CN109523400A - Medicine method of specifying error and terminal device are taken based on data processing - Google Patents
Medicine method of specifying error and terminal device are taken based on data processing Download PDFInfo
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- CN109523400A CN109523400A CN201811265676.8A CN201811265676A CN109523400A CN 109523400 A CN109523400 A CN 109523400A CN 201811265676 A CN201811265676 A CN 201811265676A CN 109523400 A CN109523400 A CN 109523400A
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- 230000002159 abnormal effect Effects 0.000 claims abstract description 25
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- 201000010099 disease Diseases 0.000 description 7
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- 230000037396 body weight Effects 0.000 description 3
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- 239000000243 solution Substances 0.000 description 3
- 230000005856 abnormality Effects 0.000 description 2
- 229940120638 avastin Drugs 0.000 description 2
- 238000004422 calculation algorithm Methods 0.000 description 2
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- 230000005611 electricity Effects 0.000 description 2
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- 230000008014 freezing Effects 0.000 description 2
- 238000007710 freezing Methods 0.000 description 2
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- 238000012015 optical character recognition Methods 0.000 description 2
- 208000033748 Device issues Diseases 0.000 description 1
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- G—PHYSICS
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- G06Q—INFORMATION 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
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Abstract
The present invention provides a kind of to take medicine method of specifying error and terminal device based on data processing.This method comprises: obtaining the settlement request that sufferer is directed to target medicine, wherein the settlement request includes taking medicine information and clearing form.If the clearing form is the first clearing form, the corresponding personally identifiable information of the sufferer is obtained.When determining that the target sufferer meets target terms of settlement according to the personally identifiable information, the corresponding body surface area information of the sufferer is obtained, and the corresponding single maximum dosage of the target medicine is determined according to the body surface area information.When the target medicine taking amount for taking medicine information to determine is greater than the single maximum dosage, determine that the sufferer crosses measurement medicine, sending takes medicine abnormal prompt.Using the embodiment of the present invention, the confidence level that the Claims Resolution of healthcare structure requires can be promoted, insurance fraud probability is reduced.
Description
Technical field
The present invention relates to field of computer technology, more particularly to take medicine method of specifying error and terminal based on data processing
Equipment.
Background technique
With the development of society and the continuous promotion of living standards of the people, people gradually start to receive miscellaneous insurance
Project is especially valued by the people especially for ensureing the medical insurance of basic medical demand.Existing medical insurance is main
There are two types of, the commercial medical insurance including the profitability that the social medical insurance established by state and society and enterprise are established.It is right
For the user for having participated in medical insurance, when its illness, user can be produced disease according to the Claims Resolution rule of medical insurance
Raw medical expense is submitted an expense account, to alleviate the economic pressures that user generates by illness to a certain extent.But with
The uncoordinated development of the popularity and Claims Review mechanism of medical insurance, insurance fraud phenomenon take place frequently, to government offices and enterprise etc.
Medical Insurance Organizations bring unnecessary loss.
In the prior art, it for certain special drugs for being included into Claims Resolution range, is usually being verified by medical institutions
After the identity and medical insurance qualification of illness user, take medicine requirement by these special drugs according to what illness user extracted
Be supplied to user, then again from medical institutions according to the medicine taking amount of illness user to the corresponding Medical Insurance Organizations of illness user
Request Claims Resolution.Under normal circumstances, medical institutions, can direct basis after the sufferer proposition for having medical insurance qualification takes medicine request
Sufferer takes medicine request to provide the drug of respective numbers, and therefore, illness user's can be by crossing measurement medicine to reach insurance fraud purpose.
This, which allows for Medical Insurance Organizations, directly to settle a claim according to the Claims Resolution request that medical institutions propose, give Medical Insurance Organizations
Claims Resolution clearing bring difficulty, reduce medical institutions Claims Resolution require confidence level.
Summary of the invention
The embodiment of the present invention, which provides, a kind of takes medicine method of specifying error and terminal device based on data processing.Doctor can be promoted
The confidence level that the Claims Resolution of mechanism requires is treated, the probability of happening of insurance fraud event is reduced.
In a first aspect, the present invention provide it is a kind of medicine method of specifying error is taken based on data processing, this method comprises:
Obtain the settlement request that sufferer is directed to target medicine.Wherein, the settlement request includes taking medicine information and clearing side
Formula.If the clearing form is the first clearing form, the corresponding personally identifiable information of the sufferer is obtained.When according to described
When people's identity information determines that the target sufferer meets target terms of settlement, the corresponding body surface area information of the sufferer is obtained,
And the corresponding single maximum dosage of the target medicine is determined according to the body surface area information.Wherein, the target clearing
Condition includes being settled accounts by first clearing form.When the target medicine taking amount for taking medicine information to determine is greater than the list
When secondary maximum dosage, determine that the sufferer crosses measurement medicine, sending takes medicine abnormal prompt, wherein the target medicine taking amount is institute
State the quantity for the target medicine that sufferer request is extracted.
In the embodiment of the present invention, the sufferer of medicine is taken to meet target terms of settlement and using the first clearing side in determination
When formula, the corresponding body surface area information of the sufferer can be obtained, and the target medicine is determined according to the body surface area information
Corresponding single maximum dosage.Then, however, it is determined that the target medicine taking amount of sufferer is greater than above-mentioned single maximum dosage, then can be true
Determine sufferer and there is the behavior for measuring medicine, sending takes medicine abnormal prompt.What is issued takes medicine abnormal prompt that can remind in healthcare structure
The user for being responsible for clearing notices this abnormal conditions, so as to verify the actual conditions, prevents sufferer insurance fraud.Together
When, the Claims Resolution that also may make healthcare structure to propose to medical insurance structure requires confidence level higher, simplifies medical insurance structure
Claims Resolution process.
With reference to first aspect, in one possible implementation, described to obtain the corresponding body surface area letter of the sufferer
Breath includes: to obtain the corresponding height information of the sufferer and weight information, is determined according to the height information and weight information
The corresponding body surface area information of the sufferer.
With reference to first aspect, described according to body surface area information determination in a kind of feasible embodiment
The corresponding single maximum dosage of target medicine includes: to obtain the corresponding standardized amount of the target medicine to indicate information, and root
The corresponding unit body surface area dosage of the target medicine is determined according to standardized amount instruction information.According to the body surface face
Product information and the unit body surface area dosage determine the corresponding single maximum dosage of the target medicine.
With reference to first aspect, described according to body surface area information determination in a kind of feasible embodiment
The corresponding single maximum dosage of target medicine includes: to obtain the corresponding doctor's advice information of the sufferer.According to the doctor's advice information
Determine the corresponding unit body surface area dosage of the target medicine.According to the body surface area information and the unit bodies surface
Product dosage determines the corresponding single maximum dosage of the target medicine.
