CN104992053B - The automatic charging method of subsidiary project involved in doctor's advice implementation procedure - Google Patents
The automatic charging method of subsidiary project involved in doctor's advice implementation procedure Download PDFInfo
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- CN104992053B CN104992053B CN201510338777.3A CN201510338777A CN104992053B CN 104992053 B CN104992053 B CN 104992053B CN 201510338777 A CN201510338777 A CN 201510338777A CN 104992053 B CN104992053 B CN 104992053B
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Abstract
The automatic charging method of subsidiary project involved in a kind of doctor's advice implementation procedure, which is characterized in that include the following steps：1) initialize；2) calculate：2 1) after doctor's typing doctor's advice, and first the medical item in doctor's advice is grouped by the group information in doctor's advice；2) 2 determine and the relevant subsidiary project of this group of medical item of the doctor's advice；2 3) 2) subsidiary project that the doctor's advice dosage in doctor's advice, the smaller in specification information obtain step 2 screen, filter out the subsidiary project that dosage restricted information is met the requirements；The rule of collecting of the 2 each subsidiary projects 4) 3) obtained according to step 2 calculates the quantity that should be collected；3) subsidiary project information is fed back, to calculate the price of medical item and its related subsidiary project in doctor's advice.The method of the present invention safeguards the underlying parameter of subsidiary project in advance, is then taken out of automatically according to the information in doctor's advice by computer completely and attaches project accordingly, has the advantages that speed is fast, accuracy is high, practicability, workable.
Description
Technical field
The present invention relates to the items such as medical material, the service involved in medical field more particularly to a kind of doctor's advice implementation procedure
Purpose automatic charging method.
Background technology
Doctor's advice is doctor to be needed to output patient in diet, medication, chemical examination etc. according to patient's state of an illness and treatment
Instruction is that doctor instructs a kind of medicine that patient assigns in curative activity.The content of doctor's advice generally comprised the date, when
Between, medicine name, dosage, inspection item, treatment or application method, nursing degree, isolation species, diet, position, use
Method, doctor, the signature etc. of nurse.
Doctor's advice classification is commonly divided into outpatient service doctor's advice, standing orders of being hospitalized, temporary orders etc. of being hospitalized.Subsidiary project refers to
Service charge, fee of material for collecting etc. are separately needed in doctor's advice implementation procedure.
The content of the invention
The technical problems to be solved by the invention are to provide a kind of the automatic of the subsidiary project involved in doctor's advice implementation procedure
Charging method.
The present invention solves its technical problem by following technical solution：A kind of subsidiary project involved in doctor's advice implementation procedure
Automatic charging method, include the following steps：
1) initialize
The underlying parameter of subsidiary project 1-1) is initialized, the underlying parameter includes subsidiary project name, unit price, collects group
Scope collects rule, the application range, the dosage restricted information that set etc.；
1-2) initialize usage, medical item and the mapping relations of subsidiary project；
2) calculate
2-1) after doctor's typing doctor's advice, first the medical item in doctor's advice is grouped by the group information in doctor's advice；
It 2-2) determines and the relevant subsidiary project of this group of medical item of the doctor's advice；
2-3) the doctor's advice dosage in doctor's advice, the smaller in specification information are to step 2-2) obtained subsidiary project into
Row screening, filters out the subsidiary project that dosage restricted information is met the requirements；
2-4) according to step 2-3) the obtained rule of collecting of each subsidiary project calculates the quantity that should be collected；
3) subsidiary project information is fed back, to calculate the price of medical item and its related subsidiary project in doctor's advice.
The step 2-2) specifically comprise the following steps：
2-2-1) according to the usage or medical item of each group medical item, obtain and this group of medical item usage or medical item
The corresponding subsidiary project of mesh；
2-2-2) such as section office, doctor's advice classification, the personnel's restricted information etc. of the relevant information in doctor's advice are to step 2-2-1)
The application range of obtained subsidiary project is screened, and is obtained relevant with this group of medical item usage of the doctor's advice or medical item
Subsidiary project；
2-2-3) according to the group information of this group of medical item to step 2-2-2) obtained subsidiary project collects a group model
It encloses and is screened, obtain the relevant subsidiary project of this group of medical item of the doctor's advice.
