CN101488253A - One-card pass system for medical use and operating method thereof - Google Patents
One-card pass system for medical use and operating method thereof Download PDFInfo
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- CN101488253A CN101488253A CNA2008102031456A CN200810203145A CN101488253A CN 101488253 A CN101488253 A CN 101488253A CN A2008102031456 A CNA2008102031456 A CN A2008102031456A CN 200810203145 A CN200810203145 A CN 200810203145A CN 101488253 A CN101488253 A CN 101488253A
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Abstract
The invention relates to a hospitalizing one-card through system which comprises a one-card through intelligent card, a hospital LAN hospitalizing one-card through system server, computer terminals of each section office, a registering machine, a treatment card reader, a printer, a transfusion card reader, a physical examination card reader, a hospitalization card reader, a background automatic medicine arranging-sending device, and a hospital settlement center; the registering machine is connected with a computer at the location of a treatment doctor, and is connected with the account of a patient and the hospital settlement center; the treatment card reader is connected with the computer at the location of the treatment doctor, and is connected with each computer terminal, the printer, and the corresponding medicine box by a special wire or wirelessly; all the card readers are connected with the account of the patient and the hospital settlement center; the hospital LAN hospitalizing one-card through system server is communicated with all the computer terminals, the hospital settlement center and the card readers. The operation method of the hospitalizing one-card through comprises the seven steps including registration, treatment, physical examination, medicine taking, transfusion, hospitalization, and settlement. The invention solves the problems of unreasonable flow, multiple payments and multiple queuing of the treatment flows.
Description
Technical field
The present invention relates to a kind of one-card pass system for medical use and method of operating thereof.
Background technology
As if at present, the service level of medical industry becomes social hard nut to crack, be difficult to be improved at all.Subject matter is as follows:
1, " three long one is short ": booking time is long, the time of paying dues is long, the time of getting it filled is long, and consultation time is short.The non-medical treatment time has accounted for more than 4/5 of the whole time of seeking medical advice.Even a lot of large hospitals have very big change, outpatient service emergency case still will arrange 7 teams (register, wait to see the doctor, pay, check, wait to see the doctor, pay, get it filled), saw once sick spended time 1.5～2.5 hours at least, 1 day at most.
2, prescription on individual diagnosis flow process is loaded down with trivial details unreasonable
See that once disease will run 3,5 floors, 8,10 departments, section office back and forth, pay and take (registration fee, expenses for medicine, auxiliary examination expense) 3 times.Patient is to outpatient service → line up → register → wait to see the doctor → go to a doctor → have a prescription priced (paying the fees) → wait inspection → inspection → go to a doctor → have a prescription priced again again (paying the fees again) → get it filled → treat → from institute.And some inspections must come another day again, and the patient can only submit to humiliation.
At present, the development of medical skill is very fast, registration machine, various digital medical equipment, PACS, automatic medicine-packaging machine etc., but integrate owing to lack, flow process is loaded down with trivial details unreasonable, that can not well bring into play these sophisticated equipments should be efficient, embodied on the contrary " four is not enough ": flow process planning is not enough, standardized degree is not enough, medical resource utilizes degree not enough (but presenting a kind of abnormal state of saturation), it is not enough to improve the degree of medical service level with technology.Therefore, fundamentally do not solve above said a series of problems, the present invention is the systematized equipment of integrating present existing advanced person for the first time, has planned the flow process of seeking medical advice again.Thereby medical prescription on individual diagnosis quality, prescription on individual diagnosis efficient and whole service level have been promoted greatly.
Summary of the invention
The purpose of this invention is to provide a kind of one-card pass system for medical use and method of operating thereof, the invention solves " three long one is short " problem that the prescription on individual diagnosis flow process is unreasonable, repeatedly pay dues, repeatedly line up, realized precisely registering, the flow process planning that has remedied prior art is not enough, standardized degree is not enough, medical resource utilizes the not enough deficiency of degree that degree is not enough, improve medical service level with technology.A kind of one-card pass system for medical use of the present invention comprises:
All-purpose card smart card: have identity record, induction key and account's function concurrently;
Hospital lan one-card pass system for medical use server: be used to store relevant data, the archives that transmit hospital and patient with transfer;
Each section office computer terminal: be positioned at medical personnel office everywhere of hospital, be communicated with hospital lan, be used for showing swipe the card people's information, electronic health record and health account, prescription, demonstration prescription and check check result, show the people that swipes the card seek medical advice program, confirm operation and transmission information;
Registration machine: the hospitalier section office that swipe the card on registration machine and select to go to a doctor are automatic registration, distribute corresponding doctor simultaneously, also can oneself select the doctor, and registration machine shows when the front, can go to a doctor if having the several people waiting for;
Prescription on individual diagnosis card reader: hospitalier's identity validation, guarantee that the hospitalier is corresponding with its prescription, realization all-purpose card smart card account is connected with settlement center of hospital, finishes the electronic prescription click the doctor and determines that the back is settled accounts diagnostic fees automatically, write out a prescription listed medicine expense, infuse and/or have an injection expense and cost of hospitalization; When the needs health check-up, the doctor leaves the health check-up electronic prescription and only settles accounts diagnostic fees;
Printer: print prescription;
Transfusion card reader: be used to identify hospitalier's identity, enter the transfusion and/or the queuing system of having an injection; Notify the doctor to infuse and/or have an injection before preparation;
The health check-up card reader: be used for the startup of health check-up program, and identify hospitalier's identity, realization all-purpose card smart card account is connected with settlement center of hospital, clearing health check-up expense; Health check-up comprises biochemical analysis, pathologic finding, CT examination, ultrasound diagnosis, X-ray examination, gastrocopy and nuclear magnetic resonance check, and the everywhere all is provided with corresponding health check-up card reader;
The card reader of being in hospital: be used for the hospitalier identity validation, report for work, confirm medicine-chest, receive the relevant articles for use of being in hospital;
Backstage automatic medicine arrangement and distribution device: backstage automatic medicine arrangement and distribution device comprises automatic administration equipment and medicine-chest, in the pharmacy, transfusion place and inpatient department be provided with corresponding hospitalier's medicine-chest respectively according to hospitalier's the situation of seeking medical advice, be used to store medicine and apparatus, auxiliary material, medicine-chest band induction lock, the patient can open with smart card and get it filled voluntarily according to the sequence number on the prescription;
Settlement center of hospital: be used for the clearing of registration fee, patient's medicine, auxiliary material, expense such as have an injection, infuse, be in hospital, and a corresponding fund is forwarded to hospital's account from patient account;
Registration machine links to each other with the computer at prescription on individual diagnosis doctor place, and connect hospitalier's the account and the settlement center of hospital, the card reader of seeking medical advice is connected with the computer at prescription on individual diagnosis doctor place, computer connects printer, again by dedicated line or wireless connections: 1, the computer in pharmacy and printer, and corresponding medicine-chest, 2, the computer of check or inspection terminal, 3, infuse and/or the have an injection computer of chamber and corresponding with it medicine-chest, the position number of corresponding transfusion with it, 4, the computer of admissions office and printer, corresponding medicine-chest with it; All card reader connects patient's the account and the settlement center of hospital, and with information that can read the patient and electronic health record; Hospital lan one-card pass system for medical use server is communicated with all computer terminals, settlement center of hospital and card reader.