With reference to first aspect, in a kind of feasible embodiment, the method also includes:
Obtaining the corresponding history of the sufferer takes medicine to record.Medicine record, the medicine taking amount and described are taken according to the history
Single maximum dosage is determined to cross the number for measuring medicine until the sufferer current time.When the number is greater than preset times
When, determining the sufferer, there are insurance fraud behaviors, issue insurance fraud prompt.
With reference to first aspect, in a kind of feasible embodiment, the personally identifiable information according to the sufferer is true
It includes: the personally identifiable information by the sufferer in preset identity information that the fixed target sufferer, which meets target terms of settlement,
It is matched in database.Wherein, the identity information database includes one or more groups of personal identification register informations, the disease
The personally identifiable information of trouble includes following at least any one: ID card No., fingerprint feature information, face feature information, pupil
Characteristic information.If any group of target personal identification is registered in the personally identifiable information of the sufferer and the identity information database
Information matches, it is determined that the sufferer meets target terms of settlement.
Exist with reference to first aspect, in a kind of feasible embodiment, when the clearing form is except first clearing
When the second clearing form other than mode, the method also includes: obtain the corresponding body surface area information of the sufferer, and according to
The body surface area information determines the corresponding single maximum dosage of the target medicine.When the target for taking medicine information to determine
When medicine taking amount is greater than the single maximum dosage, generates exception associated with the sufferer and take medicine mark.Wherein, described different
It often takes medicine mark to be used to indicate the sufferer and takes medicine behavior in the presence of abnormal.
With reference to first aspect, in a kind of feasible embodiment, when determining that sufferer crosses measurement medicine, the method is also wrapped
Include: freezing or refuse the settlement request.
Second aspect, the embodiment of the invention provides a kind of terminal device, which includes: request unit,
The settlement request for being directed to target medicine for obtaining sufferer.Wherein, the settlement request includes sufferer personal information, takes medicine information
And clearing form.Identity information acquiring unit obtains the sufferer pair if being the first clearing form for the clearing form
The personally identifiable information answered.Single maximum dosage determination unit determines the mesh according to the personally identifiable information for working as
When mark sufferer meets target terms of settlement, the corresponding body surface area information of the sufferer is obtained, and believe according to the body surface area
Breath determines the corresponding single maximum dosage of the target medicine., wherein the target terms of settlement include passing through described first
Clearing form is settled accounts.Prompt unit, for being greater than the single maximum when the target medicine taking amount for taking medicine information to determine
When dosage, determine that the sufferer crosses measurement medicine, sending takes medicine abnormal prompt.Wherein, the target medicine taking amount is the sufferer
Request the quantity for the target medicine extracted.
In conjunction with second aspect, in one possible implementation, above-mentioned single maximum dosage determination unit is used for: being obtained
The corresponding height information of the sufferer and weight information are taken, the sufferer pair is determined according to the height information and weight information
The body surface area information answered.
In conjunction with second aspect, in one possible implementation, the single maximum dosage determination unit is used for: being obtained
The corresponding standardized amount instruction information of the target medicine is taken, and indicates that information determines the target medicine according to the standardized amount
The corresponding unit body surface area dosage of product.It is determined according to the body surface area information and the unit body surface area dosage
The corresponding single maximum dosage of the target medicine.
In conjunction with second aspect, in one possible implementation, the single maximum dosage determination unit is used for: being obtained
The corresponding doctor's advice information of the sufferer is taken, determines that the corresponding unit body surface area of the target medicine is used according to the doctor's advice information
Dose.The corresponding single of the target medicine is determined according to the body surface area information and the unit body surface area dosage
Maximum dosage.
In conjunction with second aspect, in one possible implementation, the terminal device further include: insurance fraud determination unit,
The insurance fraud determination unit is used for: obtaining the corresponding history of the sufferer and medicine is taken to record, take medicine to record according to the history, is described
Medicine taking amount and the single maximum dosage are determined to cross the number for measuring medicine until the sufferer current time.When the number
When greater than preset times, determining the sufferer, there are insurance fraud behaviors, issue insurance fraud prompt.
In conjunction with second aspect, in one possible implementation, above-mentioned single maximum dosage determination unit is also used to:
It is matched in preset identity information database by the personally identifiable information of the sufferer.Wherein, the identity information
Database includes one or more groups of personal identification register informations.Here, the sufferer personal information further includes following at least any
: ID card No., fingerprint feature information, face feature information, pupil feature information.If the personally identifiable information of the sufferer
Match with any group of target personal identification register information in the identity information database, it is determined that the sufferer meets target
Terms of settlement.
In conjunction with second aspect, in one possible implementation, the terminal device further include: marking unit.It is above-mentioned
Single maximum dosage determination unit is used for when above-mentioned clearing form is the second clearing form in addition to the first clearing form,
The corresponding body surface area information of the sufferer is obtained, and the corresponding list of the target medicine is determined according to the body surface area information
Secondary maximum dosage.Above-mentioned marking unit is used to use when the target medicine taking amount for taking medicine information to determine greater than the single maximum
When dose, generates exception associated with the sufferer and take medicine mark.Wherein, the exception takes medicine mark to be used to indicate the disease
Suffer from and takes medicine behavior in the presence of abnormal.
In conjunction with second aspect, in one possible implementation, the terminal device further include: request-response unit,
The request-response unit is for freezing or refusing the settlement request.
The third aspect, the present invention provides a kind of electronic equipment, the electronic equipment include processor, memory and
Input-output apparatus, the processor, memory and the input-output apparatus are connected with each other, wherein the memory is used
In storage program code, the processor and the input-output apparatus are for calling said program code to execute above-mentioned first
The method of aspect.
Fourth aspect, the present invention provides a kind of computer storage medium, the computer storage medium is stored with calculating
Machine program, the computer program include program instruction, and described program instruction when being executed by a processor holds the processor
The method of the above-mentioned first aspect of row.
In the embodiment of the present invention, judge in the single maximum dosage of target medicine taking amount and target medicine by sufferer
It after sufferer had measurement medicine behavior out, can be prompted to healthcare structure, so that being responsible for the user of clearing in healthcare structure
It notices this abnormal conditions, so as to verify the actual conditions, prevents sufferer insurance fraud.Meanwhile it also may make doctor
Flow structure requires confidence level higher to the Claims Resolution that medical insurance structure proposes, simplifies the Claims Resolution process of medical insurance structure.
Detailed description of the invention
It to describe the technical solutions in the embodiments of the present invention more clearly, below will be to needed in the embodiment
Attached drawing is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for ability
For the those of ordinary skill of domain, without creative efforts, it can also be obtained according to these attached drawings other attached
Figure.
