CN115762705A - Dual-channel drug service management platform, and establishment method, device and equipment thereof - Google Patents
Dual-channel drug service management platform, and establishment method, device and equipment thereof Download PDFInfo
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Abstract
The invention provides a dual-channel medicine service management platform, and an establishment method, device and equipment thereof. The method comprises the following steps: acquiring dual-channel medicine catalog information and a disease category catalog, and constructing a dual-channel medicine service management platform according to the dual-channel medicine catalog information and the disease category catalog; acquiring first service information of a his system of a medical institution and second service information of an erp system of the medical institution; and associating the first service information with the dual-channel medicine catalog information, and associating the second service information with the dual-channel medicine catalog information so as to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel medicine service management platform. The method provided by the invention realizes the binding of the medical institution and the dual-channel drug service management platform and the binding of the medical institution and the dual-channel drug service management platform, thereby better performing unified management on the medical institution, the medical institution and the dual-channel drug service management platform.
Description
Technical Field
The invention relates to the technical field of information processing, in particular to a dual-channel medicine service management platform, and an establishment method, device and equipment thereof.
Background
The dual-channel management mechanism refers to a mechanism that after the state negotiates that the medicine enters the medical insurance catalogue, the patient participating in the insurance can purchase the medicine through two channels of a fixed-point medical institution and a fixed-point retail pharmacy and also enjoy the medical insurance reimbursement policy. In the past, if the fixed-point medical institution state negotiates that the medicine is out of stock, the patient can only go to a drugstore to buy for his own fee, and no information-based method is available for solving the problems of dual-channel prescription circulation and the management of the medicine usage negotiated by the state. Therefore, it is very important to develop a dual-channel-based drug service management platform.
However, the service objects of the current drug service management platform are unilateral, such as: the system is only a medicine service management platform facing a medical institution or a medicine service management platform facing the medical institution, but is not a medicine service management platform conforming to a dual-channel management mechanism at present.
Disclosure of Invention
The invention provides a dual-channel drug service management platform, and an establishment method, device and equipment thereof, which are used for meeting the requirements of a dual-channel drug management mechanism.
The invention provides a method for establishing a dual-channel drug service management platform, which comprises the following steps:
acquiring dual-channel medicine catalog information and a disease category catalog, and constructing a dual-channel medicine service management platform according to the dual-channel medicine catalog information and the disease category catalog; the dual-channel drug catalog information includes: the medicine name, the medical insurance business code, the specification dosage form, the quantity and the double-channel identification;
acquiring first service information of a his system of a medical institution and second service information of an erp system of the medical institution;
associating the first service information with the dual-channel drug service management platform; and associating the second service information with the dual-channel drug service management platform to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform.
According to the establishment method of the dual-channel drug service management platform, the first service information comprises the following steps: drug catalog information for the medical institution; the medicine catalog information includes: the corresponding medical insurance drug code, common name, specification, manufacturer and drug price of the drug;
the second service information includes: drug catalog information for a medical facility, the drug catalog information for the medical facility comprising: the corresponding medical insurance drug code, common name, specification, manufacturer and drug price of the drug;
the associating the first service information with the dual-channel drug service management platform; associating the second service information with the dual-channel drug service management platform to realize unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform, wherein the unified management comprises the following steps:
associating with the dual-channel drug service management platform according to the drug catalog information of the medical institution; associating with the dual-channel drug service management platform according to the drug catalog information of the medical institution;
the medical institution his system, the medical institution erp system and the dual-channel drug service management platform are managed in a unified manner by synchronizing the drug catalog information of the medical institution his system and the drug catalog information of the medical institution erp system.
According to the establishment method of the dual-channel drug service management platform, the first service information further comprises the record information of the medical institution;
examining and verifying the qualification of the medical institution according to the acquired filing information of the medical institution; under the condition that the record information of the medical institution meets the requirement, the record information of the medical institution is filed to finish the binding of the his system of the medical institution and the dual-channel drug service management platform, and the binding information is synchronized to the erp system of the medical institution and the his system of the medical institution; generating an audit opinion and feeding the audit opinion back to a his system of the medical institution under the condition that the filing information of the medical institution does not meet the requirement;
the filing information of the medical institution includes: business license, basic information of the medical institution, contact person, contact way and address of the medical institution;
the first service information further comprises physician and pharmacist filing information of the medical institution;
examining the qualification of the doctor pharmacist according to the acquired doctor filing information, finishing the binding of the doctor pharmacist and the dual-channel drug service management platform under the condition that the doctor filing information meets the requirement, and synchronizing the binding information to the medical institution erp system and the medical institution his system; under the condition that the physician and pharmacist filing information does not meet the requirement, generating an audit opinion and feeding the audit opinion back to a his system of a medical institution;
the physician pharmacist filing information comprises: personal identification information of the physician pharmacist, a certificate of authority.