As optimized technical scheme:
Aforesaid a kind of one-card pass system for medical use, wherein, described all-purpose card smart card is a rechargeable card, also can be the debit card or the credit card trinity that card, bank are protected by rechargeable card, society (doctor).
Aforesaid a kind of one-card pass system for medical use, wherein, described backstage automatic medicine arrangement and distribution device, medicine-chest can link to each other with automatic medicine-packaging machine, is directly finished the distribution of medicine by the automatic medicine-packaging machine that links to each other with electronic prescription, directly is distributed to medicine-chest by medicine-packaging machine.
The present invention also provides a kind of all-purpose card method of operating of seeking medical advice, and may further comprise the steps:
(1) register: the all-purpose card smart card is swiped the card on registration machine and is selected section office and doctor to register, and enters the queue of seeking medical advice; Realize that simultaneously patient's the account and the account of hospital link to each other, and finish the overseas transfers of registering;
(2) seek medical advice: enter corresponding doctor room by the prompting of registering, swipe the card on the prescription on individual diagnosis card reader, produce a medicine case number (CN) simultaneously, behind the diagnosis, if need health check-up, it is single then to leave the electronics health check-up, and electronics health check-up single-pass is crossed hospital lan and is sent to health check-up department at once; After diagnosis finishes, open electronic prescription and print prescription, corresponding medicine case number (CN) is arranged on the prescription, prescription, medicine case number (CN) and all-purpose card smart card are one-to-one relationships, and electronic prescription is sent to next processing department at once by hospital lan; Finishing hospitalier's the account and the account of hospital when swiping the card links to each other, the overseas transfers of finish medicine, have an injection, infuse, being in hospital, behind the diagnosis, check, check if need, then leave electronic checkout, checklist, electronics inspection, inspection sheet are sent to inspection, inspection department at once by hospital lan, enter the queuing system of inspection, check;
(3) health check-up: after health check-up department receives that electronics health check-up that the doctor leaves is single, promptly enter the queuing system of inspection, check, after the hospitalier comes inspection, inspection department, according to voice or screen prompting, when taking turns to oneself, on card reader, swipe the card and finish checking out of identity validation and inspection, check, enter the health check-up program; Physical examination result is located by the doctor that hospital lan sends to hospitalier's diagnosis at once by the Physical Examination Dept. door, and the hospitalier need not wait for;
(4) get it filled: the electronic prescription of opening according to the doctor, the pharmacy configures medicine at once and is placed in advance in the medicine-chest of corresponding medicine case number (CN), if be equipped with automatic medicine-packaging machine, then electronic prescription directly gives an order to finish to medicine-packaging machine and makes up a prescription, and is placed directly in the medicine-chest of corresponding sequence number; The hospitalier finds corresponding medicine-chest by the medicine case number (CN), opens the medicine-chest induction lock with the induction key function of all-purpose card smart card, can get the medicine of oneself; Medicine-chest can have positive and negative corresponding two doors, and two fan doors all indicate sequence number, and one side is aimed at the pharmacy, and the doctor opens and is used to place medicine, and another side is aimed at the hall, is opened by the hospitalier and gets it filled.
(5) transfusion: the hospitalier is if need transfusion, when the doctor opens electronic prescription, electronic prescription is sent to transfusion room by hospital lan, and the hospitalier promptly enters the queuing system of transfusion room, and queuing system is had an injection for hospitalier's distribution automatically or the position number of drop; The hospitalier comes transfusion room and swipe the card, confirm the position of infusing on the transfusion card reader, and gives the medicine of obtaining in the pharmacy transfusion room medical personnel on duty, promptly carries out normal infusion; Also can entrust the transfusion room keeping to second day medicine, the position of swiping the card when infusing over second day and entering queuing system, confirming transfusion, the doctor promptly opens the corresponding medicine-chest of patient and takes out medicine preparations of infusing after confirming patient's information, and the patient infuses at set location pending and gets final product;
(6) be in hospital: the hospitalier is if need hospitalization, when the doctor opens electronic prescription, electronic prescription is sent to inpatient department by hospital lan, inpatient department is the hospitalier and distributes ward, berth and resident, and all article that relevant hospitalier is in hospital and apparatus, material etc. be placed on corresponding sequence number special medicine-chest in; The hospitalier comes inpatient department and swipes the card on the card reader of being in hospital, and gives the medicine of obtaining in the pharmacy inpatient department medical personnel on duty, and the patient obtains the corresponding case of being in hospital of odd numbers unlatching in hospital simultaneously, takes with the article of being in hospital of being correlated with;
(7) clearing: register, swiping the card when seeking medical advice make personal account be connected with the hospital account, by settlement center of hospital realize registering, diagnostic fees, the transfer and settlement of accounts of having an injection, infuse, being in hospital, the realization speedy clearance of swiping the card when check, inspection.
