CN109273068B - DTP pharmacy management method, DTP pharmacy management system and readable storage medium - Google Patents
DTP pharmacy management method, DTP pharmacy management system and readable storage medium Download PDFInfo
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Abstract
The invention provides a DTP pharmacy management method, which comprises the following steps of; an information acquisition step: acquiring patient information; the drug treatment management step comprises: acquiring and managing drug treatment information according to the patient information; and (3) cost management steps: and acquiring expense payment information according to the patient information. Correspondingly, the invention further provides a readable storage medium and a DTP pharmacy management system. The invention provides various professional medical services including high-value medicine sale and distribution, and subsequent medicine giving assistance, patient education and medication consultation for patients to be comprehensively managed.
Description
Technical Field
The invention relates to the field of computer medical treatment, in particular to a DTP pharmacy management method, a DTP pharmacy management system and a readable storage medium, and particularly relates to a DTP pharmacy management method, a DTP pharmacy management system and a readable storage medium which take a patient as the center.
Background
DTP originates in the united states and is a new marketing model created by astrazen and fevery: the hospital prescription mode is an operation mode in which a pharmaceutical enterprise directly authorizes a product to a pharmacy as an agent, and a patient obtains a prescription from a hospital doctor and takes the prescription to the pharmacy for purchase. This model necessarily has four basic elements: prescription, appropriate drugs, logistics and payment are obtained.
Existing DTP pharmacies have many problems, such as: 1. the problem of the system of the DTP pharmacy is as follows: inaccurate or running prescription or interception of midway prescriptions is a matter which is very abstaining from medicine enterprises; 2. processing of patient information and drug information: diagnosis results or prescriptions given by different hospitals and doctors are often different, the information is often relatively independent, and the cognition of patients on information such as medicine selection, medicine taking, medicine curative effect and the like is fuzzy; 3. the mode of cash collection: the existing mode of cash settlement is single, generally is once only paid, and the patient has great economic pressure to purchase the medicine.
Disclosure of Invention
In view of the defects in the prior art, the invention aims to provide a DTP pharmacy management method, a DTP pharmacy management system and a readable storage medium.
The DTP pharmacy management method provided by the invention comprises the following steps;
an information acquisition step: acquiring patient information;
the drug treatment management step comprises: acquiring and managing drug treatment information according to the patient information;
and (3) cost management steps: and acquiring expense payment information according to the patient information.
Preferably, the patient information includes patient information, prescription information and order information;
the information acquiring step comprises the following steps:
a patient information maintenance step: acquiring patient information;
a prescription management step: acquiring prescription information;
order management step: and obtaining order information.
Preferably, the patient information comprises any one or more of: patient name, patient contact information, patient visit department group, patient disease category, patient birthday, patient disease summary, patient contact address and patient contact name;
the prescription information includes any one or more of the following: prescription hospital information, prescription drug information, historical prescription information;
the order information comprises any one or more of the following contents: order medicine information, delivery mode information, delivery state information and historical order information.
Preferably, the method further comprises the following steps:
prescription checking step: judging the validity of the prescription according to the patient information and/or the prescription information, and if the prescription is judged to be valid, generating an order generation instruction, wherein the order generation instruction is used for controlling the printing of the order; if the prescription is judged to be invalid, generating prescription invalid information;
a cargo allocation step: receiving an order generation instruction, judging whether the medicines are enough or not according to the order medicine information and the acquired stock information, and if so, generating a goods picking instruction; if not, generating goods distribution failure information;
picking: receiving a goods picking instruction, and generating a goods picking completion signal after obtaining the goods picking order printing completion information, the delivery order printing completion information and the order printing completion information;
and (3) distribution step: receiving the picking completion signal and generating distribution state information.
Preferably, the medication management step comprises any one or more of the following steps:
a primary information acquisition step: obtaining any one or more of the following: generating first appointment return visit time information according to patient medical history information, patient allergy history information, patient medication history information and patient medical history information;
return visit information acquisition step: obtaining return visit information;
a secondary information acquisition step: acquiring the patient re-diagnosis information and generating second appointment return visit time information;
an abnormal information acquisition step: obtaining any one or more of the following: the system comprises medicine stopping reason information, medicine changing reason information, medicine understanding degree information and purchasing channel change information.
Preferably, the payment information comprises any one or more of the following: installment payment request information, curative effect refund request information, payment mode information and charitable service information;
the charge management step further comprises the steps of:
and (3) checking the installment payment: judging whether the installment payment request information meets the set conditions or not according to the patient information;
a curative effect auditing step: judging whether the treatment effect refund request information meets the set conditions or not according to the patient information and the drug treatment information;
and (3) checking the payment mode: judging whether the payment mode information meets the set conditions or not according to the patient information;
charitable service auditing step: and judging whether the charitable service information meets the set conditions or not according to the patient information.
Preferably, the method further comprises the following steps:
a patient data management step: acquiring and managing any one or more of: patient flow to pharmacy data, patient count data, treatment data, patient compliance data;
and (3) inventory monitoring step: managing purchase order information, arrival confirmation information and inventory information;
and (3) point management: setting an integral rule and calculating a statistical integral;
a delivery management step including the steps of:
a monitoring signal acquisition step: acquiring monitoring data from a medical refrigerator, wherein the monitoring data comprises temperature and humidity information and power on and off information;
an alarming step: when the monitoring data is in a range outside a set value, generating an alarm signal;
TMS monitoring step: acquiring in-transit position information, track information and arrival time prediction information of a medical refrigerator;
a step of patient education management: obtaining any one or more of the following: the information push instruction, the online education request information and the offline education request information.
