CN101533504A - Electric medical affairs system and device - Google Patents

Electric medical affairs system and device Download PDF

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Publication number
CN101533504A
CN101533504A CN200910111565A CN200910111565A CN101533504A CN 101533504 A CN101533504 A CN 101533504A CN 200910111565 A CN200910111565 A CN 200910111565A CN 200910111565 A CN200910111565 A CN 200910111565A CN 101533504 A CN101533504 A CN 101533504A
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medical
medical insurance
station
ticket
bank
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CN200910111565A
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刘文祥
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Individual
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Abstract

The invention relates to an electric medical affairs system and device controlled by computer program, comprising a plurality of medical affairs browsers, a data base server and excellent machine or the like constitute a medical insurance medical treatment state using a network topology structure; the network medical insurance and the medical treatment is realized by the Internet. The electric medical ticket can display the medical information, past medical history, disease diagnosis, drug administration of the citizen. When seeing a doctor, the doctor inserts the electric medical ticket into the browser to read the previous medical information and prevent needless repeated check and use of medical treatment instrument and electric medical ticket software and the identity of the ticket holding person is identified by a personal identification code. The medical treatment instrument checks the identification code and recognized whether the medical ticket is distorted or not. The electric medical insurance and the medical treatment system solves the problem that the prior medical treatment system uses a plurality of IC cards.