The step 2-2-2) in the doctor's advice in relevant information include section office, doctor's advice classification etc., and step 2-2-
2) in, first section office's information in doctor's advice is to step 2-2-1) the obtained application range of subsidiary project screens.Hospital
In section office it is generally more, first screened according to section office, be conducive to reduce processing total amount of data.
The application range is the regulation to the doctor's advice classification of subsidiary project application, section office etc..
The dosage restricted information is represented by following parameter：Whether per secondary amounts, limitation, every secondary amounts unit, every secondary amounts are initial
Value and every secondary amounts end value.
Group scope of collecting includes following option：Every group collect, first group collect, second group rise add.
The rule of collecting includes following option：It collects by fixed quantity, received by the number injected in note number i.e. institute of institute
It takes, collects by execution number, collected by frequency number, being collected by institute's note number of days, being collected by doctor's advice number of days, the specific number of each option
Value is directly acquired from doctor's advice or obtained by associated information calculation in doctor's advice.
In order to facilitate User Defined, the underlying parameter of the subsidiary project further includes to control whether that pop-up user sets
Determine the pop-up selection control parameter of option, the step 1) further includes the initialization pop-up selection control parameter and set with user
The step of option mapping relations.
Step 2-1 in step 2)) before further include and receive after doctor's advice changes signal, delete original subsidiary project, so as to from
Newly calculate the step of this doctor's advice attaches project.
Compared with the prior art, the present invention has the advantages that：
The method of the present invention safeguards the underlying parameter of subsidiary project in advance, then completely by computer according to the information in doctor's advice
Automatic take out of attaches project accordingly, takes subsidiary project out of compared with the subsidiary project of manual calculation and computer fixation, has speed
Soon, accuracy height, practicability, it is workable the advantages of；The programmed logic that the present invention is developed according to service logic, more meets
The actual demand of user, and easy care.
Description of the drawings
Fig. 1 is the logic theory block diagram of present pre-ferred embodiments；
Fig. 2 is the FB(flow block) to a kind of Land use systems of the subsidiary project information of step 3) of the present invention feedback；
Fig. 3 is the sectional view for the doctor's advice that certain doctor outputs；
Fig. 4 is and usage --- the sectional view of the list of the corresponding subsidiary project of intravenous drip；
Fig. 5 is and usage --- the sectional view of the list of oral corresponding subsidiary project；
Fig. 6 is and usage --- the sectional view of the list of the corresponding subsidiary project of intramuscular injection；
Fig. 7 is and medical item --- the sectional view of the list of the corresponding subsidiary project of corn curettage；
Fig. 8 is the displaying after medical projects combo in the subsidiary project and doctor's advice taken out of after being calculated by the method for the present invention
Figure.
Specific embodiment
The present invention is described in further detail with reference to the accompanying drawings and detailed description.
As shown in Figure 1, the automatic charging method of the present embodiment includes the following steps：
1) initialize
The underlying parameter of subsidiary project 1-1) is initialized, as also shown in e.g. figs. 4-7, underlying parameter includes subsidiary project name, list
Valency collects a group scope, collects regular, setting application range, dosage restricted information, being selected for controlling whether that pop-up user sets
Pop-up selection control parameter of item etc.；
1-2) initialize usage, medical item and the mapping relations of subsidiary project；
1-3) initialization pop-up selection control parameter sets the mapping relations of option with user.
As also shown in e.g. figs. 4-7, a group scope of collecting for subsidiary project defines following option in the present embodiment：Every group collect,
One group collect, second group rise add；The rule of collecting of subsidiary project defines following option：It collects by fixed quantity, noted by institute
Number is collected, collects by execution number, collected by frequency number, being collected by institute's note number of days, being collected by doctor's advice number of days；Subsidiary project
Dosage restricted information is represented by following parameter：Whether per secondary amounts limitation, per secondary amounts unit, per secondary amounts initial value and per secondary amounts knot
Beam value；The application range of subsidiary project is distinguished by the system scope of subsidiary project application, doctor's advice classification, section office etc..This reality
Applying system scope in example includes outpatient service and in hospital two options, and doctor's advice classification includes outpatient service doctor's advice, standing orders of being hospitalized, is hospitalized and faces
When three options of doctor's advice.In other embodiments, as needed, it can suitably be adjusted or increase new application range limitation letter
Breath.
