CN111028909A - Outpatient service chronic disease information processing method, device, equipment and storage medium - Google Patents
Outpatient service chronic disease information processing method, device, equipment and storage medium Download PDFInfo
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- 208000017667 Chronic Disease Diseases 0.000 title claims abstract description 165
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Abstract
The disclosure provides an outpatient chronic disease information processing method, device, equipment and storage medium, and relates to the technical field of medical information. The method comprises the following steps: receiving first prescription information for the patient; checking the first prescription information to obtain prescription checking information; receiving second prescription information, wherein the second prescription information comprises medicine information; wherein the second prescription information is obtained according to the prescription audit information and the first prescription information; acquiring the purchased medicine information in the second prescription information; and generating third prescription information according to the second prescription information and the purchased medicine information in the second prescription information. The method realizes the association of the purchased medicine information and the prescription information, records the purchase condition of the chronic medicine in an informationized manner, and effectively prevents the problem of repeated medicine purchase.
Description
Technical Field
The disclosure relates to the technical field of medical information, in particular to an outpatient chronic disease information processing method, device and equipment and a readable storage medium.
Background
At present, outpatient medical insurance fund overall management, participatory patients diagnose diseases in a disease category range through two-level and above medical institutions, patients need long-term outpatient medical treatment, and patients can make an application to a fixed-point identification hospital. After the fixed-point identification hospital passes the identification, the patient can enjoy the chronic illness treatment in the outpatient clinic. The identified medical insurance personnel can purchase the medicine nearby at a fixed-point medical institution, such as a retail pharmacy, according to the medicine taking scheme and settle accounts immediately.
At present, the outpatient chronic disease identification process does not execute informatization, only the staff of hospitals with identification qualification manually check according to relevant policies, all outpatient chronic disease identification processes are manually operated and have no relevant informatization system records, so that the identification result is greatly influenced by human factors, and the authenticity of the outpatient chronic disease identification result is low; after the outpatient service chronic disease identification and audit is passed, the patient can freely use the medical insurance card in a pharmacy to purchase the medicine and consume and reimburse the medicine in real time, and no related information system records exist, so that the phenomenon of repeated medicine purchase is difficult to prevent.
As described above, how to provide an informatization method for chronic disease medical expense management in outpatient service is a problem to be solved.
The above information disclosed in this background section is only for enhancement of understanding of the background of the disclosure and therefore it may contain information that does not constitute prior art that is already known to a person of ordinary skill in the art.
Disclosure of Invention
The invention aims to provide an outpatient chronic disease information processing method, device, equipment and readable storage medium, which at least overcome the problem that the phenomenon of repeated medicine purchasing is difficult to prevent to a certain extent because a correlative no-information system of the related technology records the purchasing condition of chronic disease medicines.
Additional features and advantages of the disclosure will be set forth in the detailed description which follows, or in part will be obvious from the description, or may be learned by practice of the disclosure.
According to an aspect of the present disclosure, there is provided an outpatient chronic disease information processing method, including: receiving first prescription information for the patient; checking the first prescription information to obtain prescription checking information; receiving second prescription information, wherein the second prescription information comprises medicine information; wherein the second prescription information is obtained according to the prescription audit information and the first prescription information; acquiring the purchased medicine information in the second prescription information; and generating third prescription information according to the second prescription information and the purchased medicine information in the second prescription information.
According to an embodiment of the present disclosure, the method further comprises, before the receiving first prescription information prescribed for the patient: receiving data information of a patient; carrying out chronic disease identification on the data information to obtain the chronic disease identification information of the patient; the checking the first prescription information to obtain prescription checking information includes: and checking the reasonableness of the first prescription information according to the chronic disease identification information of the patient.
According to an embodiment of the present disclosure, the identifying chronic diseases of the information data includes: identifying the data information to obtain standard data corresponding to the data information; and comparing the standard data with data in a hospital information system to identify the chronic diseases of the data information.
According to an embodiment of the present disclosure, the first prescription information includes planned medication information; the checking the reasonableness of the first prescription information according to the patient's chronic disease identification information includes: checking whether the amount of the drug corresponding to the information of the drug to be opened exceeds a preset limit or not according to the chronic disease identification information of the patient; and if the drug amount exceeds a preset limit, acquiring prescription audit information, wherein the prescription audit information comprises information for prompting that the drug amount exceeds the preset limit.
According to an embodiment of the present disclosure, the first prescription information includes planned medication information; the checking the reasonableness of the first prescription information according to the patient's chronic disease identification information includes: reviewing whether the planned medication information includes dual medications based on the chronic disease identification information of the patient; and if the medicine information comprises dual medication, obtaining prescription audit information, wherein the prescription audit information comprises information for prompting that the medicine information comprises dual medication.
According to an embodiment of the present disclosure, the receiving the second prescription information includes: saving the second prescription information to a hospital information system, the second prescription information further comprising: a prescription date, a prescription hospital, and identity information of the patient; after the receiving the second prescription information and before the acquiring the medicine information purchased in the second prescription information, further comprising: receiving prescription query information; and obtaining the second prescription information corresponding to the prescription inquiry information according to the prescription date, the prescription hospital and the identity information of the patient.
