured patient of hepatopathy；
Step S30 obtains the first incidence relation of the subregion prestored and reimbursement ratio, is based on the target partition and institute
The target reimbursement ratio that the first incidence relation obtains the insured patient of the hepatopathy is stated, based on described in target reimbursement ratio access
The reimbursement of the insured patient of hepatopathy.
Specific step is as follows:
Step S10, if detecting, the insured patient of hepatopathy when passing through instruction, is passed through by access reimbursement audit based on described
Instruction obtains the first analysis information of the insured patient of hepatopathy；
It in the present embodiment, is to detect that hepatopathy is joined after detecting the insured patient of hepatopathy by access reimbursement audit
After protecting the access reimbursement audit that patient passes through most initial, the reimbursement ratio for determining which kind of grade the insured patient of the hepatopathy is is realized.
Specifically, if detecting, the insured patient of hepatopathy when passing through instruction, is passed through by access reimbursement audit based on described
Instruction obtains the first analysis information of the insured patient of hepatopathy, wherein by carrying the first analysis information in instruction, first
Analysis information in include each Diagnostic parameters of hepatopathy for example: plasma albumin (ALB)/globulin (GLB) (A/G) ratio,
Serum alanine aminotransferase, total bilirubin etc., this first analysis information in other than above-mentioned each Diagnostic parameters, further include the liver
The tubercles parameters such as the pernicious probability of liver tubercle, confidence level, diameter, subclass, averag density and the volume of the insured patient of disease, this first point
Analysis information in addition to include hepatopathy parameters, further include the design parameter content of the parameters, such as Serum alanine
Transaminase content rises to 80 μ/L etc..
Specifically, if described detect that the insured patient of hepatopathy when passing through instruction, is based on described by access reimbursement audit
Include: by the first analysis information Step that instruction obtains the insured patient of hepatopathy
Step S11, if detecting, the insured patient of hepatopathy when passing through instruction, is passed through by access reimbursement audit based on described
Instruction obtains the first analysis information of the insured patient of hepatopathy；
If detecting, the insured patient of hepatopathy when passing through instruction, extracts the institute carried by instruction by access reimbursement audit
State the first analysis information of the insured patient of hepatopathy.
Step S12 extracts the non-picture data of the quantizating index in the first analysis information, the data of non-quantized index
And the raw image data of quantizating index；
After information is analyzed in extraction first, the non-image number of the quantizating index in the first analysis information is extracted again respectively
According to, data of non-quantized index and the raw image data of quantizating index, in the present embodiment, the number in the first analysis information
It is carried out according to the data of non-picture data, non-quantized index not in accordance with quantizating index and the raw image data of quantizating index
Classify storage, be that data in the first analysis information constitute is usually chaotic and irregular.
Step S13 establishes the insured archives of the insured patient of the hepatopathy, in the insured archives, described in difference record
The raw image data of the non-picture data of quantizating index, the data of non-quantized index and quantizating index.
After extracting above-mentioned three classes data, for the ease of subsequent management and inquiry, the insured disease of the hepatopathy is also set up
The insured archives of people, it is irregular since the data in the first analysis information constitute usually confusion, thus, in the insured shelves
In case, the raw image data classification of the non-picture data of quantizating index, the data of non-quantized index and quantizating index is deposited
Storage, i.e., in the insured archives, difference records the data and quantization of the non-picture data of the quantizating index, non-quantized index
The raw image data of index.Specifically, specific data name and data type be there are preset association relationship, thus, by
Data name can determine data classification type.Determine which kind of the data are according to the title of each data in the first analysis information
The data of type, for example, if data name is hepatic function test report, it is determined that the data are the data class of non-quantized index
Type.
It is described to distinguish non-picture data, the data of non-quantized index and the original of quantizating index for recording the quantizating index
Beginning IMAGE DATA step includes:
Step S131, difference record the non-picture data of the quantizating index, the data of non-quantized index and quantization and refer to
Target raw image data designs the non-picture data of the quantizating index and corresponding same quantizating index after the completion of record
Raw image data two-way points relationship.