It is unrelated with the doctor's advice frequency, number of days etc. that the present embodiment collects the quantity for being collected in rule by fixed quantity and being directed to and collecting
Situation, generally with, such as these medical items binding for the treatment of project, fixing in doctor's advice and collecting a certain number of subsidiary projects；It is noted by institute
Number is collected, and institute's note number refers to the number injected in institute, and injection is all completed in institute for some item patients are inconvenient
Situation (such as some hospitals patient is allowed to take hospital oneself out of complete injection), so only collected to the number injected in institute,
Institute's note number is related to number of days and the frequency, and calculating discharge note number according to the number of days and the frequency injected in institute is collected；It presses
Perform number collect with by institute note number collect it is similar, some hospitals for medical safety consider do not allow patient that drug is taken out of
Hospital oneself injects, it is desirable that is all injected in institute, so subsidiary project is fully according to the execution calculated by number of days and the frequency
Number is collected；It is collected by frequency number primarily directed to intravenous drip usage, it, can not be with because the time interval between the frequency is longer
The injection of last time connects and (collects second group and act the expense added), intraday per injection all handle again, institute
Can provide to collect subsidiary project according to frequency number；The usage mainly for intravenous drip, some hospitals are collected by institute's note number of days
For some auxiliary informations (mainly first group of project collected, such as intravenous drip expense) of intravenous drip usage, rule in management
It can only collect once within fixed one day, others can rise to add and collect according to second group, so how many days institute's note is just collected several times；By doctor
Number of days is advised to collect similar with being collected by institute's note number of days, if hospital does not allow to take hospital's injection out of, just according to the number of days of doctor's advice
It collects.Above-mentioned doctor's advice number of days, the frequency, institute's note number of days, the concrete numerical value of institute's note number are obtained from doctor's advice.The present invention passes through setting
Above-mentioned parameter has considered the various situations that subsidiary project is collected, has made the requirement of programmed logic and service logic.
2) calculate
It 2-1) receives after doctor's advice changes signal, deletes original subsidiary project, so as to from the subsidiary item for newly calculating this doctor's advice
Mesh, to avoid the occurrence of subsidiary project error, doctor's typing doctor caused by doctor's advice changes in its simplest form
After advising, first the medical item in doctor's advice is grouped by the group information in doctor's advice；
2-2) the relevant subsidiary project of definite and this group of medical item of the doctor's advice, specifically comprises the following steps：
2-2-1) according to the usage or medical item of each group medical item, obtain and this group of medical item usage or medical item
The corresponding subsidiary project of mesh；
2-2-2) such as section office, system scope, the doctor's advice classification etc. of the relevant information in doctor's advice are to step 2-2-1) it obtains
The application range of subsidiary project screened, obtain relevant subsidiary with this group of medical item usage of the doctor's advice or medical item
Project, screening order are preferably that section office, system scope, doctor's advice classification etc. are arranged in order, and the section office in hospital are generally more, first root
It is screened according to section office, is conducive to reduce the total amount of data of processing, the relevant information may also include personnel's restricted information etc.；
2-2-3) according to the group information of this group of medical item to step 2-2-2) obtained subsidiary project collects a group model
It encloses and is further screened, obtain the relevant subsidiary project of this group of medical item of the doctor's advice；
2-3) the doctor's advice dosage in doctor's advice, the smaller in specification information are to step 2-2-3) obtained subsidiary project
It is screened, filters out the subsidiary project that dosage restricted information is met the requirements；
2-4) according to step 2-3) the obtained rule of collecting of each subsidiary project calculates the quantity that should be collected.
3) subsidiary project information is fed back, to calculate the price of medical item and its related subsidiary project in doctor's advice.Such as Fig. 2
It is shown, according to doctor's advice information, the subsidiary project taken out of is converted to the medical item that doctor's advice corresponds to group, and labeled as subsidiary item
Mesh doctor's advice forms subsidiary Project Cost (outpatient service) or doctor's advice execution information (being hospitalized).
