WO2020082789A1 - Data processing-based method and device for warning against cost of medicine exceeding standard for chinese medicine prescription - Google Patents

Data processing-based method and device for warning against cost of medicine exceeding standard for chinese medicine prescription Download PDF

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Publication number
WO2020082789A1
WO2020082789A1 PCT/CN2019/095000 CN2019095000W WO2020082789A1 WO 2020082789 A1 WO2020082789 A1 WO 2020082789A1 CN 2019095000 W CN2019095000 W CN 2019095000W WO 2020082789 A1 WO2020082789 A1 WO 2020082789A1
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WIPO (PCT)
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chinese medicine
medicine
prescription
cost
chinese
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PCT/CN2019/095000
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French (fr)
Chinese (zh)
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袁刚
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平安医疗健康管理股份有限公司
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Publication of WO2020082789A1 publication Critical patent/WO2020082789A1/en

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    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B31/00—Predictive alarm systems characterised by extrapolation or other computation using updated historic data
    • 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
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Definitions

  • the present application relates to the medical technology field, and in particular to a data processing-based early warning method and device for exceeding the standard of Chinese medicine prescription drug costs.
  • Various medication monitoring mechanisms are used to monitor medication for various medical units, including but not limited to medical units (or representatives of medical units) such as various hospitals, departments of various hospitals, various clinics, and even various physicians.
  • the evaluation of the medication standard of each medical unit mainly adopts the second-average Chinese medicine prescription standard, that is, the daily average cost of Chinese medicine decoction pieces for each Chinese medicine prescription (referred to as the second-average Chinese medicine prescription cost) is used as the medicine of each medical unit evaluation standard.
  • the evaluation criteria for the above-mentioned average Chinese medicine prescription costs are calculated by dividing the total prescriptions by the number of prescriptions.
  • Existing technology adopts the secondary average Chinese medicine prescription cost as the evaluation standard of the traditional Chinese medicine prescription of each medical unit. As a result, each medical unit is evaluated in order to avoid large prescriptions.
  • the number of prescription days is reduced to reduce the average Chinese traditional medicine prescription cost, or by decomposing the prescription
  • the method divides the large prescription with a large total prescription into multiple small prescriptions with a small total prescription to reduce the average cost of prescriptions of traditional Chinese medicines, thereby avoiding the monitoring of large prescriptions.
  • the medication evaluation method of the prior art makes the loopholes of the medication monitoring of each medical unit larger, the accuracy rate of the medication evaluation of each medical unit is low, and the applicability is weak.
  • the embodiments of the present application provide a data processing-based early warning method and device for exceeding the standard of Chinese medicine prescription drug costs.
  • the operation is simple, which can improve the accuracy of monitoring the use of traditional Chinese medicine prescriptions in medical units, and improve the reliability and applicability of medical monitoring of medical units Stronger.
  • an embodiment of the present application provides a data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs.
  • the method includes:
  • the above prescription of traditional Chinese medicine includes at least one dose of Chinese herbal medicine, and one dose of traditional Chinese medicine includes at least one herbal medicine.
  • the daily average cost of the single-party single-type medicine of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the single-side single-type medicine corresponding to the above-mentioned various Chinese herbal medicines, then an early warning message that the cost of the traditional Chinese medicines medicine exceeds the standard is sent to the medical unit to be monitored.
  • an embodiment of the present application provides a data processing-based early warning device for excessive prescription drug costs of traditional Chinese medicine.
  • the device includes:
  • the data acquisition unit is used to acquire the prescription of traditional Chinese medicine of the medical unit to be monitored.
  • the prescription of the above-mentioned traditional Chinese medicine includes at least one dose of traditional Chinese medicine decoction, and one dose of traditional Chinese medicine decoction includes at least one traditional Chinese medicine decoction;
  • the medicine information processing unit is used to obtain the medicine information of various Chinese medicine slices included in each of the Chinese medicine decoction pieces of the above-mentioned Chinese medicine prescription obtained by the data acquisition unit, and determine the above mentioned according to the medicine information of the Chinese medicine decoction pieces The average daily cost of single-party single-type drugs for Chinese herbal medicines;
  • a drug cost monitoring unit which is used to determine whether the daily average cost of the single-party single-type drugs of the above-mentioned various Chinese herbal medicine pieces determined by the drug information processing unit is greater than or equal to the daily average cost threshold of the single-party single-type drugs corresponding to the above-mentioned various Chinese herbal medicine pieces;
  • the drug cost over-alarm warning unit is used to determine in the above-mentioned drug cost monitoring unit that the daily average cost of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the above-mentioned various Chinese herbal medicines.
  • the medical unit to be monitored sends an early warning message that the cost of traditional Chinese medicine decoction exceeds the standard.
  • an embodiment of the present application provides a terminal device.
  • the terminal device includes a transceiver, a processor, and a memory, and the transceiver, processor, and memory are connected to each other.
  • the memory is used to store a computer program that supports the terminal device to perform the method provided in the first aspect and / or any possible implementation manner of the first aspect, the computer program includes program instructions, and the transceiver and the processor are configured to When the above program instructions are invoked, the method provided in the first aspect and / or any possible implementation manner of the first aspect is executed.
  • an embodiment of the present application provides a computer-readable storage medium storing a computer program, the computer program including program instructions, which when executed by a processor causes the processor to execute The method provided in the foregoing first aspect and / or any possible implementation manner of the first aspect.
  • FIG. 1 is a schematic flowchart of an early warning method for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
  • FIG. 2 is another schematic flow chart of the early warning method for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
  • FIG. 3 is a schematic structural view of an embodiment of an early warning device for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
  • FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
  • the embodiments of the present application provide a data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs, which can be based on various hospitals, departments of various hospitals, various clinics, and even various medical units (or representatives of medical units (or teams))
  • the daily average cost of single-party single-type medicines that is, the daily average cost of single-party single-type medicines in a single Chinese medicine prescription for a single Chinese medicine prescription
  • the medical unit to be monitored can send a warning message that the Chinese medicine prescription exceeds the standard of the Chinese medicine decoction, so as to issue the prescription medicine for the controlled Chinese medicine prescription to the medical unit to be monitored, to prevent the Chinese medicine prescription of the medical unit to be monitored.
  • the early warning of the continuous drug cost exceeding the standard to avoid the waste of medical resources such as traditional Chinese medicine decoction pieces to be monitored by the medical unit.
  • the medical unit's medical expense reimbursement request and / or claim request may be rejected to realize the early warning of the medical unit's excessive medical cost and remind the medical
  • the unit controls the cost of prescription drugs to avoid wasting medical resources.
  • the prescriptions of traditional Chinese medicine provided in the embodiments of the present application may include prescriptions of traditional Chinese medicine prescribed by various doctors of various medical units for the conditions of each patient, or prescriptions of traditional Chinese medicine prescribed by various doctors for the conditions of each patient, or prescription papers, etc. , No restrictions here.
  • the prescription will be described as an example below.
  • the prescriptions issued by various doctors in various medical units may include, but are not limited to, the prescription issuance time, prescription number, department number, patient personal information, medicine details of Chinese herbal medicines, and the signature of the doctor, depending on the actual application scenario Ok, no restrictions here.
  • each prescription will have various types of medicine details of Chinese herbal medicines. Including but not limited to the name of Chinese herbal medicines, the cost of Chinese herbal medicines, the use of Chinese herbal medicines, and the number of days of Chinese herbal medicines used. Therefore, no matter whether it is a large prescription or a small prescription or other, it is inseparable from the details of medicines in Chinese herbal medicines. Therefore, based on the daily average cost of each medical unit's single-party single-type drugs, the medical prescription of each medical unit can be evaluated for compliance with the standard to achieve monitoring of the medical use of each medical unit. The operation is simple and can be better and more comprehensively covered.
  • the daily average cost of single-party and single-type drugs based on medical units can achieve more accurate and accurate monitoring of drug use of each medical unit, thereby improving the accuracy of drug monitoring of each medical unit.
  • the daily average cost threshold of the single-party single-type drugs corresponding to various Chinese herbal medicines is compared, so that the medical cost of the Chinese medicine prescription for medical units exceeds the standard
  • Early warning can improve the timeliness of drug monitoring of each medical unit, and thus can improve the reliability of early warning of drug costs exceeding the standard for each medical unit based on the drug use of each medical unit, thereby improving the effective utilization of medical resources and applicability higher.
  • the traditional Chinese medicine decoction piece is a traditional Chinese medicine that can be directly used in the clinical practice of traditional Chinese medicine after being processed according to the traditional Chinese medicine theory and the traditional Chinese medicine preparation method.
  • Chinese herbal decoctions include some traditional Chinese medicine slices processed in the place of origin, original medicinal decoctions, and cut and fired decoctions. For convenience of description, the following will take Chinese herbal decoction as an example.
  • the above-mentioned traditional Chinese medicine decoction pieces are only examples, not exhaustive, and can be determined according to actual application scenario requirements, and are not limited herein.
  • the data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs may be implemented by terminal devices associated with drug monitoring units such as the Drug Administration, the Health Commission, the Health and Health Commission, and medical claim units, such as the above drug monitoring units
  • Clients and / or human-computer interaction devices used to monitor medication use of various medical units are not limited here.
  • the above drug monitoring unit is the medical unit to be monitored itself
  • the above terminal device may be a tool used by the medical unit to be monitored to monitor the drug cost of each doctor's prescription and early warning of excessive drug costs, such as the doctor's prescription Tools, etc., are not restricted here.
  • the terminal device may be a client and / or a human-computer interaction device for monitoring drug use of each medical unit, which is not limited herein.
  • the terminal device will be taken as an example for description below.
  • FIG. 1 is a schematic flowchart of an early warning method for over-standard Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application.
  • the method for early warning of over-standard Chinese medicine prescription drug costs based on data processing provided by the embodiments of the present application can be described by the implementation methods provided in the following steps S11 to S14.
  • the above-mentioned medical unit to be monitored may be any medical unit monitored by the medication monitoring unit, which may be specifically determined according to actual application scenarios, and is not limited herein.
  • any medical unit may be monitored by the medication monitoring unit, so the selected monitoring object may be the medical unit to be monitored.
  • the medical unit to be monitored will be described as an example below.
  • the traditional Chinese medicine prescription of the above medical unit may include any one of the traditional Chinese medicine prescriptions of the medical unit to be monitored, or it may be all the traditional Chinese medicine prescriptions generated by the medical unit to be monitored within a single day of any day (that is, more A Chinese medicine prescription).
  • all the above prescriptions of traditional Chinese medicine include but are not limited to all prescriptions of traditional Chinese medicine issued by all doctors in all departments of the hospital within a single day, all prescriptions of traditional Chinese medicine issued by all doctors of a certain department of the hospital within a single day, or a single day Any one of all the prescriptions of Chinese medicine issued by a doctor in a department of an internal hospital.
  • the specific conditions indicated in the above traditional Chinese medicine prescription are determined according to the evaluation dimension of the medical unit's medication evaluation in the actual application scenario, and no limitation is made here.
  • the method provided in the embodiments of the present application can calculate the average daily cost of a single type of single type of medicine for any kind of Chinese medicine decoction included in any Chinese medicine prescription (referred to as a single side for convenience of description) based on the above-mentioned various forms of Chinese medicine prescriptions.
  • the medical unit's medication is evaluated based on the daily average cost of a single type of single-medicine medicine for any Chinese medicine decoction piece based on any Chinese medicine prescription.
  • the medical unit Based on the daily average cost of any single type of single-piece medicines included in the single-party Chinese herbal medicines, the medical unit is evaluated for drug standard, the granularity is finer, and the drug monitoring is more strict and effective.
  • the daily average cost of any kind (ie single type) of Chinese herbal medicines included in a single prescription of traditional Chinese medicine hereafter referred to as the daily average cost of a single single type of medicine.
  • the above-mentioned Chinese medicine prescription of the medical unit to be monitored may be a prescription for real-time warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be a prescription issued by each doctor within a single day of the medical unit to be monitored In whole or in part.
  • the real-time warning of exceeding the standard of the medical cost of the medical unit to be monitored may be that among the various Chinese medicine decoctions included in the traditional Chinese medicine prescription of the medical unit to be monitored, the daily average cost of one or more Chinese medicine decoctions of one or more Chinese medicine decoctions comes to various It is generated when the daily average cost of unilateral single-type drugs corresponding to TCM decoction exceeds the standard (that is, the daily average cost of unilateral single-type drugs is equal to the daily average cost threshold of unilateral single-type drugs), which is used to notify the doctor of the medical unit to be monitored in real time.
  • the prescription may be a prescription that causes the daily average cost of one or more types of single-piece medicines of one or more Chinese herbal medicines to be monitored by the medical unit to be used by the physician to determine whether to continue to prescribe.
  • the traditional Chinese medicine prescription of the medical unit to be monitored may also be a prescription for early warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be all prescriptions issued by various doctors within a single day of the medical unit to be monitored.
  • the early warning of excessive drug cost in the later period may be that the daily average cost of one or more types of Chinese medicine decoctions for one or more Chinese medicine decoctions of the medical unit to be monitored is determined based on all the traditional Chinese medicine prescriptions of the medical unit to be monitored (for example, a certain day).
  • the daily average cost of single-party single-type drugs of Chinese herbal medicines is greater than the daily average cost of single-party single-type medicines, and is determined when determining the daily average of single-party single-type medicines of one or more Chinese herbal medicines in the current evaluation cycle of the medical unit to be monitored
  • the medical unit to be monitored is issued an early warning of the drug cost exceeding the standard, to remind the medical unit to be monitored to pay attention to the daily average cost of the single-party single-type drugs of various Chinese herbal medicines in the Chinese medicine prescription in the subsequent evaluation cycle to prevent recurrence
  • the daily average cost of a single type of single-medicine medicine with one or more Chinese herbal decoctions exceeds the standard and is subject to penalties such as refusal to reimburse medicine and / or refusal to settle claims.
  • the specific expression form of the traditional Chinese medicine prescription of the medical unit to be monitored can be determined according to the application scenario (real-time or later) demand of early warning of drug cost exceeding the actual application scenario, and no limitation is made here.
  • a prescription can include one or more doses of Chinese herbal medicine, each of which can include one or more varieties (or Kind, or kind) of Chinese medicine decoction pieces.
  • a prescription can include one or more doses of Chinese medicine decoctions, each of which includes one or more varieties of Chinese medicine decoctions.
  • All kinds of Chinese herbal medicines in one piece of Chinese herbal medicine are mixed and used together. The way of taking all kinds of Chinese medicine slices in one Chinese medicine slice is to put them in a casserole or enamel pan for mixing after mixing, and finally get a bowl of medicine soup.
  • the number of days of use of all Chinese herbal medicines in a single prescription is the cumulative value of the number of days of use of each Chinese herbal medicine in the prescription. For convenience of description, it can also be called the total number of days of drug use as an example. Wait. For example, if the Chinese herbal medicines included in a single prescription have M doses, and the usage days of each Chinese herbal medicine are one day, then the total number of days of using the Chinese herbal medicines included in the above prescriptions is M (that is, M * 1) days. In other words, the total number of days of use of various Chinese herbal medicines included in the above prescriptions is M days.
  • the terminal device can be docked with the data system of the medical unit to be monitored to obtain the access qualification of the data system of the medical unit to be monitored, and from the medical system to be monitored based on the data system access qualification of the medical unit to be monitored Obtain the Chinese medicine prescription of the medical unit to be monitored in the unit's data system.
  • the terminal device may also screen the medical claim data from the medical claim data based on the medical claim data provided by the medical institution to be monitored to obtain prescription data such as the Chinese medicine prescription of the medical institution.
  • the terminal device can also obtain prescription data such as prescriptions of traditional Chinese medicines of the medical unit to be monitored from the medical records of patients in various medical units based on big data analysis, and so on.
  • the terminal device may obtain the Chinese medicine prescription of the medical unit to be monitored based on any data acquisition path other than the above-mentioned data acquisition method, which may be determined according to actual application scenarios, and no limitation is made here.
  • any Chinese medicine prescription in the Chinese medicine prescription of the medical unit to be monitored here can include the details of the medicine prescribed in the Chinese medicine prescription, including but not limited to the name of the medicine, the cost of the medicine, and the method of use of the medicine (or drug The method, etc.) and the number of days the drug is used can be determined according to the actual application scenario, and there is no limit here.
  • the terminal device after the terminal device obtains the traditional Chinese medicine prescription of the medical unit to be monitored (such as a single traditional Chinese medicine prescription, or simply a single party), it can obtain the traditional Chinese medicine decoction drug information of each of the traditional Chinese medicine decoction pieces included in the single traditional Chinese medicine prescription , Including but not limited to the cost of medicine and the number of days the medicine is used.
  • the medicine costs of various Chinese medicine decoctions included in each dose of the Chinese medicine decoction in the above single Chinese medicine prescription can be obtained, and any one of the Chinese medicines in the single Chinese medicine prescription can be determined according to the drug costs of the various Chinese medicine decoctions The total cost of medicine in the prescription of a single Chinese medicine.
  • the total drug cost of any one of the traditional Chinese medicine decoctions in the single Chinese medicine prescription is the cumulative value of the cost of any one of the traditional Chinese medicine decoctions included in each dose of the traditional Chinese medicine decoction in the single Chinese medicine prescription.
  • the medicine cost of any one of the above-mentioned Chinese medicine decoctions included in each dose of Chinese medicine decoction is the product of the unit price of the Chinese medicine decoction in the Chinese medicine decoction and the dose of the Chinese medicine decoction in a single Chinese medicine decoction.
  • the total drug cost of the single Chinese herbal medicine in a single Chinese herbal medicine prescription is the product of the unit price of the Chinese herbal medicine and the total dose of the Chinese herbal medicine in a single Chinese medicine prescription, and the specific Chinese medicine can be determined according to the actual application scenario.
  • the total cost of single-piece Chinese herbal medicines in prescriptions is not limited here.
  • the total number of days of use of any one of the above-mentioned Chinese medicine pieces in a single Chinese medicine prescription can be determined according to the number of days of use of each piece of Chinese medicine pieces in the Chinese medicine pieces, and according to any one of the above-mentioned Chinese medicine pieces in the single Chinese medicine
  • the total cost of the drug in the prescription and the total number of days of use of the above drug can determine the average daily cost of any one of the above-mentioned Chinese herbal medicines.
  • the total number of days of medicine usage for any one of the above-mentioned single Chinese medicine prescriptions is the cumulative value of the number of days of medicine usage for each dose of one or more doses of single Chinese medicine prescriptions in a single Chinese medicine prescription.
  • the daily average cost of a single type of Chinese herbal medicine in a single Chinese medicine prescription of the medical unit to be monitored represents the average daily drug cost of the single type of Chinese herbal medicine in a single Chinese medicine prescription of the medical unit to be monitored, of which any of the above single Chinese medicine prescriptions
  • the average daily cost of a single type of single medicine for a variety of Chinese herbal medicines can be calculated based on the following formula (1):
  • the total drug cost of the single-party single-type traditional Chinese medicine pieces is the cumulative value of the single-type traditional Chinese medicine pieces included in each dose of the single-piece traditional Chinese medicine pieces.
  • the total number of days of use of the above-mentioned single-party single-type Chinese herbal medicines refers to the cumulative value of the number of days of use of each Chinese herbal medicine in one or more doses of Chinese herbal medicines included in the prescription.
  • the medical cost of medical units for different types of Chinese herbal medicines when monitoring the medical cost of medical units for different types of Chinese herbal medicines, it can be based on the types of medicines of different types of Chinese herbal medicines, the purpose of the medicine (such as the type of disease targeted by the medicine), and the supply channel of the medicine Or the drug attribute information such as the source of the drug sets the evaluation index threshold for monitoring the drug cost of different types of Chinese herbal medicine pieces, such as the daily average cost threshold of a single type of medicine corresponding to various Chinese medicine pieces, that is, the single party corresponding to various Chinese medicine pieces The daily average cost threshold for various types of medicines, etc.
  • the daily average cost of a single type of single type of drugs corresponding to different types of traditional Chinese medicine decoctions may vary.
  • the daily average cost threshold for a single type of single medicine can be set higher, namely The threshold of the assessment index of the corresponding medication evaluation standard can be set to a higher assessment index, etc., which can be determined according to the actual application scenario, without limitation.
  • the evaluation thresholds of the medicine monitoring standard and / or the medicine evaluation standard of the TCM decoction pieces of each medical unit may also be preset according to the unit attribute information of each medical unit, for example, the number of over-standard TCM decoction pieces reaches the upper limit , Or the threshold of Chinese herbal decoctions exceeding the standard.
  • the threshold for exceeding the standard TCM decoctions for the corresponding TCM decoctions of the medical unit to be monitored can be set based on the historical medication records or drug use policies of the medical unit to be monitored, which can then be based on
  • the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored determined above is combined with the over-standard TCM decoction threshold value corresponding to the medical unit to be monitored to determine whether the medication of the TCM decoction piece of the medical unit is up to standard.
  • the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored is greater than its corresponding over-standard TCM decoction threshold value, it can be determined that the use of the TCM decoction piece in the medical unit to be monitored is over-standard, that is, the drug cost of the medical unit to be monitored exceeds the standard.
  • one of the traditional Chinese medicine prescriptions of the medical unit to be monitored is determined based on the prescription that the medical unit to be monitored has issued in the current assessment cycle or
  • the daily average cost of a single medicine of a variety of Chinese herbal medicines exceeds the standard, or the daily average cost of a single medicine of one or more Chinese herbal medicines in a prescription of a Chinese medicine currently issued by a physician exceeds the standard.
  • the terminal device when the daily average cost of one or more types of Chinese herbal medicines in a prescription of traditional Chinese medicine is greater than the daily average cost threshold of a single type of Chinese medicine corresponding to various Chinese herbal medicines, when the terminal device obtains any doctor of the medical unit to be monitored When submitting the prescribing request, it can output a warning sign that the drug cost exceeds the standard to the homepage of the prescribing tool of the medical unit to be monitored. Based on the warning label of the medicine cost exceeding the standard displayed on the homepage of the doctor's prescription tool, the doctor of the medical unit to be monitored is issued a warning of the medicine cost exceeding the standard of the Chinese medicine prescription to remind the doctor of the medical unit to monitor the prescription drug to prevent the cost of the medicine Exceed the standard.
  • the terminal device when it obtains the prescribing request submitted by any doctor of the medical unit to be monitored, it can output a warning sign of excessive warning of drug costs on the home page of the prescribing tool of the doctor (such as the user operation interface of the prescribing tool) (for example, the red exclamation mark, etc.) or the warning information such as the early warning of the drug cost exceeding the standard.
  • the physicians of the medical unit to be monitored are reminded that the average daily cost of the unilateral and single-type drugs of the traditional Chinese medicine prescription of the medical unit to be monitored or the currently submitted traditional Chinese medicine prescription of the Chinese medicine decoction has reached the upper limit of the standard (i.e.
  • Chinese medicine prescription The average daily cost of unilateral and single-type medicines of TCM decoction pieces has been greater than or equal to the daily average cost threshold of unilateral and single-type medicines).
  • the drug cost of the next prescription issued by the physician may cause the medical unit to be monitored to take traditional Chinese medicine within the current evaluation cycle.
  • the cost of prescription Chinese herbal medicines exceeds the standard for the physician to determine whether to continue prescribing.
  • the physician of the medical unit to be monitored can be controlled to prescribe medication to prevent the drug cost from exceeding the standard, so that the early warning of the drug cost of the medical unit to be monitored can be exceeded.
  • the average daily cost of medicines exceeds the standard.
  • the daily average cost of one or more types of Chinese herbal medicines in the prescription of the Chinese medicine to be monitored is greater than the daily average cost threshold of the single type of medicine corresponding to various Chinese herbal medicines, the above can be determined
  • the difference between the daily average cost of the unilateral single type of drugs in the daily average cost of the unilateral single type of medicines in the prescriptions of traditional Chinese medicines in the medical unit to be monitored exceeds the daily average cost threshold of the unilateral single type of medicines
  • the cost exceeds the standard data).
  • early warning information of drug cost exceeding standard is sent to the medical unit to be monitored.
  • a warning is sent to the medical unit to be monitored to control the prescribing medication to prevent the daily average cost of the single-party single-type drugs in the traditional Chinese medicine prescription in one or more evaluation cycles after the current evaluation cycle.
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the terminal device may publish the daily average cost of the unilateral single type of medicine and the daily average cost difference of the above unilateral single type of medicine, and the daily average cost of the unilateral single type of medicine based on the publicity and the above single side
  • the daily average cost difference of a single type of medicine prompts the doctor of the medical unit to be monitored to control the prescribing medication of the Chinese medicine prescription, to avoid the waste of medical resources such as traditional Chinese medicine decoction pieces and other medical resources caused by the doctor of the medical unit to be monitored during the prescription process Early warning of excessive medical expenses for prescriptions of traditional Chinese medicine in medical units.
  • the announcement can be made on the unit lobby announcement interface of the medical unit to be monitored (such as the message announcement display screen in the unit lobby) or Publicize on the daily drug monitoring report of the medical unit issued by the drug regulatory unit to control the medication prescribed by the medical unit to be monitored and its individual doctors, and avoid the daily average cost of single-party single-type drugs in the prescription of traditional Chinese medicine in the traditional Chinese medicine prescription of the medical unit to be monitored.
