Method and device for processing drug purchase request
By determining the auditing agency and settlement method based on user identity and drug information on the Internet platform, and providing multiple auditing methods, the problems of single auditing methods and poor compatibility during the purchase of prescription drugs in the existing technology are solved, and users can use it online The functions of medical insurance payment improve the flexibility and user experience of the system.
Patent Information
- Application Number
- CN202210733420.5
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2022-06-27
- Publication Date
- 2025-01-17
- Estimated Expiration
- 2042-06-27
AI Technical Summary
When handling prescription drug purchase requests, the existing Internet platforms have a single review method and cannot flexibly adapt to multiple application scenarios, resulting in difficulty in prescription drugs under medical insurance categories and poor compatibility of Internet platforms, so that users cannot use medical insurance purchase drugs online.
By receiving drug purchase requests from target users, determining the review agency and settlement method based on identity information and drug information, providing a variety of review methods, including medical insurance settlement and self-paid settlement, supporting medical insurance card binding and real-name authentication, and using encryption methods to protect user sensitivity Information, match purchase orders and prescription orders to ensure the accuracy of settlement processing.
It realizes the flexibility of providing multiple audit methods on the Internet platform, solves the problems of difficulty in prescription drugs under the medical insurance category and poor platform compatibility, allows users to use medical insurance payment online, and improves user experience and system compatibility.
Smart Images

Figure CN115050450B_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of pharmaceutical supply chain, and in particular to a method and device for processing a medicine purchase request. Background Art
[0002] With the development of "Internet +" medical services, various Internet platforms have launched online drug purchase services, and more and more users choose to buy drugs on Internet platforms. Currently, when users purchase prescription drugs on Internet platforms, they need to go through the Internet hospital corresponding to the Internet platform for prescription and review. This online drug purchase review method is fixed and single, and cannot be flexibly applied to a variety of application scenarios. Summary of the invention
[0003] In view of this, an embodiment of the present invention provides a method and device for processing drug purchase requests, which can provide multiple review methods and be flexibly applicable to multiple application scenarios.
[0004] In a first aspect, an embodiment of the present invention provides a method for processing a drug purchase request, comprising:
[0005] receiving a purchase request for a target prescription drug from a target user, and generating a purchase order corresponding to the purchase request;
[0006] Determine the review agency and target settlement method based on the identity information of the target user and the drug information of the target prescription drug;
[0007] Obtaining the medical inquiry information corresponding to the drug purchase request, sending the medical inquiry information to the review agency, and receiving the prescription form returned by the review agency in response to the medical inquiry information;
[0008] When the drug purchase order and the prescription are matched successfully, the drug purchase order is settled according to the target settlement method.
[0009] Optionally, determining the review agency and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug includes:
[0010] When the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, the insurance location of the target user is obtained; based on the insurance location, the first medical institution is determined as the review institution, and the medical insurance settlement method is determined as the target settlement method;
[0011] When the identity information indicates that the target user is not a medical insurance user, or the drug information indicates that the target drug is not a prescription drug under the medical insurance category, the second medical institution is determined as the review institution, and the self-paid settlement method is determined as the target settlement method.
[0012] Optionally, before determining the review agency and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug, the method further includes:
[0013] Receive the medical insurance card binding request and display the medical insurance card binding page;
[0014] Receiving medical insurance information inputted on the medical insurance card binding page, the medical insurance information including: the place of insurance participation;
[0015] Send the medical insurance information to the medical insurance bureau system corresponding to the insured place, and receive the verification information returned by the medical insurance bureau system;
[0016] When the verification information indicates that the verification is passed, the medical insurance information is saved, and the first prompt information indicating that the medical insurance card is successfully bound is displayed.
[0017] Optionally, before displaying the medical insurance card binding page, the method further includes:
[0018] Determining whether the target user is a real-name user;
[0019] If the target user is not a real-name user, display a real-name authentication page; receive authentication information input for the real-name authentication page; if the authentication information passes the authentication, save the authentication information and display a second prompt message indicating that the real-name authentication is successful;
[0020] When the target user is a real-name user, the medical insurance card binding page is displayed.
[0021] Optionally, determining the review agency and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug includes:
[0022] Determining the identity information of the target user and the drug information of the target prescription drug;
[0023] When the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, marking the drug purchase order;
[0024] Determine whether the drug purchase order is an order after identification processing, and determine the review agency and the target settlement method based on the determination result.
[0025] Optionally, when the drug purchase order and the prescription are successfully matched, before the drug purchase order is settled according to the target settlement method, the method further includes:
[0026] Determine whether the drug purchase order and the prescription conform to a matching rule, wherein the matching rule includes at least one of the following: whether the user information is consistent, whether the drug information is consistent, and whether the symptom information and the indication information are consistent;
[0027] In the case where the drug purchase order and the prescription conform to the matching rule, it is determined that the drug purchase order and the prescription are successfully matched.
