CN106530166A - Hospital medical insurance expense nonpayment prevention auxiliary management information system and nonpayment prevention method - Google Patents
Hospital medical insurance expense nonpayment prevention auxiliary management information system and nonpayment prevention method Download PDFInfo
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Abstract
The invention provides a hospital medical insurance expense nonpayment prevention auxiliary management information system, which comprises a management server and a user end, wherein the management server comprises a nonpayment prevention patient database, and an expense nature setting module, a drug attribute setting module, a patient information recognition module, a drug usage day prompt module, a reimbursement category setting module, a medical insurance policy information prompt module, a self-paying protocol verification module and a printing module communicating with the nonpayment prevention patient database. The drug usage days of the patient can be counted, a doctor is prompted when the drug usage days exceed, indication judgment can be carried out on drugs prescribed by the doctor, the drug usage indication is prompted to the doctor, the doctor can thus inform the patient or a family member, happening of the expense nonpayment possibility can be prevented from the source, convenience is provided for the doctor, medical disputes can be avoided, management by the hospital is facilitated, and obvious economic benefits are brought to the hospital.
Description
Technical field
The invention belongs to medical system technical field, more particularly to a kind of hospital medical insurance is anti-to refuse to pay Added Management information
System and anti-refuse to pay method.
Background technology
Basic medical security system is the ingredient of social security system, and the important content of health service, with people
The vital interests of the people masses are closely bound up, with keeping reforming and perfect for Chinese society security system, what medical care insurance was covered
Crowd is more and more extensive, on the one hand allows the downtrodden medical demand of the people to obtain further release, on the other hand cures
Institute has also obtained quick development, and this allows for medical insurance administrative organization and hospital medical insurance manager in medical insurance's control aspect
Responsibility and pressure are increasing.The cost issues of Medical Insurance Patients are always patient, medical insurance administrative organization, Jiao of the common concern of hospital
One of point, medical insurance administrative organization has formulated corresponding control measures for welfare fund safety, is ensureing the same of basic medical
When, the expenditure of fund is reduced as far as possible;And as medical services supplier-hospital in order to seek the development of itself, it is desirable to will clothes
Business benefit, rationalization, reduce the situation generation that medical insurance is refused to pay as far as possible, and medical insurance refuses to pay
Exhibition, affects doctor-patient relationship and build a harmonious society contradiction the most prominent and problem.
Hospital is the executor of medical insurance policies and system, and hospital is directly affected for the medical services effect that insurant is provided
The success or failure of medical insurance policies and system, the trusting degree for protecting the people and medical insurance policies is affected, so, hospital is performed in medical insurance policies
During play very important effect, and a line clinician carries medical insurance expense as the direct allocator of medical insurance
With the prime responsibility of management, however, the phenomenon that patient refuses to pay medical insurance happens occasionally, trace it to its cause, be broadly divided into following several
Point:1) doctor holds inaccurate, comprehensive Policy Difference grasped between different insurance kinds to medical insurance policies;2) doctor's types of medicines
More than social medtcal insurance range;3) dosage exceedes prescribed dose;4) when using the medicine or diagnosis and treatment item paying for oneself or partly pay for oneself, not
The obligation for informing patient or family members is discharged, and does not sign Informed Consent Form.For this purpose, above-mentioned reason easily causes expenses for medicine refusing to pay
Situation occur, this will give hospital and brings bad consequence, and the serious development for limiting hospital, and existing patent publication No. is
A kind of Patients with Medical Insurance management system of being in hospital disclosed in CN104008449A, the system can be carried out to the medical insurance information of inpatient
Effectively manage, the information for hospital management Patients with Medical Insurance is provided and facilitated, but still without solving the problems, such as that medical insurance refuses to pay, be
This, hospital be badly in need of exploitation one kind can in time by medication natural law excess message, medication be whether indication, patient or family members whether
The information reminding doctor such as agreement at one's own expense is signed, prevents the hospital medical insurance that the situation that patient refuses to pay medical expense occurs from preventing refusing
Pay Added Management information system and prevent refusing to pay method.
The content of the invention
In order to solve to be forbidden as doctor is held to medical insurance policies in prior art, grasp comprehensively between different insurance kinds
Policy Difference;Doctor's types of medicines exceedes social medtcal insurance range;Dosage exceedes prescribed dose;Using paying for oneself or part is paid for oneself
When medicine or diagnosis and treatment item, the obligation for informing patient or family members is not discharged, and caused by not signing the reasons such as Informed Consent Form
Situations such as medical expense is refused to pay occurs, the invention provides a kind of hospital medical insurance is anti-and refusing to pay Added Management information system and preventing
Refuse to pay method.
Concrete technical scheme of the present invention is as follows:
The invention provides a kind of hospital medical insurance is anti-to refuse to pay Added Management information system, including management server and use
Family end, the user side by management server described in WEB application routine access, the management server respectively with information for hospital
System server, local medical insurance information system server communication link, the management server include preventing refusing to pay patients database,
The anti-patients database of refusing to pay is with the basic Drug catalogue storehouse communication link in medical insurance Drug catalogue storehouse and country;
The management server also includes preventing refusing to pay the other setup module of expense, the medicine category that patients database communicates with described
Property setup module, patient information identification module, medication natural law reminding module, reimbursement classification setup module, medical insurance policies information carry
Show module, protocol verification module and print module at one's own expense;It is described to prevent that refusing to pay patients database memory storage has the identity data of patient,
The identity data includes patient's name, No. ID, hospital stayss, Jing attending doctors and Fei Bie types;It is described to take other setup module root
The other type of the expense is pre-set according to medical insurance insurance kind, the other type of the expense includes the other and non-medical insurance expense of medical insurance expense not;The medicine
Attribute setup module is used for arranging drug attribute, and the drug attribute setup module takes other setup module communication link with described
Connect, the drug attribute takes other type maps mutually with described;
The patient information identification module takes the whether insured and insured danger of other type identification patient according to the described of patient
Kind, and send to the medication natural law reminding module;
The medication natural law reminding module includes limiting medication natural law default unit, actual medication natural law computing unit, use
Medicine reminding unit, the insured classification of patient that the default unit of the restriction medication natural law is recognized according to the patient information identification module
Determine with insurance kind and limit medication natural law, send to the medication reminding unit, the actual medication natural law computing unit is according to doctor
The actual pre-preparation open patient of life using the usage of medicine, consumption calculate automatically the actual medication natural law of the medicine, concurrently
Deliver to the medication reminding unit, the medication reminding unit for actual medication natural law with limit the contrast of medication natural law, if
More than medication natural law is limited, then the medication reminding unit generates the prompting letter of " excess not print dialog " to actual medication natural law
Cease and send to the user side;
It is described to submit an expense account classification setup module for arranging the reimbursement classification of medicine and diagnosis and treatment item and being displayed in user side;Institute
State medical insurance policies nformation alert module generate the prompting frame containing information send to user side, the information include by
Specify medication according to medicine indication medication, according to package insert, be whether price after send the documents one kind for being marked with indication or
It is various;The module of protocol verification at one's own expense is used for checking, and agreement whether there is at one's own expense;The print module be used for by it is non-at one's own expense
Medicine and at one's own expense medicine are distinguished and generation medical insurance Medicine prescription list and at one's own expense Medicine prescription list respectively, are printed with time-division side.
Further, the management server also includes preventing refusing to pay the information updating mould that patients database communicates with described
Block, access unit that described information update module includes communicating, acquiring unit, storage unit, sequencing unit, information are more
New unit,
The access unit accesses the information for hospital according to URL addresses or IP address respectively according to default time interval
System server and the local medical insurance information system server;The acquiring unit is used for obtaining the hospital information system clothes
The issuing time attribute information and page attribute information of the page is issued in business device and the local medical insurance information system server simultaneously
Send to described information analytic unit;Described information analytic unit is used for comparing issuing time attribute information and page properties letter
Breath, if information change sends the issue page that the issuing time attribute information changes to the sequencing unit, institute
The page attribute information that storage unit is additionally operable to the adjacent issue page for obtaining twice of comparison is stated, if page word
The ratio of symbol change exceedes preset ratio, then the ratio changed page character exceedes the issue page of preset ratio and sends
To the sequencing unit;The sequencing unit is set up queue and is ranked up and sends to described information according to attribute information and updates single
Unit, the attribute information include URL, IP address, server name, medical insurance department, one or more in issuing time;It is described
Information updating unit indicates that according to management personnel the confirmation in the queue has actually occurred the issue page for updating, and
Automatically the medical insurance reimbursement policy information for obtaining the issue page through updating is stored in and described anti-refuses to pay patient data
In storehouse.
Further, the management server also includes preventing refusing to pay the prescription list generation that patients database communicates with described
Module, the prescription list generation module include the query unit for communicating, typing unit, divide square unit, the query unit to use
In inquiring about medicine in the basic Drug catalogue storehouse in the medical insurance Drug catalogue storehouse and the country according to keyword automatically, and will look into
The medicine of inquiry is sent to the typing unit, and the keyword includes one or two groups in nomenclature of drug, medicine indication
Close;The typing unit is used for providing medicine input interface, and the diagnosis and treatment item of inquiry and typing is generated prescription list, while will
The prescription single-shot delivers to described point of square unit;Described point of square unit processes generation medical insurance for the prescription list is carried out a point side
Medicine prescription list and at one's own expense Medicine prescription list.