Fig. 1 is a kind of flow diagram for taking medicine method of specifying error based on data processing that inventive embodiments provide；
Fig. 2 is another process signal for taking medicine method of specifying error based on data processing provided in an embodiment of the present invention
Figure；
Fig. 3 is one composed structure schematic diagram of a kind of terminal device provided in an embodiment of the present invention；
Fig. 4 is a kind of another composed structure schematic diagram of terminal device provided in an embodiment of the present invention；
Fig. 5 is a kind of another composed structure schematic diagram of terminal device provided in an embodiment of the present invention；
Fig. 6 is the composed structure schematic diagram of a kind of electronic equipment provided in an embodiment of the present invention.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that the described embodiment is only a part of the embodiment of the present invention, instead of all the embodiments.Based on this
Embodiment in invention, every other reality obtained by those of ordinary skill in the art without making creative efforts
Example is applied, shall fall within the protection scope of the present invention.
It should be noted that provided in an embodiment of the present invention take medicine method of specifying error to be suitable for disease based on data processing
Suffer from and take medicine and disbursement and sattlement this scene in medical institutions.Above-mentioned first clearing form specifically may include medical insurance reimbursement, quotient
The clearing form of the insurances reimbursements such as industry insurance reimbursement.Above-mentioned the second clearing form in addition to the first clearing form may include individual
The clearing form of non-insured reimbursement including clearing, is not construed as limiting herein.In order to facilitate understanding and describing, in the embodiment of the present invention
In, it carries out taking medicine in medical institutions with sufferer, and settled accounts by medical insurance reimbursement (i.e. above-mentioned first clearing form) or individual
Mode (i.e. above-mentioned the second clearing form in addition to the first clearing form) carries out this specific implement scene of disbursement and sattlement
Example is described.Wherein, medical institutions, which can have for medical insurance fixed hospital, medical insurance fixed point pharmacy etc. to illness user, sells medicine
The identity of product and the mechanism for having cooperative relationship with Medical Insurance Organizations.Above-mentioned Medical Insurance Organizations refer in medical insurance activity
It is specifically responsible for undertaking the structure and tissue for the medical insurances business such as raising, managing and paying of the cost of medical insurance in the process, is
The insurer in Hospitalization insurance system.In addition, the technical solution of the embodiment of the present invention is particularly suitable for dosage and body surface area
Relevant Management of special drugs takes medicine information monitoring.
Embodiment one
It is a kind of process for taking medicine method of specifying error based on data processing that inventive embodiments provide referring to Fig. 1, Fig. 1
Schematic diagram.In the present embodiment, it is described by executing subject of terminal device.As shown, this method comprises:
S101 obtains the settlement request that sufferer is directed to target medicine.
In some possible embodiments, terminal device can get the settlement request that sufferer is directed to target medicine.On
State the settlement request that settlement request can be initiated for the staff of sufferer or medical institutions.Above-mentioned settlement request may include sufferer
Personal information takes medicine information and clearing form etc., is not construed as limiting herein.Above-mentioned sufferer personal information may include the identity letter of sufferer
Breath, physical characteristic information, illness information etc..It is above-mentioned to take the medicine information and take that medicine information is the target medicine that sufferer needs obtain
Dose information.Above-mentioned clearing form may include medical insurance clearing or personal clearing, be not construed as limiting herein.Wherein, medical insurance clearing are logical
It crosses medical insurance and carries out the clearing form that some or all of drug expenditure is submitted an expense account in Claims Resolution, above-mentioned individual's clearing are taken care of oneself entirely to be personal
The clearing form of portion's drug expenditure.Above-mentioned target medicine is the drug defined in medical insurance clause in Claims Resolution range, i.e.,
The drug of expense reimbursement can be carried out by medical insurance.
In the specific implementation, terminal device can get the use of user's input by input equipments such as its external keyboards
Then family operational order determines the settlement request for target medicine according to above-mentioned user operation instruction.Optionally, terminal is set
The standby settlement request that can be also directly obtained from connected other equipment for target medicine.For example, terminal device
Above-mentioned settlement request can be got from the payment front end connected by bluetooth, above-mentioned payment front end is for acquiring
State the sufferer personal information for including in settlement request, the equipment for taking the data such as medicine information.Here, terminal device can by wired or
Person is wirelessly connected with above-mentioned other equipment, is not construed as limiting herein.
S102 obtains the corresponding personally identifiable information of above-mentioned sufferer if above-mentioned clearing form is the first clearing form.
In some possible embodiments, above-mentioned first clearing form can be medical insurance reimbursement clearing.Terminal device can be from
Clearing form is extracted in above-mentioned settlement request, then judges whether above-mentioned clearing form is medical insurance reimbursement clearing.If terminal is set
It is standby to judge that above-mentioned clearing form is medical insurance reimbursement clearing, then it can obtain the corresponding personally identifiable information of above-mentioned sufferer.Here, on
State personally identifiable information be with the sufferer unique match, and the information data of the sufferer personal identification can be identified.Optionally, above-mentioned
Personally identifiable information specifically may include the face feature information of the ID card No. of sufferer, the fingerprint feature information of sufferer, sufferer
Deng being not construed as limiting herein.
S103 obtains sufferer pair when determining that above-mentioned sufferer meets target terms of settlement according to above-mentioned personally identifiable information
The body surface area information answered, and the corresponding single maximum dosage of target medicine is determined according to above-mentioned body surface area information.
In some possible embodiments, terminal device, can be according to above-mentioned after getting above-mentioned personally identifiable information
Personally identifiable information judges whether the sufferer meets target terms of settlement, that is, judges whether sufferer has medical insurance reimbursement qualification.This
In, the target terms of settlement include being settled accounts by first clearing form.Specifically, terminal device can be preset
It is inquired in identity information database, if inquiring the personally identifiable information of above-mentioned sufferer in identity information database,
Illustrate that the sufferer meets target terms of settlement, i.e. the sufferer has the qualification that medical insurance reimbursement is settled accounts.
After the qualification that terminal device determines that the sufferer has medical insurance reimbursement clearing, it is corresponding that above-mentioned sufferer can be got
Body surface area information.The body surface area parameter of above-mentioned body surface area information concretely sufferer.Then, terminal device can be according to upper
The nomenclature of drug for stating target medicine gets the corresponding standardized amount instruction information of above-mentioned target medicine.Here, target medicine
The standardized amount instruction information of target medicine refers to the detailed directions of the target medicine, dosage information and specification information, specifically
It may include the information such as use time interval, specification information and the unit body surface area dosage of the target medicine.Then, terminal
Equipment can determine that target medicine is corresponding according to above-mentioned body surface area information, specification information and above-mentioned unit body surface area dosage
Single maximum dosage.
