CN108831536A - Medical services management method, device and storage medium - Google Patents
Medical services management method, device and storage medium Download PDFInfo
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- CN108831536A CN108831536A CN201810548358.6A CN201810548358A CN108831536A CN 108831536 A CN108831536 A CN 108831536A CN 201810548358 A CN201810548358 A CN 201810548358A CN 108831536 A CN108831536 A CN 108831536A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A90/00—Technologies having an indirect contribution to adaptation to climate change
- Y02A90/10—Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
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Abstract
The present invention provides a kind of medical services management method, this method includes：The health account of the user is read according to User Identity, includes the health data of the user in the health account；When in the health data including first kind data, it obtains user and passes through main suit's information that the first client is sent, when main suit's information meets preset condition, receive the prescription data of the second client feedback, and the prescription data is fed back into third client, otherwise, the first medical resource is matched for the user, and generates first hospital guide's information；And/or when in the health data including Second Type data, generate corresponding treatment plan；And/or when in the health data including third categorical data, diagnosis plan, treatment plan and rehabilitation programme are generated.The present invention also provides a kind of electronic device and computer storage mediums.Using the present invention, user's interrogation/therapeutic efficiency and user service experience can be improved.
Description
Technical field
The present invention relates to medical treatment & health field more particularly to a kind of medical services management methods, electronic device and computer
Readable storage medium storing program for executing.
Background technique
Traditional Health Maintenance Organization (health maintenance organization, HMO) product relies on landing to examine
Institute oneself employs doctor or signing doctor group as head and examines doctor, the high client's amount in unit area can be only achieved rationally operation at
This, and need to put into again for a long time；In addition, there is the limitation of product end clause, examines, directly arrived outside network not without family doctor head
Payment is given, greatly affected the usage experience of user.
Current medical treatment & health class product only does simple data acquisition, and data source is single, can not establish for user
Perfect health account.Although having done data acquisition, there is no these data are used, reality is not provided for user
The service of matter, this is because health account lacks powerful doctor's resource to ensure the professional and authoritative caused of it
As a result；On the other hand, health data collection difficulty, the habit not having regular physical checkups due to user are resulted in since user experience is poor
It is used, active typing personal data are also not very willing, while the channel in user's acquisition health data source is less.
In terms of medical expense and medical group member, enterprise or personal not only a kind of right for buying in for insurance products
Future risk neutralizing promises to undertake that client or enterprise hold more concerned with the medical treatment resource of service company, Medical service profession degree and Claims Resolution
Promise is fulfilled.Moreover, the top medical resource overwhelming majority is distributed in Beijing and Shanghai, sees a doctor and needs professional high judgement,
The public is difficult to be pin-pointed to oneself suitable medical institutions and doctor, and client is difficult to find the medical treatment money for being suitble to oneself in a short time
Source.
Summary of the invention
In view of the foregoing, the present invention provides a kind of medical services management method, server and computer-readable storage medium
Matter, main purpose are to improve user's interrogation/therapeutic efficiency, improve user service and experience.
To achieve the above object, the present invention provides a kind of medical services management method, and this method includes：
S1, the health account that the user is read according to User Identity, it is strong comprising the user in the health account
Health data；
S2, when in the health data include the first kind data when, obtain user pass through the first client send master
It tells information, judges whether main suit's information meets preset condition, when meeting preset condition, receive the place of the second client feedback
Number formulary evidence, and the prescription data is fed back into third client, when being unsatisfactory for preset condition, according to preset matching rule and institute
First kind data are stated, match the first medical resource for the user, and generate first hospital guide's information, the first hospital guide information is anti-
It is fed to the first client；And/or
S3, when in the health data including Second Type data, generated according to the Second Type data corresponding
Treatment plan, and the treatment plan is fed back into the first client；And/or
S4, when in the health data including third categorical data, generate diagnosis plan, treatment plan and rehabilitation meter
It draws, and the diagnosis plan, treatment plan and rehabilitation programme is fed back into the first client.
In addition, the present invention also provides a kind of electronic devices, which is characterized in that the device includes：Memory, processor, institute
State the medical services management program for being stored with and being run on memory on the processor, the medical services management program quilt
, it can be achieved that arbitrary steps in medical services management methods as described above when the processor executes.
In addition, to achieve the above object, it is described computer-readable the present invention also provides a kind of computer readable storage medium
It include medical services management program in storage medium, it can be achieved that as above when the medical services management program is executed by processor
Arbitrary steps in the medical services management method.
Medical services management method, electronic device and computer readable storage medium proposed by the present invention, it is strong according to user
Health data in health archives provides one-stop consulting, hospital guide, reservation, the service such as tracking of seeing a doctor for user, most for user's matching
Excellent resource improves user's interrogation/therapeutic efficiency；Based on the mode of internet+HMO, by integrating medical resource, using on line
Doctor docks client's Medical need, breaks through region landing family doctor for the demand of vast resources, supports medical expenses online
Claims Resolution, effectively reduces the medical expense of user, improves users to trust degree and service experience.
Detailed description of the invention
Fig. 1 is the flow chart of medical services management method preferred embodiment of the present invention；
Fig. 2 is the schematic diagram of electronic device preferred embodiment of the present invention；
Fig. 3 is the program module schematic diagram of medical service manager in Fig. 2.
The embodiments will be further described with reference to the accompanying drawings for the realization, the function and the advantages of the object of the present invention.
Specific embodiment
It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not intended to limit the present invention.
The present invention provides a kind of medical services management method.Referring to Fig.1 shown in, be medical services management method of the present invention compared with
The flow chart of good embodiment.This method can be executed by a device, which can be by software and or hardware realization.
