CN111028909B - Method, device, equipment and storage medium for processing outpatient chronic disease information - Google Patents
Method, device, equipment and storage medium for processing outpatient chronic disease information Download PDFInfo
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- CN111028909B CN111028909B CN201911173076.3A CN201911173076A CN111028909B CN 111028909 B CN111028909 B CN 111028909B CN 201911173076 A CN201911173076 A CN 201911173076A CN 111028909 B CN111028909 B CN 111028909B
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT 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
Abstract
The disclosure provides an outpatient chronic disease information processing method, an outpatient chronic disease information processing device, outpatient chronic disease information processing equipment and a storage medium, and relates to the technical field of medical information. The method comprises the following steps: receiving first prescription information prescribed 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; third prescription information is generated 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 chronic medicine purchasing condition in an informationized way, and effectively prevents the repeated medicine purchasing phenomenon.
Description
Technical Field
The present disclosure relates to the field of medical information technology, and in particular, to an outpatient chronic disease information processing method, apparatus, device, and readable storage medium.
Background
At present, the outpatient chronic medical insurance fund is comprehensively managed, the participating patients diagnose diseases in the range of diseased species through two-level and above medical institutions, long-term outpatient drug treatment is needed, and the patients can report to a fixed-point identification hospital. After passing the fixed point identification hospital identification, the patient can enjoy the outpatient chronic treatment. The authenticated paramedics can purchase the medical insurance card according to the medication scheme and settle accounts in the local medical institutions such as retail pharmacies.
At present, the outpatient chronic disease identification flow is not informationized, only staff of hospitals with identification qualification manually carry out auditing according to related policies, all the outpatient chronic disease identification flows are manually operated and recorded by an irrelevant informationized system, so that the identification result is greatly influenced by human factors, and the reality of the outpatient chronic disease identification result is low; after the clinic chronic disease identification and verification pass, the patient can use the medical insurance card at will to purchase and consume the medicine and reimburse the medicine in real time in a pharmacy, and the medicine is difficult to prevent the phenomenon of repeated purchasing of the medicine because no relevant informationized system record exists.
As described above, how to provide an information-based method for managing chronic medical costs in outpatient service has become a major issue.
The above information disclosed in the background section is only for enhancement of understanding of the background of the disclosure and therefore it may include information that does not form the prior art that is already known to a person of ordinary skill in the art.
Disclosure of Invention
The present disclosure is directed to an outpatient chronic disease information processing method, apparatus, device, and readable storage medium, which at least partially overcome the problem that it is difficult to prevent repeated drug purchasing due to the fact that a related art informationized system without correlation records chronic disease drug purchasing conditions.
Other features and advantages of the present disclosure will be apparent from the following detailed description, or may be learned in part by the 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 prescribed 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; third prescription information is generated 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, prior to said receiving the first prescription information prescribed for the patient: receiving information of a patient; chronic disease identification is carried out on the information to obtain chronic disease identification information of the patient; the step of checking the first prescription information to obtain prescription checking information comprises the following steps: verifying the rationality of the first prescription information based on the patient's chronic disease identification information.
According to an embodiment of the disclosure, the chronicity evaluation of the information 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 information.
According to an embodiment of the present disclosure, the first prescription information includes information about a drug to be prescribed; the verifying the rationality of the first prescription information based on the patient's chronic disease identification information comprises: checking whether the drug amount corresponding to the drug information to be prescribed exceeds a preset limit according to the chronic disease identification information of the patient; and if the medicine amount exceeds the preset limit, obtaining prescription audit information, wherein the prescription audit information comprises information for prompting that the medicine amount exceeds the preset limit.
According to an embodiment of the present disclosure, the first prescription information includes information about a drug to be prescribed; the verifying the rationality of the first prescription information based on the patient's chronic disease identification information comprises: checking whether the drug-to-be-prescribed information includes a dual drug according to the chronic disease identification information of the patient; and if the medicine information comprises the dual medication, obtaining prescription audit information, wherein the prescription audit information comprises information for prompting that the medicine information comprises the 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: prescription date, prescription hospital and identity information of the patient; after the receiving the second prescription information, before the acquiring the medicine information that has been purchased in the second prescription information, further comprising: receiving prescription inquiry information; and obtaining the second prescription information corresponding to the prescription inquiry information according to the prescription giving date, the prescription giving hospital and the identity information of the patient.