[0028] Optionally, sending the medical consultation information to the review agency includes:
[0029] Determine the encryption method corresponding to the auditing agency;
[0030] The encryption method is used to encrypt the medical inquiry information, and the encrypted medical inquiry information is sent to the review agency.
[0031] In a second aspect, an embodiment of the present invention provides a device for processing a drug purchase request, including:
[0032] An order generation module, used to receive a purchase request from a target user for a target prescription drug, and generate a purchase order corresponding to the purchase request;
[0033] An institution determination module, used to determine the review institution and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug;
[0034] A receiving module, used for obtaining the medical inquiry information corresponding to the medicine purchase request, sending the medical inquiry information to the review agency, and receiving the prescription form returned by the review agency in response to the medical inquiry information;
[0035] The order settlement module is used to settle the medicine purchase order according to the target settlement method when the medicine purchase order and the prescription are successfully matched.
[0036] In a third aspect, an embodiment of the present invention provides an electronic device, including:
[0037] one or more processors;
[0038] a storage device for storing one or more programs,
[0039] When the one or more programs are executed by the one or more processors, the one or more processors implement the method described in any of the above embodiments.
[0040] In a fourth aspect, an embodiment of the present invention provides a computer-readable medium having a computer program stored thereon, wherein the program, when executed by a processor, implements the method described in any of the above embodiments.
[0041] An embodiment of the above invention has the following advantages or beneficial effects: according to the identity information of the target user and the drug information of the target prescription drug, the review agency and the target settlement method are determined. The review agency can be a local medical insurance bureau, a medical institution designated by the local medical insurance bureau, an Internet hospital corresponding to the Internet platform, etc. The target settlement method can be a medical insurance settlement method, a self-paid settlement method, etc. The correspondence between identity information and drug information, and the review agency and settlement method can be set according to specific needs. Therefore, the scheme of the embodiment of the present invention can provide a variety of review methods and be flexibly applicable to a variety of application scenarios.
[0042] The further effects of the above-mentioned non-conventional optional manner will be described below in conjunction with the specific implementation manner. BRIEF DESCRIPTION OF THE DRAWINGS
[0043] The accompanying drawings are used to better understand the present invention and do not constitute an improper limitation of the present invention.
[0044] Figure 1 It is a schematic diagram of a process of a method for processing a medicine purchase request provided by an embodiment of the present invention;
[0045] Figure 2 is a schematic diagram of the process of another method for processing a medicine purchase request provided by an embodiment of the present invention;
[0046] Figure 3 is a schematic diagram of a process of another method for processing a medicine purchase request provided by an embodiment of the present invention;
[0047] Figure 4 It is a structural schematic diagram of a device for processing a medicine purchase request provided by an embodiment of the present invention;
[0048] Figure 5 It is a schematic diagram of the structure of a computer system of a terminal device or a server suitable for implementing an embodiment of the present invention. DETAILED DESCRIPTION
[0049] The following is a description of exemplary embodiments of the present invention in conjunction with the accompanying drawings, including various details of the embodiments of the present invention to facilitate understanding, which should be considered as merely exemplary. Therefore, it should be recognized by those of ordinary skill in the art that various changes and modifications may be made to the embodiments described herein without departing from the scope and spirit of the present invention. Similarly, for clarity and conciseness, the description of well-known functions and structures is omitted in the following description.
[0050] It should be noted that the acquisition, storage, use, and processing of data in the technical solutions of the embodiments of the present invention are in compliance with the relevant provisions of national laws and regulations.
[0051] Figure 1FIG. 1 is a schematic diagram of a process of a method for processing a drug purchase request provided by an embodiment of the present invention. Figure 1 As shown, the method includes:
[0052] Step 101: receiving a purchase request for a target prescription drug from a target user, and generating a purchase order corresponding to the purchase request.
[0053] The drug purchase order may include: user information of the target user, drug information of the target prescription drug, drug quantity and disease information, etc.
[0054] Step 102: Determine the review agency and target settlement method based on the target user's identity information and the target prescription drug information.
[0055] The review agency can be the local medical insurance bureau, the medical institution designated by the local medical insurance bureau, the Internet hospital corresponding to the Internet platform, etc. The target settlement method can be the medical insurance settlement method, the self-paid settlement method, etc.
[0056] The corresponding relationship between identity information and drug information, and the review agency and settlement method can be set according to specific needs. For example, when the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, the medical institution designated by the local medical insurance bureau is set as the review agency, and the medical insurance settlement method is set as the target review method.
[0057] When the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is an over-the-counter drug under the medical insurance category, no review agency is set, and the medical insurance settlement method is set to the target review method.
[0058] Step 103: Obtain the medical consultation information corresponding to the drug purchase request, send the medical consultation information to the review agency, and receive the prescription returned by the review agency in response to the medical consultation information.
[0059] The consultation information may include: user information of the target user, drug information and symptom information of the target prescription drug, etc. The review agency will conduct a consultation with the target user based on the consultation information and issue a prescription. The prescription includes: user information, drug information, usage and dosage, etc. The review agency will send back the prescription after the prescription is issued, and the Internet platform will receive the prescription.