Preferably, the method further comprises a delivery site management step; the delivery site management step includes a delivery site confirmation step and a delivery site medicine taking step;
the delivery site confirmation step includes any one of the following steps:
a first station confirmation step: generating delivery destination information according to the delivery site name required by the patient contained in the patient information;
and a second station confirmation step: matching the patient delivery address contained in the patient information with the affiliated delivery site, and generating delivery destination information according to the affiliated delivery site;
the step of fetching the medicine by the delivery station comprises the following steps:
and (3) door opening identity verification: verifying the name of a patient, enabling a display arranged on a door of a distribution station to display a body contour graph, acquiring information of a filling block on the body contour graph, judging whether the information of the filling block is matched with the information of a medicine treatment focus block in a prescription order, and if so, generating a door opening signal;
a characteristic information obtaining step: generating a characteristic information acquisition request instruction according to the door opening signal, and enabling the image equipment to acquire the face characteristic information of the medicine taking person and/or the actual-collar medicine information;
the door opening identity authentication step comprises:
displaying a body contour figure in a graphical user interface of a display, dividing the surface of the body contour figure into a plurality of blocks, wherein each block is used as a target to be interacted; the interaction of the plurality of objects to be interacted comprises filling in the surface of the body outline graph; concealing boundaries between adjacent blocks;
determining the filling area according to filling of the medicine taker on the surface of the body outline graph, wherein the filling area comprises:
the block to which the person who gets the drug first fills up,
-blocks with a filling trajectory length greater than a preset length threshold for the person taking the drug,
-the block in the closed figure enclosed by the filling trace of the person taking the medicine,
-the number of drug taker fill-in trajectory intersections is greater than a preset number threshold;
the width of the filling track is less than or equal to the minimum width of a block in the current display block;
mapping the traditional Chinese medicine treatment focus block in the prescription order to a body contour graph to form a standard reference block, and calculating any one or all of the following identification condition parameters:
-the area ratio of the overlapping blocks between the padding blocks and the standard reference blocks to the whole standard reference blocks;
-the area ratio of the overlapping blocks to the standard reference blocks over the entire padded block;
when the distinguishing condition parameters meet corresponding set thresholds, door opening signals are generated;
in the characteristic information obtaining step, the height information of a medicine taking person is obtained through scanning, and a face recognition mechanism corresponding to the height of the medicine taking person is enabled to obtain the face characteristic information of the medicine taking person;
enabling the code scanning device to acquire the actual medicine receiving information, judging whether the actual medicine receiving information is consistent with the patient information or not, and if so, generating a medicine taking completion signal; if not, generating a medicine mistaken-taking alarm signal;
the distinguishing condition parameters also comprise filled handwriting shapes and filled handwriting inclination angles; forming the dip angle of the filled handwriting by the included angle between the straight line segment in the filled handwriting and the horizontal direction;
when the shape of the filling handwriting is judged to be a reciprocating stroke shape, judging whether the inclination angle of the filling handwriting meets a set threshold value, if so, judging that the filling of the medicine taker on the surface of the body outline graph is a filling block; if not, determining that the filling of the medicine-taking person on the surface of the body outline graph is an invalid block; when the shape of the filled handwriting is determined to be a closed shape, determining that the filling of the medicine taker on the surface of the body outline graph is an invalid block;
when the filling of the medicine taker on the surface of the body outline graph is judged to be an invalid block, removing the filling and generating correct filling mode guide information;
in the characteristic information obtaining step, the imaging device is further caused to obtain the following auxiliary imaging information:
-a person taking the medication stands up photo;
-a photograph of the person taking the medication when the person took the medication;
-a photograph of the person's domain document when the medication was taken;
-a photograph of the person taking the medication when he has placed the medication in front of the code scanning device;
the auxiliary imaging information is used for face recognition;
the position of the face recognition mechanism used for acquiring the face feature information of the medicine taking person is not coincident with the position of the code scanning device used for acquiring the actual medicine information.
The present invention also provides a computer readable storage medium storing a computer program which, when executed by a processor, implements the steps of the DTP pharmacy management method described above.
The invention also provides a DTP pharmacy management system, which comprises the following modules:
an information acquisition module: acquiring patient information;
a medication management module: acquiring and managing drug treatment information according to the patient information;
a fee management module: and acquiring expense payment information according to the patient information.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention provides various professional medical services including high-value medicine sale and distribution, and subsequent medicine giving assistance, patient education and medication consultation for patients to be comprehensively managed;
2. the invention tracks the medication of the patient for a long time, can obtain information of the patient such as medicine change, abnormal medicine taking, adverse reaction, medicine taking effect and the like, and is convenient for doctors to give reasonable guidance suggestions;
3. the invention can evaluate the economic state and the credit rating of the patient, meets the requirements of settling money by stages and obtaining medicine free of charge for the specific patient, further solves the problem of long-term medicine taking pressure, improves the life quality of the patient and prolongs the life of the patient;
4. the invention can monitor the drug inventory, track the transportation state of the drug and realize the intelligent management of the processes of distributing, picking, delivering, picking and the like.
Drawings
Other features, objects and advantages of the invention will become more apparent upon reading of the detailed description of non-limiting embodiments with reference to the following drawings:
FIG. 1 is a flow chart of patient and disease management;
fig. 2 is a guide chart of the initial medication of a patient.