According to an embodiment of the present disclosure, the drug information that has been purchased in the second prescription information includes unit information that has sold the drug; the method further comprises the following steps: and acquiring the quantity of the sold medicines of the unit according to the third prescription information, and judging whether the unit needs to be checked according to the quantity of the sold medicines.
According to still another aspect of the present disclosure, there is provided an outpatient chronic disease information processing apparatus including: the information transmission module is used for receiving first prescription information issued for the patient; the prescription auditing module is used for auditing the first prescription information to obtain prescription auditing information; the information transmission module is also used for receiving second prescription information, and the second prescription information comprises medicine information; wherein the second prescription information is obtained according to the prescription audit information and the first prescription information; the information acquisition module is used for acquiring the purchased medicine information in the second prescription information; and the slow disease charge control module is used for generating third prescription information according to the second prescription information and the purchased medicine information in the second prescription information.
According to still another aspect of the present disclosure, there is provided an electronic device including: a memory, a processor and executable instructions stored in the memory and executable in the processor, the processor implementing any of the methods described above when executing the executable instructions.
According to yet another aspect of the present disclosure, there is provided a computer-readable storage medium having stored thereon computer-executable instructions that, when executed by a processor, implement any of the methods described above.
According to the outpatient clinic chronic disease information processing method provided by the embodiment of the disclosure, prescription audit information is obtained by receiving first prescription information issued for a patient and auditing the first prescription information; the second prescription information including medicine information and obtained according to the prescription audit information and the first prescription information is received, then the purchased medicine information in the second prescription information is obtained, and the third prescription information is generated according to the purchased medicine information in the second prescription information and the second prescription information, so that the purchased medicine information and the prescription information can be associated, the purchase condition of the medicines with chronic diseases is recorded in an informationized mode, and the problem of repeated medicine purchase is effectively solved.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the disclosure.
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The above and other objects, features and advantages of the present disclosure will become more apparent by describing in detail exemplary embodiments thereof with reference to the attached drawings.
FIG. 1 is a schematic diagram showing the architecture of an outpatient chronic disease information processing system in an embodiment of the present disclosure;
fig. 2 shows a flowchart of an outpatient chronic disease information processing method in an embodiment of the present disclosure.
Fig. 3 shows a flow chart of another outpatient chronic disease information processing method in an embodiment of the present disclosure.
Fig. 4 shows a flowchart of yet another outpatient chronic disease information processing method in an embodiment of the present disclosure.
Fig. 5 shows a block diagram of an outpatient chronic disease information processing apparatus in an embodiment of the present disclosure.
Fig. 6 shows a block diagram of another outpatient chronic disease information processing apparatus in an embodiment of the present disclosure.
Fig. 7 shows a schematic structural diagram of an electronic device in an embodiment of the present disclosure.
Detailed Description
Example embodiments will now be described more fully with reference to the accompanying drawings. Example embodiments may, however, be embodied in many different forms and should not be construed as limited to the examples set forth herein; rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concept of example embodiments to those skilled in the art. The drawings are merely schematic illustrations of the present disclosure and are not necessarily drawn to scale. The same reference numerals in the drawings denote the same or similar parts, and thus their repetitive description will be omitted.
Furthermore, the described features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. In the following description, numerous specific details are provided to give a thorough understanding of embodiments of the disclosure. One skilled in the relevant art will recognize, however, that the subject matter of the present disclosure can be practiced without one or more of the specific details, or with other methods, apparatus, steps, etc. In other instances, well-known structures, methods, devices, implementations, or operations are not shown or described in detail to avoid obscuring aspects of the disclosure.
Furthermore, the terms "first", "second", etc. are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present disclosure, "a plurality" means at least two, e.g., two, three, etc., unless explicitly specifically limited otherwise. The symbol "/" generally indicates that the former and latter associated objects are in an "or" relationship.
In the present disclosure, unless otherwise expressly specified or limited, the terms "connected" and the like are to be construed broadly, e.g., as meaning electrically connected or in communication with each other; may be directly connected or indirectly connected through an intermediate. The specific meaning of the above terms in the present disclosure can be understood by those of ordinary skill in the art as appropriate.
The chronic disease treatment policy of the basic medical insurance outpatient service in China is a product of transformation of a medical insurance system. In 1998, the old labor insurance medical treatment and the public expense medical treatment are changed from the out-patient and in-patient comprehensive guarantee mode to the general account combination mode of the basic medical insurance of the urban staff. Under the account-keeping combination mode, the hospitalization treatment is guaranteed by the overall fund, and the outpatient treatment is guaranteed by the individual account. Due to the risk self-retaining characteristic of the individual account and the limited accumulated funds of the account, the condition of insufficient guarantee capability is presented for partial diseases with high cost and long-term outpatient treatment. Therefore, corresponding outpatient major disease or chronic disease guarantee mechanisms are generally established in various places, outpatient chronic disease treatment is brought into the overall fund payment range, and personal burden is relieved. The basic medical insurance of urban and rural residents established later and integrated later continue the system design.
