CN109545314A - A kind of risk control method of prescriptions, server and system - Google Patents

A kind of risk control method of prescriptions, server and system Download PDF

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Publication number
CN109545314A
CN109545314A CN201811266294.7A CN201811266294A CN109545314A CN 109545314 A CN109545314 A CN 109545314A CN 201811266294 A CN201811266294 A CN 201811266294A CN 109545314 A CN109545314 A CN 109545314A
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China
Prior art keywords
drug
prescription
server
prescriptions
patient
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CN201811266294.7A
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Chinese (zh)
Inventor
吴可嘉
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Shenzhen Ping An Medical Health Technology Service Co Ltd
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Ping An Medical and Healthcare Management Co Ltd
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Priority to CN201811266294.7A priority Critical patent/CN109545314A/en
Publication of CN109545314A publication Critical patent/CN109545314A/en
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    • 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
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

This application discloses a kind of risk control method of prescriptions, server and systems, are related to the analysis and processing of medical information, and method includes: the prescription that server obtains the patient to go to a doctor in medical institutions;The server confirms whether listed drug is reasonable in the drug inventory of the prescription according at least one of following drug parameter;The drug parameter includes but is not limited to one or more of following information: function, application method or the applicable object of drug;If unreasonable, the server, which is sent, suggests being prompted to the target terminal for being deployed in prescriptions risk control department;The suggestion prompts the unreasonable place for prompting the prescription;Prescriptions risk control department is the prescriptions risk control department of the medical institutions.Using the application, prescription,irrational can be intervened in real time, reduce conflict between doctors and patients, ensure the normalization of prescription and the reasonability of patient medication.

Description

A kind of risk control method of prescriptions, server and system
Technical field
This application involves field of medical technology more particularly to a kind of method of the risk control of prescriptions, server and System.
Background technique
Doctor sees and treat patients a large amount of patient daily, thus has issued a large amount of prescription, wherein being no lack of, there are many unreasonable Prescription, unreasonable place are, violate rational use of medicines rule, violate the corresponding Drug use administration system of hygiene department or violate existing Medical Insurance Policies etc., such as repeated drug taking, overdose, abuse vitamin, these unreasonable prescriptions will be to patient Health generate serious negative effect, also will increase the treatment cost of patient.
Currently, manually auditing to prescription, the accuracy of audit is low, and need to expend a large amount of manpower and material resources.
Summary of the invention
The application provides the risk control method, server and system of a kind of prescriptions, can be to the reality of prescription,irrational When intervene, reduce conflict between doctors and patients, ensured prescription normalization and patient medication reasonability.
In a first aspect, this application provides a kind of risk control method of prescriptions, be related to medical information analysis and Processing, this method comprises:
Server obtains the prescription of the patient to go to a doctor in medical institutions;
The server confirms that listed drug is in the drug inventory of the prescription according at least one of following drug parameter It is no reasonable;The drug parameter includes but is not limited to one or more of following information: the function of drug, application method or Applicable object;
If unreasonable, the server, which is sent, suggests being prompted to the target for being deployed in prescriptions risk control department end End;The suggestion prompts the unreasonable place for prompting the prescription;Prescriptions risk control department is described The prescriptions risk control department of medical institutions.
With reference to first aspect, in some possible embodiments,
The server obtains the prescription of the patient to go to a doctor in medical institutions, comprising:
The prescription that the server receives the medical institutions provides the prescription for the patient that terminal is sent.
With reference to first aspect, in some possible embodiments,
The server obtains the prescription of the patient to go to a doctor in medical institutions, comprising:
The prescription for the patient that the server is gone to a doctor from the data base querying of the medical institutions in the medical institutions.
With reference to first aspect, in some possible embodiments,
The server obtains the prescription of the patient to go to a doctor in medical institutions, comprising:
The server obtains the prescription of the patient to go to a doctor in medical institutions;
Alternatively,
The server obtains the prescription of the multiple patients to go to a doctor in medical institutions.
With reference to first aspect, in some possible embodiments,
The drug parameter includes: the function of drug;
The server confirms that listed drug is in the drug inventory of the prescription according at least one of following drug parameter It is no reasonable, comprising:
The server confirms whether listed drug includes a variety of in the drug inventory of the prescription according to the function of drug The identical drug of function;
If listed drug includes the identical drug of multiple functions, the server in the drug inventory of the prescription Confirmation is reasonable;
If listed drug does not include the identical drug of multiple functions, the service in the drug inventory of the prescription Device confirmation is unreasonable.
With reference to first aspect, in some possible embodiments,
The drug parameter includes: the applicable object of drug;
The server confirms that listed drug is in the drug inventory of the prescription according at least one of following drug parameter It is no reasonable, comprising:
The server confirms whether listed drug is institute in the drug inventory of the prescription according to the applicable object of drug It states patient and avoids the drug used;
If listed drug is not that the patient avoids the drug used, the server in the drug inventory of the prescription Confirmation is reasonable;
If listed drug is that the patient avoids the drug used in the drug inventory of the prescription, the server is true Recognize unreasonable.
With reference to first aspect, in some possible embodiments,
The drug parameter includes: the application method of drug;
The server confirms that listed drug is in the drug inventory of the prescription according at least one of following drug parameter It is no reasonable, comprising:
The server confirms the user of listed drug in the drug inventory of the prescription according to the application method of drug Whether method is reasonable;
If the application method of each drug is respectively each drug in listed drug in the drug inventory of the prescription Specification described in drug application method, then server confirmation is reasonable;
If the application method of each drug is not all each drug in listed drug in the drug inventory of the prescription Specification described in drug application method, then server confirmation is unreasonable.
With reference to first aspect, in some possible embodiments,
The compatibility of the disease of server patient according to the drug and prescription in the drug inventory of prescription confirms Whether listed drug is reasonable in the drug inventory of prescription.
With reference to first aspect, in some possible embodiments, server is according to the dosage form of drug, the administration route of drug Confirm whether listed drug is reasonable in the drug inventory of prescription.