  • the waste of medical resources brought about by the continuous exceeding of the standard realizes the early warning of exceeding the standard of the cost of the traditional Chinese medicine prescription of the medical unit to be monitored.
  • the daily average cost of the above-mentioned unilateral single-type drugs can also be publicized on the information announcement interface of each department of the medical unit to be monitored, and / or The front page of the prescribing tool of each doctor in the medical unit is publicized, etc., which can be determined according to the actual application scenario, and is not limited here.
  • the embodiments of the present application may determine the daily average cost of each kind of single-medicine medicine in various Chinese medicine decoctions in the traditional Chinese medicine prescription of the medical unit to be monitored based on the medicine information of various Chinese medicine decoctions included in the Chinese medicine prescription of the medical unit to be monitored, and then may be based on The daily average cost of each kind of Chinese herbal medicine in the medical prescription of the medical unit to be monitored determines whether the daily average cost of each kind of Chinese herbal medicine is greater than or equal to the daily average cost threshold of the single medicine.
  • the Chinese medicine prescription can be sent to the medical unit to be monitored
  • the warning information of over-standard Chinese medicine decoction drug cost is used to prompt the medical unit to be monitored to control the prescribing medication of traditional Chinese medicine prescription, so as to avoid the waste of medical resources of the medical unit to be monitored and the operation is simple.
  • FIG. 2 is another schematic flowchart of a data processing-based early warning method for over-standard Chinese medicine prescription drugs based on data processing.
  • the data processing-based early warning method for exceeding the standard of Chinese medicine prescription drugs based on data processing can implement monitoring of the medication situation of the medical unit to be monitored within a single assessment period.
  • the method can be implemented by the following steps S21 to S26 Way to explain.
  • the implementation manner of obtaining the traditional Chinese medicine prescription of the medical unit to be monitored may refer to the implementation manner provided in step S11 in the foregoing embodiment, and details are not described herein again.
  • the traditional Chinese medicine prescription of the medical unit may further include all traditional Chinese medicine prescriptions generated by the medical unit to be monitored within a single assessment cycle, where the single assessment period is one day or greater than one day, for example One week, one month, one quarter or one year, etc., no restriction is made here.
  • the single assessment period is one day or greater than one day, for example One week, one month, one quarter or one year, etc., no restriction is made here.
  • all the traditional Chinese medicine prescriptions generated by the above-mentioned medical unit to be monitored in a single assessment cycle can be explained by taking the single assessment cycle prescription as an example.
  • the single assessment cycle prescription of the above medical unit may refer to all Chinese medicine prescriptions issued in any assessment cycle of the medical unit, including but not limited to all Chinese medicine prescriptions issued by all doctors in all departments of the hospital within a single assessment cycle 1. Any one of all the prescriptions of traditional Chinese medicine issued by all doctors in a certain department of the hospital within a single assessment cycle, or all the prescriptions of traditional Chinese medicine issued by a doctor in a certain department of the hospital within a single assessment cycle.
  • the specific conditions indicated in the above single assessment cycle prescriptions are based on the evaluation dimensions of drug monitoring of medical units in actual application scenarios (for example, drug monitoring for medical units, drug monitoring for a department of the medical unit, or A certain doctor in a certain department conducts medication monitoring, etc.), and it is not restricted here.
  • drug monitoring for medical units for example, drug monitoring for medical units, drug monitoring for a department of the medical unit, or A certain doctor in a certain department conducts medication monitoring, etc.
  • a single assessment cycle prescription for the convenience of description, the following will take all prescriptions issued by all doctors in all departments of the hospital in a single assessment cycle as an example for explanation, hereinafter referred to as a single assessment cycle prescription.
  • any Chinese medicine prescription included in the single assessment cycle prescription of the medical unit to be monitored here can include the medicine details of the Chinese medicine decoction pieces included in the Chinese medicine prescription, including but not limited to the medicine name, medicine cost, medicine use
  • the method and days of drug use can be determined according to the actual application scenario, and there is no limit here.
  • the unilateral single-type drug day of each TCM decoction in a single TCM prescription is determined.
  • the average daily cost of a single type of traditional Chinese medicine decoction in a single traditional Chinese medicine prescription can be processed, that is, to be monitored
  • the average daily cost of a single type of single-medicine medicine for a single type of Chinese herbal medicine in a medical unit For example, the average daily cost of a single type of single-medicine medicine for various Chinese medicine decoction pieces in a medical unit to be monitored in a single assessment cycle such as a day, a week, a month, a quarter, or a year.
  • the daily average cost of a single type of single medicine of various Chinese herbal medicines within a period of assessment for the medical unit to be monitored is described below as an example. .
  • the medicine cost of any one of the Chinese medicine decoction pieces included in any one of the Chinese medicine decoction pieces in all the above Chinese medicine prescriptions may be obtained. Determine the total drug cost of each kind of Chinese medicine decoction in each of the above-mentioned Chinese medicine prescriptions according to the medicine cost of the Chinese medicine decoction (ie, any one of the Chinese medicine decoctions) included in any of the above-mentioned Chinese medicine decoctions.
  • the total drug cost of this kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total cost of this kind of Chinese medicine decoction in each of the above-mentioned Chinese medicine prescriptions and the number of prescriptions of the above Chinese medicine prescription.
  • X prescriptions for all traditional Chinese medicines in a single assessment period for the medical unit to be monitored and each prescription of traditional Chinese medicines includes Y pieces of traditional Chinese medicine decoctions, then all the prescriptions of traditional Chinese medicines in the above prescriptions are X * Y.
  • the total number of days of using the medicine of the above-mentioned unilateral and single-type Chinese herbal medicine pieces is the total number of days of using the medicine of any one of the above-mentioned Chinese herbal medicine pieces in a single prescription of traditional Chinese medicine in the single assessment period. According to the number of days of use of each piece of Chinese herbal medicines included in all the prescriptions of traditional Chinese medicines in the above single assessment cycle, the total number of days of use of any Chinese herbal medicines in all prescriptions of Chinese medicines in all prescriptions of Chinese medicines can be determined.
  • the total number of days of use of any one of the above-mentioned traditional Chinese medicine pieces in all the above-mentioned prescriptions of traditional Chinese medicine is the cumulative value of the number of days of use of the medicine of each of the above-mentioned traditional Chinese medicine pieces. Based on the total number of days of use of any of the above-mentioned Chinese herbal medicines in all the above-mentioned prescriptions of traditional Chinese medicines and the number of prescriptions of the above-mentioned prescriptions of traditional Chinese medicines, the total number of days of use of any of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicines can be determined.
  • the total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription that is, the total number of days of single-party single-type Chinese herbal medicines meets the following formula (4):
  • the dose of any one of the Chinese medicine decoctions included in each of the Chinese medicine decoctions in all the above Chinese medicine prescriptions is obtained, according to the above
  • the unit price of any Chinese herbal medicine and the above dosage determine the total drug cost of any Chinese herbal medicine in the above prescription of Chinese medicine;
  • the total dosage of the single-type Chinese herbal medicine pieces of the above-mentioned traditional Chinese medicine prescription is the total dosage of all the Chinese herbal medicine prescriptions of any one of the above-mentioned traditional Chinese medicine pieces in the single assessment period.
  • the number of prescriptions of the above-mentioned traditional Chinese medicine prescriptions is the number of all traditional Chinese medicine prescriptions in the above single assessment cycle.
  • the above-mentioned daily average cost of each kind of single-medicine medicine in the traditional Chinese medicine prescription of the medical unit to be monitored and the above-mentioned average daily cost threshold of each kind of single-medicine medicine in the various Chinese medicine pieces For a specific implementation manner of whether the unit's medication exceeds the standard, refer to the implementation manner provided in step S13 in the foregoing embodiment, and details are not described herein again.
  • the daily average cost threshold of the unilateral single type of medicine corresponding to each Chinese herbal medicine piece based on the drug attribute information of each Chinese herbal medicine piece
  • it can be further combined with each The unit attribute information of the medical unit determines the upper limit of the daily average cost of the unilateral single type of medicine for each type of Chinese herbal medicine corresponding to each medical unit, or the threshold of the daily average cost of the unilateral single type of medicine corresponding to various types of Chinese herbal medicine.
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the region where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit, which can be determined according to the actual application scenario.
  • the evaluation thresholds for drug monitoring may vary.
  • the corresponding daily average cost of a single type of single medicine for various Chinese herbal medicines can be set based on the daily average cost threshold of single-party single-type drugs determined based on the drug attribute information of Chinese herbal medicines, and the daily average cost threshold of the above-mentioned single-party single-type drugs can be set higher, that is, the corresponding drug monitoring standard
  • the assessment index threshold can be set to a higher assessment index, etc.
  • the daily average cost of the corresponding single-party single-type drugs of various Chinese herbal medicines can be met
  • the upper limit can be set lower, that is, the threshold of the evaluation index of the corresponding drug monitoring standard can be set to a lower evaluation index.
  • the specifics can be determined according to actual application scenarios, and no limitation is made here.
  • the daily average cost upper limit of the unilateral single type of drugs corresponding to various Chinese herbal medicine pieces determined by the information can be determined whether the medical cost of the Chinese medicine prescription of the medical unit exceeds the standard.
  • the implementation method refer to the implementation method provided in step S13 in the above embodiment. This will not be repeated here.
  • the daily average cost of the single-party single-type drugs of various Chinese herbal medicines in the prescription of the Chinese medicine is output to the early warning label of the above-mentioned medical unit of the medical unit to be monitored.
  • the physician of the medical unit to be monitored issues an early warning of the Chinese medicine prescription medicine cost exceeding the standard, and publicizes the daily average cost difference of the unilateral single-type drugs of the above-mentioned medical unit to be monitored to realize the early warning of the medical cost of the medical unit to be monitored.
  • the implementation manner refer to the implementation manner provided in step S14 in the foregoing embodiment, and details are not described herein again.
  • the medical device to be monitored may also be received
  • the unit submits a drug expense reimbursement request or a drug expense claim request
  • it can realize each prescription of the traditional Chinese medicine within the current evaluation period for the medical unit to be monitored by rejecting the drug expense reimbursement request or the drug expense claim request of the medical unit to be monitored
  • the evaluation standard for the daily average cost of single-party single-type drugs for Chinese herbal medicine pieces exceeds the standard, and a warning will be given to the medical unit for the subsequent evaluation cycle of excessive drug costs.
  • the medical unit may receive reimbursement and / or request for the drug cost of the day reported by the medical unit At that time, feedback to the medical unit that the reimbursement of all medicine prescriptions for that day failed.
  • the terminal device receives the reimbursement of the traditional Chinese medicine prescription drug cost of the day reported by the medical unit And / or claims, the medical unit can be fed back the day ’s prescription drug costs to refuse reimbursement or claims, and then the medical unit can be prompted to self-pay the daily average cost of the unilateral single type of medicines for various Chinese herbal medicines prescribed by the Chinese medicine every day. Control to prevent the daily average cost of single-party single-type drugs of Chinese herbal medicines in the following day or multiple days from exceeding the standard to achieve early warning of the medical unit's drug cost exceeding the standard.
  • the terminal device can calculate the single-party single-type drug daily average cost of various Chinese herbal medicines (ie, over-standard Chinese herbal medicines) in the Chinese medicine prescription of the medical unit to be monitored. The difference between the average daily drug cost thresholds.
  • the terminal device When the terminal device receives the medical expense reimbursement and / or claim request of the medical unit to be monitored, it can determine the daily average cost difference of the single-party single-type drugs of various over-standard Chinese medicine pieces, and the single-day prescription of the medical unit to be monitored Rejection or settlement of the drug cost of the daily average cost difference of the unilateral and single-type drugs of the over-standard Chinese medicine decoction pieces, so as to carry out early warning of the drug cost exceeding the standard for the subsequent evaluation cycle of the medical unit.
  • the terminal device determines that the cost of traditional Chinese medicine prescription medicines within a certain evaluation cycle (that is, the current evaluation cycle, such as one day or one week, etc.) of the medical unit to be monitored exceeds the standard, for example,
  • the terminal equipment can be used during the evaluation cycle (The daily average cost of a single type of Chinese herbal medicines in a single-day prescription exceeds the standard for a certain day, such as Monday)
  • the next evaluation cycle (the daily average cost of a single single prescription Chinese medicines in a single-day prescription exceeds the second day of the day) Days, such as Tuesday), send the report on the daily average cost exceeding the standard for the single-party single-type medicine of the Chinese medicine decoction piece in the assessment cycle to the to-be-monitored by one or more types of information in instant messaging, email, and / or notice Medical unit.
  • the report of the daily average cost of the single-party single-type medicine of the Chinese medicine decoction exceeds the standard is used to remind the medical unit to be monitored that the Chinese medicine prescription drug cost of the Chinese medicine prescription exceeds the standard in the evaluation cycle, and can remind the medical unit to be monitored if the next evaluation cycle Or if the daily average cost of one or more Chinese herbal medicines in one or more traditional Chinese medicine decoctions exceeds the standard for multiple consecutive evaluation periods within a specified period of time, then the medical unit to be monitored will be prescribed a Chinese medicine prescription of Chinese herbal medicines Early warning of excessive drug costs for punishment.
  • the above punishment includes refusing to reimburse or settle claims for medicines exceeding the standard Chinese herbal medicines in the prescriptions of Chinese medicines for the medical units to be monitored, or refusing reimbursement or claims for medicines exceeding the standard Chinese herbal medicines in the prescriptions for Chinese medicines to be monitored, etc.
  • the above-mentioned daily average cost of unilateral and single-type medicines of TCM decoction pieces is used to prompt the medical unit to be monitored to self-control the daily average cost of unilateral single-type medicines of TCM decoction pieces in TCM prescriptions to realize the drug cost of the medical unit to be monitored Exceeding standard warning.
  • the embodiments of the present application can improve the timeliness of early warning of the medical expenses of the medical unit to be monitored, thereby improving the effective utilization rate of medical resources and having greater applicability.
  • FIG. 3 is a schematic structural diagram of an embodiment of an early warning device for over-standard Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application.
  • the data processing based warning device for exceeding the standard of Chinese medicine prescription drugs based on data processing includes:
  • the data obtaining unit 31 is used to obtain a Chinese medicine prescription of the medical unit to be monitored.
  • the above-mentioned Chinese medicine prescription includes at least one Chinese medicine decoction, and one Chinese medicine decoction includes at least one Chinese medicine decoction.
  • the medicine information processing unit 32 is configured to obtain the medicine information of various Chinese medicine slices included in each piece of Chinese medicine slices of the above-mentioned Chinese medicine prescription obtained by the data acquisition unit 31, and according to the medicine information of the Chinese medicine slices of the various Chinese medicine slices Determine the average daily cost of the single-party single-type drugs of the various Chinese herbal medicines.
  • the drug cost monitoring unit 33 is configured to determine whether the daily average cost of the single-party single-type drugs of the various Chinese herbal medicines determined by the drug information processing unit 32 is greater than or equal to the daily average cost threshold of the single-party single-type drugs corresponding to the various Chinese herbal medicines.
  • the drug cost exceeding warning unit 34 is used to determine in the above-mentioned drug cost monitoring unit that the daily average cost of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the above-mentioned various Chinese herbal medicines.
  • the above-mentioned medical unit to be monitored sends an early warning message that the cost of traditional Chinese medicine decoction exceeds the standard.
  • the above-mentioned early warning information of excessive medicine cost of Chinese herbal medicine pieces includes a warning sign of excessive medicine cost
  • the above-mentioned early warning unit 34 for drug cost exceeding is used for:
  • the above medicine prescription includes all the Chinese medicine prescriptions of the above-mentioned medical unit to be monitored within the current evaluation period;
  • the above-mentioned early warning unit 34 for drug cost exceeding is used for:
  • the early warning information of over-standard Chinese medicine decoctions is sent to the medical unit to be monitored, and based on the above-mentioned early warning information of the drug cost of the Chinese medicine debris, the pre-medication of traditional Chinese medicine decoctions is sent to the medical unit to be monitored to prevent Early-warning of the daily average cost of the above-mentioned single-party and single-type medicines of the above-mentioned traditional Chinese medicine decoction pieces in one or more evaluation periods after the current evaluation period;
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the above-mentioned drug information processing unit 32 is used to:
  • the total cost of the above-mentioned medicines of any one of the traditional Chinese medicine pieces and the total number of days of use of the above-mentioned medicines determine the daily average cost of the unilateral single-type medicine of any one of the traditional Chinese medicine pieces, so as to obtain the daily average cost of the unilateral single-type medicine of the various traditional Chinese medicine pieces.
  • the average daily cost of the above single-party single-type drugs meets:
  • Daily average cost of single-party single-type medicine total drug cost of single-party single-type Chinese herbal medicine pieces / total days of use of single-side single-type Chinese herbal medicine pieces.
  • the above-mentioned drug information processing unit 32 is used to:
  • the total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in each Chinese medicine prescription of the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
  • the above-mentioned drug information processing unit 32 is used to:
  • the total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescriptions.
  • the total cost of medicines for single-party single-type traditional Chinese medicine pieces the dose of single-side single-type traditional Chinese medicine pieces * the unit price of single-type single-Chinese traditional medicine pieces.
  • the above-mentioned drug information processing unit 32 is used to:
  • the total number of days of use of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription in the above-mentioned Chinese medicine prescription is determined according to the number of days of use of each of the above-mentioned Chinese herbal medicines, wherein the total number of days of medicine usage in any of the above-mentioned Chinese medicine prescriptions is The cumulative value of the number of days of use of the above-mentioned Chinese herbal medicines;
  • the total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicine is determined according to the total number of days of use of any one of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
  • the data acquisition unit 31 is used to:
  • the traditional Chinese medicine prescription of the medical unit to be monitored includes the single traditional Chinese medicine prescription of the medical unit to be monitored, or all the traditional Chinese medicine prescriptions of the medical unit to be monitored within a single assessment cycle, the duration of the single assessment cycle is one day or greater than one day.
  • the medication standard threshold corresponding to the medical unit to be monitored includes the daily average cost threshold of the unilateral and single-type medicines of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored; the pharmaceutical cost monitoring unit 33 is further used to:
  • the daily average cost threshold of the single-party single-type medicine corresponding to any one of the above-mentioned Chinese medicine decoction pieces, of which, one single-party
  • the threshold of the daily average cost of a single type of medicine corresponds to at least one piece of Chinese herbal medicine
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the area where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit.
  • the above drug attribute information includes the name of the drug, One or more of drug type, drug use, unit drug supply channel and drug source.
  • the above-mentioned data processing-based early warning device for over-standard Chinese medicine prescription drug costs may implement the implementation manners provided by the above steps in FIGS. 1 to 2 through its built-in functional modules.
  • the above-mentioned data processing-based early warning device for excessive prescription drug cost of traditional Chinese medicine may be the terminal device described in each of the foregoing embodiments, which is not limited herein.
  • the above-mentioned data acquisition unit 31 may be used to perform the acquisition of traditional Chinese medicine prescriptions of the medical unit to be monitored in the above steps and the information of traditional Chinese medicine pieces of various traditional Chinese medicine pieces in the traditional Chinese medicine prescription.
  • the above-mentioned medicine information processing unit 32 can be used to perform the processing of the medicine cost of various Chinese medicine decoctions included in the Chinese medicine prescription of the medical unit to be monitored in each of the above steps and the average daily cost of the unilateral single-type medicines of various Chinese medicine decoctions in a single evaluation period
  • specific implementation methods please refer to the implementation methods provided in the above steps, which will not be repeated here.
  • the above-mentioned drug cost monitoring unit 33 can be used to perform the above steps to determine the unilateral single type of various Chinese herbal medicines in the Chinese medicine prescription of the medical unit to be monitored based on the unit attribute information of the medical unit to be monitored and / or the information of the number of medicines of various Chinese medicine pieces Thresholds for the evaluation indicators of drug monitoring such as the daily average cost of medicines, and the implementation methods of judging whether the use of traditional Chinese medicine prescriptions of the medical units to be monitored meets the standard based on the daily average cost of each type of single herbal medicines in various Chinese herbal medicines in the medical prescriptions of the medical units to be monitored For details, please refer to the implementation provided by the above steps, which will not be repeated here.
  • the above-mentioned drug cost exceeding warning unit 34 can be used to implement the above-mentioned early-warning methods such as pre-warning of Chinese medicine decoctions based on the medical conditions of the medical units to be monitored in the above steps. For details, please refer to the implementation provided in the above steps. No longer.
  • the above-mentioned medication monitoring device can improve the timeliness of early warning of the medical expenses of the medical unit to be monitored, thereby improving the effective utilization rate of medical resources and having greater applicability.
  • FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
  • the terminal device in this embodiment may include: one or more processors 401, a memory 402, and one or more transceivers 403.
  • the processor 401, the memory 402, and the transceiver 403 are connected through a bus 404.
  • the memory 402 is used to store a computer program, and the computer program includes program instructions.
  • the processor 401 and the transceiver 403 are used to execute the program instructions stored in the memory 402.
  • the processor 401 is configured to call the program instruction to perform the following operations:
  • the above prescription of traditional Chinese medicine includes at least one dose of Chinese herbal medicine, and one dose of traditional Chinese medicine includes at least one herbal medicine.
  • the transceiver 403 is configured to determine, on the processor 401, that the daily average cost of the unilateral single-type medicines of the various Chinese herbal medicines is greater than or equal to the threshold of the daily average cost of the unilateral single-type medicines corresponding to the various Chinese herbal medicines.
  • the medical unit sends an early warning message that the cost of traditional Chinese medicine decoction exceeds the standard.
  • the above-mentioned early warning information of excessive medicine cost of Chinese herbal medicine pieces includes a warning sign of excessive medicine cost
  • the above transceiver 403 is used to:
  • the above medicine prescription includes all the Chinese medicine prescriptions of the above-mentioned medical unit to be monitored within the current evaluation period;
  • the above transceiver 403 is used to:
  • the early warning information of over-standard Chinese medicine decoctions is sent to the medical unit to be monitored, and based on the above-mentioned early warning information of the drug cost of the Chinese medicine debris, the pre-medication of traditional Chinese medicine decoctions is sent to the medical unit to be monitored to prevent Early-warning of the daily average cost of the above-mentioned single-party and single-type medicines of the above-mentioned traditional Chinese medicine decoction pieces in one or more evaluation periods after the current evaluation period;
  • the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  • the foregoing processor 401 is configured to:
  • the total cost of the above-mentioned medicines of any one of the traditional Chinese medicine pieces and the total number of days of use of the above-mentioned medicines determine the daily average cost of the unilateral single-type medicine of any one of the traditional Chinese medicine pieces, so as to obtain the daily average cost of the unilateral single-type medicine of the various traditional Chinese medicine pieces.
  • the average daily cost of the above single-party single-type drugs meets:
  • Daily average cost of single-party single-type medicine total drug cost of single-party single-type Chinese herbal medicine pieces / total days of use of single-side single-type Chinese herbal medicine pieces.
  • the foregoing processor 401 is configured to:
  • the total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in each Chinese medicine prescription of the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
  • the foregoing processor 401 is configured to:
  • the total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescriptions.
  • the total cost of medicines for single-party single-type traditional Chinese medicine pieces the dose of single-side single-type traditional Chinese medicine pieces * the unit price of single-type single-Chinese traditional medicine pieces.
  • the foregoing processor 401 is configured to:
  • the total number of days of use of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription in the above-mentioned Chinese medicine prescription is determined according to the number of days of use of each of the above-mentioned Chinese herbal medicines, wherein the total number of days of medicine usage in any of the above-mentioned Chinese medicine prescriptions is The cumulative value of the number of days of use of the above-mentioned Chinese herbal medicines;
  • the total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicine is determined according to the total number of days of use of any one of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
  • the foregoing processor 401 is used to:
  • the traditional Chinese medicine prescription of the medical unit to be monitored includes the single traditional Chinese medicine prescription of the medical unit to be monitored, or all the traditional Chinese medicine prescriptions of the medical unit to be monitored within a single assessment cycle, the duration of the single assessment cycle is one day or greater than one day.
  • the medication standard threshold corresponding to the medical unit to be monitored includes the daily average cost threshold of the unilateral and single-type medicines of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored; the processor 401 is further used to:
  • the daily average cost threshold of the single-party single-type medicine corresponding to any one of the above-mentioned Chinese medicine decoction pieces, of which, one single-party
  • the threshold of the daily average cost of a single type of medicine corresponds to at least one piece of Chinese herbal medicine
  • the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the area where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit.
  • the above drug attribute information includes the name of the drug, One or more of drug type, drug use, unit drug supply channel and drug source.
  • the processor 401 may be a central processing unit (CPU), and the processor may also be other general-purpose processors, digital signal processors (DSPs), and dedicated integrations. Circuit (application specific integrated circuit, ASIC), ready-made programmable gate array (field-programmable gate array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc.
  • the general-purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
  • the memory 402 may include a read-only memory and a random access memory, and provide instructions and data to the processor 401 and the transceiver 403. A portion of the memory 402 may also include non-volatile random access memory. For example, the memory 402 may also store device type information.
  • the above-mentioned terminal device may execute the implementation manners provided by the steps in FIG. 1 to FIG. 2 through the function modules of the built-in processor 401 and the transceiver 403. For details, see the above steps The implementation provided will not be repeated here.