Step S1-S4 is illustrated in Fig. 1, it should be noted that in the embodiment having, the medical services management method
Including step S1-S4, in other embodiments, the medical services management method includes any in step S1 and step S2-S4
One or two step.The step S1-S4 in the medical services management method is described in detail below：
S1, the health account that the user is read according to User Identity, it is strong comprising the user in the health account
Health data；
After the family doctor of user carries out interrogation to the user every time, determine the user in this interrogation according to interrogation result
By health data, the health account of the user is established and updated based on health data, by this by health archives preservation in specified storage
In path, for example, user health archive database.According to the identity (for example, identification card number, Customs Assigned Number etc.) of user,
The health account of the user is obtained from user health archive database.
From reading health data of the user in preset time (for example, 5 years) in health account, including：Preset time
The symptom (for example, cough, rhinorrhea, twitch etc.) of interior each interrogation, interrogation conclusion：Illness type is (for example, hypertension, glycosuria
Disease, flu etc.), risk assessment (for example, slight, moderate, severe etc.) and rehabilitation opinion etc..
S2, when in the health data include the first kind data when, obtain user pass through the first client send master
It tells information, judges whether main suit's information meets preset condition, when meeting preset condition, receive the place of the second client feedback
Number formulary evidence, and the prescription data is fed back into third client, when being unsatisfactory for preset condition, according to preset matching rule and institute
First kind data are stated, match the first medical resource for the user, and generate first hospital guide's information, the first hospital guide information is anti-
It is fed to the first client；
First kind data are the title of minor illness；First client is the terminal that user uses, and user passes through the first client
End sends main suit's information；Second client is the terminal that doctor uses on line, carries out auxiliary to user by the second client and asks
It examines, according to auxiliary interrogation result prescription data, and prescription data is uploaded in specified store path；Third client is
The terminal that pharmacy management personnel use, pharmacy management personnel receive prescription data by third client；Include in prescription data：
The information such as nomenclature of drug, Quantity of drugs and drug instruction include in prescription data processing result：Nomenclature of drug, drug number
Amount, drug expenditure, the drug means of payment (for example, insurance payment, on-line payment) and medicine distribution result etc..
Specifically, the symptom in main suit's information described in the preset condition needs to treat (referring to, need to see a doctor under line) under line,
That is, doctor can directly carry out interrogation and prescription data, phase on line on line if you do not need to line gives an order
Instead, if necessary to treat under line, the first medical resource is matched for user, and carries out reserving operation of registering, after operating successfully, is generated
First hospital guide's information, and first hospital guide's information is fed back into user.
For example, when user main suit's information is：Children's cold, rhinorrhea, 37.5 DEG C, if whens cooling being needed to take medicine equal, sentence
Main suit's information of breaking meets the condition of interrogation on line, and doctor carries out interrogation on line to the user on line, and provides corresponding prescription
Information.
In the present embodiment, described " to receive the prescription data of the second client feedback, and the prescription data is fed back to the
The step of three clients " includes：
Corresponding expense bill is generated according to the prescription data；
The insurance data that the user is obtained according to User Identity, judges whether the insurance data meets online straight compensation
Condition；
When meeting the condition directly paid for online, the expense bill is sent to third client and the 4th client, or
The expense bill is sent to the first client when insurance data is unsatisfactory for the condition directly paid for online by person；And
The prescription data processing result of third client feedback is received, and the prescription data processing result is fed back to the
One client.
Wherein, the 4th client is the client that insurer officer uses.It should be noted that being cured on receiving line
After the raw prescription data by the feedback of the second client, medicine distribution request is sent to the first client, when user agrees to
When the medicine distribution is requested, the prescription data and medicine distribution request (including dispatching address) are sent to third client together
End.
Drug expenditure is determined according to medicine types in prescription data and quantity, generates expense bill.According to the identity of user
Identify the insurance data that (for example, identification card number) obtains user, when in insurance data comprising can directly pay for current expense bill online
Insurance information when, expense bill is sent to the corresponding insurance company of insurance information, then pharmacy management personnel make up a prescription
Drug delivery, and prescription data processing result is fed back into the first client.Alternatively, working as when not including directly to pay for online in insurance data
When the insurance information of preceding drug expenditure bill, illustrate that current expense bill need to be paid by user, has paid current expense in user
After bill, pharmacy management personnel carry out drug delivery of making up a prescription, and prescription data processing result is fed back to the first client.
For another example when user main suit's information is：When children's cold, rhinorrhea, 39 DEG C, twitch, main suit's information is judged not
The condition for meeting interrogation on line needs to carry out to treat under line, is that user matches the first medical resource according to preset matching rule, real
Now divide and examines hospital guide's function.
Specifically, described " according to preset matching rule and the first kind data, to be provided for the first medical treatment of user matching
The step of source " includes：
Label is generated for user according to user main suit's information, filters out level-one medical treatment money corresponding with the label of the user
Source；
User location is determined according to User Identity, filters out user location from the level-one medical resource
Second level medical resource；
It receives user to require, is required to filter out the three-level for meeting user's requirement from the second level medical resource according to user
Medical resource；And
The averaged historical user scoring for obtaining the three-level medical resource, selects score value most from the three-level medical resource
High level Four medical resource, as the first medical resource.
It should be noted that level-one, second level, three-level, level Four are only used for the medical treatment money for indicating to filter out according to different condition
Source does not indicate point of the superiority and inferiority of medical resource.
