CN115148321B - Prescription platform and prescription supervision method thereof - Google Patents

Prescription platform and prescription supervision method thereof Download PDF

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Publication number
CN115148321B
CN115148321B CN202210926597.7A CN202210926597A CN115148321B CN 115148321 B CN115148321 B CN 115148321B CN 202210926597 A CN202210926597 A CN 202210926597A CN 115148321 B CN115148321 B CN 115148321B
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prescription
patient
platform
paid
information
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CN115148321A (en
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伍千虎
晏义学
苏绪旺
吴晓旭
邱承志
李志钢
严俊兰
李雄华
彭坚
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Powersi Information Technology Co ltd
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Powersi Information Technology Co ltd
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F16/00Information retrieval; Database structures therefor; File system structures therefor
    • G06F16/20Information retrieval; Database structures therefor; File system structures therefor of structured data, e.g. relational data
    • G06F16/23Updating
    • G06F16/2379Updates performed during online database operations; commit processing
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F16/00Information retrieval; Database structures therefor; File system structures therefor
    • G06F16/20Information retrieval; Database structures therefor; File system structures therefor of structured data, e.g. relational data
    • G06F16/24Querying
    • G06F16/245Query processing
    • G06F16/2458Special types of queries, e.g. statistical queries, fuzzy queries or distributed queries
    • G06F16/2465Query processing support for facilitating data mining operations in structured databases
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q40/00Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08Insurance
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients

Abstract

The invention relates to the technical field of new generation information, and discloses a prescription platform and a prescription supervision method thereof, which are used for improving compatibility and intelligence. The method comprises the following steps: the prescription platform acquires and extracts the identity information of the patient from the second prescription, judges whether the patient has a first prescription which is provided on the same day and has the same medicine name, judges whether the first prescription is paid if the patient has the first prescription, and returns error information to the Internet hospital doctor and pharmacist and deletes the second prescription from the patient prescription library if the patient has the first prescription which is provided on the same day and has the same medicine name; if the first prescription is not paid, outputting alarm information to the patient and requesting the patient to select the prescription, if the first prescription is selected, respectively returning conflict information to an internet hospital pharmacist and a doctor, and deleting the second prescription from the patient prescription library; if the second prescription is selected, the dosage of the same name medication in the second prescription is ensured to be no greater than the dosage in the first prescription as prescribed by the offline interrogation and the first prescription is deleted from the patient prescription library after the second prescription has been paid.

Description

Prescription platform and prescription supervision method thereof
Technical Field
The invention relates to the technical field of new generation information, in particular to a data processing system or method specially suitable for the purposes of administrative management, supervision or prediction, and particularly discloses a prescription platform and a prescription supervision method thereof.
Background
Currently, medical isolation is the focus of medical and health system innovation. The existing prescription platform for electronic prescription circulation generally has public welfare property, and medical insurance users and non-medical insurance users are always required to be considered; however, the existing medical insurance supervision logic has specific trigger conditions and cannot benefit the non-medical insurance self-paying users. Therefore, existing prescription platforms are often limited to implementing storage of prescriptions for basic functions such as uploading or checking by associated parties.
Meanwhile, internet hospitals are constantly increasing; the number of prescription flows on-line is also increasing continuously. The problems of large workload and insufficient staff generally exist in internet hospitals regardless of doctor prescription or pharmacist prescription. Therefore, the links such as the development and the examination of part of Internet hospitals are easy to cause irregular operation due to various reasons, and further unreasonable use of medical resources is bred.
Therefore, there is a need to develop a more intelligent prescription platform with the advantages of both medical insurance users and non-medical insurance users.
Disclosure of Invention
The invention aims to disclose a prescription platform and a prescription supervision method thereof, so as to improve compatibility and intelligence.
