Regional DRG grouping simulation method

• Main Authors: QIN JIWU, ZHU WEI, CHEN QIAN, CHENG LAN, ZHANG YOUSHU
• Format: Patent
• Language: Chinese; English
• Published: 10.12.2021
• Subjects: CALCULATING; COMPUTER SYSTEMS BASED ON SPECIFIC COMPUTATIONAL MODELS; COMPUTING; COUNTING; ELECTRIC DIGITAL DATA PROCESSING; HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATIONTECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING ORPROCESSING OF MEDICAL OR HEALTHCARE DATA; INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTEDFOR SPECIFIC APPLICATION FIELDS; PHYSICS

The invention provides a regional DRG grouping simulation method. The method comprises the following steps of S1, inputting a medical insurance settlement list data set D1 with a DRG grouping result; S2, performing data cleaning on the medical insurance settlement list data set D1 to obtain a data set D2; S3, traversing each piece of data in the data set D2, performing ICD coding standardization mapping, and outputting a data set D3; S4, simulating a region grouping device; and S5, simulating a DRG grouping process. 本发明提出了一种地区DRG分组模拟方法，包括：步骤S1，输入带有DRG分组结果的医保结算清单数据集D1；步骤S2，对所述医保结算清单数据集D1进行数据清洗，得到数据集D2；步骤S3，遍历所述数据集D2中的每一条数据，进行ICD编码标准化映射，输出数据集D3；步骤S4，模拟地区分组器；步骤S5，模拟DRG入组流程。