According to an embodiment of the present disclosure, the medicine information that has been purchased in the second prescription information includes unit information that has sold the medicine; the method further comprises the steps of: and obtaining the number of the medicines sold by the unit according to the third prescription information, and judging whether the unit needs to be checked according to the number 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, 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; an information acquisition module for acquiring the purchased medicine information in the second prescription information; and the slow disease fee 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 apparatus 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 which, when executed by a processor, implement any of the methods described above.
According to the method for processing the out-patient chronic disease information, the first prescription information is received to be submitted to the patient, and the first prescription information is audited to obtain prescription audit information; receiving second prescription information comprising medicine information obtained according to the prescription audit information and the first prescription information, then obtaining the purchased medicine information in the second prescription information, and generating third prescription information 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, chronic medicine purchasing conditions can be recorded in an informationized mode, and the problem of repeated medicine purchasing is effectively prevented.
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.
Drawings
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 structure of an outpatient chronic disease information processing system according to an embodiment of the present disclosure;
fig. 2 shows a flowchart of a method of outpatient chronic disease information processing in an embodiment of the present disclosure.
Fig. 3 shows a flowchart of another method of outpatient chronic disease information processing in an embodiment of the present disclosure.
Fig. 4 shows a flowchart of yet another method of outpatient chronic disease information processing 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 disclosure.
Detailed Description
Example embodiments will now be described more fully with reference to the accompanying drawings. However, the exemplary embodiments may 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 the 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 a repetitive description thereof 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 aspects of the disclosure may 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," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the present disclosure, the meaning of "a plurality" is at least two, such as two, three, etc., unless explicitly specified otherwise. The symbol "/" generally indicates that the context-dependent object is an "or" relationship.
In the present disclosure, unless explicitly specified and limited otherwise, terms such as "connected" and the like are to be construed broadly and, for example, may be electrically connected or may communicate with each other; can be directly connected or indirectly connected through an intermediate medium. The specific meaning of the terms in this disclosure will be understood by those of ordinary skill in the art as the case may be.
The basic medical insurance clinic chronic disease treatment policy in China is the product of the transformation of a medical security system. In 1998, old labor insurance and public fee medical treatment were changed from the two-step security mode of outpatient service and inpatient service to the account-settlement combination mode of basic medical insurance for town staff. In the account settlement combined mode, hospitalization treatment is guaranteed by overall fund, and outpatient treatment is guaranteed by a personal account. Because of the risk self-reserving characteristic of the personal account and the limited accumulated funds of the account, the system has insufficient guarantee capability for diseases with high part of cost and long-term outpatient treatment. Therefore, corresponding outpatient service serious or chronic disease guarantee mechanisms are generally established in all places, and the outpatient service chronic disease treatment is brought into the overall fund payment range, so that the personal burden is relieved. The basic medical insurance of urban and rural residents which are established later and integrated later continue the system design.
Along with the increase of the number of disease types, the number of people enjoying the clinic chronic disease treatment is increased, and the management difficulty of the medical insurance bureau on the basic medical insurance clinic chronic disease fund is also increased. Usually, the medical insurance bureau entrusts fixed-point hospitals to carry out the identification of the outpatient chronic diseases, the outpatient chronic disease identification process does not carry out informatization, only staff of medical insurance departments of all hospitals carry out manual examination according to related policies, after the examination, patients register in corresponding departments of the hospitals, doctors of the departments of the corresponding 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 medicine application range is given. Subsequently, the identified outpatient chronic disease participants can use medical insurance cards to purchase and consume medicines and reimburse the medicines in real time in a pharmacy. The procedures of the out-patient chronic disease identification, the prescription, the medicine purchase and the like are all manual operations and have no relevant informationized system records, so that the influence of human factors is relatively large in the process, the authenticity of the out-patient chronic disease identification result is low, and the out-patient 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 that the prescription period is not suitable to be overlong and is suitable for the recovery condition of the patient.