Detailed Description
The present invention will be described in detail with reference to specific examples. The following examples will assist those skilled in the art in further understanding the invention, but are not intended to limit the invention in any way. It should be noted that variations and modifications can be made by persons skilled in the art without departing from the spirit of the invention. All falling within the scope of the present invention.
In the description of the present invention, it is to be understood that the terms "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc., indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, are not to be construed as limiting the present invention.
The DTP pharmacy management method provided by the invention comprises the following steps; an information acquisition step: acquiring patient information; the drug treatment management step comprises: acquiring and managing drug treatment information according to the patient information; and (3) cost management steps: and acquiring expense payment information according to the patient information.
The patient information comprises patient information, prescription information and order information; the information acquiring step comprises the following steps: a patient information maintenance step: acquiring patient information; a prescription management step: acquiring prescription information; order management step: and obtaining order information. The patient information includes any one or more of: patient name, patient contact information, patient visit department group, patient disease category, patient birthday, patient disease summary, patient contact address and patient contact name; the prescription information includes any one or more of the following: prescription hospital information, prescription drug information, historical prescription information; the order information comprises any one or more of the following contents: order medicine information, delivery mode information, delivery state information and historical order information.
The DTP pharmacy management method further comprises the following steps: prescription checking step: judging the validity of the prescription according to the patient information and/or the prescription information, and if the prescription is judged to be valid, generating an order generation instruction, wherein the order generation instruction is used for controlling the printing of the order; if the prescription is judged to be invalid, generating prescription invalid information; a cargo allocation step: receiving an order generation instruction, judging whether the medicines are enough or not according to the order medicine information and the acquired stock information, and if so, generating a goods picking instruction; if not, generating goods distribution failure information; picking: receiving a goods picking instruction and generating a goods picking completion signal; and (3) distribution step: receiving the picking completion signal and generating distribution state information. Furthermore, the picking step comprises any one or more of the following steps: a first picking step: after acquiring the picking order printing completion information, the delivery order printing completion information and the order printing completion information, generating a picking completion signal; a second picking step: after the information that the picking order is printed and the information that the delivery order is printed are obtained, a picking completion signal is generated; a third picking step: and after the dispensing completion information from the automatic dispensing machine is acquired, a picking completion signal is generated. The specific operation mode of the picking step is determined by the distribution mode information, for example, when the distribution mode information is that the medicine is delivered to the home, the first picking step is executed; when the delivery mode information is delivery to the station, a second picking step is executed, and the like.
The medication management step comprises any one or more of the following steps: a primary information acquisition step: obtaining any one or more of the following: generating first appointment return visit time information according to patient medical history information, patient allergy history information, patient medication history information and patient medical history information; return visit information acquisition step: obtaining return visit information; a secondary information acquisition step: acquiring the patient re-diagnosis information and generating second appointment return visit time information; an abnormal information acquisition step: obtaining any one or more of the following: the system comprises medicine stopping reason information, medicine changing reason information, medicine understanding degree information and purchasing channel change information.
The payment information may comprise any one or more of the following: installment payment request information, curative effect refund request information, payment mode information and charitable service information; the charge management step further comprises the steps of: and (3) checking the installment payment: judging whether the installment payment request information meets the set conditions or not according to the patient information; a curative effect auditing step: judging whether the treatment effect refund request information meets the set conditions or not according to the patient information and the drug treatment information; and (3) checking the payment mode: judging whether the payment mode information meets the set conditions or not according to the patient information; charitable service auditing step: and judging whether the charitable service information meets the set conditions or not according to the patient information.
The DTP pharmacy management method further comprises the following steps of: acquiring and managing any one or more of: patient flow to pharmacy data, patient count data, efficacy data, patient compliance data. The method also comprises the following steps: and (3) inventory monitoring step: managing purchase order information, arrival confirmation information and inventory information; and (3) point management: setting an integral rule and calculating a statistical integral; a distribution management step; a step of patient education management: obtaining any one or more of the following: the information push instruction, the online education request information and the offline education request information. The distribution management step includes the steps of: a monitoring signal acquisition step: acquiring monitoring data from a medical refrigerator, wherein the monitoring data comprises temperature and humidity information and power on and off information; an alarming step: when the monitoring data is in a range outside a set value, generating an alarm signal; TMS monitoring step: and acquiring in-transit position information, track information and arrival time prediction information of the medical refrigerator.
In practical application, the method also relates to the distribution and the picking process of the medicines. Preferably, the DTP pharmacy management method further comprises a delivery site management step; the delivery site management step includes a delivery site confirmation step and a delivery site medicine fetching step.
The delivery site confirmation step includes any one of the following steps: a first station confirmation step: generating delivery destination information according to the delivery site name required by the patient contained in the patient information; and a second station confirmation step: matching the patient delivery address contained in the patient information with the affiliated delivery site, and generating delivery destination information according to the affiliated delivery site.
The step of fetching the medicine by the delivery station comprises the following steps: and (3) door opening identity verification: verifying the name of a patient, enabling a display arranged on a door of a distribution station to display a body contour graph, acquiring information of a filling block on the body contour graph, judging whether the information of the filling block is matched with the information of a medicine treatment focus block in a prescription order, and if so, generating a door opening signal; a characteristic information obtaining step: and generating a characteristic information acquisition request instruction according to the door opening signal, and enabling the imaging equipment to acquire the face characteristic information of the medicine taking person and/or the actual-collar medicine information.