Further, the management server also includes preventing refusing to pay the expenses management mould that patients database communicates with described
Block, the expenses management module include that Project Cost clearing unit, clearing unit of submitting an expense account, expense comparison unit, expense are carried
Awake unit,
The Project Cost clearing unit is for carrying out expense statistics by the medicine of the diagnosis and treatment item of total quantity and total quantity
Project total cost W is obtained, and project total cost W of calculating is sent to the expense comparison unit, the calculating of project total cost W
Formula is as follows:
W=n1A1+n2A2+...niAi+m1B1+m2B2+...+mjBj
Wherein, W is project total cost;Item numbers of the i for diagnosis and treatment item;Ai is the unit price of i-th diagnosis and treatment item;Ni is
The quantity of i diagnosis and treatment item;Species numbers of the j for medicine, unit prices of the Bj for jth kind medicine, quantity of the mj for jth kind medicine;
The clearing unit of submitting an expense account is according to the medical insurance Drug catalogue storehouse by the medicine of different labeled in the prescription list
Product and diagnosis and treatment item total amount carry out expense reimbursement statistics obtain submit an expense account total cost Y, and by reimbursement total cost Y for calculating send to
The expense comparison unit, the computing formula for submitting an expense account total cost Y are as follows:
Y=(n1×A1×K1)+(n2×A2×K2)+...+(ni×Ai×Ki)+(m1×B1×H1)
+(m2×B2×H2)+...+(mj×Bj×Hj)
Wherein, Y is reimbursement total cost;Item numbers of the i for diagnosis and treatment item;Ai is the unit price of i-th diagnosis and treatment item;Ni is
The quantity of i diagnosis and treatment item, the reimbursement maximum number value of the diagnosis and treatment item recorded in ni≤medical insurance Drug catalogue storehouse;Ki is
The reimbursement ratio of i-th diagnosis and treatment item;Species numbers of the j for medicine, unit prices of the Bj for jth kind medicine, numbers of the mj for jth kind medicine
Amount, the reimbursement maximum number value of the medicine recorded in mj≤medical insurance Drug catalogue storehouse;Reimbursement ratios of the Hj for jth kind medicine
Example;
Project total cost W of calculating is contrasted by the expense comparison unit with reimbursement total cost Y, if project total cost
W is sent to the expense reminding unit and reminds instruction, the expense to carry more than reimbursement total cost Y, then the expense comparison unit
Awake unit generates the information of " project total cost is beyond reimbursement total cost, if continue " and sends to user side.
Preferably, the patient information identification module includes preventing refusing to pay the insurance kind identification that patients database communicates with described
Unit, insurance kind screening unit, information matching unit, the insurance kind recognition unit is for anti-refusing to pay disease in patients database by described
The identity data of people is matched with the patient identity data stored in the local medical insurance information system server, inquires about patient
Insured information and send to insurance kind screening unit, the insurance kind screening unit according to default minimum hospital's expenditure, minimum suffer from
Person's expenditure, minimum consultation hours, minimum Insurance Consumption, default hospital and patient pay equilibrium ratio, the kind apoplexy due to endogenous wind one of disease or
Multinomial dimension is recommended the insurance kind that patient selects automatically, and the insurance kind selected is sent to described information matching unit, the letter
Matching unit is ceased for the anti-patients database of refusing to pay is passed through insurance kind for matching word jointly with the medical insurance Drug catalogue storehouse
Duan Jianli mapping relations;
Preferably, the medical insurance policies nformation alert module also includes package insert reading unit, the medical insurance for communicating
Information identificating unit, rapid reading unit, the package insert reading unit are used for reading in the medical insurance Drug catalogue storehouse
Package insert information and generate electronics package insert and send to the medical insurance information identificating unit, the medical insurance information is known
Other unit for arranging at least one medical insurance identification region in the electronics package insert, each described medical insurance identification region
Highlight according to the medication of medicine indication or the Word message of consumption medication according to the instructions provided;The rapid reading unit is used
The medical insurance identification region in the electronics package insert is extracted, and generate the letter based on the medical insurance identification region
Want electronics package insert.
Present invention also offers a kind of prevent refusing to pay the hospital of Added Management information system using described hospital medical insurance
Medical insurance is anti-to refuse to pay method, and the method is comprised the following steps:
S1. take and do not arrange:The other type of expense is correspondingly arranged in advance according to medical insurance insurance kind, and the other type of the expense includes medical insurance expense not
With non-medical insurance expense not;
S2. drug attribute is arranged:Drug attribute is set, and the drug attribute is taken into other type maps mutually, institute with described
Stating drug attribute includes medicine attribute at one's own expense and non-medicine attribute at one's own expense, and the non-attribute of medicine at one's own expense is included by medical insurance Drug catalogue storehouse
The non-drug information at one's own expense for reading, the attribute of medicine at one's own expense are included by the letter of medicine at one's own expense read in national basic Drug catalogue storehouse
Breath, the drug information at one's own expense and the non-drug information at one's own expense include that nomenclature of drug, medicine are suitable for disease, medicine usage, medicine
One or more in product consumption and contraindication drug information;
S3. the insured classification of patient and insurance kind identification:According to patient it is described take other type classification patient it is whether insured and ginseng
The insurance kind of guarantor;
S4. prompting is set by calculating the medication natural law of patient:
S4-1, setting limit medication natural law:The insured classification of patient and insurance kind according to recognizing in step S3 determines to limit to be used
Medicine natural law;
S4-2, the actual medication natural law of calculating:The usage of the medicine used according to the actual pre-preparation open patient of doctor, consumption
Automatically calculate the actual medication natural law of the medicine;
S4-3, setting information:Set in the described actual medication natural law calculated in step S4-2 is more than step S4-1
The restriction medication natural law put, sends the information of " excess not print dialog " Xiang doctor;
S5., the reimbursement classification of medicine and diagnosis and treatment item is set:The reimbursement classification of medicine and diagnosis and treatment item is set and is shown, supply
Doctor refers to:Diagnosis and treatment item and medicine are divided into into Class A project, Class B project, three kinds of reimbursement items of Class C project according to reimbursement scope
Mesh classification, the Class A project are fully to include the medicine and diagnosis and treatment item of medical insurance reimbursement scope;Class B project compares at one's own expense for having
Medicine and diagnosis and treatment item that example is limited, the part medicine have the restriction of indication;The Class C project is in full at one's own expense for needs
Medicine and diagnosis and treatment item;
S6., the medical insurance reimbursement policy information prompting of medicine and diagnosis and treatment item is set:By the prompting frame containing information
Prompting doctor, the information include according to medicine indication medication, according to package insert regulation medication, whether be price
Dispatch is marked with one or more in indication afterwards;
S7. agreement checking at one's own expense:When doctor issues medicine at one's own expense for patient, agreement whether there is at one's own expense for checking;
S8. arrange a point side to print:When doctor is that patient issues medicine at one's own expense and non-medicine at one's own expense simultaneously, a point side prints automatically
For medical insurance Medicine prescription list and Medicine prescription list at one's own expense.
Further, the method also includes that medical insurance reimbursement policy information updates, and concrete update method is as follows:
1. access and obtain:According to URL addresses or IP address, access according to default time interval and issue medical insurance policies letter
The server of breath, and in obtaining the server, issue the issuing time attribute information and page attribute information of the page, the clothes
Business device includes local medical insurance information system server and hospital information system server;
2. compare and analyze:The issuing time attribute information of the adjacent issue page for obtaining twice of comparison, if
Information is unchanged, terminates this renewal, otherwise, into next step;The institute of the adjacent issue page for obtaining twice of comparison
Page attribute information is stated, compares the ratio of page character change, terminated this renewal if preset ratio is not above, otherwise enter
Enter next step;
3. set up queue:Obtain the issue page and page properties letter of the issuing time attribute information change
In breath, the ratio of page character change exceedes the issue page of preset ratio, sets up queue according to attribute information and is arranged
Sequence, the attribute information include URL, IP address, server name, medical insurance department, one or more in issuing time;
4. medical insurance reimbursement policy information updates:Indicated according to management personnel, confirm to have actually occurred more in the queue
The new issue page, and the medical insurance reimbursement policy information of the issue page of the acquisition through updating is deposited automatically
Storage.
Further, the method also includes generating prescription list, and concrete grammar is as follows:
1. keyword is passed through in the basic Drug catalogue storehouse in the medical insurance Drug catalogue storehouse and the country according to patient condition
Middle inquiry medicine, the keyword include one or two combinations in nomenclature of drug, medicine indication;
2. by step 1. the medicine of middle inquiry and doctor's typing diagnosis and treatment item generate prescription list;
3. a point side is carried out to the prescription list of step 2. middle generation generates a medical insurance Medicine prescription list and Medicine prescription at one's own expense
It is single.