With the increase of the number of the disease types, the number of people enjoying clinic chronic disease treatment is more and more, and the difficulty of the medical insurance department in managing the basic medical insurance clinic chronic disease fund is also increased. Generally, a medical insurance bureau entrusts a fixed-point hospital to carry out outpatient chronic disease identification, informatization of outpatient chronic disease identification flow is not carried out, manual examination and verification are carried out only by working personnel of medical insurance departments of various hospitals according to related policies, after examination and verification are passed, a patient registers in a corresponding department of the hospital, doctors of departments corresponding to chronic disease types are requested to carry out corresponding chronic disease identification, sign confirmation is carried out in an identification application form, and a corresponding diagnosis and treatment scheme comprising a medication range is given. Subsequently, the identified outpatient service personnel for chronic diseases can use the medical insurance card to purchase and consume medicines in a pharmacy and reimburse the medicines in real time. The flow of the outpatient chronic disease identification, prescription, medicine purchase and the like is manual operation and has no relevant informatization system record, so the influence of human factors in the process is larger, the authenticity of the outpatient chronic disease identification result is lower, and the outpatient chronic disease diagnosis and treatment scheme given by an identification doctor is a fixed validity period, but the health condition of a patient is continuously changed, so the prescription period is not too long and the recovery condition of the patient is matched.
As described above, since the information processing is not performed in the flow of the outpatient chronic disease identification, prescription, medicine purchase, etc., the identification result is greatly affected by human factors, and it is difficult to prevent the occurrence of the phenomenon of repeated medicine purchase. Therefore, the present disclosure provides an outpatient chronic disease information processing method, which obtains prescription audit information by receiving first prescription information prescribed for a patient, and auditing the first prescription information; the second prescription information including medicine information and obtained according to the prescription audit information and the first prescription information is received, then the purchased medicine information in the second prescription information is obtained, and the third prescription information is generated according to the purchased medicine information in the second prescription information and the second prescription information, so that the purchased medicine information and the prescription information can be associated, the purchase condition of the medicines with chronic diseases is recorded in an informationized mode, and the problem of repeated medicine purchase is effectively solved.
FIG. 1 illustrates an exemplary system architecture 100 to which the model training method or model training apparatus of the present disclosure may be applied.
As shown in fig. 1, the system architecture 100 may include terminal devices 101, 102, 103, a network 104, and a server 105. The network 104 serves as a medium for providing communication links between the terminal devices 101, 102, 103 and the server 105. Network 104 may include various connection types, such as wired, wireless communication links, or fiber optic cables, to name a few. The network 104 may be built on a unified cloud infrastructure platform.
A user may use the terminal devices 101, 102, 103 to interact with the server 105 through the access stratum of the network 104 to receive or send messages or the like. Various communication client applications, such as an instant messaging application, a browser application, a medical insurance service application, and the like, may be installed on the terminal devices 101, 102, and 103.
The terminal devices 101, 102, 103 may be various electronic devices having a display screen and supporting web browsing, including but not limited to smart phones, tablet computers, laptop portable computers, desktop computers, and the like.
The server 105 may be a server providing various services, such as a back-office management server (for example only) providing support for a medical insurance fee management website browsed by the user using the terminal devices 101, 102, 103. The background management server can analyze and process the received data such as the original medical record and the like, and feed back the identification result of the chronic disease to the terminal equipment.
It should be understood that the number of terminal devices, networks, and servers in fig. 1 is merely illustrative. There may be any number of terminal devices, networks, and servers, as desired for implementation.
Fig. 2 is a flow diagram illustrating a method of outpatient chronic disease information processing according to an exemplary embodiment. The method shown in fig. 2 can be applied to a server side of an outpatient chronic disease information processing system, and can also be applied to a terminal device of the outpatient chronic disease information processing system.
Referring to fig. 2, a method 20 provided by an embodiment of the present disclosure may include the following steps.
In step S202, first prescription information for a patient is received. The chronic disease patient goes to a designated hospital for treatment with a chronic disease identification report, and the doctor initially makes first prescription information for the chronic disease according to the chronic disease identification report of the patient and other possible examination results.
In step S204, the first prescription information is audited to obtain prescription audit information. When a doctor makes an inquiry and after a prescription is made, the doctor can log in a prescription management center of a chronic disease management center of an outpatient clinic chronic disease information processing system platform through a Hospital Information System (HIS), the first prescription information made is uploaded to the outpatient clinic chronic disease information processing system, and then the electronic prescription is intelligently checked through an intelligent prescription checking engine of the outpatient clinic chronic disease information processing system platform. The outpatient chronic disease information processing system is internally provided with a corresponding knowledge base, a medical medicine base, a medical insurance catalogue base and corresponding auditing rules, can carry out omnibearing auditing from two aspects of medical medication reasonability and medical insurance control cost, can remind doctors in time, and achieves the purposes of early warning and in-process control.
In step S206, receiving second prescription information, where the second prescription information includes medicine information; and obtaining the second prescription information according to the prescription auditing information and the first prescription information. The doctor can log in the prescription management center of the chronic disease management center of the outpatient chronic disease information processing system platform through the HIS again, check the uploaded prescription, modify the prescription according to the prompt from the aspects of medical medication reasonability and medical insurance control cost, provide second prescription information and upload the second prescription information to the HIS for filing.