Aforesaid a kind of all-purpose card method of operating of seeking medical advice, wherein, described registering comprise and utilize network, phone to realize the selection of registering of accurate time period, and can realize that personalized precisely the time registers; Method is each patient's of section office interrogation, a prescription on individual diagnosis program standardization, and each patient's of relative fixed consultation time, can't finish when going to a doctor according to setting-up time when running into difficult and complicated cases, under doctor's recommendation, patient can select medical expert's consultation, and can swipe the card then and there helps to register for specialist, and realizes charge simultaneously; If medical expert's consultation can't realize finishing at the appointed time diagnosis, comprise and used up surge time, under expert's recommendation, the hospitalier can select " consultation of doctors place " of hospital, and can swipe the card then and there and help hang " consultation of doctors place " number, realizes charge simultaneously, so just realized the consistance of each patient's the time to diagnose the illness, the relative accuracy of assurance time just can realize that the long-range accurate time period every other day registers, and has realized all having on each registration form a corresponding consultation time section; Swipe the card from the hospitalier, the timetable of computer terminal just picks up counting, and there is back three minute surge time to remind, if have check to check then finish check, inspection, when returning to go to a doctor, the time of interrupting when intermediate inspection, check can calculate continuously, guarantees harmony and the consistance of each hospitalier's the time of seeking medical advice, with the accurate time period that guarantees to register.Even can realize swiping the card at home and precisely register with smart card.Each patient's consultation time, the surge time between the patient and doctor's the middle break time can be set by school, also can be adjusted voluntarily and control in the computer terminal of oneself by situation and the actual state of doctor according to oneself.
Aforesaid a kind of all-purpose card method of operating of seeking medical advice, wherein, described health check-up can realize check, the inspection of accurate time period, method is all standardization of program of each check, inspection, time is provided with also all standardization and finishes inspection in official hour, so just can set the accurate time of each inspection; If run into individual patients check, check a difficult problem, then by special doctor, equipment otherwise processed, with the accuracy of service time of guaranteeing most of people; Setting from the beginning terminal computer of swiping the card has a time control and reminds to guarantee the accurate relatively of time, all has the time period of an inspection, check like this on the document of each inspection, check, accomplish accurate time health check-up.
Aforesaid a kind of all-purpose card method of operating of seeking medical advice, wherein, described transfusion room and inpatient department also can set up the pharmacy respectively, distribute an independent medicine-chest for each hospitalier, and the hospitalier can open corresponding medicine-chest with smart card.Transfusion room can be set up second pharmacy, and distributes an independent medicine-chest for each hospitalier.Behind the diagnosis, if need transfusion, the electronic prescription of then opening promptly is sent to second pharmacy of transfusion department and transfusion department by hospital lan, second pharmacy is equipped with medicine according to prescription and is placed in the medicine-chest of corresponding sequence number, automatically notify transfusion department in the simultaneity factor that has been equipped with medicine, open the preliminary work that medicine-chest begins to infuse by transfusion department, save valuable time.In addition, the position number of transfusion is arranged on the prescription that prints, the patient comes out directly to get final product to the location pending transfusion bright, that note is reminded of prescription subscript from prescription on individual diagnosis.Also have the sequence number of medicine-chest on the prescription that prints, transfusion finishes, and opens medicine-chest with smart card and takes the medicine that will take away and get final product.Inpatient department also can set up the 3rd pharmacy, distribute an independent special medicine-chest for each hospitalizing, the 3rd pharmacy prepares medicine after receiving electronic prescription, be placed in the medicine-chest of corresponding sequence number, system notifies the resident doctor of outfit to open medicine-chest simultaneously, beginning hospitalizing's treatment preliminary work, the time of saves valuable; The hospitalizing can open medicine-chest according to the sequence number on the prescription and get the medicine of taking and the articles for use of being in hospital.The resident doctor is in the diagnosis and treatment hospitalizing, and the hospitalizing swipes the card can finish too under the electronic prescription and passes, carries out and clearing automatically.
Aforesaid a kind of all-purpose card method of operating of seeking medical advice, wherein, described hospital lan can be connected the telecommunications note, as long as handling the time registration cell-phone number of seeking medical advice all-purpose card, seek medical advice swipe the card at every turn after, all can have relevent information to send to hospitalier's mobile phone with the note form.
A kind of one-card pass system for medical use of the present invention and method of operating thereof are the senior card of seeking medical advice of a kind of hospital, automatic registration, settle accounts and get it filled system and method for operating thereof, and main flow process of the present invention is as follows:
One, seek medical advice card and supplement with money, settle accounts
The card of seeking medical advice is the smart card that can supplement with money.Can be the debit card or the credit card trinity that card, bank are protected by rechargeable card, society (doctor).The card itself of seeking medical advice can be supplemented with money, also can protect card, bank card realization seamless link with society (doctor).Society (doctor) protects card and realizes that corresponding society (doctor) protects the card clearing, and bank card supplement with money for the card of seeking medical advice, and also can settle accounts from the trend card commentaries on classics money of seeking medical advice.
The card itself of seeking medical advice is again an induction key, can open the medicine-chest of corresponding password.
Two, the automatic registration and the queuing of seeking medical advice
When registering passage by senior member's special use when seeking medical advice, swipe the card with the card of seeking medical advice, and corresponding section office, doctor's button on corresponding section office, doctor's button or the touch-screen on the some beating keyboard, promptly finish register (also can print).And can inform that approximately when there is the several people member front waiting for, can go to a doctor doctor's title that today is on duty etc. by note.And just tell the patient number that waits of front and time in real time at set intervals.
Section office's button on the keyboard or on the touch-screen links to each other with corresponding section office prescription on individual diagnosis queuing systems.
Finish register in, realize linking to each other of personal account and hospital settlement system, finish the clearing that registration fee is used automatically.
Register and can set the number of registering at times, the patient also can oneself select the doctor.And how many Allotment Serial Numbers automatically according to prescription on individual diagnosis doctor's queuing patient.