Specifically, label is generated for user according to main suit's information of user, for example, children's cold, filters out all professions
The level-one medical resource (for example, paediatrics or Integrated Dept.) of counterpart.Then, the specific of user is obtained according to User Identity
Information, including user location filter out the medical resource in non-same city in order to facilitate user's medical treatment, retain and user location
The second level medical resource of (for example, Yueyang) with city.It is understood that different users can propose different want to first resource
It asks, therefore, obtains user and require, for example, chief physician/expert, gender are that female, Grade A hospital, Waiting time etc. require, from upper
State the three-level medical resource that further screening in the medical resource that step filters out meets user's requirement.Finally, more than meeting
It is also likely to be averaged historicals that are multiple, being provided according to historical user to medical resource that the three-level medical resource of condition, which may be one,
User's scoring, selects the highest three-level medical resource of score value as the first medical resource.
It after matching the first medical resource for user, executes and reserves operation of registering, after registering successfully, generate the first hospital guide letter
Breath, and first hospital guide's information is passed through into a client feedback to user.
After user treat under line according to first hospital guide's information, the expense spent can be paid by medical insurance,
Alternatively, user first pays for medical expense first under the premise of having bought related medical danger, self-service Claims Resolution on line is then carried out：Online
Submission applies for-fills in that personal information-fills in account information-upload Claims Resolution material.
S3, when in the health data including Second Type data, generated according to the Second Type data corresponding
Treatment plan, and the treatment plan is fed back into the first client；
The third categorical data is the title of slow disease, for example, obesity, hypertension, dyslipidemia etc..
Specifically, the step of described " generating corresponding treatment plan according to the Second Type data " includes：
The corresponding risk assessment data of the Second Type data is read from the health data；
When the risk assessment data is the first risk assessment data, the treatment plan includes：Prevention and health care plan
And medication conditioning plan；
When the risk assessment data is the second risk assessment data, the treatment plan includes：Prevention and health care plan,
Medication conditioning plan and disease control plan.
Wherein, the corresponding risk assessment data of the Second Type data is the slow sick scale evaluation carried out for slow disease,
Including：Slightly, moderate and severe.
First risk assessment data includes：Slightly, when user health data display user is with slight slow disease, according to not
Prevention, conditioning guide with slow disease, generate corresponding prevention and health care plan and pharmacology conditioning plan.Second risk assessment data packet
It includes：Moderate and severe generate corresponding prevention and health care meter when user health data display user is sick slowly with moderate/severe
It draws and pharmacology improves while plan, corresponding disease control plan is also generated for user.
Prevention and health care includes in the works：Professional motion nutrition auxiliary plan.According to professional motion nutrition auxiliary plan to
Recommend the experience of famous brand name nutritious food is wrapped, and user can be subscribed by reservation interface on line, and enjoy delivery service etc. in family.
Medication conditioning includes the prescription data that family doctor issues according to interrogation result in the works：Drug variety, quantity and
Drug instruction etc..When user agrees to improve planned purchases drug according to medication, prescription data is sent to third client
End, and receive the prescription data processing result of third client feedback.It should be noted that unlike step S2, pharmacy
Administrative staff need to audit prescription data according to user health archives and carry out prescription again, determine final prescription data, then
Execution is made up a prescription drug delivery, and the Zhi Fuyu above-mentioned steps of other drug expenditures are consistent, and which is not described herein again.In addition, preset time it
Afterwards, prompt user carries out the physical examination of default check item, under the premise of user agrees to, outpatient service is reserved for user, to understand medication
Effect simultaneously carries out coincidence risk detection.
It is matched second medical resource of user that disease control includes according to the matching rule in the works.Wherein, described
Matching rule is consistent with the matching rule of the first medical resource, and which is not described herein again.When user agrees to the disease control plan,
Reservation is carried out to matched second medical resource to register, generates second hospital guide's information after registering successfully, and by second hospital guide
Information is sent to the first client, includes in second hospital guide's information：Hospital name, address, information about doctor, subscription time etc..
After user treat under line according to second hospital guide's information, the expense spent can be paid by medical insurance,
Alternatively, user first pays for medical expense first under the premise of having bought related medical danger, self-service Claims Resolution on line is then carried out：Online
Submission applies for-fills in that personal information-fills in account information-upload Claims Resolution material.
S4, when in the health data including third categorical data, generate diagnosis plan, treatment plan and rehabilitation meter
It draws, and the diagnosis plan, treatment plan and rehabilitation programme is fed back into the first client.
Third categorical data is attached most importance to disease title.
It is the matched third medical resource of user that diagnosis includes according to the matching rule in the works.
Wherein, the matching rule is roughly the same with the matching rule of the first medical resource, only difference is that, for
It is expert level that weight disease, which is the matched third medical resource of user,.When user agrees to the diagnosis plan, matched third is cured
Treatment resource carries out reservation and registers, and generates third hospital guide information after registering successfully, and third hospital guide's information is sent to the first client
End.The expert of reservation can carry out interrogation in subscription time phone contact client, according to family doctor to the first visit knot of user's interrogation
Fruit analyzes user's state of an illness.Finally, receiving expert interrogation of the user by the first client feedback as a result, updating the user health
Health data in archives.
Two request is examined by the way that the first client issues in addition, receiving user, and is that user matches the according to user intent
Three medical resources.The two third medical resources examined include two major classes：(domestic Grade A hospital) is examined by the country two and foreign countries two examine (abroad
The hospital of TOP200), it is user's matching according to the matching rule after user determines the type for the third medical resource that two examine
The third medical resource of respective type, and the health account of user is fed back into the 5th client, and it is anti-to receive the 5th client
The two of feedback examine opinion.
