This application claims the priority benefit of TAIWAN Application serial no. 110141034, filed Nov. 3, 2021, the full disclosure of which is incorporated herein by reference.
The invention relates to a disability level automatic judgment device and a disability level automatic judgment method. More particularly, the invention relates to a disability level automatic judgment device and a disability level automatic judgment method for performing a disability level determination by creating the knowledge graph.
The disability determination of general medical insurance claims involves complicated medical knowledge and the inconsistency of diagnostic certificates issued by medical institutions. Therefore, it must rely on the judgment of professionals before entering the insurance claims system, which requires a lot of manpower and the processing speed is slow. It will increase the labor cost of insurance companies and slow down the speed of claims settlement.
The existing claims system has proposed automatic judgment of the degree of human injury or disability. It creates specific models and uses big data for training to generate classification and corresponding results, or keywords and preset claims rules are used for determination. However, the disadvantage is that the accuracy is not high and it is difficult to replace the professionals.
An aspect of this disclosure is to provide a disability level automatic judgment device. The disability level automatic judgment device includes a processor and a memory. The processor is configured to create a diagnosis information graph according to a diagnosis content, to compare the diagnosis information graph and a standard disability graph, so as to determine a first disability level, and to generate a judgment result according to the first disability level. The memory is coupled to the processor, and the memory is configured to store the standard disability graph.
Another aspect of this disclosure is to provide a disability level automatic judgment method. The disability level automatic judgment method includes the following operations: storing a standard disability graph by a memory; creating a diagnosis information graph according to a diagnosis content by a processor; comparing the diagnosis information graph and the standard disability graph, so as to determine a first disability level by the processor; and generating a judgment result according to the first disability level by the processor.
Aspects of the present disclosure are best understood from the following detailed description when read with the accompanying figures. It is noted that, according to the standard practice in the industry, various features are not drawn to scale. In fact, the dimensions of the various features may be arbitrarily increased or reduced for clarity of discussion.
The following disclosure provides many different embodiments, or examples, for implementing different features of the invention. Specific examples of components and arrangements are described below to simplify the present disclosure. These are, of course, merely examples and are not intended to be limiting. In addition, the present disclosure may repeat reference numerals and/or letters in the various examples. This repetition is for the purpose of simplicity and clarity and does not in itself dictate a relationship between the various embodiments and/or configurations discussed.
The terms used in this specification generally have their ordinary meanings in the art, within the context of the invention, and in the specific context where each term is used. Certain terms that are used to describe the invention are discussed below, or elsewhere in the specification, to provide additional guidance to the practitioner regarding the description of the invention.
Reference is made to
The disability level automatic judgment device 100 shown in
Reference is made to
It should be noted that, this disability level automatic judgment method 200 can be applied to systems with the same or similar structures as the disability level automatic judgment device 100 in
It should be noted that, in some embodiments, The disability level automatic judgment method 200 can also be implemented as a computer program and stored in a non-transitory computer readable medium, so that the computer, the electronic device, or the aforementioned processor 130 of the disability level automatic judgment device 100 as shown in
In addition, it should be understood that the operations of the disability level automatic judgment method 200 mentioned in this embodiment can be adjusted according to actual needs, or even simultaneously or at the same time, unless the order is specifically stated. Partially executed simultaneously.
Furthermore, in different embodiments, these operations may also be adaptively added, replaced, and/or omitted.
Reference is made to
In operation S210, the standard disability graph is stored. Reference is made to
In some embodiments, the standard disability graph is created according to text information by the processor as illustrated in
Reference is made to at the same time
As illustrated in
Reference is made to again
Reference is made to at the same time
Reference is made to
In operation S232, several keywords included in the diagnosis content are obtained. In some embodiments, the operation S232 can be executed by the processor 130 as shown in
In some embodiments, the keywords include the keyword of human body parts and the keyword of diagnostic results. For example, in the content of the diagnosis 400 in
In some other embodiments, the keywords can also include the position of the body (such as left right), the position of the body part (such as upper limb), the degree of damage or activity, the disability level, the impairment type, the benefit ratio, etc. The embodiments of the present disclosure are not limited to the keywords mentioned above.