With reference to first aspect, in some possible embodiments,
Whether server is reasonable according to listed drug in the drug inventory of the reaction confirmation prescription between drug.
Second aspect, this application provides a kind of server, which includes:
Acquiring unit, for obtaining the prescription of the patient to go to a doctor in medical institutions;
Confirmation unit, for confirming listed drug in the drug inventory of the prescription according at least one of following drug parameter Whether rationally;The drug parameter includes but is not limited to one or more of following information: function, the application method of drug Or applicable object;
Transmission unit, if sending for unreasonable and suggesting being prompted to the end for being deployed in prescriptions risk control department End;The suggestion prompts the unreasonable place for prompting the prescription;Prescriptions risk control department is described The prescriptions risk control department of medical institutions.
In conjunction with second aspect, in some possible embodiments,
Acquiring unit is specifically used for:
The prescription for receiving medical institutions provides the prescription for the patient that terminal is sent;
Alternatively,
The prescription of the patient to go to a doctor from the data base querying of medical institutions in medical institutions.
In conjunction with second aspect, in some possible embodiments,
Confirmation unit is specifically used for:
Confirm whether listed drug includes that multiple functions are identical in the drug inventory of prescription according to the function of drug Drug;If listed drug includes the identical drug of multiple functions in the drug inventory of prescription, confirmation is reasonable;If prescription Listed drug does not include the identical drug of multiple functions in drug inventory, then confirms unreasonable.
Alternatively,
Confirm whether listed drug is patient's taboo in the drug inventory of the prescription according to the applicable object of drug The drug used;If listed drug is not that the patient avoids the drug used, the clothes in the drug inventory of the prescription Device confirmation be engaged in rationally;If listed drug is that the patient avoids the drug used, the clothes in the drug inventory of the prescription Business device confirmation is unreasonable.
Alternatively,
Confirm whether the application method of listed drug in the drug inventory of the prescription is reasonable according to the application method of drug; If the application method of each drug is respectively the specification of each drug in listed drug in the drug inventory of the prescription The application method of described drug, then the server confirmation is reasonable;If in the drug inventory of the prescription in listed drug The application method of each drug is not all the application method of drug described in the specification of each drug, then the service Device confirmation is unreasonable.
Alternatively,
Prescription is confirmed according to the compatibility of the disease of patient described in the drug and prescription in the drug inventory of prescription Whether listed drug is reasonable in drug inventory;If the disease of patient described in the drug and prescription in the drug inventory of prescription It is consistent, then server confirmation is reasonable;If the disease of drug in the drug inventory of prescription and patient described in prescription not phase Symbol, then server confirmation is unreasonable.
Alternatively,
Confirm whether listed drug is reasonable in the drug inventory of prescription according to the administration route of drug;If the medicine of the prescription The administration route of each drug is respectively drug described in the specification of each drug in listed drug in product inventory Administration route, then the server confirmation is reasonable;If in the drug inventory of the prescription in listed drug each drug administration Approach is not all the administration route of drug described in the specification of each drug, then the server confirmation is unreasonable.
Alternatively,
Can whether reasonable according to listed drug in the drug inventory of the reaction confirmation prescription between drug;If listed by prescription It does not react between drug, then server confirmation is reasonable;If reacting between drug listed by prescription, server confirmation It is unreasonable.
The third aspect, this application provides a kind of server, the server include: transceiver, memory and with it is described The processor of memory coupling, the transceiver, memory and the processor coupled with the memory are connected with each other, In, the transceiver receives or sends movement for executing, and the memory is used to store the risk control method of prescriptions Realization code, the processor is for calling the realization code stored in the memory, i.e. execution first aspect institute The risk control method for the prescriptions stated.
Fourth aspect, this application provides a kind of risk control systems of prescriptions, comprising: server, prescription provide Terminal and target terminal;Wherein, the server is used for the risk control method pair by prescriptions described in first aspect Prescriptions carry out risk control, and the prescription provides terminal and is used to send prescription to the server;The target terminal is used It is prompted in receiving the suggestion that the server is sent.
5th aspect, this application provides a kind of computer readable storage medium, on the computer readable storage medium It is stored with instruction, when described instruction is executed by processor, so that the processor executes first aspect and its various possible The risk control method of any one provided prescriptions in implementation.
6th aspect, this application provides a kind of computer program product, when described program product is executed by processor, makes The processor executes first aspect and its any one provided prescriptions in various possible implementations Risk control method.
This application provides a kind of risk control method of prescriptions, server and systems.Server is obtained in medical treatment The prescription of the medical patient of mechanism;Server is according to listed medicine in the drug inventory of at least one of following drug parameter confirmation prescription Whether product are reasonable;Drug parameter includes but is not limited to one or more of following information: the function of drug, application method or Applicable object;If unreasonable, server, which is sent, suggests being prompted to the target terminal for being deployed in prescriptions risk control department; It is recommended that prompting the unreasonable place for prompting the prescription;Prescriptions risk control department is that the prescription of medical institutions is used Medicine risk control department.Using the application, prescription,irrational can be intervened in real time, reduce conflict between doctors and patients, ensure prescription Normative and patient medication reasonability.
Detailed description of the invention
Technical solution in ord to more clearly illustrate embodiments of the present application, below will be to needed in embodiment description Attached drawing is briefly described, it should be apparent that, the accompanying drawings in the following description is some embodiments of the present application, general for this field For logical technical staff, without creative efforts, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is a kind of schematic diagram of the risk control system of prescriptions provided by the present application;
Fig. 2 is a kind of schematic flow diagram of the risk control method of prescriptions provided by the present application;
Fig. 3 is a kind of server schematic block diagram provided by the present application;
Fig. 4 is another server schematic block diagram provided by the present application.
Specific embodiment
Below in conjunction with the attached drawing in the application, the technical solution in the application is clearly and completely described, is shown So, described embodiment is some embodiments of the present application, instead of all the embodiments.Based on the implementation in the application Example, every other embodiment obtained by those of ordinary skill in the art without making creative efforts belong to The range of the application protection.