According to the establishment method of the dual-channel medicine service management platform, provided by the invention, the first service information further comprises a dual-channel prescription medicine purchase order;
matching related medicines from the medical institution erp system according to the acquired two-channel prescription medicine purchasing order, synchronizing medicine matching information to insurance participating personnel, and synchronizing the two-channel prescription medicine purchasing order to the medical institution erp system so that the medical institution erp system can feed back address information of a pharmacy to a two-channel medicine service management platform;
the drug matching information includes: all in-store drug-selling stores corresponding to the related drugs and the prices corresponding to the related drugs; the related medicines are related to the two-channel prescription medicine purchasing order;
the second service information further includes: the pharmacy address information of the medical institution erp system is fed back; the medical institution erp system is a medical institution erp system corresponding to one of the medicine selling shops selected by the insured person according to the medicine matching information;
generating order payment information of related medicines according to the acquired address information of the pharmacy, and synchronizing the order payment information to security personnel;
the second service information further includes: the pharmacist checks the prescription result, the prescription settlement result and the distribution service information;
the prescription checking result is result information of checking the prescription and related medicines related to the prescription by a pharmacist of the medical institution according to the two-channel prescription purchasing order; the prescription settlement result is information for settlement of related medicines by the medical institution erp system according to the prescription examination result of the pharmacist; the delivery service information is service information for the medical institution erp system to perform related drug delivery according to the prescription settlement result;
the delivery service information includes: the information of the medicine purchasing personnel, the names of related medicines, the prices and the quantities of the medicines;
and storing and analyzing the second service information, and dynamically adjusting the current medicine according to the analysis result.
According to the establishment method of the dual-channel drug service management platform provided by the invention, the step of analyzing the second service information comprises the following steps:
and analyzing the double-channel prescription purchase order of the insurer according to the double-channel prescription purchase order, the prescription checking result, the prescription settlement result and the distribution service information, and synchronizing the analysis result to the medical institution erp system.
According to the establishment method of the dual-channel drug service management platform provided by the invention, the step of dynamically adjusting the current drug according to the analysis result comprises the following steps:
determining the actual inventory and price of the current medicine according to the double-channel prescription medicine purchasing order made by the medical institution and the distribution service information, and dynamically adjusting the reserve inventory of the medicine according to the actual inventory and price of the current medicine;
and dynamically adjusting the dual-channel drug service management platform according to the updated dual-channel drug catalogue information, and synchronizing the result of dynamic adjustment to security personnel.
According to the method for establishing the dual-channel drug service management platform provided by the invention, the first service information further comprises: the medical institution aims at the conditions of putting on and putting off the shelf of the double-channel medicine; the second service information further includes: the medicine mechanism aims at the situation that the medicine is put on the shelf and taken off the shelf; synchronously providing the racking and racking conditions of the double-channel medicines to the insured personnel through the medical institution or the medical institution so as to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the double-channel medicine service management platform;
the construction of the dual-channel drug service management platform according to the dual-channel drug catalog information and the disease category catalog comprises the following steps: classifying the dual-channel medicines according to the disease category catalog so as to meet the requirement that security personnel can quickly inquire information of related medicines;
the second service information further includes: adjusting goods application information; the dispatching application information is a dispatching application initiated by a medical institution under the condition of corresponding medicine shortage;
the implementation of the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform comprises the following steps:
and initiating a goods-transferring application to the superior mechanism according to the goods-transferring application information so as to enable the inventory of the current medicines of the medical mechanism to meet the storage requirement.
An apparatus for establishing a dual-channel drug service management platform, comprising:
the acquisition module is used for acquiring dual-channel medicine catalog information and a disease catalog;
the construction module is used for constructing a dual-channel medicine service management platform according to the dual-channel medicine catalog information and the disease category catalog; the dual-channel drug catalog information includes: the medicine name, the medical insurance business code, the specification dosage form, the quantity and the double-channel identification;
the acquisition module is further used for acquiring first service information of a his system of the medical institution and second service information of an erp system of the medical institution;
the association module is used for associating the first service information with the dual-channel drug service management platform; and associating the second service information with the dual-channel drug service management platform to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform.
The invention also provides a dual-channel drug service management platform which is established by adopting any one of the establishing methods.
The invention also provides an electronic device, which comprises a memory, a processor and a computer program which is stored on the memory and can run on the processor, wherein the processor executes the program to realize the establishment method of the dual-channel drug service management platform.
According to the dual-channel drug service management platform, the establishment method, the establishment device and the equipment, the first service information and the second service information are respectively associated with the dual-channel drug service management platform, so that a medical institution is bound with the dual-channel drug service management platform, and therefore unified management of the medical institution, the medical institution and the dual-channel drug service management platform is achieved.
Drawings
In order to more clearly illustrate the technical solutions of the present invention or the prior art, the drawings needed for the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and those skilled in the art can also obtain other drawings according to the drawings without creative efforts.
FIG. 1 is a flowchart of a method for establishing a dual-channel drug service management platform according to the present application;
FIG. 2 is a second flowchart of the method for establishing a dual-channel drug service management platform according to the present application;
FIG. 3 is a two-channel drug service management platform topology diagram provided by the present invention;
FIG. 4 is a third flowchart of a method for establishing a dual-channel drug service management platform according to the present application;
FIG. 5 is a schematic diagram of an apparatus for establishing a dual-channel drug service management platform according to the present invention;
fig. 6 is a schematic structural diagram of an electronic device provided in the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention clearer, the technical solutions of the present invention will be clearly and completely described below with reference to the accompanying drawings, and it is obvious that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Fig. 1 is a flowchart of a method for establishing a dual-channel drug service management platform according to the present application, and as shown in fig. 1, the method includes the following steps:
step 101: acquiring dual-channel medicine catalog information and a disease category catalog, and constructing a dual-channel medicine service management platform according to the dual-channel medicine catalog information and the disease category catalog; the dual-channel drug catalog information includes: the name of the medicine, the code of the medical insurance business, the specification dosage form, the quantity, the double-channel identification and the like.
