CN115440336A - Digital interactive electronic prescription and application method thereof - Google Patents
Digital interactive electronic prescription and application method thereof Download PDFInfo
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- CN115440336A CN115440336A CN202211095606.9A CN202211095606A CN115440336A CN 115440336 A CN115440336 A CN 115440336A CN 202211095606 A CN202211095606 A CN 202211095606A CN 115440336 A CN115440336 A CN 115440336A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
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- 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
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- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
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Abstract
The invention provides a digital interactive electronic prescription and an application method thereof, wherein the electronic prescription comprises the following components: medical institution information, patient information, diagnostic information, and medication information, and interactive operational functionality added thereto. The electronic prescription application method comprises the following steps: the method comprises the steps of obtaining an electronic prescription, checking and obtaining a medicine based on the electronic prescription, recording the use condition and effect of the medicine in the electronic prescription, interacting the information of the electronic prescription related users, and carrying out statistical analysis. The digital interactive electronic prescription solves the problems that the content of the existing electronic prescription is in a one-way information transmission mode mainly based on characters, the reference information provided for a patient is limited, and the patient cannot consult or feed back results to a doctor in time according to the use condition of medicines. The application method is compatible with the prescription issuing mode of the electronic prescription small-range trial in which the paper prescription is taken as the main prescription at present. The invention has clear logic, simple structure and strong compatibility and is suitable for large-scale popularization and application.
Description
Technical Field
The invention belongs to the technical field of medical informatization, and relates to a digital interactive electronic prescription and an application method thereof.
Background
The prescription is a medical document which is prepared for a patient by registered medical practitioners and medical assistant physicians in the diagnosis and treatment activities, is audited, prepared and checked by medical professionals (pharmacists) who acquire the qualification of medical professional technical staff, and is used as a medication voucher for the patient. The electronic prescription is made for patients by doctors in diagnosis and treatment activities by using an information system, can realize storage, management, transmission and reappearance, is audited, allocated and checked by pharmacists, and can be used as a digital medical document of a drug voucher of the patients. The electronic prescription can effectively solve the problems of low efficiency, high cost, difficult circulation, dense resources and the like of the paper prescription, obviously improves the quality of the prescription and reduces the cost of medical services.
At present, the content of an electronic prescription is the electronization of a paper prescription, the information carrying capacity is limited, and most of the electronic prescriptions are circulated in a medical institution; electronic prescriptions do not form a convenient feedback channel between the medical institution and the drug retail institution, resulting in poor intervention after prescription review. The electronic prescription only has one-time value as a bridge for connecting a patient and a doctor, and has a large excavatable space. After the patient is in a doctor's visit, the doctor is difficult to keep in touch with the doctor, and when the doctor is in the disease management and scientific research subject, an effective channel is also needed to be connected with the patient (especially for the patient with scientific research value), and the one-way information transmission mode of the electronic prescription can not solve the very important problem.
The chinese patent publication CN113707259A discloses an electronic prescription processing method and system, in which an electronic prescription to be checked, which is issued by a medical terminal, is obtained, then the electronic prescription to be checked is analyzed, corresponding patient prescription information is obtained, a pharmacy which satisfies the number of the medicines and the types of the medicines in the medicine information is matched in a preset pharmacy database according to the medicine information in the patient prescription information, a pharmacy list is generated, the pharmacy list is sent to the patient terminal for the patient to select, and pharmacy selection information fed back by the patient terminal is received. An interactive function is provided for the patient to actively select to purchase the drug. Only relates to a drug selection link before checking the electronic prescription, and does not relate to an interaction function in the aspects of a drug use method and curative effect. Chinese patent publication No. CN109817349A discloses an intelligent application system for out-of-hospital disease management based on inpatient advice mode, which is used for a patient to purchase doctor services, receive medical service information sent by a doctor intelligent terminal and feed back results to a corresponding doctor intelligent terminal through a patient terminal, thereby solving the basic mode of conveying the advice of the doctor by the oral heads of the doctor and a nurse and being beneficial to the disease management of the patient after the patient is discharged. No outpatient prescription is involved. Chinese patent publication CN109272082A discloses a method for issuing, authorizing and using electronic prescriptions, which ensures the safety and authenticity of the prescriptions by using electronic signatures, and does not relate to information interaction function through electronic prescriptions. The Chinese patent publication No. CN102236743A discloses a video electronic prescription system, and doctors realize the combination of image-text information and still be in a one-way information transmission mode by recording the videos of four parts of disease description, disease diagnosis, treatment suggestion and medication instruction and combining the videos into a file as an electronic prescription.