It should be appreciated that ought use in this specification and in the appended claims, term " includes " and "comprising" instruction Described feature, entirety, step, operation, the presence of element and/or component, but one or more of the other feature, whole is not precluded Body, step, operation, the presence or addition of element, component and/or its set.
It is also understood that mesh of the term used in this present specification merely for the sake of description specific embodiment And be not intended to limit the application.As present specification and it is used in the attached claims, unless on Other situations are hereafter clearly indicated, otherwise " one " of singular, "one" and "the" are intended to include plural form.
It will be further appreciated that the term "and/or" used in present specification and the appended claims is Refer to any combination and all possible combinations of one or more of associated item listed, and including these combinations.
As used in this specification and in the appended claims, term " if " can be according to context quilt Be construed to " when ... " or " once " or " in response to determination " or " in response to detecting ".Similarly, phrase " if it is determined that " or " if detecting [described condition or event] " can be interpreted to mean according to context " once it is determined that " or " in response to true It is fixed " or " once detecting [described condition or event] " or " in response to detecting [described condition or event] ".
In the specific implementation, terminal described in this application is including but not limited to such as with touch sensitive surface (for example, touching Touch panel type display and/or touch tablet) the other of mobile phone, laptop computer or tablet computer etc portable set It is standby.It is to be further understood that in certain embodiments, the equipment is not portable communication device, but has and touch sensitivity The desktop computer on surface (for example, touch-screen display and/or touch tablet).
In following discussion, the terminal including display and touch sensitive surface is described.It is, however, to be understood that It is that terminal may include one or more of the other physical user-interface device of such as physical keyboard, mouse and/or control-rod.
Terminal supports various application programs, such as one of the following or multiple: drawing application program, demonstration application journey Sequence, word-processing application, website create application program, disk imprinting application program, spreadsheet applications, game application Program, telephony application, videoconference application, email application, instant messaging applications, exercise Support application program, photo management application program, digital camera application program, digital camera application program, web-browsing application Program, digital music player application and/or video frequency player application program.
The various application programs that can be executed at the terminal can be used such as touch sensitive surface at least one is public Physical user-interface device.It can adjust and/or change among applications and/or in corresponding application programs and touch sensitive table The corresponding information shown in the one or more functions and terminal in face.In this way, the public physical structure of terminal is (for example, touch Sensing surface) it can support the various application programs with user interface intuitive and transparent for a user.
It is a kind of schematic diagram for the risk control system that the application provides prescriptions referring to Fig. 1, as shown in Figure 1, at this The risk control system of square medication can include: server, prescription provide terminal and target terminal.
Wherein, prescription, which provides terminal and target terminal, to be the terminal in the risk control system of prescriptions, the terminal Terminal, user equipment (user equipment, UE), subscriber unit, subscriber station, movement station, mobile station, a distant place can be referred to the accession to It stands, remote terminal, mobile terminal, user terminal, terminal, wireless telecom equipment, user agent or user apparatus.Access terminal can With cellular phone, wireless phone, session initiation protocol phone, Wireless Local Loop way station, has wireless communication at personal digital assistant The handheld device of function, other processing equipments for calculating equipment or being connected to radio modem, wearable device or not Carry out the terminal device in the public land mobile network of evolution.
In the risk control system of prescriptions, it may include: prescription provider and prescriptions risk control department. In the embodiment of the present application, terminal disposition is provided with prescription and is deployed in prescription use respectively in prescription provider, server, target terminal For the risk control side of medicine.
In the embodiment of the present application, the doctor of medical institutions can log in prescription offer client and registration information is input to deployment Terminal is provided in the prescription of the medical institutions, which is sent to by prescription offer terminal is deployed in prescriptions risk control The server of department processed, and then server obtains the private for being used to log in prescription offer client of doctor's setting of the medical institutions Key, and the private key is stored.
In turn, terminal is provided in the clothes for being deployed in prescriptions risk control department by prescription in the doctor of medical institutions It is engaged in after the completion of device registration, the prescription of patient can be input to by the doctor of medical institutions by prescription offer client is deployed in medical treatment The prescription of mechanism provides terminal, after the prescription that server provides terminal transmission to prescription is checked, if prescription is unreasonable, Then server will be sent to target terminal with the associated suggestion prompt of the prescription.
It should illustrate, medical institutions can include: hospital, healthcare hospital for women & children, community medical service center, villages (towns) health Institute, sanatorium, clinic (such as traditional chinese medical science clinic, combination of Chinese tradiational and Western medicine clinic), village health posts, first-aid centre, in clinical examination The heart, specialized health institutions or nursing home etc..
It should illustrate, client can include: the application program of local runtime runs on function on web browser (also known as Web App), the small routine being embedded in Email, client software (such as wechat for being embedded in instant messaging (WeChat)) small routine in, and the function (such as wechat public platform) being embedded in other applications (such as WeChat). For client, needing to run on destination server has corresponding server to provide corresponding service, such as database Service, data calculating, decision execution etc..
In the embodiment of the present application, server can also be referred to as background server, component server etc., and server can lead to The prescription offer terminal for crossing internet and transmittable prescription is communicatively coupled.
It should illustrate, this application provides a kind of risk control method of prescriptions, server and systems.Server Obtain the prescription of the patient to go to a doctor in medical institutions;Server is clear according to the drug of at least one of following drug parameter confirmation prescription Whether listed drug is reasonable in list;Drug parameter includes but is not limited to one or more of following information: the function of drug, Application method or applicable object;If unreasonable, server, which is sent, suggests being prompted to being deployed in prescriptions risk control department Target terminal;It is recommended that prompting the unreasonable place for prompting the prescription;Prescriptions risk control department is medical treatment The prescriptions risk control department of mechanism.Using the embodiment of the present application, prescription,irrational can be intervened in real time, reduce doctor Suffer from contradiction, ensures the normalization of prescription and the reasonability of patient medication.
Referring to fig. 2, Fig. 2 is a kind of exemplary flow of the risk control method of prescriptions provided by the embodiments of the present application Figure.