  • the embodiments of the present application can improve the timeliness of early warning of the medical expenses of the medical unit to be monitored, thereby improving the effective utilization rate of medical resources and having greater applicability.
  • Embodiments of the present application also provide a computer-readable storage medium that stores a computer program, and the computer program includes program instructions, which are executed by a processor to implement the steps in FIGS. 1 to 2.
  • the early warning method for over-standard Chinese medicine prescription drug cost based on data processing please refer to the implementation provided by the above steps for details, which will not be repeated here.
  • the above-mentioned computer-readable storage medium may be the data processing-based early warning device for excessive prescription of Chinese medicine prescription drugs based on data processing or the internal storage unit of the above terminal device, such as a hard disk or a memory of an electronic device.
  • the computer-readable storage medium may also be an external storage device of the electronic device, such as a plug-in hard disk equipped on the electronic device, a smart memory card (smart media card, SMC), a secure digital (SD) card, Flash card (flash card), etc.

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Abstract

A data-processing method and device for warning against a cost of a medicine which exceeds the standard for a Chinese medicine prescription on the basis of data processing, the method comprising: acquiring a Chinese medicine prescription of a medical unit to be monitored (S11), the Chinese medicine prescription comprising at least one dose of Chinese herbal medicine, and one dose of Chinese herbal medicine comprising at least one type of Chinese herbal medicine; acquiring Chinese herbal medicine information about each type of Chinese herbal medicine in each dose of Chinese herbal medicine in the Chinese medicine prescription, and determining the daily average cost of a single-prescription single-type medicine of each type of Chinese herbal medicine according to the Chinese herbal medicine information (S12); determining whether the daily average cost of the single-prescription single-type medicine of each type of Chinese herbal medicine is greater than or equal to a daily average cost threshold for single-prescription single-type medicine that corresponds to each type of Chinese herbal medicine (S13); and if yes, sending to the medical unit to be monitored warning information that the cost of of the Chinese herbal medicine exceeds the standard (S14). The present method may improve the accuracy in monitoring the use of Chinese herbal medicines by medical units, improve the reliability in monitoring the use of medicine by medical units, and has good applicability.

Description

基于数据处理的中药处方药品费用超标预警方法及装置Early warning method and device based on data processing for Chinese medicine prescription drug cost exceeding standard
本申请要求于2018年10月22日提交中国专利局、申请号为201811232802.X、申请名称为“基于数据处理的中药处方药品费用超标预警方法及装置”的中国专利申请的优先权，其全部内容通过引用结合在本申请中。This application requires the priority of the Chinese patent application submitted to the Chinese Patent Office on October 22, 2018, with the application number 201811232802.X and the application name as "Data processing-based early warning method and device for exceeding the standard of Chinese medicine prescription drug costs", all of which are The contents are incorporated in this application by reference.
技术领域Technical field
本申请涉及医疗技术领域，尤其涉及一种基于数据处理的中药处方药品费用超标预警方法及装置。The present application relates to the medical technology field, and in particular to a data processing-based early warning method and device for exceeding the standard of Chinese medicine prescription drug costs.
背景技术Background technique
当前为了规范各个医疗单位的用药标准，规避大处方行为，从而避免药品的滥用和浪费，起到合理施治的目的，各式各样的用药监控机制应运而生。各式各样的用药监控机制用于对各个医疗单位进行用药监控，包括但不限于各个医院、各个医院的科室、各个诊所乃至各个医师等医疗单位(或者医疗单位的代表)进行用药监控。At present, in order to standardize the medication standards of various medical units, circumvent large prescriptions, thereby avoiding the abuse and waste of drugs, and serve the purpose of reasonable treatment, various medication monitoring mechanisms have emerged. Various medication monitoring mechanisms are used to monitor medication for various medical units, including but not limited to medical units (or representatives of medical units) such as various hospitals, departments of various hospitals, various clinics, and even various physicians.
现有技术中，对于各个医疗单位的用药标准的评价主要是采用次均中药处方标准，也就是将每个中药处方的中药饮片日均费用(简称次均中药处方费用)作为各个医疗单位的用药评价标准。其中，上述次均中药处方费用的用药评价标准是采用处方总额除以处方数量的计算方式来计算得到。现有技术采用次均中药处方费用作为各个医疗单位的中药处方的用药评价标准导致各个医疗单位为了规避大处方行为被考核，通常会采用缩减处方天数来减低次均中药处方费用，或者通过分解处方的方式将单个处方总额较大的大处方分解为多个单个处方总额较小的小处方等方式来降低次均中药处方费用，从而规避大处方的监控。现有技术的用药评价方式使得各个医疗单位的用药监控的漏洞较大，对各个医疗单位的用药评价的准确率低，适用性弱。In the prior art, the evaluation of the medication standard of each medical unit mainly adopts the second-average Chinese medicine prescription standard, that is, the daily average cost of Chinese medicine decoction pieces for each Chinese medicine prescription (referred to as the second-average Chinese medicine prescription cost) is used as the medicine of each medical unit evaluation standard. Among them, the evaluation criteria for the above-mentioned average Chinese medicine prescription costs are calculated by dividing the total prescriptions by the number of prescriptions. Existing technology adopts the secondary average Chinese medicine prescription cost as the evaluation standard of the traditional Chinese medicine prescription of each medical unit. As a result, each medical unit is evaluated in order to avoid large prescriptions. Usually, the number of prescription days is reduced to reduce the average Chinese traditional medicine prescription cost, or by decomposing the prescription The method divides the large prescription with a large total prescription into multiple small prescriptions with a small total prescription to reduce the average cost of prescriptions of traditional Chinese medicines, thereby avoiding the monitoring of large prescriptions. The medication evaluation method of the prior art makes the loopholes of the medication monitoring of each medical unit larger, the accuracy rate of the medication evaluation of each medical unit is low, and the applicability is weak.
发明内容Summary of the invention
本申请实施例提供一种基于数据处理的中药处方药品费用超标预警方法及装置，操作简单，可提高对医疗单位的中药处方的用药监控精度，提高对医疗单位的用药监控的可靠性，适用性更强。The embodiments of the present application provide a data processing-based early warning method and device for exceeding the standard of Chinese medicine prescription drug costs. The operation is simple, which can improve the accuracy of monitoring the use of traditional Chinese medicine prescriptions in medical units, and improve the reliability and applicability of medical monitoring of medical units Stronger.
第一方面，本申请实施例提供了一种基于数据处理的中药处方药品费用超标预警方法，该方法包括：In a first aspect, an embodiment of the present application provides a data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs. The method includes:
获取待监控医疗单位的中药处方，上述中药处方中包括至少一剂中药饮片，一剂中药饮片中包括至少一种中药饮片；Obtaining a prescription of traditional Chinese medicine for the medical unit to be monitored. The above prescription of traditional Chinese medicine includes at least one dose of Chinese herbal medicine, and one dose of traditional Chinese medicine includes at least one herbal medicine.
获取上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息，并根据上述各种中药饮片的中药饮片药品信息确定上述各种中药饮片的单方单种类药品日均费用；Obtain the information of the Chinese herbal medicines of various Chinese herbal medicines included in the various Chinese herbal medicines of the above-mentioned Chinese medicine prescriptions, and determine the average daily cost of the single Chinese medicines of the various Chinese herbal medicines based on the information of the Chinese herbal medicines of the various Chinese herbal medicines;
确定上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值；Determine whether the daily average cost of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the above-mentioned various Chinese herbal medicines;
若上述各种中药饮片的单方单种类药品日均费用大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值，则向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。If the daily average cost of the single-party single-type medicine of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the single-side single-type medicine corresponding to the above-mentioned various Chinese herbal medicines, then an early warning message that the cost of the traditional Chinese medicines medicine exceeds the standard is sent to the medical unit to be monitored.
第二方面，本申请实施例提供了一种基于数据处理的中药处方药品费用超标预警装置，该装置包括：In a second aspect, an embodiment of the present application provides a data processing-based early warning device for excessive prescription drug costs of traditional Chinese medicine. The device includes:
数据获取单元，用于获取待监控医疗单位的中药处方，上述中药处方中包括至少一剂中药饮片，一剂中药饮片中包括至少一种中药饮片；The data acquisition unit is used to acquire the prescription of traditional Chinese medicine of the medical unit to be monitored. The prescription of the above-mentioned traditional Chinese medicine includes at least one dose of traditional Chinese medicine decoction, and one dose of traditional Chinese medicine decoction includes at least one traditional Chinese medicine decoction;
药品信息处理单元，用于获取上述数据获取单元获取的上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息，并根据上述各种中药饮片的中药饮片药品信息确定上述各种中药饮片的单方单种类药品日均费用；The medicine information processing unit is used to obtain the medicine information of various Chinese medicine slices included in each of the Chinese medicine decoction pieces of the above-mentioned Chinese medicine prescription obtained by the data acquisition unit, and determine the above mentioned according to the medicine information of the Chinese medicine decoction pieces The average daily cost of single-party single-type drugs for Chinese herbal medicines;
药品费用监控单元，用于确定上述药品信息处理单元确定的上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值；A drug cost monitoring unit, which is used to determine whether the daily average cost of the single-party single-type drugs of the above-mentioned various Chinese herbal medicine pieces determined by the drug information processing unit is greater than or equal to the daily average cost threshold of the single-party single-type drugs corresponding to the above-mentioned various Chinese herbal medicine pieces;
药品费用超标预警单元，用于在上述药品费用监控单元确定上述各种中药饮片的单方单种类药品日均费用大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值，则向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。The drug cost over-alarm warning unit is used to determine in the above-mentioned drug cost monitoring unit that the daily average cost of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the above-mentioned various Chinese herbal medicines. The medical unit to be monitored sends an early warning message that the cost of traditional Chinese medicine decoction exceeds the standard.
第三方面，本申请实施例提供了一种终端设备，该终端设备包括收发器、处理器和存储器，该收发器、处理器和存储器相互连接。该存储器用于存储支持该终端设备执行上述第一方面和/或第一方面任一种可能的实现方式提供的方法的计算机程序，该计算机程序包括程序指令，该收发器和处理器被配置用于调用上述程序指令，执行上述第一方面和/或第一方面任一种可能的实施方式所提供的方法。In a third aspect, an embodiment of the present application provides a terminal device. The terminal device includes a transceiver, a processor, and a memory, and the transceiver, processor, and memory are connected to each other. The memory is used to store a computer program that supports the terminal device to perform the method provided in the first aspect and / or any possible implementation manner of the first aspect, the computer program includes program instructions, and the transceiver and the processor are configured to When the above program instructions are invoked, the method provided in the first aspect and / or any possible implementation manner of the first aspect is executed.
第四方面，本申请实施例提供了一种计算机可读存储介质，该计算机可读存储介质存储有计算机程序，该计算机程序包括程序指令，该程序指令当被处理器执行时使该处理器执行上述第一方面和/或第一方面任一种可能的实施方式所提供的方法。According to a fourth aspect, an embodiment of the present application provides a computer-readable storage medium storing a computer program, the computer program including program instructions, which when executed by a processor causes the processor to execute The method provided in the foregoing first aspect and / or any possible implementation manner of the first aspect.
基于本申请实施例提供的方法实现对各医疗单位的用药监控操作简单，可提高对医疗单位的用药监控的时效性，提高对医疗单位的用药监控的可靠性，提高医疗资源的有效利用率，适用性更强。Based on the method provided in the embodiments of the present application, it is simple to implement the medication monitoring operation of each medical unit, which can improve the timeliness of the medication monitoring of the medical unit, improve the reliability of the medication monitoring of the medical unit, and increase the effective utilization rate of medical resources. More applicable.
附图说明BRIEF DESCRIPTION
为了更清楚地说明本申请实施例技术方案，下面将对实施例描述中所需要使用的附图作简单地介绍。In order to more clearly explain the technical solutions of the embodiments of the present application, the drawings required in the description of the embodiments will be briefly introduced below.
图1是本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法的一流程示意图；FIG. 1 is a schematic flowchart of an early warning method for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
图2是本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法的另一流程示意图；FIG. 2 is another schematic flow chart of the early warning method for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application;
图3是本申请实施例提供的基于数据处理的中药处方药品费用超标预警装置的实施例结构示意图；FIG. 3 is a schematic structural view of an embodiment of an early warning device for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application; FIG.
图4是本申请实施例提供的终端设备的实施例结构示意图。4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application.
具体实施方式detailed description
下面将结合本申请实施例中的附图，对本申请实施例中的技术方案进行清楚、完整地描述。The technical solutions in the embodiments of the present application will be described clearly and completely with reference to the drawings in the embodiments of the present application.
本申请实施例提供了一种基于数据处理的中药处方药品费用超标预警方法，可基于各个医院、各个医院的科室、各个诊所乃至各个医师等医疗单位(或者医疗单位的代表(或称团队))的单方单种类药品日均费用(即单个中药处方中单个种类的中药饮片的单方单种类药品日均费用)来评价各个医疗单位(包括医院、科室、诊所或者医师)的中药处方的药品费用是否超标(或称用药是否合理)。可基于医疗单位的用药情况向待监控医疗单位发送中药处方中中药饮片药品费用超标预警信息，以向待监控医疗单位发出控制中药处方的开方用药，防止待监控医疗单位的中药处方中中药饮片的药品费用持续超标的预警，避免待监控医疗单位的中药饮片等医疗资源的浪费。可选的，可基于医疗单位的用药情况在医疗单位的药品费用超标时拒绝该医疗单位提交的药品费用报销请求和/或理赔请求，以实现对该医疗单位的药品费用超标的预警，提醒医疗单位对处方药品费用进行控制，避免医疗 资源的浪费。为方便描述，上述各个医院、各个医院的科室、各个诊所乃至各个医师等等医疗单位或者医疗单位的代表所表示的考核维度将以医疗单位的这个考核维度为例进行说明，下面不再赘述。The embodiments of the present application provide a data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs, which can be based on various hospitals, departments of various hospitals, various clinics, and even various medical units (or representatives of medical units (or teams)) The daily average cost of single-party single-type medicines (that is, the daily average cost of single-party single-type medicines in a single Chinese medicine prescription for a single Chinese medicine prescription) Exceeding the standard (or whether the medication is reasonable). Based on the medication situation of the medical unit, the medical unit to be monitored can send a warning message that the Chinese medicine prescription exceeds the standard of the Chinese medicine decoction, so as to issue the prescription medicine for the controlled Chinese medicine prescription to the medical unit to be monitored, to prevent the Chinese medicine prescription of the medical unit to be monitored. The early warning of the continuous drug cost exceeding the standard, to avoid the waste of medical resources such as traditional Chinese medicine decoction pieces to be monitored by the medical unit. Optionally, based on the medical unit's medication situation, when the medical unit's drug cost exceeds the standard, the medical unit's medical expense reimbursement request and / or claim request may be rejected to realize the early warning of the medical unit's excessive medical cost and remind the medical The unit controls the cost of prescription drugs to avoid wasting medical resources. For the convenience of description, the assessment dimensions represented by the representatives of the above-mentioned hospitals, departments of various hospitals, clinics, and even doctors or other medical units or medical units will be described using the evaluation dimension of the medical unit as an example, and will not be described below.
本申请实施例所提供的中药处方可包括各个医疗单位的各个医师针对各个病患的病症所开具的中药处方，或称各个医师针对各个病患的病症所开具的中药药方，或称处方笺等，在此不做限制。为方便描述，下面将以处方为例进行说明。通常来讲，各个医疗单位的各个医师所开具的处方中可包括但不限于处方开具时间、处方编号、科室编号、病患个人信息、中药饮片的药品详情以及医师签字，具体可根据实际应用场景确定，在此不做限制。换句话说，无论是单个处方总额较大的大处方，还是单个处方总额较小的小处方，或者其他更多表现形式的处方，每个处方中均会有各个种类的中药饮片的药品详情，包括但不限于中药饮片的名称、中药饮片的费用、中药饮片的使用方式以及中药饮片的药品使用天数等。因此无论是大处方还是小处方还是其他，均离不开中药饮片的药品详情。因此，基于各个医疗单位的单方单种类药品日均费用实现对各个医疗单位的中药处方的用药是否达标进行评价从而实现对各个医疗单位的用药监控，操作简单并且可更好地、更加全面地覆盖到对医疗单位的各个中药处方的用药监控。同时基于医疗单位的单方单种类药品日均费用实现对各个医疗单位的用药监控更加准确到位，从而可提高对各个医疗单位的用药监控的准确率。基于各个医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用，与各种中药饮片对应的单方单种类药品日均费用阈值的比较，实现对医疗单位的中药处方的药品费用超标预警，可提高对各个医疗单位的用药监控的时效性，进而可提高基于各个医疗单位的用药情况对各个医疗单位进行药品费用超标预警的可靠性，从而可提高医疗资源的有效利用率，适用性更高。The prescriptions of traditional Chinese medicine provided in the embodiments of the present application may include prescriptions of traditional Chinese medicine prescribed by various doctors of various medical units for the conditions of each patient, or prescriptions of traditional Chinese medicine prescribed by various doctors for the conditions of each patient, or prescription papers, etc. , No restrictions here. For the convenience of description, the prescription will be described as an example below. Generally speaking, the prescriptions issued by various doctors in various medical units may include, but are not limited to, the prescription issuance time, prescription number, department number, patient personal information, medicine details of Chinese herbal medicines, and the signature of the doctor, depending on the actual application scenario Ok, no restrictions here. In other words, whether it is a large prescription with a large total prescription, a small prescription with a small total prescription, or other prescriptions with more manifestations, each prescription will have various types of medicine details of Chinese herbal medicines. Including but not limited to the name of Chinese herbal medicines, the cost of Chinese herbal medicines, the use of Chinese herbal medicines, and the number of days of Chinese herbal medicines used. Therefore, no matter whether it is a large prescription or a small prescription or other, it is inseparable from the details of medicines in Chinese herbal medicines. Therefore, based on the daily average cost of each medical unit's single-party single-type drugs, the medical prescription of each medical unit can be evaluated for compliance with the standard to achieve monitoring of the medical use of each medical unit. The operation is simple and can be better and more comprehensively covered. To the monitoring of the use of various Chinese medicine prescriptions in medical units. At the same time, the daily average cost of single-party and single-type drugs based on medical units can achieve more accurate and accurate monitoring of drug use of each medical unit, thereby improving the accuracy of drug monitoring of each medical unit. Based on the comparison of the daily average cost of single-party single-type drugs for various Chinese herbal medicines in the medical prescriptions of various medical units, the daily average cost threshold of the single-party single-type drugs corresponding to various Chinese herbal medicines is compared, so that the medical cost of the Chinese medicine prescription for medical units exceeds the standard Early warning can improve the timeliness of drug monitoring of each medical unit, and thus can improve the reliability of early warning of drug costs exceeding the standard for each medical unit based on the drug use of each medical unit, thereby improving the effective utilization of medical resources and applicability higher.
这里，中药饮片是中药材经过按中医药理论、中药炮制方法，经过加工炮制后的可直接用于中医临床的中药。由此表明，中药材、中药饮片并没有绝对的界限，中药饮片包括了部分经产地加工的中药切片，原形药材饮片以及经过切制、炮炙的饮片。为方便描述，下面将以中药饮片为例进行说明。Here, the traditional Chinese medicine decoction piece is a traditional Chinese medicine that can be directly used in the clinical practice of traditional Chinese medicine after being processed according to the traditional Chinese medicine theory and the traditional Chinese medicine preparation method. This shows that there is no absolute boundary between Chinese medicinal materials and Chinese herbal decoctions. Chinese herbal decoctions include some traditional Chinese medicine slices processed in the place of origin, original medicinal decoctions, and cut and fired decoctions. For convenience of description, the following will take Chinese herbal decoction as an example.
常见的中药饮片的品种包括但不限于：1、干姜；2、炮姜；3、姜炭；4、大黄；5、酒大黄；6、熟大黄；7、大黄炭；8、栀子；9、焦栀子；10、炒栀子；11、黄芪；12、炙黄芪；13、黄连；14、酒黄连；15、姜黄连；16、萸黄连；17、麻黄；18、炙麻黄；19、丹参；20、酒丹参；21、何首乌；22、制何首乌；23、甘草；24、炙甘草；25、石膏；26、煅石膏；27、白术；28、炒白术；29、焦白术；30、赤芍；31、白芍；32、炒白芍；33、酒白芍；34、生地黄；35、熟地黄；36、当归；37、酒当归；38、槟榔；39、焦槟榔；40、延胡索；41、醋延胡索；42、槐花；43、槐花炭；44、黄芩；45、酒黄芩；46、三七粉；47、红参；48、冰片；49、红粉；50、轻粉；51、玄明粉；52、芒硝；53、青黛；54、滑石粉；55、赭石；56、煅赭石；57、芦荟；58、儿茶；59、制川乌；60、制草乌；61、黑顺片；62、白附片；63、淡附片；64、炮附片；65、巴豆霜；66、千金子霜；67、马钱子粉；68、米斑蝥；69、朱砂；70、雄黄；71、炒谷芽；72、煅牡蛎；73、炒稻芽；74、醋香附；75、醋柴胡；76、酒肉苁蓉；77、煅龙齿；78、煅石决明；79、醋龟甲；80、焦六神曲。上述中药饮片仅是示例，并非穷举，具体可根据实际应用场景需求确定，在此不做限制。Common varieties of Chinese herbal medicines include but are not limited to: 1, dried ginger; 2, gun ginger; 3, ginger charcoal; 4, rhubarb; 5, wine rhubarb; 6, cooked rhubarb; 7, rhubarb charcoal; 8, gardenia; 9. Jiao Gardenia; 10. Fried Gardenia; 11. Astragalus; 12. Roasted Astragalus; 13, Coptis chinensis; 14, Wine Coptis chinensis; 15, Turmeric Coptis; 16, Cornus Coptidis; 17, Ephedra; 18, Roasted Ephedra; 19 , Salvia; 20, wine salvia; 21, Polygonum multiflorum; 22, prepared Polygonum multiflorum; 23, licorice; 24, licorice; 25, gypsum; 26, calcined gypsum; 27, Atractylodes; 28, fried Atractylodes; 29, burned Atractylodes; 30 , Red peony; 31, white peony; 32, fried white peony; 33, wine white peony; 34, raw rehmannia glutinosa; 35, cooked rehmannia glutinosa; 36, angelica; 37, wine angelica; 38, betel nut; 39, Jiao betel nut; 40 , Yanhusuo; 41, vinegar yanhusuo; 42, Huaihua; 43, Huaihua charcoal; 44, Scutellaria; 45, Scutellaria baicalensis; 46, Panax notoginseng powder; 47, red ginseng; 48, borneol; 49, red powder; 50, light Powder; 51, Xuanming powder; 52, thenardite; 53, Qingdai; 54, talc powder; 55, ocher; 56, calcined ocher; 57, aloe vera; 58, catechin; 59, Chuanwu; 60, Caowu; 61. Hei Shun ; 62, white attached tablets; 63, light attached tablets; 64, gun attached tablets; 65, croton cream; 66, Qianjin cream; 67, horse mackerel powder; 68, rice cantharidin; 69, cinnabar; 70, realgar; 71, fried grain buds; 72, calcined oysters; 73, fried rice buds; 74, vinegar incense; 75, vinegar Bupleurum; 76, wine cistanche; 77, calcined dragon teeth; 78, calcined cassia; 79, vinegar Tortoiseshell; 80, Jiao Liushenqu. The above-mentioned traditional Chinese medicine decoction pieces are only examples, not exhaustive, and can be determined according to actual application scenario requirements, and are not limited herein.
本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法可由药品监督管理局、卫生委员会、卫生与健康委员会以及医疗理赔单位等用药监控单位所关联的终端设备执行，例如上述用药监控单位用于对各个医疗单位进行用药监控的客户端和/或人机交互设备等，在此不做限制。例如，当上述用药监控单位为待监控医疗单位自身时，上述终端 设备可以是待监控医疗单位用于对各个医师的开方用药情况进行药品费用监控和药品费用超标预警的工具，例如医师开方工具等等，在此不做限制。当上述用药监控单位为待监控医疗单位之外的其他单位时，上述终端设备可以是用于对各个医疗单位进行用药监控的客户端和/或人机交互设备等，在此不做限制。为方便描述，下面将以终端设备为例进行说明。The data processing-based early warning method for exceeding the standard of Chinese medicine prescription drug costs provided by the embodiments of the present application may be implemented by terminal devices associated with drug monitoring units such as the Drug Administration, the Health Commission, the Health and Health Commission, and medical claim units, such as the above drug monitoring units Clients and / or human-computer interaction devices used to monitor medication use of various medical units are not limited here. For example, when the above drug monitoring unit is the medical unit to be monitored itself, the above terminal device may be a tool used by the medical unit to be monitored to monitor the drug cost of each doctor's prescription and early warning of excessive drug costs, such as the doctor's prescription Tools, etc., are not restricted here. When the drug monitoring unit is a unit other than the medical unit to be monitored, the terminal device may be a client and / or a human-computer interaction device for monitoring drug use of each medical unit, which is not limited herein. For convenience of description, the terminal device will be taken as an example for description below.