Disclosure of Invention
In order to solve the technical problems, the invention provides a digital interactive electronic prescription, which is added with an image information display function, an editing operation function and an interaction function among users on the basis of the basic information transmission function of the existing electronic prescription, and solves the problem that the current electronic prescription mainly has the serious asymmetry of information transmitted in a character information one-way mode. Accordingly, another object of the present invention is to provide a method for applying a digital interactive electronic prescription. For convenience of description, unless otherwise specified, the electronic prescriptions are abbreviated as digital interactive electronic prescriptions, and the carrier of the electronic prescriptions can be in various forms, such as shared documents, applets, web pages, etc., and the carrier and the generation manner of the electronic prescriptions are not limited by the present invention.
In a first aspect, the present invention provides a digital interactive electronic prescription, which solves the above technical problems, comprising:
medical institution information, medical institution name, department, clinic number, doctor name, pharmacist name, department for patient visit department, and clinic number for unique identification provided by the medical institution for the patient;
patient information, fee, name, sex, age, number of visiting card, contact information, and the fee is medical insurance and self fee;
diagnostic information, clinical diagnostic results;
drug information, drug name, quantity, usage, cost, name of one or more drugs, quantity of drugs, method of use of drugs, unit price and total price of drugs;
prescription information, electronic prescription type, identification code, date, electronic prescription category and effective date, wherein the electronic prescription type is a common prescription generally, the identification code is a bar code or a two-dimensional code identified by the prescription, the date is the date of the electronic prescription, the prescription category is divided into three categories of paper prescription reference accessories, effective and used, and the effective date is the available deadline date of the effective electronic prescription;
the image information display functional area of the medicine and the usage is preferably provided with a medicine thumbnail or a medicine introduction video beside the character information of the medicine name and the usage, and the patient clicks the medicine thumbnail or the medicine introduction video to automatically enlarge and display the multimedia effect;
optionally, the character information of the drug name and the usage is directly a click link, and the patient clicks the link and plays the multimedia effect after jumping;
the medicine use record and effect display operation functional area is used for recording the medicine use condition and the treatment effect by the patient in modes of clicking a button, inputting information and the like;
the electronic prescription related personnel interaction functional area and the electronic prescription related participants including the roles of a doctor for issuing an electronic prescription, a verified pharmacist, a patient and the like can perform information interaction in a mode of being disclosed by all related personnel facing the electronic prescription or only facing specific personnel, and the interaction mode can be character input or voice and video file uploading.
In a second aspect, the present invention provides a method for applying a digital interactive electronic prescription, the method comprising:
the electronic prescription is obtained and the electronic prescription is obtained,
based on the electronic prescription verification, the medicine is obtained,
the patient records the use condition and effect of the medicine in the electronic prescription,
the electronic prescription related user interacts information based on the electronic prescription,
the management of the life cycle of the electronic prescription,
and (5) carrying out statistical analysis.
The checking and obtaining of the medicine based on the electronic prescription can be further embodied as follows:
the payment of the fee for the electronic prescription,
the medicine is dispensed in a pharmacy,
the image information of the medicine is checked in the electronic prescription,
verifying the drug information and the method of use.
The patient can further specify the use condition and effect of the medicine recorded in the electronic prescription as follows:
the use reminder of the medicine is set up,
the images of the medication usage are viewed,
the medication is used and recorded, and the dosage is,
staged effect was recorded.