As shown in Fig. 2, the risk control method for the prescriptions that the risk control systems of prescriptions is provided below into Row elaborates, and this method at least can comprise the following steps that
S201, server obtain the prescription of the patient to go to a doctor in medical institutions;
In the embodiment of the present application, medical institutions can include: hospital, healthcare hospital for women & children, community medical service center, villages (towns) Commune hospital, sanatorium, clinic (such as traditional chinese medical science clinic, combination of Chinese tradiational and Western medicine clinic), village health posts, first-aid centre, clinical inspection Test center, specialized health institutions or nursing home etc..
The prescription is that the doctor of medical institutions is patient institute prescription.
Should illustrate, prescription may include but be not limited to: the identity information comprising patient is (such as: the social security card of patient Number), clinical manifestation symptom, diagnostic result, treatment means or drug etc..
By taking above-mentioned prescription is the prescription of hypertensive patient as an example, above-mentioned prescription may include the following contents: the social security card of patient Number, name, age, gender, contact method, clinical manifestation symptom are as follows: dizzy, headache, fatigue, head throb with fear, be absent minded, limb Body is numb or enuresis nocturna increases, diagnostic result are as follows: benign hypertension patient, treatment means: antihypertensive drug therapy (is administered daily Once can control twenty four hours disease drug up to standard), behavior of making the life better, multiple cardiovascular risk factors Collaborative Control.Medicine Product include: diuretics, calcium channel blocker, angiotensin converting enzyme inhibitor, angiotensin-ii receptor retarding agent etc..
Specifically, server obtains the prescription of the patient to go to a doctor in medical institutions, it may include but it is not limited to following two side Formula:
Mode 1: the prescription that server receives medical institutions provides the prescription for the patient that terminal is sent.
It should illustrate, the prescription that server receives medical institutions provides the prescription for the patient that terminal is sent.
Alternatively,
The prescription that server receives medical institutions provides the prescription for the multidigit patient that terminal is sent.
Wherein, prescription provides terminal and may include but be not limited to following two mode and store to prescription.
First way: above-mentioned prescription is stored in and is provided in the cloud database that terminal is connected with prescription.
The second way: above-mentioned prescription is stored in prescription and is provided in terminal inner memory.
Mode 2: the prescription for the patient that server is gone to a doctor from the data base querying of medical institutions in medical institutions.
Wherein, the database of medical institutions may include but be not limited to: the prescription of the medical patient of the multidigit of medical institutions.
It should illustrate, server obtains the prescription of the patient to go to a doctor in medical institutions, comprising:
Server obtains the prescription of the patient to go to a doctor in medical institutions;
Alternatively,
Server obtains the prescription of the multiple patients to go to a doctor in medical institutions.
S202, server confirm that listed drug is in the drug inventory of the prescription according at least one of following drug parameter It is no reasonable.
In the embodiment of the present application, above-mentioned drug parameter may include but be not limited to one or more of following information: medicine Between the functions of product, application method, applicable object, the compatibility of drug and disease, the dosage form of drug, administration route or drug Reaction etc..
Whether server is reasonable according to listed drug in the drug inventory of at least one of following drug parameter confirmation prescription;Tool Body may include but be not limited to following methods.
First way: server confirms whether listed drug includes more in the drug inventory of prescription according to the function of drug The kind identical drug of function, if listed drug includes the identical drug of multiple functions in the drug inventory of prescription, Server confirmation is reasonable;If listed drug does not include the identical drug of multiple functions in the drug inventory of prescription, service Device confirmation is unreasonable.
It should illustrate, if the disease suffered from of patient is the disease of stomach such as gastritis, gastric ulcer, in the prescription that doctor issues It include simultaneously two kinds of Pantoprazole, Omeprazole drugs, then server can confirm that the prescription is unreasonable.It should illustrate, Above two drug is proton pump inhibitor, and optional one is the purpose that can reach the disease of stomach such as treatment gastritis, gastric ulcer. Because medicament categories are directly proportional to rate of adverse reactions, if to take kind more by patient, correspondingly, then patient The probability that adverse drug reaction occurs is higher, and most drugs are all by liver metabolism, to aggravate burden of liver.
The second way: server according to the applicable object of drug confirm prescription drug inventory in listed drug whether be Patient avoids the drug used;If listed drug is not that patient avoids the drug used, server in the drug inventory of prescription Confirmation is reasonable;If listed drug is that patient avoids the drug used in the drug inventory of prescription, server confirmation is unreasonable.
It should illustrate, for special populations such as children, the elderly, Pregnant and lactant womens.Due to its pathologic, physiologic The particularity of situation needs special treatment when using certain medicines, more needs with caution in the prescription of this kind of crowd of adjustment.Some ordinary persons The drug taken, these special populations using when not only need to be reduced, should disable sometimes or even also.These special populations are often drugs The multiple crowd of adverse reaction, if misuse drug, certainly will will lead to serious consequence.
It should illustrate, if the disease that children are suffered from is the diseases such as the urinary tract or enteric infection, the prescription that doctor issues In include the quinolone drugs such as acidum nalidixicum and pipemidic acid, then server can confirm that the prescription is unreasonable.Because all Quinolone drugs can all cause minor animal that arthropathy occurs, and lead to children's arthralgia and swelling.
It should illustrate, include isopropyl in the prescription that doctor issues if in early pregnancy morning sickness reaction occurs for pregnant woman The antiemetics product such as piperazine, then server confirms that the prescription is unreasonable.Because the antiemetics such as fenazil, which exist, causes tire in pregnant woman's abdomen The danger of youngster's teratogenesis.
The third mode: server confirms the use of listed drug in the drug inventory of prescription according to the application method of drug Whether method is reasonable.If the application method of each drug is respectively saying for each drug in listed drug in the drug inventory of prescription The application method of drug described in bright book, then server confirmation is reasonable;If each in listed drug in the drug inventory of prescription The application method of drug be not all the specification of each drug drug application method, then server confirmation it is unreasonable.
