CN116130118A - System and method for online consultation and remote prescription auditing of medical practitioner - Google Patents
System and method for online consultation and remote prescription auditing of medical practitioner Download PDFInfo
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- CN116130118A CN116130118A CN202310161814.2A CN202310161814A CN116130118A CN 116130118 A CN116130118 A CN 116130118A CN 202310161814 A CN202310161814 A CN 202310161814A CN 116130118 A CN116130118 A CN 116130118A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- 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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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F16/00—Information retrieval; Database structures therefor; File system structures therefor
- G06F16/20—Information retrieval; Database structures therefor; File system structures therefor of structured data, e.g. relational data
- G06F16/22—Indexing; Data structures therefor; Storage structures
- G06F16/2228—Indexing structures
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q20/00—Payment architectures, schemes or protocols
- G06Q20/08—Payment architectures
- G06Q20/20—Point-of-sale [POS] network systems
- G06Q20/209—Specified transaction journal output feature, e.g. printed receipt or voice output
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06V—IMAGE OR VIDEO RECOGNITION OR UNDERSTANDING
- G06V40/00—Recognition of biometric, human-related or animal-related patterns in image or video data
- G06V40/10—Human or animal bodies, e.g. vehicle occupants or pedestrians; Body parts, e.g. hands
- G06V40/12—Fingerprints or palmprints
- G06V40/13—Sensors therefor
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
Abstract
The invention discloses a system and a method for carrying an offline diagnosis and treatment mode to online through a network, improving the medical practice of a patient, avoiding the situation that the patient cannot go to an authoritative specialty hospital for medical treatment due to regional problems, not obtaining professional diagnosis, influencing the development of illness, docking the hospital, a pharmacy and the patient, taking a prescription for the patient by using the professional knowledge of a doctor, and simultaneously supervising and checking the rationality of the prescription by the pharmacy practitioner, thereby avoiding the defect of the prescription due to the error of the doctor, ensuring the medication safety of the patient, exchanging with the doctor through the network, greatly shortening the medical treatment and treatment time of the patient, improving the diagnosis and treatment efficiency, and providing comments on unreasonable prescriptions for medication through the examination of the whole prescription and the medication consultation service of the patient through the network. Promoting the rationality of the prescription of the clinician and reducing the occurrence of medical accidents.
Description
Technical Field
The invention relates to the technical field of medical systems, in particular to a system and a method for on-line consultation and remote prescription auditing of medical practitioners.
Background
Prescriptions refer to medical documents that are prescribed for patients in medical practice by registered medical practitioners and medical assistant physicians (hereinafter referred to as physicians), are reviewed, formulated, checked by a pharmaceutical professional (hereinafter referred to as pharmacist) who qualifies for the pharmaceutical professional's duty, and serve as patient medication vouchers. The prescription includes a medical order for administration to the medical facility. Prescriptions are written documents of medicines for patients by doctors, are the basis for medicines to be prepared by medicament personnel, and have legal, technical and economic responsibilities.
The patient needs to visit a hospital, needs to exchange with doctors face to face through queuing and calling, then the doctors issue prescription drug orders according to the illness state of the patient, and in general, the hospital is also provided with special prescription verification departments, but prescriptions outside the hospital cannot be provided with auditing services, when the patient takes the prescriptions to take the drugs at the pharmacy, the pharmacy cannot judge the rationality of the prescriptions, and meanwhile, the pharmacy cannot reach the condition of a plurality of professional pharmacists, if the medical accidents caused by the prescriptions are overtaken, the rationality of the prescriptions cannot be judged by the pharmacy, so that the medical accidents caused by the medical accidents can influence the enterprise image of the pharmacy and the speciality of the pharmacy, and meanwhile, the auditing of the prescriptions cannot be supervised in time by authoritative supervision departments, so that the medical accidents are caused.