Specifically, the dual-channel medicine catalog information is a national consultation dual-channel medicine general catalog selected by the medical insurance bureau, and a dual-channel medicine service management platform is built by taking the dual-channel medicine catalog information as basic data and through the national consultation dual-channel medicine general catalog and the disease category catalog. The platform imports the disease category directory information and the dual-channel medicine directory information into the platform according to the dual-channel disease category directory requirement determined by the medical insurance bureau, so that the disease category directory information and the dual-channel medicine directory information are associated and matched on the dual-channel medicine service management platform, the platform can be inquired according to the imported medicine directory, and the platform also supports export operation.
Moreover, the platform can classify the double-channel medicines according to the disease category catalog, so that the requirement that security personnel quickly inquire related medicine information on the platform is met. The dual-channel medicine service management platform has a medicine classification function and is mainly used for mobile application services of the insured person, and the insured person can quickly inquire related medicine information through the medicine classification module. Illustratively, the drug classification module can classify dual-channel drugs according to anti-tumor drugs, cardiovascular and cerebrovascular drugs, hepatobiliary drugs and the like, and meanwhile, the dual-channel drug service management platform can conveniently maintain and supplement dual-channel drug catalog information according to specific policies.
The dual-channel medicine service management platform maintains and supplements the dual-channel disease category according to policy requirements, and after medicine information is recorded, the dual-channel medicine service management platform corresponds to treatment medicines of different disease categories through fields such as names, categories and the like, so that the treatment medicines are matched with the dual-channel medicine category, and the treatment medicines of the disease categories are matched with the dual-channel medicine category.
Step 102: first service information of a his system of a medical institution and second service information of an erp system of the medical institution are acquired.
Specifically, the first service information may include: drug catalog information for the medical institution; the medicine catalog information includes: the corresponding medical insurance medicine code, the common name, the specification, the manufacturer and the medicine price. The second service information includes: the medicine catalog information of the medical institution also includes: the corresponding medical insurance medicine code, the common name, the specification, the manufacturer, the medicine price and the like of the medicine.
Step 103: associating the first service information with the dual-channel drug service management platform; and associating the second service information with the dual-channel drug service management platform to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform.
How to realize the association with the platform and perform unified management according to the medicine catalog information of the medical institution and the medicine catalog information of the medical institution is described below:
the method comprises the steps that association is carried out between the drug catalog information of the medical institution and the dual-channel drug service management platform; associating with the dual-channel drug service management platform according to the drug catalog information of the medical institution; the medical institution his system, the medical institution erp system and the dual-channel drug service management platform are managed in a unified manner by synchronizing the drug catalog information of the medical institution his system and the drug catalog information of the medical institution erp system.
Specifically, the two-channel drug service management platform established by the application is used for docking the drug catalogs of the his system and the erp system of the pharmacy based on the two-channel drug catalog information of the unified standard as basic data, performing intelligent matching and realizing synchronization of inventory and price information of the two-channel drug catalogs. The hospital his system is matched with the drug catalog of the erp system of the pharmacy through field contents of national medical insurance drug codes, universal names, specifications, manufacturers, medical insurance limit price and the like of dual-channel drug catalog information of the dual-channel drug service management platform, and the matching is carried out according to a unique coding mode, so that the current situation of different codes of the original hospital and the pharmacy is broken, the key linkage of standard drug information is realized, and the technical basis of the operation of the integrated platform of the dual-channel drug service is completed.
The establishment method of the dual-channel medicine service management platform realizes the unification and price management of dual-channel medicines by synchronizing the medicine catalog data of the his system and the erp system of the medical institution, ensures the unification of medicine information and services, and ensures the supply level of medicines negotiated by the nation.
The dual-channel drug service management platform constructed by the application matches the first service information with the dual-channel drug catalog information of the dual-channel drug service management platform, and synchronizes the matching information to the his system of the medical institution, so that the association between the his system of the medical institution and the dual-channel drug service management platform is realized.
In a similar way, the second service information is matched with the dual-channel medicine catalogue information of the dual-channel medicine service management platform through the built dual-channel medicine service management platform, and the matching information is synchronously sent to the erp system of the medical institution, so that the correlation between the erp system of the medical institution and the dual-channel medicine service management platform is realized.
According to the method for establishing the dual-channel drug service management platform, the first service information of the his system of the medical institution and the second service information of the erp system of the medical institution are respectively associated with the dual-channel drug service management platform, so that integrated management of the medical institution, the medical institution and the dual-channel drug service management platform is realized.
Further, the first service information also comprises the record information of the medical institution; the dual-channel medicine service management platform has a recording function and an auditing function. Specifically, the dual-channel drug service management platform audits the qualification of the medical institution according to the acquired filing information of the medical institution; under the condition that the record information of the medical institution meets the requirement, the record information of the medical institution is filed to finish the binding of the medical institution and the dual-channel drug service management platform, and the binding information is synchronized to the medical institution erp system and the medical institution his system; and under the condition that the record information of the medical institution does not meet the requirement, generating the auditing opinions and feeding the auditing opinions back to the his system of the medical institution. The filing information includes: business license, basic information of the medical institution, contact person, contact way, address, etc.
Specifically, the dual-channel drug service management platform carries out record registration management on the accessed medical institutions, the medical institutions provide record registration information and materials (business licenses, business licenses and the like), the dual-channel drug service contents can be provided after the record registration information and the materials pass the verification, the medical institution information is filed on the dual-channel drug service management platform, and the data can be checked. And the medical institution which does not pass the audit can check the audit opinions, perfect the submitted materials according to the feedback information of the audit opinions and submit the audit again.