Three, go to a doctor and settle accounts automatically, get it filled
When taking turns to the patient and seek medical advice, swipe the card and begin with the card of seeking medical advice and go to a doctor.When prescribing:
The electronic prescription of the product of writing a prescription is when end print is come out, pass through dedicated line or wireless biography terminal again to the pharmacy, also print simultaneously by the printer that is connected with the pharmacy terminal, and all indicate " medicine-chest " password sequence number on the prescription that prints.The doctor on duty of prescription makes up the prescription according to prescription, and all medicines and the auxiliary material done a good job of it are placed in the medicine-chest of corresponding password sequence number.The patient need not line up to pay dues and just can directly find the medicine-chest of corresponding sequence number according to the medicine case number (CN) on the prescription, directly medicine is taken out to get final product.
The write a prescription simultaneous computer system of case of doctor shows and to finish this program of making up the prescription, and exceeds certain hour and can remind doctor on duty automatically.When the patient opened medicine-chest, computing machine was finished this patient's the program of getting it filled, otherwise, exceed certain hour and can remind the patient to get it filled.
Four, have an injection, the drop program
If needs of patients is had an injection or drop, so when the doctor opens electronic prescription, this prescription simultaneously by dedicated line or wireless biography to " chamber of having an injection " or " drip chamber ", and enter the queuing system of " chamber of having an injection " or " drip chamber ", except the sequence number of medicine-chest, have an injection in addition or the position number of drop on the prescription.The prescription on individual diagnosis doctor can see in real time by terminal and having an injection or the queuing situation of drop and tell the patient, and can inform particular location, its front of patient's " chamber of having an injection " " drip chamber " also have the several people waiting for, need how long wait by note.
The patient has got medicine just can give the doctor injection or the medicine of drop, swipes the card and registers, and go up listed location pending to prescription, does not have an injection or drop if surpass certain hour, will note or broadcasting remind.When drop finished, the patient urged button by pulling out pin, and after the doctor disposed, this EOP (end of program), droplet positions entered next circulation.
In the medicine-chest that several days later on medicine can be placed on corresponding sequence number, can be opened by the card of seeking medical advice (but generally without patient oneself product of getting it filled), patient's medicine just need not be brought and take away like this.
Second day patient has an injection or during drop again, be stuck in seeking medical advice have an injection or the registration machine of drop on swipe the card, click " having an injection " or " drop " button, promptly enter queuing system, and print the sequence number of queuing and have an injection or the position number of drop.The patient finds corresponding location pending according to the sequence number that prints.Also can note remind the front to have the several people lining up and need how long wait.
The patient swipes the card when registering, have an injection or the doctor's on duty of drip chamber computer terminal on eject patient's information and the sequence number of placing the medicine-chest of medicine, and have an injection, the sequence number of droplet positions, doctor on duty opens the medicine-chest that the patient places medicine, take out patient's medicine, have an injection or drop before preparation handle, and the sequence number that the medicine handled well and injection tool are sticked the position at patient place, give down the doctor of one program, this program finishes, and the patient's that computer ejects message box is confirmed to conceal.By the standardized program setting of transfusion, difficult transfusion patient otherwise processed guarantees the accurate timeliness that transfusion is registered.
Also have second kind of scheme:
Having an injection or drip chamber is provided with second pharmacy, needs of patients is had an injection or during drop, the prescription on individual diagnosis doctor is when opening electronic prescription, there is the prescription of medicine-chest sequence number, droplet positions sequence number to pass to the computer terminal in this pharmacy simultaneously by dedicated line above, remind also and print, and pass to simultaneously and have an injection or the computer terminal of drip chamber and reminding.
The doctor on duty in pharmacy is behind the prescription of receiving the prescription on individual diagnosis doctor, corresponding medicine etc. is placed in the medicine-chest of corresponding sequence number, placing medicine etc. when shutting the door of medicine-chest, have an injection or drip chamber doctor's on duty computer terminal on will point out: medicine is in place, doctor on duty just can open that medicine-chest is had an injection or drop before preparation handle.Be that come out from the chamber of seeking medical advice the directly location pending transfusion of drop of patient gets final product, do not need to get it filled and wait other any steps.
The patient has an injection or drop finishes, and opens medicine that medicine-chest eats medicine and takes out to take away and get final product.
Other programs are with above identical.
Also have the third scheme:
The medicine of taking is finished configuration in first pharmacy, can be by the distribution that manually, also can be accomplished to medicine-chest fully by automatic medicine-packaging machine, and the patient takes medicine away by sequence number and gets final product.And the medicine of the transfusion or the usefulness of having an injection is finished configuration, other programs and above identical in second pharmacy.
Five, self-verifying and physical examination result feedback
When needing check, inspection when seeking medical advice, the prescription on individual diagnosis doctor swipes the card the back when inspection, inspection sheet are opened in the computer terminal, check or checklist by dedicated line or wireless biography to corresponding inspection or control laboratory, and enter the queuing system of checking or checking, the prescription on individual diagnosis doctor can see the queuing situation of inspection, control laboratory in real time and tell the patient, also can inform that the patient checks or the particular location of inspection chamber, its front also have the several people waiting for, need how long wait by note.
The patient swipes the card to inspection, control laboratory and begins to check or check.
To be tested or check results such as the patient does not need.But tell the patient can directly go for the doctor who sees a doctor for it, and finish check or during checklist in computer system, by dedicated line or wirelessly pass to the doctor who sees a doctor for it, real-time message is informed the patient simultaneously, check or audit report have been passed to the doctor.
The patient swipes the card and just can see inspection or check result and carry out diagnosis and treatment at prescription on individual diagnosis doctor's terminal, can give the patient by print result if desired, if the patient does not need can not print yet.Also can on the special-purpose physical examination result printer in hall, print.
Continue above three program according to check or check result.
Six, the program of being in hospital
When the doctor goes to a doctor the hospitalization of back judgement needs of patients, the single inpatient department that passes to simultaneously of being in hospital that is opened.Inpatient department is placed on relevant all article of being in hospital and apparatus, material etc. in " case of being in hospital " (also can be general with medicine-chest) of corresponding sequence number, and single sequence number of being in hospital that the patient opens with the doctor is opened with smart card and taken usefulness.
In the while in hospital, can utilize above system to serve equally for the patient.
Second kind of scheme is in admissions office the 3rd pharmacy to be set, and all programs and the pharmacy of drip chamber are basic identical.