Wherein, the 5th client is the client that the corresponding administrative staff of third medical resource use.In general, domestic
Two examine and generally examine opinion in 7 working day internal feedbacks two, and overseas two examine and generally examine opinion in 10 working days feedbacks two, receive the
After the two of five client feedbacks examine opinion, suggestion feedback is examined to the first client by two, understands itself state of an illness for user.
It include arranging expert's bed to treat for user in the treatment plan.When user's selection receives treatment plan
When, expert's bed is arranged within 10 working days for user.Further, user, which also can choose, does not receive two and examines, and directly connects
Treated plan.
The rehabilitation programme includes Chinese medicine rehabilitation plan and combined rehabilitation plan.Chinese medicine rehabilitation plan is Chinese medicine according to user
The Chinese medicine rehabilitation opinion that health archives are issued, and pass through the 6th client feedback Chinese medicine rehabilitation opinion, wherein the 6th client
The client used for Chinese medicine；After combined rehabilitation includes the rehabilitation opinion that family doctor provides in the works and expert interrogation/bis- examine
The rehabilitation opinion provided.Finally, the rehabilitation programme is fed back to the first client.
Further, when in the user health data including third categorical data (serious disease), the guarantor of the user is obtained
Dangerous data generate Claims Resolution data when insurance data meets Claims Resolution condition (for example, buying serious illness insurance, and not settling a claim temporarily),
The first client and the 4th client are fed back to simultaneously.Declaration insurance company directly compensates protection amount to user.
It should be noted that minor illness, slow disease, the weight disease in above-described embodiment are advised according to the divisions of responsibility of insurance industry
It is then predetermined.
The medical services management method that above-described embodiment proposes, provides one-stop official communication according to user health archives for user
Inquiry, hospital guide, reservation, the service such as tracking of seeing a doctor, match optimal resource for user, improve user's interrogation/therapeutic efficiency；Based on mutual
Networking+HMO mode docks client's Medical need using doctor on line by integrating medical resource, breaks through region landing family doctor
The raw demand for vast resources, supports medical expenses to settle a claim online, effectively reduces the medical expense of user, improve user
Degree of belief and service experience.
The present invention also provides a kind of electronic devices.Referring to shown in Fig. 2, for showing for 1 preferred embodiment of electronic device of the present invention
It is intended to.
In the present embodiment, electronic device 1 can be server, smart phone, tablet computer, portable computer, on table
The terminal device having data processing function such as type computer, the server can be rack-mount server, blade type service
Device, tower server or Cabinet-type server.
The electronic device 1 includes memory 11, processor 12, communication bus 13 and network interface 14.
Wherein, memory 11 include at least a type of readable storage medium storing program for executing, the readable storage medium storing program for executing include flash memory,
Hard disk, multimedia card, card-type memory (for example, SD or DX memory etc.), magnetic storage, disk, CD etc..Memory 11
It can be the internal storage unit of the electronic device 1, such as the hard disk of the electronic device 1 in some embodiments.Memory
11 are also possible to be equipped on the External memory equipment of the electronic device 1, such as the electronic device 1 in further embodiments
Plug-in type hard disk, intelligent memory card (Smart Media Card, SMC), secure digital (Secure Digital, SD) card dodge
Deposit card (Flash Card) etc..Further, memory 11 can also both include the internal storage unit of the electronic device 1 or wrap
Include External memory equipment.
Memory 11 can be not only used for the application software and Various types of data that storage is installed on the electronic device 1, such as cure
Service manager 10 etc. is treated, can be also used for temporarily storing the data that has exported or will export.
Processor 12 can be in some embodiments a central processing unit (Central Processing Unit,
CPU), controller, microcontroller, microprocessor or other data processing chips, the program for being stored in run memory 11
Code or processing data, such as medical services management program 10 etc..
Communication bus 13 is for realizing the connection communication between these components.
Network interface 14 optionally may include standard wireline interface and wireless interface (such as WI-FI interface), be commonly used in
Communication connection is established between the electronic device 1 and client (not identifying in figure).In one embodiment, client includes：
First client, the second client, third client, the 4th client and the 5th client.It is respectively used to receive data and anti-
Different data are presented to electronic device 1.
Fig. 2 illustrates only the electronic device 1 with component 11-14, it will be appreciated by persons skilled in the art that Fig. 2 shows
Structure out does not constitute the restriction to electronic device 1, may include than illustrating less perhaps more components or combining certain
A little components or different component layouts.
Optionally, the electronic device 1 can also include user interface, user interface may include display (Display),
Input unit such as keyboard (Keyboard), optional user interface can also include standard wireline interface and wireless interface.
Optionally, in some embodiments, display can be light-emitting diode display, liquid crystal display, touch control type LCD and show
Device and Organic Light Emitting Diode (Organic Light-Emitting Diode, OLED) touch device etc..Wherein, display
It is properly termed as display screen or display unit, for showing the information handled in the electronic apparatus 1 and for showing visually
User interface.
In 1 embodiment of electronic device shown in Fig. 2, cured as being stored in a kind of memory 11 of computer storage medium
The program code of service manager 10 is treated, when processor 12 executes the program code of medical services management program 10, is realized such as
Lower step：
A1, the health account that the user is read according to User Identity, it is strong comprising the user in the health account
Health data；
After the family doctor of user carries out interrogation to the user every time, determine the user in this interrogation according to interrogation result
By health data, the health account of the user is established and updated based on health data, by this by health archives preservation in specified storage
In path, for example, user health archive database.According to the identity (for example, identification card number, Customs Assigned Number etc.) of user,
The health account of the user is obtained from user health archive database.
From reading health data of the user in preset time (for example, 5 years) in health account, including：Preset time
The symptom (for example, cough, rhinorrhea, twitch etc.) of interior each interrogation, interrogation conclusion：Illness type is (for example, hypertension, glycosuria
Disease, flu etc.), risk assessment (for example, slight, moderate, severe etc.) and rehabilitation opinion etc..