It should illustrate, if patient suffers from by the sensitive disease such as chlamydia pneumoniae, haemophilus influenzae or moraxelle catarrhalis Disease caused by bacterium, in the prescription of the application method including azithromycin drug, dosage that doctor issues, if Archie The application method of mycin, dosage are as follows: 250mg/ times, 2 times/day, then server confirms that the prescription is unreasonable.Because of Archie Absorption of human body is rapid after mycin is oral, and after 2.5 hours, the blood concentration of patient reaches peak value, plasma elimination half life close to Tissue half-life, about 35~48 hours, therefore patient is daily primary.The correct application method of azithromycin drug, Dosage are as follows: 500mg/ times, patient is administered one day once azithromycin drug.
4th kind of mode: server can the patient according to described in the drug and prescription in the drug inventory of prescription disease Whether listed drug is reasonable in the drug inventory of the compatibility confirmation prescription of disease;If drug and prescription in the drug inventory of prescription Described in the disease of patient be consistent, then server confirmation is reasonable;If institute in the drug and prescription in the drug inventory of prescription The disease of the patient of description is not consistent, then server confirmation is unreasonable.
Should illustrate, prescription be by doctor according to patient clinical diagnosis situation, patient is to the palm of drug idicatio Hold and issue, the correctness of prescription, depending on doctor to the clinical diagnosis of patient accurately whether and to drug idicatio Grasp situation.Because there is the limitation grasped to the information such as pharmaceutical knowledge and drug safety, policies and regulations in doctor, it is possible to make At the inaccuracy of medication, unsafe conditions.
It should illustrate, if patient is diagnosed as the infection of the upper respiratory tract, doctor issues antibiotic drug Cefprozil mouth Clothes, then server confirms that the prescription is unreasonable.Because the infection of the upper respiratory tract caused by virus accounts for about 85% or more, antibiotic pair Virus infection is invalid.Only when virus infection has damaged local mucous membrane, and pathogenic bacteria invasion causes bacterium infection, Cai Xuyong antibiosis Element.
Fifth procedure: server can according to the administration route of drug confirm prescription drug inventory in listed drug whether Rationally;If the administration route of each drug is respectively saying for each drug in listed drug in the drug inventory of the prescription The administration route of drug described in bright book, then the server confirmation is reasonable;If listed medicine in the drug inventory of the prescription The administration route of each drug is not all the administration route of drug described in the specification of each drug in product, then described Server confirmation is unreasonable.
If doctor issues Metronidazole Tablet to patient, 1 piece/times, 1 time/evening, vagina is filled in, then server is confirmed at this Side is unreasonable.Because Metronidazole Tablet is directly plugged into vagina, though there is certain curative effect, effect is not as good as vaginal plug.Because of tablet It is all different with suppository from formula, preparation process, administration mode.Suppository enters intravaginal, matrix fusible liquefaction under body temperature And drug is released, locally play a role.And used using tablet as vaginal plug, drug cannot be disintegrated under suitable conditions, Drug cannot be made to be partially formed effective concentration rapidly, and tablet hardness is big, corner angle can damage vaginal mucosa, increase irritation.
6th kind of mode: server can according between drug reaction confirmation prescription drug inventory in listed drug whether Rationally;If not reacting between drug listed by prescription, server confirmation is reasonable;If occurring between drug listed by prescription Reaction, then server confirmation is unreasonable.
If doctor issues the prescription of antimicrobial and active bacteria formulation to patient, server confirms that the prescription does not conform to Reason.Because antimicrobial can kill viable bacteria, the effect of both antimicrobial and active bacteria formulation is offset, such drug combination mode It is inadaptable.
If S203, unreasonable, server, which will be sent, suggests being prompted to the mesh for being deployed in prescriptions risk control department Mark terminal.
In the embodiment of the present application, it is proposed that prompt the unreasonable place for prompting prescription;Prescriptions risk control portion Door is the prescriptions risk control department of medical institutions.
For example, same in the prescription that doctor issues if the disease suffered from of patient is the disease of stomach such as gastritis, gastric ulcer When include two kinds of Pantoprazole, Omeprazole drugs, then server can confirm that the prescription is unreasonable.In turn, server is sent out Suggestion is sent to be prompted to the terminal for being deployed in prescriptions risk control department.Wherein, it is proposed that the content of prompt, comprising: prescription is deposited In problem: Pantoprazole, Omeprazole are two kinds of duplicate drugs of action of drug;Solution: it is recommended that issuing above-mentioned two One of person drug.
For example, if the disease suffered from of children is the diseases such as the urinary tract or enteric infection, in the prescription that doctor issues It include the quinolone drugs such as acidum nalidixicum and pipemidic acid, then server can confirm that the prescription is unreasonable.In turn, server is sent out Suggestion is sent to be prompted to the terminal for being deployed in prescriptions risk control department.Wherein, it is proposed that the content of prompt, comprising: prescription is deposited In problem: quinolone drugs can all cause minor animal that arthropathy occurs, and lead to children's arthralgia and swelling;Solution party Case: the disease is treated it is recommended that issuing Amoxicillin.
It should illustrate, the prescriptions risk control department of medical institutions can be by being deployed in prescriptions risk control The target terminal of department gets the suggestion prompt of prescription,irrational, in turn, is directed to suggestion prompt, it is proposed that issue at this The doctor of side is carefully considered and is modified to the prescription, by this way, can be intervened in real time prescription,irrational, is reduced Contradiction between doctor, patient ensures the normalization of prescription and the reasonability of patient medication.
In conclusion server obtains the prescription of the patient to go to a doctor in medical institutions;Server is according at least one of following Drug parameter confirms whether listed drug is reasonable in the drug inventory of prescription;Drug parameter includes but is not limited in following information It is one or more kinds of:: function, application method or the applicable object of drug;If unreasonable, server, which is sent, suggests being prompted to portion Affix one's name to the target terminal in prescriptions risk control department;It is recommended that prompting the unreasonable place for prompting the prescription;Place Square drug risk control department is the prescriptions risk control department of medical institutions.It, can be to not conforming to using the embodiment of the present application Reason prescription is intervened in real time, reduces conflict between doctors and patients, ensures the normalization of prescription and the reasonability of patient medication.