In order to achieve the above object, the prescription supervision method of the prescription platform disclosed by the invention comprises the following steps:
s1, a prescription platform acquires a second prescription uploaded after a pharmacist in an Internet hospital checks the prescription, and the second prescription is made by an Internet hospital doctor in an on-line inquiry way;
s2, the prescription platform extracts the identity information of the patient from the second prescription, judges whether the patient has the first prescription provided on the current day, and if so, goes to step S3;
s3, the prescription platform judges whether medicines with the same name exist in the second prescription and the first prescription or not, and if yes, the step S4 is executed;
s4, the prescription platform judges whether the first prescription is paid or not, if so, error information is returned to doctors and pharmacists in the Internet hospital, and the second prescription is deleted from a patient prescription library; if the first prescription is not paid, go to step S5;
s5, the prescription platform outputs alarm information to a corresponding patient and requires the patient to select a prescription, corresponding processing is executed according to an obtained selection result, if the patient selects the first prescription, conflict information is respectively returned to the Internet hospital pharmacist and the doctor, and the second prescription is deleted from a patient prescription library; if the patient selects the second prescription, judging whether the first prescription is issued by an offline hospital in an offline inquiry mode, if so, turning to the step S6, otherwise, turning to the step S8;
s6, the prescription platform compares whether the dosage of the medicine with the same name in the second prescription is smaller than or equal to the corresponding dosage in the first prescription, and if so, the step S8 is executed; otherwise, turning to the step S7;
s7, the prescription platform returns error information to the Internet hospital doctor and prompts to update the second prescription so as to adjust the dosage of the medicines with the same name to be less than or equal to the corresponding dosage in the first prescription;
and S8, the prescription platform tracks the payment result of the second prescription, and after the second prescription is paid, the first prescription is marked as an invalid state and then is deleted from the patient prescription library.
To achieve the above object, the present invention further discloses a prescription platform, which includes a memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the processor implements the steps of the above method when executing the computer program.
The invention has the following beneficial effects:
1. the prescription circulation of the medical insurance user and the non-medical insurance user is compatible, and the popularization is realized.
2. Generally, the prescriptions are mostly effective on the same day, the invention can intelligently discover the prescriptions with overlapping medication on the same day, and can effectively avoid the malicious medicine hoarding of patients through prescription by using mechanisms such as one-out-of-two; and errors among different prescriptions caused by human negligence of doctors or pharmacists can be found in time.
3. The invention can also solve the problems caused by some special scenes, such as: when the patient faces difficulty in paying the first prescription and the first prescription cannot be updated timely due to objective reasons, the patient can reopen the second prescription through the internet hospital to obtain the emergency medicine in the payment capacity.
4. Generally, when a doctor in an internet hospital makes a prescription in an on-line inquiry manner, the doctor needs to refer to the prescription made by the off-line hospital in an off-line inquiry manner; therefore, the invention can enable the first prescription which is prescribed by the patient in an off-line inquiry way on the current day to provide reasonable basis for the prescription of the second prescription, and restricts the reasonable medication of the second prescription through the series steps of the invention; and after the second prescription payment is completed, the first prescription is removed from the patient prescription library, so that the malicious party splitting behavior based on the first prescription again can be effectively avoided.
5. Further, in step S5, the prescription platform enters the reason why the patient abandons the first prescription when the patient selects the second prescription; after the second prescription is paid and before the first prescription is deleted, the prescription platform extracts the related information of the first prescription to generate a supervision log of the second prescription, and notes the reason why the patient gives up the first prescription in the supervision log; so as to facilitate follow-up tracing and further promote the standardized double-diagnosis of the patient and the Internet hospital.
Therefore, the technical mode of the invention is an optimal technical scheme under the superposition of various factors such as various compliance, humanization, platform flexibility and the like, and can be widely popularized and applied.
The present invention will be described in further detail below with reference to the accompanying drawings.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, are included to provide a further understanding of the invention, and are incorporated in and constitute a part of this specification. In the drawings:
FIG. 1 is a flowchart of a recipe administration method of a recipe platform according to an embodiment of the present invention.
Detailed Description
The embodiments of the invention will be described in detail below with reference to the drawings, but the invention can be implemented in many different ways as defined and covered by the claims.
Example 1
The embodiment discloses a prescription supervision method of a prescription platform, as shown in fig. 1, including the following steps:
s1, the prescription platform obtains a second prescription uploaded after the prescription is reviewed by an Internet hospital pharmacist, and the second prescription is made by an Internet hospital doctor in an on-line inquiry way.