Disclosure of Invention
In order to achieve the above purpose, the present invention provides the following technical solutions: the system comprises a consultation module, a prescription auditing module, a store sales module and a prescription storage module, wherein the output end of the consultation module is electrically connected with the input end of the prescription auditing module through a network, the output end of the prescription auditing module is electrically connected with the input end of the store sales module through the network, and the output end of the store sales module is electrically connected with the input end of the prescription storage module through the network;
the inquiry module utilizes a network to dock the patient with a cooperative Internet hospital doctor, so that the doctor can diagnose the illness state of the patient on line, and simultaneously, a prescription is prescribed on line;
the prescription auditing module is used for remotely auditing the prescriptions issued by doctors through a network by a medical practitioner, checking the rationality of the prescriptions, avoiding the loopholes and flaws of the prescriptions, avoiding the occurrence of medical accidents, and improving the enterprise image of the pharmacy;
the store sales module is used for receiving the patient, providing medication consultation and medicine sales service for the patient, simultaneously providing guidance for on-line consultation, helping the patient to quickly carry out consultation with doctors, and simultaneously registering and recording the sold medicine and prescriptions for storage;
the prescription preservation module is used for archiving and preserving the prescriptions received by a store under the line, so that the patient's illness state can be tracked conveniently, the medication compliance of the patient can be promoted, the recovery of the patient's illness state can be facilitated, and the prescriptions can be uploaded to the cloud for preservation.
Preferably, the main system of the prescription auditing module is set up in a headquarter of an online store, a remote auditing room is set up in the headquarter, the remote auditing room is administrated by a attribution quality management part, the auditing system of the remote auditing room is connected with the online store system through a network, the auditing room is provided with a standard computer, a high-definition camera, a fingerprint card reader and a headset, the computer system can quickly inquire each remote electronic prescription, and the computer system is backed up daily and stored in a safe place, and the storage time is not less than 5 years; and a special computer, a high-definition snapshot instrument, a printer and a high-definition camera are arranged in an off-line store.
Preferably, the step of the inquiry module when receiving an inquiry of a patient is as follows:
the method comprises the steps that firstly, a patient goes to an off-line store to consult medical knowledge, and sales personnel of the off-line store select to directly provide non-prescription drugs for the patient according to the description of the patient or start inquiry software according to the requirement of the patient;
secondly, opening inquiry software with the assistance of on-line store sales personnel, filling basic information of a patient in the inquiry software, documenting the patient, selecting an Internet hospital according to the description of the patient, registering different departments, and then selecting different doctors for consultation;
thirdly, a doctor prescribes according to the inquiry of the patient, the patient communicates with the inquiry doctor in a voice and video mode, and the doctor carries out the hope treatment in the hope inquiry diagnosis of the patient through the video, so that the illness state of the patient is better known;
and fourthly, uploading the prescriptions issued by doctors to a prescription auditing department of a headquarter by sales staff of off-line stores, and uploading the prescriptions edited by patients to the prescription auditing department.
Preferably, the store sales module processes the fed back prescription, and includes the following steps:
1) Screening non-passing prescriptions according to the prescription feedback list, then reading non-passing comments of a prescription auditing department according to the prescription feedback list, informing a patient of unreasonable problems of prescriptions, suggesting non-allocation, terminating the process, and printing prescriptions on a passing prescription line store;
2) The needed prescription medicine is grabbed according to the dosage according to the prescription, pos tickets are printed, and meanwhile, information of the pos tickets is recorded into an off-line store system;
3) The offline store dispenses the formulated prescription drug to the patient and directs the patient to take the medication.
Preferably, the prescription storage module comprises a store storage system and a public supervision system, wherein the store storage system stores the prescriptions in the store system for two years according to the input time of the prescriptions in a month, and the public supervision system needs off-line store sales personnel to upload the prescription data to the prescription circulation supervision platform through the off-line store sales system.