[0060] In one embodiment of the present invention, sending the medical inquiry information to the auditing agency includes: determining an encryption method corresponding to the auditing agency; encrypting the medical inquiry information using the encryption method, and sending the encrypted medical inquiry information to the auditing agency.
[0061] The Internet platform can agree with the audit agency in advance on the first encryption method and the first decryption method, and save the mapping relationship between the first encryption method and the audit agency. Different audit agencies may correspond to different first encryption methods. After receiving the encrypted medical consultation information, the audit agency can use the pre-agreed first decryption method to decrypt it. Since the medical consultation information includes the target user's personal sensitive information, using the first encryption method to encrypt the medical consultation information and then sending the encrypted medical consultation information can reduce the risk of leakage of personal sensitive information.
[0062] In one embodiment of the present invention, receiving a prescription returned by an auditing agency in response to medical inquiry information includes: receiving encrypted prescription information returned by the auditing agency in response to medical inquiry information; determining a decryption method corresponding to the auditing agency; and using the decryption method to decrypt the encrypted prescription information to obtain a prescription.
[0063] The Internet platform can agree with the audit agency in advance on the second encryption method and the second decryption method, and save the mapping relationship between the second decryption method and the audit agency. Different audit agencies may correspond to different second decryption methods. The audit agency uses the pre-agreed second encryption method to encrypt the prescription information. After receiving the encrypted prescription information, the Internet platform can decrypt it using the pre-agreed second decryption method. Since the prescription information includes the target user's personal sensitive information, using the second encryption method to encrypt the consultation information and then sending the encrypted prescription information can reduce the risk of leakage of personal sensitive information.
[0064] Step 104: When the drug purchase order and the prescription are successfully matched, the drug purchase order is settled according to the target settlement method.
[0065] The following method can be used to determine whether the drug purchase order and the prescription are matched successfully: determine whether the drug purchase order and the prescription meet the matching rules, and the matching rules include at least one of the following: whether the user information is consistent, whether the drug information is consistent, and whether the symptom information and the indication information are consistent; if the drug purchase order and the prescription meet the matching rules, determine that the drug purchase order and the prescription are matched successfully.
[0066] By comparing the user information in the drug purchase order with the user information in the prescription, it can be determined whether the user information is consistent. By comparing the drug information in the drug purchase order with the drug information in the prescription, it can be determined whether the drug information is consistent. By comparing the disease information corresponding to the drug purchase order with the indication information corresponding to the drug information in the prescription, it can be determined whether the disease information is consistent with the indication information. A knowledge graph of drugs or a mapping relationship between drugs and indications can be set in the system, and the indication information corresponding to the drug information in the prescription can be determined based on the knowledge graph or the mapping relationship.
[0067] In the event that the drug purchase order and prescription fail to match, a prompt message indicating the failure of the drug purchase is sent, and the user is prompted to re-fill in the consultation information or drug purchase information.
[0068] In an embodiment of the present invention, the review agency and the target settlement method are determined based on the identity information of the target user and the drug information of the target prescription drug. The review agency may be a medical institution designated by the local medical insurance bureau, an Internet hospital corresponding to the Internet platform, etc. The target settlement method may be a medical insurance settlement method, a self-paid settlement method, etc. The correspondence between the identity information and drug information, the review agency, and the settlement method may be set according to specific needs. Therefore, the scheme of the embodiment of the present invention can provide a variety of review methods, which are flexibly applicable to a variety of application scenarios.
[0069] In one embodiment of the present invention, before determining the review agency and the target settlement method based on the identity information of the target user and the drug information of the target prescription drug, it also includes: receiving a medical insurance card binding request and displaying a medical insurance card binding page; receiving medical insurance information input for the medical insurance card binding page, the medical insurance information including: the place of insurance participation; sending the medical insurance information to the medical insurance bureau system corresponding to the place of insurance participation, and receiving verification information returned by the medical insurance bureau system; when the verification information indicates that the verification is passed, saving the medical insurance information, and displaying a first prompt information indicating that the medical insurance card binding is successful.
[0070] The medical insurance information corresponds to the information required by the medical insurance bureau of the participating place, including: participating place, participating person number, etc. Through the above method, the function of user binding medical insurance card can be realized to facilitate subsequent users to purchase medicines on the Internet platform.
[0071] In one embodiment of the present invention, before displaying the medical insurance card binding page, it also includes: determining whether the target user is a real-name user; if the target user is not a real-name user, displaying the real-name authentication page; receiving authentication information input for the real-name authentication page; if the authentication information passes the authentication, saving the authentication information and displaying a second prompt information indicating that the real-name authentication is successful; if the target user is a real-name user, displaying the medical insurance card binding page.
[0072] Authentication information may include: user nationality, ID type, name, ID number, facial recognition information, and data encryption transmission, etc. The above method can be used to implement user real-name authentication. After user real-name authentication, it is convenient to implement subsequent functions such as binding medical insurance cards and purchasing medicines.