S104 is determined above-mentioned when the above-mentioned target medicine taking amount for taking medicine information to determine is greater than above-mentioned single maximum dosage
Sufferer crosses measurement medicine, and sending takes medicine abnormal prompt.
In some possible embodiments, terminal device can take medicine information to determine what sufferer request was extracted according to above-mentioned
The quantity of target medicine, i.e., above-mentioned target medicine taking amount.Then it is above-mentioned to can determine whether above-mentioned target medicine taking amount is greater than for terminal device
Single maximum dosage.If being judged as YES, terminal device is capable of emitting to take medicine abnormal prompt.Here, above-mentioned to take the medicine information to include
Or the above-mentioned target medicine taking amount of instruction.
In the specific implementation, terminal device directly can extract the corresponding target of the sufferer and take medicine from above-mentioned take in medicine information
Amount.Then terminal device can determine whether above-mentioned target medicine taking amount is greater than above-mentioned single maximum dosage.If terminal device judges
Out above-mentioned target medicine taking amount be greater than above-mentioned single maximum dosage, then terminal device can by auditory tone cues, the page pop-up prompt,
The prompting modes sending such as distinguishing mark prompt takes medicine abnormal prompt.For example, terminal device is by taking medicine information to determine the sufferer
The dosage for needing to obtain drug Avastin is 5, and the corresponding single maximum dosage of drug Avastin is 4, then terminal is set
It is standby to can determine that the sufferer crosses measurement medicine.Further, terminal device can pop up a window in its display interface, and in window
" xxx sufferer crosses measurement medicine " is prompted in mouthful.
Optionally, terminal device can also freeze or refuse above-mentioned settlement request after determining that the sufferer crosses measurement medicine.
In the specific implementation, terminal device can also postpone after determining that the sufferer crosses measurement medicine, perhaps suspends or directly refuse
Execute the corresponding settlement operations of above-mentioned settlement request.Above-mentioned settlement operations be by medical insurance submit an expense account target medicine part or
The operation of person's full payment.
In the embodiment of the present invention, judge in the single maximum dosage of target medicine taking amount and target medicine by sufferer
It after sufferer had measurement medicine behavior out, can be prompted to healthcare structure, so that being responsible for the user of clearing in healthcare structure
It notices this abnormal conditions, so as to verify the actual conditions, prevents sufferer insurance fraud.Meanwhile it also may make doctor
Flow structure requires confidence level higher to the Claims Resolution that medical insurance structure proposes, simplifies the Claims Resolution process of medical insurance structure.
Embodiment two
Referring to fig. 2, Fig. 2 is another stream for taking medicine method of specifying error based on data processing that inventive embodiments provide
Journey schematic diagram.In the present embodiment, it is described by executing subject of terminal device.As shown, this method comprises:
S201 obtains the settlement request that sufferer is directed to target medicine.
In some possible embodiments, terminal device can get the settlement request that sufferer is directed to target medicine.On
State the settlement request that settlement request can be initiated for the staff of sufferer or medical institutions.Above-mentioned settlement request may include sufferer
Personal information takes medicine information and clearing form etc., is not construed as limiting herein.Above-mentioned sufferer personal information may include the identity letter of sufferer
Breath, physical characteristic information, illness information etc..It is above-mentioned to take the medicine information and take that medicine information is the target medicine that sufferer needs obtain
Dose information.Above-mentioned clearing form may include medical insurance clearing or personal clearing, be not construed as limiting herein.Wherein, medical insurance clearing are logical
It crosses medical insurance and carries out the clearing form that some or all of drug expenditure is submitted an expense account in Claims Resolution, above-mentioned individual's clearing are taken care of oneself entirely to be personal
The clearing form of portion's drug expenditure.Above-mentioned target medicine is the drug defined in medical insurance clause in Claims Resolution range, i.e.,
The drug of expense reimbursement can be carried out by medical insurance.
In the specific implementation, terminal device can get the use of user's input by input equipments such as its external keyboards
Then family operational order determines the settlement request for target medicine according to above-mentioned user operation instruction.Optionally, terminal is set
The standby settlement request that can be also directly obtained from connected other equipment for target medicine.For example, terminal device
Above-mentioned settlement request can be got from the payment front end connected by bluetooth, above-mentioned payment front end is for acquiring
State the sufferer personal information for including in settlement request, the equipment for taking the data such as medicine information.Here, terminal device can by wired or
Person is wirelessly connected with above-mentioned other equipment, is not construed as limiting herein.
S202 judges whether clearing form is the first clearing form.
In some possible embodiments, terminal device can extract clearing form from above-mentioned settlement request, then
Judge whether above-mentioned clearing form is the first clearing form (i.e. medical insurance reimbursement clearing), if terminal device determines above-mentioned clearing form
It submits an expense account and settles accounts for medical insurance, then follow the steps S203, step S204 and step S205.If terminal device determines above-mentioned clearing form and is
Individual's clearing, then follow the steps S206 and step S207.
S203 obtains the corresponding personally identifiable information of above-mentioned sufferer.
In some possible embodiments, if terminal device judges that above-mentioned clearing form is medical insurance reimbursement clearing,
The corresponding personally identifiable information of above-mentioned sufferer can be obtained.Here, above-mentioned personally identifiable information be with the sufferer unique match, and can
Identify the information data of the sufferer personal identification.Optionally, above-mentioned personally identifiable information can specifically include at least any one of following:
The ID card No. of sufferer, the fingerprint feature information of sufferer, the face feature information of sufferer, pupil feature information etc., herein not
It limits.In the specific implementation, when only including above-mentioned ID card No., fingerprint feature information, face in above-mentioned sufferer personal information
When a certain item in characteristic information, pupil feature information, in order to guarantee the integrality of personally identifiable information of sufferer and subsequent
Matched accuracy, terminal device can also acquire other personal identifications of the sufferer by connected information collecting device
Information.For example, terminal device can also pass through camera when in above-mentioned personally identifiable information only including the ID card No. of sufferer
The facial image of the sufferer is directly acquired, mentioning for face feature is then carried out by facial image of the image algorithm to the sufferer
It takes, to get the face feature information of the sufferer.Here, above-mentioned image processing algorithm may include texture feature extraction, shape
Shape feature extraction etc., is not construed as limiting herein.Alternatively, terminal device can also get the pupil image of sufferer, then pass through image
Processing method gets the pupil feature information of the sufferer from above-mentioned pupil image.Here, it should be noted that personal identification
Information can also include above-mentioned identification number, face feature information and fingerprint feature information simultaneously, and specifically including content can
It is determined according to practical situations, the matched accuracy rate of follow-up data can be promoted in this way.