Further, the method also includes disbursement and sattlement:The expense of medicine or diagnosis and treatment item on the prescription list is entered
Row clearing, and the cost threshold that policy information reimbursement is submitted an expense account in the expense of clearing and medical insurance is contrasted, if the expense for clearing out
The expense of policy information reimbursement is submitted an expense account beyond medical insurance, then generates hint instructions, point out doctor to inform patient or family members, the expense
Calculating is comprised the following steps:
1. project total cost W of the medicine and diagnosis and treatment item of total quantity in the prescription list is calculated by below equation:
W=n1A1+n2A2+...niAi+m1B1+m2B2+...+mjBj
Wherein, W is project total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niFor i-th
The quantity of individual diagnosis and treatment item;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine;
2. policy information is submitted an expense account according to medical insurance and passes through below equation by the medicine of different labeled and diagnosis and treatment in the prescription list
Project total amount carries out reimbursement total cost Y of expense reimbursement statistics:
Y=(n1×A1×K1)+(n2×A2×K2)+...+(ni×Ai×Ki)+(m1×B1×H1)
+(m2×B2×H2)+...+(mj×Bj×Hj)
Wherein, Y is reimbursement total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niFor i-th
The quantity of individual diagnosis and treatment item, niThe reimbursement maximum number value of the diagnosis and treatment item recorded in≤medical insurance reimbursement policy information;KiFor i-th
The reimbursement ratio of individual diagnosis and treatment item;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine,
mjThe reimbursement maximum number value of the medicine recorded in≤medical insurance reimbursement policy information;HjFor the reimbursement ratio of jth kind medicine;
3. project total cost W is contrasted with reimbursement total cost Y, if project total cost W is more than reimbursement total cost Y,
The information of " project total cost is beyond reimbursement total cost, if continue " is sent Xiang doctor, if project total cost W is less than or equal to
Reimbursement total cost Y, then do not point out.
Preferably, in step S3, the identification of patient's insurance kind is further comprising the steps of:
1. transfer the institute at some patient identity datas and current patient place in the local medical insurance information system server
State the anti-identity data refused to pay in patients database to be matched, inquire about the insured information of the patient;
When 2. recognizing and confirm that patient is adapted to certain insurance kind, that is, update or generate the patient and prevent refusing to pay patient data described
The insurance kind attribute information in storehouse;When recognizing patient and being adapted to multiple insurance kinds, system automatic push go out selects interface, artificial selection danger
Step is entered 3. after kind, otherwise into step 4.;
3. with insurance kind as common matching field, prevent that refusing to pay patients database is set up with the medical insurance Drug catalogue storehouse by described
Mapping relations;
4. according to default minimum hospital's expenditure, minimum patient expenditure, minimum consultation hours, minimum Insurance Consumption, default
Which kind of insurance kind hospital is recommended patient from automatically with patient's expenditure equilibrium ratio, one or more dimension of kind apoplexy due to endogenous wind of disease,
Execution step is 3. again;
Preferably, the reminding method of the S6 steps includes:
1. electronics package insert is generated by reading package insert information in the medical insurance Drug catalogue storehouse;
2. at least one medical insurance identification region, each described medical insurance identification region are set in the electronics package insert
Highlight according to the medication of medicine indication or the Word message of consumption medication according to the instructions provided;
3. rapid reading option is set, when the rapid reading option is started, is only provided with the medical insurance identification region
Based on brief electronics package insert.
Beneficial effects of the present invention are as follows:The present invention provide system can upgrade in time medical insurance reimbursement policy information, and
The medication natural law of patient can be counted, realize medication natural law excess and remind doctor, while the medicine that can be opened to doctor
Product carry out indication judgement, realize medication and do not remind doctor to the ill, additionally, prescription list can enter to agreement at one's own expense before generating
Row checking, has timely accomplished that prompting doctor informs that patient or family members' medicine or diagnosis and treatment item submit an expense account scope beyond medical insurance comprehensively,
The generation of the probability that expense refuses to pay is prevented from source, while enhancing the communication and understanding between doctors and patients, patient is to doctor
The degree of belief and satisfaction of institute is significantly improved, additionally, the system can make medical worker issue the suitable of medicine with accurate assurance
With scope and using dosage, and then medical insurance policies is performed upper easier to understand and is coordinated, provide for doctor and facilitate, it is to avoid
Medical tangle, facilitates hospital management, hence it is evident that for economic benefit that hospital brings, meanwhile, the method that the present invention is provided can and
When Data Enter and medical insurance reimbursement policy information update, fast and accurately calculate dosage, and judge medication indication, realize
Dosage excess is reminded, medication is not reminded to the ill etc., remind doctor to inform patient or family members in time, it is to avoid what expense was refused to pay can
The generation of energy property, it is easy to use, it is practical.
Description of the drawings
Fig. 1 is that a kind of hospital medical insurance described in embodiment 1 prevents refusing to pay the structural representation of Added Management information system;
Fig. 2 is that a kind of hospital medical insurance described in embodiment 1 prevents refusing to pay management server in Added Management information system
Structure flow chart;
Fig. 3 is that a kind of hospital medical insurance described in embodiment 2 prevents refusing to pay information updating mould in Added Management information system
The structure flow chart of block;
Fig. 4 is that prescription list is generated during a kind of hospital medical insurance described in embodiment 3 prevents refusing to pay Added Management information system
The structure flow chart of module;
Fig. 5 is that a kind of hospital medical insurance described in embodiment 3 prevents refusing to pay expenses management mould in Added Management information system
The structure flow chart of block;
Fig. 6 is that patient information is known during a kind of hospital medical insurance described in embodiment 4 prevents refusing to pay Added Management information system
The structure flow chart of other module;
Fig. 7 is that a kind of hospital medical insurance described in embodiment 4 prevents refusing to pay medical insurance policies letter in Added Management information system
The structure flow chart of breath reminding module.
Wherein:1st, management server;101st, prevent refusing to pay patients database;102nd, take other setup module;103rd, drug attribute
Setup module;104th, patient information identification module;1041st, insurance kind recognition unit;1042nd, insurance kind screening unit;1043rd, information
With unit;105th, medication natural law reminding module;1051st, limit the default unit of medication natural law;1052nd, actual medication natural law calculates single
Unit;1053rd, medication reminding unit;106th, submit an expense account classification setup module;107th, medical insurance policies nformation alert module;1071st, medicine
Description reading unit;1072nd, medical insurance information identificating unit;1073rd, rapid reading unit;108th, protocol verification module at one's own expense;
109th, print module;110th, information updating module;1101st, access unit;1102nd, acquiring unit;1103rd, storage unit;
1104th, sequencing unit;1105th, information updating unit;111st, prescription list generation module;1111st, query unit;1112nd, typing list
Unit;1113rd, divide square unit;112nd, expenses management module;1121st, Project Cost clearing unit;1122nd, submit an expense account advice of settlement
Unit;1123rd, expense comparison unit;1124th, expense reminding unit;2nd, user side;3rd, hospital information system server;4th, place doctor
Protect information system server.
Specific embodiment
The present invention is described in further detail with following examples below in conjunction with the accompanying drawings.
Embodiment 1
As shown in the figures 1 and 2, a kind of hospital medical insurance is anti-refuses to pay Added Management information system, including 1 He of management server
User side 2, the user side 2 by management server 1 described in WEB application routine access, the management server 1 respectively with doctor
Institute's information system server 3, local 4 communication link of medical insurance information system server, the management server 1 include preventing refusing to pay disease
Personal data storehouse 101, the anti-patients database 101 of refusing to pay is with the basic Drug catalogue storehouse communication link in medical insurance Drug catalogue storehouse and country
Connect.The user side 2 includes PC ends and mobile phone terminal, management clothes described in WEB application routine access of the doctor by user side 2
Business device 1, and read or receive the data message of the management server 1.The hospital information system server 3 is for " army defends one
Number " information system, the management server 1 and the hospital information system server 3 of " NO.1 Military Project " and local medical insurance information system
System server 4 sets up a link approach respectively, and can real time access, while will " NO.1 Military Project " hospital information system clothes
The medical insurance policies information that business device 3 and local medical insurance information system server 4 are issued is embedded in the management server 1, so as to
Enable a physician to understand medical insurance policies information in time, to reach the requirement that medical insurance specifies.
Additionally, medical insurance Drug catalogue storehouse have recorded the catalogue of local medical insurance drug reimbursement, the basic Drug catalogue storehouse of country is
Medical institutions are equipped with the foundation using medicine, including two parts:Basic medical and health institutions are equipped with using part and other medical treatment
Mechanism is equipped with and uses part.Medicine in essential drug list is to adapt to basic medical health demand, and dosage form is suitable, and price is closed
Reason, can secure an adequate supply, and the public can the fair medicine for obtaining.Anti- patients database 101 of refusing to pay is with medical insurance Drug catalogue storehouse and state
The basic Drug catalogue storehouse link of family realizes the function of reading the basic medicine of medical insurance medicine and country.
As shown in Fig. 2 the management server 1 is also included with described anti-to refuse to pay the expense that patients database 101 communicates other
Setup module 102, drug attribute setup module 103, patient information identification module 104, medication natural law reminding module 105, reimbursement
Classification setup module 106, at one's own expense medical insurance policies nformation alert module 107, protocol verification module 108 and print module 109.
It should be noted that described prevent that refusing to pay 101 memory storage of patients database has the identity data of patient, the identity number
According to including patient's name, No. ID, hospital stayss, Jing attending doctors and Fei Bie types.