In this step, a second prescription is made by a doctor of an internet hospital in an on-line consultation manner. The reason for the reason includes that the prescription prescribed by the offline consultation mode of the offline hospital is often more authoritative through serial detection and communication. However, in the actual operation process, whether the doctor in the internet hospital refers to the off-line historical prescription or not is unknown, so that whether the operation of the internet doctor in the actual prescription process is normative or not is monitored.
In this step, the prescription platform is a part of a public service system, and the public service system can be used for interfacing a core service system of a medical insurance, a core service system of a business insurance, two institutions (namely, a fixed-point medical institution and a defined pharmacy) which are approved by a medical insurance management institution, a logistics platform for providing express delivery service, and the like.
And S2, extracting the identity information of the patient from the second prescription by the prescription platform, judging whether the patient has the first prescription provided on the current day, and if so, turning to the step S3. If not, the second process is stored in the patient prescription repository and the payment of a subsequent second prescription is tracked in accordance with conventional procedures.
In this step, the identity information may be an identification number, a medical insurance electronic certificate, or the like.
In the step, the first prescription to be checked is limited to the current day, on one hand, the data processing pressure of a processing platform is convenient to relieve, on the other hand, most prescriptions are limited to be valid on the current day, historical prescriptions which have been taken from the past are easy to be re-opened due to medicine loss or adverse reaction of medicines, and the like, and the too large checking range conflicts with the legal benefit of patients. If the patient has some bad motivations, the following medical insurance and business insurance related parties can be supervised by big data mining to screen suspicious patients, and can be specifically analyzed and traced through related records.
And S3, judging whether the second prescription and the first prescription have medicines with the same name by the prescription platform, and if so, turning to the step S4. Similarly, if not, the second process is stored in the patient prescription repository and the payment of a subsequent second prescription is tracked in accordance with conventional procedures.
S4, the prescription platform judges whether the first prescription is paid or not, if so, error information is returned to doctors and pharmacists in the Internet hospital, and the second prescription is deleted from the patient prescription library; if the first prescription has not been paid, go to step S5.
In this step, an error message is used to indicate that the same name medication has been paid, and is therefore defined by the system as a repeat dosing activity that does not meet the requirements of the prescription platform and results in a failure.
S5, the prescription platform outputs alarm information to the corresponding patient and requires the patient to select a prescription, corresponding processing is executed according to the obtained selection result, if the patient selects the first prescription, conflict information is respectively returned to an Internet hospital pharmacist and a doctor, and the second prescription is deleted from the patient prescription library; if the patient selects the second prescription, whether the first prescription is provided by the offline hospital in an offline inquiry mode is judged, if so, the step S6 is executed, and if not, the step S8 is executed.
In this step, the conflict information is used to indicate that there are medicines in the prescription of the internet hospital pharmacist and doctor's staff that have the same name as the patient's selected prescription and are discarded by the patient, resulting in failure of the prescription platform.
Therefore, through the steps, prescriptions with overlapped medication can be intelligently found on the day, and malicious medicine hoarding of patients through prescription can be effectively avoided through an alternative mechanism; and errors among different prescriptions caused by human negligence of doctors or pharmacists can be found in time.
S6, comparing whether the dosage of the medicine with the same name in the second prescription is smaller than or equal to the corresponding dosage in the first prescription by the prescription platform, and if so, turning to the step S8; otherwise, go to step S7.
And S7, the prescription platform returns error information to the Internet hospital doctor and prompts to update the second prescription so as to adjust the dosage of the medicines with the same name to be less than or equal to the corresponding dosage in the first prescription.
In an actual scene, an internet hospital can theoretically provide 24-hour service, and some offline hospitals have the factors that the updated prescription is limited by working time and the like; in addition, the prescription issued by the offline hospital has a series of links such as more standardized auditors, and the above-mentioned issuing of the offline prescription is often more authoritative through serial detection and communication, so that the first prescription is not required to be updated, thereby providing a reference and a constraint basis for the issuing of the second prescription by the first prescription.