A2, when in the health data include the first kind data when, obtain user pass through the first client send master
It tells information, judges whether main suit's information meets preset condition, when meeting preset condition, receive the place of the second client feedback
Number formulary evidence, and the prescription data is fed back into third client, when being unsatisfactory for preset condition, according to preset matching rule and institute
First kind data are stated, match the first medical resource for the user, and generate first hospital guide's information, the first hospital guide information is anti-
It is fed to the first client；
First kind data are the title of minor illness；First client is the terminal that user uses, and user passes through the first client
End sends main suit's information；Second client is the terminal that doctor uses on line, carries out auxiliary to user by the second client and asks
It examines, according to auxiliary interrogation result prescription data, and prescription data is uploaded in specified store path；Third client is
The terminal that pharmacy management personnel use, pharmacy management personnel receive prescription data by third client；Include in prescription data：
The information such as nomenclature of drug, Quantity of drugs and drug instruction include in prescription data processing result：Nomenclature of drug, drug number
Amount, drug expenditure, the drug means of payment (for example, insurance payment, on-line payment) and medicine distribution result etc..
Specifically, the symptom in main suit's information described in the preset condition needs to treat (referring to, need to see a doctor under line) under line,
That is, doctor can directly carry out interrogation and prescription data, phase on line on line if you do not need to line gives an order
Instead, if necessary to treat under line, the first medical resource is matched for user, and carries out reserving operation of registering, after operating successfully, is generated
First hospital guide's information, and first hospital guide's information is fed back into user.
For example, when user main suit's information is：Children's cold, rhinorrhea, 37.5 DEG C, if whens cooling being needed to take medicine equal, sentence
Main suit's information of breaking meets the condition of interrogation on line, and doctor carries out interrogation on line to the user on line, and provides corresponding prescription
Information.
In the present embodiment, described " to receive the prescription data of the second client feedback, and the prescription data is fed back to the
The step of three clients " includes：
Corresponding expense bill is generated according to the prescription data；
The insurance data that the user is obtained according to User Identity, judges whether the insurance data meets online straight compensation
Condition；
When meeting the condition directly paid for online, the expense bill is sent to third client and the 4th client, or
The expense bill is sent to the first client when insurance data is unsatisfactory for the condition directly paid for online by person；And
The prescription data processing result of third client feedback is received, and the prescription data processing result is fed back to the
One client.
Wherein, the 4th client is the client that insurer officer uses.It should be noted that being cured on receiving line
After the raw prescription data by the feedback of the second client, medicine distribution request is sent to the first client, when user agrees to
When the medicine distribution is requested, the prescription data and medicine distribution request (including dispatching address) are sent to third client together
End.
Drug expenditure is determined according to medicine types in prescription data and quantity, generates expense bill.According to the identity of user
Identify the insurance data that (for example, identification card number) obtains user, when in insurance data comprising can directly pay for current expense bill online
Insurance information when, expense bill is sent to the corresponding insurance company of insurance information, then pharmacy management personnel make up a prescription
Drug delivery, and prescription data processing result is fed back into the first client.Alternatively, working as when not including directly to pay for online in insurance data
When the insurance information of preceding drug expenditure bill, illustrate that current expense bill need to be paid by user, has paid current expense in user
After bill, pharmacy management personnel carry out drug delivery of making up a prescription, and prescription data processing result is fed back to the first client.
For another example when user main suit's information is：When children's cold, rhinorrhea, 39 DEG C, twitch, main suit's information is judged not
The condition for meeting interrogation on line needs to carry out to treat under line, is that user matches the first medical resource according to preset matching rule, real
Now divide and examines hospital guide's function.
Specifically, described " according to preset matching rule and the first kind data, to be provided for the first medical treatment of user matching
The step of source " includes：
Label is generated for user according to user main suit's information, filters out level-one medical treatment money corresponding with the label of the user
Source；
User location is determined according to User Identity, filters out user location from the level-one medical resource
Second level medical resource；
It receives user to require, is required to filter out the three-level for meeting user's requirement from the second level medical resource according to user
Medical resource；And
The averaged historical user scoring for obtaining the three-level medical resource, selects score value most from the three-level medical resource
High level Four medical resource, as the first medical resource.
It should be noted that level-one, second level, three-level, level Four are only used for the medical treatment money for indicating to filter out according to different condition
Source does not indicate point of the superiority and inferiority of medical resource.
Specifically, label is generated for user according to main suit's information of user, for example, children's cold, filters out all professions
The level-one medical resource (for example, paediatrics or Integrated Dept.) of counterpart.Then, the specific of user is obtained according to User Identity
Information, including user location filter out the medical resource in non-same city in order to facilitate user's medical treatment, retain and user location
The second level medical resource of (for example, Yueyang) with city.It is understood that different users can propose different want to first resource
It asks, therefore, obtains user and require, for example, chief physician/expert, gender are that female, Grade A hospital, Waiting time etc. require, from upper
State the three-level medical resource that further screening in the medical resource that step filters out meets user's requirement.Finally, more than meeting
It is also likely to be averaged historicals that are multiple, being provided according to historical user to medical resource that the three-level medical resource of condition, which may be one,
User's scoring, selects the highest three-level medical resource of score value as the first medical resource.
It after matching the first medical resource for user, executes and reserves operation of registering, after registering successfully, generate the first hospital guide letter
Breath, and first hospital guide's information is passed through into a client feedback to user.