It is a kind of server provided by the present application referring to Fig. 3, server 30 can be the server in Fig. 2.As shown in figure 3, Server 30 includes: acquiring unit 301, confirmation unit 302 and transmission unit 303.Wherein:
Acquiring unit 301, for obtaining the prescription of the patient to go to a doctor in medical institutions;
Confirmation unit 302, for listed drug in the drug inventory according at least one of following drug parameter confirmation prescription Whether rationally;Drug parameter includes: the function, application method or applicable object of drug;
Transmission unit 303, if sending for unreasonable and suggesting being prompted to being deployed in prescriptions risk control department Target terminal;It is recommended that prompting the unreasonable place for prompting prescription;Prescriptions risk control department is medical institutions Prescriptions risk control department.
Acquiring unit 301, is specifically used for:
The prescription for receiving medical institutions provides the prescription for the patient that terminal is sent;
Alternatively,
The prescription of the patient to go to a doctor from the data base querying of medical institutions in medical institutions.
Confirmation unit 302, is specifically used for:
Confirm whether listed drug includes that multiple functions are identical in the drug inventory of prescription according to the function of drug Drug;If listed drug includes the identical drug of multiple functions in the drug inventory of prescription, confirmation is reasonable;If prescription Listed drug does not include the identical drug of multiple functions in drug inventory, then server confirmation is unreasonable.
Alternatively,
Confirm whether listed drug is that patient avoids the medicine used in the drug inventory of prescription according to the applicable object of drug Product;If listed drug is not that patient avoids the drug used in the drug inventory of prescription, confirmation is reasonable;If the drug of prescription is clear Listed drug is that patient avoids the drug used in list, then server confirmation is unreasonable.
Alternatively,
Confirm whether the application method of listed drug in the drug inventory of prescription is reasonable according to the application method of drug;If place The application method of each drug is respectively drug described in the specification of each drug in listed drug in the drug inventory of side Application method, then confirmation is reasonable;If the application method of each drug is not all often in listed drug in the drug inventory of prescription The application method of drug described in the specification of a drug then confirms unreasonable.
Alternatively,
The drug of prescription is confirmed according to the compatibility of the disease of the patient in the drug and prescription in the drug inventory of prescription Whether listed drug is reasonable in inventory;If drug and the disease phase of patient described in prescription in the drug inventory of prescription Symbol, then confirmation is reasonable;If the drug in the drug inventory of prescription is not consistent with the disease of patient described in prescription, confirm It is unreasonable.
Alternatively,
Confirm whether listed drug is reasonable in the drug inventory of prescription according to the administration route of drug;If the drug of prescription is clear The administration route of each drug is respectively the administration route of drug described in the specification of each drug in listed drug in list, Then confirmation is reasonable;If the administration route of each drug is not all the explanation of each drug in listed drug in the drug inventory of prescription The administration route of drug described in book then confirms unreasonable.
Alternatively,
Can whether reasonable according to listed drug in the drug inventory of the reaction confirmation prescription between drug;If listed by prescription It does not react between drug, then confirmation is reasonable;If reacting between drug listed by prescription, confirm unreasonable.
It should be appreciated that server 30 is only an example provided by the embodiments of the present application, also, server 30 can have ratio The more or fewer components of the component shown can combine two or more components, or can have the different configurations of component It realizes.
Intelligible, the specific implementation for the functional block that the server 30 about Fig. 3 includes can refer to 2 institute of earlier figures The embodiment of the method stated, which is not described herein again.
In conclusion acquiring unit 301 obtains the prescription of the patient to go to a doctor in medical institutions;Confirmation unit 302 according to Whether listed drug is reasonable in the drug inventory of at least one of lower drug parameter confirmation prescription;Drug parameter include but is not limited to One or more of lower information: function, application method or the applicable object of drug;If unreasonable, transmission unit 303 is sent out Suggestion is sent to be prompted to the target terminal for being deployed in prescriptions risk control department;It is recommended that prompt is for prompting the prescription Unreasonable place;Prescriptions risk control department is the prescriptions risk control department of medical institutions.Using the application reality Example is applied, prescription,irrational can be intervened in real time, conflict between doctors and patients are reduced, ensures the normative and patient medication reasonable of prescription Property.
This application provides another server, server 40 can be the server in Fig. 2.As shown in figure 4, server 40 Can include: processor 401, memory 402 (one or more computer readable storage mediums) and transceiver 403.These portions Part can communicate on one or more communication bus 404.
Processor 401 can be central processing unit (Central Processing Unit, CPU), network processing unit The combination of (Network Processor, NP) or CPU and NP.
Processor 401 can further include hardware chip.Above-mentioned hardware chip can be specific integrated circuit (Application-specific Integrated Circuit, ASIC), programmable logic device (Programmable Logic Device, PLD) or combinations thereof.Above-mentioned PLD can be Complex Programmable Logic Devices (Complex Programmable Logic Device, CPLD), field programmable gate array (Field-programmable Gate Array, FPGA), Universal Array Logic (Generic Array Logic, GAL) or any combination thereof.
Intelligible, processor 401 can be used for obtaining the prescription of the patient to go to a doctor in medical institutions;According to following at least one Whether listed drug is reasonable in the drug inventory of item drug parameter confirmation prescription;Drug parameter includes but is not limited in following information One or more: function, application method or the applicable object of drug.