Be that in the present embodiment, quantizating index is all the index with raw image data, in order to avoid there may be
Data fabrication, thus, also obtain the raw image data of quantizating index, design the non-picture data of the quantizating index with it is right
The two-way points relationship for answering the raw image data of same quantizating index carries out subsequent query comparison and goes forward side by side when in order to have a question
Row matching after the completion of record, designs the non-picture data of the quantizating index and corresponding same amount due in the present embodiment
Change the two-way points relationship of the raw image data of index, thus, ratio is specifically submitted an expense account in the processing for improving hepatopathy reimbursement process
Safety in the process.
If described detect that the insured patient of hepatopathy when passing through instruction, passes through instruction based on described by access reimbursement audit
Include: before obtaining the first analysis information Step of the insured patient of the hepatopathy
Step S01 receives the data and amount of the non-quantized index of the insured patient of hepatopathy sent in default association hospital
Change the non-picture data of index；
For determining slow disease is the hepatopathy in the present embodiment, non-quantized index and quantizating index be prestore and
Determining, non-quantized index refers to that picture number is either not present in not quantifiable index in idagnostic logout and treatment record
According to index such as doctor's auscultated results, examining report etc., the corresponding data of non-quantized index are non-quantizating index data, quantization
Index refers to quantifiable indicator namely the index there are raw image data, such as total bilirubin, Lomefloxacin aspartate injection, amount
Changing the corresponding data of index is quantizating index data, for hepatopathy medical treatment all-in-one machine, as long as receiving in default association hospital
The non-quantized achievement data and quantizating index data of the insured patient of the hepatopathy of transmission.
Step S02 extracts the non-quantized index number of the insured patient of the hepatopathy from the data of the non-quantized index
And the type of non-quantized index, the type based on the non-quantized index number and non-quantized index judge the hepatopathy ginseng
Protect whether patient passes through the audit of the first access；
After the non-quantized achievement data and quantizating index data for obtaining the insured patient of hepatopathy, first to the insured patient of hepatopathy
The first audit is carried out, if the audit fails by the insured patient first of hepatopathy, no longer carries out subsequent auditing flow, to save money
Source if the insured audit of patient first of hepatopathy passes through, then carries out subsequent auditing flow, wherein the first audit audit is liver
Whether the data of the insured patient of disease is complete, namely the class of the audit non-quantized index number of the insured patient of hepatopathy and non-quantized index
Whether type meets preset requirement.For example, first determining whether non-quantized index number is greater than preset number, for example, if hepatopathy is cured
Treating all-in-one machine to need non-quantized index number is 5, then when non-quantized index number is greater than 5, that is, it is specific that subsequent judgement can be performed
Non-quantized pointer type the step of whether meeting the requirements, if specific non-quantized pointer type is satisfactory, it is determined that
The insured patient of hepatopathy passes through the first audit.
Step S03, if the insured patient of the hepatopathy is audited by the first access, in the non-picture data of quantizating index
The indication range of each quantizating index is audited, to judge whether the insured patient of the hepatopathy passes through the audit of the second access；
If the insured patient of hepatopathy is by the first audit, to the indication range of each quantizating index in quantizating index data
It is audited, to judge whether the insured patient of the hepatopathy passes through the second audit, wherein for each quantizating index data, liver
All there is default review scope standard in sick medical treatment all-in-one machine, thus, after obtaining quantizating index data, to quantizating index data
In the indication range of each quantizating index audited, judge the index model for quantifying each quantizating index in achievement data
It encloses whether all in default review scope standard, to judge whether the insured patient of the hepatopathy passes through the second audit, if quantization refers to
The indication range of each quantizating index in data is marked in default review scope standard, then determines the insured patient of the hepatopathy
By the second audit, the indication range of any one quantizating index then determines institute not in default review scope standard if it exists
It states the insured patient of hepatopathy and does not pass through the second audit.
Step S04 determines that the insured patient of the hepatopathy passes through if the insured patient of the hepatopathy is audited by the second access
Access reimbursement audit.