[0073] Figure 2 FIG. 1 is a schematic diagram of a process of a method for processing a drug purchase request provided by an embodiment of the present invention. Figure 2 As shown, the method includes:
[0074] Step 201: receiving a purchase request for a target prescription drug from a target user, and generating a purchase order corresponding to the purchase request.
[0075] Identity information may include: certificate type, name, certificate number, whether the user is a medical insurance user, insurance location, etc. Drug information may include: drug number, drug name, drug type, usage and dosage, and indications. Due to different medical insurance policies in different places, the types of drugs covered by medical insurance are also different. After determining that the target user is a medical insurance user, the insurance location corresponding to the target user can be determined, and the medical insurance category information corresponding to the insurance location can be obtained. Then, by comparing the drug information and the medical insurance category information corresponding to the insurance location, it can be determined whether the target drug is a prescription drug under the medical insurance category.
[0076] If the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, step 202 is executed. If the identity information indicates that the target user is not a medical insurance user, or the drug information indicates that the target drug is not a prescription drug under the medical insurance category, step 205 is executed.
[0077] Step 202: Obtain the insurance location of the target user; determine the first medical institution as the review institution based on the insurance location, and determine the medical insurance settlement method as the target settlement method.
[0078] Medical insurance has a strong regional attribute. Some local medical insurance bureaus require users to obtain prescriptions from Internet medical institutions designated by the local medical insurance bureau when purchasing medical insurance prescription drugs online. In addition, some prescription drugs under the medical insurance category require doctors in specific departments to consult and prescribe.
[0079] The first medical institution is a medical institution designated by the medical insurance bureau of the participating area. The first institution is used to review the relevant medical consultation forms of prescription drugs under the medical insurance category. The first medical institution can be determined from multiple medical institutions designated by the medical insurance bureau of the participating area. In addition, the first medical institution can also be determined based on the participating area and the type of target prescription drugs.
[0080] Step 203: Obtain the medical consultation information corresponding to the drug purchase request, send the medical consultation information to the review agency, and receive the prescription returned by the review agency in response to the medical consultation information.
[0081] Step 204: When the drug purchase order and the prescription are successfully matched, the drug purchase order is settled according to the medical insurance settlement method.
[0082] According to the medical insurance settlement rules, determine and display the settlement results corresponding to the drug purchase order, which includes: medical insurance reimbursement amount and personal payment amount. Receive the submission request sent by the target user's terminal for the settlement result, settle the drug purchase order according to the settlement result, and display the order result corresponding to the drug purchase order.
[0083] Step 205: Determine the second medical institution as the review institution, and determine the self-paid settlement method as the target settlement method.
[0084] The second medical institution is the Internet hospital corresponding to the Internet platform. The second medical institution can be determined in a variety of ways, such as determining the second medical institution from multiple medical institutions corresponding to the Internet platform. The second medical institution can be determined based on the type of target prescription drugs, etc.
[0085] Step 206: Obtain the medical consultation information corresponding to the drug purchase request, send the medical consultation information to the review agency, and receive the prescription returned by the review agency in response to the medical consultation information.
[0086] Step 207: When the drug purchase order and the prescription are successfully matched, the drug purchase order is settled according to the self-payment settlement method.
[0087] In the embodiment of the present invention, the review agency and the target settlement method are determined according to whether the target user is a medical insurance user, whether the target drug is a prescription drug under the medical insurance category, etc. This can solve the problems in the prior art such as the difficulty in prescribing prescription drugs under the medical insurance category, the poor compatibility of the Internet platform, and the inability of users to use medical insurance to purchase drugs online.
[0088] Figure 3 FIG. 1 is a schematic diagram of a process of a method for processing a drug purchase request provided by an embodiment of the present invention. Figure 3 As shown, the method includes:
[0089] Step 301: receiving a purchase request for a target prescription drug from a target user, and generating a purchase order corresponding to the purchase request.
[0090] Step 302: Determine the identity information of the target user and the drug information of the target prescription drug.
[0091] Step 303: When the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, the drug purchase order is marked.
[0092] The drug purchase order can be identified in a variety of ways. For example, one or more digits in the order number corresponding to the drug purchase order are set to a preset value, or a preset attribute of the record corresponding to the drug purchase order in the database is set to a preset attribute value, or an extended field of the record corresponding to the drug purchase order in the database is set to a preset value.
[0093] Step 304: Determine whether the drug purchase order is an order that has been marked.
[0094] If the drug purchase order is an order after the mark processing, step 305 is executed. If the drug purchase order is not an order after the mark processing, step 308 is executed.
[0095] Step 305: Obtain the insurance location of the target user; determine the first medical institution as the review institution based on the insurance location, and determine the medical insurance settlement method as the target settlement method.
[0096] Step 306: Obtain the medical consultation information corresponding to the drug purchase request, send the medical consultation information to the review agency, and receive the prescription returned by the review agency in response to the medical consultation information.