In operation S234, the keyword of human body parts is normalized to generate a normalized keyword of human body parts. In some embodiments, the operation S234 can be executed by processor 130 as shown in
In operation S236, according to the relative distance between the keyword of human body parts and the keyword of diagnostic result, the related information is generated. In some embodiments, the operation S236 can be executed by processor 130 as shown in
For example, in the content of diagnosis 400 in
In operation S238, the triples are created according to the keywords and the related information in between, and the created diagnosis information graph is created according to the several triples created. In some embodiments, the operation S238 can be executed by the processor 130 as shown in
It should be noted that, the content of the diagnosis 400 in
Reference is made to
In some embodiments, the processor 130 in
In some embodiments, the keywords include the keyword of human body parts and the keyword of diagnostic result. The processor 130 further normalizes the keyword of human body parts to generate a normalized keyword of human body parts. In some embodiments, the processor 130 generates the at least one normalized keyword of human body parts according to a synonym comparison table of body positions and a graph of human body parts.
Reference is made to
Reference is made to at the same time
Reference is made to
Reference is made to
In the column of the disability project, the keywords and the triples thereof obtained from the content of diagnosis 400 in
In the disability level and the judgement basis, the determined disability level, the comparison similarity and other information are displayed.
In the disability body distribution diagram, the impairment body location and its corresponding impairment type determined by the content of diagnosis 400 in
In some embodiments, when both of the first disability level and the second disability level are determined for the same limb part, the judgment result is generated by the processor 130 according to the disability level of the first disability level and the second disability level in
In some embodiments, the processor 130 can be a server or other devices. In some embodiments, the processor 130 can be a server, a circuit, a central processing unit (CPU), a microprocessor (MCU), or other devices with the functions of storage, calculation, data reading, receiving signals or messages, and sending signals or messages.
In some embodiments, the memory 110 may be a device with functions of data storage or a device with similar functions. In some embodiments, the input/output circuit 170 may be a component with functions of signal output and signal input or similar functions.
According to the embodiment of the present disclosure, it is understood that the embodiment of the present disclosure is to provide a disability level automatic judgment device and a disability level automatic judgment method, according to diagnosis information the disability status and quickly can be analyzed and the most severe disability level judgment of each limb are provided. By using keyword normalization, the positions of the affected parts listed in the diagnosis are integrated, the repeated judgments of the same affected parts are avoided, and the accuracy of body part judgments is improved. Furthermore, according to the directional entity distance between keyword, the relational technology is created, the entity related information required for complete disability level judgment is obtained, which greatly improves the accuracy of diagnosis disability level judgment. Moreover, through the establishment of the graph, a quick correlation path comparison to find out the disability level that meets the requirements is performed, and the most severe disability level judgment result for each limb is provided. If several matching disability levels are found, the disability level with the most severe disability degree is used as the judgment result. In the presentation of the determination result, the disability part is directly presented in a graphic format, providing personnel to quickly confirm the result, and there is no need to look for disability determination related information in the diagnosis text one by one, and the correctness can be effectively verified.
In this document, the term “coupled” may also be termed as “electrically coupled”, and the term “connected” may be termed as “electrically connected”. “Coupled” and “connected” may also be used to indicate that two or more elements cooperate or interact with each other. It will be understood that, although the terms “first,” “second,” etc., may be used herein to describe various elements, these elements should not be limited by these terms. These terms are used to distinguish one element from another. For example, a first element could be termed a second element, and, similarly, a second element could be termed a first element, without departing from the scope of the embodiments. As used herein, the term “and/or” includes any and all combinations of one or more of the associated listed items.
In addition, the above illustrations include sequential demonstration operations, but the operations need not be performed in the order shown. The execution of the operations in a different order is within the scope of this disclosure. In the spirit and scope of the embodiments of the present disclosure, the operations may be increased, substituted, changed and/or omitted as the case may be.
The foregoing outlines features of several embodiments so that those skilled in the art may better understand the aspects of the present disclosure. Those skilled in the art should appreciate that they may readily use the present disclosure as a basis for designing or modifying other processes and structures for carrying out the same purposes and/or achieving the same advantages of the embodiments introduced herein. Those skilled in the art should also realize that such equivalent constructions do not depart from the spirit and scope of the present disclosure, and that they may make various changes, substitutions, and alterations herein without departing from the spirit and scope of the present disclosure.
Number | Date | Country | Kind |
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110141034 | Nov 2021 | TW | national |