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相关概念视频

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

925
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
925
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

861
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
861
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

597
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
597
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Classification of Illness01:17

Classification of Illness

7.6K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.6K

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相关实验视频

Updated: Jul 16, 2025

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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用于自动编码的对比诊断嵌入 (CDE) 模型 - 使用急诊室遭遇的案例研究.

Amara Tariq1, Kris Goddard1, Praneetha Elugunti1

  • 1Department of Administration, Mayo Clinic, AZ, USA.

International journal of medical informatics
|September 20, 2023
PubMed
概括

本研究介绍了一种弱监督的对比学习方法,用于自动化医疗计费代码. 对比诊断嵌入 (CDE) 模型准确预测诊断代码,包括罕见的,提高医疗保健的效率和稳定性.

关键词:
账单计费 账单计费 账单计费 账单计费相反的学习学习.在ICD的基础上,ICD是ICD.收入循环自动化 收入循环自动化

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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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相关实验视频

Last Updated: Jul 16, 2025

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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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科学领域:

  • 医疗信息学 医疗信息学
  • 计算语言学 计算语言学
  • 机器学习 机器学习

背景情况:

  • 手动医疗计费代码的分配是昂贵的,耗时的,容易出现错误.
  • 现有的自动化计费代码策略与大型,动态的ICD等级结构作斗争.
  • 需要针对医疗计费和临床数据分析提供强大且可通用的自动化解决方案.

研究的目的:

  • 为准确的自动化医疗计费代码分配开发一个弱监督的对比学习策略.
  • 为了捕捉诊断代码之间的细微语义变化,包括罕见和新代码.
  • 提高自动化计费系统的通用性和稳定性.

主要方法:

  • 拟议的对比诊断嵌入 (CDE) 使用两相对比训练方法.
  • 利用对比学习创建一个包含ICD-10等级的语义嵌入空间.
  • 采用一种弱监督的检索方案,能够处理整个70K ICD-10代码集.

主要成果:

  • 在多个测试数据集上,CDE模型的性能优于现有的方法 (字符串匹配,ClinicalBERT,CAML,PLM-ICD).
  • 证明了罕见和新引入的诊断代码的准确预测.
  • 废弃性研究证实了每个训练阶段在提高表现方面的有效性.

结论:

  • 弱监督的对比学习 (CDE) 克服了基于规则和监督模型在概括和稳定性方面的局限性.
  • 拟议的模型允许灵活而准确的自动化计费代码分配.
  • 通过改善实践融合,提高基于价值的护理环境的效率.