[0097] Step 307: When the drug purchase order and the prescription are successfully matched, the drug purchase order is settled according to the medical insurance settlement method.
[0098] Step 308: Determine the second medical institution as the review institution, and determine the self-paid settlement method as the target settlement method.
[0099] Step 309: Obtain the medical consultation information corresponding to the drug purchase request, send the medical consultation information to the review agency, and receive the prescription returned by the review agency in response to the medical consultation information.
[0100] Step 310: When the drug purchase order and the prescription are successfully matched, the drug purchase order is settled according to the self-paid settlement method.
[0101] In the Internet platform of the prior art, the Internet hospital corresponding to the Internet platform reviews the user's medical consultation information for purchasing medicines and provides a self-paid settlement function. In the scheme of the embodiment of the present invention, when the conditions for medical insurance settlement of prescription drugs are met, the medicine purchase order is marked and processed; when the conditions for medical insurance settlement of prescription drugs are not met, the medicine purchase order is not processed. When processing the medicine purchase order, it is determined whether the medicine purchase order is marked and processed according to the medical insurance settlement process for prescription drugs, or according to the original settlement process. Therefore, the scheme of the embodiment of the present invention provides users with the function of using medical insurance payment and settlement online by marking the medicine purchase order, while being compatible with the medicine purchase system of the existing Internet platform.
[0102] To make the solution of the embodiment of the present invention easier to understand, the following provides a processing solution for drug purchase requests that is compatible with the existing drug purchase service system. The solution can use the Internet medical institutions designated by the Medical Insurance Bureau to conduct consultations and prescribe. The solution mainly includes the following steps:
[0103] Step S01: The Internet platform identifies the target user.
[0104] When users search for relevant drugs on the Internet platform, they can see the "Medical Insurance Payment" prompt on multiple pages of the Internet platform. If the user has not bound the medical insurance card, the entry for binding the medical insurance card will be displayed. With the user's knowledge and consent, the system will verify whether the user is a real-name user.
[0105] If the target user is a real-name user, the medical insurance card binding page will be entered. Based on the medical insurance card binding page, the user needs to enter the necessary information required by the medical insurance bureau, such as the place of insurance, the number of the insured person, etc. The Internet platform requests the medical insurance bureau to conduct user insurance identity verification. If the verification is passed, it is considered that the user has successfully bound the medical insurance card to the platform.
[0106] If the target user is not a real-name user, the user will be prompted to perform real-name authentication first, and the real-name authentication page will be displayed. The user will enter the authentication information based on the displayed real-name authentication page. The authentication information may include: user nationality, ID type, name, ID number, facial recognition information, data encryption transmission, etc. The successful real-name authentication will be encrypted and stored in the database and applied to the subsequent consultation and prescription scenarios.
[0107] Step S02: The Internet platform identifies the purchase order corresponding to the medical insurance prescription drugs.
[0108] According to the result of step S01, if the user is not insured or does not use medical insurance to pay for prescription drugs, the drug purchase order will not be marked, the Internet platform will issue the prescription, and the user will pay for it at his own expense.
[0109] If the user has participated in the insurance, the information of the medical insurance drugs selected by the user will be identified. If the drug is an over-the-counter drug, the purchase order will not be marked and the user will purchase it normally.
[0110] Identify the medical insurance drug information selected by the target user. If the drug is a prescription drug, when the user submits the consultation, mark the purchase order. At the same time, obtain the consultation information submitted by the user, which includes the user information and drug information obtained in step S01.
[0111] Step S03: Send the encrypted medical consultation information.
[0112] When the Internet platform identifies a drug purchase order that has been marked, a special consultation process is triggered. The special consultation process corresponds to the purchase of prescription drugs under the medical insurance category by medical insurance users. The Internet platform and the Internet medical institution separately agree on an encryption method, and the encryption method encrypts sensitive information in the consultation information. The Internet platform transmits the encrypted user and drug information to the Internet medical institution designated by the Medical Insurance Bureau.
[0113] Step S04: Receive the prescription returned by the Internet medical institution.
[0114] The Internet medical institution designated by the Medical Insurance Bureau generates a medical consultation form based on the medical consultation information, conducts medical consultations on the user and prescribes a prescription. The prescription information includes the user information and drug information obtained in step S01, which is used for subsequent matching with the information in the drug purchase order.
[0115] The Internet medical institution designated by the Medical Insurance Bureau will send back the prescription after it is issued. The Internet platform will receive the prescription and match the prescription with the drug purchase order. After the match is successful, the pharmacist will review it. The approved prescription will be saved and can be displayed to the user.
[0116] Step S05: Place an order after the online platform review is completed.
[0117] After the prescription is reviewed and approved, the user continues with the order process and conducts medical insurance settlement on the Internet platform, which will then carry out subsequent fulfillment and delivery.