In step S208, the medicine information that has been purchased in the second prescription information is acquired. The patient can purchase the medicine in units such as hospitals, community pharmacies and the like by holding the prescription issued by the doctor, the medicine salesperson inputs information such as date, visiting hospital, patient identification number and the like on the prescription at the application end of the outpatient service chronic disease information processing system, and the outpatient service chronic disease information processing system calls out the prescription information for filing from hospital HIS according to the related information system and sends the prescription information to the application end of the medicine salesperson. The drug salesperson sells the drug after checking the prescription information held by the patient according to the recorded prescription information, and then sets the drug on the prescription information as purchased, thereby preventing the patient from holding the prescription to another pharmacy to repeatedly purchase the drug.
In step S210, third prescription information is generated based on the second prescription information and the drug information that has been purchased in the second prescription information. The medicine sales person sets the medicine on the prescription information as purchased, i.e., obtains third prescription information including the medicine information that has been purchased and other information in the second prescription information.
According to the outpatient clinic chronic disease information processing method provided by the embodiment of the disclosure, the first prescription information is audited by receiving the first prescription information issued for the patient to obtain prescription audit information; the second prescription information including medicine information and obtained according to the prescription audit information and the first prescription information is received, then the purchased medicine information in the second prescription information is obtained, and the third prescription information is generated according to the purchased medicine information in the second prescription information and the second prescription information, so that the purchased medicine information and the prescription information can be associated, the purchase condition of the medicines with chronic diseases is recorded in an informationized mode, and the problem of repeated medicine purchase is effectively solved.
Fig. 3 is a flow chart illustrating another outpatient chronic disease information processing method according to an exemplary embodiment. The method shown in fig. 3 can be applied to, for example, a server side of an outpatient chronic disease information processing system, and can also be applied to a terminal device of the outpatient chronic disease information processing system.
Referring to fig. 3, a method 30 provided by an embodiment of the present disclosure may include the following steps.
In step S302, profile information of a patient is received. The chronic disease patient can appoint the chronic disease identification center to submit paper data, the office staff can log in the data cleaning center of the outpatient chronic disease information processing system platform, and the patient data can be uploaded to the system in the modes of scanning, photographing or inputting, so that the data cleaning center can conveniently carry out preliminary cleaning and screening, OCR (Optical Character Recognition) operation, data comparison, data formatting, manual auditing and the like on the uploaded data. The patient can also log in the clinic chronic disease information processing system platform through a mobile phone application or perform the operation.
In step S304, the material information is subjected to chronic disease identification to obtain chronic disease identification information of the patient. The outpatient chronic disease identification center carries out character recognition on the data information to obtain standard formatted data corresponding to the data information; the standard data is compared with data in a Hospital Information System (HIS), the chronic diseases are identified according to the outpatient clinic chronic diseases identification rule in a clinic chronic qualification identification engine preset by the system, and an outpatient clinic chronic diseases identification report is generated by utilizing a system preset clinic chronic diseases identification template. After the operation of acceptance, preliminary examination, recheck and final examination by office workers and related experts on the outpatient chronic disease information processing system platform, the system generates an outpatient chronic disease identification report and an outpatient chronic disease follow-up plan for patients meeting the conditions. The generated outpatient chronic disease identification report and the outpatient chronic disease follow-up plan can be sent to a mobile phone application for the patient to look up, and the office staff of the identification center can provide paper certificates for the patient. Meanwhile, the identification information of the chronic diseases of the department of close clinic can be generated into a file number and pushed to a medical insurance bureau system on the same cloud architecture basic platform for recording. The chronic disease management center of the outpatient chronic disease information processing system platform can carry out follow-up management, manage the health files of patients and the like.
In step S306, first prescription information for a patient is received, the first prescription information including information for a proposed medication. The patient can go to a designated hospital for treatment with the clinic chronic disease identification report obtained from the chronic disease identification center or downloaded from the clinic chronic disease information processing system platform through the mobile phone application, and the doctor preliminarily prescribes first prescription information aiming at the chronic disease according to the clinic chronic disease identification report of the patient and other possible examination results, wherein the first prescription information comprises the medicine plan information such as the type, the quantity, the taking frequency and the like of the medicines to be prescribed.
In step S308, the rationality of the first prescription information is checked based on the patient' S chronic disease identification information, and prescription check information is obtained. When a doctor makes an inquiry and after a prescription is made, the doctor can log in a prescription management center of a chronic disease management center of an outpatient clinic chronic disease information processing system platform through a Hospital Information System (HIS), the first prescription information made is uploaded to the outpatient clinic chronic disease information processing system, and then intelligent auditing is performed on the electronic prescription through an intelligent prescription auditing engine in an intelligent auditing center of the outpatient clinic chronic disease information processing system platform. The outpatient chronic disease information processing system is internally provided with a corresponding knowledge base, a medical medicine base, a medical insurance directory base and corresponding auditing rules, can audit from the aspects of medical medication reasonability, including medicine dosage, property, use contraindication and the like, and can audit from the aspects of behaviors, including whether the daily limit of a prescription is exceeded, whether a patient has a prescription repeatedly made, whether a prescription has dual medication or even multi-medication, and the like, and can remind a doctor in time to achieve the purposes of early warning and control in advance.
In some embodiments, the prescription is checked from the perspective of whether the medical insurance control fee exceeds the daily limit of the prescription, and in step S3082, whether the amount of the drug corresponding to the information of the drug to be prescribed exceeds the preset limit is checked according to the identification information of the chronic disease of the patient. The system is preset with a prescription daily limit, and the total amount of the medicines in the prescription of the same patient is lower than a certain amount by a doctor on a single day.