实施例一：Example one:
参见图1，图1是本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法的一流程示意图。本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法，可通过如下步骤S11至S14中各个步骤所提供的实现方式进行说明。Referring to FIG. 1, FIG. 1 is a schematic flowchart of an early warning method for over-standard Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application. The method for early warning of over-standard Chinese medicine prescription drug costs based on data processing provided by the embodiments of the present application can be described by the implementation methods provided in the following steps S11 to S14.
S11，获取待监控医疗单位的中药处方。S11. Obtain the Chinese medicine prescription of the medical unit to be monitored.
在一些可行的实施方式中，上述待监控医疗单位可为用药监控单位所监控的任一医疗单位，具体可根据实际应用场景确定，在此不做限制。换句话说，任一医疗单位都可能被用药监控单位作为监控对象，因此被选中的监控对象则可为待监控医疗单位。为方便描述，下面将以待监控医疗单位为例进行说明。In some feasible implementation manners, the above-mentioned medical unit to be monitored may be any medical unit monitored by the medication monitoring unit, which may be specifically determined according to actual application scenarios, and is not limited herein. In other words, any medical unit may be monitored by the medication monitoring unit, so the selected monitoring object may be the medical unit to be monitored. For convenience of description, the medical unit to be monitored will be described as an example below.
在一些可行的实施方式中，上述医疗单位的中药处方可包括待监控医疗单位的任意一个中药处方，也可以是待监控医疗单位在任一日的单日时间内所产生的所有中药处方(即多个中药处方)。其中，上述所有中药处方包括但不限于单日时间内医院的所有科室所有医师所开具的所有中药处方、单日时间内医院的某一个科室的所有医师所开具的所有中药处方，或者单日时间内医院的某一个科室的某一个医师所开具的所有中药处方中的任一种情况。其中，上述中药处方所表示的具体情况根据实际应用场景中对医疗单位进行用药评价的考核维度确定，在此不做限制。本申请实施例提供的方法可基于上述各种表现形式的中药处方计算任一中药处方(为方便描述可简称单方)中所包括的任一种中药饮片的单方单种类药品日均费用，进而可基于任一中药处方的任一种中药饮片的单方单种类药品日均费用对医疗单位的用药进行评价。基于单方中所包括的任一种中药饮片的单方单种类药品日均费用对医疗单位进行用药标准评价，粒度更细，用药监控更加严格有效。为方便描述，下面将以单个中药处方所包括的任一种(即单种类)中药饮片的药品日均费用为例进行说明，以下简称单方单种类药品日均费用。In some feasible implementation manners, the traditional Chinese medicine prescription of the above medical unit may include any one of the traditional Chinese medicine prescriptions of the medical unit to be monitored, or it may be all the traditional Chinese medicine prescriptions generated by the medical unit to be monitored within a single day of any day (that is, more A Chinese medicine prescription). Among them, all the above prescriptions of traditional Chinese medicine include but are not limited to all prescriptions of traditional Chinese medicine issued by all doctors in all departments of the hospital within a single day, all prescriptions of traditional Chinese medicine issued by all doctors of a certain department of the hospital within a single day, or a single day Any one of all the prescriptions of Chinese medicine issued by a doctor in a department of an internal hospital. Among them, the specific conditions indicated in the above traditional Chinese medicine prescription are determined according to the evaluation dimension of the medical unit's medication evaluation in the actual application scenario, and no limitation is made here. The method provided in the embodiments of the present application can calculate the average daily cost of a single type of single type of medicine for any kind of Chinese medicine decoction included in any Chinese medicine prescription (referred to as a single side for convenience of description) based on the above-mentioned various forms of Chinese medicine prescriptions. The medical unit's medication is evaluated based on the daily average cost of a single type of single-medicine medicine for any Chinese medicine decoction piece based on any Chinese medicine prescription. Based on the daily average cost of any single type of single-piece medicines included in the single-party Chinese herbal medicines, the medical unit is evaluated for drug standard, the granularity is finer, and the drug monitoring is more strict and effective. For convenience of description, the following will take the daily average cost of any kind (ie single type) of Chinese herbal medicines included in a single prescription of traditional Chinese medicine as an example for explanation, hereafter referred to as the daily average cost of a single single type of medicine.
在一些可行的实施方式中，上述待监控医疗单位的中药处方可以是用于对待监控医疗单位进行实时药品费用超标预警的处方，这部分处方可以是待监控医疗单位单日内各个医师所开具的处方中的全部或者部分。这里，对待监控医疗单位的实时药品费用超标预警可以是在待监控医疗单位的中药处方所包括的多种中药饮片中，一种或者多种中药饮片的单方单种类药品日均费用来到各种中药饮片对应的单方单种类药品日均费用超标的临界点(即单方单种类药品日均费用等于单方单种类药品日均费用阈值)时生成，用于实时告知待监控医疗单位的医师接下来开具的处方可能是导致待监控医疗单位的一种或者多种中药饮片的单方单种类药品日均费用超标的处方，以供医师确定是否继续开具处方。可选的，上述待监控医疗单位的中药处方也可以是用于对待监控医疗单位进行后期药品费用超标预警的处方，这部分处方可以是待监控医疗单位单日内各个医师所开具的所有处方。这里，后期药品费用超标预警可以是在基于待监控医疗单位当前考核周期(例如某一天)的所有中药处方确定待监控医疗单位的一种或者多种中药饮片的单方单种类药品日均费用超标(即中药饮片的单方单种类药品日均费用大于单方单种类药品日均费用阈值)时生成，并在确定待监控医疗单位在当前考核周期的一种或者多种中药饮片的单方单种类药品日均费用超标时向待监控医疗单位发出中药处方的药品费用超标预警，以提示待监控医疗单位注意后续考核周期内的中药处方中各种中药饮片的单方单种类药品日均费用的控制，以防止再次出现一种或者多种中药饮片的单方单种类药品日均费用超标而遭受药品费用拒绝报销 和/或拒绝理赔等惩罚。其中，上述待监控医疗单位的中药处方的具体表现形式可根据实际应用场景中药品费用超标预警的应用场景(实时或者后期)需求确定，在此不做限制。In some feasible implementation manners, the above-mentioned Chinese medicine prescription of the medical unit to be monitored may be a prescription for real-time warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be a prescription issued by each doctor within a single day of the medical unit to be monitored In whole or in part. Here, the real-time warning of exceeding the standard of the medical cost of the medical unit to be monitored may be that among the various Chinese medicine decoctions included in the traditional Chinese medicine prescription of the medical unit to be monitored, the daily average cost of one or more Chinese medicine decoctions of one or more Chinese medicine decoctions comes to various It is generated when the daily average cost of unilateral single-type drugs corresponding to TCM decoction exceeds the standard (that is, the daily average cost of unilateral single-type drugs is equal to the daily average cost threshold of unilateral single-type drugs), which is used to notify the doctor of the medical unit to be monitored in real time. The prescription may be a prescription that causes the daily average cost of one or more types of single-piece medicines of one or more Chinese herbal medicines to be monitored by the medical unit to be used by the physician to determine whether to continue to prescribe. Optionally, the traditional Chinese medicine prescription of the medical unit to be monitored may also be a prescription for early warning of excessive drug costs of the medical unit to be monitored, and this part of the prescription may be all prescriptions issued by various doctors within a single day of the medical unit to be monitored. Here, the early warning of excessive drug cost in the later period may be that the daily average cost of one or more types of Chinese medicine decoctions for one or more Chinese medicine decoctions of the medical unit to be monitored is determined based on all the traditional Chinese medicine prescriptions of the medical unit to be monitored (for example, a certain day). That is, the daily average cost of single-party single-type drugs of Chinese herbal medicines is greater than the daily average cost of single-party single-type medicines, and is determined when determining the daily average of single-party single-type medicines of one or more Chinese herbal medicines in the current evaluation cycle of the medical unit to be monitored When the cost exceeds the standard, the medical unit to be monitored is issued an early warning of the drug cost exceeding the standard, to remind the medical unit to be monitored to pay attention to the daily average cost of the single-party single-type drugs of various Chinese herbal medicines in the Chinese medicine prescription in the subsequent evaluation cycle to prevent recurrence The daily average cost of a single type of single-medicine medicine with one or more Chinese herbal decoctions exceeds the standard and is subject to penalties such as refusal to reimburse medicine and / or refusal to settle claims. Among them, the specific expression form of the traditional Chinese medicine prescription of the medical unit to be monitored can be determined according to the application scenario (real-time or later) demand of early warning of drug cost exceeding the actual application scenario, and no limitation is made here.
通俗来讲，针对中药饮片的中药处方(为方便描述可简称处方)来说，一个处方可以包括一剂或者多剂中药饮片，其中每剂药中药饮片中可包括一个或者多个品种(或称种类，或者种)的中药饮片。换句话说，就是一个处方上可以包括一剂或者多剂的中药饮片，其中每剂中药饮片中包括一个或者多个品种的中药饮片，这多个品种的中药饮片中每个品种的中药饮片都有各自的单价，并且该在处方中均有各自的剂量。一剂中药饮片中的所有品种的中药饮片混合在一起使用，一剂中药饮片中所有品种的中药饮片的服用方式是混合之后一起放入砂锅或者搪瓷盘进行煎煮，最后得到一碗药汤。因此，单个处方中所有中药饮片(也是任一种中药饮片)的药品使用天数就是该处方中每剂中药饮片的药品使用天数累加值，为方便描述也可称为药品使用总天数为例进行说明等。比如，单个处方中所包括的中药饮片有M剂，每剂中药饮片的使用天数是一天，则上述处方中所包括的中药饮片的药品使用总天数则为M(即M*1)天。换句话说，上述处方中所包括的各种中药饮片的药品使用总天数均为M天。Generally speaking, for the prescription of Chinese herbal medicine (referred to as a prescription for convenience), a prescription can include one or more doses of Chinese herbal medicine, each of which can include one or more varieties (or Kind, or kind) of Chinese medicine decoction pieces. In other words, a prescription can include one or more doses of Chinese medicine decoctions, each of which includes one or more varieties of Chinese medicine decoctions. There are respective unit prices, and each dose should be included in the prescription. All kinds of Chinese herbal medicines in one piece of Chinese herbal medicine are mixed and used together. The way of taking all kinds of Chinese medicine slices in one Chinese medicine slice is to put them in a casserole or enamel pan for mixing after mixing, and finally get a bowl of medicine soup. Therefore, the number of days of use of all Chinese herbal medicines in a single prescription (also any type of Chinese herbal medicines) is the cumulative value of the number of days of use of each Chinese herbal medicine in the prescription. For convenience of description, it can also be called the total number of days of drug use as an example. Wait. For example, if the Chinese herbal medicines included in a single prescription have M doses, and the usage days of each Chinese herbal medicine are one day, then the total number of days of using the Chinese herbal medicines included in the above prescriptions is M (that is, M * 1) days. In other words, the total number of days of use of various Chinese herbal medicines included in the above prescriptions is M days.
在一些可行的实施方式中，终端设备可与待监控医疗单位的数据系统对接，获取待监控医疗单位的数据系统准入资格，进而可基于待监控医疗单位的数据系统准入资格从待监控医疗单位的数据系统中获取待监控医疗单位的中药处方。可选的，终端设备也可基于待监控医疗单位所提供了医疗理赔数据，从医疗理赔数据中筛选得到医疗单位的中药处方等处方数据。可选的，终端设备也可基于大数据分析，从各个医疗单位的病患就诊记录中筛选得到待监控医疗单位的中药处方等处方数据，等等。终端设备可基于上述数据获取方式之外的任一数据获取路径获取得到待监控医疗单位的中药处方，具体可根据实际应用场景确定，在此不做限制。In some feasible implementation manners, the terminal device can be docked with the data system of the medical unit to be monitored to obtain the access qualification of the data system of the medical unit to be monitored, and from the medical system to be monitored based on the data system access qualification of the medical unit to be monitored Obtain the Chinese medicine prescription of the medical unit to be monitored in the unit's data system. Optionally, the terminal device may also screen the medical claim data from the medical claim data based on the medical claim data provided by the medical institution to be monitored to obtain prescription data such as the Chinese medicine prescription of the medical institution. Optionally, the terminal device can also obtain prescription data such as prescriptions of traditional Chinese medicines of the medical unit to be monitored from the medical records of patients in various medical units based on big data analysis, and so on. The terminal device may obtain the Chinese medicine prescription of the medical unit to be monitored based on any data acquisition path other than the above-mentioned data acquisition method, which may be determined according to actual application scenarios, and no limitation is made here.
可以理解，这里待监控医疗单位的中药处方中任一中药处方上均可包括该中药处方中所开中药饮片的药品详情，包括但不限于药品名称、药品费用，药品使用方式(或称药品服用方式等)以及药品使用天数，具体可根据实际应用场景确定，在此不做限制。It is understandable that any Chinese medicine prescription in the Chinese medicine prescription of the medical unit to be monitored here can include the details of the medicine prescribed in the Chinese medicine prescription, including but not limited to the name of the medicine, the cost of the medicine, and the method of use of the medicine (or drug The method, etc.) and the number of days the drug is used can be determined according to the actual application scenario, and there is no limit here.
S12，获取上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息，并根据上述各种中药饮片的中药饮片药品信息确定上述各种中药饮片的单方单种类药品日均费用。S12. Obtain the information of the Chinese herbal medicines of various Chinese herbal medicines included in the various Chinese herbal medicines of the above-mentioned Chinese medicine prescriptions, and determine the daily average cost of each type of single Chinese medicine of the above Chinese herbal medicines according to the information of the Chinese herbal medicines of the various Chinese medicines .
在一些可行的实施方式中，终端设备获取得到待监控医疗单位的中药处方(比如单个中药处方，或简称单方)之后，可获取上述单个中药处方中所包括的各剂中药饮片的中药饮片药品信息，包括但不限于中药饮片的药品费用和药品使用天数。基于待监控医疗单位的单个中药处方可以获取上述单个中药处方中各剂中药饮片所包括的各种中药饮片的药品费用，根据上述各种中药饮片的药品费用确定上述单个中药处方中任一种中药饮片在单个中药处方中的药品总费用。其中，在上述单个中药处方中任一种中药饮片的药品总费用是上述单个中药处方中一剂或者多剂中药饮片中各剂中药饮片所包括的上述任一种中药饮片的费用累加值。其中，每剂中药饮片中所包括的上述任一种中药饮片的药品费用是该剂中药饮片中该种中药饮片的单价与该种中药饮片在单剂中药饮片中的剂量的乘积。可选的，上述单种中药饮片在单个中药处方中的药品总费用为该种中药饮片的单价与该种中药饮片在单个中药处方中的剂量总和的乘积，具体可根据实际应用场景确定单个中药处方中单种类中药饮片的药品总费用，在此不做限制。In some feasible implementation manners, after the terminal device obtains the traditional Chinese medicine prescription of the medical unit to be monitored (such as a single traditional Chinese medicine prescription, or simply a single party), it can obtain the traditional Chinese medicine decoction drug information of each of the traditional Chinese medicine decoction pieces included in the single traditional Chinese medicine prescription , Including but not limited to the cost of medicine and the number of days the medicine is used. Based on the single Chinese medicine prescription of the medical unit to be monitored, the medicine costs of various Chinese medicine decoctions included in each dose of the Chinese medicine decoction in the above single Chinese medicine prescription can be obtained, and any one of the Chinese medicines in the single Chinese medicine prescription can be determined according to the drug costs of the various Chinese medicine decoctions The total cost of medicine in the prescription of a single Chinese medicine. Wherein, the total drug cost of any one of the traditional Chinese medicine decoctions in the single Chinese medicine prescription is the cumulative value of the cost of any one of the traditional Chinese medicine decoctions included in each dose of the traditional Chinese medicine decoction in the single Chinese medicine prescription. Wherein, the medicine cost of any one of the above-mentioned Chinese medicine decoctions included in each dose of Chinese medicine decoction is the product of the unit price of the Chinese medicine decoction in the Chinese medicine decoction and the dose of the Chinese medicine decoction in a single Chinese medicine decoction. Optionally, the total drug cost of the single Chinese herbal medicine in a single Chinese herbal medicine prescription is the product of the unit price of the Chinese herbal medicine and the total dose of the Chinese herbal medicine in a single Chinese medicine prescription, and the specific Chinese medicine can be determined according to the actual application scenario. The total cost of single-piece Chinese herbal medicines in prescriptions is not limited here.
在一些可行的实施方式中，根据中药饮片中各剂中药饮片的药品使用天数可确定上述任一种中药饮片在单个中药处方中的药品使用总天数，根据上述任一种中药饮片在上述单个中药处方中的药品总费用和上述药品使用总天数可确定上述任一种中药饮片的单方单种 类药品日均费用。上述单个中药处方任一种中药饮片的药品使用总天数为单个中药处方中一剂或者多剂中药饮片中各剂中药饮片的药品使用天数累加值，具体可参见上述步骤S11中所描述的实现方式，在此不做限制。待监控医疗单位的单个中药处方中单种类中药饮片的单方单种类药品日均费用表示待监控医疗单位单个中药处方中单种类中药饮片的每日平均药品费用，其中，上述单个中药处方中任一种中药饮片的单方单种类药品日均费用可基于如下公式(1)计算得到：In some feasible embodiments, the total number of days of use of any one of the above-mentioned Chinese medicine pieces in a single Chinese medicine prescription can be determined according to the number of days of use of each piece of Chinese medicine pieces in the Chinese medicine pieces, and according to any one of the above-mentioned Chinese medicine pieces in the single Chinese medicine The total cost of the drug in the prescription and the total number of days of use of the above drug can determine the average daily cost of any one of the above-mentioned Chinese herbal medicines. The total number of days of medicine usage for any one of the above-mentioned single Chinese medicine prescriptions is the cumulative value of the number of days of medicine usage for each dose of one or more doses of single Chinese medicine prescriptions in a single Chinese medicine prescription. For details, please refer to the implementation described in step S11 above , No restrictions here. The daily average cost of a single type of Chinese herbal medicine in a single Chinese medicine prescription of the medical unit to be monitored represents the average daily drug cost of the single type of Chinese herbal medicine in a single Chinese medicine prescription of the medical unit to be monitored, of which any of the above single Chinese medicine prescriptions The average daily cost of a single type of single medicine for a variety of Chinese herbal medicines can be calculated based on the following formula (1):
公式(1)：单方单种类药品日均费用＝单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。Formula (1): the average daily cost of a single-party single-type medicine = the total cost of a single-party single-type Chinese herbal medicine / the total number of days a single-side single-type Chinese herbal medicine uses.
其中，上述公式(1)中，上述单方单种类中药饮片的药品总费用为单个中药处方中各剂中药饮片所包含的单种类中药饮片的费用累加值。上述单方单种类中药饮片的药品使用总天数指该中药处方中所包括的一剂或者多剂中药饮片中各剂中药饮片的使用天数的累加值。In the above formula (1), the total drug cost of the single-party single-type traditional Chinese medicine pieces is the cumulative value of the single-type traditional Chinese medicine pieces included in each dose of the single-piece traditional Chinese medicine pieces. The total number of days of use of the above-mentioned single-party single-type Chinese herbal medicines refers to the cumulative value of the number of days of use of each Chinese herbal medicine in one or more doses of Chinese herbal medicines included in the prescription.
S13，确定上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值。S13. Determine whether the daily average cost of the single-party single-type medicine of the above-mentioned various Chinese herbal medicines is greater than or equal to the threshold of the daily average cost of the single-side single-type medicine corresponding to the above-mentioned various Chinese herbal medicines.
在一些可行的实施方式中，针对不同种类的中药饮片对医疗单位进行药品费用监控时，可基于各个不同种类的中药饮片的药品类型、药品用途(例如药品所针对的疾病类型)、药品供应渠道或者药品来源等药品属性信息设定用于对不同种类中药饮片进行药品费用监控的考核指标阈值，例如各种中药饮片对应的单方单种类药品日均费用阈值，即各种中药饮片对应的单方单种类药品日均费用阈值等等。例如，基于各个不同种类的中药饮片所针对的疾病类型或者药品来源等药品特点，不同种类中药饮片对应的单方单种类药品日均费用可不尽相同。例如，对于药品来源比较困难或者所针对的疾病类型是特病等药品特点使得中药饮片成本价较高的中药饮片种类，则可将其单方单种类药品日均费用阈值设置得较高一些，即其对应的用药评价标准的考核指标阈值则可设定为较高的考核指标等等，具体可根据实际应用场景确定，在此不做限制。基于上述医疗单位的单个种类中药饮片的单方单种类药品日均费用，结合该种中药饮片对应的单方单种类药品日均费用阈值可确定该种中药饮片是否为超标中药饮片。换句话说，就是该种中药饮片的单方单种类药品日均费用是否大于其对应的单方单种类药品日均费用阈值。当该种中药饮片的单方单种类药品日均费用是否大于其对应的单方单种类药品日均费用阈值时，则可确定该种中药饮片为超标中药饮片，否则为非超标中药饮片。In some feasible implementations, when monitoring the medical cost of medical units for different types of Chinese herbal medicines, it can be based on the types of medicines of different types of Chinese herbal medicines, the purpose of the medicine (such as the type of disease targeted by the medicine), and the supply channel of the medicine Or the drug attribute information such as the source of the drug sets the evaluation index threshold for monitoring the drug cost of different types of Chinese herbal medicine pieces, such as the daily average cost threshold of a single type of medicine corresponding to various Chinese medicine pieces, that is, the single party corresponding to various Chinese medicine pieces The daily average cost threshold for various types of medicines, etc. For example, based on the drug characteristics such as the disease type or drug source targeted by different types of traditional Chinese medicine decoctions, the daily average cost of a single type of single type of drugs corresponding to different types of traditional Chinese medicine decoctions may vary. For example, for the types of Chinese herbal medicines where the source of medicine is difficult or the disease type is special disease and other medicine characteristics make the cost of Chinese herbal medicines higher, then the daily average cost threshold for a single type of single medicine can be set higher, namely The threshold of the assessment index of the corresponding medication evaluation standard can be set to a higher assessment index, etc., which can be determined according to the actual application scenario, without limitation. Based on the daily average cost of a single type of Chinese herbal medicines in the above-mentioned medical unit, combined with the daily average cost threshold of a single type of Chinese medicine corresponding to the Chinese herbal medicines, it can be determined whether the Chinese herbal medicines are over-standard Chinese herbal medicines. In other words, it is whether the average daily cost of the single-party single-type medicine of this kind of Chinese herbal decoction is greater than its corresponding average daily cost threshold of the single-party single-type medicine. When the daily average cost of the unilateral single type medicine of this kind of traditional Chinese medicine decoction is greater than the corresponding daily average cost threshold of the corresponding unilateral single type of medicine, it can be determined that this kind of traditional Chinese medicine decoction is an over-standard traditional Chinese medicine decoction, otherwise it is a non-extra-standard Chinese traditional medicine decoction.
在一些可行的实施方式中，还可根据各个医疗单位的单位属性信息预先设定各个医疗单位的中药饮片的用药监控标准和/或用药评价标准的考核指标阈值，例如超标中药饮片的数量达标上限，或称超标中药饮片阈值等。例如，针对待监控医疗单位进行中药饮片的用药监控时，可基于待监控医疗单位的历史用药记录或者药品使用政策等信息设定待监控医疗单位对应中药饮片用药的超标中药饮片阈值，进而可基于上述确定的待监控医疗单位的中药处方中超标中药饮片的数量，结合该待监控医疗单位对应的超标中药饮片阈值确定该医疗单位的中药饮片的用药是否达标。换句话说，就是该待监控医疗单位的中药处方中超标中药饮片的数量是否小于或者等于其对应的超标中药饮片阈值。若该待监控医疗单位的中药处方中超标中药饮片的数量小于或者等于其对应的超标中药饮片阈值，则可确定待监控医疗单位的中药饮片的药品费用不超标。若待监控医疗单位的中药处方中超标中药饮片的数量大于其对应的超标中药饮片阈值，则可确定待监控医疗单位的中药饮片的用药是超标的，即待监控医疗单位的药品费用超标。In some feasible implementation manners, the evaluation thresholds of the medicine monitoring standard and / or the medicine evaluation standard of the TCM decoction pieces of each medical unit may also be preset according to the unit attribute information of each medical unit, for example, the number of over-standard TCM decoction pieces reaches the upper limit , Or the threshold of Chinese herbal decoctions exceeding the standard. For example, when monitoring the usage of TCM decoctions for medical units to be monitored, the threshold for exceeding the standard TCM decoctions for the corresponding TCM decoctions of the medical unit to be monitored can be set based on the historical medication records or drug use policies of the medical unit to be monitored, which can then be based on The number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored determined above is combined with the over-standard TCM decoction threshold value corresponding to the medical unit to be monitored to determine whether the medication of the TCM decoction piece of the medical unit is up to standard. In other words, whether the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored is less than or equal to its corresponding over-standard TCM decoction piece threshold. If the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored is less than or equal to its corresponding over-standard TCM decoction threshold value, it can be determined that the drug cost of the TCM decoction piece to be monitored does not exceed the standard. If the number of over-standard TCM decoction pieces in the TCM prescription of the medical unit to be monitored is greater than its corresponding over-standard TCM decoction threshold value, it can be determined that the use of the TCM decoction piece in the medical unit to be monitored is over-standard, that is, the drug cost of the medical unit to be monitored exceeds the standard.