[0118] Through the scheme of the embodiment of the present invention, users can get prescriptions through the Internet medical institutions designated by the Medical Insurance Bureau, and use the medical insurance settlement method on the Internet platform to purchase prescription drugs under the medical insurance catalog, which expands the flexibility and compatibility of the Internet system to connect with the medical insurance system, and alleviates the problem of insufficient doctor resources on the online platform. The scheme of the embodiment of the present invention can automatically identify the user's insurance information and drug information. The Internet platform will mark the drug purchase orders that meet the requirements and generate a consultation form to solve the problem of platform compatibility. In addition, the marked drug purchase orders and consultation information are submitted to the Internet medical institutions designated by the Medical Insurance Bureau through the Internet platform. The Internet medical institutions designated by the Medical Insurance Bureau only need to consult and prescribe, which alleviates the problem of insufficient doctor resources on the Internet platform.
[0119] The technical solution provided by the embodiment of the present invention mainly solves the problems in the prior art of difficulty in prescribing prescription drugs under the medical insurance category, poor compatibility of the Internet platform, and loss of users due to the inability of users to use medical insurance payment online. In addition, a quick operating system and device can also be constructed to facilitate users to purchase prescription drugs under the medical insurance category on the Internet platform.
[0120] Figure 4 FIG. 1 is a schematic diagram of a device for processing a drug purchase request provided by an embodiment of the present invention. Figure 4 As shown, the device comprises:
[0121] The order generation module 401 is used to receive a purchase request from a target user for a target prescription drug and generate a purchase order corresponding to the purchase request;
[0122] An institution determination module 402 is used to determine the review institution and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug;
[0123] The receiving module 403 is used to obtain the medical inquiry information corresponding to the medicine purchase request, send the medical inquiry information to the review agency, and receive the prescription form returned by the review agency in response to the medical inquiry information;
[0124] The order settlement module 404 is used to settle the drug purchase order according to the target settlement method when the drug purchase order and the prescription are successfully matched.
[0125] Optionally, the organization determination module 402 is specifically configured to:
[0126] When the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, the insurance location of the target user is obtained; based on the insurance location, the first medical institution is determined as the review institution, and the medical insurance settlement method is determined as the target settlement method;
[0127] When the identity information indicates that the target user is not a medical insurance user, or the drug information indicates that the target drug is not a prescription drug under the medical insurance category, the second medical institution is determined as the review institution, and the self-paid settlement method is determined as the target settlement method.
[0128] Optionally, the device further comprises:
[0129] The binding module 405 is used to receive a medical insurance card binding request and display a medical insurance card binding page;
[0130] Receiving medical insurance information inputted on the medical insurance card binding page, the medical insurance information including: the place of insurance participation;
[0131] Send the medical insurance information to the medical insurance bureau system corresponding to the insured place, and receive the verification information returned by the medical insurance bureau system;
[0132] When the verification information indicates that the verification is passed, the medical insurance information is saved, and the first prompt information indicating that the medical insurance card is successfully bound is displayed.
[0133] Optionally, the device further comprises:
[0134] A real-name authentication module 406, used to determine whether the target user is a real-name user;
[0135] If the target user is not a real-name user, display a real-name authentication page; receive authentication information input for the real-name authentication page; if the authentication information passes the authentication, save the authentication information and display a second prompt message indicating that the real-name authentication is successful;
[0136] When the target user is a real-name user, the medical insurance card binding page is displayed.
[0137] Optionally, the organization determination module 402 is specifically configured to:
[0138] Determining the identity information of the target user and the drug information of the target prescription drug;
[0139] When the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, marking the drug purchase order;
[0140] Determine whether the drug purchase order is an order after identification processing, and determine the review agency and the target settlement method based on the determination result.
[0141] Optionally, the device further comprises:
[0142] A matching module 407 is used to determine whether the drug purchase order and the prescription conform to a matching rule, wherein the matching rule includes at least one of the following: whether the user information is consistent, whether the drug information is consistent, and whether the symptom information and the indication information are consistent;
[0143] In the case where the drug purchase order and the prescription conform to the matching rule, it is determined that the drug purchase order and the prescription are successfully matched.
[0144] Optionally, the receiving module 403 is specifically configured to:
[0145] Determine the encryption method corresponding to the auditing agency;
[0146] The encryption method is used to encrypt the medical inquiry information, and the encrypted medical inquiry information is sent to the review agency.
[0147] An embodiment of the present invention provides an electronic device, including:
[0148] one or more processors;
[0149] a storage device for storing one or more programs,
[0150] When one or more programs are executed by one or more processors, the one or more processors implement the method of any of the above embodiments.
[0151] Reference below Figure 5 , which shows a schematic diagram of the structure of a computer system 500 of a terminal device suitable for implementing an embodiment of the present invention. Figure 5 The terminal device shown is only an example and should not bring any limitation to the functions and scope of use of the embodiments of the present invention.