Above-mentioned flow is further described with reference to specific embodiment：
Fig. 3 is the doctor's advice opened of certain doctor, the following several projects of typing：As shown in figure 3, medical item, group information,
Each dosage pays number/number of days, frequency title, notes number etc. with legitimate name, institute.
According to the usage of each group medical item, medical item and the mapping relations of subsidiary project, obtain and the group medical treatment item
Mesh usage or the corresponding subsidiary project of medical item, as also shown in e.g. figs. 4-7, drug (being judged according to drug dictionary) in the present embodiment
Subsidiary project is taken out of by usage, non-drug (judging according to non-drug price dictionary) takes subsidiary project out of according to medical item.
Automatic charging method according to the present invention：
1st, 1 " Shu Xuening injection (2ml) " of group is used cooperatively, " 0.9% chlorine with " 0.9% sodium chloride injection (plastic bottle) "
Change sodium injection (plastic bottle) " belong to big infusion, it is defined as being not involved in calculating subsidiary project." Shu Xuening injection (2ml) " usage
It is intravenous drip, each dosage 20ml, once a day, totally 1 day, institute's note number was 1, is first group of item of intravenous drip usage
Mesh.
Because the specification of " Shu Xuening injection (2ml) " is 2ml/ branch, i.e., the research on maximum utilized quantity of single branch drug is 2ml, and doctor's advice is used
It measures 20ml and is more than 2ml, so for calculating the dosage of subsidiary project as 2ml.It is as follows to calculate subsidiary project information：
1) project " disposable syringe 10ml " safeguards that noting number by institute for every group collects, and is limited to be more than 5ml per secondary amounts
And it not in this range, is not then taken out of after calculating less than or equal to 10ml, 2ml.
2) project " disposable syringe (60ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
30ml and less than or equal to 999999ml, 2ml not in this range, does not then take out of after calculating.
3) project " disposable syringe (20ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
10ml and less than or equal to 20ml, 2ml not in this range, does not then take out of after calculating.
4) project " disposable syringe (1ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
0ml and less than or equal to 1ml, 2ml not in this range, does not then take out of after calculating.
5) project " disposable syringe (30ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
20ml and less than or equal to 30ml, 2ml not in this range, does not then take out of after calculating.
6) project " disposable syringe 5ml " safeguards that noting number by institute for every group collects, and is limited to be more than 1ml per secondary amounts
And it within this range, is then taken out of 1 " disposable syringe 5ml " after calculating less than or equal to 5ml, 2ml.
7) project " disposable transfusion device " is safeguarded and collects (institute's note number of days=institute's note number/every to note first group of number of days by institute
Day number), it is unrelated with each dosage, then it is taken out of 1 " disposable transfusion device " after calculating.
8) project " Emergency call attention indagation expense " is safeguarded and collects (institute's note number of days=institute's note to note first group of number of days by institute
Number/daily number), it is unrelated with each dosage, then it is taken out of 1 time " Emergency call attention indagation expense " after calculating.
9) project " out-patient clinical intravenous transfusion " is safeguarded and collects (institute's note number of days=institute's note number/every to note first group of number of days by institute
Day number), it is unrelated with each dosage, then it is taken out of 1 time " out-patient clinical intravenous transfusion " after calculating.
10) project " Emergency call observation bed take (half day) ", safeguard for by institute note first group of number of days collect (institute's note number of days=
Number/daily number is noted by institute), it is unrelated with each dosage, then it is taken out of after calculating 1 time " Emergency call observation bed expense (half day) ".
11) project " out-patient clinical intravenous transfusion (second group of continuous transfusion rises) ", safeguards to add to note number second group by institute,
It is unrelated with each dosage, therefore project is first group, then is not taken out of after calculating.