The other setup module 102 of the expense pre-sets the other type of the expense according to medical insurance insurance kind, and the other type of the expense includes
Not, the non-medical insurance expense is not i.e. insured, and medical insurance expense is not divided into local medical insurance, medical care insurance, doctor for the other and non-medical insurance expense of medical insurance expense
Stop medical insurance according to personnel, birth insurance, work-related injury insurance, youngster's medical insurance, old medical insurance, unemployed medical insurance, socialized medicine, army.The medicine
Product attribute setup module 103 is used for arranging drug attribute, and the drug attribute setup module 103 takes other setup module with described
102 communication links, the drug attribute take other type maps mutually with described;Difference takes other type, and its corresponding drug attribute is not
Together, the selection of drug attribute can be realized by taking other type, and the drug attribute includes medicine attribute at one's own expense and non-medicine at one's own expense category
Property, the non-attribute of medicine at one's own expense include by the non-drug information at one's own expense read in medical insurance Drug catalogue storehouse, the medicine attribute at one's own expense
Including by the drug information at one's own expense read in national basic Drug catalogue storehouse, the drug information at one's own expense and the non-medicine at one's own expense
Information includes that nomenclature of drug, medicine are suitable for one or more in disease, medicine usage, drug dosage and contraindication drug information.
It should be noted that the patient information identification module 104 according to the other type identification patient of the expense of patient is
No insured and insured insurance kind, and send to the medication natural law reminding module 105;By determining the insured insurance kind and disease of patient
The disease of people can determine restriction medication natural law.
For taking other type, when specifically used, medical insurance relevant information prompting frame should be set, for example, select to protect using industrial injury
When dangerous, the information of inframe is pointed out for " strictly pressing《Industrial injury is demonstrate,proved》Upper diagnosis is treated, if being not belonging to treat industrial injury and by work
The other diseases that wound causes, then be separately in hospital or out-patient treatment by basic medical insurance ", it is easy to remind doctor to select suitable expense
Other type and insurance kind, in case produce situation about refusing to pay occur.
Medicine medication natural law is reminded and is specially:The medication natural law reminding module 105 includes limiting the default list of medication natural law
Unit 1051, actual medication natural law computing unit 1052, medication reminding unit 1053, the restriction medication natural law preset unit 1051
Determined according to the insured classification of patient and insurance kind of the patient information identification module 104 identification and limit medication natural law, sent to institute
Medication reminding unit 1053 is stated, the emergency treatment 3 days that specifies according to medical insurance, outpatient service 7 days, handicapped two weeks amounts, ten kinds of chronic diseases are not
Regulation more than 1 month issues medicine.The actual medication natural law computing unit 1052 is according to the actual pre-preparation open disease of doctor
People using the usage of medicine, consumption calculates automatically the actual medication natural law of the medicine, and sends to the medication and remind single
Unit 1053.
Actual medication natural law is calculated by below equation:
Wherein, T is the actual medication natural law of patient;Total dosage that D is taken by doctor open patient;A is that patient is daily
Times for spraying;Q is each dosage of patient.
The medication reminding unit 1053 for actual medication natural law with limit the contrast of medication natural law, if actual medication day
Number more than medication natural law is limited, then the medication reminding unit 1053 generate " excess not print dialog " information it is concurrent
Deliver to the user side 2.
For example:Certain split dose of city's HI center formulates the following rules:One is that acute patient must not exceed 3 staggering amounts;Two are
Chronic disease must not exceed 7 staggering amounts;It is handicapped to be less than 2 weeks amounts;Three be suffer from ten kinds of chronic diseases such as hypertension, diabetes and
Stable disease needs long-term taking same class medicine, can be loosened to a month amount;Four is that work-related injury insurance patient's Emergency call is general
Situation write a prescription dosage for 2 weeks;The special circumstances such as paraplegia, amputation amount of writing a prescription is no more than 1 month etc..Such as above-mentioned situation, if
Beyond regulation dosage, then necessarily lead to beyond expense, for this purpose, when doctor opens up prescription list, providing doctor in time, so as to side
Just doctor informs patient or family members, need to use at one's own expense beyond dosage, it is to avoid the expense in later stage is refused to pay or the feelings such as medical tangle
The generation of condition.
Medication natural law is reminded and is prevented from the dose that doctor outputs and submits an expense account scope beyond medical insurance, effectively reminds doctor, so as to
Facilitate amount of medicament or project that the reasonable control of doctor opens up, be that patient saves treatment cost, while avoid expense refusing to pay.
It is described to submit an expense account classification setup module 106 for arranging the reimbursement classification of medicine and diagnosis and treatment item and being displayed in user side
2;Doctor can select medicine and diagnosis and treatment item, different medicines and diagnosis and treatment item to have different reimbursement classes by user side 2
Not, submit an expense account classification setup module 106 and diagnosis and treatment item and medicine are divided into into Class A project, Class B project, Class C according to reimbursement scope
Three kinds of reimbursement project categories of project, the Class A project are fully to include the medicine and diagnosis and treatment item of medical insurance reimbursement scope;Class B
Project is have the medicine and diagnosis and treatment item that ratio is limited at one's own expense, and the part medicine has the restriction of indication;The Class C project
For needing medicine and diagnosis and treatment item at one's own expense in full.
The medical insurance policies nformation alert module 107 generates the prompting frame containing information and sends to user side 2, described
Information include according to medicine indication medication, according to package insert regulation medication, whether be after price dispatch be marked with it is suitable
Answer one or more in disease;From medical insurance Drug catalogue storehouse, dynamic imports data, judges the medicine indication of patient, and this carries
Show that function intuitively can easily point out doctor by indication medication, preferably control super medical insurance catalogue regulation medication problem
Occur.Doctor intuitively can be easily pointed out medication according to the instructions provided according to the medication of package insert regulation, preferably solve
Super package insert specifies the appearance of problem.It is whether that dispatch is marked with indication after price:Indication maintenance function, thing are set
Valency personnel can subsequently be safeguarded that the technical scheme can preferably solve super price prescribed limit and to replenishing regulations not
Understand and produced problem.
Medical insurance administrative provisions:Have at one's own expense in full project and medical insurance Drug catalogue storehouse at one's own expense outside for medical insurance Drug catalogue storehouse
The project of ratio, must be signed with patient or family members using before《Agreement at one's own expense》If, hospital Patients with Medical Insurance is occurred from
Expense project is not informed in advance, once there is expense dispute, for this purpose, in order to realize reminding doctor, in case forgetting about and patient or family
Category is signed《Agreement at one's own expense》, in the technical program, devise protocol verification module 108 at one's own expense, the protocol verification module at one's own expense
108 are used for checking, and agreement whether there is at one's own expense, remind doctor if not existing,《Agreement at one's own expense》Can be swept by scanner
Retouch rear uploading system, and verified, for this purpose, agreement is that hospital provides and facilitates at one's own expense by signature, it is to avoid doctor or
Hospital compensates the phenomenon of medical expense to be occurred.
For Medical Insurance Patients prescription when, the medicine in every medical insurance Drug catalogue storehouse will use the special place of medical care insurance
Side, on prescription, medical diagnosis on disease record must be consistent with medication, for medicine must individually issue prescription at one's own expense at one's own expense, with medical insurance
Interior medicine is separately printed, and is to define the print module 109 in this technical program for by non-medicine at one's own expense and medicine at one's own expense
Product are distinguished and generation medical insurance Medicine prescription list and at one's own expense Medicine prescription list respectively, are printed with time-division side.Prescription list is printed separately
Medicine at one's own expense and non-medicine at one's own expense can be more intuitively checked, patient can be made clearer, in case produce refusing to pay, work as patient
When having a question, link up with doctor in time, it is to avoid situation about refusing to pay occurs.
Embodiment 2
As shown in figure 3, the embodiment of the present invention 2 further defines the management server 1 also on the basis of embodiment 1
Including preventing refusing to pay the information updating module 110 that patients database 101 communicates with described, described information update module 110 includes
The access unit 1101 that communicates, acquiring unit 1102, storage unit 1103, sequencing unit 1104, information updating unit
1105.Medical insurance policies information real-time update is realized by the technical scheme, medical insurance or price part can at any time according to actual feelings
Condition updates the anti-medical insurance policies information refused to pay in patients database 101, counts for later data and provides basis.
The access unit 1101 accesses the hospital according to URL addresses or IP address respectively according to default time interval
Information system server 3 and the local medical insurance information system server 4;The acquiring unit 1102 is used for obtaining the hospital
The issuing time attribute information and page of the page is issued in information system server 3 and the local medical insurance information system server 4
Face attribute information is simultaneously sent to described information analytic unit 1103;Described information analytic unit 1103 is used for comparing issuing time category
Property information and page attribute information, the issue page that the issuing time attribute information changes is sent if information change
To the sequencing unit 1104, described information analytic unit 1103 is additionally operable to the adjacent issue page for obtaining twice of comparison
The page attribute information, if the ratio of page character change exceedes preset ratio, the ratio that page character is changed is exceeded
The issue page of preset ratio is sent to the sequencing unit 1104;The sequencing unit 1104 is set up according to attribute information
Queue is ranked up and sends to described information updating block 1105, and the attribute information includes URL, IP address, server name
Title, medical insurance department, one or more in issuing time;Described information updating block 1105 is indicated according to management personnel, in institute
Confirm to have actually occurred the issue page for updating in stating queue, and obtain automatically the issue page through updating
Medical insurance reimbursement policy information be stored in described anti-refuse to pay in patients database 101.