Preferably, the prescription auditing module is externally provided with a prescription exception plan, and the prescription exception plan comprises the following steps:
1. enqueue prescriptions are in doubt in the course of the auditing party;
(1) performing remote auditing operations after verifying prescription drug indications, clinical medications and other aspects in the medication assistant platform;
(2) establishing a secondary examination system: if the remote auditing party pharmacist cannot judge whether the prescription is reasonable, starting the secondary auditing party to extract excellent Chinese and western medical practitioners from the remote auditing party medical practitioners and company quality responsible persons to establish a secondary auditing party medical professional library, and comprehensively analyzing prescription information and auditing results of the auditing party medical practitioners by the medical practitioners responsible for the secondary auditing party to confirm the rationality of the prescription: if the prescription is reasonable, the medicines can be sold according to the prescription; if the verification is not reasonable, informing the patient to contact the prescription doctor, and suggesting modification or rescuing;
2. if the risk of the patient medication is found in the prescription auditing process, the pharmacist should develop site or medication consultation service on the patient, further know the problem of the patient medication and give professional guidance;
3. establishing a feedback mechanism: and establishing a feedback mechanism of an unreasonable prescription, and storing corresponding records.
Preferably, a large screen system is arranged in the remote auditing party, and the monitoring of a plurality of chain off-line stores is put on the large screen by utilizing a network, so that the off-line stores are helped to be theft-proof, and the headquarters can conveniently know the commodity management and customer service operation conditions of the off-line stores.
Preferably, six medical practitioners are arranged in the remote auditing party room, wherein two medical practitioners with double license are arranged, three medical practitioners are arranged, and one medical practitioners are arranged.
Preferably, the requirements of the internet hospital development project: the hospital license copy service mode is required to have an internet diagnosis and treatment project, and the internet diagnosis and treatment activities are developed to be consistent with the diagnosis and treatment subjects; the pharmacist end registration pharmacist is authenticated by a real name and GDCA, the pharmacist qualification is more authorized, the pharmacist account registration authentication is carried out according to operation guidance, the registered pharmacist remote audit account needs to provide name, license number, front and back sides of an identity card and handwritten signature picture information for audit, an off-line store headquarters computer network is provided with a fixed external network IP, the broadband is 100M enterprise-level optical fiber, and a medical professional book is arranged in the remote audit room so that the pharmacist can conveniently inquire, meanwhile, a computer system machine room is provided with a special generator, and the remote audit service can be ensured when power failure occurs.
Based on the system for on-line consultation and remote prescription auditing of a medical practitioner, the system also provides a method for on-line consultation and remote prescription auditing of the medical practitioner, which comprises the following steps:
s1, a patient goes to an off-line store, on-line consultation software is connected with the patient with the assistance of an off-line store sales person, substrate information is registered, corresponding hospitals and doctors are registered, the patient and the doctors are in face-to-face butt joint by utilizing the Internet, and then the doctors prescribe the illness state of the patient;
s2, uploading prescriptions made by doctors or prescriptions carried by patients to a remote auditing party room of a pharmacy headquarter by off-line store sales personnel, performing professional auditing on the prescriptions uploaded by the off-line store by a plurality of pharmacists arranged in the remote auditing party room, and replying questions in the prescriptions, and simultaneously issuing the processed prescriptions to the off-line store uploaded by the off-line store;
s3, after the off-line store is replied by a headquarter remote examination room, downloading a prescription feedback list, reading a prescription which does not pass through according to the prescription feedback list, explaining and analyzing a patient, meanwhile, capturing a medicine through the dosage of the prescription by a salesperson for the prescription which passes through examination, guiding the medication of the patient, and then recording a printed pos ticket into an off-line store system;
s4, sales personnel of the off-line store the prescriptions in the store system, sort the prescriptions according to month, store the prescriptions for two years, and upload the prescriptions to the prescription circulation supervision platform.