S204, when determining that above-mentioned target sufferer meets target terms of settlement according to above-mentioned personally identifiable information, in acquisition
The corresponding body surface area information of sufferer is stated, and determines that the corresponding single of above-mentioned target medicine is maximum according to above-mentioned body surface area information
Dosage.
In some possible embodiments, terminal device is after the personally identifiable information for getting above-mentioned sufferer, terminal
Equipment can be inquired in preset identity information database according to above-mentioned personally identifiable information, if in identity information database
In inquire one group of target personal identification register information and the identity information of above-mentioned sufferer matches, then illustrate that the sufferer meets mesh
Terms of settlement are marked, i.e. the sufferer has the qualification that medical insurance reimbursement is settled accounts.Wherein, the target terms of settlement include by described the
One clearing form is settled accounts.Here, above-mentioned identity information database is made of one or more groups of personal identification register informations.It needs
To be illustrated, above-mentioned identity information database can be provided by Medical Insurance Organizations.Under normal circumstances, sufferer is not before sick,
Corresponding insurance coverage can be bought to medical insurance structure, after completing the insuring of insurance coverage, medical insurance structure can then be remembered
The personally identifiable information of the sufferer is recorded, and the additionally particular content of the corresponding insurance coverage of the sufferer, ultimately generated above-mentioned
The identity information database being made of one group or multiple groups personal identification register information.
After terminal device determines that the sufferer has medical insurance reimbursement qualification, the corresponding body surface area of above-mentioned sufferer can be got
Information.In the specific implementation, terminal device can get the corresponding case history of the sufferer, and the body of the sufferer is extracted from the case history
Surface area information.Optionally, terminal device can also get the sufferer from connected body surface area detection device
Body surface area information.For example, terminal device can by it is wired or wirelessly donor surface product detection device send body surface
Area detecting instruction, and receive the body surface area information of the sufferer of body surface area detection device feedback.Optionally, terminal device is also
The corresponding height parameter of the sufferer and body weight parameters can be got, then according to above-mentioned height parameter, body weight parameters and preset
Computation rule determines the corresponding body surface area information of the sufferer.Wherein, above-mentioned preset computation rule can are as follows: and body surface area=
0.0061* height parameter+0.0128* body weight parameters -0.1529.For example, the raising for the sufferer that terminal device obtains is
180cm, weight 80kg can then determine the body surface area s=0.0061*180+0.0128* of the sufferer according to above-mentioned rule
80-0.1529=1.9691m2。
In a kind of possible implementation, after terminal device gets the sufferer corresponding body surface area information, terminal
Equipment can get the corresponding standardized amount instruction information of above-mentioned target medicine according to the nomenclature of drug of above-mentioned target medicine.This
In, the standardized amount instruction information of the target medicine of target medicine refers to the detailed directions and dosage information of the target medicine,
It specifically may include the information such as the use time interval, drug specifications and unit body surface area dosage of the target medicine.Wherein,
Time interval between the time of target medicine referred to using the time using the drug twice, the unit body surface of target medicine
Area dosage refers to the dose (use of such as every m2 needed every time using the body surface area of sufferer per unit when the target medicine
Dose).Then, terminal device can be true according to above-mentioned body surface area information, drug specifications and above-mentioned unit body surface area dosage
Make the corresponding single maximum dosage of target medicine.Specifically, terminal device can calculate above-mentioned body surface area information and upper
Unit body surface area dosage product is stated, above-mentioned product is the corresponding single maximum dosage of the sufferer.But it is actually answering
In, because every kind of drug has certain specifications parameter, terminal device is determining that the corresponding single of target medicine is maximum
When dosage, the corresponding specifications parameter of target medicine can be also added.Specifically, terminal device can also calculate above-mentioned body surface area
The product of information, above-mentioned unit body surface area dosage, reuse it is above-mentioned go out product divided by the drug specifications of the target medicine with
The dosage not being rounded, it is last that the above-mentioned dosage not being rounded is rounded to obtain the mesh according to the default rule that is rounded
Mark the corresponding single maximum dosage of drug.Here, it presets and is rounded rule as when the above-mentioned dosage not being rounded is non-integer,
Only retain integer-bit, then plus 1, be then not added 1 if integer.For example, it is assumed that target medicine is Ai Nuoning, corresponding standardized amount
Indicate that the drug is using the body surface area of the regular sufferer obtained for 12mg/m2, terminal device in instruction information
1.9691m2, drug specifications are 10mg/ bottles, and the dosage that being computed can obtain and not be rounded is 2.363 bottles, and retaining integer-bit is 2 bottles,
Again plus 1 is 3 bottles, that is to say, that the corresponding single maximum dosage of the sufferer is 3 bottles.
In another possible implementation, terminal device can also get the corresponding doctor's advice information of the sufferer.Wherein, on
Stating doctor's advice information is to indicate information by the use for the target medicine determined to the doctor that above-mentioned sufferer is diagnosed, and can specifically be wrapped
Include the information such as use time interval and the unit body surface area dosage of the target medicine determined by doctor.In the specific implementation,
If the sufferer can provide the prescription list that doctor provides, terminal device can pass through optical character identification (Optical Character
Recognition, OCR) etc. technologies the doctor's advice information recorded in prescription list is identified from the prescription list that sufferer provides.If the disease
Trouble can not provide doctor's prescription list provided, and terminal device can also get the corresponding electricity of the sufferer by networking from other equipment
Sub- prescription list.Here, above-mentioned electronic prescription list is used for for what the operational order that above-mentioned other equipment are inputted based on doctor was determined
Indicate the data resource using rule of target medicine.Optionally, in practical applications, it is possible that sufferer is to different doctors
It treats mechanism and carries out the case where taking medicine, if if being shared between different medical institutions without the above-mentioned electronic prescription list of progress, eventually
End equipment may get the electronic prescription list of sufferer by way of networking.Therefore, one and above-mentioned terminal can be preset
Equipment thinks associated prescription information cloud database.The electricity of one or more sufferer is stored in above-mentioned prescription information cloud database
Sub- prescription list.Terminal device in all healthcare structures that can provide above-mentioned target medicine can be with the prescription information cloud database
It is connected, as long as in this way, after sufferer sees a doctor to a certain healthcare structure and issued electronic prescription list by attending physician, above-mentioned prescription
Electronic prescription list corresponding with the sufferer will be updated in information cloud database, can thus be made and above-mentioned prescription information
The associated terminal device of cloud database can get the newest electronic prescription list of a certain sufferer at any time.Then, terminal device can
Doctor's advice information is extracted from above-mentioned electronic prescription list.Terminal device can obtain above-mentioned target after getting above-mentioned doctor's advice information
The corresponding drug specifications of drug, then can be according to above-mentioned unit body surface area dosage, above-mentioned body surface area information, target medicine
Corresponding drug specifications determines the corresponding single maximum dosage of above-mentioned target medicine.Specific true ground process can be found in retouches above
Being determined according to unit body surface area dosage, above-mentioned body surface area information, the corresponding drug specifications of target medicine for stating is above-mentioned
The process of the corresponding single maximum dosage of target medicine, just repeats no more herein.
