CN109035039A - Slow disease is for dosage and system - Google Patents

Slow disease is for dosage and system Download PDF

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Publication number
CN109035039A
CN109035039A CN201810777011.9A CN201810777011A CN109035039A CN 109035039 A CN109035039 A CN 109035039A CN 201810777011 A CN201810777011 A CN 201810777011A CN 109035039 A CN109035039 A CN 109035039A
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client
prescription
generation
pharmacy
slow disease
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杨燕
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Ping An Insurance Group Company of China Ltd
Ping An Health Insurance Company of China Ltd
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Ping An Health Insurance Company of China Ltd
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Priority to CN201810777011.9A priority Critical patent/CN109035039A/en
Publication of CN109035039A publication Critical patent/CN109035039A/en
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q40/00Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08Insurance
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00ICT specially adapted for the handling or processing of medical references
    • G16H70/40ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage

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  • General Health & Medical Sciences (AREA)
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  • Pharmacology & Pharmacy (AREA)
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Abstract

This disclosure relates to a kind of slow disease generation makes up a prescription management method and system, this method comprises: step 1, receive from client slow disease and make up a prescription apply for the generation of compounding services, it includes the personal information of client and for the relevant medicine information that makes up a prescription that generation, which makes up a prescription in application,;Step 2, application of being made up a prescription according to generation carry out pre-authorization audit, to decide whether that approval is directed to the pre-authorization of the client;If the audit of step 3, step 2 passes through, the managing detailed catalogue of related drug is extracted from medicine information, and inquire the dispatching whether corresponding pharmacy supports related drug to terminate this method if the audit fails for step 2;If step 4, pharmacy support the dispatching of related drug, the personal information of client is provided to pharmacy and for the relevant medicine information that makes up a prescription;Step 5 is that the client establishes generation and makes up a prescription archives by pharmacy, and to client dispenses related drug according to the generation archives that make up a prescription.

Description

Slow disease is for dosage and system
Technical field
The present invention relates to based on Internet application insurance service technical field more particularly to it is a kind of it is slow disease for dosage And system.
Background technique
Slow disease client needs prolonged administration of drugs, but hospital is only capable of with dose in January every time, and client needs that hospital is gone to purchase repeatedly Medicine, it is time-consuming and laborious.There is mechanism to provide compounding services for client at present, but client oneself needed to contact pharmacy application compounding services, This brings big inconvenience.
Therefore, it in order to promote the satisfaction of client, allows slow sick client to purchase medicine and becomes easy, it is efficiently accurately slow to there is exploitation Needs of the disease for make up a prescription management method and system.
Summary of the invention
In view of the above problem of the prior art, inventor is made that the present invention, wherein slow disease is for pharmacy management system packet Include the customer service module positioned at front end, the pre-authorization module positioned at backstage, auditing module and Claims Resolution module, wherein described Slow disease for client used in pharmacy management system and client and the drugstore management system of medical institutions communicably Connection, customer service module with client for directly interacting, for collecting the raw requests of client, pre-authorization module and medicine Room and client are docked respectively, can audit client pre-authorization permission and verify pharmacy to generation make up a prescription it is supportive, thus really Recognize for the serving grant made up a prescription.In addition, by auditing module and Claims Resolution module, it can be achieved that the compensation between medical institutions is straight Knot.
According to an embodiment of the invention, providing a kind of slow sick for management method of making up a prescription, which is characterized in that the method packet Include following steps:
Step 1 receives slow disease from client and makes up a prescription apply for the generation of compounding services, what the generation made up a prescription in application including client In personal information and generation, make up a prescription relevant medicine information;
Step 2, application of making up a prescription to the generation carry out pre-authorization audit, to decide whether that approval is directed to the pre-granted of the client Power;
If the audit of step 3, step 2 passes through, the managing detailed catalogue of related drug is extracted from the medicine information, and Inquiring the dispatching whether corresponding pharmacy supports related drug terminates this method if the audit fails for step 2;
If step 4, the pharmacy support the dispatching of related drug, to pharmacy provide the client personal information, And for the relevant medicine information that makes up a prescription;
Step 5 is that the client establishes generation and makes up a prescription archives by the pharmacy, and is matched according to the generation archives that make up a prescription to client Send related drug.