Compared with the prior art, the invention has the beneficial effects that:
1. according to the invention, the off-line consultation mode is carried to on-line through the network, so that the actual medical effect of a patient is improved, meanwhile, the situation that the patient cannot go to an authoritative specialty hospital for medical treatment due to regional problems is avoided, professional diagnosis is not obtained, the development of illness state is influenced, the hospital, a pharmacy and the patient are in butt joint, prescriptions are prescribed for the patient by using the professional knowledge of doctors, meanwhile, the rationality of the prescriptions is supervised and checked, the defect of the prescriptions due to the errors of doctors is avoided, the medication safety of the patients is ensured, the network is used for communicating with the doctors, the medical consultation time is greatly shortened, the consultation efficiency is improved, the whole-course examination of the prescriptions is performed through the network, the cost of the pharmacy is reduced, the requirements of a plurality of pharmacies are not required, the unreasonable prescriptions can be corrected, the occurrence of medical accidents is reduced, the enterprise image of the pharmacy is improved, and the development of enterprises is facilitated.
2. The invention provides a basis for the disease development of the patient in the future through reserving the prescription, is convenient for the subsequent treatment of the patient, and simultaneously utilizes the prescription circulation supervision platform to supervise the prescription and carry out the responsibility following on the medical accident.
Drawings
FIG. 1 is a block diagram of a system flow of the present invention.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
The invention provides a system for on-line consultation and remote prescription auditing of medical practitioners, as shown in fig. 1, which comprises a consultation module, a prescription auditing module, a store sales module and a prescription preservation module, and is characterized in that: the output end of the inquiry module is electrically connected with the input end of the prescription auditing module through a network, the output end of the prescription auditing module is electrically connected with the input end of the store sales module through a network, and the output end of the store sales module is electrically connected with the input end of the prescription storage module through a network;
the inquiry module utilizes a network to dock the patient with a cooperative Internet hospital doctor, so that the doctor can diagnose the illness state of the patient on line, and simultaneously, a prescription is prescribed on line;
the prescription auditing module is used for remotely auditing the prescriptions issued by doctors through a network by a medical practitioner, checking the rationality of the prescriptions, avoiding the occurrence of unreasonable medication of the prescriptions, avoiding the occurrence of medical accidents, and improving the enterprise image of the pharmacy;
the store sales module is used for receiving the patient, providing medication consultation and medicine sales service for the patient, simultaneously providing guidance for on-line consultation, helping the patient to quickly carry out consultation with doctors, and simultaneously registering and recording the sold medicine and prescriptions for storage;
the prescription preservation module is used for archiving and preserving the prescriptions received by a line store, tracking the medication condition of a patient conveniently, improving the medication compliance of the patient, being beneficial to the recovery of the patient's illness state, uploading the prescriptions to the cloud end, facilitating preservation and review, carrying the line-down consultation mode to the line for carrying out the examination, improving the medical practice of the patient, avoiding the fact that the patient cannot go to an authoritative special hospital for medical treatment due to regional problems, not obtaining professional diagnosis, affecting the development of the illness state, butting the hospital, the pharmacy and the patient, utilizing the professional knowledge of doctors to prescribe the patient, simultaneously supervising and checking the rationality of the prescriptions, avoiding the defect of the prescriptions due to the error of the doctors, and guaranteeing the medication safety of the patient.
The main system of the prescription auditing module is set up at a headquarter of an online store, a remote auditing room is set up at the headquarter, the auditing system of the remote auditing room is connected with the online store system through a network, the auditing room is provided with a standard computer, a high-definition camera, a fingerprint card reader and a headset, the computer system can quickly inquire each remote electronic prescription, the computer system is backed up daily and stored in a safe place, and the storage time is not less than 5 years; the off-line store is provided with a special computer, a high-definition snapshot instrument, a printer and a high-definition camera, and a remote audit room is established at a headquarter of the off-line store of the pharmacy.