If the insured patient of hepatopathy audits by described second, it is determined that the insured patient of hepatopathy is submitted an expense account by access
Audit, if the insured patient of the hepatopathy does not pass through the second audit, the not reimbursement of the insured patient of hepatopathy described in access.In this implementation
In example, it is ensured that corresponding to the insured patient of hepatopathy by instruction is to determine by audit, for effective benefit of the preset hepatopathy expense of raising
It is laid the foundation with rate.
Step S20 obtains the subregion parameters sortnig prestored, extracts the insured disease of the hepatopathy from the first analysis information
The content of parameter of the subregion parameters sortnig of people, in the parameter of the subregion parameters sortnig based on the insured patient of the hepatopathy
Hold the target partition for obtaining the insured patient of hepatopathy；
The parameters that the insured patient first of hepatopathy analyzes in information can characterize the insured patient's coincident with severity degree of condition of hepatopathy,
It there is also having significant impact to the insured patient's coincident with severity degree of condition of hepatopathy is the big parameter of disturbance degree, example in the parameters
Such as；The pernicious probability of hepatopathy tubercle, the averag density etc. of hepatopathy tubercle, in order to carry out the area of severity to the insured patient of hepatopathy
Point, for the big parameter of disturbance degree as subregion parameters sortnig, which can be one in the extraction insured patient of hepatopathy
Either multiple, which prestores, and from different places, the subregion parameters sortnig prestored may be different.
After the subregion parameters sortnig prestored, based on the title of the subregion parameters sortnig, from the first analysis information
The content of parameter of the subregion parameters sortnig of the insured patient of the hepatopathy is obtained, for example, if subregion parameters sortnig is the third ammonia of serum
Sour transaminase then obtains the content of serum alanine aminotransferase according to serum alanine aminotransferase title from the first analysis information
It is content of parameter, since subregion parameters sortnig is serum alanine aminotransferase, thus, which subregion the insured patient of hepatopathy belongs to
It is to be determined according to the content of serum alanine aminotransferase, thus, the subregion based on the insured patient of the hepatopathy, which sorts, joins
Several content of parameter obtains the target partition of the insured patient of the hepatopathy, is the serum according to the insured patient of the hepatopathy
The content of alanine aminotransferase can obtain the target partition of the insured patient of the hepatopathy.
Step S30 obtains the first incidence relation of the subregion prestored and reimbursement ratio, is based on the target partition and institute
The target reimbursement ratio that the first incidence relation obtains the insured patient of the hepatopathy is stated, based on described in target reimbursement ratio access
The reimbursement of the insured patient of hepatopathy.
In the present embodiment, subregion with reimbursement ratio it is corresponding have the first incidence relation, thus, acquisition target partition
Afterwards, can the target partition and first incidence relation obtain the target reimbursement ratio such as mesh of the insured patient of the hepatopathy
Mark reimbursement ratio can be 40%, the reimbursement based on the insured patient of hepatopathy described in target reimbursement ratio access.
If the present invention, which passes through, detects that the insured patient of hepatopathy when passing through instruction, is led to by access reimbursement audit based on described
Cross the first analysis information that instruction obtains the insured patient of hepatopathy；The subregion parameters sortnig prestored is obtained, from described first point
The content of parameter that the subregion parameters sortnig of the insured patient of the hepatopathy is extracted in analysis information, is based on the insured patient of the hepatopathy
The content of parameter of the subregion parameters sortnig obtain the target partition of the insured patient of the hepatopathy；Obtain the subregion and report prestored
First incidence relation of pin ratio obtains the insured patient of hepatopathy based on the target partition and first incidence relation
Target submit an expense account ratio, based on the target reimbursement ratio access described in the insured patient of hepatopathy reimbursement.In this application, if inspection
The insured patient of hepatopathy is measured by reimbursement audit, then acquires the content of parameter of subregion parameters sortnig, it is insured to obtain hepatopathy
The target partition of patient, and the target partition of the insured patient of hepatopathy and reimbursement ratio are associated, thus, it is possible to acquire liver
The reimbursement ratio of the insured patient of disease, i.e., in this application, reimbursement ratio are no longer the modes imposed uniformity without examining individual cases, but with the insured disease of hepatopathy
The affiliated subregion of people is associated, and affiliated subregion is as insured in can be influence hepatopathy with the subregion parameters sortnig of the insured patient of hepatopathy
Patient's severity parameter association, thus, it is possible to improve the effective rate of utilization of preset hepatopathy expense, thus solve existing
The technical issues of hepatopathy reimbursement mode imposed uniformity without examining individual cases in technology causes the effective rate of utilization of preset hepatopathy expense to reduce.