As described above, since the processes such as the identification of an outpatient chronic disease, prescription, and purchasing of a drug are not informationized, the identification result is greatly affected by human factors, and it is difficult to prevent the occurrence of repeated purchasing of a drug. Accordingly, the present disclosure provides an outpatient chronic disease information processing method, which obtains prescription audit information by receiving first prescription information prescribed for the patient, and auditing the first prescription information; receiving second prescription information comprising medicine information obtained according to the prescription audit information and the first prescription information, then obtaining the purchased medicine information in the second prescription information, and generating third prescription information 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, chronic medicine purchasing conditions can be recorded in an informationized mode, and the problem of repeated medicine purchasing is effectively prevented.
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, a system architecture 100 may include terminal devices 101, 102, 103, a network 104, and a server 105. The network 104 is used as a medium to provide communication links between the terminal devices 101, 102, 103 and the server 105. The network 104 may include various connection types, such as wired, wireless communication links, or fiber optic cables, among others. The network 104 may be built on a unified cloud architecture base platform.
The user may interact with the server 105 via the access layer of the network 104 using the terminal devices 101, 102, 103 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, etc., may be installed on the terminal devices 101, 102, 103.
The terminal devices 101, 102, 103 may be a variety of electronic devices having a display screen and supporting web browsing, including but not limited to smartphones, tablets, laptop and desktop computers, and the like.
The server 105 may be a server providing various services, such as a background management server (by way of example only) that provides support for a medical insurance expense management website that a user browses using the terminal devices 101, 102, 103. The background management server can analyze and the like the received data of the original medical record and the like, and feed the chronic disease identification result back 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 chart 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, for example, 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 prescribed for a patient is received. The chronic disease patient holds the chronic disease identification report to visit the designated hospital, and the doctor initially prescribes the 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 issues a prescription, the doctor can log in a prescription management center of a chronic disease management center of an outpatient chronic disease information processing system platform through a Hospital Information System (HIS), upload the issued first prescription information to the outpatient chronic disease information processing system, and then conduct intelligent examination on the electronic prescription through an intelligent prescription examination engine of the outpatient chronic disease information processing system platform. The corresponding knowledge base, the medical drug library, the medical insurance catalog library and the corresponding auditing rules are designed in the outpatient chronic disease information processing system, so that the medical information processing system can carry out omnibearing auditing from two angles of medical medication rationality and medical insurance cost control, can prompt doctors in time, and achieves the purposes of pre-warning and in-process control.
In step S206, second prescription information is received, the second prescription information including medicine information; the second prescription information is obtained according to the prescription audit 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 checking result of the uploaded prescription, modify the prescription according to the prompt in terms of medical medication rationality and medical insurance cost control, and issue second prescription information, and upload the second prescription information to the HIS for recording.
In step S208, the medicine information that has been purchased in the second prescription information is acquired. The patient can hold the prescription of doctor to purchase medicine in units such as hospitals and community pharmacies, and the like, and a medicine salesperson inputs information such as date on the prescription, the hospital of visiting, the identity card number of the patient and the like at the application end of the outpatient chronic disease information processing system, and the outpatient chronic disease information processing system can call the prescription information of the record from the HIS of the hospital according to the related information system and send the prescription information to the application end of the medicine salesperson. After verifying the prescription information held by the patient according to the recorded prescription information, the medicine sales personnel performs medicine sales, and then sets the medicine on the prescription information to be purchased, so that the patient is prevented from holding the prescription to other pharmacies to repeatedly purchase medicine.
In step S210, 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 to purchased, that is, obtains third prescription information including the purchased medicine information and other information in the second prescription information.
According to the method for processing the out-patient chronic disease information, the first prescription information is received to be submitted to a patient, and the first prescription information is audited to obtain prescription audit information; receiving second prescription information comprising medicine information obtained according to the prescription audit information and the first prescription information, then obtaining the purchased medicine information in the second prescription information, and generating third prescription information 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, chronic medicine purchasing conditions can be recorded in an informationized mode, and the problem of repeated medicine purchasing is effectively prevented.
Fig. 3 is a flow chart illustrating another method of outpatient chronic disease information processing according to an example embodiment. The method shown in fig. 3 can be applied to a server side of an outpatient chronic disease information processing system, for example, 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, patient profile information is received. The chronic disease patient can submit paper data to the appointed chronic disease identification center, the manager can log in the data cleaning center of the outpatient chronic disease information processing system platform, the patient data can be uploaded to the system in a scanning, photographing or inputting mode, and the like, so that the data cleaning center can conveniently perform preliminary cleaning and screening, OCR (Optical Character Recognition ) operation, data comparison, data formatting, manual examination and the like on the uploaded data. The patient can also use the mobile phone to apply or log in the outpatient chronic disease information processing system platform to do the operation.