Embodiment 3
As shown in figure 4, the embodiment of the present invention 3 define on the basis of embodiment 1 management server 1 also include with
Described to prevent refusing to pay the prescription list generation module 111 that patients database 101 communicates, the prescription list generation module 111 includes phase
The query unit 1111 of communication, typing unit 1112, point square unit 1113, the query unit 1111 for according to keyword from
Move and inquire about medicine in the basic Drug catalogue storehouse in the medical insurance Drug catalogue storehouse and the country, and by the medicine of inquiry send to
The typing unit 1112, the keyword include one or two combinations in nomenclature of drug, medicine indication;The typing
Unit 1112 is used for providing medicine input interface, and the diagnosis and treatment item of inquiry and typing is generated prescription list, while by the place
Fang Danfa delivers to described point of square unit 1113;Described point of square unit 1113 processes generation doctor for the prescription list is carried out a point side
Guarantor's Medicine prescription list and at one's own expense Medicine prescription list.
The technical scheme not only convenient doctor by the basic Drug catalogue storehouse in medical insurance Drug catalogue storehouse and the country
Inquiry medicine, and 1112 typing medicine of typing unit or diagnosis and treatment item can be passed through, so as to realize generating electronic prescription list, place
Fang Danfen side is processed, clearly can show at one's own expense or non-medicine or diagnosis and treatment item at one's own expense, so as to conveniently show patient or
Remind patient, the system greatly to alleviate the operating pressure of medical worker, saved medical insurance fund, promote doctors and patients' harmony,
Affirmative and the accreditation of local medical insurance department and one-level medical personnel are obtained.
As shown in figure 5, it should be noted that the present invention is except being counted to medication natural law and be reminded in addition to doctor,
Doctor can also be reminded by drug cost to inform patient beyond medical insurance, it is to avoid to refuse to pay, be limit in this technical program
Having determined the management server 1 also includes preventing refusing to pay the expenses management module 112 that patients database 101 communicates, institute with described
Stating expenses management module 112 includes Project Cost clearing unit 1121, clearing unit of submitting an expense account 1122, expense comparison unit
1123rd, expense reminding unit 1124,
The Project Cost clearing unit 1121 is for carrying out expense by the medicine of the diagnosis and treatment item of total quantity and total quantity
Statistics obtains project total cost W, and project total cost W of calculating is sent to the expense comparison unit 1123, and project is total to take
Computing formula with W is as follows:
W=n1A1+n2A2+...niAi+m1B1+m2B2+...+mjBj
Wherein, W is project total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niFor i-th
The quantity of individual diagnosis and treatment item;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine;
The clearing unit 1122 of submitting an expense account is according to the medical insurance Drug catalogue storehouse by different labeled in the prescription list
Medicine and diagnosis and treatment item total amount carry out expense reimbursement statistics obtain submit an expense account total cost Y, and by reimbursement total cost Y for calculating send out
The expense comparison unit 1123 is delivered to, the computing formula for submitting an expense account total cost Y is as follows:
Y=(n1×A1×K1)+(n2×A2×K2)+...+(ni×Ai×Ki)+(m1×B1×H1)
+(m2×B2×H2)+...+(mj×Bj×Hj)
Wherein, Y is reimbursement total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niFor i-th
The quantity of individual diagnosis and treatment item, niThe reimbursement maximum number value of the diagnosis and treatment item recorded in≤medical insurance Drug catalogue the storehouse;KiFor
The reimbursement ratio of i diagnosis and treatment item;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine,
mjThe reimbursement maximum number value of the medicine recorded in≤medical insurance Drug catalogue the storehouse;HjFor the reimbursement ratio of jth kind medicine;
Project total cost W of calculating is contrasted by the expense comparison unit 1123 with reimbursement total cost Y, if project is total
Expense W sends prompting to the expense reminding unit 1124 and refers to more than reimbursement total cost Y, then the expense comparison unit 1123
Order, the information that the expense reminding unit 1124 generates " project total cost is beyond reimbursement total cost, if continue " are concurrent
Deliver to user side 2.
Embodiment 4
The embodiment of the present invention 4 further defines patient information identification module 104 and medical insurance on the basis of embodiment 1
Policy information reminding module 107.
As shown in fig. 6, as medical insurance insurance kind is more, between different insurance kinds, Policy Conditions are not quite similar, and doctor is difficult entirely again
The Policy Difference between different insurance kinds is grasped in face, it is difficult to accurately classify on request be managed, can not be patient selection
Optimum insurance kind carries out reimbursement process, and for example, industrial injury insurance kind is only responsible for paying the industrial injury disease hospitalization cost through assert, exceedes
The expense that scope of determination disease occurs can cause to refuse to pay, and birth insurance is then paid by disease, in excess of the quota, can lead
Cause is refused to pay, two kinds of reimbursement system differences, for this purpose, preferably defining the patient information identification module 104 in the technical program
Anti- insurance kind recognition unit 1041, the insurance kind screening unit 1042, information that patients database 101 communicates is refused to pay including with described
With unit, the insurance kind recognition unit 1041 is for anti-refusing to pay the identity data of patient and institute in patients database 101 by described
The patient identity data stored in stating local medical insurance information system server 4 is matched, and the insured information for inquiring about patient is concurrent
Insurance kind screening unit 1042 is delivered to, the insurance kind screening unit 1042 is paid according to default minimum hospital, minimum patient pays,
Minimum consultation hours, minimum Insurance Consumption, default hospital and patient's expenditure equilibrium ratio, one or more dimension of kind apoplexy due to endogenous wind of disease
Automatically the insurance kind for being recommended patient to select, the insurance kind selected is sent to described information matching unit, and described information matching is single
Unit is for anti-to refuse to pay patients database 101 with the medical insurance Drug catalogue storehouse be the foundation of common matching field by insurance kind by described
Mapping relations.
When patient has portion to insure, by insurance kind recognition unit 1041, insurance kind screening unit 1042, information
Can be according to default minimum hospital's expenditure, minimum patient expenditure, minimum consultation hours, minimum Insurance Consumption, default with unit
Hospital pays the screening conditions such as equilibrium ratio, the species of disease with patient and effectively screens suitable insurance for patient, effectively prevents from refusing
Pay.
As shown in fig. 7, it should be noted that when the description of some medicines reaches several pages, reading for convenience, shortening
Doctor reading time, doctor is made quickly to grasp the indication or consumption of the medicine for meeting medical insurance policies.In the technical program preferably
Define that the medical insurance policies nformation alert module 107 also includes the package insert reading unit 1071, medical insurance that communicates
Information identificating unit 1072, rapid reading unit 1073, the package insert reading unit 1071 are used for reading the medical insurance
Package insert information in Drug catalogue storehouse simultaneously generates electronics package insert and sends to the medical insurance information identificating unit
1072, the medical insurance information identificating unit 1072 is for arranging at least one medical insurance cog region in the electronics package insert
Domain, each described medical insurance identification region are highlighted according to the medication of medicine indication or the word of consumption medication according to the instructions provided
Information;The rapid reading unit 1073 is used for extracting the medical insurance identification region in the electronics package insert, and raw
Into the brief electronics package insert based on the medical insurance identification region.
Pass through package insert reading unit 1071, medical insurance information identificating unit 1072, rapid reading in the technical program
Unit 1073 can provide the simplified electronic description with identification region, can facilitate doctor's rapid reading medicine explanation
Book, understands medicine information, prevents out the situation of wrong medicine to occur.
Embodiment 5
Present invention also offers a kind of prevent refusing to pay the hospital of Added Management information system using described hospital medical insurance
Medical insurance is anti-to refuse to pay method, and the method is comprised the following steps:
S1. take and do not arrange:The other type of expense is correspondingly arranged in advance according to medical insurance insurance kind, and the other type of the expense includes medical insurance expense not
With non-medical insurance expense not, the non-medical insurance expense is not i.e. insured, and medical insurance expense is not divided into local medical insurance, medical care insurance, doctor according to personnel, life
Insurance, work-related injury insurance is educated, youngster's medical insurance, old medical insurance, unemployed medical insurance, socialized medicine, army is learned and is stopped medical insurance.
S2. drug attribute is arranged:Drug attribute is set, and the drug attribute is taken into other type maps mutually, institute with described
Stating drug attribute includes medicine attribute at one's own expense and non-medicine attribute at one's own expense, and the non-attribute of medicine at one's own expense is included by medical insurance Drug catalogue storehouse
The non-drug information at one's own expense for reading, the attribute of medicine at one's own expense are included by the letter of medicine at one's own expense read in national basic Drug catalogue storehouse
Breath, the drug information at one's own expense and the non-drug information at one's own expense include that nomenclature of drug, medicine are suitable for disease, medicine usage, medicine
One or more in product consumption and contraindication drug information.
S3. the insured classification of patient and insurance kind identification:According to patient it is described take other type classification patient it is whether insured and ginseng
The insurance kind of guarantor.