Further, referring to Fig. 2, the present invention provides another embodiment of the processing method of hepatopathy reimbursement process, in the reality
It applies in example, the subregion parameters sortnig prestored includes the pernicious probability of hepatopathy tubercle and the number of hepatopathy tubercle；
The parameter of the subregion parameters sortnig that the insured patient of the hepatopathy is extracted from the first analysis information
The content of parameter of content, the subregion parameters sortnig based on the insured patient of the hepatopathy obtains the mesh of the insured patient of the hepatopathy
Marking partitioning step includes:
Step S21 obtains the first of the pernicious probability of the hepatopathy tubercle in patient's subregion insured hepatopathy prestored
Weight accounting, and obtain the second weight accounting of the number of the hepatopathy tubercle prestored；
In the present embodiment, subregion parameters sortnig include hepatopathy tubercle pernicious probability and number two of hepatopathy tubercle
Tubercle parameter, the disturbance degree or weight accounting of two tubercle parameters are different, the weight accounting of specific two tubercle parameters
It prestores, thus, the first of the pernicious probability of the hepatopathy tubercle in patient's subregion insured hepatopathy prestored can be obtained
Weight accounting, and obtain the second weight accounting of the number of the hepatopathy tubercle prestored.
Step S22 extracts the target of the hepatopathy tubercle of the insured patient of the hepatopathy from the first analysis information
The target number of pernicious probability and the hepatopathy tubercle；
After obtaining the first weight accounting and the second weight accounting, the hepatopathy ginseng is extracted from the first analysis information
The target malignant probability of the hepatopathy tubercle of patient and the target number of the hepatopathy tubercle are protected, is that acquisition is above-mentioned two
The particular content of tubercle parameter.The target malignant probability can be 80%, which can be 5, wherein more existing
When a tubercle, it is to deposit that target malignant probability, which refers to the probability for the tubercle that most serious is either most pernicious in each tubercle,
In multiple tubercles, target malignant probability refers to that pernicious probability is highest.
Step S23, based on the first weight accounting and the target malignant probability, the second weight accounting and
The target number, the hepatopathy tubercle prestored pernicious probability the first total score and the hepatopathy tubercle that prestores
First computation rule of the pernicious probability of the second total score of number and the hepatopathy tubercle prestored and the hepatopathy tubercle that prestores
Second computation rule of number, calculates the target score of the insured patient of the hepatopathy；
Based on the first weight accounting and the target malignant probability, the second weight accounting and the target
Number, the hepatopathy tubercle prestored pernicious probability the first total score and the hepatopathy tubercle prestored number
The of first computation rule of the pernicious probability of two total scores and the hepatopathy tubercle prestored and the number of hepatopathy tubercle that prestores
Two computation rules calculate the target score of the insured patient of the hepatopathy；For example, if the first weight accounting and the second weight accounting
Respectively 70%, 30%, and pernicious probability and the first total score of number and the second total score are 10 points, the first score value is
Target malignant probability is obtained multiplied by the first total score, if the target number of the insured patient of hepatopathy is if it is greater than or equal to 10, second is counted
Calculate rule are as follows: if the target number of the insured patient of hepatopathy if it is greater than or equal to 10, score value 10, if less than 10, by mesh
Mark number is divided by with 10, obtains the second score value of the insured patient of hepatopathy, and specifically, target malignant probability is 80%, target number
It is 4, then target score is 80%*10*70%+4/10*30%=6.8.
Step S24 obtains the second incidence relation of the score value and subregion that prestore, is based on second incidence relation and institute
Target score is stated, the target partition of the insured patient of the hepatopathy is obtained.