The door opening identity authentication step comprises: displaying a body contour figure in a graphical user interface of a display, dividing the surface of the body contour figure into a plurality of blocks, wherein each block is used as a target to be interacted; the interaction of the plurality of objects to be interacted comprises filling in the surface of the body outline graph; concealing boundaries between adjacent blocks; determining the filling area according to filling of the medicine taker on the surface of the body outline graph, wherein the filling area comprises: the method comprises the following steps that a block where a medicine taker firstly fills and coats, a block where the filling and coating track length of the medicine taker is larger than a preset length threshold, a block in a closed graph surrounded by the filling and coating track of the medicine taker, and a block where the number of cross points of the filling and coating track of the medicine taker is larger than a preset number threshold.
The width of the filling track is less than or equal to the minimum width of a block in the current display block; mapping the traditional Chinese medicine treatment focus block in the prescription order to a body contour graph to form a standard reference block, and calculating any one or all of the following identification condition parameters: the area ratio of the overlapped block between the filling block and the standard reference block to the whole standard reference block; the area ratio of the overlapped block between the filling block and the standard reference block to the whole filling block. And generating a door opening signal when the distinguishing condition parameters meet the corresponding set threshold values.
In the characteristic information obtaining step, the height information of a medicine taking person is obtained through scanning, and a face recognition mechanism corresponding to the height of the medicine taking person is enabled to obtain the face characteristic information of the medicine taking person; enabling the code scanning device to acquire the actual medicine receiving information, judging whether the actual medicine receiving information is consistent with the patient information or not, and if so, generating a medicine taking completion signal; if not, generating a medicine mistaken-taking alarm signal; the distinguishing condition parameters also comprise filled handwriting shapes and filled handwriting inclination angles; and forming the dip angle of the filled handwriting by the included angle between the straight line segment in the filled handwriting and the horizontal direction. When the shape of the filling handwriting is judged to be a reciprocating stroke shape, judging whether the inclination angle of the filling handwriting meets a set threshold value, if so, judging that the filling of the medicine taker on the surface of the body outline graph is a filling block; if not, determining that the filling of the medicine-taking person on the surface of the body outline graph is an invalid block; and when the shape of the filling handwriting is judged to be a closed shape, judging that the filling of the medicine taker on the surface of the body outline graph is an invalid block. And when the filling of the medicine taker on the surface of the body outline graph is judged to be an invalid block, removing the filling and generating correct filling mode guide information. For example, when the shape of the filled-in handwriting is Z, M, N, the corresponding block is determined to be valid; and when the shape of the filled handwriting is O or square, judging that the corresponding block is invalid.
In the characteristic information obtaining step, the imaging device is further caused to obtain the following auxiliary imaging information: taking a picture of the person who takes the medicine standing; a photograph of the person taking the medicine; a photo of a person-domain document taken; a picture of when the person taking the medicine places the medicine in front of the code scanning device. The auxiliary imaging information is used for face recognition; the position of the face recognition mechanism used for acquiring the face feature information of the medicine taking person is not coincident with the position of the code scanning device used for acquiring the actual medicine information.
The present invention also provides a computer readable storage medium storing a computer program which, when executed by a processor, implements the steps of the DTP pharmacy management method described above.
The invention also provides a DTP pharmacy management system, which comprises the following modules: an information acquisition module: acquiring patient information; a medication management module: acquiring and managing drug treatment information according to the patient information; a fee management module: and acquiring expense payment information according to the patient information.
The patient information comprises patient information, prescription information and order information; the information acquisition module comprises the following modules: a patient information maintenance module: acquiring patient information; a prescription management module: acquiring prescription information; an order management module: and obtaining order information. The patient information includes any one or more of: patient name, patient contact information, patient visit department group, patient disease category, patient birthday, patient disease summary, patient contact address and patient contact name; the prescription information includes any one or more of the following: prescription hospital information, prescription drug information, historical prescription information; the order information comprises any one or more of the following contents: order medicine information, delivery mode information, delivery state information and historical order information.
The DTP pharmacy management system also comprises the following modules: prescription checking module: judging the validity of the prescription according to the patient information and/or the prescription information, and if the prescription is judged to be valid, generating an order generation instruction, wherein the order generation instruction is used for controlling the printing of the order; if the prescription is judged to be invalid, generating prescription invalid information; a cargo allocation module: receiving an order generation instruction, judging whether the medicines are enough or not according to the order medicine information and the acquired stock information, and if so, generating a goods picking instruction; if not, generating goods distribution failure information; a goods picking module: receiving a goods picking instruction and generating a goods picking completion signal; a delivery module: receiving the picking completion signal and generating distribution state information. In addition, the order picking module comprises any one or more of the following modules: the first order picking module: after acquiring the picking order printing completion information, the delivery order printing completion information and the order printing completion information, generating a picking completion signal; the second order picking module: after the information that the picking order is printed and the information that the delivery order is printed are obtained, a picking completion signal is generated; the third picking module: and after the dispensing completion information from the automatic dispensing machine is acquired, a picking completion signal is generated. The specific operation mode of the order picking module is determined by the delivery mode information, for example, when the delivery mode information is that the medicine is delivered to the home, the first order picking module is executed; and when the delivery mode information is that the medicine is delivered to the station, executing a second order picking module and the like.