In step S3084, if the amount of money of the medicine exceeds the preset limit, the system obtains prescription audit information, where the prescription audit information includes information for prompting that the amount of money of the medicine exceeds the preset limit, and sends the excess information to the doctor user side to prompt the doctor to reduce the amount of the medicine to be dispensed or to change the medicine to be dispensed, and the like.
In step S310, receiving second prescription information, where the second prescription information includes medicine information; and obtaining the second prescription information according to the prescription auditing information and the first prescription information. The doctor can log in the prescription management center of the chronic disease management center of the outpatient chronic disease information processing system platform through the HIS again, check the uploaded prescription, modify the prescription according to the prompt from the aspects of medical medication reasonability and medical insurance control cost, provide second prescription information and upload the second prescription information to the HIS for filing.
In step S312, the medicine information that has been purchased in the second prescription information is acquired. The patient can purchase the medicine in units such as hospitals, community pharmacies and the like by holding the prescription issued by the doctor, the medicine salesperson inputs information such as date, visiting hospital, patient identification number and the like on the prescription at the application end of the outpatient service chronic disease information processing system, and the outpatient service chronic disease information processing system calls the recorded prescription information from hospital HIS according to the related information and sends the prescription information to the application end of the medicine salesperson. The drug salesperson sells the drug after checking the prescription information held by the patient according to the recorded prescription information, and then sets the drug on the prescription information as purchased, thereby preventing the patient from holding the prescription to another pharmacy to repeatedly purchase the drug.
In step S314, third prescription information is generated from the second prescription information and the medicine information that has been purchased in the second prescription information. The medicine sales person sets the medicine on the prescription information as purchased, i.e., obtains third prescription information including the medicine information that has been purchased and other information in the second prescription information.
According to the outpatient chronic disease information processing method provided by the embodiment of the disclosure, chronic disease identification information of a patient is obtained by performing chronic disease identification on received information of the patient, then first prescription information issued for the patient is received, prescription audit information is obtained according to the reasonability of the first prescription information audited by the chronic disease identification information of the patient, second prescription information including medicine information obtained according to the prescription audit information and the first prescription information is received, then the medicine information purchased in the second prescription information is obtained, and third prescription information is generated according to the medicine information purchased in the second prescription information and the second prescription information, so that the influence of human factors on the identification result can be reduced, the authenticity of the outpatient chronic disease identification result is improved, the purchased medicine information and the prescription information are associated, and the purchase condition of chronic disease medicines is recorded in an informationized manner, effectively prevents the occurrence of the phenomenon of repeated medicine purchase.
Fig. 4 is a flowchart illustrating yet another outpatient chronic disease information processing method according to an exemplary embodiment. The method shown in fig. 4 can be applied to, for example, a server side of an outpatient chronic disease information processing system, and can also be applied to a terminal device of the outpatient chronic disease information processing system.
Referring to fig. 4, a method 40 provided by an embodiment of the present disclosure may include the following steps.
In step S402, first prescription information for a patient is received, the first prescription information including information for a proposed medication. The patient can go to a designated hospital for treatment with the clinic chronic disease identification report obtained from the chronic disease identification center or downloaded from the clinic chronic disease information processing system platform through the mobile phone application, and the doctor preliminarily prescribes first prescription information aiming at the chronic disease according to the clinic chronic disease identification report of the patient and other possible examination results, wherein the first prescription information comprises the medicine plan information such as the type, the quantity, the taking frequency and the like of the medicines to be prescribed.
In step S404, the rationality of the first prescription information is checked based on the patient' S chronic disease identification information, and prescription check information is obtained. When a doctor makes an inquiry and after a prescription is made, the doctor can log in a prescription management center of a chronic disease management center of an outpatient clinic chronic disease information processing system platform through a Hospital Information System (HIS), the first prescription information made is uploaded to the outpatient clinic chronic disease information processing system, and then intelligent auditing is performed on the electronic prescription through an intelligent prescription auditing engine in an intelligent auditing center of the outpatient clinic chronic disease information processing system platform. The outpatient chronic disease information processing system is internally provided with a corresponding knowledge base, a medical medicine base, a medical insurance directory base and corresponding auditing rules, can audit from the aspects of medical medication reasonability, including medicine dosage, property, use contraindication and the like, and can audit from the aspects of behaviors, including whether the daily limit of a prescription is exceeded, whether a patient has a prescription repeatedly made, whether a prescription has dual medication or even multi-medication, and the like, and can remind a doctor in time to achieve the purposes of early warning and control in advance.
In some embodiments, the prescription is reviewed in view of whether the prescription has dual use in medical insurance fee, and in step S4042, it is reviewed in accordance with patient' S chronic disease identification information whether the proposed drug information includes dual use.
In step S4044, if the medicine information includes dual medication, obtaining prescription audit information, where the prescription audit information includes information for prompting that the medicine information includes dual medication.
In step S406, receiving second prescription information, and storing the second prescription information to a hospital information system, where the second prescription information includes medicine information, a prescription date, and identity information of a prescription hospital and a patient; and obtaining the second prescription information according to the prescription auditing information and the first prescription information. The doctor receives the prompt of the dual-use medicine in the prescription auditing information sent by the system from the user end, modifies or maintains the original prescription according to the requirement, provides the second prescription information, and uploads the second prescription information to the HIS for record.