After obtaining target score, the second incidence relation of the score value and subregion that prestore is obtained, based on second association
Relationship and the target score, obtain the target partition of the insured patient of the hepatopathy.In the present embodiment, due to accurately obtaining
Target partition, thus lay the foundation for the accurate reimbursement for carrying out target reimbursement ratio.
In the present embodiment, by obtain prestore in patient's subregion insured hepatopathy the hepatopathy tubercle it is pernicious general
First weight accounting of rate, and obtain the second weight accounting of the number of the hepatopathy tubercle prestored；From first analysis
The target malignant probability of the hepatopathy tubercle of the insured patient of the hepatopathy and the target of the hepatopathy tubercle are extracted in information
Number；Based on the first weight accounting and the target malignant probability, the second weight accounting and the target
The second of the number of the first total score and hepatopathy tubercle prestored of the pernicious probability of the hepatopathy tubercle count, prestored
First computation rule of the pernicious probability of total score and the hepatopathy tubercle prestored and the second of the number of the hepatopathy tubercle prestored
Computation rule calculates the target score of the insured patient of the hepatopathy；Obtain the second incidence relation of the score value and subregion that prestore, base
In second incidence relation and the target score, the target partition of the insured patient of the hepatopathy is obtained.Thus, it is accurate
The reimbursement for carrying out target reimbursement ratio lays the foundation.
Further, the present invention provides another embodiment of the processing method of hepatopathy reimbursement process, in this embodiment, institute
It states and judges that first facility information step whether consistent with second facility information includes: later
The target report that the insured patient of the hepatopathy is obtained based on the target partition and first incidence relation
Include: after pin ratio step
Step S40 judges whether take in the more new command if receiving the more new command of the first analysis information
The first more new information with the target malignant probability, or carry the second more new information of the target number；
In the present embodiment, if receiving the more new command of the first analysis information, judge in the more new command
The first more new information of the target malignant probability whether is carried, or carries the second of the target number and updates letter
Breath is the update for determining whether the parameter for influencing the insured patient goal's subregion variation of hepatopathy.
Step S50 if carrying the first more new information of the target malignant probability in the more new command, or is carried
There is the second more new information of the target number, then updates letter and/or the second update information update based on described first
The target of the insured patient of hepatopathy submits an expense account ratio, to obtain updating reimbursement ratio.
If carrying the first more new information of the target malignant probability in the more new command, or carry the mesh
The second more new information of number is marked, then updates hepatopathy described in letter and/or the second update information update based on described first
The target of insured patient submits an expense account ratio, to obtain updating reimbursement ratio.
If carrying the first more new information of the target malignant probability in the more new command, or carry the mesh
Mark the second more new information of number, then it will be apparent that the update of the parameter in the presence of the hepatopathy that has an impact insured patient goal's subregion variation,
The target for then updating the insured patient of hepatopathy described in letter and/or the second update information update based on described first submits an expense account ratio
Example to obtain updating reimbursement ratio, rather than is submitted an expense account based on original target reimbursement ratio, for example, pushing away with the time
Into the aggravation of the insured patient of hepatopathy, it is obvious that reimbursement ratio can be added, so that the insured patient of hepatopathy after aggravating obtains
To the reimbursement of more expenses, to promote the utilization rate of expense.
In the present embodiment, if by receiving the described first more new command for analyzing information, judge that the update refers to
The first more new information of the target malignant probability whether is carried in order, or is carried the second of the target number and updated
Information；If carrying the first more new information of the target malignant probability in the more new command, or carry the target
The more new information of the second of number then updates hepatopathy ginseng described in letter and/or the second update information update based on described first
The target for protecting patient submits an expense account ratio, to obtain updating reimbursement ratio, to promote the effective rate of utilization of expense.
Referring to Fig. 3, Fig. 3 is the device structure schematic diagram for the hardware running environment that the embodiment of the present invention is related to.