Similarly, the second service information also comprises the record information of the medical institution; the dual-channel drug service management platform audits the qualification of the medical institution according to the acquired filing information of the medical institution; under the condition that the filing information of the medical institution meets the requirement, filing the filing information of the medical institution to finish the binding of the medical institution and the dual-channel drug service management platform, and synchronizing the binding information to the erp system of the medical institution and the his system of the medical institution; and generating an audit opinion and feeding the audit opinion back to the erp system of the medical institution under the condition that the filing information of the medical institution does not meet the requirement. The filing information includes: business license, basic information of medical institution, contact person, contact way, address, etc.
According to the establishment method of the dual-channel drug service management platform, the record information of the accessed medical institution and the medical institution is checked and filed, so that the medical institution and the dual-channel drug service management platform are bound, and the medical institution and the dual-channel drug service management platform are bound, so that the medical institution, the medical institution and the dual-channel drug service management platform can be better managed in a unified manner.
Further, the first service information further comprises physician and pharmacist filing information of the medical institution; the dual-channel drug service management platform checks the qualification of the doctor pharmacist according to the acquired doctor record information, completes the binding of the doctor pharmacist and the dual-channel drug service management platform under the condition that the doctor record information meets the requirement, and synchronizes the binding information to the medical institution erp system and the medical institution his system; and under the condition that the record information of the doctor and the pharmacist does not meet the requirement, generating an audit opinion and feeding the audit opinion back to the his system of the medical institution. The physician pharmacist filing information comprises: personal identification information of the physician pharmacist, a certificate of authority.
Specifically, before a medical practitioner carries out a dual-channel service, the medical qualification of the medical practitioner needs to be recorded, so that the qualification is qualified, the service is opened and closed, the medical practitioner uploads personal information and data (a medical qualification certificate and the like), the dual-channel service can be carried out through a dual-channel drug service management platform and the rear part, the medical practitioner records the information, and the data can be searched. The physician and pharmacist who do not pass the review can check the review opinions, perfect the submitted materials according to the feedback information of the opinions and submit the review again.
Similarly, the second service information further includes pharmacist filing information of the medical institution; and the dual-channel drug service management platform verifies the qualification of the pharmacist of the medical organization according to the acquired pharmacist filing information of the medical organization, completes the binding of the pharmacist of the medical organization and the dual-channel drug service management platform under the condition that the filing information of the pharmacist meets the requirement, and synchronizes the binding information to the erp system of the medical organization and the his system of the medical organization. The pharmacist filing information of the medical institution includes: pharmacist personal identification card information.
According to the method for establishing the dual-channel drug service management platform, the doctor and pharmacist filing information of the medical institution and the pharmacist filing information of the medical institution are checked and filed, so that the doctor and pharmacist of the medical institution are bound with the dual-channel drug service management platform and the pharmacist of the medical institution is bound with the dual-channel drug service management platform, and the medical institution, the medical institution and the dual-channel drug service management platform can be better managed in a unified manner.
Further, the first service information further comprises a two-channel prescription medicine purchase order; the dual-channel drug service management platform performs matching of related drugs from the medical institution erp system according to the acquired dual-channel prescription drug purchasing order, synchronizes drug matching information to security personnel, and synchronizes the dual-channel prescription drug purchasing order to the medical institution erp system so that the medical institution erp system feeds back address information of a drug store to the dual-channel drug service management platform; the drug matching information includes: all on-sale drugstores corresponding to the related medicines, prices corresponding to the related medicines, and the like.
The second service information further includes: the pharmacy address information of the medical institution erp system is fed back; the medical institution erp system is a medical institution erp system corresponding to one of the medicine selling shops selected by the insured person according to the medicine matching information.
The dual-channel medicine service management platform generates order payment information of related medicines according to the acquired address information of the pharmacy, and synchronizes the order payment information to the insured personnel.
The second service information further includes: the pharmacist checks the prescription result, the prescription settlement result and the distribution service information;
the prescription checking result is the result information of checking the prescription and the related medicines related to the prescription by a pharmacist of the medical institution according to the double-channel prescription purchasing order; the prescription settlement result is information for settlement of related medicines by the medical institution erp system according to the prescription examination result of the pharmacist; the delivery service information is service information for the medical institution erp system to perform related drug delivery according to the prescription settlement result; the delivery service information includes: the information of the distributed medicine purchasing personnel, the names of the related medicines, the prices and the quantities of the medicines.
And the dual-channel medicine service management platform stores and analyzes the acquired second service information, and dynamically adjusts the current medicine according to the analysis result. Moreover, the dual-channel medicine service management platform can also generate a download service link according to the acquired dual-channel prescription order, so that a pharmacist can download and check the prescription information, and submit the audit result and the audit suggestion of the prescription.
Further, analyzing the second service information includes: and analyzing the double-channel prescription purchase order of the insurer according to the double-channel prescription purchase order, the prescription checking result, the prescription settlement result and the distribution service information, and synchronizing the analysis result to the medical institution erp system.
Specifically, the dual-channel medicine service management platform performs unified management and supervision on the medicines, the medical institutions and the medical institutions according to the acquired dual-channel prescription order, the pharmacist prescription checking result, the prescription settlement result and the distribution service information. The dual-channel drug service management platform performs unified analysis, unified management and unified supervision on the service behaviors of fixed-point medical institutions and drug institutions, and ensures the dual-channel drug service safety and fund safety. The service behavior management mainly comprises double-channel in-hospital DIP/DRG behavior analysis, medicine use analysis, doctor analysis, hospital analysis, department analysis, diagnosis analysis and the like.
