CN115410681A - Electronic prescription circulation method based on classified business uplink - Google Patents

Electronic prescription circulation method based on classified business uplink Download PDF

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CN115410681A
CN115410681A CN202211025154.7A CN202211025154A CN115410681A CN 115410681 A CN115410681 A CN 115410681A CN 202211025154 A CN202211025154 A CN 202211025154A CN 115410681 A CN115410681 A CN 115410681A
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prescription
information
pharmacy
audit
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刘梦雯
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Beiyin Financial Technology Co ltd
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Beiyin Financial Technology Co ltd
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    • G—PHYSICS
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    • 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
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06F—ELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00—Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60—Protecting data
    • G06F21/64—Protecting data integrity, e.g. using checksums, certificates or signatures
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
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    • G06Q10/08—Logistics, e.g. warehousing, loading or distribution; Inventory or stock management
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Abstract

The invention provides an electronic prescription transferring method based on classified business uplink, which comprises the following steps: acquiring a alliance link node by adopting an alliance link model; establishing a plurality of service chains according to the alliance chain nodes, wherein the service chains comprise a prescription chain, an audit chain, a payment chain, a dispensing chain, a delivery chain and a pharmaceutical affair service chain; the patient completes the inquiry, the doctor makes an electronic prescription, and carries out encryption signature on the electronic prescription and pushes the electronic prescription to the prescription chain; firstly, verifying the authenticity and validity of a prescription by a pharmacist, then auditing the prescription, issuing an audit opinion and signing; the system retrieves the information of the compliance pharmacy which is matched with the prescription requirement, determines a list of the pharmacy which can be selected, generates a price inquiring order and sends the order information and the prescription to the patient; verifying the validity of the prescription; the pharmacy confirms the order. And a plurality of service chains are established for different services, and the service data of each link is recorded respectively, so that the system performance is improved, and the system expandability is enhanced.