Seven, clearing automatically
When the doctor confirms for patient's prescription, comprise diagnostic fees, medicine, have an injection, drop, be in hospital etc., system can start the settlement system of hospital and patient's account links to each other, and realizes the Automatic transfers clearing.If patient's account balance deficiency will be reminded automatically and be sought medical advice after supplementing with money again.
Also available patient's bank card is realized drawing the account clearing automatically, if Sorry, your ticket has not enough value also can remind automatically for patient's bank card account.The regulation remaining sum bank card that also can be provided with in the patient account is drawn account automatically, avoids the situation that Sorry, your ticket has not enough value to take place.
Eight, health account
When the patient sought medical advice, native system can provide the health account service for the patient, and real-time inquiry can be realized in all records of seeking medical advice, and better was patient's service.。
The invention has the beneficial effects as follows:
A kind of one-card pass system for medical use of the present invention and method of operating thereof not only can reduce by 80% non-medical treatment time, if add the system that precisely registers in advance, can eliminate non-medical treatment stand-by period and queuing substantially fully.Except that waiting to see the doctor, other need not be lined up substantially.More need not manually stand in the queue to register, line up and pay dues, line up and get it filled, line up inspection, wait check result.Revolutionary lifting service quality and service level.When improving patient's service of seeking medical advice, hospital also can by improvement seek medical advice flow process, promote doctor's efficient.Promote the service efficiency of medical resource at double, same resource is after using the present invention, and door emergency treatment amount may be enhanced about more than once, and improves the economic interests of hospital greatly.
Description of drawings
Fig. 1 is the program of the seeking medical advice synoptic diagram of a kind of one-card pass system for medical use of the present invention and method of operating thereof
Embodiment
Below in conjunction with embodiment, further set forth the present invention.Should be understood that these embodiment only to be used to the present invention is described and be not used in and limit the scope of the invention.Should be understood that in addition those skilled in the art can make various changes or modifications the present invention after the content of having read the present invention's instruction, these equivalent form of values fall within the application's appended claims institute restricted portion equally.
A kind of one-card pass system for medical use of the present invention comprises:
All-purpose card smart card: have identity record, induction key and account's function concurrently;
Hospital lan one-card pass system for medical use server: be used to store relevant data, the archives that transmit hospital and patient with transfer;
Each section office computer terminal: be positioned at medical personnel office everywhere of hospital, be communicated with hospital lan, be used for showing swipe the card people's information, electronic health record and health account, prescription, demonstration prescription and check check result, show the people that swipes the card seek medical advice program, confirm operation and transmission information;
Registration machine: the hospitalier section office that swipe the card on registration machine and select to go to a doctor are automatic registration, distribute corresponding doctor simultaneously, also can oneself select the doctor, and registration machine shows when the front, can go to a doctor if having the several people waiting for;
Prescription on individual diagnosis card reader: hospitalier's identity validation, guarantee that the hospitalier is corresponding with its prescription, realization all-purpose card smart card account is connected with settlement center of hospital, finishes the electronic prescription click the doctor and determines that the back is settled accounts diagnostic fees automatically, write out a prescription listed medicine expense, infuse and/or have an injection expense and cost of hospitalization; When the needs health check-up, the doctor leaves the health check-up electronic prescription and only settles accounts diagnostic fees;
Printer: print prescription;
Transfusion card reader: be used to identify hospitalier's identity, enter the transfusion and/or the queuing system of having an injection; Notify the doctor to infuse and/or have an injection before preparation;
The health check-up card reader: be used for the startup of health check-up program, and identify hospitalier's identity, realization all-purpose card smart card account is connected with settlement center of hospital, clearing health check-up expense; Health check-up comprises biochemical analysis, pathologic finding, CT examination, ultrasound diagnosis, X-ray examination, gastrocopy and nuclear magnetic resonance check, and the everywhere all is provided with corresponding health check-up card reader;
The card reader of being in hospital: be used for the hospitalier identity validation, report for work, confirm medicine-chest, receive the relevant articles for use of being in hospital;
Backstage automatic medicine arrangement and distribution device: backstage automatic medicine arrangement and distribution device comprises automatic administration equipment and medicine-chest, in the pharmacy, transfusion place and inpatient department be provided with corresponding hospitalier's medicine-chest respectively according to hospitalier's the situation of seeking medical advice, be used to store medicine and apparatus, auxiliary material, medicine-chest band induction lock, the patient can open with smart card and get it filled voluntarily according to the sequence number on the prescription;
Settlement center of hospital: be used for the clearing of registration fee, patient's diagnostic fees, medicine, auxiliary material, expense such as have an injection, infuse, be in hospital, and a corresponding fund is forwarded to hospital's account from patient account;
Registration machine links to each other with the computer at prescription on individual diagnosis doctor place, and connect hospitalier's the account and the settlement center of hospital, the card reader of seeking medical advice is connected with the computer at prescription on individual diagnosis doctor place, computer connects printer, again by dedicated line or wireless connections: 1, the computer in pharmacy and printer, and corresponding medicine-chest, 2, the computer of check or inspection terminal, 3, infuse and/or the have an injection computer of chamber and corresponding with it medicine-chest, the position number of corresponding transfusion with it, 4, the computer of admissions office and printer, corresponding medicine-chest with it; All card readers connect patient's the account and the settlement center of hospital, and can read patient's information and electronic health record; Hospital lan one-card pass system for medical use server is communicated with all computer terminals, settlement center of hospital and card reader.
Wherein, described all-purpose card smart card is a rechargeable card, also can be the debit card or the credit card trinity that card, bank are protected by rechargeable card, society (doctor); Described backstage automatic medicine arrangement and distribution device, medicine-chest can link to each other with automatic medicine-packaging machine, is directly finished the distribution of medicine by the automatic medicine-packaging machine that links to each other with electronic prescription, directly is distributed to medicine-chest by medicine-packaging machine.