The inquiry module comprises the following steps when receiving an inquiry of a patient:
the method comprises the steps that firstly, a patient goes to an off-line store to consult medical knowledge, sales staff of the off-line store directly provides non-prescription medicines for the patient according to the description selection of the patient or starts inquiry software aiming at the requirement of the patient, and through the establishment of the inquiry software, not only can the medical consultation be carried out under the accompany of the sales staff of the off-line store, but also the patient can independently register the inquiry software to communicate with doctors by utilizing a network, so that the medical inquiry time is greatly shortened, and the inquiry efficiency is improved;
secondly, opening inquiry software with the assistance of on-line store sales staff, filling basic information of a patient in the inquiry software, filing the patient, selecting an Internet hospital according to the description of the patient, registering different departments, and then selecting different doctors to consult, wherein the patient is filed in the inquiry software, so that the inquiry time of the doctor on the patient can be shortened, inquiry projects can be reduced, and meanwhile, according to the filled basic information of the patient, the system can recommend corresponding hospitals and doctors according to the condition of the patient to conduct targeted guiding and medical treatment;
thirdly, a doctor prescribes according to the inquiry of the patient, the patient communicates with the inquiry doctor in a voice and video mode, and the doctor carries out the looking-at treatment in the looking-at inquiring-inquiring diagnosis on the patient through the video, so that the illness state of the patient is better known;
and fourthly, uploading the prescriptions issued by doctors to a prescription auditing department of a headquarter by sales staff of an off-line store, uploading the prescriptions issued by the hospitals to the prescription auditing department by the sales staff of the off-line store, uploading the prescriptions issued by the hospitals to the prescription auditing department by the off-line store, and uploading the prescriptions issued by the patients, so that the doubt of the rationality of the prescriptions of the patients is eliminated, and the image of an enterprise is improved, so that the patients approve the pharmacy.
The store sales module processes the fed back prescription, and comprises the following steps:
screening a non-passing prescription according to a prescription feedback list, then reading the non-passing opinion of a prescription auditing department according to the prescription feedback list, informing a patient of unreasonable problems of the prescription, suggesting not to allocate, terminating the flow, printing the prescription for a passing prescription off-line store, processing the prescription according to the prescription feedback list fed back by a headquarter prescription auditing department by the off-line store, informing the patient of unreasonable prescriptions, dissuading the patient to discard the unreasonable prescriptions, and meanwhile, taking the medicine for reasonable prescriptions according to the marked doses of the prescriptions;
secondly, grabbing and dispensing the required prescription medicine according to the dosage according to the prescription, printing pos tickets, and recording information of the pos tickets into an off-line store system;
and thirdly, the prepared prescription medicine is distributed to patients by an off-line store, and the patients are guided by the medicine.
The prescription preservation module comprises a store preservation system and a public supervision system, wherein the store preservation system preserves the prescriptions in the store system for two years according to the input time of the prescriptions, the public supervision system needs off-line store sales personnel to upload prescription data to a prescription circulation supervision platform through the off-line store sales system, the prescriptions are reserved, a basis is provided for the disease development of patients in the future, the follow-up treatment of the patients is facilitated, the prescriptions are supervised by the prescription circulation supervision platform, and the medical accidents are overturned.
The prescription auditing module is externally provided with a prescription exception plan, and the prescription exception plan comprises the following steps:
1. enqueue prescriptions are in doubt in the course of the auditing party;
(1) performing remote auditing operations after verification of prescription drug indications, clinical medications, and other aspects in a "medication assistant" platform;
(2) establishing a second-level examination system: if the remote auditing party pharmacist cannot judge whether the prescription is reasonable, starting a secondary auditing party to extract excellent Chinese and western medical practitioners from the remote auditing party medical practitioners, and establishing a secondary auditing party medical practitioners library by a company quality responsible person, and comprehensively analyzing prescription information and auditing results by the medical practitioners responsible for the secondary auditing party to confirm the rationality of the prescription: if the prescription is reasonable, the medicines can be sold according to the prescription; if the verification is not reasonable, informing the patient to contact the prescription doctor, and suggesting modification or rescuing;
2. if the risk of the patient medication is found in the prescription auditing process, the pharmacist should develop site or medication consultation service on the patient, further know the problem of the patient medication and give professional guidance;
3. establishing a feedback mechanism: and establishing a feedback mechanism of an unreasonable prescription, and storing corresponding records.