S205 determines above-mentioned disease when the target medicine taking amount by taking medicine information to determine is greater than above-mentioned single maximum dosage
Suffered from measurement medicine, sending takes medicine abnormal prompt.
In some possible embodiments, terminal device is after getting above-mentioned single maximum dosage, optionally, eventually
End equipment directly can extract the corresponding target medicine taking amount of the sufferer from above-mentioned take in medicine information.Here, above-mentioned target medicine taking amount
For the quantity for the target medicine that the request of above-mentioned sufferer is extracted.It is above-mentioned that medicine information is taken to include or indicate above-mentioned target medicine taking amount.It can
Choosing, terminal device can also extract the corresponding target medicine taking amount of the sufferer in above-mentioned doctor's advice information.Optionally, terminal device is also
The above-mentioned user operation instruction received of the input-output equipment that can be connected according to it determines that the corresponding target of the sufferer takes
Dose.It is set for example, the medicine taking amount that the user of terminal device can propose according to sufferer requires input corresponding operation to instruct to terminal
In standby, such terminal device can instruct according to aforesaid operations and determine the corresponding target medicine taking amount of sufferer.Then terminal device
It can determine whether above-mentioned target medicine taking amount is greater than above-mentioned single maximum dosage.If terminal device judges above-mentioned target medicine taking amount
Greater than above-mentioned single maximum dosage, then terminal device can be mentioned by auditory tone cues, page pop-up prompt, distinguishing mark prompt etc.
The mode of showing, which issues, takes medicine abnormal prompt.For example, terminal device is by taking medicine information to determine that the sufferer needs to obtain drug Ah reaching
The dosage of the wooden monoclonal antibody injection is 3, and the corresponding single maximum dosage of drug adalimumab injection is 2, then eventually
End equipment can determine that the sufferer crosses measurement medicine.Further, terminal device can pop up a window in its display interface, and
Prompt " xxx sufferer crosses measurement medicine " in the window.
Optionally, terminal device can also freeze or refuse above-mentioned settlement request after determining that the sufferer crosses measurement medicine.
In the specific implementation, terminal device can also postpone after determining that the sufferer crosses measurement medicine, perhaps suspends or directly refuse
Execute the corresponding settlement operations of above-mentioned settlement request.Above-mentioned settlement operations be by medical insurance submit an expense account target medicine part or
The operation of person's full payment.
Optionally, terminal device can also obtain the corresponding history of the sufferer medicine is taken to record.Wherein, above-mentioned history takes medicine to record
It may include one group or the multiple groups sufferer is corresponding takes medicine settlement information.Above-mentioned each group takes in medicine settlement information and specifically may include
The sufferer is in time and the dose for extracting a certain drug.For example, one group takes medicine settlement information A can specifically: adalimumab note
Penetrate liquid, on March 1st, 2018,40mg.Terminal device is after getting above-mentioned history and medicine is taken to record, it may be determined that goes out the sufferer and is working as
The number for measuring medicine is crossed until the preceding moment.If terminal device determines that the sufferer crosses the number for measuring medicine greater than preset times threshold
Value, then can determine that the sufferer, there are insurance fraud behaviors, issue insurance fraud prompt.In the specific implementation, terminal device issues insurance fraud prompt
Detailed process can be found in the terminal device of foregoing description and issue the process of medicine abnormal prompt of taking, just repeat no more herein.It is optional
, terminal device also can determine whether the sufferer number that mistake measures medicine within a preset period of time is greater than above-mentioned preset times threshold
Value, and then determine whether to issue insurance fraud prompt.Here, above-mentioned preset time period takes presetting before the medicine time when secondary for the sufferer
Period.For example, sufferer is October 1 when the secondary time for taking medicine, preset time period is 5 months, then terminal device can determine whether 5
The sufferer crosses measurement medicine number in -1 day to this 5 months on the 1st October moon.
S206 obtains the corresponding single maximum dosage of above-mentioned target medicine.
In some possible embodiments, if terminal device determines that above-mentioned clearing form is settled accounts for individual, terminal
Equipment can first respond above-mentioned settlement request.Then, terminal device can obtain the corresponding single maximum dosage of above-mentioned target medicine.
In the specific implementation, the process that terminal device obtains the corresponding single maximum dosage of target medicine can be found in and describe in step S204
The corresponding single maximum dosage of acquisition target medicine process, just repeat no more herein.
S207, when by take medicine information to determine target medicine taking amount be greater than above-mentioned single maximum dosage when, generate with it is above-mentioned
The associated exception of sufferer takes medicine flag information.
In some possible embodiments, terminal device is after getting above-mentioned single maximum dosage, optionally, eventually
End equipment directly can extract the corresponding target medicine taking amount of the sufferer from above-mentioned take in medicine information.Here, above-mentioned to take in medicine information
Including medicine taking amount information.Optionally, terminal device can also extract the corresponding target medicine taking amount of the sufferer in above-mentioned doctor's advice information.
Optionally, the above-mentioned user operation instruction received of input-output equipment that terminal device can also be connected according to it determines this
The corresponding target medicine taking amount of sufferer.Then, terminal device can determine whether above-mentioned target medicine taking amount is greater than above-mentioned single maximum and uses
Dose.If terminal device determine above-mentioned target medicine taking amount be greater than above-mentioned single maximum dosage, terminal device produce with
Above-mentioned sufferer is associated to take medicine abnormality mark information.It is different existing for the sufferer that the exception takes medicine flag information to be used to indicate
Often take medicine behavior.For example, produce one after terminal device determines that sufferer Lee three crosses measurement medicine and take medicine abnormality mark information,
Such as: Lee three, xx xx month information day, cross measurement medicine.In this way, receipt after the sufferer is by above-mentioned clearing to medical insurance into
When row Claims Resolution, Medical Insurance Organizations can determine that the sufferer had measurement medicine behavior by above-mentioned measurement medicine mark information of crossing, can
Refuse the Claims Resolution request of the sufferer.In this way, occurring prevented also from insurance fraud behavior.
In the embodiment of the present invention, the sufferer of medicine is taken to meet target terms of settlement and using the first clearing side in determination
When formula, the corresponding body surface area information of the sufferer can be obtained, and the target medicine is determined according to the body surface area information
Corresponding single maximum dosage.Then, however, it is determined that the target medicine taking amount of sufferer is greater than above-mentioned single maximum dosage, then can be true
Determine sufferer and there is the behavior for measuring medicine, sending takes medicine abnormal prompt.What is issued takes medicine abnormal prompt that can remind in healthcare structure
The user for being responsible for clearing notices this abnormal conditions, so as to verify the actual conditions, prevents sufferer insurance fraud.Together
When, the Claims Resolution that also may make healthcare structure to propose to medical insurance structure requires confidence level higher, simplifies medical insurance structure
Claims Resolution process.