The present invention also provides a kind of all-purpose card method of operating of seeking medical advice, and may further comprise the steps:
(1) register: the all-purpose card smart card is swiped the card on registration machine and is selected section office and doctor to register, and enters the queue of seeking medical advice; Realize that simultaneously patient's the account and the account of hospital link to each other, and finish the overseas transfers of registering;
(2) seek medical advice: enter corresponding doctor room by the prompting of registering, swipe the card on the prescription on individual diagnosis card reader, produce a medicine case number (CN) simultaneously, behind the diagnosis, if need health check-up, it is single then to leave the electronics health check-up, and electronics health check-up single-pass is crossed hospital lan and is sent to health check-up department at once; After diagnosis finishes, open electronic prescription and print prescription, corresponding medicine case number (CN) is arranged on the prescription, prescription, medicine case number (CN) and all-purpose card smart card are one-to-one relationships, and electronic prescription is sent to next processing department at once by hospital lan; Finishing hospitalier's the account and the account of hospital when swiping the card links to each other, the overseas transfers of finish diagnostic fees, medicine, have an injection, infuse, being in hospital, behind the diagnosis, check, check if need, then leave electronic checkout, checklist, electronics inspection, inspection sheet are sent to inspection, inspection department at once by hospital lan, enter the queuing system of inspection, check;
(3) health check-up: after health check-up department receives that electronics health check-up that the doctor leaves is single, promptly enter the queuing system of inspection, check, after the hospitalier comes inspection, inspection department, according to voice or screen prompting, when taking turns to oneself, on card reader, swipe the card and finish checking out of identity validation and inspection, check, enter the health check-up program; Physical examination result is located by the doctor that hospital lan sends at once to hospitalier's diagnosis by the Physical Examination Dept. door, and the hospitalier need not wait for;
(4) get it filled: the electronic prescription of opening according to the doctor, the pharmacy configures medicine at once and is placed in advance in the medicine-chest of corresponding medicine case number (CN), if be equipped with automatic medicine-packaging machine, then electronic prescription directly gives an order to finish to medicine-packaging machine and makes up a prescription, and is placed directly in the medicine-chest of corresponding sequence number; The hospitalier finds corresponding medicine-chest by the medicine case number (CN), opens the medicine-chest induction lock with the induction key function of all-purpose card smart card, can get the medicine of oneself; Medicine-chest can have positive and negative corresponding two doors, and two fan doors all indicate sequence number, and one side is aimed at the pharmacy, and the doctor opens and is used to place medicine, and another side is aimed at the hall, is opened by the hospitalier and gets it filled.
(5) transfusion: the hospitalier is if need transfusion, when the doctor opens electronic prescription, electronic prescription is sent to transfusion room by hospital lan, and the hospitalier promptly enters the queuing system of transfusion room, and queuing system is had an injection for hospitalier's distribution automatically or the position number of drop; The hospitalier comes transfusion room and swipe the card, confirm the position of infusing on the transfusion card reader, and gives the medicine of obtaining in the pharmacy transfusion room medical personnel on duty, promptly carries out normal infusion; Also can entrust the transfusion room keeping to second day medicine, the position of swiping the card when infusing over second day and entering queuing system, confirming transfusion, the doctor promptly opens the corresponding medicine-chest of patient and takes out medicine preparations of infusing after confirming patient's information, and the patient infuses at set location pending and gets final product;
(6) be in hospital: the hospitalier is if need hospitalization, when the doctor opens electronic prescription, electronic prescription is sent to inpatient department by hospital lan, inpatient department is the hospitalier and distributes ward, berth and resident, and all article that relevant hospitalier is in hospital and apparatus, material etc. be placed on corresponding sequence number special medicine-chest in; The hospitalier comes inpatient department and swipes the card on the card reader of being in hospital, and gives the medicine of obtaining in the pharmacy inpatient department medical personnel on duty, and the patient obtains the corresponding case of being in hospital of odd numbers unlatching in hospital simultaneously, takes with the article of being in hospital of being correlated with;
(7) clearing: register, swiping the card when seeking medical advice make personal account be connected with the hospital account, by settlement center of hospital realize registering, diagnostic fees, the transfer and settlement of accounts of having an injection, infuse, being in hospital, the realization speedy clearance of swiping the card when check, inspection.
Wherein, described registering comprise and utilize network, phone to realize the selection of registering of accurate time period, and can realize that personalized precisely the time registers; Method is each patient's of section office interrogation, the prescription on individual diagnosis program standardization, and each patient's of relative fixed consultation time, can't finish when going to a doctor according to setting-up time when running into difficult and complicated cases, under doctor's recommendation, patient can select medical expert's consultation, and can swipe the card then and there and help to register for specialist, realize charge simultaneously, if medical expert's consultation can't realize finishing at the appointed time diagnosis, comprise and used up surge time that under expert's recommendation, the hospitalier can select " consultation of doctors place " of hospital, and can swipe the card then and there and help hang " consultation of doctors place " number, realize charge simultaneously, so just realized the consistance of each patient's the time to diagnose the illness, guarantee the relative accuracy of booking time, just can realize that the long-range accurate time period every other day registers, realize all having on each registration form a corresponding consultation time section; Swipe the card from the hospitalier, the timetable of computer terminal just picks up counting, and there is back three minute surge time to remind, if have check to check then finish check, inspection, when returning to go to a doctor, the time of interrupting when intermediate inspection, check can calculate continuously, guarantees harmony and the consistance of each hospitalier's the time of seeking medical advice, with the accurate time period that guarantees to register.Even can realize swiping the card at home and precisely register with smart card.Each patient's consultation time, the surge time between the patient and doctor's the middle break time can be set by school, also can be adjusted voluntarily and control in the computer terminal of oneself by situation and the actual state of doctor according to oneself.
Described health check-up can realize check, the inspection of accurate time period, and method is that the time is provided with also all standardization and finishes inspection in official hour, so just can set the accurate time of each inspection all standardization of program of each check, inspection; If run into individual patients check, check a difficult problem, then by special doctor, equipment otherwise processed, with the accuracy of service time of guaranteeing most of people; Setting from the beginning terminal computer of swiping the card has a time control and reminds to guarantee the accurate relatively of time, all has the time period of an inspection, check like this on the document of each inspection, check, accomplish accurate time health check-up.