The large screen system is arranged in the remote auditing party room, the monitoring of a plurality of chain off-line stores is put on the large screen by utilizing the network, the off-line store commodity theft prevention is helped, and the headquarter can conveniently know commodity management and customer service management conditions of the off-line stores.
Six medical practitioners are arranged in the remote auditing party room, wherein two medical practitioners with double certificates, three medical practitioners, one medical practitioners, a plurality of medical practitioners with different professions are set up, and auditing services are provided for prescriptions of different types.
Requirements for internet hospitals to develop projects: the hospital license copy service mode is required to have an internet diagnosis and treatment project, and the internet diagnosis and treatment activities are developed to be consistent with the diagnosis and treatment subjects; the medical chef end registration medical chef is authenticated by a real name and GDCA, the medical chef qualification is more authorized by compliance, the medical chef account registration authentication is carried out according to operation guidance, the account number of a remote auditing party of the registered medical chef needs to provide name, license number of the medical chef, front and back sides of an identity card and handwritten signature picture information for auditing, an off-line store headquarters computer network is provided with a fixed external network IP, the broadband is 100M enterprise-level optical fiber, a remote auditing party room is provided with Chinese pharmacopoeia, clinical pharmacy and other medical professional books so as to facilitate the inquiry of the medical chef, and meanwhile, a computer system room is provided with a special generator, so that the remote auditing party service can be ensured when the power failure is encountered, and the qualification of an on-line network hospital and an on-line doctor is audited so as to avoid the occurrence of non-license hospitals and doctors in a consultation platform.
Based on the system for on-line consultation and remote prescription auditing of a medical practitioner, the system also provides a method for on-line consultation and remote prescription auditing of the medical practitioner, which comprises the following steps:
s1, a patient goes to an off-line store, on-line consultation software is connected with the patient with the assistance of an off-line store sales person, substrate information is registered, corresponding hospitals and doctors are registered, the patient and the doctors are in face-to-face butt joint by utilizing the Internet, and then the doctors prescribe the illness state of the patient;
s2, uploading prescriptions made by doctors or prescriptions carried by patients to a remote auditing party room of a pharmacy headquarter by off-line store sales personnel, performing professional auditing on the prescriptions uploaded by the off-line store by a plurality of pharmacists arranged in the remote auditing party room, and replying questions in the prescriptions, and simultaneously issuing the processed prescriptions to the off-line store uploaded by the off-line store;
s3, after the off-line store is replied by a headquarter remote examination room, downloading a prescription feedback list, reading a prescription which does not pass through according to the prescription feedback list, explaining and analyzing a patient, meanwhile, capturing a medicine through the dosage of the prescription by a salesperson for the prescription which passes through examination, guiding the medication of the patient, and then recording a printed pos ticket into an off-line store system;
s4, sales personnel of the off-line store the prescriptions in the store system, sort the prescriptions according to month, store the prescriptions for two years, and upload the prescriptions to the prescription circulation supervision platform.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. The utility model provides a system of online consultation and remote prescription audit of medical practitioner, includes inquiry module, prescription audit module, store sales module and prescription save module, its characterized in that: the output end of the inquiry module is electrically connected with the input end of the prescription auditing module through a network, the output end of the prescription auditing module is electrically connected with the input end of the store sales module through a network, and the output end of the store sales module is electrically connected with the input end of the prescription storage module through a network;
the inquiry module utilizes a network to dock the patient with a cooperative Internet hospital doctor, so that the doctor can diagnose the illness state of the patient on line, and simultaneously, a prescription is prescribed on line;
the prescription auditing module is used for remotely auditing the prescriptions issued by doctors through a network by a medical practitioner, checking the rationality of the prescriptions, avoiding the occurrence of unreasonable medication of the prescriptions, avoiding the occurrence of medical accidents, and improving the enterprise image of the pharmacy;
the store sales module is used for receiving the patient, providing medication consultation and medicine sales service for the patient, simultaneously providing guidance for on-line consultation, helping the patient to quickly carry out consultation with doctors, and simultaneously registering and recording the sold medicine and prescriptions for storage;
the prescription preservation module is used for archiving and preserving the prescriptions received by a store under the line, so that the medication condition of a patient can be tracked conveniently, the medication compliance of the patient can be improved, the recovery of the illness state of the patient can be facilitated, the prescriptions can be uploaded to the cloud end, and the prescriptions can be preserved and consulted conveniently.