2nd, 2 " Ginkgo Damo injection (5ml) " of group are used cooperatively, " 5% grape with " 5% glucose injection (plastic bottle) "
Sugared parenteral solution (plastic bottle) " belongs to big infusion, is defined as being not involved in calculating subsidiary project." Ginkgo Damo injection (5ml) " usage
It is intravenous drip, each dosage 20ml, once a day, totally 1 day, institute's note number was 1, is first group of item of intravenous drip usage
Mesh.Because the specification of " Ginkgo Damo injection (5ml) " is 5ml/ branch, i.e. the maximum capacity of list branch drug is 5ml, doctor's advice dosage
20ml is more than 5ml, so for calculating the dosage of subsidiary project as 5ml.It is as follows to calculate subsidiary project information：
1) project " disposable syringe 10ml " safeguards that noting number by institute for every group collects, and is limited to be more than 5ml per secondary amounts
And it not in this range, is not then taken out of after calculating less than or equal to 10ml, 5ml.
2) project " disposable syringe (60ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
30ml and less than or equal to 999999ml, 5ml not in this range, does not then take out of after calculating.
3) project " disposable syringe (20ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
10ml and less than or equal to 20ml, 5ml not in this range, does not then take out of after calculating.
4) project " disposable syringe (1ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
0ml and less than or equal to 1ml, 5ml not in this range, does not then take out of after calculating.
5) project " disposable syringe (30ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
20ml and less than or equal to 30ml, 5ml not in this range, does not then take out of after calculating.
6) project " disposable syringe 5ml " safeguards that noting number by institute for every group collects, and is limited to be more than 1ml per secondary amounts
And it within this range, is then taken out of 1 " disposable syringe 5ml " after calculating less than or equal to 5ml, 5ml.
7) project " disposable transfusion device " is safeguarded and collected to note first group of number of days by institute, unrelated with each dosage, because of this group
Project is second group, then is not taken out of after calculating.
8) project " Emergency call attention indagation expense " is safeguarded and collected to note first group of number of days by institute, unrelated with each dosage, because
This group of project is second group, then is not taken out of after calculating.
9) project " out-patient clinical intravenous transfusion " is safeguarded and collected to note first group of number of days by institute, unrelated with each dosage, because of this group
Project is second group, then is not taken out of after calculating.
10) project " Emergency call observation bed takes (half day) ", safeguard and collected to note first group of number of days by institute, with each dosage
It is unrelated, because this group of project is second group, then do not taken out of after calculating.
11) project " out-patient clinical intravenous transfusion (second group of continuous transfusion rises) ", safeguards to add to note number second group by institute,
It is unrelated with each dosage, then it is taken out of after calculating 1 time " out-patient clinical intravenous transfusion (second group of continuous transfusion rises) ".
3rd, 3 usages of group are oral that oral not safeguard subsidiary project information, then the subsidiary project calculated is sky.
4th, group 4 " Articaine epinephrine injection (must be blue) " usage is intramuscular injection, each dosage 1.7ml, daily
Once, totally 1 day, institute's note number was 1.It is as follows to calculate subsidiary project information：
1) project " intramuscular injection " safeguards that noting number according to institute for every group takes out of, unrelated with every secondary amounts, then is taken out of after calculating
" intramuscular injection " of 1 time.
2) project " disposable syringe 5ml " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
2.5ml and less than or equal to 999999ml, 1.7ml not in this range, does not then take out of after calculating.
3) project " disposable syringe (2.5ML) " safeguards that noting number by institute for every group collects, and is limited to be more than per secondary amounts
0ml and less than or equal to 2.5ml, 1.7ml within this range, then takes out of 1 " disposable syringe (2.5ML) " after calculating.
5th, 5 " corn curettage " of group belong to non-drug project, and doctor's advice quantity is 1, and it is as follows to calculate subsidiary project information：
1) project " local infiltration anesthesia (containing surface anesthesia) ", safeguard and collected 1 time for every group of fixation, then take 1 out of after calculating
Secondary " local infiltration anesthesia (containing surface anesthesia) ".
2) project " tack aseptic dressing " safeguard and collect 1 time for every group of fixation, then taken out of after calculating 1 " tack without
Bacterium dressing ".
It can be seen that the corresponding subsidiary project taken out of is illustrated in fig. 8 shown below after preservation.