In step S408, prescription query information is received. The patient can purchase the medicine in units such as hospitals, community pharmacies and the like by holding the prescription made by the doctor, and the medicine salesperson inputs information such as the date of the prescription, the hospital for treatment, the patient identification number and the like at the application end of the outpatient service chronic disease information processing system to inquire the prescription.
In step S410, second prescription information corresponding to the prescription query information is obtained according to the prescription date, the prescription hospital, and the identity information of the patient. The outpatient chronic disease information processing system calls recorded prescription information from the hospital HIS according to the related information and sends the information to the application end of the drug salesman.
In step S412, the medicine information that has been purchased in the second prescription information is acquired. And after verifying the prescription information held by the patient according to the recorded prescription information, the drug salesperson sells the drugs, and then sets the drugs on the prescription information as purchased.
In step S414, third prescription information is generated based on the second prescription information and the drug information that has been purchased in the second prescription information. The drug salesperson sets the drug on the prescription information as purchased, i.e., obtains the third prescription information including the purchased drug information and other information in the second prescription information, and prevents the patient from holding the prescription to another pharmacy to repeat purchasing the drug.
The outpatient chronic disease information processing system can automatically create an auditing task according to a statistical analysis report and a violation screening report obtained by background big data analysis, for example, the number of sold medicines of a unit is obtained according to third prescription information, whether the unit needs to be checked is judged according to the number of sold medicines, and the medicine stores with the slowly ill medicine sales in a certain area arranged in the front few places are listed in a checking list; or acquiring doctors with single-day diagnosis receiving amount exceeding a preset reasonable threshold, intelligently analyzing historical data by the system, finding out suspected violation data, automatically creating an auditing task, listing suspected violation items, and waiting for on-site inspection and verification by corresponding auditors. In addition, the system can also intelligently label the auditors during detailed expense audit according to suspected items obtained from the statistical analysis report and the violation screening report, and remind the auditors to deduct expenses in time. And fee deduction can be directly carried out on settlement details in the background or credit deduction can be directly carried out in integrity management, so that the aim of saving labor by intelligent management is fulfilled.
According to the outpatient chronic disease information processing method provided by the embodiment of the disclosure, the first prescription information including the information of the planned medicine is provided for the patient, the prescription audit information is obtained according to the reasonability of the first prescription information checked by the chronic disease identification information of the patient, the second prescription information including the information of the medicine, the date of the prescription, the hospital of the prescription and the identity information of the patient, which is obtained according to the prescription audit information and the first prescription information, is received, then the prescription inquiry information is received, the second prescription information corresponding to the prescription inquiry information is obtained, the medicine information which is purchased in the second prescription information is obtained, the third prescription information is generated according to the medicine information which is purchased in the second prescription information and the second prescription information, so that the influence of the identification result by human factors is reduced, the authenticity of the identification result of the chronic disease in the outpatient clinic is improved, and the purchased medicine information and the prescription information are associated, the purchase condition of the chronic disease medicine is recorded in an informationized mode, and the problem of repeated medicine purchase is effectively solved.
Fig. 5 is a flowchart illustrating yet another outpatient chronic disease information processing apparatus according to an exemplary embodiment. The method shown in fig. 5 can be applied to, for example, a server side of an outpatient chronic disease information processing system, and can also be applied to a terminal device of the outpatient chronic disease information processing system.
Referring to fig. 5, an apparatus 50 provided by the embodiment of the present disclosure may include: an information transmission module 502, a prescription review module 504, an information acquisition module 506, and a slow illness control fee module 508.
The information transmission module 502 may be used to receive first prescription information prescribed for a patient.
The information transmission module 502 may also be configured to receive second prescription information, where the second prescription information includes medicine information; and obtaining the second prescription information according to the prescription auditing information and the first prescription information.
The information obtaining module 506 may be used to obtain the drug information that has been purchased in the second prescription information.
The slow illness control fee module 508 may be configured to generate third prescription information based on the second prescription information and the drug information that has been purchased in the second prescription information.
Fig. 6 is a flowchart illustrating still another outpatient chronic disease information processing apparatus according to an exemplary embodiment. The method shown in fig. 6 can be applied to, for example, a server side of an outpatient chronic disease information processing system, and can also be applied to a terminal device of the outpatient chronic disease information processing system.
Referring to fig. 6, an apparatus 60 provided by an embodiment of the present disclosure may include: the information transmission module 602, the chronic disease identification module 604, the prescription auditing module 606, the information acquisition module 608, the chronic disease control fee module 610, and the auditing quality control module 612 may include follow-up management, prescription management, medicine purchasing management, compliance management, and health record management modules.
The information transmission module 602 may be configured to receive profile information of a patient.
The chronic disease identification module 604 can include modules for chronic disease identification application, chronic disease identification acceptance, chronic disease identification approval, and chronic disease comprehensive risk assessment report, and is used for performing chronic disease identification on the data information to obtain chronic disease identification information of the patient.
The information transmission module 602 may be configured to receive first prescription information for a patient, the first prescription information including information for a drug to be prescribed.
The prescription auditing module 606 may be configured to audit the rationality of the first prescription information according to the patient's chronic disease identification information, obtaining prescription auditing information.