In this embodiment, if the patient is a medical insurance user, the subsequent medical insurance system may further detect whether the dosage of each drug conforms to the relevant constraints of the medical insurance system after acquiring the drug list of the prescription platform, such as: the prescription amount of the long-term prescription is generally within 4 weeks, and the chronic patients with stable disease do not exceed 12 weeks at most.
And S8, the prescription platform tracks the payment result of the second prescription, and after the second prescription is paid, the first prescription is marked as a failure state and then is deleted from the patient prescription library. Therefore, the malicious party-dismantling behavior based on the first prescription again can be effectively avoided.
Preferably, before step S8, this embodiment further includes:
the prescription platform screens at least two offline or online pharmacy stores, which cover all the drugs in the second prescription, for selection by the patient according to the patient's instructions, and then generates a payment order for the patient by the selected offline or online pharmacy stores. Optionally, during a specific screening process, the online pharmacy closest to the user or the online pharmacy with the highest price may be preferentially recommended. Wherein, any recommended pharmacy needs to be satisfied to be able to match all the medicines in the second prescription so as to facilitate the patient to take medicines simultaneously according to the prescription requirement. Further, since only a common name of a medicine is usually displayed in a prescription, and there are often a plurality of different manufacturers for medicines of the same common name, it is preferable that each pharmacy additionally provides manufacturer information in medicine information for selection by a patient.
In this embodiment, the patient can complete the above operations such as internet hospital registration, consultation, party selection, and other series interactions with the associated party through the APP loaded on the mobile phone or other intelligent mobile communication terminal. Preferably, in the above process of selecting a dispensing unit by the patient, the indication of the patient further includes a medication taking method, and the medication taking method includes self-taking or mailing to indicate that the selected offline pharmacy or online pharmacy performs corresponding processing after the order is paid.
Preferably, in step S5, the prescription platform enters a reason why the patient abandons the first prescription when the patient selects the second prescription; and after the second prescription is paid and before the first prescription is deleted, the prescription platform extracts the related information (such as the name and quantity information of the prescribed medicine) of the first prescription to generate a supervision log of the second prescription, and notes the reason why the patient abandons the first prescription in the supervision log. Therefore, follow-up tracing is facilitated, and standardized double-diagnosis of the patient and the Internet hospital is further promoted.
In summary, the essence of the embodiment of the present invention is: the prescription platform acquires and extracts the identity information of the patient from the second prescription, judges whether the patient has a first prescription which is provided on the same day and has the same medicine name, judges whether the first prescription is paid if the patient has the first prescription, and returns error information to the Internet hospital doctor and pharmacist and deletes the second prescription from the patient prescription library if the patient has the first prescription which is provided on the same day and has the same medicine name; if the first prescription is not paid, outputting alarm information to the patient and requesting the patient to select the prescription, if the first prescription is selected, respectively returning conflict information to an internet hospital pharmacist and a doctor, and deleting the second prescription from the patient prescription library; if the second prescription is selected, the dosage of the same name medication in the second prescription is ensured to be no greater than the dosage in the first prescription as prescribed by the offline interrogation and the first prescription is deleted from the patient prescription library after the second prescription has been paid.
Example 2
Corresponding to the above method embodiments, this embodiment discloses a prescription platform, which includes a memory, a processor, and a computer program stored on the memory and executable on the processor, wherein the processor implements the corresponding steps in the above method embodiments when executing the computer program.
In summary, the prescription platform and the prescription supervision method thereof disclosed in the above embodiments of the present invention have at least the following advantages:
1. the prescription circulation of the medical insurance user and the non-medical insurance user is compatible, and the popularization is realized.
2. Generally, the prescription is mostly effective on the same day, the invention can intelligently discover the prescription with overlapped medication on the same day, and can effectively avoid the malicious medicine hoarding of patients through prescription by mechanisms such as one-out-of-two; and errors among different prescriptions caused by the carelessness of doctors or pharmacists due to human negligence and the like can be found in time.