In step S304, chronic disease identification information of the patient is obtained by performing chronic disease identification on the information. The outpatient chronic disease identification center carries out character recognition on the data information to obtain standard formatted data corresponding to the data information; and comparing the standard data with data in a Hospital Information System (HIS), carrying out chronic disease identification on data information provided by a patient according to an outpatient chronic disease identification rule in an outpatient chronic disease identification engine preset by the system, and generating an outpatient chronic disease identification report by utilizing an outpatient chronic disease identification template preset by the system. After the operations of acceptance, initial review, review and final review of the sponsor and related specialists 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 the patient meeting the conditions. The generated out-patient chronic disease identification report and out-patient chronic disease follow-up plan can be sent to a mobile phone application for patient review, and a sponsor of the identification center can provide paper certificates for the patient. Meanwhile, the relevant out-patient chronic disease identification information can be generated into an archive number and pushed to a medical insurance office system on the same cloud architecture base platform for filing. The chronic disease management center of the outpatient chronic disease information processing system platform can carry out follow-up management, health file management of patients and the like.
In step S306, first prescription information prescribed for a patient is received, the first prescription information including information about a drug to be prescribed. The patient can take the outpatient chronic disease identification report obtained from the chronic disease identification center or downloaded from the outpatient chronic disease information processing system platform through a mobile phone application to specify the hospital visit, and the doctor initially prescribes the first prescription information aiming at the chronic disease according to the outpatient chronic disease identification report of the patient and other possible examination results, wherein the first prescription information comprises medication plan information such as category, quantity, taking frequency and the like of the planned medicines.
In step S308, the first prescription information is checked for rationality based on the chronic disease identification information of the patient, and prescription check information is obtained. When a doctor makes a consultation and issues a prescription, the doctor can log in a prescription management center of a chronic disease management center of an outpatient chronic disease information processing system platform through a Hospital Information System (HIS), upload the issued first prescription information to the outpatient chronic disease information processing system, and then conduct intelligent examination on the electronic prescription through an intelligent prescription examination engine at the intelligent examination center of the outpatient chronic disease information processing system platform. The corresponding knowledge base, the medical drug library, the medical insurance catalog library and the corresponding auditing rules are designed in the outpatient chronic disease information processing system, the medical insurance information processing system can audit from the angles of medical medication rationality, such as medicine dosage, attribute, use contraindications and the like, and can audit from the angles of medical insurance expense control, such as whether the prescription daily allowance is exceeded, whether a patient repeatedly prescribes, whether the prescription contains dual drugs or not, and even at most the dual drugs are combined in the prescription, so that doctors can be reminded in time, and the purposes of pre-warning and in-fact control are achieved.
In some embodiments, the prescription is audited from the point of view of whether the medical insurance control fee exceeds the prescription daily allowance, and in step S3082, whether the medicine amount corresponding to the to-be-prescribed medicine information exceeds the preset allowance is audited according to the chronic disease identification information of the patient. The system is preset with a prescription daily allowance, and the total amount of medicines prescribed by the doctor for the same patient in a single day is lower than a certain allowance.
In step S3084, if the drug amount exceeds the preset limit, the system obtains prescription audit information, wherein the prescription audit information includes information for prompting the drug amount to exceed the preset limit, and sends the excess information to the doctor user side to prompt the doctor to reduce the drug amount or replace the prescribed drug, etc.
In step S310, second prescription information including medicine information is received; the second prescription information is obtained according to the prescription audit 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 checking result of the uploaded prescription, modify the prescription according to the prompt in terms of medical medication rationality and medical insurance cost control, and issue second prescription information, and upload the second prescription information to the HIS for recording.