Processor 401 be particularly used according to the function of drug confirm prescription drug inventory in listed drug whether include The identical drug of multiple functions;If listed drug includes the identical drug of multiple functions in the drug inventory of prescription, Then confirmation is reasonable;If listed drug does not include the identical drug of multiple functions in the drug inventory of prescription, confirmation does not conform to Reason.Alternatively, confirming whether listed drug is that patient avoids the medicine used in the drug inventory of prescription according to the applicable object of drug Product;If listed drug is not that patient avoids the drug used in the drug inventory of prescription, confirmation is reasonable;If the drug of prescription is clear Listed drug is that patient avoids the drug used in list, then confirms unreasonable.Alternatively,
Confirm in the drug inventory of prescription whether are the application method of listed drug, dosage according to the application method of drug Rationally;If the application method of each drug is respectively that the specification of each drug is retouched in listed drug in the drug inventory of prescription The application method for the drug stated, then confirmation is reasonable;If in the drug inventory of prescription in listed drug each drug application method It is not all the application method of drug described in the specification of each drug, then is confirmed unreasonable.Alternatively,
The drug of prescription is confirmed according to the compatibility of the disease of the patient in the drug and prescription in the drug inventory of prescription Whether listed drug is reasonable in inventory;If drug and the disease phase of patient described in prescription in the drug inventory of prescription Symbol, then confirmation is reasonable;If the drug in the drug inventory of prescription is not consistent with the disease of patient described in prescription, confirm It is unreasonable.Alternatively,
Confirm whether listed drug is reasonable in the drug inventory of prescription according to the administration route of drug;If the drug of prescription is clear The administration route of each drug is respectively the administration route of drug described in the specification of each drug in listed drug in list, Then confirmation is reasonable;If the administration route of each drug is not all the explanation of each drug in listed drug in the drug inventory of prescription The administration route of drug described in book then confirms unreasonable.Alternatively,
Can whether reasonable according to listed drug in the drug inventory of the reaction confirmation prescription between drug;If listed by prescription It does not react between drug, then confirmation is reasonable;If reacting between drug listed by prescription, confirm unreasonable.
Memory 402 is coupled with processor 401, can be used for storing various software programs and/or multiple groups instruction.Specific implementation In, memory 402 may include the memory of high random access, and may also comprise nonvolatile memory, such as one or Multiple disk storage equipments, flash memory device or other non-volatile solid-state memory devices.Memory 402 can store an operating system (following abbreviation systems), such as the embedded OSs such as ANDROID, IOS, WINDOWS or LINUX.Memory 402 is also It can store network communication program, which can be used for and one or more optional equipments, one or more terminals Equipment, one or more network equipments are communicated.Memory 402 can also store user interface program, the user interface journey Sequence can be shown by patterned operation interface by the content image of application program is true to nature, and pass through menu, dialogue The input controls such as frame and key receive user and operate to the control of application program.
Intelligible, memory 402 can also be used in the patient's to go to a doctor in medical institutions that storage processor 401 is got Prescription.
Transceiver 403 can be used for sending suggestion and be prompted to the target terminal for being deployed in prescriptions risk control department;It builds View prompts the unreasonable place for prompting prescription;Prescriptions risk control department is the prescriptions risk of medical institutions Control department.
It should be appreciated that server 40 is only an example provided by the embodiments of the present application, also, server 40 can have ratio The more or fewer components of the component shown can combine two or more components, or can have the different configurations of component It realizes.
Intelligible, the specific implementation for the functional block that the server 40 about Fig. 4 includes can refer to 2 institute of earlier figures The embodiment of the method stated, which is not described herein again.
In conclusion processor 401 obtains the prescription of the patient to go to a doctor in medical institutions;Processor 401 according to down toward One item missing drug parameter confirms whether listed drug is reasonable in the drug inventory of prescription;Drug parameter includes but is not limited to following letter One or more of breath: function, application method or the applicable object of drug;If unreasonable, transceiver 403, which is sent, suggests It is prompted to the target terminal for being deployed in prescriptions risk control department;It is recommended that prompt is for prompting the unreasonable of the prescription Place;Prescriptions risk control department is the prescriptions risk control department of medical institutions.It, can using the embodiment of the present application Prescription,irrational is intervened in real time, reduces conflict between doctors and patients, ensures the normalization of prescription and the reasonability of patient medication.
The application provides a kind of computer readable storage medium, which has computer journey Sequence, realization when which is executed by processor.
The computer readable storage medium can be the internal storage unit of terminal described in aforementioned any embodiment, such as The hard disk or memory of terminal.The computer readable storage medium is also possible to the External memory equipment of terminal, such as matches in terminal Standby plug-in type hard disk, intelligent memory card (Smart Media Card, SMC), secure digital (Secure Digital, SD) Card, flash card (Flash Card) etc..Further, which can also both deposit the inside including terminal Storage unit also includes External memory equipment.The computer readable storage medium is for storing needed for computer program and terminal Other programs and data.The computer readable storage medium, which can be also used for temporarily storing, have been exported or will export Data.
The application also provides a kind of computer program product, which includes storing computer program Non-transient computer readable storage medium, the computer program are operable to execute computer as in above method embodiment Some or all of either record method step.The computer program product can be a software installation packet, the computer Including electronic device.
Those of ordinary skill in the art may be aware that list described in conjunction with the examples disclosed in the embodiments of the present disclosure Member and algorithm steps, can be realized with electronic hardware, computer software, or a combination of the two, in order to clearly demonstrate hardware With the interchangeability of software, each exemplary composition and step are generally described according to function in the above description.This A little functions are implemented in hardware or software actually, the specific application and design constraint depending on technical solution.Specially Industry technical staff can use different methods to achieve the described function each specific application, but this realization is not It is considered as beyond scope of the present application.
It is apparent to those skilled in the art that for convenience of description and succinctly, the end of foregoing description The specific work process at end and unit, can refer to corresponding processes in the foregoing method embodiment, details are not described herein.
In several embodiments provided herein, it should be understood that disclosed terminal and method can pass through it Its mode is realized.For example, to describe each exemplary form and step.These functions are come actually with hardware or software mode It executes, specific application and design constraint depending on technical solution.Professional technician can be to each specific application It uses different methods to achieve the described function, but such implementation should not be considered as beyond the scope of the present invention.
The terminal embodiment of foregoing description is only schematical, for example, the division of the unit, only a kind of logic Function division, there may be another division manner in actual implementation, such as multiple units or components can combine or can collect At another system is arrived, or some features can be ignored or not executed.In addition, shown or discussed mutual coupling Or direct-coupling or communication connection can be through some interfaces, the indirect coupling or communication connection of terminal or unit, can also be with It is electric, mechanical or other form connections.