3. The invention can also solve the problems caused by some special scenes, such as: when the patient faces difficulty in paying the first prescription and the first prescription cannot be updated timely due to objective reasons, the patient can reopen the second prescription through the internet hospital to obtain the emergency medicine in the payment capacity.
4. Generally, when a doctor in an internet hospital makes a prescription in an on-line inquiry manner, the doctor needs to refer to the prescription made by the off-line hospital in an off-line inquiry manner; therefore, the invention can enable the first prescription which is prescribed by the patient in an off-line inquiry way on the current day to provide reasonable basis for the prescription of the second prescription, and restricts the reasonable medication of the second prescription through the series steps of the invention; and after the second prescription payment is completed, the first prescription is removed from the patient prescription library, so that the malicious party splitting behavior based on the first prescription again can be effectively avoided.
5. Further, in step S5, the prescription platform enters the reason why the patient abandons the first prescription when the patient selects the second prescription; after the second prescription is paid and before the first prescription is deleted, the prescription platform extracts the related information of the first prescription to generate a supervision log of the second prescription, and notes the reason why the patient gives up the first prescription in the supervision log; so as to facilitate follow-up tracing and further promote the standardized double-diagnosis of the patient and the Internet hospital.
Therefore, the technical mode of the invention is an optimal technical scheme under the superposition of various factors such as various compliance, humanization, platform flexibility and the like, and can be widely popularized and applied.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (5)

1. A method of prescription administration for a prescription platform, comprising:
s1, a prescription platform acquires a second prescription uploaded after a pharmacist in an Internet hospital checks the prescription, and the second prescription is made by an Internet hospital doctor in an on-line inquiry way;
s2, the prescription platform extracts the identity information of the patient from the second prescription, judges whether the patient has a first prescription which is prescribed on the current day, and if so, goes to S3;
s3, the prescription platform judges whether medicines with the same name exist in the second prescription and the first prescription or not, and if yes, the step S4 is executed;
s4, the prescription platform judges whether the first prescription is paid or not, if so, error information is returned to doctors and pharmacists in the Internet hospital, and the second prescription is deleted from a patient prescription library; if the first prescription is not paid, go to step S5;
s5, the prescription platform outputs alarm information to a corresponding patient and requires the patient to select a prescription, corresponding processing is executed according to an obtained selection result, if the patient selects the first prescription, conflict information is respectively returned to the Internet hospital pharmacist and the doctor, and the second prescription is deleted from a patient prescription library; if the patient selects the second prescription, judging whether the first prescription is issued by an offline hospital in an offline inquiry mode, if so, turning to the step S6, otherwise, turning to the step S8;
s6, the prescription platform compares whether the dosage of the medicine with the same name in the second prescription is smaller than or equal to the corresponding dosage in the first prescription, and if so, the step S8 is executed; otherwise, turning to the step S7;
s7, the prescription platform returns error information to the Internet hospital doctor and prompts to update the second prescription so as to adjust the dosage of the medicines with the same name to be less than or equal to the corresponding dosage in the first prescription;
and S8, the prescription platform tracks the payment result of the second prescription, and after the second prescription is paid, the first prescription is marked as an invalid state and then is deleted from the patient prescription library.
2. The method according to claim 1, wherein before the step S8, further comprising:
the prescription platform screens at least two offline drug stores or online drug stores capable of covering all drugs in the second prescription according to the instructions of the patient for selection by the patient, and then generates a payment order for the patient by the selected offline drug store or online drug store.
3. The method of claim 2, wherein the indication of the patient further comprises a medication intake method comprising self-taking or mailing to indicate to the selected offline pharmacy or online pharmacy to perform a corresponding process after the order is paid.
4. The method according to any one of claims 1 to 3, wherein in the step S5, further comprising:
the prescription platform entering a reason for the patient to give up the first prescription when the patient selects the second prescription; and after the second prescription is paid and before the first prescription is deleted, further comprising:
the prescription platform extracts information related to the first prescription to generate a supervision log of the second prescription, and notes the reason why the patient abandons the first prescription in the supervision log.
5. A prescription platform comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor implements the steps of the method of any of claims 1 to 4 when executing the computer program.
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