In step S312, the medicine information that has been purchased in the second prescription information is acquired. The patient can hold prescriptions made by doctors to purchase medicines in units such as hospitals and community pharmacies, and a medicine sales person inputs information such as date on the prescriptions, hospital visits, patient identification numbers and the like at the application end of the outpatient chronic disease information processing system, and the outpatient chronic disease information processing system retrieves the prescription information of the record from the HIS of the hospital according to the related information and sends the prescription information to the application end of the medicine sales person. After verifying the prescription information held by the patient according to the recorded prescription information, the medicine sales personnel performs medicine sales, and then sets the medicine on the prescription information to be purchased, so that the patient is prevented from holding the prescription to other pharmacies to repeatedly purchase medicine.
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 to purchased, that is, obtains third prescription information including the purchased medicine information and other information in the second prescription information.
According to the method for processing the out-patient chronic disease information, the received data information of the patient is subjected to chronic disease identification to obtain the chronic disease identification information of the patient, then the first prescription information issued for the patient is received, the prescription verification information is obtained according to the reasonableness of the chronic disease identification information of the patient, the second prescription information comprising the medicine information and obtained according to the prescription verification information and the first prescription information is received, then the purchased medicine information in the second prescription information is obtained, and then the third prescription information is generated according to the second prescription information and the purchased medicine information in the second prescription information, so that the influence of human factors on the identification result can be reduced, the authenticity of the out-patient chronic disease identification result is improved, the purchased medicine information and the prescription information are associated, the chronic disease medicine purchase condition is recorded in an informationized mode, and the problem that repeated medicine purchase phenomenon is effectively prevented.
Fig. 4 is a flowchart illustrating yet another method of outpatient chronic disease information processing according to an example embodiment. The method shown in fig. 4 can be applied to a server side of an outpatient chronic disease information processing system, for example, 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 prescribed for a patient is received, the first prescription information including information about a drug to be prescribed. The patient can take the outpatient chronic disease identification report obtained from the chronic disease identification center or downloaded from the outpatient chronic disease information processing system platform through a mobile phone application to specify the hospital visit, and the doctor initially prescribes the first prescription information aiming at the chronic disease according to the outpatient chronic disease identification report of the patient and other possible examination results, wherein the first prescription information comprises medication plan information such as category, quantity, taking frequency and the like of the planned medicines.
In step S404, the first prescription information is checked for rationality based on the chronic disease identification information of the patient, and prescription check information is obtained. When a doctor makes a consultation and issues a prescription, the doctor can log in a prescription management center of a chronic disease management center of an outpatient chronic disease information processing system platform through a Hospital Information System (HIS), upload the issued first prescription information to the outpatient chronic disease information processing system, and then conduct intelligent examination on the electronic prescription through an intelligent prescription examination engine at the intelligent examination center of the outpatient chronic disease information processing system platform. The corresponding knowledge base, the medical drug library, the medical insurance catalog library and the corresponding auditing rules are designed in the outpatient chronic disease information processing system, the medical insurance information processing system can audit from the angles of medical medication rationality, such as medicine dosage, attribute, use contraindications and the like, and can audit from the angles of medical insurance expense control, such as whether the prescription daily allowance is exceeded, whether a patient repeatedly prescribes, whether the prescription contains dual drugs or not, and even at most the dual drugs are combined in the prescription, so that doctors can be reminded in time, and the purposes of pre-warning and in-fact control are achieved.
In some embodiments, the prescription is audited from the point of view of whether there is a bigeminal drug in the prescription in the medical insurance control fee, and in step S4042, it is audited whether the planned drug information includes bigeminal drugs according to the chronic disease identification information of the patient. The combined drug comprising the dual drug and the triple drug means that two or more drugs are simultaneously used in the treatment process of diseases. Indications for combination administration mainly include: the disease can not be well controlled by using one drug alone, and the drugs are adopted to increase the curative effect of the drugs, and the drugs with synergistic effect are combined, like the combined application of a nitric acid preparation and a beta-receptor blocker, for treating coronary heart disease and angina pectoris; in order to alleviate the toxic and side effects of the medicine, such as combined application of the hydrochlorothiazide and the pull-in, namely the combination of the potassium-expelling diuretic and the potassium-retaining agent, electrolyte (mainly blood potassium) disorder is prevented.
In step S4044, if the drug information includes a bigeminal drug, prescription audit information is obtained, wherein the prescription audit information includes information prompting that the drug information includes a bigeminal drug.