Hepatopathy of the embodiment of the present invention reimbursement process processing equipment can be PC, be also possible to smart phone, tablet computer,
E-book reader, MP3 (Moving Picture Experts Group Audio Layer III, dynamic image expert pressure
Contracting standard audio level 3) player, MP4 (Moving Picture Experts Group Audio Layer IV, dynamic shadow
As expert's compression standard audio level 3) terminal devices such as player, portable computer.
As shown in figure 3, the processing equipment of hepatopathy reimbursement process may include: processor 1001, such as CPU, memory
1005, communication bus 1002.Wherein, communication bus 1002 is logical for realizing the connection between processor 1001 and memory 1005
Letter.Memory 1005 can be high speed RAM memory, be also possible to stable memory (non-volatile memory), example
Such as magnetic disk storage.Memory 1005 optionally can also be the storage equipment independently of aforementioned processor 1001.
Optionally, the processing equipment of hepatopathy reimbursement process can also include target user interface, network interface, camera shooting
Head, RF (Radio Frequency, radio frequency) circuit, sensor, voicefrequency circuit, WiFi module etc..Target user interface can be with
Including display screen (Display), input unit such as keyboard (Keyboard), optional target user interface can also include standard
Wireline interface, wireless interface.Network interface optionally may include that (such as WI-FI connects standard wireline interface and wireless interface
Mouthful).
It will be understood by those skilled in the art that the processing equipment structure of the reimbursement process of hepatopathy shown in Fig. 3 is not constituted
Restriction to the processing equipment of hepatopathy reimbursement process may include than illustrating more or fewer components, or the certain portions of combination
Part or different component layouts.
As shown in figure 3, as may include that operating system, network are logical in a kind of memory 1005 of computer storage medium
Believe the processing routine of module and hepatopathy reimbursement process.Operating system be manage and control hepatopathy reimbursement process processing equipment it is hard
The program of part and software resource supports the processing routine of hepatopathy reimbursement process and the operation of other softwares and/or program.Network
Communication module for realizing the communication between each component in the inside of memory 1005, and in the processing equipment of hepatopathy reimbursement process
It is communicated between other hardware and softwares.
In the processing equipment of hepatopathy reimbursement process shown in Fig. 3, processor 1001 is deposited in memory 1005 for executing
The processing routine of the hepatopathy reimbursement process of storage, realizes the step of hepatopathy described in any of the above embodiments submits an expense account the processing method of process.
The processing equipment specific embodiment of hepatopathy reimbursement process of the present invention and the processing method of above-mentioned hepatopathy reimbursement process
Each embodiment is essentially identical, and details are not described herein.
The present invention also provides a kind of processing unit of hepatopathy reimbursement process, the processing unit packet of the hepatopathy reimbursement process
It includes:
Receiving module, for receiving the loan based on the receiving port prestored in the loan requests for detecting user terminal
Money requests corresponding solicited message, wherein the solicited message includes system sub-information and network sub-information；
First obtains module, for parsing the system sub-information, to obtain the first facility information of the user terminal, and solution
The network sub-information is analysed, to obtain the second facility information of the user terminal；
Comparison module judges first equipment for comparing first facility information and second facility information
Whether information and second facility information are consistent；
First determining module, if consistent with second facility information for first facility information, it is determined that described
User terminal passes through the audit of equipment dimension.
The processing unit specific embodiment of hepatopathy reimbursement process of the present invention and the processing method of above-mentioned hepatopathy reimbursement process
Each embodiment is essentially identical, and details are not described herein.
The present invention provides a kind of readable storage medium storing program for executing, the readable storage medium storing program for executing is stored with one or more than one journey
Sequence, the one or more programs can also be executed by one or more than one processor for realizing above-mentioned
Hepatopathy described in one submits an expense account the step of processing method of process.
Each embodiment base of processing method of readable storage medium storing program for executing specific embodiment of the present invention and above-mentioned hepatopathy reimbursement process
This is identical, and details are not described herein.
The above is only a preferred embodiment of the present invention, is not intended to limit the scope of the invention, all to utilize this hair
Equivalent structure or equivalent flow shift made by bright specification and accompanying drawing content is applied directly or indirectly in other relevant skills
Art field similarly includes in patent process range of the invention.