According to an embodiment of the invention, the slow disease is for dosage further include:
Step 6, the dispatching situation according to related drug directly tie request from pharmacy reception for the Claims Resolution of the client;
Step 7, the straight knot request of Claims Resolution received to institute are audited, straight to the Claims Resolution if audit passes through Knot request is settled a claim, and will be compensated fund and is imported the pharmacy.
According to an embodiment of the invention, before step 1, this method may also include that
The client with slow disease diagnosis is filtered out from Claims Resolution historical record, extracts the related letter that the client takes drug Breath;
Determine drug that client is taken whether pharmacy dispatching range;
If so, slow disease can be applied for compounding services to customer prompts.
According to an embodiment of the invention, before step 1, this method may also include that
It also can Shen to the customer prompts if client's individual condition meets the requirements for the client without Claims Resolution historical record It please be slow sick for compounding services.
According to an embodiment of the invention, this method may also include that after step 5
Step 5-1, before the generation of the client is with medicinal end, whether need to continue to make up a prescription to the customer inquiries;
If step 5-2, the client needs to continue to make up a prescription, in the generation for updating the client, makes up a prescription archives, wherein extending The generation of the client in, makes up a prescription the time limit.
According to an embodiment of the invention, provide a kind of slow disease for dispensing system, with client used in client and The drugstore management system in pharmacy communicably connects, which is characterized in that the slow disease for pharmacy management system includes:
Customer service module, for receive client transmission for applying for that slow disease is made up a prescription application for the generation of compounding services, The generation, which makes up a prescription, to be included the personal information of client in application and makes up a prescription relevant medicine information to generation;
Pre-authorization module applies carrying out pre-authorization audit for making up a prescription to the generation, to decide whether approval for the visitor The pre-authorization at family;
Enquiry module, if passed through for pre-authorization audit, inquiring corresponding pharmacy according to the medicine information is The no dispatching for supporting related drug;
Sending module provides of the client to pharmacy if supporting the dispatching of related drug for the pharmacy People's information and the medicine information, so that the pharmacy is that the client establishes for the archives that make up a prescription, and is made up a prescription according to the generation Archives dispense related drug wherein to client, and the drugstore management system is client foundation for the archives that make up a prescription, and according to institute It states and dispenses related drug to client for archives are made up a prescription.
According to an embodiment of the invention, it is described it is slow disease for dispensing system further include auditing module and Claims Resolution module,
Wherein, the auditing module is used to receive the Claims Resolution for being directed to the client from the drugstore management system and directly ties request, And Claims Review is carried out to the received straight knot request of Claims Resolution of institute,
The Claims Resolution module is used for: in the case where Claims Review passes through, settles a claim to the straight knot request of the Claims Resolution, it will Compensation fund pays to information and is sent to the drugstore management system.
According to an embodiment of the invention, the customer service module is also used to:
Before the generation of the client matches medicinal end, whether need to continue to make up a prescription to the customer inquiries;
If the client needs to continue to make up a prescription, in the generation for notifying the drugstore management system to update the client, makes up a prescription shelves Case, wherein the generation for extending the client makes up a prescription the time limit.
According to an embodiment of the invention, the customer service module is also used to:
The client with slow disease diagnosis is filtered out from Claims Resolution historical record, extracts the related letter that the client takes drug Breath;
Determine drug that client is taken whether pharmacy dispatching range;
If so, slow disease can be applied for compounding services to customer prompts;
It also can Shen to the customer prompts if client's individual condition meets the requirements for the client without Claims Resolution historical record It please be slow sick for compounding services.
According to an embodiment of the invention, a kind of computer readable storage medium is additionally provided, the computer-readable storage The program for the above method is stored on medium, when described program is executed by processor, the step of execution according to the method.
Beneficial effects of the present invention essentially consist in that:
1, the management system placed in the middle between client and pharmacy by above-mentioned, fundamentally eliminate client need it is long-term, Periodically hospital or outpatient service is gone to take medicine, saves energy and the time of client's preciousness;
2, client only needs to interact with customer service module, eliminates the inconvenience interacted with medical institutions and pharmacy.
3, client can submit application material online, eliminate the inconvenience with insurance institution man-machine interactively, allow slow sick client Purchase medicine becomes easy, and promotes the satisfaction of client.
4, it is convenient to realize and compensates straight knot.