The prescription auditing module 606 may further include modules for data cleaning, OCR recognition, data comparison, data formatting, manual auditing, etc., and is configured to recognize the data information and obtain standard data corresponding to the data information; and comparing the standard data with data in a hospital information system to identify the chronic diseases of the data information.
The prescription auditing module 606 can also be used for auditing whether the amount of the medicine corresponding to the information of the medicine to be prescribed exceeds a preset limit according to the chronic disease identification information of the patient; and if the amount of the medicine exceeds the preset limit, acquiring prescription auditing information, wherein the prescription auditing information comprises information for prompting that the amount of the medicine exceeds the preset limit.
The prescription auditing module 606 may also be used to audit whether the proposed drug information includes dual use according to the patient's chronic disease identification information; and if the medicine information comprises dual medication, obtaining prescription audit information, wherein the prescription audit information comprises information for prompting that the medicine information comprises dual medication.
The information transmission module 602 may further be configured to receive second prescription information, where the second prescription information includes medicine information; and obtaining the second prescription information according to the prescription auditing information and the first prescription information.
The information transmission module 602 may be further configured to store second prescription information to the hospital information system, the second prescription information further including: date of prescription, hospital of prescription, and patient identity information.
The information transfer module 602 may also be used to receive prescription query information.
The information acquisition module 608 may be configured to obtain second prescription information corresponding to the prescription query information based on the prescription date, the prescription hospital, and the identity information of the patient.
The information obtaining module 608 may further be configured to obtain information of purchased medicines in the second prescription information, where the information of purchased medicines in the second prescription information includes unit information of sold medicines.
The chronic disease charge control module 610 may include modules for fund collection statistics, enjoyment of treatment statistics, chronic disease cost statistics, violation screening, cockpit, etc. for generating third prescription information according to the second prescription information and the information of the purchased drugs in the second prescription information.
The audit quality control module 612 may include audit task generation, audit task allocation, audit task processing, return visit management, and the like, and is configured to obtain the quantity of sold drugs of the unit according to the third prescription information, and determine whether the unit needs to check according to the quantity of sold drugs.
It should be noted that the apparatus shown in fig. 7 is only an example of a computer system, and should not bring any limitation to the function and the scope of the application of the embodiments of the present disclosure.
As shown in fig. 7, the apparatus 700 includes a Central Processing Unit (CPU)701, which can perform various appropriate actions and processes in accordance with a program stored in a Read Only Memory (ROM)702 or a program loaded from a storage section 708 into a Random Access Memory (RAM) 703. In the RAM 703, various programs and data necessary for the operation of the apparatus 700 are also stored. The CPU701, the ROM 702, and the RAM 703 are connected to each other via a bus 704. An input/output (I/O) interface 705 is also connected to bus 704.
The following components are connected to the I/O interface 705: an input portion 706 including a keyboard, a mouse, and the like; an output section 707 including a display such as a Cathode Ray Tube (CRT), a Liquid Crystal Display (LCD), and the like, and a speaker; a storage section 708 including a hard disk and the like; and a communication section 709 including a network interface card such as a LAN card, a modem, or the like. The communication section 709 performs communication processing via a network such as the internet. A drive 710 is also connected to the I/O interface 705 as needed. A removable medium 711 such as a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, or the like is mounted on the drive 710 as necessary, so that a computer program read out therefrom is mounted into the storage section 708 as necessary.
In particular, according to an embodiment of the present disclosure, the processes described above with reference to the flowcharts may be implemented as computer software programs. For example, embodiments of the present disclosure include a computer program product comprising a computer program embodied on a computer readable medium, the computer program comprising program code for performing the method illustrated in the flow chart. In such an embodiment, the computer program can be downloaded and installed from a network through the communication section 709, and/or installed from the removable medium 711. The above-described functions defined in the system of the present disclosure are performed when the computer program is executed by the Central Processing Unit (CPU) 701.
It should be noted that the computer readable media shown in the present disclosure may be computer readable signal media or computer readable storage media or any combination of the two. A computer readable storage medium may be, for example, but not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device, or any combination of the foregoing. More specific examples of the computer readable storage medium may include, but are not limited to: an electrical connection having one or more wires, a portable computer diskette, a hard disk, a Random Access Memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or flash memory), an optical fiber, a portable compact disc read-only memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the foregoing. In the present disclosure, a computer readable storage medium may be any tangible medium that can contain, or store a program for use by or in connection with an instruction execution system, apparatus, or device. In contrast, in the present disclosure, a computer-readable signal medium may include a propagated data signal with computer-readable program code embodied therein, for example, in baseband or as part of a carrier wave. Such a propagated data signal may take many forms, including, but not limited to, electro-magnetic, optical, or any suitable combination thereof. A computer readable signal medium may also be any computer readable medium that is not a computer readable storage medium and that can communicate, propagate, or transport a program for use by or in connection with an instruction execution system, apparatus, or device. Program code embodied on a computer readable medium may be transmitted using any appropriate medium, including but not limited to: wireless, wire, fiber optic cable, RF, etc., or any suitable combination of the foregoing.