Description

Electronic prescription circulation method based on classified business uplink
Technical Field
The invention relates to the field of electronic prescriptions, in particular to an electronic prescription transferring method based on classified business uplink.
Background
The electronic prescription is a medical electronic document which is transmitted by a network, programmed by adopting an information technology, filled with medicine treatment information in diagnosis and treatment activities, provided with a prescription, transmitted to a pharmacy through the network, audited, allocated, checked and charged by professional pharmacy technicians and used for dispensing medicines and taking medicines in the pharmacy. In order to realize separation of medical insurance control cost and medicines and break the operation mode of medical treatment, a series of policy measures are continuously issued by the nation, and the outflow of prescriptions is promoted. The patient can freely choose to take the medicine in the hospital or take the medicine to a fixed-point pharmacy outside the hospital through a third-party prescription information transfer platform. The electronic prescription circulation mainly comprises the steps of prescription making, auditing, synchronizing, paying, medicine dispensing, delivering and the like. The electronic prescription technically effectively reduces the difficulty and cost of prescription circulation.
The block chain is a distributed data storage structure, adopts the technologies of encryption, time stamping, consensus mechanism and the like, ensures the safety of data exchange and prevents data tampering. The technical characteristics of decentralization, traceability, non-tampering and the like can ensure the authenticity and integrity of electronic prescription data, and solve the problems of data security, identity authentication, privacy disclosure, prescription abuse, online and offline integrated supervision and the like.
The electronic prescription circulation method takes a prescription information sharing platform as a center and provides prescription sharing and circulation services for hospitals, medicine enterprises and patients. The main functions include prescription signature, prescription uploading, prescription verification, prescription pushing, pharmacy selection and logistics distribution.
In the existing scheme, in the process from prescription to medicine taking of a patient, the risk of tampering the prescription exists in many links, the electronic prescription is difficult to trace back to a responsible party, and the situation of repeated use of the electronic prescription is difficult to effectively control. In the whole system, the problems of authority confirmation, certificate storage, anti-counterfeiting, privacy protection and the like related to prescription circulation completely depend on credit endorsements of a platform party, and the existing certificate storage information in the prescription circulation process lacks effective certificates really recognized by all parties. Thus, once a dispute occurs, the definition of responsibility can be disputed.
Disclosure of Invention
In view of the above problems, the present invention has been developed to provide an electronic prescription transfer method based on classified business uplink that overcomes or at least partially solves the above problems.
According to one aspect of the invention, the electronic prescription transferring method based on classified business uplink comprises the following steps:
acquiring a alliance link node by adopting an alliance link model;
establishing a plurality of service chains according to the alliance chain nodes, wherein the service chains comprise a prescription chain, an audit chain, a payment chain, a dispensing chain, a delivery chain and a pharmaceutical affair service chain;
the patient completes the inquiry, the doctor makes an electronic prescription, and carries out encryption signature on the electronic prescription and pushes the electronic prescription to the prescription chain;
firstly, verifying the authenticity and the validity of a prescription by a pharmacist, then auditing the prescription, issuing an audit suggestion and signing;
the system retrieves the information of the compliance pharmacy which is matched with the prescription requirement, determines a list of the pharmacy which can be selected, generates a price inquiring order and sends the order information and the prescription to the patient;
verifying the validity of the prescription, selecting a pharmacy, a payment mode and a medicine taking mode by the patient, paying for the order, and adding order information and payment information to the payment chain;
the pharmacy confirms the order.
Optionally, the federation chain nodes are divided according to owner identity into: a supervisory authority node, a medical authority node, a patient.
Optionally, the establishing multiple service chains according to the federation link node specifically includes: a prescription chain, an audit chain, a payment chain, a dispensing chain, a delivery chain and a pharmaceutical service chain;
the prescription chain is used for recording the hash value of the electronic prescription and the signature of a doctor, and the electronic prescription is ensured to be issued by the signing doctor and not to be tampered by using the asymmetric encryption and hash function, so that a certificate and a supervision basis are provided for prescription audit afterwards;
the audit chain is used for recording the audit opinions of the pharmacists on the prescription and the signature of the pharmacists and ensuring that the prescription process can be traced after the whole process of the prescription audit;
the payment chain is used for recording order payment information;
the dispensing chain is used for recording the dispensing of the medicine and the signature of a pharmacist;
the distribution chain is used for recording medicine distribution logistics information, the information comes from a logistics enterprise business system and comprises temperature and humidity requirements of medicine distribution and cold chain transportation requirements.
Optionally, the pharmacist first verifies the authenticity and validity of the prescription, then checks the prescription, and after issuing a check opinion and signing, the method further includes:
and packaging the review opinions and the pharmacist signature data into blocks, adding the blocks into the review chain, pushing the prescriptions which do not pass the review to a doctor for modification, and making the prescriptions again.
Optionally, the pharmacy order confirmation specifically includes: after the authenticity and the validity of the prescription are verified and confirmed, a pharmacist rechecks, dispenses and signs, field dispensing or express delivery is completed, complete dispensing and delivery logistics information is added to the dispensing chain, and the delivery logistics information is stored in the delivery chain.
The invention provides an electronic prescription transferring method based on classified business uplink, which comprises the following steps: acquiring a alliance link node by adopting an alliance link model; establishing a plurality of service chains according to the alliance chain nodes, wherein the service chains comprise a prescription chain, an audit chain, a payment chain, a dispensing chain, a delivery chain and a pharmaceutical affair service chain; the patient completes the inquiry, the doctor makes an electronic prescription, and carries out encryption signature on the electronic prescription and pushes the electronic prescription to the prescription chain; firstly, verifying the authenticity and validity of a prescription by a pharmacist, then auditing the prescription, issuing an audit opinion and signing; the system retrieves the information of the compliance pharmacy which is matched with the prescription requirement, determines a list of the pharmacy which can be selected, generates a price inquiring order and sends the order information and the prescription to the patient; verifying the validity of the prescription, selecting a pharmacy, a payment mode and a medicine taking mode by the patient, paying an order, and adding order information and payment information to the payment chain; the pharmacy confirms the order. And a plurality of service chains are established for different services, and the service data of each link is recorded respectively, so that the system performance is improved, and the system expandability is enhanced.
The foregoing description is only an overview of the technical solutions of the present invention, and the embodiments of the present invention are described below in order to make the technical means of the present invention more clearly understood and to make the above and other objects, features, and advantages of the present invention more clearly understandable.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the description of the embodiments are briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on these drawings without creative efforts.