After user treat under line according to first hospital guide's information, the expense spent can be paid by medical insurance,
Alternatively, user first pays for medical expense first under the premise of having bought related medical danger, self-service Claims Resolution on line is then carried out：Online
Submission applies for-fills in that personal information-fills in account information-upload Claims Resolution material.
A3, when in the health data including Second Type data, generated according to the Second Type data corresponding
Treatment plan, and the treatment plan is fed back into the first client；
The third categorical data is the title of slow disease, for example, obesity, hypertension, dyslipidemia etc..
Specifically, the step of described " generating corresponding treatment plan according to the Second Type data " includes：
The corresponding risk assessment data of the Second Type data is read from the health data；
When the risk assessment data is the first risk assessment data, the treatment plan includes：Prevention and health care plan
And medication conditioning plan；
When the risk assessment data is the second risk assessment data, the treatment plan includes：Prevention and health care plan,
Medication conditioning plan and disease control plan.
Wherein, the corresponding risk assessment data of the Second Type data is the slow sick scale evaluation carried out for slow disease,
Including：Slightly, moderate and severe.
First risk assessment data includes：Slightly, when user health data display user is with slight slow disease, according to not
Prevention, conditioning guide with slow disease, generate corresponding prevention and health care plan and pharmacology conditioning plan.Second risk assessment data packet
It includes：Moderate and severe generate corresponding prevention and health care meter when user health data display user is sick slowly with moderate/severe
It draws and pharmacology improves while plan, corresponding disease control plan is also generated for user.
Prevention and health care includes in the works：Professional motion nutrition auxiliary plan.According to professional motion nutrition auxiliary plan to
Recommend the experience of famous brand name nutritious food is wrapped, and user can be subscribed by reservation interface on line, and enjoy delivery service etc. in family.
Medication conditioning includes the prescription data that family doctor issues according to interrogation result in the works：Drug variety, quantity and
Drug instruction etc..When user agrees to improve planned purchases drug according to medication, prescription data is sent to third client
End, and receive the prescription data processing result of third client feedback.It should be noted that unlike step A2, pharmacy
Administrative staff need to audit prescription data according to user health archives and carry out prescription again, determine final prescription data, then
Execution is made up a prescription drug delivery, and the Zhi Fuyu above-mentioned steps of other drug expenditures are consistent, and which is not described herein again.In addition, preset time it
Afterwards, prompt user carries out the physical examination of default check item, under the premise of user agrees to, outpatient service is reserved for user, to understand medication
Effect simultaneously carries out coincidence risk detection.
It is matched second medical resource of user that disease control includes according to the matching rule in the works.Wherein, described
Matching rule is consistent with the matching rule of the first medical resource, and which is not described herein again.When user agrees to the disease control plan,
Reservation is carried out to matched second medical resource to register, generates second hospital guide's information after registering successfully, and by second hospital guide
Information is sent to the first client, includes in second hospital guide's information：Hospital name, address, information about doctor, subscription time etc..
After user treat under line according to second hospital guide's information, the expense spent can be paid by medical insurance,
Alternatively, user first pays for medical expense first under the premise of having bought related medical danger, self-service Claims Resolution on line is then carried out：Online
Submission applies for-fills in that personal information-fills in account information-upload Claims Resolution material.
A4, when in the health data including third categorical data, generate diagnosis plan, treatment plan and rehabilitation meter
It draws, and the diagnosis plan, treatment plan and rehabilitation programme is fed back into the first client.
Third categorical data is attached most importance to disease title.
It is the matched third medical resource of user that diagnosis includes according to the matching rule in the works.
Wherein, the matching rule is roughly the same with the matching rule of the first medical resource, only difference is that, for
It is expert level that weight disease, which is the matched third medical resource of user,.When user agrees to the diagnosis plan, matched third is cured
Treatment resource carries out reservation and registers, and generates third hospital guide information after registering successfully, and third hospital guide's information is sent to the first client
End.The expert of reservation can carry out interrogation in subscription time phone contact client, according to family doctor to the first visit knot of user's interrogation
Fruit analyzes user's state of an illness.Finally, receiving expert interrogation of the user by the first client feedback as a result, updating the user health
Health data in archives.
Two request is examined by the way that the first client issues in addition, receiving user, and is that user matches the according to user intent
Three medical resources.The two third medical resources examined include two major classes：(domestic Grade A hospital) is examined by the country two and foreign countries two examine (abroad
The hospital of TOP200), it is user's matching according to the matching rule after user determines the type for the third medical resource that two examine
The third medical resource of respective type, and the health account of user is fed back into the 5th client, and it is anti-to receive the 5th client
The two of feedback examine opinion.
Wherein, the 5th client is the client that the corresponding administrative staff of third medical resource use.In general, domestic
Two examine and generally examine opinion in 7 working day internal feedbacks two, and overseas two examine and generally examine opinion in 10 working days feedbacks two, receive the
After the two of five client feedbacks examine opinion, suggestion feedback is examined to the first client by two, understands itself state of an illness for user.
It include arranging expert's bed to treat for user in the treatment plan.When user's selection receives treatment plan
When, expert's bed is arranged within 10 working days for user.Further, user, which also can choose, does not receive two and examines, and directly connects
Treated plan.
The rehabilitation programme includes Chinese medicine rehabilitation plan and combined rehabilitation plan.Chinese medicine rehabilitation plan is Chinese medicine according to user
The Chinese medicine rehabilitation opinion that health archives are issued, and pass through the 6th client feedback Chinese medicine rehabilitation opinion, wherein the 6th client
The client used for Chinese medicine；After combined rehabilitation includes the rehabilitation opinion that family doctor provides in the works and expert interrogation/bis- examine
The rehabilitation opinion provided.Finally, the rehabilitation programme is fed back to the first client.