In a third aspect, the invention provides a computer device comprising a memory, a processor and a memory
A computer program in the memory and executable on the processor, the processor implementing the digital interactive electronic prescription application method according to any of the second aspect when executing the computer program.
In a fourth aspect, the present invention provides a readable storage medium comprising computer readable instructions, which when read and executed by a computer, cause the computer to implement the digital interactive electronic prescription application method of any one of the second aspects.
Compared with the prior art, the invention has the beneficial effects that: by adopting the digital interactive electronic prescription and the application method thereof, the problem of information asymmetry caused by a one-way static information transmission mode which takes characters as main contents and is adopted by the current paper prescription and the electronic prescription (not the digital interactive electronic prescription) is solved, and the digital interactive electronic prescription is provided as a communication bridge between doctors, pharmacists and patients. Not only is beneficial for patients to fully understand and master the medicine and the usage thereof, but also the curative effect or the doubt can be fed back in time, thus being beneficial for doctors and pharmacists to feed back corresponding measures and carry out curative effect tracking observation on the diseases needing to be researched. Meanwhile, the problems that at present, a doctor obtains the treatment effect of a patient in a follow-up mode and the obtained information is limited are solved.
Drawings
FIG. 1 is a diagram illustrating the structure of a digital interactive electronic prescription in one embodiment;
FIG. 2 is a schematic diagram of a digital interactive electronic prescription structure in another embodiment;
FIG. 3 is a flow diagram of a method for applying digital interactive electronic prescriptions in one embodiment;
FIG. 4 is a flow diagram of a method for obtaining a medication based on a digitized interactive electronic prescription verification in one embodiment;
FIG. 5 is a flow chart of a method for recording medication use and effect in a digital interactive electronic prescription by a patient according to one embodiment;
FIG. 6 is a diagram illustrating an exemplary computer device.
Detailed Description
The present invention will now be described more fully hereinafter for purposes of facilitating an understanding thereof, and may be embodied in many different forms and are not limited to the embodiments described herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention.
The present invention provides a digital interactive electronic prescription and method of use thereof, the specific embodiments described herein are merely illustrative of the spirit of the invention. Various modifications or additions may be made to the described embodiments or alternatives may be employed by those skilled in the art without departing from the spirit or ambit of the invention as defined in the appended claims.
In one embodiment, the present invention provides a digital interactive electronic prescription, which is divided into the following functional areas from top to bottom as shown in fig. 1: the medical institution information display area, the patient information display area, the medicine information display area, the doctor and pharmacist signature area and the information interaction area.
The medical institution information display area includes: the name of the medical institution (such as XX hospital), the type of prescription (generally a common prescription), the effective date of the prescription, the number of the prescription (prescription unique identification number), the identification code of the prescription (bar code or two-dimensional code, which is convenient for reading by a machine-readable device), the department (the department where the patient visits, such as dermatology department), the clinic number (the unique identification number provided by the medical institution for the patient), the category of the prescription (the category of the electronic prescription is divided into three categories, namely paper prescription reference attachment, effective and used), and the effective date (the available expiration date of the effective electronic prescription).
The patient information includes: name, gender, age, visit card number (e.g., medical insurance card number), and fee categories are medical insurance and self-fees and clinical diagnosis results.
The method comprises the following steps of providing medicine information, medicine names, quantity, usage, medicine fees, names of one or more medicines, medicine quantity, medicine using methods, unit price and total price of the medicines, displaying information such as outer packages, shapes (particles, capsules, ointment and the like), quantity, capacity and the like of the products in a multi-angle mode by corresponding medicine thumbnails or introducing videos by product introduction, and providing thumbnails or demonstrating specific displaying key steps of the videos or using methods and dosages of the whole process by using the introduction besides character information; preferably, the specific content of the thumbnail or the demonstration video calls the corresponding file or the function of the file with editable parameters according to the requirements of medical orders in the prescription, and a doctor inputs the corresponding parameters when starting the prescription; the medicine use record and effect display operation functional area is used for recording the medicine use condition and the treatment effect by the patient in modes of clicking a button, inputting information and the like; preferably, if the patient needs to use the medicine once in the morning and at night, the two buttons displayed on the date of the day are marked as morning and evening respectively, the time of using the medicine by the patient is recorded and the normal use is displayed when the patient presses one corresponding button before or after using the medicine, and if the patient misses the day, the button which is not clicked is omitted. Optionally, the patient may set a reminder notification to remind the user to use the medication on time by ringing, flashing the screen, etc. within a predetermined time.