Fig. 1 is a flowchart of an electronic prescription transferring method based on classified business uplink according to an embodiment of the present invention;
fig. 2 is a schematic diagram of a federation chain model according to an embodiment of the present invention.
Detailed Description
Exemplary embodiments of the present disclosure will be described in more detail below with reference to the accompanying drawings. While exemplary embodiments of the present disclosure are shown in the drawings, it should be understood that the present disclosure may be embodied in various forms and should not be limited by the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the disclosure to those skilled in the art.
The terms "comprises" and "comprising," and any variations thereof, in the present description and claims and drawings are intended to cover a non-exclusive inclusion, such as a list of steps or elements.
The technical solution of the present invention is further described in detail with reference to the accompanying drawings and embodiments.
As shown in fig. 1, an electronic prescription transferring method based on classified business uplink includes:
acquiring a alliance link node by adopting an alliance link model;
establishing a plurality of service chains according to the alliance chain nodes, wherein the service chains comprise a prescription chain, an audit chain, a payment chain, a dispensing chain, a delivery chain and a pharmaceutical affair service chain;
the patient completes the inquiry, the doctor makes an electronic prescription, and carries out encryption signature on the electronic prescription and pushes the electronic prescription to the prescription chain;
firstly, verifying the authenticity and validity of a prescription by a pharmacist, then auditing the prescription, issuing an audit opinion and signing;
the system retrieves the information of the compliance pharmacy which is matched with the prescription requirement, determines a list of the pharmacy which can be selected, generates a price inquiring order and sends the order information and the prescription to the patient;
verifying the validity of the prescription, selecting a pharmacy, a payment mode and a medicine taking mode by the patient, paying for the order, and adding order information and payment information to the payment chain;
the pharmacy confirms the order.
The specific process is as follows:
after the patient completes the inquiry, the doctor orders the electronic prescription, encrypts and signs the electronic prescription, and pushes the electronic prescription to a prescription chain.
The pharmacist first verifies the authenticity and validity of the prescription, then verifies the prescription, issues verification opinions and signs. And finally, packaging the data such as the audit opinions, the pharmacist signatures and the like into blocks and adding the blocks into an audit chain. If the prescription fails the audit, the prescription will be pushed to the physician for modification or redeployment.
After the prescription is approved, the system searches the information of the compliance pharmacy which is matched with the prescription requirement, determines a list of the pharmacy which can be selected, generates a price inquiring order and finally sends the order information and the prescription to the mobile phone of the patient.
The prescription validity is first verified, including the prescription validity period, whether the prescription is reused, etc., and then the patient selects a pharmacy, a payment method, and a medication taking method, and pays for the order. And finally adding the order information and the payment information to a payment chain.
The pharmacy confirms the order, after the authenticity and the validity of the prescription are verified and confirmed, a pharmacist rechecks, dispenses and signs, field dispensing or express delivery is completed, finally detailed information such as complete dispensing, delivery logistics and the like is added to a dispensing chain, and delivery logistics information is stored in the delivery chain.
A federation chain model is employed. Federation chain nodes are divided into three types according to their owner identity: the first type is a supervision institution node, which comprises a health commission, a drug administration, a medical insurance administration and the like and is responsible for verifying the validity of the node and allowing the node to be approved; the second category is medical institution nodes, including hospitals, pharmacies, logistics, physicians, pharmacists, and the like; the third category is patients. The second category of healthcare facility nodes participate in consensus voting, transaction execution, block validation, and accounting in the blockchain network. The monitoring mechanism and the patient node are used as witness nodes, participate in block and transaction synchronization, block verification, transaction execution and record complete account book data, but do not participate in consensus voting.
As shown in fig. 2, the consensus algorithm adopts a TBFT byzantine fault-tolerant algorithm, which can ensure the safe operation of the system when the number of nodes is less than 1/3 of the total number. TBFT is based on a Terdermint algorithm, and the biggest difference from PBFT is that: the PBFT has a fixed leader node for package transaction, and when the leader node fails, the leader is replaced; in TBFT, the leader rotates to the next node every n blocks committed. Thus, TBFT has better fairness than PBFT.
In order to improve the system performance and enhance the system expandability, a plurality of service chains are established for different services, and the service data of each link, including a prescription chain, an audit chain, a payment chain, a dispensing chain, a delivery chain, a pharmaceutical affairs service chain and the like, are respectively recorded. And taking the prescription chain as a parent chain and the other alliance chains as child chains, and performing bidirectional anchoring on the parent chain and the child chains through hash values to establish association.
A recipe chain: and recording information such as the hash value of the electronic prescription, the signature of a doctor and the like, wherein the information is pushed by a hospital HIS system. By using asymmetric encryption and a hash function, the electronic prescription is ensured to be issued by a signing doctor and is not tampered, and a certificate and a supervision basis are provided for prescription audit afterwards.
And (4) auditing chains: and recording the review opinions of the pharmacists on the prescription and the signature of the pharmacists, and ensuring that the trace can be traced in the whole process of the prescription review process.
And (3) payment chain: and recording order payment information, wherein the information is from various payment systems, including the name of a pharmacy, the medicine taking mode and payment details.
Preparing a regulator chain: and recording information such as medicine preparation, pharmacist signature and the like, wherein the information comes from an ERP system of a pharmacy. Ensure the credible drug allocation identity and traceable allocation process.
And (3) a distribution chain: and recording the logistics information of medicine distribution, wherein the information comes from a logistics enterprise business system and comprises the temperature and humidity requirements of medicine distribution and the cold chain transportation requirements.
Has the advantages that: according to the invention, key data in the electronic prescription circulation link is subjected to chain storage in the whole course, all information can be stored into the block chain only after being authenticated by the nodes of the participants, and the participants can exchange necessary prescription dispensing information according to authorization on the premise of not revealing privacy information of patients, so that the compliance circulation and safe access of the electronic prescription are ensured, and the electronic prescription can be audited and traceable in the whole life cycle.
And a TBFT consensus algorithm is adopted, so that the fairness is improved.
And a plurality of service chains are established for different services, and the service data of each link is recorded respectively, so that the system performance is improved, and the system expandability is enhanced.
The above embodiments are provided to further explain the objects, technical solutions and advantages of the present invention in detail, it should be understood that the above embodiments are merely exemplary embodiments of the present invention and are not intended to limit the scope of the present invention, and any modifications, equivalents, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.