Detailed description of the invention
Fig. 1 is function structure schematic diagram of the slow disease for dispensing system for showing embodiment according to the present invention;
Fig. 2 is making up a prescription the schematic diagram of relevant preauthorization information to generation of showing embodiment according to the present invention;
Fig. 3 is the slow sick flow diagram for dosage according to the embodiment of the present invention;
Fig. 4 is the schematic diagram according to the running environment of the system for being mounted with application program of the embodiment of the present invention.
Specific embodiment
In the following, being described in further detail in conjunction with attached drawing to the implementation of technical solution.
It will be appreciated by those of skill in the art that although the following description is related to many of embodiment for the present invention Technical detail, but be only for not meaning that any restrictions for illustrating the example of the principle of the present invention.The present invention can be applicable in In the occasion being different from except technical detail exemplified below, without departing from the principle and spirit of the invention.
It, may be to can be in description in the present specification in addition, tedious in order to avoid being limited to the description of this specification The portion of techniques details obtained in prior art data has carried out the processing such as omission, simplification, accommodation, this technology for this field It will be understood by for personnel, and this will not influence the open adequacy of this specification.
Hereinafter, description is used to carry out the embodiment of the present invention.Note that by description is provided with following order: 1, sending out The summary of bright design;2, slow disease is for dispensing system (Fig. 1 and 2);3, slow disease is for dosage (Fig. 3 is extremely);4, according to the present invention The system (figure) for being mounted with application program of embodiment.
1, the summary of inventive concept
The present invention can be provided actively for client for compounding services by setting up for compounding services system, that is, can will be objective Family needs the drug that dispenses directly to be handed over to client from hospital, and eliminates client and hospital is gone to register/take the inconvenience of medicine/purchase medicine.
Firstly, by modes such as phone, website or mobile phone applications, to the client for being diagnosed as slow disease in Claims Resolution system Informing can provide the client for compounding services, having intention and can file an application on line or under line, provide related data (including medicine The medicine information etc. of dispatching), when related drug is within the scope of the dispatching of online pharmacy and meets related request, system It provides for client for compounding services.
After client applies successfully, before drug takes end, system can active warning client whether need to purchase again Medicine periodically goes hospital's further consultation, and client can be helped to carry out slow sick related management in this way.
In the following, in conjunction with the embodiments come illustrate foregoing invention design realization.
2, slow disease is for dispensing system
Fig. 1 is the slow sick function structure schematic diagram for dispensing system according to the embodiment of the present invention.
The embodiment provides a kind of slow diseases for dispensing system, client used in the system and client, And the drugstore management system in pharmacy communicably connects, the slow disease includes: for pharmacy management system
Customer service module, for receive client transmission for applying for that slow disease is made up a prescription application for the generation of compounding services, The generation, which makes up a prescription, to be included the personal information of client in application and makes up a prescription relevant medicine information to generation;
Pre-authorization module applies carrying out pre-authorization audit for making up a prescription to the generation, to decide whether approval for the visitor The pre-authorization at family;
Enquiry module, if passed through for pre-authorization audit, inquiring corresponding pharmacy according to the medicine information is The no dispatching for supporting related drug;
Sending module provides of the client to pharmacy if supporting the dispatching of related drug for the pharmacy People's information and the medicine information, so that the pharmacy is that the client establishes for the archives that make up a prescription, and is made up a prescription according to the generation Archives dispense related drug to client.
Wherein, the slow disease is for client used in pharmacy management system and client and the pharmacy management system in pharmacy System communicably connects.That is, the slow disease is for client and medicine used in pharmacy management system and client For room management system usually not in one place, client used in client is electronic device, it may include PC, mobile phone, The various mobile terminals such as tablet computer.
Furthermore, it is to be understood that client can also not use electronic device, pass through other way under line and the slow sick generation Pharmacy management system interaction.
Wherein, the customer service module is used to receive slow disease from client and apply for the client of compounding services, according to visitor Family application is transferred and records the personal information of client and generation makes up a prescription relevant medicine information,
The customer service module is also used to apply sending by client (output) to the pre-authorization module.
Optionally, the customer service module is also used to the personal information submitted according to client, judges whether the client has Qualification is opened for compounding services (whether permission and other information meet the requirements), corresponding to prompt client if be not eligible for.