2. The system for on-line consultation and medical practitioner remote prescription auditing of claim 1, wherein: the main system of the prescription auditing module is set up at a chain headquarter of an online store, a remote auditing room is set up at the chain headquarter, the auditing system of the remote auditing room is managed by a attribution quality management part, the auditing system of the remote auditing room is connected with the online store system through a network, the auditing room is provided with a standard computer, a high-definition camera, a fingerprint card reader and a headset, the computer system can quickly inquire each remote electronic prescription, and the computer system is backed up daily and stored in a safe place for a storage time of not less than 5 years; and a special computer, a high-definition snapshot instrument, a printer and a high-definition camera are arranged in an off-line store.
3. A system for on-line consultation and medical practitioner remote prescription auditing as defined in claim 2, in which: the inquiry module comprises the following steps when receiving an inquiry of a patient:
the method comprises the steps that firstly, a patient goes to an off-line store to consult medical knowledge, and sales personnel of the off-line store select to directly provide non-prescription drugs for the patient according to the description of the patient or start inquiry software according to the requirement of the patient;
secondly, opening inquiry software with the assistance of on-line store sales personnel, filling basic information of a patient in the inquiry software, documenting the patient, selecting an Internet hospital according to the description of the patient, registering different departments, and then selecting different doctors for consultation;
thirdly, a doctor prescribes according to the inquiry of the patient, the patient communicates with the inquiry doctor in a voice and video mode, and the doctor carries out the hope treatment in the hope inquiry diagnosis of the patient through the video, so that the illness state of the patient is better known;
and fourthly, uploading the prescriptions issued by doctors to a prescription auditing department of a headquarter by sales staff of off-line stores, and uploading the prescriptions edited by patients to the prescription auditing department.
4. A system for on-line consultation and medical practitioner remote prescription auditing as in claim 3, in which: the store sales module comprises the following steps when the prescription passing through the examination is allocated and distributed:
1) Screening prescriptions which are not approved according to the approval comments of the remote medical practitioner, then reading the non-approved comments of the prescriptions according to the approval comments of the remote medical practitioner, informing a patient of unreasonable problems of prescriptions, suggesting not to be allocated, terminating the process, and printing prescriptions on a passing prescription line store;
2) Preparing the required prescription drugs according to the prescriptions, printing pos tickets, and recording the information of the pos tickets into an off-line store sales system;
3) The offline store dispenses the formulated prescription drug to the patient and orders the patient for medication.
5. The system for on-line consultation and medical practitioner remote prescription review of claim 4 wherein: the prescription storage module comprises a store storage system and a cloud system, wherein the store storage system stores the prescriptions in the store system for two years according to the input time of the prescriptions in a month, and the cloud system needs off-line store sales personnel to upload prescription data to the cloud platform through the off-line store sales system.