S4. prompting is set by calculating the medication natural law of patient:
S4-1, setting limit medication natural law:The insured classification of patient and insurance kind according to recognizing in step S3 determines to limit to be used
Medicine natural law;
S4-2, the actual medication natural law of calculating:The usage of the medicine used according to the actual pre-preparation open patient of doctor, consumption
Automatically calculate the actual medication natural law of the medicine;
S4-3, setting information:Set in the described actual medication natural law calculated in step S4-2 is more than step S4-1
The restriction medication natural law put, sends the information of " excess not print dialog " Xiang doctor;
By the real-time statistics to dosage in the technical program, doctor can be made in strict accordance with state food drug surveilance
Management board is used to the package insert of drug approval regulation, especially will according to the indication of the description, usage, consumption and
Route of administration is performed, and prevents doctor from understanding and grasping degree not enough to package insert, and medication phenomenon is commonplace by rule of thumb,
Usually there is generation situations such as refusing to pay consequence for not meeting description regulation, effectively alleviate doctor-patient relationship, patient is improved to disease
The degree of belief of people.
S5., the reimbursement classification of medicine and diagnosis and treatment item is set:The reimbursement classification of medicine and diagnosis and treatment item is set and is shown, supply
Doctor refers to:Diagnosis and treatment item and medicine are divided into into Class A project, Class B project, three kinds of reimbursement items of Class C project according to reimbursement scope
Mesh classification, the Class A project are fully to include the medicine and diagnosis and treatment item of medical insurance reimbursement scope;Class B project compares at one's own expense for having
Medicine and diagnosis and treatment item that example is limited, the part medicine have the restriction of indication;The Class C project is in full at one's own expense for needs
Medicine and diagnosis and treatment item;
During use, when full medicine at one's own expense is met work station eject " project is the full project at one's own expense of medical insurance, if continued,
Select "No" " after, computer issues prescription at one's own expense automatically.
S6., the medical insurance reimbursement policy information prompting of medicine and diagnosis and treatment item is set:By the prompting frame containing information
Prompting doctor, the information include according to medicine indication medication, according to package insert regulation medication, whether be price
Dispatch is marked with one or more in indication afterwards.
S7. agreement checking at one's own expense:When doctor issues medicine at one's own expense for patient, agreement whether there is at one's own expense for checking.
S8. arrange a point side to print:When doctor is that patient issues medicine at one's own expense and non-medicine at one's own expense simultaneously, a point side prints automatically
For medical insurance Medicine prescription list and Medicine prescription list at one's own expense.
In order to more clearly check medicine at one's own expense and non-medicine at one's own expense, in the technical program will at one's own expense medicine and it is non-at one's own expense
Medicine is separately printed, and when medicine at one's own expense is run into, ejects " project is the full project at one's own expense of medical insurance, if continued ", to remind doctor
Patient or family members are informed in life.
Embodiment 6
The embodiment of the present invention 6 is further defined on the basis of embodiment 5 prevents refusing to pay method, and the method also includes medical insurance
Reimbursement policy information updates, and concrete update method is as follows:
1. access and obtain:According to URL addresses or IP address, access according to default time interval and issue medical insurance policies letter
The server of breath, and in obtaining the server, issue the issuing time attribute information and page attribute information of the page, the clothes
Business device includes local medical insurance information system server 4 and hospital information system server 3;
2. compare and analyze:The issuing time attribute information of the adjacent issue page for obtaining twice of comparison, if
Information is unchanged, terminates this renewal, otherwise, into next step;The institute of the adjacent issue page for obtaining twice of comparison
Page attribute information is stated, compares the ratio of page character change, terminated this renewal if preset ratio is not above, otherwise enter
Enter next step;
3. set up queue:Obtain the issue page and page properties letter of the issuing time attribute information change
In breath, the ratio of page character change exceedes the issue page of preset ratio, sets up queue according to attribute information and is arranged
Sequence, the attribute information include URL, IP address, server name, medical insurance department, one or more in issuing time;
4. medical insurance reimbursement policy information updates:Indicated according to management personnel, confirm to have actually occurred more in the queue
The new issue page, and the medical insurance reimbursement policy information of the issue page of the acquisition through updating is deposited automatically
Storage.
The technical program realizes medical insurance policies information real-time update, and medical insurance or price part can at any time according to practical situation
The anti-medical insurance policies information refused to pay in patients database 101 is updated, is counted for later data and basis is provided
Embodiment 7
The embodiment of the present invention 7 is further defined on the basis of embodiment 5 prevents refusing to pay method, and the method also includes generating
Prescription list, concrete grammar are as follows:
1. keyword is passed through in the basic Drug catalogue storehouse in the medical insurance Drug catalogue storehouse and the country according to patient condition
Middle inquiry medicine, the keyword include one or two combinations in nomenclature of drug, medicine indication;
2. by step 1. the medicine of middle inquiry and doctor's typing diagnosis and treatment item generate prescription list;
3. a point side is carried out to the prescription list of step 2. middle generation generates a medical insurance Medicine prescription list and Medicine prescription at one's own expense
It is single.
The method operation is fairly simple, and system operatio is served as theme with the consultation process of patient, and medical worker is only carried out simply
System operatio, it is possible to accurate assurance issues the prescription list of specialty, and the medicine on prescription list can have medical insurance Drug catalogue
Storehouse and the country are inquired about in basic Drug catalogue storehouse, while when being designed into medicine at one's own expense or diagnosis and treatment item in prescription list, system
Effectively remind doctor to inform patient or family members, prevent the later stage from expense occur and refuse to pay or generation situations such as medical expense dispute.
Further defining the method in the technical program also includes disbursement and sattlement:By the medicine on the prescription list or examine
The expense for the treatment of project is settled accounts, and the cost threshold that policy information reimbursement is submitted an expense account in the expense of clearing and medical insurance is contrasted,
If the expense for clearing out submits an expense account the expense of policy information reimbursement beyond medical insurance, hint instructions are generated, point out doctor to inform patient
Or family members, the expense calculates and comprises the following steps:
1. project total cost W of the medicine and diagnosis and treatment item of total quantity in the prescription list is calculated by below equation:
W=n1A1+n2A2+...niAi+m1B1+m2B2+...+mjBj
Wherein, W is project total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niFor i-th
The quantity of individual diagnosis and treatment item;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine;
2. policy information is submitted an expense account according to medical insurance and passes through below equation by the medicine of different labeled and diagnosis and treatment in the prescription list
Project total amount carries out reimbursement total cost Y of expense reimbursement statistics:
Y=(n1×A1×K1)+(n2×A2×K2)+...+(ni×Ai×Ki)+(m1×B1×H1)
+(m2×B2×H2)+...+(mj×Bj×Hj)
Wherein, Y is reimbursement total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niFor i-th
The quantity of individual diagnosis and treatment item, niThe reimbursement maximum number value of the diagnosis and treatment item recorded in≤medical insurance reimbursement policy information;KiFor i-th
The reimbursement ratio of individual diagnosis and treatment item;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine,
The reimbursement maximum number value of the medicine recorded in mj≤medical insurance reimbursement policy information;HjFor the reimbursement ratio of jth kind medicine;
3. project total cost W is contrasted with reimbursement total cost Y, if project total cost W is more than reimbursement total cost Y,
The information of " project total cost is beyond reimbursement total cost, if continue " is sent Xiang doctor, if project total cost W is less than or equal to
Reimbursement total cost Y, then do not point out.
More clearly explain how system carries out expense statistics and expense check and correction by said method, so as to improve
The accuracy of expense statistics, strictly accomplishes the accuracy of expense monitoring, so that doctor is by the medical expense beyond reimbursement scope,
Patient or family members are informed accurately, situation about refusing to pay so as to avoid expense occurs.
Embodiment 8
The embodiment of the present invention 8 is preferably defined on the basis of embodiment 5, and in step S3, the identification of patient's insurance kind is also wrapped
Include following steps:
1. transfer the institute at some patient identity datas and current patient place in the local medical insurance information system server 4
State the anti-identity data refused to pay in patients database 101 to be matched, inquire about the insured information of the patient;
When 2. recognizing and confirm that patient is adapted to certain insurance kind, that is, update or generate the patient and prevent refusing to pay patient data described
The insurance kind attribute information in storehouse 101;When recognizing patient and being adapted to multiple insurance kinds, system automatic push go out to select interface, artificial to select
Step is entered 3. after selecting insurance kind, otherwise into step 4.;
3. with insurance kind as common matching field, prevent refusing to pay patients database 101 with the medical insurance Drug catalogue storehouse by described
Set up mapping relations;
4. according to default minimum hospital's expenditure, minimum patient expenditure, minimum consultation hours, minimum Insurance Consumption, default
Which kind of insurance kind hospital is recommended patient from automatically with patient's expenditure equilibrium ratio, one or more dimension of kind apoplexy due to endogenous wind of disease,
Execution step is 3. again.
Patient selection can be given by said method system optimal reimbursement insurance kind is provided, screening conditions are minimum hospitals
Go out, minimum patient expenditure, minimum consultation hours, minimum Insurance Consumption, default hospital pay equilibrium ratio, the species of disease with patient
In one or more.
Preferably, the reminding method of the S6 steps includes:
1. electronics package insert is generated by reading package insert information in the medical insurance Drug catalogue storehouse;
2. at least one medical insurance identification region, each described medical insurance identification region are set in the electronics package insert
Highlight according to the medication of medicine indication or the Word message of consumption medication according to the instructions provided;
3. rapid reading option is set, when the rapid reading option is started, is only provided with the medical insurance identification region
Based on brief electronics package insert.