As an example, record has the authority information and Claims Resolution information (example of client in the slow disease in pharmacy management system Such as, including Claims Resolution application material), if the permission and data of client meet it is following all require, can Shen to customer prompts Please for compounding services:
1) in the authority information of the client, the permission for having the client that there is outpatient service directly to tie service is recorded;
2) in the Claims Resolution information of the client, record the client and suffer from the chronic disease that needs periodically to take medicine, for example, client to Mechanism provides case history (in half a year), a part as Claims Resolution information;
3) in the Claims Resolution information of the client, record have the client take current drug already exceed 3 months, the state of an illness it is steady Determine and does not need adjustment drug and dose, for example, client provides Medicine prescription (validity period was more than 3 months) to mechanism, as The a part for information of settling a claim.
Fig. 2 is making up a prescription the schematic diagram of relevant preauthorization information to generation of showing embodiment according to the present invention.
As shown in Fig. 2, the generation that client submits makes up a prescription, application information includes the personal information, diagnosis information, pharmacy phase of client Information, relevant information of making up a prescription are closed, to carry out subsequent pre-authorization audit by system.
Wherein, " A " in Fig. 2 is partially the application information of client, mainly includes the personal information of client, the part " B " In information belong to preauthorization information comprising make up a prescription the pre-authorization result of application for the generation.
Furthermore, it is to be understood that the customer service module can be hardware module, it is also possible to software module.In client In the case where submitting application under line, the customer service module also can be omitted.
The pre-authorization module is for auditing the pre-authorization relevant information that client submits, if audit passes through, The detail that related drug is extracted from the medicine information, is inquired to the drugstore management system, to verify the pharmacy pipe Whether the corresponding pharmacy of reason system supports the dispatching of related drug,
The pre-authorization module is also used to: if the drugstore management system feedback information is " to support related in the pharmacy The dispatching of drug ", then by the personal information for providing the client to the drugstore management system and for the relevant drug that makes up a prescription Information.
As an example, pre-authorization module carries out pre-authorization audit as follows:
1) after the application information (including for task relevant information of making up a prescription) for receiving client, client is audited at the first time and is mentioned The integrality for handing over material should contact supplement needed for client informs if client submits material incomplete in pre-authorization operation timeliness Material;
2) it can clearly make up a prescription range and dosage according to the Checking prescription that client provides;
3) client should be informed in time for the case where compounding services range for not meeting, contact at AM/BD follow-up when necessary Reason;
4) errorless for audit material, the service pharmacy of connection in time is simultaneously provided for the associated materials that make up a prescription, comprising:
A) client fills in and the straight statement of account of the Claims Resolution for confirmation of signing;
B) in generation, makes up a prescription related Medicine prescription (prescription issue time should be in 6 months dates of application) and corresponding case history (this Material only apply needing to provide for making up a prescription for the first time by the prescription, and same prescription is secondary to make up a prescription without repeating to provide);
C) identity document (China second-generation identity card needs front and back sides) (10,000 yuan or more of Claims Resolution cases);
D) for the pre-authorization letter of undertaking that makes up a prescription.
Wherein, according to effective medical records of warrantee, the medication amount of half a year is at most provided;Such as still needed to after half a year generation make up a prescription Service, need to arrive regular hospital's further consultation, and provide newest case history and prescription (drug usage, dosage);If reminding client's further consultation Afterwards, client is intent on then continuing as client for compounding services and providing for compounding services, and remind client that duration of medication is not if any It is suitable, it need to see a doctor in time.Effective medical records at most provide 1 year medication amount.
In addition, the pre-authorization module, which is also shown, in Fig. 2 completes the information generated after pre-authorization audit, including authorization letter Breath.As described above, authorization message includes Authorization result, authorized content.Authorization result include " whether pre-authorization application passes through ", with And audit conclusion such as " whether providing Claims Resolution straight knot ".Authorized content includes " nomenclature of drug ", " drug specifications ", " drug expenditure " etc. It makes up a prescription information.
Wherein, the drugstore management system is typically situated in the office automation system of health service institution (such as hospital) System, is built and is safeguarded by such as hospital, can communicably connect by certain agreement with for dispensing system.Optionally, The drugstore management system can be open towards social security and Shang Bao mechanism.
The drugstore management system is used for: according to the above- mentioned information received from the pre-authorization module, being established for client In generation, makes up a prescription archives, and periodically dispense correlation drug to client according to the generation archives that make up a prescription.