And the double-channel medicine service management platform analyzes the double-channel prescription purchase order of the participant according to the double-channel prescription purchase order, the prescription checking result, the prescription settlement result and the distribution service information, and synchronizes the analysis result to the erp system of the medical institution. The distribution service information comprises the distributed medicine price which is synchronously sent to the medical institution erp system and the medical institution his system through the dual-channel medicine service management platform, so the dual-channel medicine service management platform carries out full-flow tracing management on the dual-channel service according to links of dual-channel prescriptions, pharmacist checking prescriptions, dual-channel prescription medicine purchasing order circulation, selection of a drug store by a paramedic for placing an order to purchase a medicine and taking the medicine, prescription settlement, drug store distribution, medicine sign-in and the like, and the information of each node can be traced to the type of the executed service, the specific executing operator, the execution time and the execution state. The tracing module is also used for recording complete issuer and medicine lists, and settlement institutions, settlement amounts, settlement records and the like.
In addition, the dual-channel drug service management platform can also acquire dual-channel drug service associated data according to a his system or an erp system of a medical institution, and the data comprises: prescription data, drug data, settlement data, personal information data, and the like. The medical dual-channel drug service management platform performs tracing management on background data so as to meet the requirement of dual-channel service behavior supervision.
In addition, the dual-channel drug service management platform can also acquire doctor and pharmacist behavior records of the medical institution through a his system of the medical institution, acquire pharmacist behavior records of the medical institution through an erp system of the medical institution, select institution display related records, acquire issuing and examining records of the medical institution, and acquire examining records and settlement amounts of the medical institution and drug sales ex-warehouse.
The dual-channel medicine service management platform can also acquire a specific medicine list according to a his system of a medical institution, and the use frequency, the use amount record and the like of a specific medicine; and medicine distribution flow information can be obtained according to an erp system of a medical institution, and distribution behaviors are analyzed.
Fig. 2 is a second flow chart of the method for establishing the dual-channel drug service management platform of the present application, as shown in fig. 2, a medical insurance staff registers for a doctor of a fixed-point medical institution by a hospital for a doctor, the doctor of the medical institution makes a dual-channel prescription purchase order according to the disease condition of the medical insurance staff, the medical institution's prescription is checked (the prescription pharmacist checks the prescription information, checks the prescription structured data, previews the prescription original, checks the prescription issuing institution, the drug variety and quantity of the prescription, and submits the checking result and the checking suggestion), after the medical institution's pharmacist checks the prescription, the signed prescription is transferred to the dual-channel drug service management platform, the dual-channel drug service management platform intelligently matches the related drugs according to the transferred prescription, selects all the fixed-point drug institutions corresponding to the drugs according to the related drugs, and feeds back the information of the names, addresses, drug prices, and the like of all the drug institutions corresponding to the insurance staff to the fixed-point drug institutions, and the insurance staff selects one of the fixed-point drug institutions according to the feedback information; after acquiring the feedback information of the insured personnel, the order management module sends an order generation information to the order management module; after receiving the order generation information, the order management module pushes the information to the corresponding fixed-point medical institution, and after the corresponding fixed-point medical institution reviews the order generation information, the order is reviewed by a pharmacist of the medical institution (including the order information, prescription information, drug information and the like), and the order is accepted without errors. After receiving order receiving information, the order management module pushes order payment information to insured personnel, the insured personnel select to purchase medicine on a prescription detail page, a pharmacy meeting the conditions is selected to purchase and place an order, two modes of online ordering and offline ordering are supported, online ordering, ordering payment, distribution and receipt processes are completed online, the online ordering is that the medicine purchasing, ordering payment, distribution and receipt processes are completed online, the offline ordering is that the medicine purchasing and taking pharmacy is checked, and the insured personnel go to the offline pharmacy to show an identity card, a social security card or a medical security electronic certificate to order and purchase the medicine and settle accounts. After the insured person pays the order, the order management module receives the information that the insured person successfully pays, and then pushes the information that the payment is successful to the fixed-point medical mechanism, after the fixed-point medical mechanism receives the information that the payment is successful, the distributor sends the medicine to the home according to the address provided by the insured person, after the verification of the identity information of the insured person is completed, the insured person signs the medicine, the medical mechanism uploads the distribution information, the distribution flow is completed, the order distribution data is synchronously uploaded to the dual-channel medicine service management platform, and the data is filed, so that the order state can be checked and traced.
For the situation that the insured person orders the medicines online, the medicine institution uploads the medicine sales details to the dual-channel medicine service management platform, a pharmacist of the medicine institution allocates and packages the medicines, orders settlement is initiated to the dual-channel medicine service management platform, the insured person swipes a card or scans codes to complete order payment, the medicines are taken out, and the process is finished.
Further, the dual-channel drug service management platform further has a dynamic adjustment function, specifically: the platform obtains a double-channel prescription medicine purchasing order made by a medical institution through a his system of the medical institution and obtains distribution service information through an erp system of the medical institution to determine the actual inventory and price of the current medicine, and dynamically adjusts the stock of the double-channel medicine according to the actual inventory and price of the current medicine.
Specifically, the dual-channel drug service management platform maintains the inventory and the price of dual-channel drugs through the fixed-point medical institution and the medical institution, can ensure the real-time property of a service place and ensure the drug supply level, meets the real-time dynamic adjustment of drug inventory and price information, keeps consistent with a local drug catalog of the institution place, and avoids the problem that people who participate in insurance are stopped to run out of the way due to asynchronous information at two ends.