Fee information, display of the total price of the medication and the status of payment (paid or unpaid).
In the signature area, a doctor or a pharmacist signs a signature on the prescription by adopting a digital signature or software-based handwritten signature mode, and the completion of the signature is a necessary condition for the prescription to take effect.
The information interaction area, the related participants of the electronic prescription, including the doctor who has the prescription, the examined pharmacist, the patient and other roles can adopt a mode of disclosing all related personnel facing the prescription or only facing specific personnel to carry out information interaction, and the interaction mode can be character input or uploading voice and video files.
In yet another embodiment, the present invention provides a digital interactive electronic prescription, as shown in fig. 2, wherein the information interaction area, the relevant personnel can initiate consultation, the patient consults questions with the doctor, or the doctor actively asks the patient for curative effects. The consultation initiator and respondent may choose a mode in which the information is visible to all relevant people or designated people of the electronic prescription.
Based on the same inventive concept, in one embodiment, as shown in fig. 3, the present invention provides a digital interactive electronic prescription application method, comprising the steps of:
s301, acquiring the electronic prescription, generating the electronic prescription by a doctor on computer equipment according to the registration information and the diagnosis and treatment result of the patient, and setting the prescription type and the sending channel of the electronic prescription according to the requirement of the patient.
Optionally, the patient selects to take the medicine in a pharmacy of a medical institution, the electronic prescription is only used as a reference accessory of the paper prescription, the doctor sets the type of the electronic prescription as the reference accessory of the paper prescription, the electronic prescription is sent to social software of a mobile phone of the patient according to the requirement of the patient, and the paper prescription is printed for the patient; alternatively, the patient chooses to take the medication at a non-prescribing medical facility pharmacy, the doctor signs and validates the electronic prescription, and the electronic prescription is sent to the patient's mailbox on request of the patient.
S302, checking and obtaining the medicine based on the electronic prescription, and paying, checking and taking the medicine by the patient or the patient client to a pharmacy.
As shown in fig. 4, step S302 may further specifically be:
s401, paying the electronic prescription fee;
s402, dispensing medicine by a pharmacy;
s403, checking the medicine image information in the electronic prescription;
s404, checking the medicine information and the using method.
Step S302 illustrates:
if the patient selects to take the medicine in the pharmacy of the medical institution, payment software is selected to scan a paper prescription identification code, a social security card is inserted into the terminal all-in-one machine or electronic prescription identification is opened on a mobile phone, the payment is paid after the identification code identification, the patient can queue up to a pharmacy window to take the medicine after the payment, a pharmacist checks the medicine and pastes a label (including patient information and usage), the pharmacist submits the medicine after confirming the identity of the patient or the patient offeror can open an electronic prescription to check the medicine picture or video information to confirm that the medicine is consistent with the prescription; if the patient selects to take a medicine in a pharmacy of a non-prescription-making medical institution, the patient or the patient offeror presents an electronic prescription to a pharmacy staff, the pharmacy staff scans an identification code of the electronic prescription or inputs a prescription number of the electronic prescription, the pharmacy informatization terminal sends electronic prescription information to an electronic prescription sharing platform or the prescription-making medical institution to check whether the electronic prescription is valid or not, the electronic prescription sharing platform or the prescription-making medical institution retrieves the electronic prescription information and then gives a feedback result, if the electronic prescription is valid, the pharmacy staff provides the medicine for the patient or the patient offeror according to the electronic prescription requirement, the patient or the patient offeror opens the electronic prescription to check medicine pictures or video information to confirm that the medicine is consistent with the prescription, the patient or the patient offeror pays the pharmacy, the pharmacy informatization terminal sends information that the electronic prescription is processed to the electronic prescription sharing platform or the prescription-making medical institution after charging is finished, and the electronic prescription sharing platform or the prescription medical institution changes the type into used in a system and synchronously updates the electronic prescription information received by the patient.