Pass through package insert reading unit 1071, medical insurance information identificating unit 1072, rapid reading in the technical program
Unit 1073 can provide the simplified electronic description with identification region, can facilitate doctor's rapid reading medicine explanation
Book, understands medicine information, prevents out the situation of wrong medicine to occur.
The present invention is not limited to above-mentioned preferred forms, and anyone can show that other are various under the enlightenment of the present invention
The product of form, however, make any change in its shape or structure, it is every with skill identical or similar to the present application
Art scheme, is within the scope of the present invention.
Claims (10)
1. a kind of hospital medical insurance is anti-refuses to pay Added Management information system, it is characterised in that including management server (1) and use
Family end (2), described user side (2) are by management server (1) described in WEB application routine access, described management server (1) point
Not with hospital information system server (3), local medical insurance information system server (4) communication link, management server (1)
Patients database (101) is refused to pay including anti-, described anti-to refuse to pay patients database (101) basic with medical insurance Drug catalogue storehouse and country
Drug catalogue storehouse communication link;
Management server (1) also includes preventing refusing to pay the other setup module of expense that patients database (101) communicates with described
(102), drug attribute setup module (103), patient information identification module (104), medication natural law reminding module (105), reimbursement
Classification setup module (106), at one's own expense medical insurance policies nformation alert module (107), protocol verification module (108) and print module
(109);Described to prevent that refusing to pay patients database (101) memory storage has the identity data of patient, the identity data includes patient last name
Name, No. ID, hospital stayss, Jing attending doctors and Fei Bie types;The expense other setup module (102) is pre-set according to medical insurance insurance kind
Described to take other type, the other type of the expense includes the other and non-medical insurance expense of medical insurance expense not;Described drug attribute setup module (103) are used
In setting drug attribute, and the drug attribute setup module (103) takes other setup module (102) communication link, institute with described
Drug attribute is stated with the other type maps mutually of the expense;
Patient information identification module (104) take the whether insured and insured danger of other type identification patient according to the described of patient
Kind, and send to medication natural law reminding module (105);
Described medication natural law reminding module (105) include that limiting the default unit (1051) of medication natural law, actual medication natural law calculates
Unit (1052), medication reminding unit (1053), the restriction medication natural law preset unit (1051) according to the patient information
The insured classification of patient and insurance kind that identification module (104) is recognized determines restriction medication natural law, sends to the medication reminding unit
(1053), the use of the medicine that actual medication natural law computing unit (1052) are used according to the actual pre-preparation open patient of doctor
Method, consumption calculate the actual medication natural law of the medicine automatically, and send to medication reminding unit (1053), the medication
Reminding unit (1053) is for contrasting with medication natural law is limited to actual medication natural law, if actual medication natural law is more than restriction medication
Natural law, then described medication reminding unit (1053) generate the information of " excess not print dialog " and send to the user
End (2);
It is described to submit an expense account classification setup module (106) for arranging the reimbursement classification of medicine and diagnosis and treatment item and being displayed in user side
(2);Described medical insurance policies nformation alert module (107) generate the prompting frame containing information and send to user side (2), described
Information include according to medicine indication medication, according to package insert regulation medication, whether be after price dispatch be marked with it is suitable
Answer one or more in disease;The module of protocol verification at one's own expense (108) is used for checking, and agreement whether there is at one's own expense;It is described to beat
Impression block (109) is for distinguishing non-medicine at one's own expense and at one's own expense medicine and generate medical insurance Medicine prescription list and medicine at one's own expense respectively
Prescription list, prints with time-division side.
2. hospital medical insurance as claimed in claim 1 is anti-refuses to pay Added Management information system, it is characterised in that the management
Server (1) also includes preventing refusing to pay the information updating module (110) that patients database (101) communicates, described information with described
Update module (110) includes the access unit (1101), acquiring unit (1102), storage unit (1103), row for communicating
Sequence unit (1104), information updating unit (1105),
Access unit (1101) access hospital's letter according to URL addresses or IP address respectively according to default time interval
Breath system server (3) and local medical insurance information system server (4);Described acquiring unit (1102) are used for obtaining described
The issuing time attribute of the page is issued in hospital information system server (3) and local medical insurance information system server (4)
Information and page attribute information are simultaneously sent to described information analytic unit (1103);Described information analytic unit (1103) for than
Compared with issuing time attribute information and page attribute information, by described in issuing time attribute information change if information change
Issue the page to send to the sequencing unit (1104), described information analytic unit (1103) is additionally operable to that comparison is adjacent to be obtained twice
The issue page the page attribute information, if the page character change ratio exceed preset ratio, by page word
The ratio of symbol change exceedes the issue page of preset ratio and sends to the sequencing unit (1104);The sequencing unit
(1104) set up queue according to attribute information to be ranked up and send to described information updating block (1105), the attribute information
Including one or more in URL, IP address, server name, medical insurance department, issuing time;Described information updating block
(1105) indicated according to management personnel, confirm to have actually occurred the issue page for updating in the queue, and obtain automatically
The medical insurance reimbursement policy information of the issue page for updating of learning from else's experience is stored in and described anti-refuses to pay patients database (101)
In.
3. hospital medical insurance as claimed in claim 1 is anti-refuses to pay Added Management information system, it is characterised in that the management
Server (1) also includes preventing refusing to pay prescription list generation module (111) that patients database (101) communicates, the place with described
Side's list generation module (111) includes the query unit (1111) for communicating, typing unit (1112), divides square unit (1113), institute
State query unit (1111) for according to keyword automatically in the basic Drug catalogue in the medical insurance Drug catalogue storehouse and the country
Medicine being inquired about in storehouse, and the medicine of inquiry being sent to the typing unit (1112), the keyword includes nomenclature of drug, medicine
One or two combinations in product indication;Described typing unit (1112) are used for providing medicine input interface, and will inquiry and
The diagnosis and treatment item of typing generates prescription list, while the prescription single-shot is delivered to described point of square unit (1113);Described point of Fang Dan
First (1113) process a generation medical insurance Medicine prescription list and Medicine prescription list at one's own expense for the prescription list is carried out a point side.
4. hospital medical insurance as claimed in claim 3 is anti-refuses to pay Added Management information system, it is characterised in that the management
Server (1) also includes preventing refusing to pay the expenses management module (112) that patients database (101) communicates, the expense with described
Management module (112) includes Project Cost clearing unit (1121), clearing unit of submitting an expense account (1122), expense comparison unit
(1123), expense reminding unit (1124),
Project Cost clearing unit (1121) are for carrying out expense system by the medicine of the diagnosis and treatment item of total quantity and total quantity
Meter obtains project total cost W, and project total cost W of calculating is sent to expense comparison unit (1123), and project is total to take
Computing formula with W is as follows:
W=n1A1+n2A2+...+niAi+m1B1+m2B2+...+mjBj
Wherein, W is project total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niExamine for i-th
The quantity for the treatment of project;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine;
Clearing unit of submitting an expense account (1122) are according to the medical insurance Drug catalogue storehouse by different labeled in the prescription list
Medicine and diagnosis and treatment item total amount carry out expense reimbursement statistics and obtain submitting an expense account total cost Y, and reimbursement total cost Y for calculating is sent
To expense comparison unit (1123), the computing formula for submitting an expense account total cost Y is as follows:
Y=(n1×A1×K1)+(n2×A2×K2)+…+(ni×Ai×Ki)+(m1×B1×H1)
+(m2×B2×H2)+…+(mj×Bj×Hj)
Wherein, Y is reimbursement total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niExamine for i-th
The quantity for the treatment of project, niThe reimbursement maximum number value of the diagnosis and treatment item recorded in≤medical insurance Drug catalogue the storehouse;KiFor i-th
The reimbursement ratio of diagnosis and treatment item;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine, mj
The reimbursement maximum number value of the medicine recorded in≤medical insurance Drug catalogue the storehouse;HjFor the reimbursement ratio of jth kind medicine;
Project total cost W of calculating is contrasted by expense comparison unit (1123) with reimbursement total cost Y, if project is total taking
With W more than reimbursement total cost Y, then expense comparison unit (1123) to described expense reminding unit (1124) transmission prompting refers to
Order, described expense reminding unit (1124) generate the information of " project total cost is beyond reimbursement total cost, if continue " simultaneously
Send to user side (2).
5. hospital medical insurance as claimed in claim 1 is anti-refuses to pay Added Management information system, it is characterised in that the patient
Information identification module (104) includes preventing refusing to pay insurance kind recognition unit (1041), the danger that patients database (101) communicates with described
Kind of screening unit (1042), information matching unit (1043), insurance kind recognition unit (1041) are for anti-refusing to pay disease by described
The identity data of patient and local medical insurance information system server (4) the middle patient status for storing in personal data storehouse (101)
Data are matched, and are inquired about the insured information of patient and are sent to insurance kind screening unit (1042), the insurance kind screening unit
(1042) according to default minimum hospital's expenditure, minimum patient expenditure, minimum consultation hours, minimum Insurance Consumption, default hospital
Automatically recommended the insurance kind of patient's selection with kind one or more dimension of apoplexy due to endogenous wind of patient's expenditure equilibrium ratio, disease, will be selected
Insurance kind send to described information matching unit (1043), described information matching unit (1043) is for anti-refusing to pay patient by described
Data base (101) sets up mapping relations by insurance kind for common matching field with the medical insurance Drug catalogue storehouse;
Preferably, medical insurance policies nformation alert module (107) also include the package insert reading unit for communicating
(1071), medical insurance information identificating unit (1072), rapid reading unit (1073), package insert reading unit (1071)
For the package insert information that reads in the medical insurance Drug catalogue storehouse and generate electronics package insert and send to the doctor
Information identificating unit (1072) is protected, medical insurance information identificating unit (1072) are for the setting in the electronics package insert
At least one medical insurance identification region, each described medical insurance identification region are highlighted according to the medication of medicine indication or by specification
The Word message of specified volume medication;Described rapid reading unit (1073) are used for extracting the institute in the electronics package insert
Medical insurance identification region is stated, and generates the brief electronics package insert based on the medical insurance identification region.