The unit as illustrated by the separation member may or may not be physically separated, aobvious as unit The component shown may or may not be physical unit, it can and it is in one place, or may be distributed over multiple In network unit.Some or all of unit therein can be selected to realize the embodiment of the present application scheme according to the actual needs Purpose.
It, can also be in addition, each functional unit in each embodiment of the application can integrate in one processing unit It is that each unit physically exists alone, is also possible to two or more units and is integrated in one unit.It is above-mentioned integrated Unit both can take the form of hardware realization, can also realize in the form of software functional units.
If the integrated unit is realized in the form of SFU software functional unit and sells or use as independent product When, it can store in a computer readable storage medium.Based on this understanding, the technical solution of the application is substantially The all or part of the part that contributes to existing technology or the technical solution can be in the form of software products in other words It embodies, which is stored in a storage medium, including some instructions are used so that a computer Equipment (can be personal computer, server or the network equipment etc.) executes the complete of each embodiment the method for the application Portion or part steps.And storage medium above-mentioned include: USB flash disk, mobile hard disk, read-only memory (Read-Only Memory, ROM), random access memory (Random Access Memory, RAM), magnetic or disk etc. are various can store program The medium of code.
The above, the only specific embodiment of the application, but the protection scope of the application is not limited thereto, it is any Those familiar with the art within the technical scope of the present application, can readily occur in various equivalent modifications or replace It changes, these modifications or substitutions should all cover within the scope of protection of this application.Therefore, the protection scope of the application should be with right It is required that protection scope subject to.

Claims (10)

1. a kind of risk control method of prescriptions characterized by comprising
Server obtains the prescription of the patient to go to a doctor in medical institutions;
The server confirms whether listed drug closes in the drug inventory of the prescription according at least one of following drug parameter Reason;The drug parameter includes but is not limited to one or more of following information: function, the application method or applicable of drug Object;
If unreasonable, the server, which is sent, suggests being prompted to the target terminal for being deployed in prescriptions risk control department; The suggestion prompts the unreasonable place for prompting the prescription;Prescriptions risk control department is the medical treatment The prescriptions risk control department of mechanism.
2. the method as described in claim 1, it is characterised in that:
The server obtains the prescription of the patient to go to a doctor in medical institutions, comprising:
The prescription that the server receives the medical institutions provides the prescription for the patient that terminal is sent.
3. the method as described in claim 1, it is characterised in that:
The server obtains the prescription of the patient to go to a doctor in medical institutions, comprising:
The prescription for the patient that the server is gone to a doctor from the data base querying of the medical institutions in the medical institutions.
4. the method as described in claim 1, it is characterised in that:
The server obtains the prescription of the patient to go to a doctor in medical institutions, comprising:
The server obtains the prescription of the patient to go to a doctor in medical institutions;
Alternatively,
The server obtains the prescription of the multiple patients to go to a doctor in medical institutions.
5. the method as described in claim 1, which is characterized in that
The drug parameter includes: the function of drug;
The server confirms whether listed drug closes in the drug inventory of the prescription according at least one of following drug parameter Reason, comprising:
The server confirms whether listed drug includes multiple functions in the drug inventory of the prescription according to the function of drug Identical drug;
If listed drug includes the identical drug of multiple functions in the drug inventory of the prescription, the server confirmation Rationally;
If listed drug does not include the identical drug of multiple functions in the drug inventory of the prescription, the server is true Recognize unreasonable.
6. the method as described in claim 1, which is characterized in that
The drug parameter includes: the applicable object of drug;
The server confirms whether listed drug closes in the drug inventory of the prescription according at least one of following drug parameter Reason, comprising:
The server confirms whether listed drug is the trouble in the drug inventory of the prescription according to the applicable object of drug Person avoids the drug used;
If listed drug is not that the patient avoids the drug used, the server confirmation in the drug inventory of the prescription Rationally;
If listed drug is that the patient avoids the drug used in the drug inventory of the prescription, the server confirmation is not Rationally.
7. the method as described in claim 1, which is characterized in that
The drug parameter includes: the application method of drug;
The server confirms whether listed drug closes in the drug inventory of the prescription according at least one of following drug parameter Reason, comprising:
The server confirms that the application method of listed drug in the drug inventory of the prescription is according to the application method of drug It is no reasonable;
If the application method of each drug is respectively saying for each drug in listed drug in the drug inventory of the prescription The application method of drug described in bright book, then the server confirmation is reasonable;
If the application method of each drug is not all saying for each drug in listed drug in the drug inventory of the prescription The application method of drug described in bright book, then the server confirmation is unreasonable.
8. a kind of server characterized by comprising
Acquiring unit, for obtaining the prescription of the patient to go to a doctor in medical institutions;
Confirmation unit, for confirming in the drug inventory of the prescription whether is listed drug according at least one of following drug parameter Rationally;The drug parameter includes but is not limited to one or more of following information: function, the application method or suitable of drug Use object;
Transmission unit, if sending for unreasonable and suggesting being prompted to the target for being deployed in prescriptions risk control department end End;The suggestion prompts the unreasonable place for prompting the prescription;Prescriptions risk control department is described The prescriptions risk control department of medical institutions.
9. a kind of server characterized by comprising transceiver, memory and the processor coupled with the memory, institute It states transceiver, memory and the processor coupled with the memory to be connected with each other, wherein the transceiver connects for executing It receives or sending action, the memory is used to store the realization code of the risk control method of prescriptions, the processor is used In calling the realization code stored in the memory, i.e. perform claim requires the described in any item prescriptions of 1-7 Risk control method.
10. a kind of computer readable storage medium, which is characterized in that the computer storage medium is stored with computer program, The computer program includes program instruction, and described program instruction makes the processor execute such as right when being executed by a processor It is required that the risk control method of the described in any item prescriptions of 1-7.
CN201811266294.7A 2018-10-27 2018-10-27 A kind of risk control method of prescriptions, server and system Pending CN109545314A (en)

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