The medication management module comprises any one or more of the following: a primary information acquisition module: obtaining any one or more of the following: generating first appointment return visit time information according to patient medical history information, patient allergy history information, patient medication history information and patient medical history information; the return visit information acquisition module: obtaining return visit information; a secondary information acquisition module: acquiring the patient re-diagnosis information and generating second appointment return visit time information; an abnormal information acquisition module: obtaining any one or more of the following: the system comprises medicine stopping reason information, medicine changing reason information, medicine understanding degree information and purchasing channel change information. The payment information may comprise any one or more of the following: installment payment request information, curative effect refund request information, payment mode information and charitable service information; the fee management module further comprises the following modules: an installment payment auditing module: judging whether the installment payment request information meets the set conditions or not according to the patient information; a curative effect auditing module: judging whether the treatment effect refund request information meets the set conditions or not according to the patient information and the drug treatment information; a payment mode auditing module: judging whether the payment mode information meets the set conditions or not according to the patient information; charitable service auditing module: and judging whether the charitable service information meets the set conditions or not according to the patient information.
The DTP pharmacy management system also comprises a patient data management module: acquiring and managing any one or more of: patient flow to pharmacy data, patient count data, efficacy data, patient compliance data. The following modules are also included: an inventory monitoring module: managing purchase order information, arrival confirmation information and inventory information; and a point management module: setting an integral rule and calculating a statistical integral; a delivery management module; the patient education management module: obtaining any one or more of the following: the information push instruction, the online education request information and the offline education request information. The delivery management module comprises the following modules: a monitoring signal acquisition module: acquiring monitoring data from a medical refrigerator, wherein the monitoring data comprises temperature and humidity information and power on and off information; an alarm module: when the monitoring data is in a range outside a set value, generating an alarm signal; TMS monitoring module: and acquiring in-transit position information, track information and arrival time prediction information of the medical refrigerator.
The DTP pharmacy management system also comprises a delivery station management module; the delivery site management module comprises a delivery site confirmation module and a delivery site medicine taking module.
The delivery site confirmation module comprises any one of the following modules: the first station confirmation module: generating delivery destination information according to the delivery site name required by the patient contained in the patient information; the second station confirmation module: matching the patient delivery address contained in the patient information with the affiliated delivery site, and generating delivery destination information according to the affiliated delivery site.
The delivery site medicine taking module comprises the following modules: the door opening identity authentication module: verifying the name of a patient, enabling a display arranged on a door of a distribution station to display a body contour graph, acquiring information of a filling block on the body contour graph, judging whether the information of the filling block is matched with the information of a medicine treatment focus block in a prescription order, and if so, generating a door opening signal; a characteristic information acquisition module: and generating a characteristic information acquisition request instruction according to the door opening signal, and enabling the imaging equipment to acquire the face characteristic information of the medicine taking person and/or the actual-collar medicine information.
In the identity verification module that opens the door: displaying a body contour figure in a graphical user interface of a display, dividing the surface of the body contour figure into a plurality of blocks, wherein each block is used as a target to be interacted; the interaction of the plurality of objects to be interacted comprises filling in the surface of the body outline graph; concealing boundaries between adjacent blocks; determining the filling area according to filling of the medicine taker on the surface of the body outline graph, wherein the filling area comprises: the method comprises the following steps that a block where a medicine taker firstly fills and coats, a block where the filling and coating track length of the medicine taker is larger than a preset length threshold, a block in a closed graph surrounded by the filling and coating track of the medicine taker, and a block where the number of cross points of the filling and coating track of the medicine taker is larger than a preset number threshold.
The width of the filling track is less than or equal to the minimum width of a block in the current display block; mapping the traditional Chinese medicine treatment focus block in the prescription order to a body contour graph to form a standard reference block, and calculating any one or all of the following identification condition parameters: the area ratio of the overlapped block between the filling block and the standard reference block to the whole standard reference block; the area ratio of the overlapped block between the filling block and the standard reference block to the whole filling block. And generating a door opening signal when the distinguishing condition parameters meet the corresponding set threshold values.
In the characteristic information acquisition module, acquiring the height information of a medicine taking person through scanning, and enabling a face recognition mechanism corresponding to the height of the medicine taking person to acquire the face characteristic information of the medicine taking person; enabling the code scanning device to acquire the actual medicine receiving information, judging whether the actual medicine receiving information is consistent with the patient information or not, and if so, generating a medicine taking completion signal; if not, generating a medicine mistaken-taking alarm signal; the distinguishing condition parameters also comprise filled handwriting shapes and filled handwriting inclination angles; and forming the dip angle of the filled handwriting by the included angle between the straight line segment in the filled handwriting and the horizontal direction. When the shape of the filling handwriting is judged to be a reciprocating stroke shape, judging whether the inclination angle of the filling handwriting meets a set threshold value, if so, judging that the filling of the medicine taker on the surface of the body outline graph is a filling block; if not, determining that the filling of the medicine-taking person on the surface of the body outline graph is an invalid block; and when the shape of the filling handwriting is judged to be a closed shape, judging that the filling of the medicine taker on the surface of the body outline graph is an invalid block. And when the filling of the medicine taker on the surface of the body outline graph is judged to be an invalid block, removing the filling and generating correct filling mode guide information.