Simultaneously, binary channels medicine service management platform's function of traceing back still includes: and dynamically adjusting the dual-channel medicine service management platform according to the updated dual-channel medicine catalog information, and synchronizing the result of the dynamic adjustment to the insured personnel so as to meet the management requirement of the dynamic adjustment.
Specifically, the dual-channel drug catalog information can be adjusted correspondingly in real time according to the policy information, the dual-channel drug service management platform can periodically acquire the updated dual-channel drug catalog information, and the dual-channel drug service management platform can be dynamically adjusted according to the updated dual-channel drug catalog information.
The platform that this application provided, through the relevance of first service information and second service information and binary channels medicine service management platform, the realization still includes the unified management to medical institution his system, medical institution erp system and binary channels medicine service management platform:
the first service information further includes: the medical institution aims at the conditions of putting on and putting off the shelf of the double-channel medicine; the second service information further includes: the medical institution addresses the two-channel drug racking and racking condition.
The dual-channel medicine service management platform synchronously gives the information of putting medicines on and off the shelf to the insured personnel according to the putting-on and putting-off conditions of the dual-channel medicines by the medical institutions or the medical institutions.
Further, the second service information further includes: adjusting goods application information; the dispatching application information is a dispatching application initiated by a medical institution under the condition that the corresponding medicine is absent. And the double-channel medicine service management platform initiates a goods dispatching application to the superior mechanism according to the goods dispatching application information so as to enable the inventory of the current medicines of the medicine mechanism to meet the storage requirement.
Furthermore, the dual-channel medicine service management platform also has a convenient service function. Specifically, the platform can verify the ginseng and the insured person according to the identity information of the ginseng and the insured person by acquiring the identity information of the ginseng and the insured person, so that the ginseng and the insured person are associated with the dual-channel drug service management platform, and online drug searching and drug searching of the ginseng and the insured person can be realized through association.
Specifically, the insured person can register personal information by opening the dual-channel drug service management platform APP through the mobile phone terminal. After the participator and the dual-channel medicine service management platform are associated through registration, information such as hospital information, pharmacy information, circulating medicine catalogue information, settlement records and the like can be checked through the mobile phone mobile terminal.
Fig. 3 is a topological diagram of a dual-channel drug service management platform provided by the present invention, as shown in fig. 3, a hospital his server is connected to the platform through a private line of a medical insurance intranet, a relevant interface adopts an SSL encryption protocol, and based on a white list policy, a specified service is added to a connectable list, and unauthorized illegal access is prohibited, so as to guarantee network and data security of the hospital to the maximum extent. The platform is connected with the medical erp server through a private line of a medical insurance intranet, and the security and stability of the service are guaranteed by generally utilizing an SSL encryption protocol and a white list strategy. The paramedics use medical insurance official channel application to be in butt joint with the dual-channel drug service management platform through the internet, and the dual-channel drug service management platform provides standards and safety standards for channel application access, so that network and data safety of the platform is guaranteed.
The dual-channel drug service management platform server is connected with the platform through a private line of a medical insurance intranet, related interfaces adopt an SSL encryption protocol, and specified services are added into a connectable list based on a white list strategy, so that the network and data safety of the dual-channel drug service management platform is ensured.
Fig. 4 is a third flow chart of the establishing method of the dual-channel drug service management platform, in which medical institutions interact through platform prescription interfaces to synchronize dual-channel drug catalogs, dual-channel drug prescription orders, dual-channel drug stock price information, dual-channel drug delivery information and the like. The dual-channel drug service management platform opens the drug inventory and price maintenance function to the medical institution, and is connected with the drug inventory data to meet the requirement of dynamic adjustment, and the data maintenance supports two modes of background management page and interface connection.
The dual-channel medicine service management platform maintains the inventory and the price of dual-channel medicines through a fixed-point mechanism, can ensure real-time performance of a service place and guarantee medicine supply level, meets real-time dynamic adjustment of medicine inventory and price information, keeps consistent with local medicine catalogs of the mechanism place, and avoids the problem that a person taking the earth to keep off the roads from running out due to the fact that information at two ends is asynchronous.
The dual-channel medicine service management platform is used for a fixed-point organization to develop prescription verification service of dual-channel medicine purchase, and based on the service capability of a national medical insurance electronic prescription center, the platform provides a function of verifying a prescription to a drugstore in a background management page mode, and the requirements of the drugstore for downloading and verifying prescription information, submitting verification results and verification opinions are met.
The double-channel medicine service management platform realizes that a fixed-point medicine organization receives orders after a participant purchases and places the order through an order management module, obtains order data, and executes the operations of order generation, order allocation, settlement, distribution and the like.
The dual-channel drug service management platform provides a reference and security person convenient service module which is used for services of identity information verification, online drug searching and finding, order management, order payment and cancellation, drug signing and service inquiry and the like of a reference and security person.
The invention also provides a dual-channel drug service management platform which is established by adopting any one of the establishing methods.
The dual-channel medicine service management platform provided by the invention has the following advantages:
firstly, the platform provided by the invention matches the medicine service information through the unique corresponding double-channel medicine library of the medicine code of the medical insurance and through the universal name, classification, specification, manufacturer, the medical insurance limit price and the like, and realizes technical trace reservation by means of field identification, timestamp and the like.
Second, the system provides mechanism access and record registration operation, the mechanism and doctor pharmacist information completes platform entry and identity check filing on designed field specifications, the mechanism and doctor pharmacist identity information and prescription and medicine information are called first to complete identification check during business operation, the doctor pharmacist records conveniently and quickly, data are filed and checked on the platform uniformly, the work efficiency of the handling mechanism is greatly improved, and the access workload and work difficulty of the two-channel two-fixed mechanism are reduced.