It is a kind of composed structure schematic diagram of terminal device provided in an embodiment of the present invention referring to Fig. 3, Fig. 3, which sets
It is standby to include:
Request unit 10, the settlement request for being directed to target medicine for obtaining sufferer.Wherein, the settlement request packet
It includes sufferer personal information, take medicine information and clearing form.
Identity information acquiring unit 20 obtains the sufferer pair if being the first clearing form for the clearing form
The personally identifiable information answered.
Single maximum dosage determination unit 30 determines that the target sufferer is full according to the personally identifiable information for working as
When foot-eye terms of settlement, the corresponding body surface area information of the sufferer is obtained, and institute is determined according to the body surface area information
State the corresponding single maximum dosage of target medicine.Prompt unit 40, for when the target medicine taking amount for taking medicine information to determine
When greater than the single maximum dosage, determine that the sufferer crosses measurement medicine, sending takes medicine abnormal prompt.
In one possible implementation, above-mentioned single maximum dosage determination unit 30 is used for: obtaining the sufferer
Corresponding height information and weight information determine the corresponding body surface face of the sufferer according to the height information and weight information
Product information.
In one possible implementation, the single maximum dosage determination unit 20 is used for: obtaining the target
The corresponding standardized amount of drug indicates information, and indicates that information determines the corresponding list of the target medicine according to the standardized amount
Position body surface area dosage.The target medicine is determined according to the body surface area information and the unit body surface area dosage
The corresponding single maximum dosage of product.
In one possible implementation, the single maximum dosage determination unit is used for 20: obtaining the sufferer
Corresponding doctor's advice information determines the corresponding unit body surface area dosage of the target medicine according to the doctor's advice information.According to
The body surface area information and the unit body surface area dosage determine the corresponding single maximum medication of the target medicine
Amount.
It in one possible implementation, is a kind of terminal provided in an embodiment of the present invention please also refer to Fig. 4, Fig. 4
Another composed structure schematic diagram of equipment.The terminal device further include: marking unit 50.Above-mentioned single maximum dosage determines
Unit 30 is used to that it is corresponding to obtain the sufferer when above-mentioned clearing form is the second clearing form in addition to the first clearing form
Body surface area information, and the corresponding single maximum dosage of the target medicine is determined according to the body surface area information.On
State marking unit 50 for when it is described take medicine information determine target medicine taking amount be greater than the single maximum dosage when, generate with
The associated exception of sufferer takes medicine mark.Wherein, the exception takes medicine mark to be used to indicate abnormal existing for the sufferer
Take medicine behavior.
In one possible implementation, Fig. 5 is referred to, Fig. 5 is a kind of terminal device provided in an embodiment of the present invention
Another composed structure schematic diagram.The terminal device further include: request-response unit 50, the request-response unit 60 are used for
Freeze or refuse the settlement request.
In one possible implementation, Fig. 5, the terminal device are referred to further include: insurance fraud determination unit 70, institute
It states insurance fraud determination unit 70 to be used for: obtaining the corresponding history of the sufferer and medicine is taken to record, take medicine to record according to the history, is described
Medicine taking amount and the single maximum dosage are determined to cross the number for measuring medicine until the sufferer current time.When the number
When greater than preset times, determining the sufferer, there are insurance fraud behaviors, issue insurance fraud prompt.
In one possible implementation, above-mentioned single maximum dosage determination unit 20 is also used to: by the disease
Suffer from personal information to be matched in preset identity information database.Wherein, the identity information database include one group or
Multiple groups personal identification register information.Here, the sufferer personal information further includes following at least any one: ID card No. refers to
Line characteristic information, face feature information, pupil feature information.If in the sufferer personal information and the identity information database
Any group of target personal identification register information matches, it is determined that the sufferer meets target terms of settlement.
Each module, which is particularly used in, in above-mentioned terminal device executes base described in above-described embodiment one or embodiment two
In each step for taking medicine method of specifying error of data processing, it can also realize and above-mentioned take medicine extremely determining based on data processing
Beneficial effect brought by method, just repeats no more herein.
In the embodiment of the present invention, the sufferer of medicine is taken to meet target terms of settlement and using the first clearing side in determination
When formula, the corresponding single research on maximum utilized quantity of target medicine can be got.Then, however, it is determined that the target medicine taking amount of sufferer is greater than above-mentioned list
Secondary maximum dosage then can determine that sufferer had the behavior for measuring medicine, and sending takes medicine abnormal prompt.What is issued takes medicine to mention extremely
Showing can remind the user for being responsible for clearing in healthcare structure to notice this abnormal conditions, so as to carry out core to the actual conditions
It is real, prevent sufferer insurance fraud.Meanwhile the Claims Resolution that also may make healthcare structure to propose to medical insurance structure requires confidence level higher,
Simplify the Claims Resolution process of medical insurance structure.
Fig. 6 is referred to, Fig. 6 is the structural schematic diagram of a kind of electronic equipment provided in an embodiment of the present invention.The present invention is implemented
The electronic equipment that example provides includes processor 601, memory 602 and bus system 603 and input-output apparatus 604.Wherein,
Above-mentioned processor 601, memory 602 are connected by bus system 603.
Above-mentioned memory 602 is for storing program.Specifically, program may include program code, and program code includes meter
Calculation machine operational order.Memory 602 include but is not limited to be random access memory (random access memory, RAM),
Read-only memory (read-only memory, ROM), Erasable Programmable Read Only Memory EPROM (erasable programmable
Read only memory, EPROM) or portable read-only memory (compact disc read-only memory, CD-
ROM).A memory is illustrated only in Fig. 6, certainly, memory also can according to need, and be set as multiple.
Memory 602 is also possible to the memory in processor 601, herein with no restrictions.
Memory 602 stores following element, executable modules or data structures perhaps their subset or
Their superset:
Operational order: including various operational orders, for realizing various operations.
Operating system: including various system programs, for realizing various basic businesses and the hardware based task of processing.
The operation of above-mentioned 601 controlling electronic devices of processor, processor 601 can be one or more central processing units
(central processing unit, CPU).In the case where processor 601 is a CPU, which can be monokaryon
CPU is also possible to multi-core CPU.
In above-mentioned input-output apparatus 604, input equipment may include camera, keyboard etc., and output equipment may include display
Device, indicator light etc..