Described transfusion room and inpatient department also can set up the pharmacy respectively, distribute an independent medicine-chest for each hospitalier, and the hospitalier can open corresponding medicine-chest with smart card.Transfusion room can be set up second pharmacy, and distributes an independent medicine-chest for each hospitalier.Behind the diagnosis, if need transfusion, the electronic prescription of then opening promptly is sent to second pharmacy of transfusion department and transfusion department by hospital lan, second pharmacy is equipped with medicine according to prescription and is placed in the medicine-chest of corresponding sequence number, automatically notify transfusion department in the simultaneity factor that has been equipped with medicine, open the preliminary work that medicine-chest begins to infuse by transfusion department, save valuable time.In addition, the position number of transfusion is arranged on the prescription that prints, the patient comes out directly to get final product to the location pending transfusion bright, that note is reminded of prescription subscript from prescription on individual diagnosis.Also have the sequence number of medicine-chest on the prescription that prints, transfusion finishes, and opens medicine-chest with smart card and takes the medicine that will take away and get final product.Inpatient department also can set up the 3rd pharmacy, distribute an independent special medicine-chest for each hospitalizing, the 3rd pharmacy prepares medicine after receiving electronic prescription, be placed in the medicine-chest of corresponding sequence number, system notifies the resident doctor of outfit to open medicine-chest simultaneously, beginning hospitalizing's treatment preliminary work, the time of saves valuable; The hospitalizing can open medicine-chest according to the sequence number on the prescription and get the medicine of taking and the articles for use of being in hospital.The resident doctor is in the diagnosis and treatment hospitalizing, and the hospitalizing swipes the card can finish too under the electronic prescription and passes, carries out and clearing automatically.
Described hospital lan can be connected the telecommunications note, as long as handling the time registration cell-phone number of seeking medical advice all-purpose card, seek medical advice swipe the card at every turn after, all can have relevent information to send to hospitalier's mobile phone with the note form.
Claims (8)
1. one-card pass system for medical use is characterized in that comprising:
All-purpose card smart card: have identity record, induction key and account's function concurrently;
Hospital lan one-card pass system for medical use server: be used to store relevant data, the archives that transmit hospital and patient with transfer;
Each section office computer terminal: be positioned at medical personnel office everywhere of hospital, be communicated with hospital lan, be used for showing swipe the card people's information, electronic health record and health account, prescription, demonstration prescription and check check result, show the people that swipes the card seek medical advice program, confirm operation and transmission information;
Registration machine: the hospitalier section office that swipe the card on registration machine and select to go to a doctor are automatic registration, distribute corresponding doctor simultaneously, also can oneself select the doctor, and registration machine shows when the front, can go to a doctor if having the several people waiting for;
Prescription on individual diagnosis card reader: hospitalier's identity validation, guarantee that the hospitalier is corresponding with its prescription, realization all-purpose card smart card account is connected with settlement center of hospital, finishes the electronic prescription click the doctor and determines that the back is settled accounts diagnostic fees automatically, write out a prescription listed medicine expense, infuse and/or have an injection expense and cost of hospitalization; When the needs health check-up, the doctor leaves the health check-up electronic prescription and only settles accounts diagnostic fees;
Printer: print prescription;
Transfusion card reader: be used to identify hospitalier's identity, enter the transfusion and/or the queuing system of having an injection; Notify the doctor to infuse and/or have an injection before preparation;
The health check-up card reader: be used for the startup of health check-up program, and identify hospitalier's identity, realization all-purpose card smart card account is connected with settlement center of hospital, clearing health check-up expense; Health check-up comprises biochemical analysis, pathologic finding, CT examination, ultrasound diagnosis, X-ray examination, gastrocopy and nuclear magnetic resonance check, and the everywhere all is provided with corresponding health check-up card reader;
The card reader of being in hospital: be used for the hospitalier identity validation, report for work, confirm medicine-chest, receive the relevant articles for use of being in hospital;
Backstage automatic medicine arrangement and distribution device: backstage automatic medicine arrangement and distribution device comprises automatic administration equipment and medicine-chest, in the pharmacy, transfusion place and inpatient department be provided with corresponding hospitalier's medicine-chest respectively according to hospitalier's the situation of seeking medical advice, be used to store medicine and apparatus, auxiliary material, medicine-chest band induction lock, the patient can open with smart card and get it filled voluntarily according to the sequence number on the prescription;
Settlement center of hospital: be used for the clearing of registration fee, patient's medicine, auxiliary material, expense such as have an injection, infuse, be in hospital, and a corresponding fund is forwarded to hospital's account from patient account;
Registration machine links to each other with the computer at prescription on individual diagnosis doctor place, and connect hospitalier's the account and the settlement center of hospital, the card reader of seeking medical advice is connected with the computer at prescription on individual diagnosis doctor place, computer connects printer, again by dedicated line or wireless connections: 1, the computer in pharmacy and printer, and corresponding medicine-chest, 2, the computer of check or inspection terminal, 3, infuse and/or the have an injection computer of chamber and corresponding with it medicine-chest, the position number of corresponding transfusion with it, 4, the computer of admissions office and printer, corresponding medicine-chest with it; All card readers connect patient's the account and the settlement center of hospital, and can read patient's information and electronic health record; Hospital lan one-card pass system for medical use server is communicated with all computer terminals, settlement center of hospital and card reader.
2. a kind of one-card pass system for medical use as claimed in claim 1 is characterized in that, described all-purpose card smart card is a rechargeable card, also can be the debit card or the credit card trinity that card, bank are protected by rechargeable card, society (doctor).
3. a kind of one-card pass system for medical use as claimed in claim 1, it is characterized in that, described backstage automatic medicine arrangement and distribution device, medicine-chest can link to each other with automatic medicine-packaging machine, directly finish the distribution of medicine, directly be distributed to medicine-chest by medicine-packaging machine by the automatic medicine-packaging machine that links to each other with electronic prescription.