The flowchart and block diagrams in the figures illustrate the architecture, functionality, and operation of possible implementations of systems, methods and computer program products according to various embodiments of the present disclosure. In this regard, each block in the flowchart or block diagrams may represent a module, segment, or portion of code, which comprises one or more executable instructions for implementing the specified logical function(s). It should also be noted that, in some alternative implementations, the functions noted in the block may occur out of the order noted in the figures. For example, two blocks shown in succession may, in fact, be executed substantially concurrently, or the blocks may sometimes be executed in the reverse order, depending upon the functionality involved. It will also be noted that each block of the block diagrams or flowchart illustration, and combinations of blocks in the block diagrams or flowchart illustration, can be implemented by special purpose hardware-based systems which perform the specified functions or acts, or combinations of special purpose hardware and computer instructions.
The modules described in the embodiments of the present disclosure may be implemented by software or hardware. The described modules may also be provided in a processor, which may be described as: a processor comprises an information transmission module, a prescription auditing module, an information acquisition module and a slow illness fee control module. The names of these modules do not constitute a limitation to the module itself in some cases, and for example, the information transmission module may also be described as a "module that sends a chronic disease identification information acquisition request to a connected server side".
As another aspect, the present disclosure also provides a computer-readable medium, which may be contained in the apparatus described in the above embodiments; or may be separate and not incorporated into the device. The computer readable medium carries one or more programs which, when executed by a device, cause the device to comprise: receiving first prescription information for the patient; checking the first prescription information to obtain prescription checking information; receiving second prescription information, wherein the second prescription information comprises medicine information; wherein the second prescription information is obtained according to the prescription audit information and the first prescription information; acquiring the purchased medicine information in the second prescription information; and generating third prescription information according to the second prescription information and the purchased medicine information in the second prescription information.
Exemplary embodiments of the present disclosure are specifically illustrated and described above. It is to be understood that the present disclosure is not limited to the precise arrangements, instrumentalities, or instrumentalities described herein; on the contrary, the disclosure is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the appended claims.
Claims (10)
1. An outpatient chronic disease information processing method, comprising:
receiving first prescription information for the patient;
checking the first prescription information to obtain prescription checking information;
receiving second prescription information, wherein the second prescription information comprises medicine information; wherein the second prescription information is obtained according to the prescription audit information and the first prescription information;
acquiring the purchased medicine information in the second prescription information;
and generating third prescription information according to the second prescription information and the purchased medicine information in the second prescription information.
2. The method of claim 1, further comprising, prior to said receiving first prescription information prescribed for said patient:
receiving data information of a patient;
carrying out chronic disease identification on the data information to obtain the chronic disease identification information of the patient;
the checking the first prescription information to obtain prescription checking information includes: and checking the reasonableness of the first prescription information according to the chronic disease identification information of the patient.
3. The method of claim 2, wherein said identifying a chronic condition of said informative information comprises:
identifying the data information to obtain standard data corresponding to the data information;
and comparing the standard data with data in a hospital information system to identify the chronic diseases of the data information.
4. The method of claim 2, wherein the first prescription information includes planned medication information;
the checking the reasonableness of the first prescription information according to the patient's chronic disease identification information includes:
checking whether the amount of the drug corresponding to the information of the drug to be opened exceeds a preset limit or not according to the chronic disease identification information of the patient;
and if the drug amount exceeds a preset limit, acquiring prescription audit information, wherein the prescription audit information comprises information for prompting that the drug amount exceeds the preset limit.
5. The method of claim 2, wherein the first prescription information includes planned medication information;
the checking the reasonableness of the first prescription information according to the patient's chronic disease identification information includes:
reviewing whether the planned medication information includes dual medications based on the chronic disease identification information of the patient;
and if the medicine information comprises dual medication, obtaining prescription audit information, wherein the prescription audit information comprises information for prompting that the medicine information comprises dual medication.
6. The method of claim 1, wherein receiving second prescription information comprises:
saving the second prescription information to a hospital information system, the second prescription information further comprising: a prescription date, a prescription hospital, and identity information of the patient;
after the receiving the second prescription information and before the acquiring the medicine information purchased in the second prescription information, further comprising:
receiving prescription query information;
and obtaining the second prescription information corresponding to the prescription inquiry information according to the prescription date, the prescription hospital and the identity information of the patient.
7. The method according to any one of claims 1 to 5, wherein the medicine information that has been purchased in the second prescription information includes unit information that the medicine has been sold;
the method further comprises the following steps: and acquiring the quantity of the sold medicines of the unit according to the third prescription information, and judging whether the unit needs to be checked according to the quantity of the sold medicines.
8. An outpatient chronic disease information processing apparatus, comprising:
the information transmission module is used for receiving first prescription information issued for the patient;
the prescription auditing module is used for auditing the first prescription information to obtain prescription auditing information;
the information transmission module is also used for receiving second prescription information, and the second prescription information comprises medicine information; wherein the second prescription information is obtained according to the prescription audit information and the first prescription information;
the information acquisition module is used for acquiring the purchased medicine information in the second prescription information;
and the slow disease charge control module is used for generating third prescription information according to the second prescription information and the purchased medicine information in the second prescription information.
9. An electronic device, comprising: memory, processor and executable instructions stored in the memory and executable in the processor, characterized in that the processor implements the method according to any of claims 1-7 when executing the executable instructions.
10. A computer-readable storage medium having stored thereon computer-executable instructions, which when executed by a processor, implement the method of any one of claims 1-7.
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