In the characteristic information acquisition module, the imaging device is further enabled to acquire the following auxiliary imaging information: taking a picture of the person who takes the medicine standing; a photograph of the person taking the medicine; a photo of a person-domain document taken; a picture of when the person taking the medicine places the medicine in front of the code scanning device. The auxiliary imaging information is used for face recognition; the position of the face recognition mechanism used for acquiring the face feature information of the medicine taking person is not coincident with the position of the code scanning device used for acquiring the actual medicine information.
Preferred embodiments of the DTP pharmacy management system:
1. patient management
Patient management can be managed from the aspects of patient-to-disease course management, patient initial medication guide, medication management and the like.
1.1 patient and course management
1.1.1 patient information maintenance
Maintaining patient basic information, receiving addresses, creating health files, querying patient historical orders (hospitalizing time), and viewing drugs and order processing states contained in order details. Patient information fill criteria: contact name, mobile phone/telephone, department group, disease species, source, patient name, patient sex, birthday, disease summary, prescription hospital, province, city
1.1.2 prescription management
After the patient information is perfected, inquiring the patient for disease symptoms, asking for a prescription, introducing medicines, using the medicine usage and indicating adverse reactions (a medicine information card), and after the patient confirms, inputting the prescription information in the system and reserving the return visit time. Prescription checking: after the prescription is input, the medical practitioner checks and can approve the prescription with complete and correct prescription information, patient information and receiving address; for the prescription in question, the approval of the auditor can be filled in, and the order is generated after approval. When the prescription is checked, the system judges that the operator automatically locks the prescription, and can unlock the prescription under the condition of no operation.
1.1.3 order management
According to the requirements of patients, the medicines can be selected to be delivered to home or store for self-service. When the goods are distributed, the prescription is printed first, and the printing times are recorded. After the prescription is printed, the prescription can be distributed, when the prescription is distributed, the drug stock is automatically checked, if the stock is insufficient, the distribution fails, and the prescription is distributed again after the stock needs to be supplemented. Delivering medicine to a home prescription: after the goods picking order, the goods delivery order and the face printing order are printed manually, the system automatically finishes the goods picking. After picking up goods, the order number and the logistics order number are scanned, the order of the prescription is added to the outgoing delivery order in the input process, and the order which does not store the logistics information can not be added in a scanning mode.
And (3) handover confirmation: after the addressee, the vehicle number and the pickup date are input, the transfer confirmation can be carried out, the goods in the order are delivered, the locking stock in the stock of the goods is reduced, and the total stock is reduced. In the distribution process, the order trajectory is tracked in the whole process until the patient signs and confirms receiving, and the distribution order is delivered to a pharmacy to complete order distribution.
1.1.4 medication management
First purchase: on the day of purchasing the medicine, the medical history, the allergic history, the medication history and the medical history of the patient are known, professional medication guidance is carried out, and the appointment return visit time is confirmed.
First return visit: the first visit was made within 7 days of drug purchase. Knowing whether the patient starts to take the medicine, solving the problems of the patient in the process of taking the medicine, emphasizing the benefits after following the medication, informing possible adverse reactions and treatment and avoidance methods, noticing matters (such as interaction among medicines, medicines and food, medicines and diseases, and the like, medicine storage conditions, auxiliary information such as taking the medicine after shaking up, storage under cooling conditions, and the like), registering next return visit time, and informing the responsible pharmacist of the contact way.
And (4) second return visit: within 28 days of drug purchase, a second visit was made. Understanding the feedback needs of the patient and giving an answer; asking the patient whether to take the medicine correctly (time and dosage), whether the disease progress of the medication treatment (whether there is improvement; the potential situations (such as cost, channels and the like) after the patient takes the medicine are indicated, and the patient is helped to put forward a solution; once again emphasizes the importance of medication compliance; notes (e.g., treatment if the patient missed the medication); the next revisit time is registered and the responsible pharmacist is informed of the contact information.
And (3) customer retaking: on the day of the patient re-purchase, the latest re-diagnosis condition of the patient is known and professional advice is given; help patients integrate medication regimens into their daily lives (periodic review); mining potential needs of patients and proposing a solution suggestion; the next revisit time is registered and the responsible pharmacist is informed of the contact information.
The customer does not buy according to the medicine taking period: confirm whether the customer stopped or changed dressings? The reason for drug withdrawal is confirmed? (since stopping the medication for healing; is the understanding of the necessity of timely medication of the disease? (understanding of pathology, pharmacology, medication regimen); whether to purchase medication from other sources: whether the medication guidance service of the department pharmacist is needed: reminding periodic re-visit, following medical advice, etc., registering whether the next return visit time is needed and informing the responsible pharmacist of the contact way.
1.1.5 financial service application
Installment payment service: for high-price self-payment treatment (medicines and instruments), corresponding data are submitted by the patient, and the patient (family) can be provided with the service of borrowing and installment payment after the approval is passed. And marking the patient as a financial user in the system, confirming the financial amount, calculating the chargeable amount in each period, and calculating whether the chargeable amount in each month can be paid in advance according to the chargeable fee or interest rate in each period. The general order and the financial payment order are confirmed in the system, and the details of the financial order can be checked.
Curative effect insurance service: the medicine is cooperated with a financial company to provide curative effect guarantee for patients; after taking the medicine, the curative effect is not expected, and a certain ratio is paid. Pathological data reports need to be provided in the system, and after the pathological data reports pass the examination, curative effect insurance services can be provided for patients.
1.1.6 Payment management
And confirming the payment mode according to the requirements of the patient in the order. The financial user may select a financial payment method. The ordinary user may pay in cash or by swiping a card.