4. all-purpose card method of operating of seeking medical advice is characterized in that may further comprise the steps:
(1) register: the all-purpose card smart card is swiped the card on registration machine and is selected section office and doctor to register, and enters the queue of seeking medical advice; Realize that simultaneously patient's the account and the account of hospital link to each other, and finish the overseas transfers of registering;
(2) seek medical advice: enter corresponding doctor room by the prompting of registering, on the prescription on individual diagnosis card reader, swipe the card, produce a medicine case number (CN) simultaneously; After diagnosis finishes, open electronic prescription and print prescription, corresponding medicine case number (CN) is arranged on the prescription, prescription, medicine case number (CN) and all-purpose card smart card are one-to-one relationships, and electronic prescription is sent to next processing department at once by hospital lan; Finishing hospitalier's the account and the account of hospital when swiping the card links to each other, the overseas transfers of finish diagnostic fees, medicine, have an injection, infuse, being in hospital, behind the diagnosis, check, check if need, then leave electronic checkout, checklist, electronics inspection, inspection sheet are sent to inspection, inspection department at once by hospital lan, enter the queuing system of inspection, check;
(3) health check-up: after health check-up department receives that electronics health check-up that the doctor leaves is single, promptly enter the queuing system of checking or checking, after the hospitalier comes inspection, inspection department, according to voice or screen prompting, when taking turns to oneself, on card reader, swipe the card and finish checking out of identity validation and inspection, check, enter the health check-up program; Physical examination result is located by the doctor that hospital lan sends to hospitalier's diagnosis at once by the Physical Examination Dept. door, and the hospitalier need not wait for;
(4) get it filled: the electronic prescription of opening according to the doctor, the pharmacy configures medicine at once and is placed in advance in the medicine-chest of corresponding medicine case number (CN), if be equipped with automatic medicine-packaging machine, then electronic prescription directly gives an order to finish to medicine-packaging machine and makes up a prescription, and is placed directly in the medicine-chest of corresponding sequence number; The hospitalier finds corresponding medicine-chest by the medicine case number (CN), opens the medicine-chest induction lock with the induction key function of all-purpose card smart card, can get the medicine of oneself; Medicine-chest can have positive and negative corresponding two doors, and two fan doors all indicate sequence number, and one side is aimed at the pharmacy, and the doctor opens and is used to place medicine, and another side is aimed at the hall, is opened by the hospitalier and gets it filled.
(5) transfusion: the hospitalier is if need transfusion, when the doctor opens electronic prescription, electronic prescription is sent to transfusion room by hospital lan, and the hospitalier promptly enters the queuing system of transfusion room, and queuing system is had an injection for hospitalier's distribution automatically or the position number of drop; The hospitalier comes transfusion room and swipe the card, confirm the position of infusing on the transfusion card reader, and gives the medicine of obtaining in the pharmacy transfusion room medical personnel on duty, promptly carries out normal infusion; Also can entrust the transfusion room keeping to second day medicine, the position of swiping the card when infusing over second day and entering queuing system, confirming transfusion, the doctor promptly opens the corresponding medicine-chest of patient and takes out medicine preparations of infusing after confirming patient's information, and the patient infuses at set location pending and gets final product;
(6) be in hospital: the hospitalier is if need hospitalization, when the doctor opens electronic prescription, electronic prescription is sent to inpatient department by hospital lan, inpatient department is the hospitalier and distributes ward, berth and resident, and all article that relevant hospitalier is in hospital and apparatus, material etc. be placed on corresponding sequence number special medicine-chest in; The hospitalier comes inpatient department and swipes the card on the card reader of being in hospital, and gives the medicine of obtaining in the pharmacy inpatient department medical personnel on duty, and the patient obtains the corresponding case of being in hospital of odd numbers unlatching in hospital simultaneously, takes with the article of being in hospital of being correlated with;
(7) clearing: register, swiping the card when seeking medical advice make personal account be connected with the hospital account, by settlement center of hospital realize registering, diagnostic fees, the transfer and settlement of accounts of having an injection, infuse, being in hospital, the realization speedy clearance of swiping the card when check, inspection.
5. a kind of all-purpose card method of operating of seeking medical advice as claimed in claim 4 is characterized in that, described registering comprise and utilize network, phone to realize the selection of registering of accurate time period, and can realize that personalized precisely the time registers.
6. a kind of all-purpose card method of operating of seeking medical advice as claimed in claim 4, it is characterized in that, described health check-up can realize check, the inspection of accurate time period, method is all standardization of program of each check, inspection, time is provided with also all standardization and finishes inspection in official hour, so just can set the accurate time of each inspection; If run into individual patients check, check a difficult problem, then by special doctor, equipment otherwise processed, with the accuracy of service time of guaranteeing most of people; Setting from the beginning terminal computer of swiping the card has a time control and reminds to guarantee the accurate relatively of time, all has the time period of an inspection, check like this on the document of each inspection, check, accomplish accurate time health check-up.
7. a kind of all-purpose card method of operating of seeking medical advice as claimed in claim 4 is characterized in that described transfusion room and inpatient department also can set up the pharmacy respectively, distributes an independent medicine-chest for each hospitalier, and the hospitalier can open corresponding medicine-chest with smart card.
8. a kind of all-purpose card method of operating of seeking medical advice as claimed in claim 4, it is characterized in that, described hospital lan can be connected the telecommunications note, as long as handling the time registration cell-phone number of seeking medical advice all-purpose card, seek medical advice swipe the card at every turn after, all can have relevent information to send to hospitalier's mobile phone with the note form.
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| Application Number | Priority Date | Filing Date | Title |
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| CNA2008102031456A CN101488253A (en) | 2008-11-21 | 2008-11-21 | One-card pass system for medical use and operating method thereof |
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| CNA2008102031456A CN101488253A (en) | 2008-11-21 | 2008-11-21 | One-card pass system for medical use and operating method thereof |
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| CN111640492A (en) * | 2020-05-27 | 2020-09-08 | 武汉双耳科技有限公司 | Self-service system for hospitalization |
| CN112927778A (en) * | 2021-04-09 | 2021-06-08 | 联仁健康医疗大数据科技股份有限公司 | One-card system for hospitals |
| CN113379568A (en) * | 2021-06-23 | 2021-09-10 | 丽水市中心医院 | Billing system and method for automatically associating diagnosis and treatment and material cost based on administration route |
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