The drugstore management system can also be used in: according to the dispatching situation of related drug, periodically or non-periodically generating and is directed to Request is directly tied in the Claims Resolution of the client, and sends the auditing module for the straight knot request of the Claims Resolution, to obtain from insurance institution Obtain the clearing of correlative charges.
The auditing module is used for: it is audited to from the received straight knot request of Claims Resolution of the drugstore management system, The Claims Resolution module is sent by auditing result;
Optionally, the auditing module can also be used in:
1) periodically tracking pharmacy submits Claims Resolution material to settle accounts situation, and monthly at least clearing are primary, as on time pharmacy fails to mention It hands over, the artificial follow-up in notice backstage, verifies delay reason, and link up clear subsequent process scheme with pharmacy;
2) it periodically obtains client from the pharmacy to file situation, row information of going forward side by side review.
The Claims Resolution module is used for: if auditing result is to pass through, settle a claim to the straight knot request of the Claims Resolution, periodically or Fund will irregularly be compensated and import the pharmacy.
In addition, different embodiments of the invention by software module or can also be stored in one or more computer-readable The mode of computer-readable instruction on medium is realized, wherein the computer-readable instruction is when by processor or equipment group When part executes, different embodiment of the present invention is executed.Similarly, software module, computer-readable medium and Hardware Subdivision Any combination of part is all expected from the present invention.The software module can be stored in any type of computer-readable storage On medium, such as RAM, EPROM, EEPROM, flash memory, register, hard disk, CD-ROM, DVD etc..
3, slow disease is for dosage
Fig. 3 is the slow sick flow diagram for dosage according to the embodiment of the present invention.As shown in figure 3, according to this The embodiment of invention, providing a kind of slow disease generation makes up a prescription management method, runs on above-mentioned slow disease for pharmacy management system, described Method the following steps are included:
Step S100, slow disease is received from client to apply for the client of compounding services, including client personal information, And for the relevant medicine information that makes up a prescription;
Step S200, the client is applied carrying out pre-authorization audit;
If step S300, above-mentioned pre-authorization audit passes through, the detail of related drug is extracted from the medicine information, and The dispatching whether corresponding pharmacy supports related drug is inquired, the audit fails if above-mentioned, informs client's concrete reason, and tie Beam this method;
Wherein, corresponding pharmacy refers to and for the pharmacy that the signing of compounding services mechanism is cooperated, for example, have multiple signing pharmacies, Whether some pharmacy specifically supports the dispatching of some drug, need to verify to pharmacy, be determined by pharmacy and fed back.
Wherein, review process in step s 200 is corresponding with the review process of above-mentioned pre-authorization module, for simplicity For the sake of, details are not described herein.
If the dispatching of related drug is supported in step S400, the described pharmacy, the personal letter of the client is provided to pharmacy In breath and generation, make up a prescription relevant medicine information, later, by the pharmacy according to the above-mentioned letter received from the pre-authorization module Breath establishes generation for client and makes up a prescription archives, and periodically dispense correlation drug to client according to the generation archives that make up a prescription;
Step S500, it according to the dispatching situation of related drug, is periodically or non-periodically received from the pharmacy and is directed to the client Claims Resolution directly tie request;
Step S600, the straight knot request of the Claims Resolution received to institute is audited, if audit passes through, to the Claims Resolution Straight knot request is settled a claim, and will periodically or non-periodically be compensated fund and be imported the pharmacy.
Wherein, before step S100, this method may also include that
From have slow pathology pay in discovery have the client of slow disease diagnosis, audit client take drugs whether pharmacy dispatching Range, if so, prompt can apply slow disease for compounding services to pushes customer information.
It optionally,, can also be to the client if meeting the range that disease generation makes up a prescription slowly for the client of no history Claims Resolution record Above- mentioned information are pushed, so that the client can provide related application data, after the approval, can also be enjoyed for the clothes that make up a prescription Business.
Wherein, after step S500, this method may also include that
Step S510, before client's drug takes end, system trigger reminds mail, and whether connection client needs to match again Medicine is to contact pharmacy to arrange dispensing.
Wherein, if the client needs to continue to make up a prescription, in the generation that pharmacy updates the client, makes up a prescription archives, wherein extending The generation of the client in, makes up a prescription the time limit.