[0152] like Figure 5 As shown, the computer system 500 includes a central processing unit (CPU) 501, which can perform various appropriate actions and processes according to a program stored in a read-only memory (ROM) 502 or a program loaded from a storage part 508 into a random access memory (RAM) 503. In the RAM 503, various programs and data required for the operation of the system 500 are also stored. The CPU 501, the ROM 502, and the RAM 503 are connected to each other via a bus 504. An input / output (I / O) interface 505 is also connected to the bus 504.
[0153] The following components are connected to the I / O interface 505: an input section 506 including a keyboard, a mouse, etc.; an output section 507 including a cathode ray tube (CRT), a liquid crystal display (LCD), etc., and a speaker, etc.; a storage section 508 including a hard disk, etc.; and a communication section 509 including a network interface card such as a LAN card, a modem, etc. The communication section 509 performs communication processing via a network such as the Internet. A drive 510 is also connected to the I / O interface 505 as needed. A removable medium 511, such as a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, etc., is installed on the drive 510 as needed, so that a computer program read therefrom is installed into the storage section 508 as needed.
[0154] In particular, according to the embodiments disclosed in the present invention, the process described above with reference to the flowchart can be implemented as a computer software program. For example, the embodiments disclosed in the present invention include a computer program product, which includes a computer program carried on a computer-readable medium, and the computer program includes a program code for executing the method shown in the flowchart. In such an embodiment, the computer program can be downloaded and installed from the network through the communication part 509, and / or installed from the removable medium 511. When the computer program is executed by the central processing unit (CPU) 501, the above-mentioned functions defined in the system of the present invention are executed.
[0155] It should be noted that the computer-readable medium shown in the present invention may be a computer-readable signal medium or a computer-readable storage medium or any combination of the above two. The computer-readable storage medium may be, for example, but not limited to, an electrical, magnetic, optical, electromagnetic, infrared, or semiconductor system, device or device, or any combination of the above. More specific examples of computer-readable storage media may include, but are not limited to: an electrical connection with one or more wires, a portable computer disk, a hard disk, a random access memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or flash memory), an optical fiber, a portable compact disk read-only memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the above. In the present invention, a computer-readable storage medium may be any tangible medium containing or storing a program that can be used by or in combination with an instruction execution system, device or device. In the present invention, a computer-readable signal medium may include a data signal propagated in a baseband or as part of a carrier wave, which carries a computer-readable program code. This propagated data signal may take a variety of forms, including but not limited to electromagnetic signals, optical signals, or any suitable combination of the above. Computer-readable signal media may also be any computer-readable medium other than computer-readable storage media, which may send, propagate or transmit a program for use by or in conjunction with an instruction execution system, apparatus or device. The program code contained on the computer-readable medium may be transmitted using any appropriate medium, including but not limited to: wireless, wire, optical cable, RF, etc., or any suitable combination of the above.
[0156] The flow chart and block diagram in the accompanying drawings illustrate the possible architecture, function and operation of the system, method and computer program product according to various embodiments of the present invention. In this regard, each box in the flow chart or block diagram can represent a module, a program segment, or a part of a code, and the above-mentioned module, program segment, or a part of a code contains one or more executable instructions for realizing the specified logical function. It should also be noted that in some alternative implementations, the functions marked in the box can also occur in a different order from the order marked in the accompanying drawings. For example, two boxes represented in succession can actually be executed substantially in parallel, and they can sometimes be executed in the opposite order, depending on the functions involved. It should also be noted that each box in the block diagram or flow chart, and the combination of the boxes in the block diagram or flow chart can be implemented with a dedicated hardware-based system that performs a specified function or operation, or can be implemented with a combination of dedicated hardware and computer instructions.
[0157] The modules involved in the embodiments of the present invention may be implemented by software or hardware. The modules described may also be set in a processor, for example, they may be described as: an order generation module, an organization determination module, a receiving module, and an order settlement module. The names of these modules do not, in some cases, constitute limitations on the modules themselves. For example, the order generation module may also be described as "a module that receives a purchase request from a target user for a target prescription drug and generates a purchase order corresponding to the purchase request."
[0158] As another aspect, the present invention further provides a computer-readable medium, which may be included in the device described in the above embodiment; or may exist independently without being assembled into the device. The above computer-readable medium carries one or more programs, and when the above one or more programs are executed by a device, the device includes:
[0159] receiving a purchase request for a target prescription drug from a target user, and generating a purchase order corresponding to the purchase request;
[0160] Determine the review agency and target settlement method based on the identity information of the target user and the drug information of the target prescription drug;
[0161] Obtaining the medical inquiry information corresponding to the drug purchase request, sending the medical inquiry information to the review agency, and receiving the prescription form returned by the review agency in response to the medical inquiry information;
[0162] When the drug purchase order and the prescription are matched successfully, the drug purchase order is settled according to the target settlement method.