6. The system for on-line consultation and medical practitioner remote prescription review of claim 5 wherein: the prescription auditing module is externally provided with a prescription exception plan, and the prescription exception plan comprises the following steps:
1. in the course of the examination, such as the prescription has a question;
(1) performing remote auditing operations after verifying prescription drug indications, clinical medications and other aspects in the medication assistant platform;
(2) establishing a secondary examination system: if the remote auditing party pharmacist cannot judge whether the prescription is reasonable, starting the secondary auditing party to extract excellent Chinese and western medical practitioners from the remote auditing party medical practitioners and company quality responsible persons to establish a secondary auditing party medical professional library, and comprehensively analyzing prescription information and auditing results of the auditing party medical practitioners by the medical practitioners responsible for the secondary auditing party to confirm the rationality of the prescription: if the prescription is reasonable, the medicines can be sold according to the prescription; if the verification is not reasonable, informing the patient to contact the prescription doctor, and suggesting modification or rescuing;
2. if the risk of the patient medication is found in the prescription auditing process, the pharmacist should develop site or medication consultation service on the patient, further know the problem of the patient medication and give professional guidance;
3. establishing a feedback mechanism: and establishing a feedback mechanism of an unreasonable prescription, and storing corresponding records.
7. The system for on-line consultation and medical practitioner remote prescription review of claim 6 wherein: the large screen system is arranged in the remote auditing party room, the monitoring of a plurality of chain off-line stores is put on the large screen by utilizing the network, the off-line store commodity theft prevention is helped, and the headquarter can conveniently know commodity management and customer service management conditions of the off-line stores.
8. The system for on-line consultation and medical practitioner remote prescription auditing of claim 7, wherein: six medical practitioners are arranged in the remote auditing party room, wherein two medical practitioners with double license are arranged, three medical practitioners are arranged, and one medical practitioners are arranged.
9. The system for on-line consultation and medical practitioner remote prescription auditing of claim 8, wherein: requirements for internet hospitals to develop projects: the hospital license copy service mode is required to have an internet diagnosis and treatment project, and the internet diagnosis and treatment activities are developed to be consistent with the diagnosis and treatment subjects; the pharmacist end registration pharmacist is authenticated by a real name and GDCA, the pharmacist qualification is more authorized, the pharmacist account registration authentication is carried out according to operation guidance, the registered pharmacist remote audit account needs to provide name, license number, front and back sides of an identity card and handwritten signature picture information for audit, an off-line store headquarters computer network is provided with a fixed external network IP, the broadband is 100M enterprise-level optical fiber, and a medical professional book is arranged in the remote audit room so that the pharmacist can conveniently inquire, meanwhile, a computer system machine room is provided with a special generator, and the remote audit service can be ensured when power failure occurs.
10. A method of on-line consultation and medical practitioner remote prescription auditing, based on the system of any of claims 1-9, characterized in that: the method comprises the following steps:
s1, a patient goes to an off-line store, on-line consultation software is connected with the patient with the assistance of an off-line store sales person, substrate information is registered, corresponding hospitals and doctors are registered, the patient and the doctors are in face-to-face butt joint by utilizing the Internet, and then the doctors prescribe the illness state of the patient;
s2, uploading prescriptions made by doctors or prescriptions carried by patients to a remote auditing party room of a pharmacy headquarter by off-line store sales personnel, performing professional auditing on the prescriptions uploaded by the off-line store by a plurality of pharmacists arranged in the remote auditing party room, and replying questions in the prescriptions, and simultaneously issuing the processed prescriptions to the off-line store uploaded by the off-line store;
s3, after the off-line store is replied by a headquarter remote examination room, downloading a prescription feedback list, reading a prescription which does not pass through according to the prescription feedback list, explaining and analyzing a patient, meanwhile, capturing a medicine through the dosage of the prescription by a salesperson for the prescription which passes through examination, guiding the medication of the patient, and then recording a printed pos ticket into an off-line store system;
s4, sales personnel of off-line stores store the prescriptions in a store system, sort the prescriptions according to month, store the prescriptions for two years, and synchronously upload the prescriptions to a cloud platform for storage.
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