In step S406, second prescription information is received, and the second prescription information is stored in the hospital information system, where the second prescription information includes medicine information, prescription date, and identity information of the prescription-making hospital and patient; the second prescription information is obtained according to the prescription audit information and the first prescription information. And the doctor receives the prompt of the combined medicine in the prescription audit information sent by the system from the user side, modifies or maintains the original prescription according to the requirement, issues the second prescription information, and uploads the second prescription information to the HIS for recording.
In step S408, prescription query information is received. The patient can hold the prescription of doctor to purchase medicine in units such as hospitals and community pharmacies, and the medicine sales personnel inputs information such as date on the prescription, hospital visit, patient identification card number and the like in the application of the outpatient 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 issue date, the prescription issue hospital, and the identity information of the patient. The outpatient chronic disease information processing system retrieves the recorded prescription information from the HIS of the hospital according to the related information and sends the prescription information to the application end of the medicine sales personnel.
In step S412, the medicine information that has been purchased in the second prescription information is acquired. After verifying the prescription information held by the patient according to the recorded prescription information, the medicine sales personnel performs medicine sales and then sets the medicine on the prescription information to be purchased.
In step S414, 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 personnel sets the medicines on the prescription information to be purchased, namely, obtains third prescription information comprising the purchased medicine information and other information in the second prescription information, and prevents the patient from holding the prescription to other pharmacies to repeatedly purchase medicines.
The outpatient chronic disease information processing system automatically creates an auditing task according to a statistical analysis report and a violation screening report which are obtained by background big data analysis, for example, obtains the number of the sold medicines of a unit according to third prescription information, judges whether the unit needs to be checked according to the number of the sold medicines, and lists the sales of the chronic disease medicines in a certain area in a pharmacy in the first few places; or obtaining doctors with single-day diagnosis receiving quantity exceeding a preset reasonable threshold value, intelligently analyzing historical data by the system, finding out suspected illegal data, automatically creating an auditing task, and then juxtaposing suspected illegal projects, and then inspecting and verifying by corresponding auditing personnel on site. In addition, the system can also intelligently mark the auditor during the examination of the expense details according to the suspected items obtained by the statistical analysis report and the violation screening report, so as to remind the auditor to deduct the expense in time. The payment can be directly deducted from the settlement details in the background or credit deduction can be directly carried out in the integrity management, so that the aim of saving labor in intelligent management is fulfilled.
According to the method for processing the out-patient chronic disease information, the first prescription information comprising the to-be-prescribed drug information is received for the patient, the prescription verification information is obtained according to the reasonability of the chronic disease identification information of the patient, the second prescription information comprising the drug information, the prescription prescribing date, the prescription prescribing hospital and the patient identity information is received, the prescription inquiry information is received, the second prescription information corresponding to the prescription inquiry information is obtained, the purchased drug information in the second prescription information is obtained, and the third prescription information is generated according to the second prescription information and the purchased drug information in the second prescription information, so that the influence of human factors on the identification result can be reduced, the authenticity of the out-patient chronic disease identification result is improved, the purchased drug information and the prescription information are associated, the chronic disease drug purchase condition is recorded in an informationized mode, and the problem of repeated drug purchasing is effectively prevented.
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 a server side of an outpatient chronic disease information processing system, for example, 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 an embodiment of the present disclosure may include: an information transmission module 502, a prescription auditing module 504, an information acquisition module 506, and a slow disease fee control module 508.
The information transmission module 502 may be used to receive first prescription information prescribed for a patient.
The prescription audit module 504 may be configured to audit the first prescription information to obtain prescription audit information.
The information transmission module 502 may be further configured to receive second prescription information, where the second prescription information includes drug information; the second prescription information is obtained according to the prescription audit information and the first prescription information.
The information acquisition module 506 may be configured to acquire drug information that has been purchased in the second prescription information.
The slow disease control fee module 508 may be configured to generate third prescription information based on the second prescription information and drug information that has been purchased in the second prescription information.
Fig. 6 is a flowchart illustrating yet another outpatient chronic disease information processing apparatus according to an exemplary embodiment. The method shown in fig. 6 can be applied to a server side of an outpatient chronic disease information processing system, for example, 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 audit module 606, the information acquisition module 608, the chronic disease fee control module 610 and the audit quality control module 612 may include follow-up management, prescription management, drug purchase management, medication compliance management, health record, and the like.