Claims (10)
1. a kind of processing method of hepatopathy reimbursement process, which is characterized in that the processing method of the hepatopathy reimbursement process includes:
If detect the insured patient of hepatopathy by access reimbursement audit when passing through instruction, based on it is described obtained by instruction described in
The first analysis information of the insured patient of hepatopathy；
The subregion parameters sortnig prestored is obtained, the subregion of the insured patient of the hepatopathy is extracted from the first analysis information
The content of parameter of the content of parameter of parameters sortnig, the subregion parameters sortnig based on the insured patient of the hepatopathy obtains the liver
The target partition of the insured patient of disease；
The first incidence relation for obtaining the subregion prestored and reimbursement ratio is closed based on the target partition and first association
The target that system obtains the insured patient of hepatopathy submits an expense account ratio, based on the insured patient of hepatopathy described in target reimbursement ratio access
Reimbursement.
2. the processing method of hepatopathy reimbursement process as described in claim 1, which is characterized in that the subregion sequence ginseng prestored
Number includes the pernicious probability of hepatopathy tubercle and the number of hepatopathy tubercle；
The content of parameter of the subregion parameters sortnig that the insured patient of the hepatopathy is extracted from the first analysis information,
The content of parameter of the subregion parameters sortnig based on the insured patient of the hepatopathy obtains the target point of the insured patient of the hepatopathy
Area's step includes:
The the first weight accounting of the pernicious probability of the hepatopathy tubercle in patient's subregion insured hepatopathy prestored is obtained, and is obtained
Take the second weight accounting of the number of the hepatopathy tubercle prestored；
From it is described first analysis information in extract the insured patient of the hepatopathy the hepatopathy tubercle target malignant probability and
The target number of the hepatopathy tubercle；
Based on the first weight accounting and the target malignant probability, the second weight accounting and the target
The second of the number of the first total score and hepatopathy tubercle prestored of the pernicious probability of the hepatopathy tubercle count, prestored
First computation rule of the pernicious probability of total score and the hepatopathy tubercle prestored and the second of the number of the hepatopathy tubercle prestored
Computation rule calculates the target score of the insured patient of the hepatopathy；
The second incidence relation of the score value and subregion that prestore is obtained, second incidence relation and the target score are based on,
Obtain the target partition of the insured patient of the hepatopathy.
3. the processing method of hepatopathy reimbursement process as claimed in claim 2, which is characterized in that described to be based on the target partition
And first incidence relation obtain the insured patient of the hepatopathy target reimbursement ratio step after include:
If receiving the more new command of the first analysis information, judge whether carry the target in the more new command
The more new information of the first of pernicious probability, or carry the second more new information of the target number；
If carrying the first more new information of the target malignant probability in the more new command, or carry the target
It is insured then to update hepatopathy described in letter and/or the second update information update based on described first for the more new information of several second
The target of patient submits an expense account ratio, to obtain updating reimbursement ratio.
4. the processing method of hepatopathy reimbursement process as described in claim 1, which is characterized in that if described detect that hepatopathy is insured
Patient submits an expense account when passing through instruction of audit by access, based on first point by the instruction acquisition insured patient of hepatopathy
Analysing information Step includes:
If detect the insured patient of hepatopathy by access reimbursement audit when passing through instruction, based on it is described obtained by instruction described in
The first analysis information of the insured patient of hepatopathy；
Extract the non-picture data of the quantizating index in the first analysis information, the data and quantizating index of non-quantized index
Raw image data；
The insured archives for establishing the insured patient of the hepatopathy, in the insured archives, difference records the non-of the quantizating index
The raw image data of image data, the data of non-quantized index and quantizating index.
5. the processing method of hepatopathy reimbursement process as claimed in claim 4, which is characterized in that the difference records the quantization
The raw image data step of the non-picture data of index, the data of non-quantized index and quantizating index includes:
Difference records the original image number of the non-picture data of the quantizating index, the data of non-quantized index and quantizating index
According to designing the non-picture data of the quantizating index and the raw image data of corresponding same quantizating index after the completion of record
Two-way points relationship.