Wherein, client application includes:
1) the straight statement of account of Claims Resolution, needs client to fill in and confirmation of signing;
2) it is subject on the straight statement of account with drug delivery address and telephone number and fills in mail address and telephone number content;
3) for related Medicine prescription and the corresponding case history of making up a prescription;
4) identity document (China second-generation identity card needs front and back sides) (Claims Resolution more than 10,000 yuan or more).
5, the audit of the auditing module includes:
1) whether audit is consistent with the final invoice amount of money for the notification sheet amount of money that makes up a prescription;
2) audit drug inventory with it is whether consistent for the drug detail content made up a prescription on notification sheet
3) it audits in no Effective Period of Insurance;
4) remaining protection amount is verified, and settles a claim and winds up the case;
4, the system for being mounted with application program of embodiment according to the present invention
Referring to Fig. 4, it illustrates the running environment of the system according to an embodiment of the present invention for being mounted with application program.
In the present embodiment, the system of the installation application program is installed and is run in electronic device.The electronics Device can be desktop PC, notebook, palm PC and server etc. and calculate equipment.The electronic device may include but not It is limited to memory, processor and display.This Figure only shows the electronic devices with said modules, it should be understood that It is not required for implementing all components shown, the implementation that can be substituted is more or less component.
The memory can be the internal storage unit of the electronic device, such as electronics dress in some embodiments The hard disk or memory set.The memory is also possible to the External memory equipment of the electronic device in further embodiments, Such as the plug-in type hard disk being equipped on the electronic device, intelligent memory card (Smart Media Card, SMC), secure digital (Secure Digital, SD) card, flash card (Flash Card) etc..Further, the memory can also both include institute The internal storage unit for stating electronic device also includes External memory equipment.The memory is installed on the electronics dress for storing The application software and Various types of data set, such as the program code etc. of the system for installing application program.The memory may be used also For temporarily storing the data that has exported or will export.
The processor can be in some embodiments central processing unit (Central Processing Unit, CPU), microprocessor or other data processing chips, for running the program code stored in the memory or processing data, Such as execute the system etc. of the installation application program.
The display can be in some embodiments light-emitting diode display, liquid crystal display, touch-control liquid crystal display with And OLED (Organic Light-Emitting Diode, Organic Light Emitting Diode) touches device etc..The display is for showing Show the information handled in the electronic device and for showing visual customer interface, such as application menu interface, answers With icon interface etc..The component of the electronic device is in communication with each other by system bus.
Through the above description of the embodiments, those skilled in the art is it will be clearly understood that above embodiment In method can realize by means of software and necessary general hardware platform, naturally it is also possible to realized by hardware, But the former is more preferably embodiment in many cases.Based on this understanding, the technical solution of the application of the present invention is substantially The part that contributes to existing technology can be embodied in the form of Software Commodities in other words, which deposits Storage in a storage medium (such as ROM/RAM, magnetic disk, CD), including some instructions are used so that terminal device (can be with It is mobile phone, computer, server, air conditioner or the network equipment etc.) execute side described in each embodiment of the application of the present invention Method.
That is, according to an embodiment of the invention, additionally provide a kind of computer readable storage medium, the computer The program of the method for executing embodiment according to the present invention is stored on readable storage medium storing program for executing, described program is processed When device executes, each step of the method is executed.
By upper, it will be appreciated that for illustrative purposes, specific embodiments of the present invention are described herein, still, can make Each modification, without departing from the scope of the present invention.It will be apparent to one skilled in the art that drawn in flow chart step or this In the operation that describes and routine can be varied in many ways.More specifically, the order of step can be rearranged, step can be executed parallel Suddenly, step can be omitted, it may include other steps can make the various combinations or omission of routine.Thus, the present invention is only by appended power Benefit requires limitation.

Claims (10)

  1. The management method 1. a kind of slow disease generation makes up a prescription, which is characterized in that the described method comprises the following steps:
    What step 1, reception client were sent is used to apply that disease for compounding services for application of making up a prescription, to make up a prescription in application by the generation slowly It personal information including client and makes up a prescription relevant medicine information to generation;
    Step 2, application of making up a prescription to the generation carry out pre-authorization audit, to decide whether that approval is directed to the pre-authorization of the client;
    If the audit of step 3, the pre-authorization passes through, inquire whether corresponding pharmacy supports Related Drug according to the medicine information The dispatching of product;
    If step 4, the pharmacy support the dispatching of related drug, to pharmacy provide the client personal information and The medicine information so that the pharmacy is that the client establishes generation and makes up a prescription archives, and makes up a prescription archives to client according to the generation Dispense related drug.
