Yisheng Intelligence Launches Smart Form Solution to Streamline Clinical Data Reporting

Recently, Beijing Yisheng Intelligence Co., Ltd. (hereinafter referred to as “Yisheng Intelligence”), a medical AI innovator specializing in intelligent medical records, launched its Intelligent Form Solution. This solution pioneers an intelligent, one-stop approach to the generation and entry of clinical data for healthcare institutions. Featuring highlights such as dual-brain coding intelligence guidance, automatic mapping of dual codes from a single entry to generate multiple forms, and template-free customization without development needs, it redefines the development direction of the intelligent medical records industry.

Medical records are a collection of clinical data and serve as the sole comprehensive documentation of hospital clinical diagnosis, treatment processes, and healthcare resource utilization. They have become the foundational infrastructure for national health insurance payment reforms based on DRG/DIP and for refined hospital management. However, in the face of the growing importance of clinical data applications, hospitals continue to face two major challenges that have not been effectively addressed:

1. Challenges in Coding Quality. It is well known that coding quality directly affects DRG/DIP grouping and category assignment, thereby determining hospitals’ medical insurance reimbursement revenue. Currently, hospitals in China generally face issues such as clinicians lacking coding mindset, and insufficient numbers and experience among coders. Coders often have not received systematic training and are unfamiliar with coding rules or ICD diagnostic guidelines; in some primary-care hospitals, there are even no dedicated coders at all. This poses significant risks and challenges to the quality of hospital coding.

Second, challenges in data entry efficiency. Both clinicians and medical coders or quality control personnel face issues of understaffing and heavy workloads. They must navigate various data reporting scenarios and formats—such as those for health insurance payments, performance evaluations, the front page of inpatient medical records, the settlement list for healthcare security funds, and single-disease quality control data reporting. While these systems are interrelated, they also differ significantly; some allow for data sharing yet still require redundant entry, while others necessitate separate submissions without any data reuse. This imposes a significant burden on healthcare workers and presents substantial challenges in data management.

Yisheng Intelligence remains committed to addressing the actual needs of the healthcare industry, dedicating itself to leveraging innovative technologies to resolve pain points and challenges in the field of medical quality. Building on its scientific research collaboration with Beijing Anzhen Hospital, Capital Medical University, Yisheng Intelligence has pioneered the launch of the Dual-Brain Thinking Coding Intelligent Guidance System within the industry, which has become a vital component of its smart form solutions.

Yisheng Intelligent Coding Guidance System: By providing clinicians with intelligent, step-by-step guidance for code assignment right from the outset of medical record documentation, it plays a crucial role in DRG/DIP grouping, health insurance reimbursement, and performance evaluation.

First, the Yisheng Clinical Coding Intelligent Guidance System, developed through joint research by Yisheng Intelligence and Beijing Anzhen Hospital of Capital Medical University, closely aligns with the practical needs and usage habits of clinicians. The system employs a hybrid intelligent model that integrates clinical medicine and disease classification knowledge, enabling clinicians to rapidly and accurately identify the codes corresponding to diagnoses and clarify the rationale for selecting principal diagnoses under the step-by-step guidance of an intelligent system equipped with dual “clinical” and “coding” reasoning capabilities. This significantly improves coding accuracy on medical record front sheets and enhances the efficiency of medical documentation.

Second, the Yisheng Intelligent Clinical Coding Guidance System shifts coding tasks upstream, establishing high-quality medical record data from the source. Yisheng Intelligence is committed to helping healthcare institutions build high-quality clinical foundational data. High-quality coding is a critical component of high-quality medical record data and is central to accurate settlement under the DRG/DIP payment systems. By addressing issues such as under-coding, over-coding, and nonspecific "umbrella" diagnoses at the source, and integrating with the Yisheng Intelligent Medical Record Quality Control System, it enables comprehensive end-to-end quality control—ensuring clinicians "document accurately," coders "code correctly," finance departments "calculate costs precisely," and IT systems "transmit data completely." This safeguards the authenticity and accuracy of medical record data and health insurance settlements.

Yisheng Intelligence’s smart form solution, in addition to providing intelligent coding guidance, offers a highly intelligent data entry system. On one hand, a single entry by physicians can automatically map codes such as the ICD Clinical Modification and ICD Insurance Version, while simultaneously generating data formats required for various scenarios, including the medical record front sheet and health insurance settlement lists. On the other hand, physicians can freely customize various data forms and medical record templates without any code development. This not only significantly reduces repetitive tasks but also provides substantial convenience for clinical diagnosis, treatment, and medical record documentation, thereby achieving a truly intelligent medical record writing and management system.

Yisheng Intelligence’s smart form solution will play a significant role in multiple scenarios of clinical diagnosis, treatment, and management within healthcare institutions:

First, in the context of DRG/DIP settlement under medical insurance, ensure coding accuracy at the source. This solution employs a dual-brain intelligent model that integrates clinical medicine and disease taxonomy to guarantee the authenticity and accuracy of coding, thereby ensuring accurate DRG/DIP grouping and enabling healthcare institutions to achieve precise medical insurance settlement revenues under the DRG/DIP payment system.

Second, in the daily workflow of clinicians, it provides highly intelligent assistance for medical record documentation. This solution not only effectively enhances clinicians’ coding proficiency and the quality of coded medical records but also significantly reduces repetitive tasks. Furthermore, it offers advanced intelligent support features for medical record writing and management, such as automatic form generation and customizable templates.

Third, in the scenarios of hospital clinical data reporting and quality management, shifting coding quality control to the earliest stage and integrating it with Yisheng Intelligent’s Smart Medical Record Solution enables end-to-end coverage of the entire lifecycle of clinical data generation, quality control, and reporting. This achieves comprehensive clinical data tracking and quality management, thereby establishing a robust clinical data infrastructure to support hospitals’ refined management and high-quality development.

Yisheng Intelligence Launches Smart Form Solution, Enriching Its Product Portfolio to Cover Clinical Data Quality Management Across the Entire Lifecycle of Healthcare Institutions. With this launch, Yisheng Intelligence becomes the first provider in the industry to offer a comprehensive medical intelligence solution that covers the entire chain of smart generation, smart quality control, smart reporting, and smart management of clinical data in healthcare institutions. This advancement will bring significant value to the entire industry and open up new market opportunities.

Yisheng Intelligence, established in April 2017, is an artificial intelligence company dedicated to driving the refined development and transformation of hospitals through medical quality control. As a pioneering medical AI enterprise in China to focus on intrinsic quality control, Yisheng has remained committed to product development. Its AI-powered medical record quality control system has been deployed in top-tier tertiary hospitals across China, including The Second Affiliated Hospital of Zhejiang University School of Medicine and Beijing Anzhen Hospital affiliated with Capital Medical University. This system has significantly enhanced the quality of medical records and management efficiency, providing robust infrastructure for medical quality assessment, performance evaluation, and the implementation of DRG/DIP payment systems in these institutions.