S14，若上述各种中药饮片的单方单种类药品日均费用大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值，则向上述待监控医疗单位发送中药饮片药品费用超 标的预警信息。S14, if the daily average cost of the single-party single-type medicine of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the single-side single-type medicine corresponding to the above-mentioned various Chinese herbal medicines, then send a warning to the medical unit to be monitored that the cost of the Chinese herbal medicines exceeds the standard information.
在一些可行的实施方式中，在针对待监控医疗单位进行实时药品费用超标预警的应用场景中，基于待监控医疗单位在当前考核周期已经开具的处方确定待监控医疗单位的中药处方中一种或者多种中药饮片的单方单种类药品日均费用超标，或者当前某一个医师所开具的中药处方中一种或者多种中药饮片的单方单种类药品日均费用超标。即在中药处方中一种或者多种中药饮片的单方单种类药品日均费用大于各种中药饮片对应的单方单种类药品日均费用阈值时，当终端设备获取到待监控医疗单位的任一医师提交的开方请求时，可输出药品费用超标预警标识至待监控医疗单位的医师开方工具首页。基于医师开方工具首页上显示的药品费用超标预警标识，向待监控医疗单位的医师发出中药处方中中药饮片的药品费用超标预警，以提示待监控医疗单位的医师控制开方用药以防止药品费用超标。例如，当终端设备获取到待监控医疗单位的任一医师提交的开方请求时，可在该医师的开方工具首页(例如开方工具的用户操作界面)上输出药品费用超标预警的标志(例如红色感叹号等)或者药品费用超标预警的语音信息等药品费用超标预警信息。基于上述药品费用超标预警信息提示待监控医疗单位的医师，待监控医疗单位当前考核周期的中药处方或者当前提交的中药处方中中药饮片的单方单种类药品日均费用已经到达达标上限(即中药处方中中药饮片的单方单种类药品日均费用已经大于或者等于单方单种类药品日均费用阈值)，医师接下来开具的处方所带来的药品费用可能会导致待监控医疗单位在当前考核周期内中药处方的中药饮片药品费用超标，以供医师确定是否继续开方等。基于上述实现方式可提示待监控医疗单位的医师控制开方用药以防止药品费用超标，从而可实现对待监控医疗单位的药品费用超标的预警。In some feasible implementation manners, in the application scenario of real-time drug cost over-warning for the medical unit to be monitored, one of the traditional Chinese medicine prescriptions of the medical unit to be monitored is determined based on the prescription that the medical unit to be monitored has issued in the current assessment cycle or The daily average cost of a single medicine of a variety of Chinese herbal medicines exceeds the standard, or the daily average cost of a single medicine of one or more Chinese herbal medicines in a prescription of a Chinese medicine currently issued by a physician exceeds the standard. That is, when the daily average cost of one or more types of Chinese herbal medicines in a prescription of traditional Chinese medicine is greater than the daily average cost threshold of a single type of Chinese medicine corresponding to various Chinese herbal medicines, when the terminal device obtains any doctor of the medical unit to be monitored When submitting the prescribing request, it can output a warning sign that the drug cost exceeds the standard to the homepage of the prescribing tool of the medical unit to be monitored. Based on the warning label of the medicine cost exceeding the standard displayed on the homepage of the doctor's prescription tool, the doctor of the medical unit to be monitored is issued a warning of the medicine cost exceeding the standard of the Chinese medicine prescription to remind the doctor of the medical unit to monitor the prescription drug to prevent the cost of the medicine Exceed the standard. For example, when the terminal device obtains the prescribing request submitted by any doctor of the medical unit to be monitored, it can output a warning sign of excessive warning of drug costs on the home page of the prescribing tool of the doctor (such as the user operation interface of the prescribing tool) ( For example, the red exclamation mark, etc.) or the warning information such as the early warning of the drug cost exceeding the standard. Based on the above warning information for exceeding the drug cost warning information, the physicians of the medical unit to be monitored are reminded that the average daily cost of the unilateral and single-type drugs of the traditional Chinese medicine prescription of the medical unit to be monitored or the currently submitted traditional Chinese medicine prescription of the Chinese medicine decoction has reached the upper limit of the standard (i.e. Chinese medicine prescription The average daily cost of unilateral and single-type medicines of TCM decoction pieces has been greater than or equal to the daily average cost threshold of unilateral and single-type medicines). The drug cost of the next prescription issued by the physician may cause the medical unit to be monitored to take traditional Chinese medicine within the current evaluation cycle. The cost of prescription Chinese herbal medicines exceeds the standard for the physician to determine whether to continue prescribing. Based on the above-mentioned implementation manner, the physician of the medical unit to be monitored can be controlled to prescribe medication to prevent the drug cost from exceeding the standard, so that the early warning of the drug cost of the medical unit to be monitored can be exceeded.
可选的，在一些可行的实施方式中，在针对待监控医疗单位的后期药品费用超标预警的应用场景中，当上述待监控医疗单位的中药处方中一种或者多种中药饮片的单方单种类药品日均费用超标，例如待监控医疗单位的中药处方中一种或者多种中药饮片的单方单种类药品日均费用大于各种中药饮片对应的单方单种类药品日均费用阈值时，可确定上述待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用中超出单方单种类药品日均费用阈值部分的单方单种类药品日均费用差值(即中药处方中中药饮片的药品费用超标数据)。根据上述药品费用超标数据向待监控医疗单位发送药品费用超标预警信息。基于上述药品费用超标预警信息向待监控医疗单位发送控制开方用药以防止在当前考核周期之后的一个或者多个考核周期内中药处方中中药饮片的单方单种类药品日均费用超标的预警。其中，上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。例如，终端设备可将上述一种或者多种超标中药饮片的单方单种类药品日均费用以及上述单方单种类药品日均费用差值进行公示，基于公示的单方单种类药品日均费用以及上述单方单种类药品日均费用差值提示待监控医疗单位的医师控制中药处方的开方用药，避免该待监控医疗单位的医师在开方过程中随意用药造成中药饮片等医疗资源的浪费，实现对待监控医疗单位的中药处方的中药饮片药品费用超标的预警。可选的，基于上述单方单种类药品日均费用以及上述单方单种类药品日均费用差值可在该待监控医疗单位的单位大厅公告界面(例如单位大厅的消息公告显示屏)上进行公示或者在用药监管单位所出的医疗单位用药监控日报上进行公示，以控制待监控医疗单位及其各个医师开方的用药，避免待监控医疗单位的中药处方中中药饮片的单方单种类药品日均费用持续超标带来的医疗资源浪费，实现对该待监控医疗单位的中药处方的药品费用超标预警。可选的，基于上述单方单种类药品日均费用以及上述单方单种类药品日均费用差值也可在该待监控医疗单位的各个科室的信息公告界面上进行公示，和/或在该待监控医疗单位的各个医师的开方工具的首页上进行公示等，具体可根据实际应用场景确定，在此不做限制。Optionally, in some feasible implementation manners, in the application scenario of early warning of excessive drug costs for the medical unit to be monitored, when one or more types of traditional Chinese medicine decoctions are included in the traditional Chinese medicine prescription of the medical unit to be monitored The average daily cost of medicines exceeds the standard. For example, when the daily average cost of one or more types of Chinese herbal medicines in the prescription of the Chinese medicine to be monitored is greater than the daily average cost threshold of the single type of medicine corresponding to various Chinese herbal medicines, the above can be determined The difference between the daily average cost of the unilateral single type of drugs in the daily average cost of the unilateral single type of medicines in the prescriptions of traditional Chinese medicines in the medical unit to be monitored exceeds the daily average cost threshold of the unilateral single type of medicines The cost exceeds the standard data). According to the above-mentioned drug cost exceeding data, early warning information of drug cost exceeding standard is sent to the medical unit to be monitored. Based on the above warning information for exceeding the drug cost, a warning is sent to the medical unit to be monitored to control the prescribing medication to prevent the daily average cost of the single-party single-type drugs in the traditional Chinese medicine prescription in one or more evaluation cycles after the current evaluation cycle. Among them, the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices. For example, the terminal device may publish the daily average cost of the unilateral single type of medicine and the daily average cost difference of the above unilateral single type of medicine, and the daily average cost of the unilateral single type of medicine based on the publicity and the above single side The daily average cost difference of a single type of medicine prompts the doctor of the medical unit to be monitored to control the prescribing medication of the Chinese medicine prescription, to avoid the waste of medical resources such as traditional Chinese medicine decoction pieces and other medical resources caused by the doctor of the medical unit to be monitored during the prescription process Early warning of excessive medical expenses for prescriptions of traditional Chinese medicine in medical units. Optionally, based on the daily average cost of the above-mentioned single-party single-type drugs and the difference between the daily average cost of the above-mentioned single-party single-type drugs, the announcement can be made on the unit lobby announcement interface of the medical unit to be monitored (such as the message announcement display screen in the unit lobby) or Publicize on the daily drug monitoring report of the medical unit issued by the drug regulatory unit to control the medication prescribed by the medical unit to be monitored and its individual doctors, and avoid the daily average cost of single-party single-type drugs in the prescription of traditional Chinese medicine in the traditional Chinese medicine prescription of the medical unit to be monitored The waste of medical resources brought about by the continuous exceeding of the standard realizes the early warning of exceeding the standard of the cost of the traditional Chinese medicine prescription of the medical unit to be monitored. Optionally, based on the daily average cost of the above-mentioned unilateral single-type drugs and the difference between the daily average cost of the above-mentioned unilateral single-type drugs, it can also be publicized on the information announcement interface of each department of the medical unit to be monitored, and / or The front page of the prescribing tool of each doctor in the medical unit is publicized, etc., which can be determined according to the actual application scenario, and is not limited here.
本申请实施例可基于待监控医疗单位的中药处方中所包括的各种中药饮片的药品信息，确定待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用，进而可基于待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用判断各种中药饮片的单方单种类药品日均费用是否大于或者等于单方单种类药品日均费用阈值。进而可在待监控医疗单位的中药处方中一个或者多个中药饮片的单方单种类药品日均费用大于或者等于其所对应的单方单种类药品日均费用阈值时，向待监控医疗单位发送中药处方的中药饮片药品费用超标预警信息，以提示待监控医疗单位控制中药处方的开方用药，以避免待监控医疗单位的药品资源浪费，操作简单。基于本申请实施例提供的方法实现对各医疗单位的用药监控操作简单，可提高对医疗单位的用药监控的准确性，提高对医疗单位的药品费用超标预警的时效性，进而可提高基于各个医疗单位的用药情况对各个医疗单位的处方进行药品费用超标预警的可靠性，提高该医疗单位开方的用药可控性，从而可提高医疗资源的有效利用率，适用性更强。The embodiments of the present application may determine the daily average cost of each kind of single-medicine medicine in various Chinese medicine decoctions in the traditional Chinese medicine prescription of the medical unit to be monitored based on the medicine information of various Chinese medicine decoctions included in the Chinese medicine prescription of the medical unit to be monitored, and then may be based on The daily average cost of each kind of Chinese herbal medicine in the medical prescription of the medical unit to be monitored determines whether the daily average cost of each kind of Chinese herbal medicine is greater than or equal to the daily average cost threshold of the single medicine. Furthermore, when the daily average cost of one or more Chinese herbal medicines in the Chinese medicine prescription of the medical unit to be monitored is greater than or equal to the corresponding daily average cost threshold of the corresponding single medical product, the Chinese medicine prescription can be sent to the medical unit to be monitored The warning information of over-standard Chinese medicine decoction drug cost is used to prompt the medical unit to be monitored to control the prescribing medication of traditional Chinese medicine prescription, so as to avoid the waste of medical resources of the medical unit to be monitored and the operation is simple. Based on the method provided by the embodiment of the present application, it is simple to implement the medication monitoring operation of each medical unit, which can improve the accuracy of the medication monitoring of the medical unit, improve the timeliness of early warning of the medical unit's drug cost exceeding the standard, and further improve the Unit's medication situation Reliability of pre-warning of drug costs for prescriptions of various medical units is improved, which improves the controllability of the prescription of the medical unit, thereby improving the effective utilization of medical resources and making it more applicable.
实施例二：Example 2:
参见图2，图2是本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法的另一流程示意图。本申请实施例提供的基于数据处理的中药处方药品费用超标预警方法可实现对待监控医疗单位在单个考核周期内的用药情况进行监控，该方法可通过如下步骤S21至S26中各个步骤所提供的实现方式进行说明。Referring to FIG. 2, FIG. 2 is another schematic flowchart of a data processing-based early warning method for over-standard Chinese medicine prescription drugs based on data processing. The data processing-based early warning method for exceeding the standard of Chinese medicine prescription drugs based on data processing provided by the embodiments of the present application can implement monitoring of the medication situation of the medical unit to be monitored within a single assessment period. The method can be implemented by the following steps S21 to S26 Way to explain.
S21，获取待监控医疗单位的中药处方。S21. Obtain the Chinese medicine prescription of the medical unit to be monitored.
在一些可行的实施方式中，上述获取待监控医疗单位的中药处方的实现方式可参见上述实施例中步骤S11所提供的实现方式，在此不再赘述。In some feasible implementation manners, the implementation manner of obtaining the traditional Chinese medicine prescription of the medical unit to be monitored may refer to the implementation manner provided in step S11 in the foregoing embodiment, and details are not described herein again.
可选的，在一些可行的实施方式中，上述医疗单位的中药处方还可包括待监控医疗单位在单个考核周期内产生的所有中药处方，其中上述单个考核周期为一日或者大于一日，例如一个星期、一个月、一个季度或者一年等，在此不做限制。为方便描述，上述待监控医疗单位在单个考核周期内所产生的所有中药处方可以单考核周期处方为例进行说明。Optionally, in some feasible implementation manners, the traditional Chinese medicine prescription of the medical unit may further include all traditional Chinese medicine prescriptions generated by the medical unit to be monitored within a single assessment cycle, where the single assessment period is one day or greater than one day, for example One week, one month, one quarter or one year, etc., no restriction is made here. For the convenience of description, all the traditional Chinese medicine prescriptions generated by the above-mentioned medical unit to be monitored in a single assessment cycle can be explained by taking the single assessment cycle prescription as an example.
可选的，上述医疗单位的单考核周期处方可以是指医疗单位的任一考核周期内所开具的所有中药处方，包括但不限于单个考核周期内医院的所有科室所有医师所开具的所有中药处方、单个考核周期内医院的某一个科室的所有医师所开具的所有中药处方，或者单个考核周期内医院的某一个科室的某一个医师所开具的所有中药处方中的任一种情况。其中，上述单考核周期处方所表示的具体情况根据实际应用场景中对医疗单位进行用药监控的考核维度(例如针对医疗单位进行用药监控、针对医疗单位的某一个科室进行用药监控或者针对医疗单位的某一个科室的某一个医师进行用药监控等)确定，在此不做限制。为方便描述，下面将以单个考核周期内医院的所有科室所有医师所开具的所有处方为例进行说明，以下简称单考核周期处方。Optionally, the single assessment cycle prescription of the above medical unit may refer to all Chinese medicine prescriptions issued in any assessment cycle of the medical unit, including but not limited to all Chinese medicine prescriptions issued by all doctors in all departments of the hospital within a single assessment cycle 1. Any one of all the prescriptions of traditional Chinese medicine issued by all doctors in a certain department of the hospital within a single assessment cycle, or all the prescriptions of traditional Chinese medicine issued by a doctor in a certain department of the hospital within a single assessment cycle. Among them, the specific conditions indicated in the above single assessment cycle prescriptions are based on the evaluation dimensions of drug monitoring of medical units in actual application scenarios (for example, drug monitoring for medical units, drug monitoring for a department of the medical unit, or A certain doctor in a certain department conducts medication monitoring, etc.), and it is not restricted here. For the convenience of description, the following will take all prescriptions issued by all doctors in all departments of the hospital in a single assessment cycle as an example for explanation, hereinafter referred to as a single assessment cycle prescription.
可以理解，这里待监控医疗单位的单考核周期处方中所包括的任一中药处方上均可包括该中药处方中所包括的中药饮片的药品详情，包括但不限于药品名称、药品费用，药品使用方式以及药品使用天数，具体可根据实际应用场景确定，在此不做限制。It is understandable that any Chinese medicine prescription included in the single assessment cycle prescription of the medical unit to be monitored here can include the medicine details of the Chinese medicine decoction pieces included in the Chinese medicine prescription, including but not limited to the medicine name, medicine cost, medicine use The method and days of drug use can be determined according to the actual application scenario, and there is no limit here.
S22，获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用，根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用。S22. Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine the total amount of medicines in any single Chinese medicine decoction of any one of the Chinese medicine decoctions according to the medicine costs of the above Chinese medicine decoctions cost.
S23，根据各种中药饮片的在单个中药处方中的药品总费用和药品使用总天数确定各种中药饮片的单方单种类药品日均费用。S23. Determine the daily average cost of a single type of single medicine for various Chinese herbal medicines according to the total cost of medicines in a single Chinese medicine prescription and the total number of days of use of various Chinese herbal medicines.
在一些可行的实施方式中，上述基于待监控医疗单位的中药处方所包括的各剂中药饮片中各种中药饮片的中药饮片药品信息，确定单个中药处方中各种中药饮片的单方单种类 药品日均费用的具体实现方式可参见上述实施例中步骤S12所提供的实现方式，在此不再赘述。In some feasible implementation manners, based on the TCM drug information of each TCM decoction in each of the TCM decoctions included in the TCM prescriptions of the medical unit to be monitored, the unilateral single-type drug day of each TCM decoction in a single TCM prescription is determined For the specific implementation manner of the average cost, refer to the implementation manner provided in step S12 in the foregoing embodiment, and details are not described herein again.
可选的，在一些可行的实施方式中，基于上述待监控医疗单位在单个考核周期内的多个中药处方可处理得到单种类中药饮片在单个中药处方中的药品日均费用，也就是待监控医疗单位的单个种类中药饮片的单方单种类药品日均费用。例如，在一日，一个星期，一个月，一个季度或者一年等单个考核周期内待监控医疗单位的各种中药饮片的单方单种类药品日均费用等。为方便描述，下面可以以待监控医疗单位在一个考核周期内各种中药饮片的单方单种类药品日均费用为例进行说明，简称单考核周期处方各种中药饮片的单方单种类药品日均费用。Optionally, in some feasible implementation manners, based on the multiple traditional Chinese medicine prescriptions of the medical unit to be monitored in a single assessment cycle, the average daily cost of a single type of traditional Chinese medicine decoction in a single traditional Chinese medicine prescription can be processed, that is, to be monitored The average daily cost of a single type of single-medicine medicine for a single type of Chinese herbal medicine in a medical unit. For example, the average daily cost of a single type of single-medicine medicine for various Chinese medicine decoction pieces in a medical unit to be monitored in a single assessment cycle such as a day, a week, a month, a quarter, or a year. For the convenience of description, the daily average cost of a single type of single medicine of various Chinese herbal medicines within a period of assessment for the medical unit to be monitored is described below as an example. .
在一些可行的实施方式中，基于待监控医疗单位在单考核周期内的所有中药处方，可获取上述所有中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用。根据上述任一剂中药饮片所包括的该种中药饮片(即上述任一种中药饮片)的药品费用，确定该种中药饮片在上述所有中药处方的各剂中药饮片中的药品总费用。根据该种中药饮片在上述所有中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定该种中药饮片在单个中药处方中的药品总费用。假设，待监控医疗单位在单考核周期内的所有中药处方为X个，每个中药处方中包括Y剂中药饮片，则上述所有中药处方中所包括的中药饮片为X*Y剂。假设，上述任一种中药饮片在上述Y剂中药饮片中任一剂中药饮片中的剂量为Z，上述任一种中药饮片的单价为a，则上述任一种中药饮片在任一剂的单剂中药饮片中的药品费用为a*Z，任一种中药饮片在上述Y剂中药饮片中的药品总费用为a*Z*Y。In some feasible implementation manners, based on all Chinese medicine prescriptions of the medical unit to be monitored within a single assessment period, the medicine cost of any one of the Chinese medicine decoction pieces included in any one of the Chinese medicine decoction pieces in all the above Chinese medicine prescriptions may be obtained. Determine the total drug cost of each kind of Chinese medicine decoction in each of the above-mentioned Chinese medicine prescriptions according to the medicine cost of the Chinese medicine decoction (ie, any one of the Chinese medicine decoctions) included in any of the above-mentioned Chinese medicine decoctions. The total drug cost of this kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total cost of this kind of Chinese medicine decoction in each of the above-mentioned Chinese medicine prescriptions and the number of prescriptions of the above Chinese medicine prescription. Suppose that there are X prescriptions for all traditional Chinese medicines in a single assessment period for the medical unit to be monitored, and each prescription of traditional Chinese medicines includes Y pieces of traditional Chinese medicine decoctions, then all the prescriptions of traditional Chinese medicines in the above prescriptions are X * Y. Assuming that the dosage of any one of the above-mentioned Chinese herbal medicines in any of the above-mentioned Y-medicinal Chinese herbal medicines is Z, and the unit price of any of the above Chinese herbal medicines is a, then any one of the above Chinese herbal medicines in any single dose The cost of medicines in Chinese herbal medicines is a * Z, and the total cost of any kind of traditional Chinese medicines in the above-mentioned Y-medicine herbal medicines is a * Z * Y.
上述任一种中药饮片在单个中药处方中的药品总费用满足如下公式(2)：The total drug cost of any one of the above-mentioned Chinese medicine decoction pieces in a single Chinese medicine prescription meets the following formula (2):
公式(2)：单方单种类中药饮片的药品总费用＝单种类中药饮片的单价*单种类中药饮片的单剂剂量*中药处方的中药饮片总剂数/中药处方的处方数量＝a*Z*Y/X。Formula (2): the total cost of medicines for a single type of Chinese herbal medicine pieces = the unit price of a single type of Chinese herbal medicine pieces * the single dose of single type Chinese herbal medicine pieces * the total number of Chinese medicine prescription pieces of traditional Chinese medicine prescriptions / the number of prescriptions of Chinese medicine prescriptions = a * Z * Y / X.
上述任一种中药饮片的单方单种类药品日均费用满足如下公式(3)：The daily average cost of a single type of single-type medicine of any of the above-mentioned Chinese herbal medicines meets the following formula (3):
公式(3)：单方单种类药品日均费用＝单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。Formula (3): the average daily cost of a single-party single-type medicine = the total cost of a single-party single-type Chinese herbal medicine / the total number of days a single-side single-type Chinese herbal medicine uses.
其中，上述单方单种类中药饮片的药品使用总天数为上述单考核周期内上述任一种中药饮片在单个中药处方中的药品使用总天数。根据上述单个考核周期内的所有中药处方中所包括的各剂中药饮片的药品使用天数，可确定所有中药处方中任一种中药饮片在所有中药处方中的药品使用总天数。其中上述任一种中药饮片在上述所有中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值。根据上述任一种中药饮片在上述所有中药处方中的药品使用总天数和上述中药处方的处方数量，可确定上述任一种中药饮片在单个中药处方中的药品使用总天数。Wherein, the total number of days of using the medicine of the above-mentioned unilateral and single-type Chinese herbal medicine pieces is the total number of days of using the medicine of any one of the above-mentioned Chinese herbal medicine pieces in a single prescription of traditional Chinese medicine in the single assessment period. According to the number of days of use of each piece of Chinese herbal medicines included in all the prescriptions of traditional Chinese medicines in the above single assessment cycle, the total number of days of use of any Chinese herbal medicines in all prescriptions of Chinese medicines in all prescriptions of Chinese medicines can be determined. Wherein, the total number of days of use of any one of the above-mentioned traditional Chinese medicine pieces in all the above-mentioned prescriptions of traditional Chinese medicine is the cumulative value of the number of days of use of the medicine of each of the above-mentioned traditional Chinese medicine pieces. Based on the total number of days of use of any of the above-mentioned Chinese herbal medicines in all the above-mentioned prescriptions of traditional Chinese medicines and the number of prescriptions of the above-mentioned prescriptions of traditional Chinese medicines, the total number of days of use of any of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicines can be determined.
其中，上述任一种中药饮片在单个中药处方中的药品使用总天数，即单方单种类中药饮片的药品使用总天数满足如下公式(4)：Among them, the total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription, that is, the total number of days of single-party single-type Chinese herbal medicines meets the following formula (4):
公式(4)：单方单种类中药饮片的药品使用总天数＝单考核周期内所有中药处方中各剂中药饮片的药品使用天数的累计值/单考核周期内所有中药处方的处方数量。Formula (4): the total number of days of medicine usage for single-party single-type Chinese herbal medicines = the cumulative value of the number of days of medicine usage for each dose of Chinese herbal medicines in all prescriptions of Chinese medicines in a single assessment cycle / the number of prescriptions for all Chinese medicine prescriptions in a single assessment period.