1.1.7 charitable service
The patients who pay for the medicine for a certain time and have low security and low income can obtain free medicine after being audited; the pressure of long-term administration is solved, the life quality of the patient is improved, and the life of the patient is prolonged.
1.1.8 Activity information push
And (4) carrying out message pushing of the latest activities in a short message and WeChat public number information pushing mode, such as education lectures of patients.
1.2 patient data management
Follow-up tracking service is provided by performing data analysis on pharmacy management, patient number management, curative effect management and patient compliance management of patient flow.
2. Drug inventory management
2.1 purchase order management, arrival confirmation
According to the analysis of patient data, the quantity of the medicines is estimated, a purchase order is issued in the system, after the medicines are purchased and delivered, the medicines are strictly stored according to the medicine storage environment, and inventory management is carried out.
2.2 inventory information statistics
And carrying out inventory information statistics of warehousing of the medicines, order sales volume and returned goods according to the period.
3. Point management
The points are signed in and given every day according to the point rule, and the points can be exchanged into gifts after reaching a certain limit.
4. Distribution management
And a medical refrigerator and a 24-hour temperature and humidity alarm recorder are configured, and data are uploaded to a headquarter server. For cold chain products, verified medical cold storage boxes, special ice packs and cold storage agents are adopted, and the quality and the medication safety of the cold chain products are guaranteed. Temperature and humidity recording equipment: the 24-hour temperature and humidity alarm recorder uploads whole data, and performs sound and light alarm and short message alarm on overtemperature and power failure sites. But the system of the humiture condition of each place shop of configuration remote monitoring. And (4) the TMS system is in butt joint, and the in-transit position, the track and the predicted arrival time of the order are read in real time.
5. Patient education management
The patient is invited to suffer from the disease through short message and WeChat push at irregular time.
5.1, online education (inquiry in air):
the patients and the doctors communicate by telephone or WeChat, and a plurality of patients and doctors are on line simultaneously.
5.2, offline suffering from education:
the patient and the doctor ask and answer and interact face to face on the activity site, and the disease and health questions are answered, so that the knowledge of disease prevention, disease treatment and medication is popularized.
5.3, on-line + off-line education.
The foregoing description of specific embodiments of the present invention has been presented. It is to be understood that the present invention is not limited to the specific embodiments described above, and that various changes and modifications may be made by one skilled in the art within the scope of the appended claims without departing from the spirit of the invention. The embodiments and features of the embodiments of the present application may be combined with each other arbitrarily without conflict.
Claims (6)
1. A DTP pharmacy management method is characterized by comprising the following steps;
an information acquisition step: acquiring patient information;
the drug treatment management step comprises: acquiring and managing drug treatment information according to the patient information;
and (3) cost management steps: acquiring expense payment information according to the patient information;
the patient information comprises patient information, prescription information and order information;
the information acquiring step comprises the following steps:
a patient information maintenance step: acquiring patient information;
a prescription management step: acquiring prescription information;
order management step: acquiring order information;
the patient information includes any one or more of: patient name, patient contact information, patient visit department group, patient disease category, patient birthday, patient disease summary, patient contact address and patient contact name;
the prescription information includes any one or more of the following: prescription hospital information, prescription drug information, historical prescription information;
the order information comprises any one or more of the following contents: order medicine information, distribution mode information, distribution state information and historical order information;
also comprises the following steps:
prescription checking step: judging the validity of the prescription according to the patient information and/or the prescription information, and if the prescription is judged to be valid, generating an order generation instruction, wherein the order generation instruction is used for controlling the printing of the order; if the prescription is judged to be invalid, generating prescription invalid information;
a cargo allocation step: receiving an order generation instruction, judging whether the medicines are enough or not according to the order medicine information and the acquired stock information, and if so, generating a goods picking instruction; if not, generating goods distribution failure information;
picking: receiving a goods picking instruction and generating a goods picking completion signal;
and (3) distribution step: receiving a picking completion signal to generate distribution state information;
also comprises a distribution site management step; the delivery site management step includes a delivery site confirmation step and a delivery site medicine taking step;
the delivery site confirmation step includes any one of the following steps:
a first station confirmation step: generating delivery destination information according to the delivery site name required by the patient contained in the patient information;
and a second station confirmation step: matching the patient delivery address contained in the patient information with the affiliated delivery site, and generating delivery destination information according to the affiliated delivery site;
the step of fetching the medicine by the delivery station comprises the following steps:
and (3) door opening identity verification: verifying the name of a patient, enabling a display arranged on a door of a distribution station to display a body contour graph, acquiring information of a filling block on the body contour graph, judging whether the information of the filling block is matched with the information of a medicine treatment focus block in a prescription order, and if so, generating a door opening signal;
a characteristic information obtaining step: generating a characteristic information acquisition request instruction according to the door opening signal, and enabling the image equipment to acquire the face characteristic information of the medicine taking person and/or the actual-collar medicine information;
the door opening identity authentication step comprises:
displaying a body contour figure in a graphical user interface of a display, dividing the surface of the body contour figure into a plurality of blocks, wherein each block is used as a target to be interacted; the interaction of the plurality of objects to be interacted comprises filling in the surface of the body outline graph; concealing boundaries between adjacent blocks;
determining the filling area according to filling of the medicine taker on the surface of the body outline graph, wherein the filling area comprises:
the block to which the person who gets the drug first fills up,
-blocks with a filling trajectory length greater than a preset length threshold for the person taking the drug,
-the block in the closed figure enclosed by the filling trace of the person taking the medicine,
-the number of drug taker fill-in trajectory intersections is greater than a preset number threshold;
the width of the filling track is less than or equal to the minimum width of a block in the current display block;
mapping the traditional Chinese medicine treatment focus block in the prescription order to a body contour graph to form a standard reference block, and calculating any one or all of the following identification condition parameters:
-the area ratio of the overlapping blocks between the padding blocks and the standard reference blocks to the whole standard reference blocks;
-the area ratio of the overlapping blocks to the standard reference blocks over the entire padded block;
when the distinguishing condition parameters meet corresponding set thresholds, door opening signals are generated;
in the characteristic information obtaining step, the height information of a medicine taking person is obtained through scanning, and a face recognition mechanism corresponding to the height of the medicine taking person is enabled to obtain the face characteristic information of the medicine taking person;
enabling the code scanning device to acquire the actual medicine receiving information, judging whether the actual medicine receiving information is consistent with the patient information or not, and if so, generating a medicine taking completion signal; if not, generating a medicine mistaken-taking alarm signal;
the distinguishing condition parameters also comprise filled handwriting shapes and filled handwriting inclination angles; forming the dip angle of the filled handwriting by the included angle between the straight line segment in the filled handwriting and the horizontal direction;
when the shape of the filling handwriting is judged to be a reciprocating stroke shape, judging whether the inclination angle of the filling handwriting meets a set threshold value, if so, judging that the filling of the medicine taker on the surface of the body outline graph is a filling block; if not, determining that the filling of the medicine-taking person on the surface of the body outline graph is an invalid block; when the shape of the filled handwriting is determined to be a closed shape, determining that the filling of the medicine taker on the surface of the body outline graph is an invalid block;
when the filling of the medicine taker on the surface of the body outline graph is judged to be an invalid block, removing the filling and generating correct filling mode guide information;
in the characteristic information obtaining step, the imaging device is further caused to obtain the following auxiliary imaging information:
-a person taking the medication stands up photo;
-a photograph of the person taking the medication when the person took the medication;
-a photograph of the person's domain document when the medication was taken;
-a photograph of the person taking the medication when he has placed the medication in front of the code scanning device;
the auxiliary imaging information is used for face recognition;
the position of the face recognition mechanism used for acquiring the face feature information of the medicine taking person is not coincident with the position of the code scanning device used for acquiring the actual medicine information.
2. The DTP pharmacy management method of claim 1, wherein the medication management step comprises any one or more of the following:
a primary information acquisition step: obtaining any one or more of the following: generating first appointment return visit time information according to patient medical history information, patient allergy history information, patient medication history information and patient medical history information;
return visit information acquisition step: obtaining return visit information;
a secondary information acquisition step: acquiring the patient re-diagnosis information and generating second appointment return visit time information;
an abnormal information acquisition step: obtaining any one or more of the following: the system comprises medicine stopping reason information, medicine changing reason information, medicine understanding degree information and purchasing channel change information.
3. The DTP pharmacy management method of claim 1, wherein the payment information comprises any one or more of: installment payment request information, curative effect refund request information, payment mode information and charitable service information;
the charge management step further comprises the steps of:
and (3) checking the installment payment: judging whether the installment payment request information meets the set conditions or not according to the patient information;
a curative effect auditing step: judging whether the treatment effect refund request information meets the set conditions or not according to the patient information and the drug treatment information;
and (3) checking the payment mode: judging whether the payment mode information meets the set conditions or not according to the patient information;
charitable service auditing step: and judging whether the charitable service information meets the set conditions or not according to the patient information.
4. The DTP pharmacy management method of claim 1, further comprising the steps of:
a patient data management step: acquiring and managing any one or more of: patient flow to pharmacy data, patient count data, treatment data, patient compliance data;
and (3) inventory monitoring step: managing purchase order information, arrival confirmation information and inventory information;
and (3) point management: setting an integral rule and calculating a statistical integral;
a delivery management step including the steps of:
a monitoring signal acquisition step: acquiring monitoring data from a medical refrigerator, wherein the monitoring data comprises temperature and humidity information and power on and off information;
an alarming step: when the monitoring data is in a range outside a set value, generating an alarm signal;
TMS monitoring step: acquiring in-transit position information, track information and arrival time prediction information of a medical refrigerator;
a step of patient education management: obtaining any one or more of the following: the information push instruction, the online education request information and the offline education request information.
5. A computer-readable storage medium storing a computer program, wherein the computer program, when executed by a processor, performs the steps of the DTP pharmacy management method of any of claims 1 to 4.
6. A DTP pharmacy management system, using the DTP pharmacy management method of any one of claims 1 to 4, the DTP pharmacy management system comprising the following modules:
an information acquisition module: acquiring patient information;
a medication management module: acquiring and managing drug treatment information according to the patient information;
a fee management module: and acquiring expense payment information according to the patient information.
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| CN111508580A (en) * | 2020-03-31 | 2020-08-07 | 创业慧康科技股份有限公司 | Nuclear medicine patient reception method, system and device based on face recognition |
| CN112289457A (en) * | 2020-10-27 | 2021-01-29 | 湖南康凯信息技术有限公司 | Wisdom medical treatment medicine control early warning system |
| CN113724821A (en) * | 2021-08-31 | 2021-11-30 | 武汉海云健康科技股份有限公司 | Drug return visit task management method and system for DTP pharmacy |
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