Further, when in the user health data including third categorical data (serious disease), the guarantor of the user is obtained
Dangerous data generate Claims Resolution data when insurance data meets Claims Resolution condition (for example, buying serious illness insurance, and not settling a claim temporarily),
The first client and the 4th client are fed back to simultaneously.Declaration insurance company directly compensates protection amount to user.
It should be noted that minor illness, slow disease, the weight disease in above-described embodiment are advised according to the divisions of responsibility of insurance industry
It is then predetermined.
Above-described embodiment propose electronic device 1, according to user health archives for user provide one-stop consulting, hospital guide,
Reservation, the service such as tracking of seeing a doctor, match optimal resource for user, improve user's interrogation/therapeutic efficiency；Based on internet+HMO
Mode docks client's Medical need using doctor on line by integrating medical resource, breaks through region landing family doctor for big
Measure resource demand, support medical expenses settle a claim online, effectively reduce the medical expense of user, improve users to trust degree and
Service experience.
Optionally, in other examples, medical services management program 10 can also be divided into one or more
Module, one or more module are stored in memory 11, and (the present embodiment is processor by one or more processors
12) performed, to complete the present invention, the so-called module of the present invention is the series of computation machine program for referring to complete specific function
Instruction segment.For example, referring to shown in Fig. 3, it is
The module diagram of medical service manager 10 in Fig. 2 illustrates read module 110 in Fig. 3, at the first data
Manage module 120, the second data processing module 130 and third data processing module 140, it should be noted that in the embodiment having
In, the medical services management program 10 includes the module 110-140, in other embodiments, the medical services management
Program 10 includes any one in module 110 and module 110-130 or two modules.The function that the module 110-140 is realized
Energy or operating procedure are similar as above, and and will not be described here in detail, illustratively, such as wherein：
Read module 110 wraps in the health account for reading the health account of the user according to User Identity
Health data containing the user；
First data processing module 120, for it is logical to obtain user when in the health data including first kind data
The main suit's information for crossing the transmission of the first client, judges whether main suit's information meets preset condition, when meeting preset condition, connects
The prescription data of the second client feedback is received, and the prescription data is fed back into third client, when being unsatisfactory for preset condition,
According to preset matching rule and the first kind data, the first medical resource is matched for the user, and generate the first hospital guide letter
Breath, feeds back to the first client for the first hospital guide information；
Second data processing module 130, for when in the health data including Second Type data, according to described the
Two categorical datas generate corresponding treatment plan, and the treatment plan is fed back to the first client；And
Third data processing module 140, for when in the health data including third categorical data, generating diagnosis meter
It draws, treatment plan and rehabilitation programme, and the diagnosis plan, treatment plan and rehabilitation programme is fed back into the first client.
In addition, the embodiment of the present invention also proposes a kind of computer readable storage medium, the computer readable storage medium
In include medical services management program 10, following operation is realized when the medical services management program 10 is executed by processor：
A1, the health account that the user is read according to User Identity, it is strong comprising the user in the health account
Health data；
A2, when in the health data include the first kind data when, obtain user pass through the first client send master
It tells information, judges whether main suit's information meets preset condition, when meeting preset condition, receive the place of the second client feedback
Number formulary evidence, and the prescription data is fed back into third client, when being unsatisfactory for preset condition, according to preset matching rule and institute
First kind data are stated, match the first medical resource for the user, and generate first hospital guide's information, the first hospital guide information is anti-
It is fed to the first client；And/or
A3, when in the health data including Second Type data, generated according to the Second Type data corresponding
Treatment plan, and the treatment plan is fed back into the first client；And/or
A4, when in the health data including third categorical data, generate diagnosis plan, treatment plan and rehabilitation meter
It draws, and the diagnosis plan, treatment plan and rehabilitation programme is fed back into the first client.
The specific embodiment of the computer readable storage medium of the present invention is specific with above-mentioned medical services management method
Embodiment is roughly the same, and details are not described herein.
The serial number of the above embodiments of the invention is only for description, does not represent the advantages or disadvantages of the embodiments.
It should be noted that, in this document, the terms "include", "comprise" or its any other variant are intended to non-row
His property includes, so that the process, device, article or the method that include a series of elements not only include those elements, and
And further include other elements that are not explicitly listed, or further include for this process, device, article or method institute it is intrinsic
Element.In the absence of more restrictions, the element limited by sentence "including a ...", it is not excluded that including being somebody's turn to do
There is also other identical elements in the process, device of element, article or method.
Through the above description of the embodiments, those skilled in the art can be understood that above-described embodiment side
Method can be realized by means of software and necessary general hardware platform, naturally it is also possible to by hardware, but in many cases
The former is more preferably embodiment.Based on this understanding, technical solution of the present invention substantially in other words does the prior art
The part contributed out can be embodied in the form of software products, which is stored in one as described above
In storage medium (such as ROM/RAM, magnetic disk, CD), including some instructions are used so that terminal device (it can be mobile phone,
Computer, server or network equipment etc.) execute method described in each embodiment of the present invention.
The above is only a preferred embodiment of the present invention, is not intended to limit the scope of the invention, all to utilize this hair
Equivalent structure or equivalent flow shift made by bright specification and accompanying drawing content is applied directly or indirectly in other relevant skills
Art field, is included within the scope of the present invention.