S303, the patient records the use condition and the effect of the medicine in the electronic prescription, and the patient can use the electronic prescription to record the use condition and the effect after treatment in the effective treatment course of the electronic prescription.
As shown in fig. 5, step S303 may further specifically be:
s501, setting a medicine use reminder,
s502, checking the image of the medicine usage,
s503, using the medicine and recording,
and S504, recording the stage curative effect.
Step S303 exemplifies:
the ointment for treating the skin diseases is prepared by a dermatologist, the treatment course is one week, the ointment is externally applied once in the morning and evening, a patient sets a medicine use reminding mode such as vibration or screen flashing in an electronic prescription opened by a mobile phone, the patient checks image information of medicine use, the patient selects a medicine use progress mode such as a date display mode, and the electronic prescription automatically generates two buttons for displaying information every day in the treatment course. Before or after the patient uses the medicine, the patient presses the corresponding button of the time of day, for example, the first button is pressed in the morning, the button automatically turns grey and records the corresponding time, and before or after the patient uses the medicine, the second button is pressed in the evening, the button automatically turns grey and records the corresponding time. If the use of the medicine is forgotten and the button is not operated, the time of day button is automatically grayed out and displayed as "missing".
The patient can shoot the treatment effect or the adverse reaction in the course of treatment, and the treatment effect or the adverse reaction can be stored as an accessory in the use progress of the medicine with the electronic prescription.
And S304, interacting the information of the electronic prescription related user.
Step S304 includes: on one hand, a patient has slight adverse reaction or is not obvious in curative effect when using the medicine, can consult a doctor in an information interaction area in an electronic prescription in a mode of text, voice and video input, an electronic prescription carrier is connected with a medical institution for prescribing the medicine, and consultation information is sent to an informatization system used by the doctor according to the signature of the doctor, the doctor is reminded in the informatization system in a mode of pop-up window, red mark and the like to answer to the consultation, the doctor opens the electronic prescription of the patient, checks the consultation information, checks the medicine and gives an answer after using the medicine (for example, adjusting the dosage or stopping using one of the medicines); on the other hand, doctors or pharmacists need to follow up the treatment condition of patients, can open the electronic prescription of the patients, ask for the treatment effect of the patients in the interactive area in the modes of characters, voice, video or statistical tools and the like, and the patients can make feedback according to corresponding requirements.
S305, statistical analysis. The information contained in the electronic prescription is stored in a database, and doctors or pharmacists can statistically analyze treatment results within an authorized range to provide reference for the optimization of treatment methods or medicines.
It should be understood that, although the steps in the flowcharts related to the embodiments described above are sequentially shown as indicated by arrows, the steps are not necessarily performed sequentially as indicated by the arrows. The steps are not performed in the exact order shown and described, and may be performed in other orders, unless explicitly stated otherwise. Moreover, at least a part of the steps in the flowcharts related to the above embodiments may include multiple steps or multiple stages, which are not necessarily performed at the same time, but may be performed at different times, and the execution order of the steps or stages is not necessarily sequential, but may be performed alternately or alternately with other steps or at least a part of the steps or stages in other steps.
In one embodiment, a computer device is provided, which may be a server, and its internal structure diagram may be as shown in fig. 6. The computer device includes a processor, a memory, an input/output interface, and a communication interface. The processor, the memory and the input/output interface are connected through a system bus, and the communication interface is connected to the system bus through the input/output interface. Wherein the processor of the computer device is configured to provide computing and control capabilities. The memory of the computer device includes a non-volatile storage medium and an internal memory. The non-volatile storage medium stores an operating system, a computer program, and a database. The internal memory provides an environment for the operating system and the computer program to run on the non-volatile storage medium. The database of the computer device is used for storing data. The input/output interface of the computer device is used for exchanging information between the processor and an external device. The communication interface of the computer device is used for connecting and communicating with an external terminal through a network. The computer program is executed by a processor to implement a method of self-help handoff between users sharing goods or services.