  2. 2. slow disease according to claim 1 is for dosage, which is characterized in that further comprising the steps of:
    Step 6, according to the dispatching situation of the related drug, request is directly tied in the Claims Resolution received for the client;
    Step 7 audits the straight knot request of the Claims Resolution, if audit passes through, manages the straight knot request of the Claims Resolution It pays for.
  3. 3. slow disease according to claim 1 is for dosage, which is characterized in that before step 1, this method can also wrap It includes:
    The client with slow disease diagnosis is filtered out from Claims Resolution historical record, is extracted the client with slow disease diagnosis and is taken medicine The relevant information of product;
    Determine drug that the client with slow disease diagnosis is taken whether pharmacy dispatching range;
    If so, slow disease can be applied for compounding services to the customer prompts with slow disease diagnosis.
  4. 4. slow disease according to claim 1 is for dosage, which is characterized in that before step 1, this method can also wrap It includes:
    Client without Claims Resolution historical record can also be applied slowly to the customer prompts if client's individual condition meets the requirements Disease is for compounding services.
  5. 5. slow disease according to claim 1 is for dosage, which is characterized in that after step 5, this method may also include that
    Step 5-1, before to the terminating for compounding services of the client, whether need to continue to make up a prescription to the customer inquiries;
    If step 5-2, the client needs to continue to make up a prescription, in the generation for updating the client, makes up a prescription archives, wherein described in extending The generation of client in, makes up a prescription the time limit.
  6. 6. a kind of slow disease is for dispensing system, with client used in client and the drugstore management system in pharmacy can communicate Mode connects, which is characterized in that the slow disease for pharmacy management system includes:
    Customer service module, for receive client transmission for applying for that slow disease is made up a prescription application for the generation of compounding services, it is described Generation, which makes up a prescription, to be included the personal information of client in application and makes up a prescription relevant medicine information to generation;
    Pre-authorization module applies carrying out pre-authorization audit for making up a prescription to the generation, to decide whether approval for the client's Pre-authorization;
    Enquiry module inquires whether corresponding pharmacy props up according to the medicine information if passed through for pre-authorization audit Hold the dispatching of related drug;
    Sending module provides the personal letter of the client to pharmacy if supporting the dispatching of related drug for the pharmacy Breath and the medicine information so that the pharmacy is that the client establishes generation and makes up a prescription archives, and make up a prescription archives according to the generation Related drug is dispensed to client.
  7. 7. slow disease according to claim 6 is for dispensing system, it is characterised in that further include auditing module and Claims Resolution mould Block,
    Wherein, the auditing module is used to receive the Claims Resolution for being directed to the client from the drugstore management system and directly ties request, and right The received straight knot request of Claims Resolution of institute carries out Claims Review,
    The Claims Resolution module is used for: in the case where Claims Review passes through, being settled a claim, will be compensated to the straight knot request of the Claims Resolution Fund pays to information and is sent to the drugstore management system.
  8. 8. slow disease according to claim 6 is for dispensing system, which is characterized in that the customer service module is also used to:
    Before the generation of the client matches medicinal end, whether need to continue to make up a prescription to the customer inquiries;
    If the client needs to continue to make up a prescription, in the generation for notifying the drugstore management system to update the client, makes up a prescription archives, In the generation for wherein extending the client, makes up a prescription the time limit.
  9. 9. slow disease according to claim 6 is for dispensing system, which is characterized in that the customer service module is also used to:
    The client with slow disease diagnosis is filtered out from Claims Resolution historical record, extracts the relevant information that the client takes drug;
    Determine drug that client is taken whether pharmacy dispatching range;
    If so, slow disease can be applied for compounding services to customer prompts;
    Client without Claims Resolution historical record can also be applied slowly to the customer prompts if client's individual condition meets the requirements Disease is for compounding services.
  10. 10. a kind of computer readable storage medium, which is characterized in that be stored on the computer readable storage medium for holding Row is according to claim 1 to the program of method described in any of 5, when described program is executed by processor, described in execution The step of method.
CN201810777011.9A 2018-07-16 2018-07-16 Slow disease is for dosage and system Pending CN109035039A (en)

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