Claims (5)

1. An electronic prescription circulation method based on classified business uplink is characterized in that the circulation method comprises the following steps:
acquiring a alliance link node by adopting an alliance link model;
establishing a plurality of service chains according to the alliance chain nodes, wherein the service chains comprise a prescription chain, an audit chain, a payment chain, a dispensing chain, a delivery chain and a pharmaceutical affair service chain;
the patient completes the inquiry, the doctor makes an electronic prescription, and carries out encryption signature on the electronic prescription and pushes the electronic prescription to the prescription chain;
firstly, verifying the authenticity and the validity of a prescription by a pharmacist, then auditing the prescription, issuing an audit suggestion and signing;
the system searches for the information of the compliance pharmacy matched with the prescription requirement, determines a list of the pharmacy which can be selected, generates a price inquiring order and sends the order information and the prescription to the patient;
verifying the validity of the prescription, selecting a pharmacy, a payment mode and a medicine taking mode by the patient, paying for the order, and adding order information and payment information to the payment chain;
the pharmacy confirms the order.
2. The method of claim 1, wherein the federation nexus is divided into: a supervisory authority node, a medical authority node, a patient.
3. The method of claim 1, wherein the establishing a plurality of service chains according to the federation chain node specifically comprises: a prescription chain, an audit chain, a payment chain, a dispensing chain, a delivery chain and a pharmaceutical service chain;
the prescription chain is used for recording the hash value of the electronic prescription and the signature of a doctor, and the electronic prescription is ensured to be issued by the signing doctor and not to be tampered by using the asymmetric encryption and hash function, so that a certificate and a supervision basis are provided for prescription audit afterwards;
the audit chain is used for recording the audit opinions of pharmacists on prescriptions and the signature of the pharmacists and ensuring that the whole process of the prescription audit process is traceable;
the payment chain is used for recording order payment information;
the dispensing chain is used for recording medicine dispensing and pharmacist signature;
the distribution chain is used for recording medicine distribution logistics information, the information comes from a logistics enterprise business system and comprises temperature and humidity requirements of medicine distribution and cold chain transportation requirements.
4. The method as claimed in claim 1, wherein the pharmacist first verifies the authenticity and validity of the prescription, then checks the prescription, issues a check suggestion and signs, and further comprises:
and packaging the review opinions and the pharmacist signature data into blocks, adding the blocks into the review chain, pushing the prescriptions which do not pass the review to a doctor for modification, and making the prescriptions again.
5. The method of claim 1, wherein the pharmacy order confirmation comprises: after the authenticity and the validity of the prescription are verified and confirmed, a pharmacist rechecks, dispenses and signs, field dispensing or express delivery is completed, complete dispensing and delivery logistics information is added to the dispensing chain, and the delivery logistics information is stored in the delivery chain.
CN202211025154.7A 2022-08-25 2022-08-25 Electronic prescription circulation method based on classified business uplink Pending CN115410681A (en)

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