In specific application, the various components of electronic equipment are coupled by bus system 603, wherein bus system
603 in addition to including data/address bus, can also include power bus, control bus and status signal bus in addition etc..But in order to clear
For the sake of Chu's explanation, various buses are all designated as bus system 603 in Fig. 6.To be only schematically drawn in Fig. 6 convenient for indicating.
What the embodiment of the present invention disclosed takes medicine method of specifying error to can be applied to processor 601 based on output processing
In, or realized by processor 601.Processor 601 may be a kind of IC chip, the processing capacity with signal.
A kind of computer readable storage medium is provided in the embodiment of the present invention, is deposited in the computer readable storage medium
Instruction is contained, when the instruction is run on computers, it can be achieved that base described in above-described embodiment one or embodiment two
Medicine method of specifying error is taken in output processing.
Above-mentioned computer readable storage medium can be the storage inside list of terminal device described in aforementioned any embodiment
Member, such as the hard disk or memory of terminal device.Above-mentioned computer readable storage medium is also possible to the outside of above-mentioned terminal device
The plug-in type hard disk being equipped in storage equipment, such as the terminal device, intelligent memory card (Smart Media Card, SMC),
Secure digital (Secure Digital, SD) card, flash card (Flash Card) etc..Further, above-mentioned computer-readable to deposit
Storage media can also both including above-mentioned terminal device internal storage unit and also including External memory equipment.It is above-mentioned computer-readable
Storage medium is for other programs and data needed for storing above-mentioned computer program and above-mentioned terminal device.Above-mentioned computer
Readable storage medium storing program for executing can be also used for temporarily storing the data that has exported or will export.
The above disclosure is only the preferred embodiments of the present invention, cannot limit the right model of the present invention with this certainly
It encloses, therefore equivalent changes made in accordance with the claims of the present invention, is still within the scope of the present invention.
Claims (10)
1. a kind of take medicine method of specifying error based on data processing, which is characterized in that the described method includes:
Obtain the settlement request that sufferer is directed to target medicine, wherein the settlement request includes taking medicine information and clearing form；
If the clearing form is the first clearing form, the corresponding personally identifiable information of the sufferer is obtained；
When determining that the sufferer meets target terms of settlement according to the personally identifiable information, the corresponding body of the sufferer is obtained
Surface area information, and the corresponding single maximum dosage of the target medicine is determined according to the body surface area information, wherein institute
Stating target terms of settlement includes being settled accounts by first clearing form；
When the target medicine taking amount for taking medicine information to determine is greater than the single maximum dosage, determine that the sufferer crosses measurement
Medicine, sending take medicine abnormal prompt, wherein the target medicine taking amount is the number for the target medicine that sufferer request is extracted
Amount.
2. the method according to claim 1, wherein described obtain the corresponding body surface area packet of the sufferer
It includes:
Obtain the corresponding height information of the sufferer and weight information；
The corresponding body surface area information of the sufferer is determined according to the height information and weight information.
3. method according to claim 1 or 2, which is characterized in that described according to body surface area information determination
The corresponding single maximum dosage of target medicine includes:
The corresponding standardized amount instruction information of the target medicine is obtained, and according to standardized amount instruction information determination
The corresponding unit body surface area dosage of target medicine；
The corresponding single of the target medicine is determined according to the body surface area information and the unit body surface area dosage
Maximum dosage.
4. method according to claim 1 or 2, which is characterized in that described according to body surface area information determination
The corresponding single maximum dosage of target medicine includes:
Obtain the corresponding doctor's advice information of the sufferer；
The corresponding unit body surface area dosage of the target medicine is determined according to the doctor's advice information；
The corresponding single of the target medicine is determined according to the body surface area information and the unit body surface area dosage
Maximum dosage.
5. method according to claim 1-4, which is characterized in that the method also includes:
Obtaining the corresponding history of the sufferer takes medicine to record；
Medicine record, the target medicine taking amount and the single maximum dosage is taken to determine that the sufferer is current according to the history
The number for measuring medicine is crossed until moment；
When the number is greater than preset times, determining the sufferer, there are insurance fraud behaviors, issue insurance fraud prompt.
6. method according to claim 1-5, which is characterized in that described to be determined according to the personally identifiable information
The target sufferer meets target terms of settlement
It is matched in preset identity information database by the personally identifiable information, wherein the identity information number
It include one or more groups of personal identification register informations according to library；
If the personally identifiable information matches with any group of target personal identification register information in the identity information database,
Then determine that the sufferer meets target terms of settlement.
7. method according to claim 1-6, which is characterized in that when the clearing form is except first knot
When the second clearing form other than calculation mode, the method also includes:
The corresponding body surface area information of the sufferer is obtained, and determines that the target medicine is corresponding according to the body surface area information
Single maximum dosage；
When the target medicine taking amount for taking medicine information to determine is greater than the single maximum dosage, generate related to the sufferer
The exception of connection takes medicine flag information, wherein the exception takes medicine flag information to be used to indicate existing for the sufferer and takes medicine extremely
Behavior.
8. a kind of terminal device, which is characterized in that the terminal device includes:
Request unit, the settlement request for being directed to target medicine for obtaining sufferer, wherein the settlement request includes taking medicine
Information and clearing form；
Identity information acquiring unit obtains the sufferer corresponding if being the first clearing form for the clearing form
People's identity information；
Single maximum dosage determination unit determines that the target sufferer meets target according to the personally identifiable information for working as
When terms of settlement, the corresponding weight information of the sufferer is obtained, and determine that the target medicine is corresponding according to the weight information
Single maximum dosage, wherein the target terms of settlement include settled accounts by first clearing form；
Prompt unit, for determining when the target medicine taking amount for taking medicine information to determine is greater than the single maximum dosage
The sufferer crosses measurement medicine, and sending takes medicine abnormal prompt, wherein the target medicine taking amount is the described of sufferer request extraction
The quantity of target medicine.
9. a kind of electronic equipment, which is characterized in that the electronic equipment includes processor, memory and input-output apparatus,
The processor, memory and the input-output apparatus are connected with each other, wherein and the memory is used to store program code,
The processor and the input-output apparatus are executed as described in claim any one of 1-7 for calling said program code
Method.
10. a kind of computer storage medium, which is characterized in that the computer storage medium is stored with computer program, described
Computer program includes program instruction, and described program instruction makes the processor execute such as claim when being executed by a processor
The described in any item methods of 1-7.
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111105317A (en) * | 2019-12-28 | 2020-05-05 | 哈尔滨工业大学 | Medical insurance fraud detection method based on medicine purchase record |
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| CN104182824A (en) * | 2014-08-08 | 2014-12-03 | 平安养老保险股份有限公司 | Rule checking system and rule checking method for recognizing medical insurance reimbursement violations |
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