6. the hospital medical insurance described in a kind of any one of application claim 1-5 prevents refusing to pay the hospital of Added Management information system
Medical insurance is anti-to refuse to pay method, it is characterised in that the method is comprised the following steps:
S1. take and do not arrange:The other type of expense is correspondingly arranged in advance according to medical insurance insurance kind, and the other type of the expense includes that medical insurance expense is not and non-
Medical insurance expense is not;
S2. drug attribute is arranged:Drug attribute is set, and the drug attribute is taken into other type maps mutually, the medicine with described
Product attribute includes medicine attribute at one's own expense and non-medicine attribute at one's own expense, and the non-attribute of medicine at one's own expense includes being read by medical insurance Drug catalogue storehouse
Non- drug information at one's own expense, the attribute of medicine at one's own expense includes by the drug information at one's own expense read in national basic Drug catalogue storehouse,
The drug information at one's own expense and the non-drug information at one's own expense include that nomenclature of drug, medicine are suitable for disease, medicine usage, medicine use
One or more in amount and contraindication drug information;
S3. the insured classification of patient and insurance kind identification:Whether according to patient described, to take other type classification patient insured and insured
Insurance kind;
S4. prompting is set by calculating the medication natural law of patient:
S4-1, setting limit medication natural law:The insured classification of patient and insurance kind according to recognizing in step S3 determines restriction medication day
Number;
S4-2, the actual medication natural law of calculating:The usage of the medicine used according to the actual pre-preparation open patient of doctor, consumption are automatic
Calculate the actual medication natural law of the medicine;
S4-3, setting information:Arrange in the described actual medication natural law calculated in step S4-2 is more than step S4-1
The restriction medication natural law, sends the information of " excess not print dialog " Xiang doctor;
S5., the reimbursement classification of medicine and diagnosis and treatment item is set:The reimbursement classification of medicine and diagnosis and treatment item is set and is shown, for doctor
With reference to:Diagnosis and treatment item and medicine are divided into into Class A project, Class B project, three kinds of reimbursement item class of Class C project according to reimbursement scope
Not, the Class A project is fully to include the medicine and diagnosis and treatment item of medical insurance reimbursement scope;Class B project is limited for there is ratio at one's own expense
The medicine and diagnosis and treatment item of system, the part medicine have the restriction of indication;The Class C project is to need medicine at one's own expense in full
Product and diagnosis and treatment item;
S6., the medical insurance reimbursement policy information prompting of medicine and diagnosis and treatment item is set:Pointed out by the prompting frame containing information
Doctor, the information include according to medicine indication medication, according to package insert regulation medication, whether be to send out after price
Text is marked with one or more in indication;
S7. agreement checking at one's own expense:When doctor issues medicine at one's own expense for patient, agreement whether there is at one's own expense for checking;
S8. arrange a point side to print:When doctor is that patient issues medicine at one's own expense and non-medicine at one's own expense simultaneously, a point side prints to doctor automatically
Guarantor's Medicine prescription list and at one's own expense Medicine prescription list.
7. method as claimed in claim 6, it is characterised in that the method also includes that medical insurance reimbursement policy information updates, specifically
Update method is as follows:
1. access and obtain:According to URL addresses or IP address, access according to default time interval and issue medical insurance policies information
Server, and in obtaining the server, issue the issuing time attribute information and page attribute information of the page, the server
Including local medical insurance information system server (4) and hospital information system server (3);
2. compare and analyze:The issuing time attribute information of the adjacent issue page for obtaining twice of comparison, if information
It is unchanged, terminate this renewal, otherwise, into next step;The page of the adjacent issue page for obtaining twice of comparison
Face attribute information, compares the ratio of page character change, terminates this renewal, otherwise enter down if preset ratio is not above
One step;
3. set up queue:Obtain in the issue page and the page attribute information of the issuing time attribute information change
The ratio of page character change exceedes the issue page of preset ratio, sets up queue according to attribute information and is ranked up, institute
State attribute information include URL, IP address, server name, medical insurance department, one or more in issuing time;
4. medical insurance reimbursement policy information updates:Indicated according to management personnel, confirm to have actually occurred renewal in the queue
The issue page, and the medical insurance reimbursement policy information of the issue page of the acquisition through updating is stored automatically.
8. method as claimed in claim 6, it is characterised in that the method also includes generating prescription list, and concrete grammar is as follows:
1. looked in the basic Drug catalogue storehouse in the medical insurance Drug catalogue storehouse and the country by keyword according to patient condition
Medicine is ask, the keyword includes one or two combinations in nomenclature of drug, medicine indication;
2. by step 1. the medicine of middle inquiry and doctor's typing diagnosis and treatment item generate prescription list;
3. a point side is carried out to the prescription list of step 2. middle generation generates a medical insurance Medicine prescription list and Medicine prescription list at one's own expense.
9. method as claimed in claim 8, it is characterised in that the method also includes disbursement and sattlement:By on the prescription list
The expense of medicine or diagnosis and treatment item is settled accounts, and the cost threshold that policy information reimbursement is submitted an expense account in the expense of clearing and medical insurance is entered
Row contrast, if the expense for clearing out submits an expense account the expense of policy information reimbursement beyond medical insurance, generates hint instructions, points out doctor to accuse
Know patient or family members, the expense is calculated and comprised the following steps:
1. project total cost W of the medicine and diagnosis and treatment item of total quantity in the prescription list is calculated by below equation:
W=n1A1+n2A2+...+niAi+m1B1+m2B2+...+mjBj
Wherein, W is project total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niExamine for i-th
The quantity for the treatment of project;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine;
2. policy information is submitted an expense account according to medical insurance and passes through below equation by the medicine and diagnosis and treatment item of different labeled in the prescription list
Total amount carries out reimbursement total cost Y of expense reimbursement statistics:
Y=(n1×A1×K1)+(n2×A2×K2)+…+(ni×Ai×Ki)+(m1×B1×H1)
+(m2×B2×H2)+…+(mj×Bj×Hj)
Wherein, Y is reimbursement total cost;Item numbers of the i for diagnosis and treatment item;AiFor the unit price of i-th diagnosis and treatment item;niExamine for i-th
The quantity for the treatment of project, niThe reimbursement maximum number value of the diagnosis and treatment item recorded in≤medical insurance reimbursement policy information;KiExamine for i-th
The reimbursement ratio for the treatment of project;Species numbers of the j for medicine, BjFor the unit price of jth kind medicine, mjFor the quantity of jth kind medicine, mj≤
The reimbursement maximum number value of the medicine recorded in medical insurance reimbursement policy information;HjFor the reimbursement ratio of jth kind medicine;
3. project total cost W is contrasted with reimbursement total cost Y, if project total cost W is more than reimbursement total cost Y, to doctor
Hair growth promoting goes out the information of " project total cost is beyond reimbursement total cost, if continue ", if project total cost W is less than or equal to reimbursement
Total cost Y, then do not point out.
10. method as claimed in claim 6, it is characterised in that in step S3, the identification of patient's insurance kind are further comprising the steps of:
1. in transferring local medical insurance information system server (4), some patient identity datas are described with what current patient was located
The anti-identity data refused to pay in patients database (101) is matched, and inquires about the insured information of the patient;
When 2. recognizing and confirm that patient is adapted to certain insurance kind, that is, update or generate the patient and prevent refusing to pay patients database described
(101) insurance kind attribute information;When recognizing patient and being adapted to multiple insurance kinds, system automatic push go out to select interface, artificial to select
Step is entered 3. after selecting insurance kind, otherwise into step 4.;
3. with insurance kind as common matching field, prevent that refusing to pay patients database (101) is built with the medical insurance Drug catalogue storehouse by described
Vertical mapping relations;
4. according to default minimum hospital's expenditure, minimum patient expenditure, minimum consultation hours, minimum Insurance Consumption, default hospital
Automatically recommended patient from which kind of insurance kind with one or more dimension of kind apoplexy due to endogenous wind of patient's expenditure equilibrium ratio, disease, then held
Row step is 3.;
Preferably, the reminding method of the S6 steps includes:
1. electronics package insert is generated by reading package insert information in the medical insurance Drug catalogue storehouse;
2. at least one medical insurance identification region is set in the electronics package insert, and each described medical insurance identification region is projected
It is shown as the medication of medicine indication or the Word message of consumption medication according to the instructions provided;
3. rapid reading option is set, when the rapid reading option is started, is only provided based on the medical insurance identification region
Brief electronics package insert.
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