The present invention is as shown in the table compared with the prior art：
Table 1
The underlying parameter that the present invention passes through the subsidiary project of setting so that some and the relevant medical item of doctor's advice dosage, group
Mesh can also accurately take related subsidiary project out of, and such as intravenous drip, the different groups of subsidiary projects taken out of are different, and the present invention is also set up
Pop-up selection control parameter, makes this kind of medical item that doctor is needed to be made choice according to conditions of patients such as big dressing, also may be used
It is more accurate than the fixed algorithm taken out of, more practical, operability is more preferable accurately to take subsidiary project out of, it can more meet user's need
It asks.
Claims (7)
1. the automatic charging method of the subsidiary project involved in a kind of doctor's advice implementation procedure, which is characterized in that include the following steps：
1) initialize
The underlying parameter of subsidiary project 1-1) is initialized, the underlying parameter includes subsidiary project name, unit price, collects a group model
It encloses, collect rule, the application range of setting, dosage restricted information；
1-2) initialize usage, medical item and the mapping relations of subsidiary project；
2) calculate
2-1) after doctor's typing doctor's advice, first the medical item in doctor's advice is grouped by the group information in doctor's advice；
2-2) the relevant subsidiary project of definite and this group of medical item of the doctor's advice, specifically comprises the following steps：
2-2-1) according to the usage or medical item of each group medical item, obtain and this group of medical item usage or medical item pair
The subsidiary project answered, wherein, drug takes subsidiary project out of by usage, and non-drug takes subsidiary project out of according to treatment project；
2-2-2) relevant information in doctor's advice is to step 2-2-1) the obtained application range of subsidiary project screens, obtains
To with the relevant subsidiary project of this group of medical item usage of the doctor's advice or medical item；Relevant information in the doctor's advice includes section
Room, doctor's advice classification；
2-2-3) according to the group information of this group of medical item to step 2-2-2) obtained subsidiary project collect group scope into
Row screening obtains the relevant subsidiary project of this group of medical item of the doctor's advice；
2-3) the doctor's advice dosage in doctor's advice, the smaller in specification information are to step 2-2) obtained subsidiary project sieves
Choosing, filters out the subsidiary project that dosage restricted information is met the requirements；
2-4) according to step 2-3) the obtained rule of collecting of each subsidiary project calculates the quantity that should be collected；
3) subsidiary project information is fed back, to calculate the price of medical item and its related subsidiary project in doctor's advice.
2. automatic charging method according to claim 1, which is characterized in that step 2-2-2) in, first according in doctor's advice
Section office's information is to step 2-2-1) the obtained application range of subsidiary project screens.
3. automatic charging method according to claim 1, which is characterized in that the dosage restricted information passes through following parameter
It represents：Whether per secondary amounts limitation, per secondary amounts unit, per secondary amounts initial value and per secondary amounts end value.
4. automatic charging method according to claim 1, which is characterized in that group scope of collecting includes following option：
Every group collect, first group collect, second group rise add.
5. automatic charging method according to claim 1, which is characterized in that the rule of collecting includes following option：It presses
Fixed quantity is collected, is collected by the number injected in note number i.e. institute of institute, collect by execution number, collected, by institute by frequency number
Note number of days is collected, collected by doctor's advice number of days, and the concrete numerical value of each option is directly acquired from doctor's advice or believed by related in doctor's advice
Breath is calculated.
6. automatic charging method according to claim 1, which is characterized in that the underlying parameter of the subsidiary project further includes
For controlling whether that pop-up user sets the pop-up selection control parameter of option, the step 1) further includes the initialization pop-up
The step of control parameter is selected to set option mapping relations with user.
7. automatic charging method according to claim 1, which is characterized in that step 2-1 in step 2)) further include receipts before
After changing signal to doctor's advice, original subsidiary project is deleted, so as to from newly calculating the step of this doctor's advice attaches project.
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| CN108197981B (en) * | 2017-12-27 | 2021-04-20 | 东软医疗系统股份有限公司 | Charging method and device for diagnostic medical image |
| CN111062751A (en) * | 2019-12-12 | 2020-04-24 | 镇江市第一人民医院 | Charging system and method based on automatic drug correlation consumable |
| CN113379568B (en) * | 2021-06-23 | 2023-07-28 | 丽水市中心医院 | Billing system and method based on drug administration route and capable of automatically associating diagnosis and treatment with material cost |
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