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Medical insurance settlement middleware system and operation method thereof

A middleware and hospital information system technology, applied in the field of medical information, can solve complex problems, achieve the effect of reducing complexity, speeding up the speed of mutual settlement, and speeding up the speed of settlement

Pending Publication Date: 2022-08-09
浙江新医智联信息科技有限公司
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0006] Aiming at the deficiencies of the prior art, the present invention discloses a medical insurance settlement middleware system and its operation method, which are used to solve the need for a large amount of repetitive development work in the development process of developers, and upgrade and debug every time the medical insurance interface is modified on the client side , a problem of high complexity

Method used

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  • Medical insurance settlement middleware system and operation method thereof
  • Medical insurance settlement middleware system and operation method thereof
  • Medical insurance settlement middleware system and operation method thereof

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0040] refer to figure 1 As shown, this embodiment provides a medical insurance settlement middleware system, including

[0041] The medical insurance interface middleware platform adopts multi-server and multi-process to realize high concurrency and high scalability medical insurance interaction, hospital information system database access, database interaction and middleware logging functions;

[0042] The software calling part is developed and set on the medical insurance interface middleware platform and uses the listener as the calling entrance to provide different calling languages ​​for the client, and then realize the HIS (Hospital Information System) (hospital information system), EMR (Electronic Medical Record) (computerized medical record system) system call;

[0043] The transmission service part is used to build a transmission path for the external interaction of the medical insurance interface middleware platform, so as to realize the communication to the device...

Embodiment 2

[0056] At other levels, this embodiment provides a medical insurance settlement middleware system including a medical insurance interface middleware platform and client invocation support.

[0057] In order to achieve high concurrency and high scalability, the middleware server will use multi-server and multi-process processing methods; in order to support different calling languages ​​and meet the requirements of simple deployment, the client uses VC++ (Microsoft Visual C++) (C++ development tool) Encapsulate DLL (Delay-locked Loop) (delay-locked loop) for HIS (Hospital Information System) (hospital information system), EMR (Electronic Medical Record) (computerized medical record system) call.

[0058] In this embodiment, as figure 2 As shown, the client calls the middleware system, where there can be multiple groups of worker process groups, which can be deployed on different servers; the listener is the entry point for all client calls, and can be deployed in different fro...

Embodiment 3

[0066] At the specific implementation level, an example disclosed in this embodiment is as follows: a patient goes to a hospital for treatment, and uses medical insurance settlement to pay 100 yuan during settlement. The hospital client calls the medical insurance settlement middleware platform interface, and the interface internally determines the medical insurance corresponding to the data. The interface performs fee settlement, the medical insurance interface returns the corresponding data to the middleware platform, and the middleware platform returns the processing result to the client.

[0067] If the fee payment is successful, the payment is successful. If the fee payment fails, the patient needs to pay an additional fee of 100 yuan. The hospital client regularly monitors the transaction results of the medical insurance middleware and finds abnormal fee data. The transaction is performed through the reversal transaction function. Refund of Fees.

[0068] In terms of spe...

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Abstract

The invention relates to the technical field of medical information, in particular to a medical insurance settlement middleware system and an operation method thereof, and the system comprises a medical insurance interface middleware platform and a client calling support. The medical insurance interface middleware platform is used for medical insurance interaction, hospital information system, database interaction and middleware log recording. According to the method, interaction is provided for the outside in a WEB service mode, calling initiated by a client side is firstly received by the middleware listener, the listener dynamically routes messages to the working process groups according to message types or the load conditions of the working process groups, one working process group comprises a plurality of working processes, and the working process groups are distributed according to the message types or the load conditions of the working process groups. And the working process group determines which working process is used for processing the message, and the processed message is returned to the client through the listener. According to the mode, a large amount of repeated development work is reduced, upgrading and debugging do not need to be carried out on the client every time the medical insurance interface is transformed, the work complexity is greatly reduced, and the work efficiency of a user is improved.

Description

technical field [0001] The invention relates to the technical field of medical information, in particular to a medical insurance settlement middleware system and an operation method thereof. Background technique [0002] With the continuous deepening of the reform of my country's basic medical insurance system, the coverage of insured personnel has become more and more extensive, and basically everyone has been insured. At the same time, with the development of communication networks, more and more medical insurance institutions are connected to hospitals for real-time settlement, the medical insurance management system and means are increasingly improved, the content is gradually refined, and the level of demand is gradually improved. medical link. With the continuous expansion of the medical insurance business scope and business volume, the medical insurance information management system has shown a very important position as the interface software of the hospital chargin...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06F9/50G06F9/54G06Q10/10G06Q40/08G16H40/00
CPCG06F9/505G06F9/546G16H40/00G06Q10/103G06Q40/08
Inventor 胡谦江淑芳金浩
Owner 浙江新医智联信息科技有限公司
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