The information transfer module 602 may be used to receive patient profile information.
The chronic disease identification module 604 may include a chronic disease identification application, a chronic disease identification acceptance, a chronic disease identification approval, a chronic disease comprehensive risk assessment report, etc. module for chronically identifying information to obtain chronic disease identification information of a patient.
The information transmission module 602 may be configured to receive first prescription information for a patient, the first prescription information including information about a drug to be prescribed.
The prescription verification module 606 may be configured to verify the rationality of the first prescription information based on the patient's chronic disease identification information to obtain prescription verification information.
The prescription auditing module 606 may also include data cleaning, OCR recognition, data comparison, data formatting, manual auditing, etc. modules for identifying the information of the materials to obtain standard data corresponding to the information of the materials; and comparing the standard data with the data in the hospital information system to identify the chronic diseases in the information.
The prescription auditing module 606 may be further configured to audit whether the amount of the drug corresponding to the to-be-prescribed drug information exceeds a preset limit according to the chronic disease identification information of the patient; if the medicine amount exceeds the preset limit, prescription audit information is obtained, wherein the prescription audit information comprises information for prompting that the medicine amount exceeds the preset limit.
The prescription verification module 606 may also be configured to verify whether the information about the drug to be prescribed includes a bigeminal drug based on the patient's chronic disease identification information; and if the medicine information comprises the dual medication, obtaining prescription audit information, wherein the prescription audit information comprises information for prompting that the medicine information comprises the dual medication.
The information transmission module 602 may be further configured to receive second prescription information, where the second prescription information includes drug information; the second prescription information is obtained according to the prescription audit 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: the date of prescription placement, the hospital of prescription placement, and the identity information of the patient.
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 patient's identity information.
The information acquisition module 608 may be further configured to acquire information of a drug that has been purchased in the second prescription information, where the information of the drug that has been purchased in the second prescription information includes unit information of a sold drug.
The slow disease control module 610 may include fund balance statistics, treatment enjoyment statistics, slow disease cost statistics, violation screening, cockpit, etc. modules for generating third prescription information based on the second prescription information and drug information that has been purchased in the second prescription information.
The auditing quality control module 612 may include auditing task generation, auditing task allocation, auditing task processing, return visit management, etc. for obtaining the number of sold medicines for a unit according to the third prescription information, and determining whether the unit needs to be checked according to the number of sold medicines.
It should be noted that the apparatus shown in fig. 7 is only used as an example of a computer system, and should not impose any limitation on the functions and the scope of use 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 according to 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 required for the operation of the device 700 are also stored. The CPU 701, ROM 702, and RAM 703 are connected to each other through 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 section 706 including a keyboard, a mouse, and the like; an output portion 707 including a Cathode Ray Tube (CRT), a Liquid Crystal Display (LCD), and the like, a speaker, and the like; a storage section 708 including a hard disk or 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. The 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 therefrom is mounted into the storage section 708 as necessary.
In particular, according to embodiments of the present disclosure, the processes described above with reference to 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 shown in the flowcharts. In such an embodiment, the computer program may be downloaded and installed from a network via the communication portion 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 a Central Processing Unit (CPU) 701.
It should be noted that the computer readable medium shown in the present disclosure may be a computer readable signal medium or a computer readable storage medium, or any combination of the two. The computer readable storage medium can be, for example, but not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device, or a combination of any 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 context of this 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 the present disclosure, however, the computer-readable signal medium may include a data signal propagated in baseband or as part of a carrier wave, with the computer-readable program code embodied therein. Such a propagated data signal may take any of a variety of forms, including, but not limited to, electro-magnetic, optical, or any suitable combination of the foregoing. 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 flowcharts 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 in software or hardware. The described modules may also be provided in a processor, for example, as: the processor comprises an information transmission module, a prescription auditing module, an information acquisition module and a slow disease fee control module. The names of these modules do not constitute limitations on the module itself in some cases, and for example, the information transmission module may also be described as "a module that sends a slow disease identification information acquisition request to the connected server side".
