Dataset Overview
DIP Point Value Libraryis provided byChangsha Langhui Information Technology Co., Ltd.Based on the National Health Insurance Agency. DIP 2.0 Technical Instructions• Compile complete DIP group code, disease score, settlement point value and entry condition data, cover the main diagnostic + major operation grouping logic and complications/mergers breakdown rules, providing accurate data support for the medical insurance DIP payment forecast, hospital patient cost accounting and unit performance management.
| Dataset Name | DIP Point Value Library |
| Data Status | Coming Soon |
| Technical specifications | DIP 2.0 Technical Regulation (NSS) |
| Group Logic | Major Diagnostic (ICD-10)+ Main Operations (ICD-9-CM-3) Group, with breakdown of complications/combinations |
| Core Dimensions | DIP grouping code, disease name, fractional value, settlement point value, entry conditions, signs of complications |
| Coverage | DIP subgroups for all pathological diseases, including medicine, surgery, gynaecology, paediatrics, tumours, covering surgical/operational/intra-medical treatments |
| Source Data | National Health Insurance Agency technical guidelines, local health insurance authorities public information data on DIP settlement |
| Data Type | Structured JSON + CSV Export + API Access |
| Apply scene | DIP payment forecast, pathological cost accounting, section performance management, Medical Insurance Fund actuarial |
Core Field Preview
The data set is organized according to DIP Technical Norms, covering three main modules of cluster code, fraction measurement, and settlement rules.
| Field Category | Field Count | Typical Fields |
|---|---|---|
| Group Encoding | 4 | DIP cluster code, pathological name, diagnostic code range (ICD-10), operation code range (ICD-9-CM-3) |
| List conditions | 5 | Main diagnostic conditions, main operating conditions, rules for the breakdown of complications, age limits, range of days spent in hospital |
| Score measurement | 6 | Rates of disease, standard score, ASD (age/complication/relocation), historical average cost, CV value |
| Settlement rules | 5 | Settlement point value, budget point value, monthly settlement rate, year-end liquidation rules, high and low multiplier threshold |
| Statistics | 5 | Number of historical cases, average hospital days, average total cost, cost composition (percentage of drugs/testing/treatment/scrutinization), variable factor |
Common problems
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