6. the processing method of hepatopathy reimbursement process as described in claim 1, which is characterized in that if described detect that hepatopathy is insured
Patient submits an expense account when passing through instruction of audit by access, based on first point by the instruction acquisition insured patient of hepatopathy
Include: before analysis information Step
Receive the data of the non-quantized index of the insured patient of hepatopathy sent in default association hospital and the non-figure of quantizating index
As data；
Extracted from the data of the non-quantized index the insured patient of the hepatopathy non-quantized index number and non-quantized finger
Target type, the type based on the non-quantized index number and non-quantized index judge whether the insured patient of the hepatopathy leads to
Cross the audit of the first access；
If the insured patient of hepatopathy is audited by the first access, to each quantizating index in the non-picture data of quantizating index
Indication range is audited, to judge whether the insured patient of the hepatopathy passes through the audit of the second access；
If the insured patient of hepatopathy is audited by the second access, determines that the insured patient of the hepatopathy is submitted an expense account by access and examine
Core.
7. a kind of processing unit of hepatopathy reimbursement process, which is characterized in that the processing unit of the hepatopathy reimbursement process includes:
First obtains module, if for detecting that the insured patient of hepatopathy when passing through instruction, is based on institute by access reimbursement audit
State the first analysis information that the insured patient of hepatopathy is obtained by instruction；
Second obtains module, for obtaining the subregion parameters sortnig prestored, extracts the hepatopathy from the first analysis information
The content of parameter of the subregion parameters sortnig of insured patient, the subregion parameters sortnig based on the insured patient of the hepatopathy
Content of parameter obtains the target partition of the insured patient of the hepatopathy；
Third obtains module, for obtaining the subregion prestored and submitting an expense account the first incidence relation of ratio, is based on the target partition
And first incidence relation obtains the target reimbursement ratio of the insured patient of the hepatopathy, it is quasi- based on target reimbursement ratio
Enter the reimbursement of the insured patient of the hepatopathy.
8. the processing unit of hepatopathy reimbursement process as claimed in claim 7, which is characterized in that the subregion sequence ginseng prestored
Number includes the pernicious probability of hepatopathy tubercle and the number of hepatopathy tubercle；
Described second, which obtains module, includes:
First acquisition unit, for obtaining the pernicious probability of the hepatopathy tubercle in patient's subregion insured hepatopathy prestored
First weight accounting, and obtain the second weight accounting of the number of the hepatopathy tubercle prestored；
Extraction unit, the target of the hepatopathy tubercle for extracting the insured patient of the hepatopathy from the first analysis information
The target number of pernicious probability and the hepatopathy tubercle；
Computing unit, for based on the first weight accounting and the target malignant probability, the second weight accounting with
And the pernicious probability of the target number, the hepatopathy tubercle prestored the first total score and the hepatopathy tubercle that prestores
Number the second total score and the hepatopathy tubercle prestored pernicious probability the first computation rule and the hepatopathy tubercle that prestores
Number the second computation rule, calculate the target score of the insured patient of the hepatopathy；
Second acquisition unit is based on second incidence relation for obtaining the second incidence relation of the score value and subregion that prestore
And the target score, obtain the target partition of the insured patient of the hepatopathy.
9. a kind of processing equipment of hepatopathy reimbursement process, which is characterized in that the processing equipment of the hepatopathy reimbursement process includes: to deposit
Reservoir, processor, the processing routine of communication bus and the hepatopathy being stored on memory reimbursement process,
The communication bus is for realizing the communication connection between processor and memory；
The processor is used to execute the processing routine of the hepatopathy reimbursement process, to realize such as any one of claims 1 to 6
The step of processing method of the hepatopathy reimbursement process.
10. a kind of readable storage medium storing program for executing, which is characterized in that be stored with the processing of hepatopathy reimbursement process on the readable storage medium storing program for executing
The processing routine of program, the hepatopathy reimbursement process is realized when being executed by processor as of any of claims 1-6
Hepatopathy submits an expense account the step of processing method of process.
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