[0163] According to the technical solution of the embodiment of the present invention, the review agency and the target settlement method are determined according to the identity information of the target user and the drug information of the target prescription drug. The review agency can be a medical institution designated by the local medical insurance bureau, an Internet hospital corresponding to the Internet platform, etc. The target settlement method can be a medical insurance settlement method, a self-paid settlement method, etc. The correspondence between the identity information and drug information, the review agency and the settlement method can be set according to specific needs. Therefore, the solution of the embodiment of the present invention can provide a variety of review methods and be flexibly applicable to a variety of application scenarios.
[0164] The above specific implementations do not constitute a limitation on the protection scope of the present invention. It should be understood by those skilled in the art that various modifications, combinations, sub-combinations and substitutions may occur depending on design requirements and other factors. Any modification, equivalent substitution and improvement made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.
Claims
1. A method for processing a drug purchase request, characterized in that: include: receiving a purchase request for a target prescription drug from a target user, and generating a purchase order corresponding to the purchase request; Determine the review agency and target settlement method based on the identity information of the target user and the drug information of the target prescription drug; Obtaining the medical inquiry information corresponding to the drug purchase request, sending the medical inquiry information to the review agency, and receiving the prescription form returned by the review agency in response to the medical inquiry information; When the drug purchase order and the prescription are successfully matched, settlement processing is performed on the drug purchase order according to the target settlement method; Determining the review agency and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug includes: When the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, the insurance location of the target user is obtained; based on the insurance location, the first medical institution is determined as the review institution, and the medical insurance settlement method is determined as the target settlement method; When the identity information indicates that the target user is not a medical insurance user, or the drug information indicates that the target drug is not a prescription drug under the medical insurance category, the second medical institution is determined as the review institution, and the self-paid settlement method is determined as the target settlement method.
2. The method according to claim 1, characterized in that Before determining the review agency and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug, the method further includes: Receive the medical insurance card binding request and display the medical insurance card binding page; Receiving medical insurance information inputted on the medical insurance card binding page, the medical insurance information including: the place of insurance participation; Send the medical insurance information to the medical insurance bureau system corresponding to the insured place, and receive the verification information returned by the medical insurance bureau system; When the verification information indicates that the verification is passed, the first prompt information indicating that the medical insurance card is successfully bound is displayed.
3. The method according to claim 2, characterized in that Before displaying the medical insurance card binding page, the method also includes: Determining whether the target user is a real-name user; If the target user is not a real-name user, displaying a real-name authentication page; receiving authentication information input for the real-name authentication page; If the authentication information passes the authentication, the authentication information is saved, and second prompt information indicating that the real-name authentication is successful is displayed.
4. The method according to claim 1, characterized in that: Determining the review agency and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug includes: Determining the identity information of the target user and the drug information of the target prescription drug; When the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category, marking the drug purchase order; Determine whether the drug purchase order is an order after identification processing, and determine the review agency and the target settlement method based on the determination result.
5. The method according to claim 1, characterized in that: In the case where the drug purchase order and the prescription are matched successfully, before the drug purchase order is settled according to the target settlement method, the method further includes: Determine whether the drug purchase order and the prescription conform to a matching rule, wherein the matching rule includes at least one of the following: whether the user information is consistent, whether the drug information is consistent, and whether the symptom information and the indication information are consistent; In the case where the drug purchase order and the prescription conform to the matching rule, it is determined that the drug purchase order and the prescription are successfully matched.
6. The method according to claim 1, characterized in that The step of sending the medical consultation information to the review agency comprises: Determine the encryption method corresponding to the auditing agency; The encryption method is used to encrypt the medical inquiry information, and the encrypted medical inquiry information is sent to the review agency.
7. A device for processing drug purchase requests, characterized in that: include: An order generation module, used to receive a purchase request from a target user for a target prescription drug, and generate a purchase order corresponding to the purchase request; An institution determination module, used to determine the review institution and the target settlement method according to the identity information of the target user and the drug information of the target prescription drug; A receiving module, used for obtaining the medical inquiry information corresponding to the medicine purchase request, sending the medical inquiry information to the review agency, and receiving the prescription form returned by the review agency in response to the medical inquiry information; An order settlement module, used for performing settlement processing on the drug purchase order according to the target settlement method when the drug purchase order and the prescription are successfully matched; The order settlement module is specifically used to: obtain the insurance location of the target user when the identity information indicates that the target user is a medical insurance user, and the drug information indicates that the target drug is a prescription drug under the medical insurance category; determine the first medical institution as the review institution based on the insurance location, and determine the medical insurance settlement method as the target settlement method; When the identity information indicates that the target user is not a medical insurance user, or the drug information indicates that the target drug is not a prescription drug under the medical insurance category, the second medical institution is determined as the review institution, and the self-paid settlement method is determined as the target settlement method.
8. An electronic device, characterized in that: include: one or more processors; a storage device for storing one or more programs, When the one or more programs are executed by the one or more processors, the one or more processors implement the method according to any one of claims 1 to 6.
9. A computer readable medium having a computer program stored thereon, characterized in that: When the program is executed by a processor, the method according to any one of claims 1 to 6 is implemented.
Citation Information
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