可选的，在一些可行的实施方式中，基于待监控医疗单位在单考核周期内的所有中药处方，获取上述所有中药处方中各剂中药饮片所包括的任一种中药饮片的剂量，根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用；Optionally, in some feasible implementation manners, based on all the Chinese medicine prescriptions in the single assessment period of the medical unit to be monitored, the dose of any one of the Chinese medicine decoctions included in each of the Chinese medicine decoctions in all the above Chinese medicine prescriptions is obtained, according to the above The unit price of any Chinese herbal medicine and the above dosage determine the total drug cost of any Chinese herbal medicine in the above prescription of Chinese medicine;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用，即单方单种类中药饮片的药品总费用满足如下公式(5)：Determine the total cost of any of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription according to the total cost of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescriptions, that is, the total cost of medicines in a single Chinese medicine prescription Satisfy the following formula (5):
公式(5)：单方单种类中药饮片的药品总费用＝单种类中药饮片的单价*中药处方的单种类中药饮片总剂量/中药处方的处方数量。Formula (5): the total cost of medicines for a single type of Chinese herbal medicine pieces = the unit price of a single type of Chinese herbal medicine pieces * the total dose of a single type of Chinese herbal medicines prescribed by a Chinese medicine prescription / the number of prescriptions of Chinese medicine prescriptions.
其中，上述中药处方的单种类中药饮片总剂量为上述任一种中药饮片在上述单考核周期内的所有中药处方中的总剂量。上述中药处方的处方数量为上述单考核周期内的所有中药处方的数量。Wherein, the total dosage of the single-type Chinese herbal medicine pieces of the above-mentioned traditional Chinese medicine prescription is the total dosage of all the Chinese herbal medicine prescriptions of any one of the above-mentioned traditional Chinese medicine pieces in the single assessment period. The number of prescriptions of the above-mentioned traditional Chinese medicine prescriptions is the number of all traditional Chinese medicine prescriptions in the above single assessment cycle.
S24，根据上述待监控医疗单位的单位属性信息和上述各种中药饮片的药品属性信息，确定上述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值。S24. Determine, based on the unit attribute information of the medical unit to be monitored and the drug attribute information of the various Chinese herbal medicine pieces, the daily average cost threshold of the unilateral single type of medicine corresponding to any one of the various Chinese herbal medicine pieces.
S25，确定上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值。S25. Determine whether the daily average cost of the unilateral single type medicine of the above-mentioned various Chinese herbal medicine pieces is greater than or equal to the threshold of the daily average cost of the unilateral single type of medicine corresponding to the above-mentioned various Chinese medicine pieces.
在一些可行的实施方式中，上述根据待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用，和上述各种中药饮片的单方单种类药品日均费用阈值确定待监控医疗单位的用药是否超标的具体实现方式可参见上述实施例中步骤S13所提供的实现方式，在此不再赘述。In some feasible implementation manners, the above-mentioned daily average cost of each kind of single-medicine medicine in the traditional Chinese medicine prescription of the medical unit to be monitored and the above-mentioned average daily cost threshold of each kind of single-medicine medicine in the various Chinese medicine pieces For a specific implementation manner of whether the unit's medication exceeds the standard, refer to the implementation manner provided in step S13 in the foregoing embodiment, and details are not described herein again.
可选的，在一些可行的实施方式中，针对不同医疗单位进行用药监控时，基于各个中药饮片的药品属性信息确定各个中药饮片对应的单方单种类药品日均费用阈值之后，还可进一步结合各个医疗单位的单位属性信息确定各个医疗单位的对应的各个种类的中药饮片的单方单种类药品日均费用的达标上限，或称各种类的中药饮片对应的单方单种类药品日均费用阈值等。其中，上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种，具体可根据实际应用场景确定，在此不做限制。例如，基于不同地域、不同城市、不同药品供应渠道或者不同病患流动量等参数所关联的不同医疗单元，用药监控的考核指标阈值可不尽相同。例如，对于物价较高的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较高所关联的医疗单元，则可将其对应的各种中药饮片的单方单种类药品日均费用的达标上限可在基于中药饮片的药品属性信息确定的单方单种类药品日均费用阈值的基础上，将上述单方单种类药品日均费用阈值设置得较高一些，即其对应的用药监控标准的考核指标阈值则可设定为较高的考核指标等。对于物价较低的城市所关联的医疗单位或者药品供应渠道所带来的药品成本价较低所关联的医疗单元，则可将其对应的各种中药饮片的单方单种类药品日均费用的达标上限可设置得较低一些，即其对应的用药监控标准的考核指标阈值则可设定为较低的考核指标等。具体可根据实际应用场景确定，在此不做限制。Optionally, in some feasible implementations, when drug monitoring is performed for different medical units, after determining the daily average cost threshold of the unilateral single type of medicine corresponding to each Chinese herbal medicine piece based on the drug attribute information of each Chinese herbal medicine piece, it can be further combined with each The unit attribute information of the medical unit determines the upper limit of the daily average cost of the unilateral single type of medicine for each type of Chinese herbal medicine corresponding to each medical unit, or the threshold of the daily average cost of the unilateral single type of medicine corresponding to various types of Chinese herbal medicine. Among them, the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the region where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit, which can be determined according to the actual application scenario. There are no restrictions here. For example, based on different medical units associated with parameters such as different regions, different cities, different drug supply channels, or different patient flows, the evaluation thresholds for drug monitoring may vary. For example, for a medical unit associated with a city with a higher price or a medical unit associated with a higher drug cost caused by a drug supply channel, the corresponding daily average cost of a single type of single medicine for various Chinese herbal medicines The upper limit of the standard can be set based on the daily average cost threshold of single-party single-type drugs determined based on the drug attribute information of Chinese herbal medicines, and the daily average cost threshold of the above-mentioned single-party single-type drugs can be set higher, that is, the corresponding drug monitoring standard The assessment index threshold can be set to a higher assessment index, etc. For the medical units associated with the cities with lower prices or the medical units associated with the lower cost of medicines brought by the drug supply channels, the daily average cost of the corresponding single-party single-type drugs of various Chinese herbal medicines can be met The upper limit can be set lower, that is, the threshold of the evaluation index of the corresponding drug monitoring standard can be set to a lower evaluation index. The specifics can be determined according to actual application scenarios, and no limitation is made here.
在一些可行的实施方式中，基于上述确定的待监控医疗单位的各种中药饮片的单方单种类药品日均费用，结合基于待监控医疗单位的单位属性信息和/或各种中药饮片的药品属性信息所确定的各种中药饮片对应的单方单种类药品日均费用上限，可确定该医疗单位的中药处方的药品费用是否超标的实现方式可参见上述实施例中步骤S13所提供的实现方式，在此不再赘述。In some feasible implementation manners, based on the above determined daily average cost of each kind of single-medicine medicine of various Chinese medicine decoctions of the medical unit to be monitored, combined with unit attribute information based on the to-be-monitored medical unit and / or various Chinese medicine decoy drug attributes The daily average cost upper limit of the unilateral single type of drugs corresponding to various Chinese herbal medicine pieces determined by the information can be determined whether the medical cost of the Chinese medicine prescription of the medical unit exceeds the standard. For the implementation method, refer to the implementation method provided in step S13 in the above embodiment. This will not be repeated here.
S26，若上述各种中药饮片的单方单种类药品日均费用大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值，则向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。S26. If the daily average cost of the single-party single-type medicine of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the single-side single-type medicine corresponding to the above-mentioned various Chinese herbal medicines, then send a warning to the medical unit to be monitored that the cost of the Chinese herbal medicines exceeds the standard information.
在一些可行的实施方式中，基于上述待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页以向待监控医疗单位的医师发出中药处方的中药饮片药品费用超标预警，以及对上述待监控医疗单位超标部分的单方单种类药品日均费用差值进行公示，以实现对待监控医疗单位的药品费用超标预警的实现方式可参见上述实施例中步骤S14所提供的实现方式，在此不再赘述。In some feasible implementation manners, based on the above-mentioned medical unit to be monitored, the daily average cost of the single-party single-type drugs of various Chinese herbal medicines in the prescription of the Chinese medicine is output to the early warning label of the above-mentioned medical unit of the medical unit to be monitored. The physician of the medical unit to be monitored issues an early warning of the Chinese medicine prescription medicine cost exceeding the standard, and publicizes the daily average cost difference of the unilateral single-type drugs of the above-mentioned medical unit to be monitored to realize the early warning of the medical cost of the medical unit to be monitored For the implementation manner, refer to the implementation manner provided in step S14 in the foregoing embodiment, and details are not described herein again.
可选的，在一些可行的实施方式中，在针对待监控医疗单位的后期药品费用超标预警的应用场景中，基于上述单方单种类药品日均费用差值，还可在接收到该待监控医疗单位提交的药品费用报销请求或者药品费用理赔请求时，可通过拒绝该待监控医疗单位的药品费用报销请求或者药品费用理赔请求，实现针对该待监控医疗单位的在当前考核周期内中药处方的各种中药饮片的单方单种类药品日均费用超标的这项考核标准进行惩罚，以对该医疗单位进行后续考核周期的药品费用超标预警。例如，当该医疗单位的某一天的中药处方中一种或者多种中药饮片的单方单种类药品日均费用超标时，可在接收到医疗单位提报的该天的药品费用报销和/或请求时，向该医疗单位反馈该天所有中药处方的药品费用的报销失败。换句话说，当该医疗单位的某一天的中药处方的一种或者多种中药饮片的单方单种类药品日均费用超标时，终端设备接收到医疗单位提报的该天的中药处方药品费用报销和/或理赔请求时，可对该医疗单位反馈该天的处方药品费用拒绝报销或者理赔，进而可提示该医疗单位对每天的中药处方的各种中药饮片的单方单种类药品日均费用进行自我把控，防止后续一天或者多天内中药饮片的单方单种类药品日均费用超标以实现对该医疗单位的药品费用超标的预警。Optionally, in some feasible implementation manners, in an application scenario of early warning of excessive drug costs for the medical unit to be monitored, based on the daily average cost difference of the above single-party single-type drugs, the medical device to be monitored may also be received When the unit submits a drug expense reimbursement request or a drug expense claim request, it can realize each prescription of the traditional Chinese medicine within the current evaluation period for the medical unit to be monitored by rejecting the drug expense reimbursement request or the drug expense claim request of the medical unit to be monitored The evaluation standard for the daily average cost of single-party single-type drugs for Chinese herbal medicine pieces exceeds the standard, and a warning will be given to the medical unit for the subsequent evaluation cycle of excessive drug costs. For example, when the daily average cost of one or more types of single-medicine medicines in one or more traditional Chinese medicine decoctions on a certain day of the medical unit of the medical unit exceeds the standard, the medical unit may receive reimbursement and / or request for the drug cost of the day reported by the medical unit At that time, feedback to the medical unit that the reimbursement of all medicine prescriptions for that day failed. In other words, when the daily average cost of one or more types of single-medicine medicines for one or more traditional Chinese medicine pieces on a certain day of the medical unit of the medical unit exceeds the standard, the terminal device receives the reimbursement of the traditional Chinese medicine prescription drug cost of the day reported by the medical unit And / or claims, the medical unit can be fed back the day ’s prescription drug costs to refuse reimbursement or claims, and then the medical unit can be prompted to self-pay the daily average cost of the unilateral single type of medicines for various Chinese herbal medicines prescribed by the Chinese medicine every day. Control to prevent the daily average cost of single-party single-type drugs of Chinese herbal medicines in the following day or multiple days from exceeding the standard to achieve early warning of the medical unit's drug cost exceeding the standard.
可选的，在一些可行的实施方式中，当待监控医疗单位的中药处方的中药饮片药品费用超标，例如医疗单位单日处方中一种或者多种中药饮片的单方单种类药品日均费用大于单方单种类药品日均费用阈值时，终端设备可计算待监控医疗单位的中药处方中各种中药饮片(即超标中药饮片)的单方单种类药品日均费用与各种中药饮片对应的单方单种类药品日均费用阈值之间的差值。当终端设备接收到该待监控医疗单位的药品费用报销和/或理赔请求时，则可针对各种超标中药饮片的单方单种类药品日均费用差值，对该待监控医疗单位单日处方中超标中药饮片的单方单种类药品日均费用差值部分的药品费用拒绝报销或者理赔，以对该医疗单位进行后续考核周期的药品费用超标预警。Optionally, in some feasible implementation manners, when the cost of TCM decoction medicines of the TCM prescriptions of the medical unit to be monitored exceeds the standard, for example, the daily average cost of one or more TCM decoction medicines in one or more prescriptions of the medical unit per day is greater than When the daily average cost threshold of a single-party single-type drug is calculated, the terminal device can calculate the single-party single-type drug daily average cost of various Chinese herbal medicines (ie, over-standard Chinese herbal medicines) in the Chinese medicine prescription of the medical unit to be monitored. The difference between the average daily drug cost thresholds. When the terminal device receives the medical expense reimbursement and / or claim request of the medical unit to be monitored, it can determine the daily average cost difference of the single-party single-type drugs of various over-standard Chinese medicine pieces, and the single-day prescription of the medical unit to be monitored Rejection or settlement of the drug cost of the daily average cost difference of the unilateral and single-type drugs of the over-standard Chinese medicine decoction pieces, so as to carry out early warning of the drug cost exceeding the standard for the subsequent evaluation cycle of the medical unit.
可选的，在一些可行的实施方式中，当终端设备确定待监控医疗单位某一个考核周期(即当前考核周期，例如一天或者一星期等)内的中药处方的中药饮片药品费用超标，例如待监控医疗单位某个考核周期内的处方(例如单日处方)的一个或者多个中药饮片的单方单种类药品日均费用大于单方单种类药品日均费用阈值时，终端设备则可在该考核周期(单日处方中中药饮片的单方单种类药品日均费用超标是某一天，例如周一)之后的下一个考核周期(单日处方中中药饮片的单方单种类药品日均费用超标这天的第二天，例如周二)的开始时，将该考核周期的中药饮片的单方单种类药品日均费用超标报告通过即时通讯信息、邮件和/或告示中的一种或者多种信息类型发送给该待监控医疗单位。其中，该中药饮片的单方单种类药品日均费用超标报告用于提示该待监控医疗单位在该考核周期内中药处方的中药饮片药品费用超标，并可提醒该待监控医疗单位若在下一个考核周期或者指定时间内的连续多个考核周期内依然出现一个或者多个中药饮片的单方单种类药品日均费用超标，则将对该待监控医疗单位进行中药处方中中药饮片的单方单种类药品日均费用超标惩罚的药品费用超标预警。其中，上述惩罚包括对该待监控医疗单位的中药处方中超标中药饮片的药品费用全部拒绝报销或者理赔，或者对该待监控医疗单位的中药处方中超标中药饮片的药品费用拒绝报销或者理赔等。上述中药饮片的单方单种类药品日均费用超标报告用于提示该待监控医疗单位对中药处方中中药饮片的单方单种类药品日均费用进行自我把控以实现对该待监控医疗单位的药品费用超标预警。Optionally, in some feasible implementation manners, when the terminal device determines that the cost of traditional Chinese medicine prescription medicines within a certain evaluation cycle (that is, the current evaluation cycle, such as one day or one week, etc.) of the medical unit to be monitored exceeds the standard, for example, When monitoring the daily average cost of one or more Chinese herbal medicines for prescriptions (eg single-day prescriptions) of a medical unit within a certain evaluation cycle, the terminal equipment can be used during the evaluation cycle (The daily average cost of a single type of Chinese herbal medicines in a single-day prescription exceeds the standard for a certain day, such as Monday) The next evaluation cycle (the daily average cost of a single single prescription Chinese medicines in a single-day prescription exceeds the second day of the day) Days, such as Tuesday), send the report on the daily average cost exceeding the standard for the single-party single-type medicine of the Chinese medicine decoction piece in the assessment cycle to the to-be-monitored by one or more types of information in instant messaging, email, and / or notice Medical unit. Among them, the report of the daily average cost of the single-party single-type medicine of the Chinese medicine decoction exceeds the standard is used to remind the medical unit to be monitored that the Chinese medicine prescription drug cost of the Chinese medicine prescription exceeds the standard in the evaluation cycle, and can remind the medical unit to be monitored if the next evaluation cycle Or if the daily average cost of one or more Chinese herbal medicines in one or more traditional Chinese medicine decoctions exceeds the standard for multiple consecutive evaluation periods within a specified period of time, then the medical unit to be monitored will be prescribed a Chinese medicine prescription of Chinese herbal medicines Early warning of excessive drug costs for punishment. Among them, the above punishment includes refusing to reimburse or settle claims for medicines exceeding the standard Chinese herbal medicines in the prescriptions of Chinese medicines for the medical units to be monitored, or refusing reimbursement or claims for medicines exceeding the standard Chinese herbal medicines in the prescriptions for Chinese medicines to be monitored, etc. The above-mentioned daily average cost of unilateral and single-type medicines of TCM decoction pieces is used to prompt the medical unit to be monitored to self-control the daily average cost of unilateral single-type medicines of TCM decoction pieces in TCM prescriptions to realize the drug cost of the medical unit to be monitored Exceeding standard warning.
本申请实施例可提高对待监控医疗单位的药品费用超标预警的时效性，从而可提高医疗资源的有效利用率，适用性更强。The embodiments of the present application can improve the timeliness of early warning of the medical expenses of the medical unit to be monitored, thereby improving the effective utilization rate of medical resources and having greater applicability.
实施例三：Example three:
参见图3，图3是本申请实施例提供的基于数据处理的中药处方药品费用超标预警装 置的实施例结构示意图。本申请实施例提供的基于数据处理的中药处方药品费用超标预警装置包括：Referring to FIG. 3, FIG. 3 is a schematic structural diagram of an embodiment of an early warning device for over-standard Chinese medicine prescription drugs based on data processing provided by an embodiment of the present application. The data processing based warning device for exceeding the standard of Chinese medicine prescription drugs based on data processing includes:
数据获取单元31，用于获取待监控医疗单位的中药处方，上述中药处方中包括至少一剂中药饮片，一剂中药饮片中包括至少一种中药饮片。The data obtaining unit 31 is used to obtain a Chinese medicine prescription of the medical unit to be monitored. The above-mentioned Chinese medicine prescription includes at least one Chinese medicine decoction, and one Chinese medicine decoction includes at least one Chinese medicine decoction.
药品信息处理单元32，用于获取上述数据获取单元31获取的上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息，并根据所述各种中药饮片的中药饮片药品信息确定所述各种中药饮片的单方单种类药品日均费用。The medicine information processing unit 32 is configured to obtain the medicine information of various Chinese medicine slices included in each piece of Chinese medicine slices of the above-mentioned Chinese medicine prescription obtained by the data acquisition unit 31, and according to the medicine information of the Chinese medicine slices of the various Chinese medicine slices Determine the average daily cost of the single-party single-type drugs of the various Chinese herbal medicines.
药品费用监控单元33，用于确定上述药品信息处理单元32确定的上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值。The drug cost monitoring unit 33 is configured to determine whether the daily average cost of the single-party single-type drugs of the various Chinese herbal medicines determined by the drug information processing unit 32 is greater than or equal to the daily average cost threshold of the single-party single-type drugs corresponding to the various Chinese herbal medicines.
药品费用超标预警单元34，用于在上述药品费用监控单元确定上述各种中药饮片的单方单种类药品日均费用大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值，则向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。The drug cost exceeding warning unit 34 is used to determine in the above-mentioned drug cost monitoring unit that the daily average cost of the above-mentioned various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the above-mentioned various Chinese herbal medicines. The above-mentioned medical unit to be monitored sends an early warning message that the cost of traditional Chinese medicine decoction exceeds the standard.
在一些可行的实施方式中，上述中药饮片药品费用超标的预警信息包括药品费用超标预警标识；In some feasible implementation manners, the above-mentioned early warning information of excessive medicine cost of Chinese herbal medicine pieces includes a warning sign of excessive medicine cost;
上述药品费用超标预警单元34用于：The above-mentioned early warning unit 34 for drug cost exceeding is used for:
输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页，基于上述医师开方工具首页上显示的上述药品费用超标预警标识，向上述待监控医疗单位的医师发出上述中药处方中中药饮片的药品费用超标预警，以提示上述待监控医疗单位的医师控制中药处方的开方用药以防止中药饮片的药品费用超标。Output the warning sign of excessive drug cost to the homepage of the doctor's prescription of the medical unit to be monitored, and issue the above-mentioned prescription of traditional Chinese medicine to the doctor of the medical unit to be monitored based on the warning label of the drug's excessive standard displayed on the homepage of the doctor's prescription Pre-warning of the drug cost of decoction pieces to remind the doctors of the above-mentioned medical units to control the prescribing medication of Chinese medicine prescriptions to prevent the drug cost of decoction pieces from exceeding the standard.
在一些可行的实施方式中，上述用药处方包括上述待监控医疗单位在当前考核周期内的所有中药处方；In some feasible implementation manners, the above medicine prescription includes all the Chinese medicine prescriptions of the above-mentioned medical unit to be monitored within the current evaluation period;
上述药品费用超标预警单元34用于：The above-mentioned early warning unit 34 for drug cost exceeding is used for:
根据上述各种中药饮片的单方单种类药品日均费用和上述各种中药饮片对应的单方单种类药品日均费用阈值，确定上述待监控医疗单位的上述所有中药处方中各种中药饮片的药品费用超标数据；According to the above-mentioned daily average cost of unilateral and single-type medicines of various Chinese herbal medicines and the daily average cost threshold of unilateral single-type medicines corresponding to the above-mentioned various Chinese medicine slices, determine the medical expenses of various Chinese herbal medicines in all the above-mentioned traditional Chinese medicine prescriptions of the medical unit to be monitored Exceeding standard data;
根据上述药品费用超标数据向上述待监控医疗单位发送中药饮片药品费用超标预警信息，基于上述中药饮片药品费用超标预警信息向上述待监控医疗单位发送控制中药处方的中药饮片开方用药，以防止在当前考核周期之后的一个或者多个考核周期内中药处方中上述各种中药饮片的单方单种类药品日均费用超标的预警；According to the data of the above-mentioned drug cost exceeded data, the early warning information of over-standard Chinese medicine decoctions is sent to the medical unit to be monitored, and based on the above-mentioned early warning information of the drug cost of the Chinese medicine debris, the pre-medication of traditional Chinese medicine decoctions is sent to the medical unit to be monitored to prevent Early-warning of the daily average cost of the above-mentioned single-party and single-type medicines of the above-mentioned traditional Chinese medicine decoction pieces in one or more evaluation periods after the current evaluation period;
其中，上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Among them, the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
在一些可行的实施方式中，上述药品信息处理单元32用于：In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用，根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用；Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine the total drug cost of any one of the Chinese medicine decoctions in a single Chinese medicine prescription according to the above-mentioned Chinese medicine decoy cost;
根据上述各剂中药饮片的药品使用天数确定上述中药处方的上述任一种中药饮片在单个中药处方中的药品使用总天数；Determine the total number of days of medicine use for any of the above-mentioned Chinese medicine prescriptions in a single Chinese medicine prescription based on the number of days of medicine use for each of the above-mentioned Chinese medicine prescriptions;
根据上述任一种中药饮片的上述药品总费用和上述药品使用总天数确定上述任一种中药饮片的单方单种类药品日均费用，以得到上述各种中药饮片的单方单种类药品日均费用。According to the total cost of the above-mentioned medicines of any one of the traditional Chinese medicine pieces and the total number of days of use of the above-mentioned medicines, determine the daily average cost of the unilateral single-type medicine of any one of the traditional Chinese medicine pieces, so as to obtain the daily average cost of the unilateral single-type medicine of the various traditional Chinese medicine pieces.
其中，上述单方单种类药品日均费用满足：Among them, the average daily cost of the above single-party single-type drugs meets:
单方单种类药品日均费用＝单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。Daily average cost of single-party single-type medicine = total drug cost of single-party single-type Chinese herbal medicine pieces / total days of use of single-side single-type Chinese herbal medicine pieces.
在一些可行的实施方式中，上述药品信息处理单元32用于：In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
获取上述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用，根据上述任一剂中药饮片所包括的上述任一种中药饮片的药品费用，确定上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用；Obtain the medicine cost of any one kind of Chinese medicine decoction included in any dose of Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine whether any one of the above-mentioned Chinese medicine decoction in The total cost of medicines in each Chinese medicine decoction piece of the above-mentioned Chinese medicine prescription;
根据上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。The total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in each Chinese medicine prescription of the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
在一些可行的实施方式中，上述药品信息处理单元32用于：In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
获取上述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量，根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用；Obtain the dose of any one of the traditional Chinese medicine decoctions included in each dose of the traditional Chinese medicine decoctions in the above traditional Chinese medicine prescription, and determine the total drug cost of any of the traditional Chinese medicine decoctions in the above traditional Chinese medicine prescription according to the unit price of any one of the traditional Chinese medicine decoctions and the above dose;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。The total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescriptions.
上述单方单种类中药饮片的药品总费用满足：The total cost of the above-mentioned unilateral single-type Chinese herbal medicines meets:
单方单种类中药饮片的药品总费用＝单方单种类中药饮片的剂量*单种类中药饮片的单价。The total cost of medicines for single-party single-type traditional Chinese medicine pieces = the dose of single-side single-type traditional Chinese medicine pieces * the unit price of single-type single-Chinese traditional medicine pieces.