Those skilled in the art will appreciate that the architecture shown in fig. 6 is merely a block diagram of some of the structures associated with the disclosed aspects and is not intended to limit the computing devices to which the disclosed aspects apply, as particular computing devices may include more or less components than those shown, or may combine certain components, or have a different arrangement of components.
In an embodiment, a computer device is provided, comprising a memory and a processor, the memory having stored therein a computer program, the processor implementing the steps of the above method embodiments when executing the computer program.
In an embodiment, a computer-readable storage medium is provided, on which a computer program is stored, which computer program, when being executed by a processor, carries out the steps of the above-mentioned method embodiments.
In an embodiment, a computer program product is provided, comprising a computer program which, when executed by a processor, carries out the steps in the method embodiments described above.
The technical features of the above embodiments can be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the above embodiments are not described, but should be considered as the scope of the present specification as long as there is no contradiction between the combinations of the technical features.
The above-mentioned embodiments only express several embodiments of the present application, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present application. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the concept of the present application, and these are all within the scope of protection of the present application. Therefore, the protection scope of the present application should be subject to the appended claims.
Claims (8)
1. A digitized interactive electronic prescription, the electronic prescription comprising:
medical institution information, medical institution name, department, clinic number, doctor signature, and pharmacist signature;
patient information, fee, name, gender, age, treatment card number and contact information;
diagnostic information, clinical diagnostic results;
drug information, drug name, quantity, usage, drug cost;
prescription information, prescription type, identification code, date and effective date;
the method is characterized in that: the electronic prescription further comprises an image information display functional area for medicines and usage, a medicine use record and effect display operation functional area and an electronic prescription related personnel information interaction functional area.
2. The digital interactive electronic prescription according to claim 1, wherein: the image information of the medicine and the medicine usage is to provide a picture or video display function of the medicine in the area where the name character of the medicine is located, and provide a picture or video display function of the medicine usage in the area where the character of the usage is located.
3. The digital interactive electronic prescription according to claim 1, wherein: the electronic prescription related personnel information interaction functional area is an editable operation area arranged in the electronic prescription, and a doctor, a pharmacist or a patient can process the interaction information after opening the electronic prescription.
4. A method for applying a digitized interactive electronic prescription, the method comprising the steps of:
the electronic prescription is obtained and the electronic prescription is obtained,
based on the electronic prescription verification, the medicine is obtained,
in the case of electronic prescription record of the use and effect of the drug,
the electronic prescription-related user information is interacted,
and (5) carrying out statistical analysis.
5. The digital interactive electronic prescription application method of claim 4, wherein said checking and obtaining the medicine based on the electronic prescription comprises the steps of:
the payment of the fee for the electronic prescription,
the medicine is dispensed in a pharmacy,
the image information of the medicine is checked in the electronic prescription,
verifying the information and the application method of the medicine.
6. The method of claim 4, wherein the step of recording the usage and effect of the medicine in the electronic prescription comprises the steps of:
the use reminder of the medicine is set up,
the images of the medication usage are viewed,
the medication is administered and recorded,
staged effect was recorded.
7. A computer device comprising a memory, a processor and a computer program stored in the memory and executable on the processor, characterized in that the processor implements the method according to any of claims 4 to 6 when executing the computer program.
8. A readable storage medium comprising computer readable instructions which, when read and executed by a computer, cause the computer to carry out the method of any one of claims 4 to 6.
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| CN202211095606.9A CN115440336A (en) | 2022-09-08 | 2022-09-08 | Digital interactive electronic prescription and application method thereof |
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| CN202211095606.9A CN115440336A (en) | 2022-09-08 | 2022-09-08 | Digital interactive electronic prescription and application method thereof |
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Application publication date: 20221206 |
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| WW01 | Invention patent application withdrawn after publication |