Claims (10)
1. a kind of medical services management method is applied to electronic device, which is characterized in that the method includes the steps：
S1, the health account that the user is read according to User Identity include the healthy number of the user in the health account
According to；
S2, when in the health data include the first kind data when, obtain user by the first client send main suit letter
Breath, judges whether main suit's information meets preset condition, when meeting preset condition, receives the prescription number of the second client feedback
According to and the prescription data being fed back to third client, when being unsatisfactory for preset condition, according to preset matching rule and described the
One categorical data matches the first medical resource for the user, and generates first hospital guide's information, which is fed back to
First client；And/or
S3, when in the health data including Second Type data, generate corresponding treatment according to the Second Type data
Plan, and the treatment plan is fed back into the first client；And/or
S4, when in the health data including third categorical data, generate diagnosis plan, treatment plan and rehabilitation programme, and
The diagnosis plan, treatment plan and rehabilitation programme are fed back into the first client.
2. medical services management method according to claim 1, which is characterized in that " the reception second in step S2
The prescription data of client feedback, and the prescription data is fed back into third client " include：
Corresponding expense bill is generated according to the prescription data；
The insurance data that the user is obtained according to User Identity, judges whether the insurance data meets the item directly paid for online
Part；
When meeting the condition directly paid for online, the expense bill is sent to third client and the 4th client, alternatively, working as
When insurance data is unsatisfactory for the condition directly paid for online, the expense bill is sent to the first client；And
The prescription data processing result of third client feedback is received, and the prescription data processing result is fed back into the first visitor
Family end.
3. medical services management method according to claim 2, which is characterized in that described " according to default in step S2
Matching rule and the first kind data match the first medical resource for the user " include：
Label is generated for user according to user main suit's information, filters out level-one medical resource corresponding with the label of the user；
User location is determined according to User Identity, and the second level in user location is filtered out from the level-one medical resource
Medical resource；
It receives user to require, is required to filter out the three-level medical treatment for meeting user's requirement from the second level medical resource according to user
Resource；And
The averaged historical user scoring for obtaining the three-level medical resource, selects score value highest from the three-level medical resource
Level Four medical resource, as the first medical resource.
4. medical services management method according to claim 3, which is characterized in that described " according to described in step S3
Second Type data generate corresponding treatment plan " include：
The corresponding risk assessment data of the Second Type data is read from the health data；
When the risk assessment data is the first risk assessment data, the treatment plan includes：Prevention and health care plan and use
Medicine conditioning plan；And
When the risk assessment data is the second risk assessment data, the treatment plan includes：Prevention and health care plan, medication
Conditioning plan and disease control plan.
5. medical services management method as claimed in any of claims 1 to 4, it is characterised in that：
The first kind data are minor illness title, and the Second Type data are that slow name of disease claims, and the third categorical data is
Weight disease title；And
It is matched second medical resource of user that the disease control includes according to the matching rule in the works, the diagnosis meter
Draw in include according to the matching rule be the matched third medical resource of user.
6. a kind of electronic device, which is characterized in that the device includes：Memory, processor, being stored on the memory can be
The medical services management program run on the processor can when the medical services management program is executed by the processor
Realize following steps：
A1, the health account that the user is read according to User Identity include the healthy number of the user in the health account
According to；
A2, when in the health data include the first kind data when, obtain user by the first client send main suit letter
Breath, judges whether main suit's information meets preset condition, when meeting preset condition, receives the prescription number of the second client feedback
According to and the prescription data being fed back to third client, when being unsatisfactory for preset condition, according to preset matching rule and described the
One categorical data matches the first medical resource for the user, and generates first hospital guide's information, which is fed back to
First client；And/or
A3, when in the health data including Second Type data, generate corresponding treatment according to the Second Type data
Plan, and the treatment plan is fed back into the first client；And/or
A4, when in the health data including third categorical data, generate diagnosis plan, treatment plan and rehabilitation programme, and
The diagnosis plan, treatment plan and rehabilitation programme are fed back into the first client.
7. electronic device according to claim 6, which is characterized in that in step A2 it is described " receive the second client it is anti-
The prescription data of feedback, and the prescription data is fed back into third client " include：
Corresponding expense bill is generated according to the prescription data；
The insurance data that the user is obtained according to User Identity, judges whether the insurance data meets the item directly paid for online
Part；
When meeting the condition directly paid for online, the expense bill is sent to third client and the 4th client, alternatively, working as
When insurance data is unsatisfactory for the condition directly paid for online, the expense bill is sent to the first client；And
The prescription data processing result of third client feedback is received, and the prescription data processing result is fed back into the first visitor
Family end.
8. electronic device according to claim 7, which is characterized in that described " according to preset matching rule in step A2
And the first kind data, the first medical resource is matched for the user " include：
Label is generated for user according to user main suit's information, filters out level-one medical resource corresponding with the label of the user；
User location is determined according to User Identity, and the second level in user location is filtered out from the level-one medical resource
Medical resource；
It receives user to require, is required to filter out the three-level medical treatment for meeting user's requirement from the second level medical resource according to user
Resource；And
The averaged historical user scoring for obtaining the three-level medical resource, selects score value highest from the three-level medical resource
Level Four medical resource, as the first medical resource.
9. electronic device according to claim 8, which is characterized in that described " according to the Second Type in step A3
Data generate corresponding treatment plan " include：
The corresponding risk assessment data of the Second Type data is read from the health data；
When the risk assessment data is the first risk assessment data, the treatment plan includes：Prevention and health care plan and use
Medicine conditioning plan；And
When the risk assessment data is the second risk assessment data, the treatment plan includes：Prevention and health care plan, medication
Conditioning plan and disease control plan.
10. a kind of computer readable storage medium, which is characterized in that include medical services in the computer readable storage medium
Management program, when the medical services management program is executed by processor, it can be achieved that such as any one of claim 1 to 5 institute
The step of medical services management method stated.
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