As another aspect, the present disclosure also provides a computer-readable medium that may be contained in the apparatus described in the above embodiments; or may be present alone without being fitted into the device. The computer readable medium carries one or more programs which, when executed by a device, cause the device to include: receiving first prescription information prescribed 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; third prescription information is generated 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 this disclosure is not limited to the particular arrangements, instrumentalities and methods of implementation 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 (9)
1. A method for processing outpatient chronic disease information, comprising:
receiving first prescription information prescribed for a 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;
generating third prescription information according to the second prescription information and the purchased medicine information in the second prescription information;
wherein the first prescription information includes information about a drug to be prescribed; the third prescription information includes medicine information that has been purchased, other information in the second prescription information, and the number of medicines that have been sold in units;
the method further comprises the steps of: obtaining the number of the medicines sold by the unit according to the third prescription information, and judging whether the unit needs to be checked according to the number of the sold medicines;
prior to said receiving first prescription information prescribed for said patient, further comprising:
receiving information of a patient;
Chronic disease identification is carried out on the information to obtain chronic disease identification information of the patient;
the step of checking the first prescription information to obtain prescription checking information comprises the following steps: verifying the rationality of the first prescription information based on the patient's chronic disease identification information.
2. The method of claim 1, wherein said chronically identifying 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 information.
3. The method of claim 1, wherein the first prescription information comprises drug-to-be-prescribed information;
the verifying the rationality of the first prescription information based on the patient's chronic disease identification information comprises:
checking whether the drug amount corresponding to the drug information to be prescribed exceeds a preset limit according to the chronic disease identification information of the patient;
and if the medicine amount exceeds the preset limit, obtaining prescription audit information, wherein the prescription audit information comprises information for prompting that the medicine amount exceeds the preset limit.
4. The method of claim 1, wherein the first prescription information comprises drug-to-be-prescribed information;
the verifying the rationality of the first prescription information based on the patient's chronic disease identification information comprises:
checking whether the drug-to-be-prescribed information includes a dual drug according to the chronic disease identification information of the patient;
and if the medicine information comprises the dual medication, obtaining prescription audit information, wherein the prescription audit information comprises information for prompting that the medicine information comprises the dual medication.
5. The method of claim 1, wherein the receiving the second prescription information comprises:
saving the second prescription information to a hospital information system, the second prescription information further comprising: prescription date, prescription hospital and identity information of the patient;
after the receiving the second prescription information, before the acquiring the medicine information that has been purchased in the second prescription information, further comprising:
receiving prescription inquiry information;
and obtaining the second prescription information corresponding to the prescription inquiry information according to the prescription giving date, the prescription giving hospital and the identity information of the patient.
6. 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 has sold the medicine;
the method further comprises the steps of: and obtaining the number of the medicines sold by the unit according to the third prescription information, and judging whether the unit needs to be checked according to the number of the sold medicines.
7. An outpatient chronic disease information processing apparatus, comprising:
the information transmission module is used for receiving first prescription information issued for a 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, 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;
an information acquisition module for acquiring the purchased medicine information in the second prescription information;
a slow disease fee control module for generating third prescription information according to the second prescription information and the purchased medicine information in the second prescription information;
Wherein the first prescription information includes information about a drug to be prescribed; the third prescription information includes medicine information that has been purchased, other information in the second prescription information, and the number of medicines that have been sold in units;
the information transmission module is also used for receiving the information of the patient and carrying out chronic disease identification on the information to obtain the chronic disease identification information of the patient;
the prescription auditing module is also used for auditing the rationality of the first prescription information according to the chronic disease identification information of the patient;
the device also comprises an auditing control module which is used for obtaining the quantity of the medicines sold by 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 electronic device, comprising: memory, a processor and executable instructions stored in the memory and executable in the processor, wherein the processor implements the method of any of claims 1-6 when executing the executable instructions.
9. A computer readable storage medium having stored thereon computer executable instructions which when executed by a processor implement the method of any of claims 1-6.
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| CN111883221B (en) * | 2020-07-16 | 2023-09-12 | 关涛 | Chronic disease patient's extra-hospital data acquisition analysis system |
| CN111899870A (en) * | 2020-08-05 | 2020-11-06 | 山东劳动职业技术学院（山东劳动技师学院） | Meridian and prescription diagnosis program based on typhoid fever and miscellaneous disease theory |
| CN111768833A (en) * | 2020-09-01 | 2020-10-13 | 四川骏逸富顿科技有限公司 | Prescription risk detection method and risk detection system thereof |
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