在一些可行的实施方式中，上述药品信息处理单元32用于：In some feasible implementation manners, the above-mentioned drug information processing unit 32 is used to:
根据上述各剂中药饮片的药品使用天数确定上述中药处方中上述任一种中药饮片在上述中药处方中的药品使用总天数，其中上述任一种中药饮片在上述中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值；The total number of days of use of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription in the above-mentioned Chinese medicine prescription is determined according to the number of days of use of each of the above-mentioned Chinese herbal medicines, wherein the total number of days of medicine usage in any of the above-mentioned Chinese medicine prescriptions is The cumulative value of the number of days of use of the above-mentioned Chinese herbal medicines;
根据上述任一种中药饮片在上述中药处方中的药品使用总天数和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品使用总天数。The total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicine is determined according to the total number of days of use of any one of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
在一些可行的实施方式中，上述数据获取单元31用于：In some feasible implementation manners, the data acquisition unit 31 is used to:
获取上述待监控医疗单位的数据系统准入资格，基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的中药处方；和/或Obtain the data system access qualification of the medical unit to be monitored, and obtain the prescription of the traditional Chinese medicine of the medical unit to be monitored from the data system of the medical unit to be monitored based on the access qualification of the data system; and / or
获取上述待监控医疗单位提供的医疗理赔数据，从上述医疗理赔数据中获取上述待监控医疗单位的中药处方；Obtain the medical claim data provided by the medical unit to be monitored, and obtain the Chinese medicine prescription of the medical unit to be monitored from the medical claim data;
其中，上述待监控医疗单位的中药处方包括上述待监控医疗单位的单个中药处方，或者上述待监控医疗单位在单个考核周期内的所有中药处方，上述单个考核周期的周期时长为一日或者大于一日。Among them, the traditional Chinese medicine prescription of the medical unit to be monitored includes the single traditional Chinese medicine prescription of the medical unit to be monitored, or all the traditional Chinese medicine prescriptions of the medical unit to be monitored within a single assessment cycle, the duration of the single assessment cycle is one day or greater than one day.
在一些可行的实施方式中，上述待监控医疗单位对应的用药标准阈值包括上述待监控医疗单位对应的各种中药饮片的单方单种类药品日均费用阈值；上述药品费用监控单元33还用于：In some feasible implementation manners, the medication standard threshold corresponding to the medical unit to be monitored includes the daily average cost threshold of the unilateral and single-type medicines of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored; the pharmaceutical cost monitoring unit 33 is further used to:
根据上述待监控医疗单位的单位属性信息和/或上述各种中药饮片的药品属性信息，确定上述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值，其中，一个单方单种类药品日均费用阈值至少对应一种中药饮片；Based on the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the above-mentioned various Chinese medicine decoction pieces, determine the daily average cost threshold of the single-party single-type medicine corresponding to any one of the above-mentioned Chinese medicine decoction pieces, of which, one single-party The threshold of the daily average cost of a single type of medicine corresponds to at least one piece of Chinese herbal medicine;
其中，上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种，上述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。Among them, the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the area where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit. The above drug attribute information includes the name of the drug, One or more of drug type, drug use, unit drug supply channel and drug source.
在一些可行的实施方式中，上述基于数据处理的中药处方药品费用超标预警装置可通过其内置的各个功能模块执行如上述图1至图2中各个步骤所提供的实现方式。可选的，上述基于数据处理的中药处方药品费用超标预警装置可为上述各个实施例中所描述的终端设备，在此不做限制。例如，上述数据获取单元31可用于执行上述各个步骤中待监控医疗单位的中药处方以及中药处方中各种中药饮片的中药饮片药品信息的获取，具体可参见上述各个步骤所提供的实现方式，在此不再赘述。上述药品信息处理单元32可用于执行上述 各个步骤中待监控医疗单位的中药处方中所包括的各种中药饮片的药品费用以及单个考核周期内各种中药饮片的单方单种类药品日均费用的处理等实现方式，具体可参见上述各个步骤所提供的实现方式，在此不再赘述。上述药品费用监控单元33可用于执行上述各个步骤中基于待监控医疗单位的单位属性信息和/或各种中药饮片的药品数量信息确定待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用上限等用药监控的考核指标阈值，以及基于待监控医疗单位的中药处方中各种中药饮片的单方单种类药品日均费用判断待监控医疗单位的中药处方的用药是否达标等实现方式，具体可参见上述各个步骤所提供的实现方式，在此不再赘述。上述药品费用超标预警单元34可用于执行上述各个步骤中基于待监控医疗单位的用药情况进行中药处方的中药饮片药品费用超标预警等实现方式，具体可参见上述各个步骤所提供的实现方式，在此不再赘述。In some feasible implementation manners, the above-mentioned data processing-based early warning device for over-standard Chinese medicine prescription drug costs may implement the implementation manners provided by the above steps in FIGS. 1 to 2 through its built-in functional modules. Optionally, the above-mentioned data processing-based early warning device for excessive prescription drug cost of traditional Chinese medicine may be the terminal device described in each of the foregoing embodiments, which is not limited herein. For example, the above-mentioned data acquisition unit 31 may be used to perform the acquisition of traditional Chinese medicine prescriptions of the medical unit to be monitored in the above steps and the information of traditional Chinese medicine pieces of various traditional Chinese medicine pieces in the traditional Chinese medicine prescription. For details, please refer to the implementation provided in the above steps. This will not be repeated here. The above-mentioned medicine information processing unit 32 can be used to perform the processing of the medicine cost of various Chinese medicine decoctions included in the Chinese medicine prescription of the medical unit to be monitored in each of the above steps and the average daily cost of the unilateral single-type medicines of various Chinese medicine decoctions in a single evaluation period For specific implementation methods, please refer to the implementation methods provided in the above steps, which will not be repeated here. The above-mentioned drug cost monitoring unit 33 can be used to perform the above steps to determine the unilateral single type of various Chinese herbal medicines in the Chinese medicine prescription of the medical unit to be monitored based on the unit attribute information of the medical unit to be monitored and / or the information of the number of medicines of various Chinese medicine pieces Thresholds for the evaluation indicators of drug monitoring such as the daily average cost of medicines, and the implementation methods of judging whether the use of traditional Chinese medicine prescriptions of the medical units to be monitored meets the standard based on the daily average cost of each type of single herbal medicines in various Chinese herbal medicines in the medical prescriptions of the medical units to be monitored For details, please refer to the implementation provided by the above steps, which will not be repeated here. The above-mentioned drug cost exceeding warning unit 34 can be used to implement the above-mentioned early-warning methods such as pre-warning of Chinese medicine decoctions based on the medical conditions of the medical units to be monitored in the above steps. For details, please refer to the implementation provided in the above steps. No longer.
在本申请实施例中，上述用药监控装置可提高对待监控医疗单位的药品费用超标预警的时效性，从而可提高医疗资源的有效利用率，适用性更强。In the embodiment of the present application, the above-mentioned medication monitoring device can improve the timeliness of early warning of the medical expenses of the medical unit to be monitored, thereby improving the effective utilization rate of medical resources and having greater applicability.
实施例四：Example 4:
参见图4，图4是本申请实施例提供的终端设备的实施例结构示意图。如图4所示，本实施例中的终端设备可以包括：一个或多个处理器401、存储器402和一个或者多个收发器403。上述处理器401、存储器402和收发器403通过总线404连接。存储器402用于存储计算机程序，该计算机程序包括程序指令，处理器401和收发器403用于执行存储器402存储的程序指令。其中，上述处理器401被配置用于调用该程序指令执行如下操作：Referring to FIG. 4, FIG. 4 is a schematic structural diagram of an embodiment of a terminal device provided by an embodiment of the present application. As shown in FIG. 4, the terminal device in this embodiment may include: one or more processors 401, a memory 402, and one or more transceivers 403. The processor 401, the memory 402, and the transceiver 403 are connected through a bus 404. The memory 402 is used to store a computer program, and the computer program includes program instructions. The processor 401 and the transceiver 403 are used to execute the program instructions stored in the memory 402. The processor 401 is configured to call the program instruction to perform the following operations:
获取待监控医疗单位的中药处方，上述中药处方中包括至少一剂中药饮片，一剂中药饮片中包括至少一种中药饮片；Obtaining a prescription of traditional Chinese medicine for the medical unit to be monitored. The above prescription of traditional Chinese medicine includes at least one dose of Chinese herbal medicine, and one dose of traditional Chinese medicine includes at least one herbal medicine.
获取上述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息，并根据上述各种中药饮片的中药饮片药品信息确定上述各种中药饮片的单方单种类药品日均费用；Obtain the information of the Chinese herbal medicines of various Chinese herbal medicines included in the various Chinese herbal medicines of the above-mentioned Chinese medicine prescriptions, and determine the average daily cost of the single Chinese medicines of the various Chinese herbal medicines based on the information of the Chinese herbal medicines of the various Chinese herbal medicines;
确定上述各种中药饮片的单方单种类药品日均费用是否大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值。It is determined whether the daily average cost of the above-mentioned various Chinese herbal medicine pieces is greater than or equal to the daily average cost threshold of the above-mentioned various Chinese herbal medicine pieces.
上述收发器403，用于在上述处理器401确定上述各种中药饮片的单方单种类药品日均费用大于或者等于上述各种中药饮片对应的单方单种类药品日均费用阈值，则向上述待监控医疗单位发送中药饮片药品费用超标的预警信息。The transceiver 403 is configured to determine, on the processor 401, that the daily average cost of the unilateral single-type medicines of the various Chinese herbal medicines is greater than or equal to the threshold of the daily average cost of the unilateral single-type medicines corresponding to the various Chinese herbal medicines. The medical unit sends an early warning message that the cost of traditional Chinese medicine decoction exceeds the standard.
在一些可行的实施方式中，上述中药饮片药品费用超标的预警信息包括药品费用超标预警标识；In some feasible implementation manners, the above-mentioned early warning information of excessive medicine cost of Chinese herbal medicine pieces includes a warning sign of excessive medicine cost;
上述收发器403用于：The above transceiver 403 is used to:
输出药品费用超标预警标识至上述待监控医疗单位的医师开方工具首页，基于上述医师开方工具首页上显示的上述药品费用超标预警标识，向上述待监控医疗单位的医师发出上述中药处方中中药饮片的药品费用超标预警，以提示上述待监控医疗单位的医师控制中药处方的开方用药以防止中药饮片的药品费用超标。Output the warning sign of excessive drug cost to the homepage of the doctor's prescription of the medical unit to be monitored, and issue the above-mentioned prescription of traditional Chinese medicine to the doctor of the medical unit to be monitored based on the warning label of the drug's excessive standard displayed on the homepage of the doctor's prescription Pre-warning of the drug cost of decoction pieces to remind the doctors of the above-mentioned medical units to control the prescribing medication of Chinese medicine prescriptions to prevent the drug cost of decoction pieces from exceeding the standard.
在一些可行的实施方式中，上述用药处方包括上述待监控医疗单位在当前考核周期内的所有中药处方；In some feasible implementation manners, the above medicine prescription includes all the Chinese medicine prescriptions of the above-mentioned medical unit to be monitored within the current evaluation period;
上述收发器403用于：The above transceiver 403 is used to:
根据上述各种中药饮片的单方单种类药品日均费用和上述各种中药饮片对应的单方单种类药品日均费用阈值，确定上述待监控医疗单位的上述所有中药处方中各种中药饮片的药品费用超标数据；According to the above-mentioned daily average cost of unilateral and single-type medicines of various Chinese herbal medicines and the daily average cost threshold of unilateral single-type medicines corresponding to the above-mentioned various Chinese medicine slices, determine the medical expenses of various Chinese herbal medicines in all the above-mentioned traditional Chinese medicine prescriptions of the medical unit to be monitored Exceeding standard data;
根据上述药品费用超标数据向上述待监控医疗单位发送中药饮片药品费用超标预警信息，基于上述中药饮片药品费用超标预警信息向上述待监控医疗单位发送控制中药处方的 中药饮片开方用药，以防止在当前考核周期之后的一个或者多个考核周期内中药处方中上述各种中药饮片的单方单种类药品日均费用超标的预警；According to the data of the above-mentioned drug cost exceeded data, the early warning information of over-standard Chinese medicine decoctions is sent to the medical unit to be monitored, and based on the above-mentioned early warning information of the drug cost of the Chinese medicine debris, the pre-medication of traditional Chinese medicine decoctions is sent to the medical unit to be monitored to prevent Early-warning of the daily average cost of the above-mentioned single-party and single-type medicines of the above-mentioned traditional Chinese medicine decoction pieces in one or more evaluation periods after the current evaluation period;
其中，上述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Among them, the above warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
在一些可行的实施方式中，上述处理器401，用于：In some feasible implementation manners, the foregoing processor 401 is configured to:
获取上述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用，根据上述各种中药饮片的药品费用确定出上述中药处方中任一种中药饮片在单个中药处方中的药品总费用；Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine the total drug cost of any one of the Chinese medicine decoctions in a single Chinese medicine prescription according to the above-mentioned Chinese medicine decoy cost;
根据上述各剂中药饮片的药品使用天数确定上述中药处方的上述任一种中药饮片在单个中药处方中的药品使用总天数；Determine the total number of days of medicine use for any of the above-mentioned Chinese medicine prescriptions in a single Chinese medicine prescription based on the number of days of medicine use for each of the above-mentioned Chinese medicine prescriptions;
根据上述任一种中药饮片的上述药品总费用和上述药品使用总天数确定上述任一种中药饮片的单方单种类药品日均费用，以得到上述各种中药饮片的单方单种类药品日均费用。According to the total cost of the above-mentioned medicines of any one of the traditional Chinese medicine pieces and the total number of days of use of the above-mentioned medicines, determine the daily average cost of the unilateral single-type medicine of any one of the traditional Chinese medicine pieces, so as to obtain the daily average cost of the unilateral single-type medicine of the various traditional Chinese medicine pieces.
其中，上述单方单种类药品日均费用满足：Among them, the average daily cost of the above single-party single-type drugs meets:
单方单种类药品日均费用＝单方单种类中药饮片的药品总费用/单方单种类中药饮片的药品使用总天数。Daily average cost of single-party single-type medicine = total drug cost of single-party single-type Chinese herbal medicine pieces / total days of use of single-side single-type Chinese herbal medicine pieces.
在一些可行的实施方式中，上述处理器401，用于：In some feasible implementation manners, the foregoing processor 401 is configured to:
获取上述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用，根据上述任一剂中药饮片所包括的上述任一种中药饮片的药品费用，确定上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用；Obtain the medicine cost of any one kind of Chinese medicine decoction included in any dose of Chinese medicine decoction in the above-mentioned Chinese medicine prescription, and determine whether any one of the above-mentioned Chinese medicine decoction in The total cost of medicines in each Chinese medicine decoction piece of the above-mentioned Chinese medicine prescription;
根据上述任一种中药饮片在上述中药处方的各剂中药饮片中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。The total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in each Chinese medicine prescription of the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
在一些可行的实施方式中，上述处理器401，用于：In some feasible implementation manners, the foregoing processor 401 is configured to:
获取上述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量，根据上述任一种中药饮片的单价和上述剂量确定上述任一种中药饮片在上述中药处方中的药品总费用；Obtain the dose of any one of the traditional Chinese medicine decoctions included in each dose of the traditional Chinese medicine decoctions in the above traditional Chinese medicine prescription, and determine the total drug cost of any of the traditional Chinese medicine decoctions in the above traditional Chinese medicine prescription according to the unit price of any one of the traditional Chinese medicine decoctions and the above dose;
根据上述任一种中药饮片在上述中药处方中的药品总费用和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品总费用。The total drug cost of any one of the above-mentioned Chinese herbal medicines in a single Chinese medicine prescription is determined according to the total cost of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescriptions.
上述单方单种类中药饮片的药品总费用满足：The total cost of the above-mentioned unilateral single-type Chinese herbal medicines meets:
单方单种类中药饮片的药品总费用＝单方单种类中药饮片的剂量*单种类中药饮片的单价。The total cost of medicines for single-party single-type traditional Chinese medicine pieces = the dose of single-side single-type traditional Chinese medicine pieces * the unit price of single-type single-Chinese traditional medicine pieces.
在一些可行的实施方式中，上述处理器401，用于：In some feasible implementation manners, the foregoing processor 401 is configured to:
根据上述各剂中药饮片的药品使用天数确定上述中药处方中上述任一种中药饮片在上述中药处方中的药品使用总天数，其中上述任一种中药饮片在上述中药处方中的药品使用总天数为上述各剂中药饮片的药品使用天数的累计值；The total number of days of use of any of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription in the above-mentioned Chinese medicine prescription is determined according to the number of days of use of each of the above-mentioned Chinese herbal medicines, wherein the total number of days of medicine usage in any of the above-mentioned Chinese medicine prescriptions is The cumulative value of the number of days of use of the above-mentioned Chinese herbal medicines;
根据上述任一种中药饮片在上述中药处方中的药品使用总天数和上述中药处方的处方数量确定上述任一种中药饮片在单个中药处方中的药品使用总天数。The total number of days of use of any one of the above-mentioned Chinese herbal medicines in a single prescription of traditional Chinese medicine is determined according to the total number of days of use of any one of the above-mentioned Chinese herbal medicines in the above-mentioned Chinese medicine prescription and the number of prescriptions of the above-mentioned Chinese medicine prescription.
在一些可行的实施方式中，上述处理器401用于：In some feasible implementation manners, the foregoing processor 401 is used to:
获取上述待监控医疗单位的数据系统准入资格，基于上述数据系统准入资格从上述待监控医疗单位的数据系统中获取上述待监控医疗单位的中药处方；和/或Obtain the data system access qualification of the medical unit to be monitored, and obtain the prescription of the traditional Chinese medicine of the medical unit to be monitored from the data system of the medical unit to be monitored based on the access qualification of the data system; and / or
获取上述待监控医疗单位提供的医疗理赔数据，从上述医疗理赔数据中获取上述待监控医疗单位的中药处方。Obtain the medical claim data provided by the medical unit to be monitored, and obtain the Chinese medicine prescription of the medical unit to be monitored from the medical claim data.
其中，上述待监控医疗单位的中药处方包括上述待监控医疗单位的单个中药处方，或者上述待监控医疗单位在单个考核周期内的所有中药处方，上述单个考核周期的周期时长为一日或者大于一日。Among them, the traditional Chinese medicine prescription of the medical unit to be monitored includes the single traditional Chinese medicine prescription of the medical unit to be monitored, or all the traditional Chinese medicine prescriptions of the medical unit to be monitored within a single assessment cycle, the duration of the single assessment cycle is one day or greater than one day.
在一些可行的实施方式中，上述待监控医疗单位对应的用药标准阈值包括上述待监控医疗单位对应的各种中药饮片的单方单种类药品日均费用阈值；上述处理器401还用于：In some feasible implementation manners, the medication standard threshold corresponding to the medical unit to be monitored includes the daily average cost threshold of the unilateral and single-type medicines of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored; the processor 401 is further used to:
根据上述待监控医疗单位的单位属性信息和/或上述各种中药饮片的药品属性信息，确定上述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值，其中，一个单方单种类药品日均费用阈值至少对应一种中药饮片；Based on the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the above-mentioned various Chinese medicine decoction pieces, determine the daily average cost threshold of the single-party single-type medicine corresponding to any one of the above-mentioned Chinese medicine decoction pieces, of which, one single-party The threshold of the daily average cost of a single type of medicine corresponds to at least one piece of Chinese herbal medicine;
其中，上述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种，上述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。Among them, the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the area where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patients of the unit. The above drug attribute information includes the name of the drug, One or more of drug type, drug use, unit drug supply channel and drug source.
在一些可行的实施方式中，上述处理器401可以是中央处理单元(central processing unit，CPU)，该处理器还可以是其他通用处理器、数字信号处理器(digital signal processor，DSP)、专用集成电路(application specific integrated circuit，ASIC)、现成可编程门阵列(field-programmable gate array，FPGA)或者其他可编程逻辑器件、分立门或者晶体管逻辑器件、分立硬件组件等。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等。In some feasible implementation manners, the processor 401 may be a central processing unit (CPU), and the processor may also be other general-purpose processors, digital signal processors (DSPs), and dedicated integrations. Circuit (application specific integrated circuit, ASIC), ready-made programmable gate array (field-programmable gate array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc. The general-purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
该存储器402可以包括只读存储器和随机存取存储器，并向处理器401和收发器403提供指令和数据。存储器402的一部分还可以包括非易失性随机存取存储器。例如，存储器402还可以存储设备类型的信息。The memory 402 may include a read-only memory and a random access memory, and provide instructions and data to the processor 401 and the transceiver 403. A portion of the memory 402 may also include non-volatile random access memory. For example, the memory 402 may also store device type information.
在一些可行的实施方式中，上述终端设备可通过其内置的处理器401和收发器403各个功能模块执行如上述图1至图2中各个步骤所提供的实现方式，具体可参见上述各个步骤所提供的实现方式，在此不再赘述。In some feasible implementation manners, the above-mentioned terminal device may execute the implementation manners provided by the steps in FIG. 1 to FIG. 2 through the function modules of the built-in processor 401 and the transceiver 403. For details, see the above steps The implementation provided will not be repeated here.
本申请实施例可提高对待监控医疗单位的药品费用超标预警的时效性，从而可提高医疗资源的有效利用率，适用性更强。The embodiments of the present application can improve the timeliness of early warning of the medical expenses of the medical unit to be monitored, thereby improving the effective utilization rate of medical resources and having greater applicability.
本申请实施例还提供一种计算机可读存储介质，该计算机可读存储介质存储有计算机程序，该计算机程序包括程序指令，该程序指令被处理器执行时实现图1至图2中各个步骤所提供的基于数据处理的中药处方药品费用超标预警方法，具体可参见上述各个步骤所提供的实现方式，在此不再赘述。Embodiments of the present application also provide a computer-readable storage medium that stores a computer program, and the computer program includes program instructions, which are executed by a processor to implement the steps in FIGS. 1 to 2. For the early warning method for over-standard Chinese medicine prescription drug cost based on data processing, please refer to the implementation provided by the above steps for details, which will not be repeated here.
上述计算机可读存储介质可以是前述任一实施例提供的基于数据处理的中药处方药品费用超标预警装置或者上述终端设备的内部存储单元，例如电子设备的硬盘或内存。该计算机可读存储介质也可以是该电子设备的外部存储设备，例如该电子设备上配备的插接式硬盘，智能存储卡(smart media card,SMC)，安全数字(secure digital,SD)卡，闪存卡(flash card)等。The above-mentioned computer-readable storage medium may be the data processing-based early warning device for excessive prescription of Chinese medicine prescription drugs based on data processing or the internal storage unit of the above terminal device, such as a hard disk or a memory of an electronic device. The computer-readable storage medium may also be an external storage device of the electronic device, such as a plug-in hard disk equipped on the electronic device, a smart memory card (smart media card, SMC), a secure digital (SD) card, Flash card (flash card), etc.
以上所述，仅为本申请的具体实施方式，但本申请的保护范围并不局限于此，任何熟悉本技术领域的技术人员在本申请揭露的技术范围内，可轻易想到变化或替换，都应涵盖在本申请的保护范围之内。因此，本申请的保护范围应以所述权利要求的保护范围为准。The above is only the specific implementation of this application, but the scope of protection of this application is not limited to this, any person skilled in the art can easily think of changes or replacements within the technical scope disclosed in this application. It should be covered by the scope of protection of this application. Therefore, the protection scope of the present application shall be subject to the protection scope of the claims.

Claims (20)

  1. 一种基于数据处理的中药处方药品费用超标预警方法，其特征在于，所述方法包括：A warning method based on data processing for Chinese medicine prescription drug cost exceeding the standard, characterized in that the method includes:
    获取待监控医疗单位的中药处方，所述中药处方中包括至少一剂中药饮片，一剂中药饮片中包括至少一种中药饮片；Obtaining a Chinese medicine prescription for the medical unit to be monitored, the Chinese medicine prescription including at least one Chinese herbal medicine slice, and one Chinese herbal medicine slice including at least one Chinese medicine slice;
    获取所述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息，并根据所述各种中药饮片的中药饮片药品信息确定所述各种中药饮片的单方单种类药品日均费用；Obtain the information of various Chinese herbal medicines included in each Chinese herbal medicine of the prescription of the Chinese medicine, and determine the daily average of each type of single medicine of each Chinese herbal medicine according to the information of the traditional Chinese medicine of the various Chinese medicine cost;
    确定所述各种中药饮片的单方单种类药品日均费用是否大于或者等于所述各种中药饮片对应的单方单种类药品日均费用阈值；Determining whether the daily average cost of the unilateral single type medicine of the various Chinese herbal medicines is greater than or equal to the threshold of the daily average cost of the unilateral single type medicine corresponding to the various Chinese herbal medicines;
    若所述各种中药饮片的单方单种类药品日均费用大于或者等于所述各种中药饮片对应的单方单种类药品日均费用阈值，则向所述待监控医疗单位发送中药饮片药品费用超标的预警信息。If the daily average cost of each kind of Chinese herbal medicines is greater than or equal to the daily average cost threshold of the single Chinese medicines corresponding to the various Chinese herbal medicines, then the medical unit to be monitored will be sent to the medical unit to be monitored. Early warning information.