And thirdly, the platform provides a dual-channel medicine purchasing and taking service by utilizing the characteristics of mobile internet such as identity recognition, prescription verification, medicine matching, mechanism matching, business information technology tracing and the like, so that the online and offline full coverage of the dual-channel medicine service is realized, different service requirements of the insured people are met, a characteristic medicine distribution service is provided, the required medicine is delivered to the insured people more quickly, and the platform has the requirement of a complete business application scene.
The present invention further provides an establishing device of a dual-channel drug service management platform, fig. 5 is a schematic structural diagram of the establishing device of the dual-channel drug service management platform provided by the present invention, as shown in fig. 5, the device includes:
an obtaining module 501, configured to obtain dual-channel drug catalog information and disease catalog;
a construction module 502, configured to construct a dual-channel drug service management platform according to the dual-channel drug catalog information and the disease catalog; the dual-channel medicine catalog information comprises: the name of the medicine, the code of the medical insurance business, the specification dosage form, the quantity, the double-channel identification and the like;
the obtaining module 501 is further configured to obtain first service information of a his system of a medical institution and second service information of an erp system of the medical institution;
the association module 503 is configured to associate the first service information with the dual-channel drug service management platform; and associating the second service information with the dual-channel drug service management platform to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform.
Fig. 6 illustrates a physical structure diagram of an electronic device, which may include, as shown in fig. 6: a processor (processor) 610, a communication interface 820, a memory 630 and a communication bus 640, wherein the processor 610, the communication interface 620 and the memory 630 are communicated with each other via the communication bus 640. Processor 610 may invoke logic instructions in memory 630 to perform a method of dual channel drug services management platform setup comprising:
acquiring dual-channel medicine catalog information and a disease category catalog, and constructing a dual-channel medicine service management platform according to the dual-channel medicine catalog information and the disease category catalog; the dual-channel drug catalog information includes: the name of the medicine, the code of the medical insurance business, the specification dosage form, the quantity, the double-channel identification and the like;
acquiring first service information of a his system of a medical institution and second service information of an erp system of the medical institution;
associating the first service information with the dual-channel drug service management platform; and associating the second service information with the dual-channel drug service management platform to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform.
In addition, the logic instructions in the memory 630 may be implemented in software functional units and stored in a computer readable storage medium when the logic instructions are sold or used as independent products. Based on such understanding, the technical solution of the present invention may be embodied in the form of a software product, which is stored in a storage medium and includes instructions for causing a computer device (which may be a personal computer, a server, or a network device) to execute all or part of the steps of the method according to the embodiments of the present invention. And the aforementioned storage medium includes: a U-disk, a removable hard disk, a Read-only memory (ROM), a Random Access Memory (RAM), a magnetic disk, an optical disk, or other various media capable of storing program codes.
The above-described embodiments of the apparatus are merely illustrative, and the units described as separate parts may or may not be physically separate, and parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the modules may be selected according to actual needs to achieve the purpose of the solution of the present embodiment. One of ordinary skill in the art can understand and implement it without inventive effort.
Through the above description of the embodiments, those skilled in the art will clearly understand that each embodiment can be implemented by software plus a necessary general hardware platform, and certainly can also be implemented by hardware. With this understanding in mind, the above-described technical solutions may be embodied in the form of a software product, which can be stored in a computer-readable storage medium such as ROM/RAM, magnetic disk, optical disk, etc., and includes instructions for causing a computer device (which may be a personal computer, a server, or a network device, etc.) to execute the methods described in the embodiments or some parts of the embodiments.
Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.
Claims (10)
1. A method for establishing a dual-channel drug service management platform is characterized by comprising the following steps:
acquiring dual-channel medicine catalog information and a disease category catalog, and constructing a dual-channel medicine service management platform according to the dual-channel medicine catalog information and the disease category catalog; the dual-channel medicine catalog information comprises: the medicine name, the medical insurance business code, the specification dosage form, the quantity and the double-channel identification;
acquiring first service information of a his system of a medical institution and second service information of an erp system of the medical institution;
associating the first service information with the dual-channel drug service management platform; and associating the second service information with the dual-channel drug service management platform to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform.
2. The method for establishing a dual-channel drug service management platform as claimed in claim 1, wherein the first service information comprises: drug catalog information for a medical facility; the drug catalog information includes: the corresponding medical insurance drug code, common name, specification, manufacturer and drug price of the drug;
the second service information includes: drug catalog information for a medical facility, the drug catalog information for the medical facility comprising: the corresponding medical insurance drug code, common name, specification, manufacturer and drug price of the drug;
the associating the first service information with the dual-channel medication service management platform; associating the second service information with the dual-channel drug service management platform to realize unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform, wherein the unified management comprises the following steps:
associating with the dual-channel drug service management platform according to the drug catalog information of the medical institution; associating with the dual-channel drug service management platform according to the drug catalog information of the medical institution;
the medicine directory information of the his system of the medical institution and the medicine directory information of the erp system of the medical institution are synchronized, so that unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel medicine service management platform is realized.