  2. 根据权利要求1所述的方法，其特征在于，所述中药饮片药品费用超标的预警信息包括药品费用超标预警标识；The method according to claim 1, characterized in that the early warning information that the Chinese medicine decoction pieces exceed the drug cost includes a warning sign that the drug cost exceeds the standard;
    所述向所述待监控医疗单位发送中药饮片药品费用超标的预警信息包括：The early warning information that the medical expenses of the traditional Chinese medicine decoction pieces are sent to the medical unit to be monitored includes:
    输出药品费用超标预警标识至所述待监控医疗单位的医师开方工具首页，基于所述医师开方工具首页上显示的所述药品费用超标预警标识，向所述待监控医疗单位的医师发出所述中药处方中中药饮片的药品费用超标预警，以提示所述待监控医疗单位的医师控制中药处方的开方用药以防止中药饮片的药品费用超标。Output an early warning sign of excessive drug cost to the homepage of the doctor's prescription tool of the medical unit to be monitored, and based on the early warning sign of the drug cost exceeding standard displayed on the homepage of the doctor's prescription tool, issue a warning to the physician of the medical unit to be monitored The early warning of excessive medicine cost of Chinese herbal medicines in Chinese medicine prescriptions is given to prompt the doctors of the medical unit to be controlled to control the prescribing medication of Chinese medicine prescriptions in order to prevent the medical expenses of Chinese herbal medicines from exceeding the standard.
  3. 根据权利要求1所述的方法，其特征在于，所述用药处方包括所述待监控医疗单位在当前考核周期内的所有中药处方；The method according to claim 1, wherein the medication prescription includes all prescriptions of traditional Chinese medicine of the medical unit to be monitored in the current assessment period;
    所述向所述待监控医疗单位发送中药饮片药品费用超标的预警信息包括：The early warning information that the medical expenses of the traditional Chinese medicine decoction pieces are sent to the medical unit to be monitored includes:
    根据所述各种中药饮片的单方单种类药品日均费用和所述各种中药饮片对应的单方单种类药品日均费用阈值，确定所述待监控医疗单位的所述所有中药处方中各种中药饮片的药品费用超标数据；Determine the various Chinese medicines in all the prescriptions of the traditional Chinese medicines of the medical unit to be monitored according to the daily average cost of the single Chinese medicines of the various Chinese herbal medicines and the daily average cost of the single Chinese medicines corresponding to the various Chinese herbal medicines Excessive data of medicine cost for decoction pieces;
    根据所述药品费用超标数据向所述待监控医疗单位发送中药饮片药品费用超标预警信息，基于所述中药饮片药品费用超标预警信息向所述待监控医疗单位发送控制中药处方的中药饮片开方用药，以防止在当前考核周期之后的一个或者多个考核周期内中药处方中所述各种中药饮片的单方单种类药品日均费用超标的预警；According to the data of excessive medicine cost, send warning information of excessive medicine cost to the medical unit to be monitored, and based on the warning information of excessive medicine cost of traditional Chinese medicine, to the medical unit to be monitored, send prescription medicine of traditional Chinese medicine to control the prescription of Chinese medicine In order to prevent the early warning of the daily average cost of the single-party single-type drugs of the various Chinese herbal medicines mentioned in the Chinese medicine prescription in one or more evaluation cycles after the current evaluation cycle;
    其中，所述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Wherein, the pre-warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  4. 根据权利要求1-3任一项所述的方法，其特征在于，所述获取所述中药处方的各剂中药饮片所包括的各种中药饮片的中药饮片药品信息，并根据所述各种中药饮片的中药饮片药品信息确定所述各种中药饮片的单方单种类药品日均费用包括：The method according to any one of claims 1 to 3, characterized in that, the medicine information of various Chinese medicine decoction pieces included in each Chinese medicine decoction piece of the Chinese medicine prescription is obtained, and according to the various Chinese medicine Chinese herbal medicines information of Chinese herbal medicines determines the daily average cost of each kind of Chinese medicine herbal medicines includes:
    获取所述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用，根据所述各种中药饮片的药品费用确定出所述中药处方中任一种中药饮片在单个中药处方中的药品总费用；Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the Chinese medicine prescription, and determine the medicines of any one of the Chinese medicine decoctions in a single Chinese medicine prescription according to the medicine costs of the various Chinese medicine decoctions Total cost;
    根据所述各剂中药饮片的药品使用天数确定所述中药处方的所述任一种中药饮片在单个中药处方中的药品使用总天数；Determining the total number of days of drug use in any single Chinese medicine prescription for any one of the Chinese medicine decoctions of the Chinese medicine prescription according to the number of days of use of the medicines of each Chinese medicine decoction;
    根据所述任一种中药饮片的所述药品总费用和所述药品使用总天数确定所述任一种中药饮片的单方单种类药品日均费用，以得到所述各种中药饮片的单方单种类药品日均费用。Determine the daily average cost of the single-party single-type medicine of any one of the Chinese herbal medicine pieces according to the total cost of the medicine of any one of the traditional Chinese medicine pieces and the total number of days of use of the medicine, so as to obtain the single-party single type of the various Chinese medicine pieces Average daily drug cost.
  5. 根据权利要求4所述的方法，其特征在于，所述获取所述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用，根据所述各种中药饮片的药品费用确定出所述中药处 方中任一种中药饮片在单个中药处方中的药品总费用包括：The method according to claim 4, characterized in that, the medicine cost of various Chinese medicine decoction pieces included in each dose of Chinese medicine decoction in the Chinese medicine prescription is determined according to the medicine cost of the various Chinese medicine decoction pieces The total cost of any Chinese herbal medicine in a single Chinese herbal medicine prescription includes:
    获取所述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用，根据所述任一剂中药饮片所包括的所述任一种中药饮片的药品费用，确定所述任一种中药饮片在所述中药处方的各剂中药饮片中的药品总费用；Obtain the medicine cost of any one kind of Chinese medicine decoction included in any one of the Chinese medicine decoctions in the Chinese medicine prescription, and determine the any one according to the medicine cost of any one kind of Chinese medicine decoction included in the any Chinese medicine decoction The total cost of medicines in each piece of Chinese medicine decoctions of the Chinese medicine prescriptions
    根据所述任一种中药饮片在所述中药处方的各剂中药饮片中的药品总费用和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品总费用。The total drug cost of any one kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total drug cost of each kind of Chinese medicine decoction in each Chinese medicine decoction of the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  6. 根据权利要求4所述的方法，其特征在于，所述获取所述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用，根据所述各种中药饮片的药品费用确定出所述中药处方中任一种中药饮片在单个中药处方中的药品总费用包括：The method according to claim 4, characterized in that, the medicine cost of various Chinese medicine decoction pieces included in each dose of Chinese medicine decoction in the Chinese medicine prescription is determined according to the medicine cost of the various Chinese medicine decoction pieces The total cost of any Chinese herbal medicine in a single Chinese herbal medicine prescription includes:
    获取所述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量，根据所述任一种中药饮片的单价和所述剂量确定所述任一种中药饮片在所述中药处方中的药品总费用；Obtaining the dose of any one kind of Chinese medicine decoction included in each dose of Chinese medicine decoction in the Chinese medicine prescription, and determining the dosage of any one Chinese medicine decoction in the Chinese medicine prescription according to the unit price of the any Chinese medicine decoction and the dose Total drug cost;
    根据所述任一种中药饮片在所述中药处方中的药品总费用和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品总费用。The total drug cost of any one kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total drug cost of any one kind of Chinese medicine decoction in the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  7. 根据权利要求4-6任一项所述的方法，其特征在于，所述根据所述各剂中药饮片的药品使用天数确定所述中药处方的所述任一种中药饮片在单个中药处方中的药品使用总天数包括：The method according to any one of claims 4-6, characterized in that the determination of any one of the traditional Chinese medicine decoction pieces of the traditional Chinese medicine prescription in a single traditional Chinese medicine prescription is based on the number of days of use of each of the traditional Chinese medicine decoction pieces The total days of drug use include:
    根据所述各剂中药饮片的药品使用天数确定所述中药处方中所述任一种中药饮片在所述中药处方中的药品使用总天数，其中所述任一种中药饮片在所述中药处方中的药品使用总天数为所述各剂中药饮片的药品使用天数的累计值；The total number of days of use of any one of the Chinese herbal medicines in the Chinese medicine prescription in the Chinese medicine prescription is determined according to the number of days of use of each Chinese medicine in the Chinese medicine prescription, wherein any one of the Chinese medicine pieces in the Chinese medicine prescription The total number of days of drug use is the cumulative value of the number of days of drug use for each of the Chinese herbal decoctions;
    根据所述任一种中药饮片在所述中药处方中的药品使用总天数和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品使用总天数。The total number of days of drug usage of any one kind of Chinese herbal medicine in a single Chinese medicine prescription is determined according to the total number of days of medicine usage of any one of Chinese herbal medicines in the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  8. 根据权利要求1-7任一项所述的方法，其特征在于，所述获取待监控医疗单位的中药处方包括：The method according to any one of claims 1-7, wherein the obtaining the prescription of Chinese medicine for the medical unit to be monitored includes:
    获取所述待监控医疗单位的数据系统准入资格，基于所述数据系统准入资格从所述待监控医疗单位的数据系统中获取所述待监控医疗单位的中药处方；和/或Acquiring the data system access qualification of the medical unit to be monitored, and obtaining the Chinese medicine prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the data system access qualification; and / or
    获取所述待监控医疗单位提供的医疗理赔数据，从所述医疗理赔数据中获取所述待监控医疗单位的中药处方；Obtaining medical claim data provided by the medical unit to be monitored, and obtaining Chinese medicine prescriptions of the medical unit to be monitored from the medical claim data;
    其中，所述待监控医疗单位的中药处方包括所述待监控医疗单位的单个中药处方，或者所述待监控医疗单位在单个考核周期内的所有中药处方，所述单个考核周期的周期时长为一日或者大于一日。Wherein, the traditional Chinese medicine prescription of the medical unit to be monitored includes a single traditional Chinese medicine prescription of the medical unit to be monitored, or all the traditional Chinese medicine prescriptions of the medical unit to be monitored within a single assessment cycle, and the period length of the single assessment cycle is one Day or more.
  9. 根据权利要求1-8任一项所述的方法，其特征在于，所述待监控医疗单位对应的用药标准阈值包括所述待监控医疗单位对应的各种中药饮片的单方单种类药品日均费用阈值，所述方法还包括：The method according to any one of claims 1-8, wherein the standard threshold of the medication corresponding to the medical unit to be monitored includes the daily average cost of a single type of single type of medicine for various pieces of Chinese medicine corresponding to the medical unit to be monitored Threshold, the method further includes:
    根据所述待监控医疗单位的单位属性信息和/或所述各种中药饮片的药品属性信息，确定所述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值，一个单方单种类药品日均费用阈值至少对应一种中药饮片；According to the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the various Chinese medicine decoction pieces, determine the daily average cost threshold of the unilateral single type of medicine corresponding to any one of the various Chinese medicine decoction pieces, one The daily average cost threshold of a single-party single-type drug corresponds to at least one Chinese herbal decoction;
    其中，所述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种，所述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。Wherein, the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the area where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patient visits of the unit, and the drug attribute information includes the drug One or more of name, drug type, drug use, unit drug supply channel and drug source.
  10. 一种基于数据处理的中药处方药品费用超标预警装置，其特征在于，所述装置包括：An early warning device based on data processing for Chinese medicine prescription drug cost exceeding standard, characterized in that the device comprises:
    数据获取单元，用于获取待监控医疗单位的中药处方，所述中药处方中包括至少一剂中药饮片，一剂中药饮片中包括至少一种中药饮片；A data acquisition unit, configured to acquire a Chinese medicine prescription of the medical unit to be monitored, the Chinese medicine prescription includes at least one Chinese medicine decoction, and one Chinese medicine decoction includes at least one Chinese medicine decoction;
    药品信息处理单元，用于获取所述数据获取单元获取的所述中药处方的各剂中药饮片 所包括的各种中药饮片的中药饮片药品信息，并根据所述各种中药饮片的中药饮片药品信息确定所述各种中药饮片的单方单种类药品日均费用；A medicine information processing unit, configured to obtain the medicine information of various Chinese medicine pieces included in each piece of Chinese medicine pieces of the Chinese medicine prescription obtained by the data acquisition unit, and according to the medicine information of the Chinese medicine pieces of the various Chinese medicine pieces Determine the average daily cost of the single-party single-type drugs of the various Chinese herbal decoction pieces;
    药品费用监控单元，用于确定所述药品信息处理单元确定的所述各种中药饮片的单方单种类药品日均费用是否大于或者等于所述各种中药饮片对应的单方单种类药品日均费用阈值；A drug cost monitoring unit for determining whether the daily average cost of the unilateral single type of medicines of the various Chinese herbal medicine pieces determined by the medical information processing unit is greater than or equal to the daily average cost threshold of the unilateral single type of medicine corresponding to the various Chinese herbal medicine pieces ;
    药品费用超标预警单元，用于在所述药品费用监控单元确定所述各种中药饮片的单方单种类药品日均费用大于或者等于所述各种中药饮片对应的单方单种类药品日均费用阈值，则向所述待监控医疗单位发送中药饮片药品费用超标的预警信息。An early warning unit for exceeding the drug cost, which is used in the drug cost monitoring unit to determine that the daily average cost of the unilateral single type of medicine of the various Chinese herbal medicines is greater than or equal to the daily average cost threshold of the unilateral single type of medicine corresponding to the various Chinese herbal medicines, Then, an early warning message is sent to the medical unit to be monitored that the cost of traditional Chinese medicine decoction exceeds the standard.
  11. 根据权利要求10所述的装置，其特征在于，所述中药饮片药品费用超标的预警信息包括药品费用超标预警标识；The device according to claim 10, characterized in that the early warning information that the Chinese medicine decoction pieces exceed the drug cost includes a warning sign that the drug cost exceeds the standard;
    所述药品费用超标预警单元用于：The warning unit for exceeding the drug cost is used for:
    输出药品费用超标预警标识至所述待监控医疗单位的医师开方工具首页，基于所述医师开方工具首页上显示的所述药品费用超标预警标识，向所述待监控医疗单位的医师发出所述中药处方中中药饮片的药品费用超标预警，以提示所述待监控医疗单位的医师控制中药处方的开方用药以防止中药饮片的药品费用超标。Output an early warning sign of excessive drug cost to the homepage of the doctor's prescription tool of the medical unit to be monitored, and based on the early warning sign of the drug cost exceeding standard displayed on the homepage of the doctor's prescription tool, issue a warning to the physician of the medical unit to be monitored The early warning of excessive medicine cost of Chinese herbal medicines in Chinese medicine prescriptions is given to prompt the doctors of the medical unit to be controlled to control the prescribing medication of Chinese medicine prescriptions in order to prevent the medical expenses of Chinese herbal medicines from exceeding the standard.
  12. 根据权利要求10所述的装置，其特征在于，所述用药处方包括所述待监控医疗单位在当前考核周期内的所有中药处方；The device according to claim 10, characterized in that the medicine prescription includes all Chinese medicine prescriptions of the medical unit to be monitored in the current assessment period;
    所述药品费用超标预警单元用于：The warning unit for exceeding the drug cost is used for:
    根据所述各种中药饮片的单方单种类药品日均费用和所述各种中药饮片对应的单方单种类药品日均费用阈值，确定所述待监控医疗单位的所述所有中药处方中各种中药饮片的药品费用超标数据；Determine the various Chinese medicines in all the prescriptions of the traditional Chinese medicines of the medical unit to be monitored according to the daily average cost of the single Chinese medicines of the various Chinese herbal medicines and the daily average cost of the single Chinese medicines corresponding to the various Chinese herbal medicines Excessive data of medicine cost for decoction pieces;
    根据所述药品费用超标数据向所述待监控医疗单位发送中药饮片药品费用超标预警信息，基于所述中药饮片药品费用超标预警信息向所述待监控医疗单位发送控制中药处方的中药饮片开方用药，以防止在当前考核周期之后的一个或者多个考核周期内中药处方中所述各种中药饮片的单方单种类药品日均费用超标的预警；According to the data of excessive medicine cost, send warning information of excessive medicine cost to the medical unit to be monitored, and based on the warning information of excessive medicine cost of traditional Chinese medicine, to the medical unit to be monitored, send prescription medicine of traditional Chinese medicine to control the prescription of Chinese medicine In order to prevent the early warning of the daily average cost of the single-party single-type drugs of the various Chinese herbal medicines mentioned in the Chinese medicine prescription in one or more evaluation cycles after the current evaluation cycle;
    其中，所述药品费用超标预警信息包括即时通讯信息、邮件或者告示中的一种或者多种信息类型。Wherein, the pre-warning information for exceeding the drug cost includes one or more types of information in instant messaging information, emails or notices.
  13. 根据权利要求10-12任一项所述的装置，其特征在于，所述药品信息处理单元用于：The device according to any one of claims 10-12, wherein the medicine information processing unit is used to:
    获取所述中药处方中各剂中药饮片所包括的各种中药饮片的药品费用，根据所述各种中药饮片的药品费用确定出所述中药处方中任一种中药饮片在单个中药处方中的药品总费用；Obtain the medicine cost of various Chinese medicine decoctions included in each Chinese medicine decoction in the Chinese medicine prescription, and determine the medicines of any one of the Chinese medicine decoctions in a single Chinese medicine prescription according to the medicine costs of the various Chinese medicine decoctions Total cost;
    根据所述各剂中药饮片的药品使用天数确定所述中药处方的所述任一种中药饮片在单个中药处方中的药品使用总天数；Determining the total number of days of drug use in any single Chinese medicine prescription for any one of the Chinese medicine decoctions of the Chinese medicine prescription according to the number of days of use of the medicines of each Chinese medicine decoction;
    根据所述任一种中药饮片的所述药品总费用和所述药品使用总天数确定所述任一种中药饮片的单方单种类药品日均费用，以得到所述各种中药饮片的单方单种类药品日均费用。Determine the daily average cost of the single-party single-type medicine of any one of the Chinese herbal medicine pieces according to the total cost of the medicine of any one of the traditional Chinese medicine pieces and the total number of days of use of the medicine, so as to obtain the single-party single type of the various Chinese medicine pieces Average daily drug cost.
  14. 根据权利要求13所述的装置，其特征在于，所述药品信息处理单元用于：The device according to claim 13, wherein the medicine information processing unit is configured to:
    获取所述中药处方中任一剂中药饮片所包括的任一种中药饮片的药品费用，根据所述任一剂中药饮片所包括的所述任一种中药饮片的药品费用，确定所述任一种中药饮片在所述中药处方的各剂中药饮片中的药品总费用；Obtain the medicine cost of any one kind of Chinese medicine decoction included in any one of the Chinese medicine decoctions in the Chinese medicine prescription, and determine the any one according to the medicine cost of any one kind of Chinese medicine decoction included in the any Chinese medicine decoction The total cost of medicines in each piece of Chinese medicine decoctions of the Chinese medicine prescriptions
    根据所述任一种中药饮片在所述中药处方的各剂中药饮片中的药品总费用和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品总费用。The total drug cost of any one kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total drug cost of each kind of Chinese medicine decoction in each Chinese medicine decoction of the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  15. 根据权利要求13所述的装置，其特征在于，所述药品信息处理单元用于：The device according to claim 13, wherein the medicine information processing unit is configured to:
    获取所述中药处方中各剂中药饮片所包括的任一种中药饮片的剂量，根据所述任一种 中药饮片的单价和所述剂量确定所述任一种中药饮片在所述中药处方中的药品总费用；Obtaining the dose of any one kind of Chinese medicine decoction included in each dose of Chinese medicine decoction in the Chinese medicine prescription, and determining the dosage of any one Chinese medicine decoction in the Chinese medicine prescription according to the unit price of the any Chinese medicine decoction and the dose Total drug cost;
    根据所述任一种中药饮片在所述中药处方中的药品总费用和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品总费用。The total drug cost of any one kind of Chinese medicine decoction in a single Chinese medicine prescription is determined according to the total drug cost of any one kind of Chinese medicine decoction in the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  16. 根据权利要求13-15任一项所述的装置，其特征在于，所述药品信息处理单元用于：The device according to any one of claims 13 to 15, wherein the medicine information processing unit is used to:
    根据所述各剂中药饮片的药品使用天数确定所述中药处方中所述任一种中药饮片在所述中药处方中的药品使用总天数，其中所述任一种中药饮片在所述中药处方中的药品使用总天数为所述各剂中药饮片的药品使用天数的累计值；The total number of days of use of any one of the Chinese herbal medicines in the Chinese medicine prescription in the Chinese medicine prescription is determined according to the number of days of use of each Chinese medicine in the Chinese medicine prescription, wherein any one of the Chinese medicine pieces in the Chinese medicine prescription The total number of days of drug use is the cumulative value of the number of days of drug use for each of the Chinese herbal decoctions;
    根据所述任一种中药饮片在所述中药处方中的药品使用总天数和所述中药处方的处方数量确定所述任一种中药饮片在单个中药处方中的药品使用总天数。The total number of days of drug usage of any one kind of Chinese herbal medicine in a single Chinese medicine prescription is determined according to the total number of days of medicine usage of any one of Chinese herbal medicines in the Chinese medicine prescription and the number of prescriptions of the Chinese medicine prescription.
  17. 根据权利要求10-16任一项所述的装置，其特征在于，所述数据获取单元用于：The device according to any one of claims 10-16, wherein the data acquisition unit is used to:
    获取所述待监控医疗单位的数据系统准入资格，基于所述数据系统准入资格从所述待监控医疗单位的数据系统中获取所述待监控医疗单位的中药处方；和/或Acquiring the data system access qualification of the medical unit to be monitored, and obtaining the Chinese medicine prescription of the medical unit to be monitored from the data system of the medical unit to be monitored based on the data system access qualification; and / or
    获取所述待监控医疗单位提供的医疗理赔数据，从所述医疗理赔数据中获取所述待监控医疗单位的中药处方。Obtain medical claim data provided by the medical unit to be monitored, and obtain the Chinese medicine prescription of the medical unit to be monitored from the medical claim data.
    其中，所述待监控医疗单位的中药处方包括所述待监控医疗单位的单个中药处方，或者所述待监控医疗单位在单个考核周期内的所有中药处方，所述单个考核周期的周期时长为一日或者大于一日。Wherein, the traditional Chinese medicine prescription of the medical unit to be monitored includes a single traditional Chinese medicine prescription of the medical unit to be monitored, or all the traditional Chinese medicine prescriptions of the medical unit to be monitored within a single assessment cycle, and the period length of the single assessment cycle is one Day or more.
  18. 根据权利要求10-17任一项所述的装置，其特征在于，所述待监控医疗单位对应的用药标准阈值包括所述待监控医疗单位对应的各种中药饮片的单方单种类药品日均费用阈值；所述药品费用监控单元还用于：The device according to any one of claims 10-17, characterized in that the standard threshold of medication corresponding to the medical unit to be monitored includes the daily average cost of a single type of single medicine of various Chinese herbal medicine pieces corresponding to the medical unit to be monitored Threshold; the drug cost monitoring unit is also used for:
    根据所述待监控医疗单位的单位属性信息和/或所述各种中药饮片的药品属性信息，确定所述各种中药饮片中任一种中药饮片对应的单方单种类药品日均费用阈值，其中，一个单方单种类药品日均费用阈值至少对应一种中药饮片；According to the unit attribute information of the medical unit to be monitored and / or the drug attribute information of the various Chinese medicine decoction pieces, determine the daily average cost threshold of the unilateral single type of medicine corresponding to any one of the various Chinese medicine decoction pieces, wherein , The daily average cost threshold of a single-party single-type medicine corresponds to at least one piece of Chinese herbal medicine;
    其中，所述待监控医疗单位的单位属性信息包括单位类型、单位所处地域、单位所处城市、单位药品供应渠道以及单位病患人次中的一种或多种，所述药品属性信息包括药品名称、药品类型、药品用途、单位药品供应渠道以及药品来源中的一种或多种。Wherein, the unit attribute information of the medical unit to be monitored includes one or more of the unit type, the area where the unit is located, the city where the unit is located, the unit drug supply channel, and the number of patient visits of the unit, and the drug attribute information includes the drug One or more of name, drug type, drug use, unit drug supply channel and drug source.
  19. 一种终端设备，其特征在于，包括处理器和存储器，所述处理器和所述存储器相互连接，其中，所述存储器用于存储计算机程序，所述计算机程序包括程序指令，所述处理器被配置用于调用所述程序指令，执行如权利要求1-9任一项所述的方法。A terminal device is characterized by comprising a processor and a memory, the processor and the memory are connected to each other, wherein the memory is used to store a computer program, the computer program includes program instructions, and the processor is It is configured to call the program instructions to execute the method according to any one of claims 1-9.
  20. 一种计算机可读存储介质，其特征在于，所述计算机可读存储介质存储有计算机程序，所述计算机程序被处理器执行以实现权利要求1-9任一项所述的方法。A computer-readable storage medium, characterized in that the computer-readable storage medium stores a computer program, which is executed by a processor to implement the method according to any one of claims 1-9.
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CN109523762A (en) * 2018-10-22 2019-03-26 平安医疗健康管理股份有限公司 The exceeded method for early warning of prescriptions of traditional Chinese medicine drug expenditure and device based on data processing
CN109545306A (en) * 2018-10-22 2019-03-29 平安医疗健康管理股份有限公司 Drug expenditure control method and device based on data processing
CN109559791A (en) * 2018-10-22 2019-04-02 平安医疗健康管理股份有限公司 The exceeded method for early warning of prescriptions of traditional Chinese medicine drug expenditure and device based on data processing

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