3. The method for establishing the dual-channel drug service management platform as claimed in claim 1 or 2, wherein the first service information further comprises filing information of medical institutions;
examining and verifying the qualification of the medical institution according to the acquired filing information of the medical institution; under the condition that the record information of the medical institution meets the requirement, the record information of the medical institution is filed to finish the binding of the his system of the medical institution and the dual-channel drug service management platform, and the binding information is synchronized to the erp system of the medical institution and the his system of the medical institution; generating an audit opinion and feeding the audit opinion back to a his system of the medical institution under the condition that the filing information of the medical institution does not meet the requirement;
the filing information of the medical institution includes: business license, basic information of the medical institution, contact person, contact way and address of the medical institution;
the first service information further comprises physician and pharmacist filing information of the medical institution;
examining the qualification of the doctor pharmacist according to the acquired doctor filing information, finishing the binding of the doctor pharmacist and the dual-channel drug service management platform under the condition that the doctor filing information meets the requirement, and synchronizing the binding information to the medical institution erp system and the medical institution his system; under the condition that the physician and pharmacist filing information does not meet the requirement, generating an audit opinion and feeding the audit opinion back to a his system of a medical institution;
the physician pharmacist filing information includes: personal identity information of the physician pharmacist, a certificate of authority.
4. The method for establishing a dual channel medication service management platform according to claim 3, wherein the first service information further comprises a dual channel prescription order for medication;
matching related medicines from the medical institution erp system according to the acquired two-channel prescription medicine purchasing order, synchronizing medicine matching information to insurance participating personnel, and synchronizing the two-channel prescription medicine purchasing order to the medical institution erp system so that the medical institution erp system can feed back address information of a pharmacy to a two-channel medicine service management platform;
the drug matching information includes: all in-store drug-selling stores corresponding to the related drugs and the prices corresponding to the related drugs; the related medicines are related to the two-channel prescription medicine purchasing order;
the second service information further includes: the pharmacy address information of the medical institution erp system is fed back; the medical institution erp system is a medical institution erp system corresponding to one of the medicine selling shops selected by the insured person according to the medicine matching information;
generating order payment information of related medicines according to the acquired address information of the pharmacy, and synchronizing the order payment information to security personnel;
the second service information further includes: the pharmacist checks the prescription result, the prescription settlement result and the distribution service information;
the prescription checking result is result information of checking the prescription and related medicines related to the prescription by a pharmacist of the medical institution according to the two-channel prescription purchasing order; the prescription settlement result is information for settlement of related medicines by the medical institution erp system according to the prescription examination result of the pharmacist; the delivery service information is service information for the medical institution erp system to perform related drug delivery according to the prescription settlement result;
the delivery service information includes: the information of the medicine purchasing personnel, the names of related medicines, the prices and the quantities of the medicines;
and storing and analyzing the second service information, and dynamically adjusting the current medicine according to the analysis result.
5. The method for establishing a dual-channel drug service management platform as claimed in claim 4, wherein analyzing the second service information comprises:
and analyzing the two-channel prescription purchase order of the insurer according to the two-channel prescription purchase order, the prescription checking result, the prescription settlement result and the distribution service information, and synchronizing the analysis result to the medical institution erp system.
6. The method for establishing a dual-channel drug service management platform as claimed in claim 4, wherein the dynamically adjusting the current drug according to the analysis result comprises:
determining the actual inventory and price of the current medicine according to the double-channel prescription medicine purchasing order made by the medical institution and the distribution service information, and dynamically adjusting the reserve inventory of the medicine according to the actual inventory and price of the current medicine;
and dynamically adjusting the dual-channel medicine service management platform according to the updated dual-channel medicine catalog information, and synchronizing the result of the dynamic adjustment to the insured personnel.
7. The method for establishing a dual-channel drug service management platform as claimed in claim 4,
the first service information further includes: the medical institution aims at the conditions of putting on and putting off the shelf of the double-channel medicine; the second service information further includes: the medicine mechanism aims at the situation that the medicine is put on the shelf and taken off the shelf; synchronously providing the racking and racking conditions of the double-channel medicines to the insured personnel through the medical institution or the medical institution so as to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the double-channel medicine service management platform;
the establishment of the dual-channel drug service management platform according to the dual-channel drug catalog information and the disease catalog comprises the following steps: classifying the dual-channel medicines according to the disease category catalog so as to meet the requirement that security personnel can quickly inquire information of related medicines;
the second service information further includes: adjusting goods application information; the dispatching application information is a dispatching application initiated by a medical institution under the condition of corresponding medicine shortage;
the realization of the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform comprises the following steps:
and initiating a goods-transferring application to the superior mechanism according to the goods-transferring application information so as to enable the inventory of the current medicines of the medical mechanism to meet the storage requirement.
8. The utility model provides an establishing means of binary channels medicine service management platform which characterized in that includes:
the acquisition module is used for acquiring dual-channel medicine catalog information and a disease catalog;
the construction module is used for constructing a dual-channel medicine service management platform according to the dual-channel medicine catalog information and the disease category catalog; the dual-channel drug catalog information includes: the medicine name, the medical insurance business code, the specification dosage form, the quantity and the double-channel identification;
the acquisition module is further used for acquiring first service information of a his system of a medical institution and second service information of an erp system of the medical institution;
the association module is used for associating the first service information with the dual-channel drug service management platform; and associating the second service information with the dual-channel drug service management platform to realize the unified management of the his system of the medical institution, the erp system of the medical institution and the dual-channel drug service management platform.
9. A dual channel medication service management platform established using the establishment method of any one of claims 1-7.
10. An electronic device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor implements the method of establishing the dual channel medication service management platform according to any one of claims 1 to 7 when executing the program.
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| CN116525060A (en) * | 2023-06-25 | 2023-08-01 | 中南大学 | Intelligent area monitoring method and system based on medical product supervision model |
| CN116525060B (en) * | 2023-06-25 | 2023-10-03 | 中南大学 | Intelligent area monitoring method and system based on medical product supervision model |
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