Description

Electric medical affairs system and device thereof
Technical field
The present invention relates to network interconnection technology, computer information technology and modern display technique.Adopt network interconnection new technology, can be scattered in the medical insurance of various places and each internal lan of medical institutions (Local Area Network, LAN), by internet (Internet), be built into this mechanism proprietary wide area network (Wide Area Network, WAN).(Liquid Crystal Display, LCD) technology is the ingenious technology that combines of microelectronics and liquid crystal display to LCD.
Background technology
In the present existing medical insurance and medical skill, be scattered in the automedica insurance and the medical clinic website of certain mechanism of various places, can be by costliness rent special line or Virtual Private Network (Virtual Private Network, VPN) technology is set up proprietary medical insurance and medical system (wide area network).
The virtual private network technology, (Virtual Local Area Network VLAN) after the technology, in fact changes point-to-point communication into to have used processor and VLAN.There are two kinds of network topology structures at present: center radiation layout and whole network layout.The center radiation layout is linked to each other with many remote sites by a central site.The Customer Edge router that is positioned at the central site position is very expensive, and its price is relevant with the number of the remote site that links to each other.Packet time delay when simultaneously, substantially exceeding direct communication between two websites its time delay.The quantity in the tunnel that the whole network layout need be supported (Tunnel) increases along with the number of website is geometric series.For example, a VPN network of being made up of 50 websites need be set up 1225 tunnels, is unpractical.Security is another significant problem of VPN.Each is connected to the Customer Edge router of internet, all must take such as the such safety practice of fire wall, so that guarantee the safety of each website.But each fire wall must be open to supplier, so that the visit relevant devices, this itself will be a potential safety hazard.When network size is big, manages each fire wall and will become very difficult simultaneously.
(Secure Socket Layer, SSL) VPN only is fit to the connection of website to network to security socket layer, can't realize the safe interoperability between a plurality of networks.
Also have traditional firewall, can not be decrypted inspection, do not allow VPN information to pass through the encryption connection of VPN.
Integrated circuit (IC) such as existing social security card, medical insurance card, credit card and case record card, not having to have now the Word message that papery social security card, medical insurance card, the letter of credit and case history card etc. contain and show, is not social security card, medical insurance card, the letter of credit and case history card etc. truly.These various integrated circuit cards can not be general mutually, and using method is not same again, causes a lot of troubles and confusion.
Summary of the invention
Task of the present invention is by adopting network interconnection new technology, with each internal lan of medical insurance and medical institutions, utilizes the internet to set up the proprietary wide area network of this mechanism.
Bill with miniature electric medical matters of microcontroller, input button and LCD is called electronics doctor ticket.It can replace the function of existing social security card, medical insurance card, the letter of credit and case history card etc. and integrated circuit (IC) cards such as social security card, medical insurance card, credit card and case record.
The technology that microcontroller and LCD combine, the electronics of manufacturing doctor ticket are the synthesis of with no paper, intelligentized novel social security card, medical insurance card, credit card and case record etc.
In the internal network of medical insurance and medical institutions, have the external service function of this mechanism needs the most perfect or that this mechanism's basis is externally served and the main frame (host computer) of appointment, be called the conventional computing machine of advantage function in this network of this mechanism, be called for short excellent machine.This network is called excellent machine network.Excellent machine is server class computer (server-classcomputer); It also is a main frame in the excellent machine network.
Respectively and the excellent machine in the excellent machine network and another network (comprising the internet) interconnected and control the conventional computing machine of computerized information interoperability (Interoperability) between these two networks, the specific conventional computing machine that is called identification identity in another network is called for short the machine of distinguishing.This another network (not comprising the machine of distinguishing) of distinguishing that machine connects is called and distinguishes the machine network.The machine of distinguishing is client class computing machine (client-class computer); After having the information encryption (or deciphering) of another LAN (Local Area Network) computing machine that computing machine in the LAN (Local Area Network) of mechanism is sent to (perhaps receiving) this mechanism, be transmitted to the program of internet (perhaps this LAN (Local Area Network)) and the program of the client computer (perhaps browser) that this mechanism can be external etc., can contain antivirus software or handle the program of various multi-form information flows etc., can have concurrent (concurrency) to move a plurality of clients (client) and server (server); It can have router feature simultaneously.
An excellent machine in each internal lan of certain medical insurance and medical institutions all passes through input/output interface separately, distinguishes that with one the machine output/input interface is connected respectively; Each distinguishes that machine all passes through its router and Internet connection.This just sets up into the proprietary wide area network of this mechanism (Fig. 1).The information that certain computing machine of this in-house LAN (Local Area Network) sends, all be sent to be connected with the excellent machine of this net distinguish machine check virus and encryption after, transmit by the internet, distinguish machine check virus and deciphering at another internal lan of receiving end then, be reduced into original information, be forwarded to the receiving computer of another network.This has just guaranteed Information Security.
In the rural area that does not have network, computing machine can utilize telephone wire to handle medical insurance or medical profession.No matter PC, workstation, minicomputer, browser (Browser) and main frame etc. all can be used as and handle insurance or the medical profession computing machine.Owing to use phone (perhaps mobile phone) to handle medical insurance or medical profession, need pass through telephone communication network.Therefore modulator-demodular unit (Moden) is indispensable hardware device.The function of Moden and transmission speed should decide selection according to the demand of reality.General communication line commonly used is a telephone line.
The medical insurance of Fig. 1 or medical station system are each excellent machines of medical insurance or medical master station and several medical insurances and medical station, by distinguishing machine and Internet connection, make up a safe and reliable internet (wide area network) respectively; It is the commercial operation pattern of web handling medical insurance or medical profession.
1, the professional browser of several social insurances and medical security (calling the medical insurance browser in the following text), automatic cash dispenser, excellent machine and database server etc., adopt local area network technology, the professional business hall of handling social insurance and medical security (calling the medical insurance station in the following text) of composition.The excellent machine at each medical insurance station is by distinguishing machine, is connected (Fig. 1) with router on the internet, just is built into the safe and reliable proprietary wide area network of handling social insurance and medical security of this mechanism.
The medical insurance browser provides the workstation of the microprocessor that browser software is housed, storer and the LCD (for example touch LCD screen) etc. used to the insurant.The computer program (comprise a plurality of application programs, and utilize the determined program of object name to solve this object) of access and display message wherein is housed.
(Automatic Depositor AD) is the terminating machine of only making deposit usefulness to automatic cash dispenser.It can with the medical insurance browser, be merged into medical insurance browser with savings function.
Existing each medical insurance station at a distance that is distributed in, the dedicated network of interconnected composition must adopt expensive dedicated line.
Existing fire wall (comprising hardware device, relevant software code and security strategy) or virtual private network technology, adopted " anti-port " technology to capture by hacker (HACK) easily, intruding into the computing machine of the internal network of fire wall back, is one of its major defect.Fire wall can't prevent from the attack of network internal and destruction, also is one of its major defect.
Existing fire wall or Virtual Private Network are not suitable for carrying out computer virus and detect; Can't take precautions against data driven type attacks; Can't defend various new computer attack behaviors fully; It all is one of its major defect.They can not control the information flow that bypass connects (certain computing machine as Intranet is connected with extranet without authorization); It also is one of its defective.
Each medical insurance website (LAN (Local Area Network)) is all isolated by independently interface and the internet of distinguishing machine; By distinguishing the control function of machine, make between each medical insurance station again by the internet intercommunication.Authenticity, reliability and the confidentiality of service security and information can both be guaranteed in all medical insurance stations; Fundamentally stop some people by network implementation swindle etc.
2, electronics doctor ticket has microprocessor (Microprocessor Unit) and storer, and input button, small-sized LCD and power supply are housed.The security control software of its stored has check personal identity card identifier (personalidentification number), and determines to hold the function that electronics is cured ticket people's legitimacy.It can contain a guy's China second-generation identity card number and bearer's individual photograph wherein, carries out system of real name.Because its memory space height, be enough to handle insurance or the transaction record of medical profession with the insurant or by the medical insurance people at every turn, all be kept in its storer.It does not need online authorisation process, therefore allows its off line to use.
Electronics doctor ticket is not only stored medical insurance, and stores fund at one's own expense.It can use in each hospital of networking.
Electronics doctor ticket is made easily, low, the long service life of cost, can reuse.
There is big difficulty in the existing network method of handling the medical insurance business in concrete operations, information does not have secrecy provision; Online payment formality complexity needs authentication center; Can't take precautions against the uneasy congruence of online payment.
When being handled medical insurance or medical profession by the medical insurance people, the I.D. brush groove that second generation I.D. was brushed on the browser gets final product.Browser will be by in data input electronics such as the number of medical insurance people I.D. and the photograph of its people own doctor ticket.These data are as long as brush once.When repeating to handle medical insurance or medical profession with this electronics doctor ticket later on, just need not brush again again.When the insurant saw a doctor, the individual phase sector-meeting in its electronics doctor ticket was presented on the diagnosis and treatment LCD of hospital, so that the medical profession personnel inspection.
Electronics doctor ticket can replace the function of existing social security card, medical insurance card, the letter of credit and case history card etc. and integrated circuit (IC) cards such as social security card, medical insurance card, credit card and case record; And the literal that can show the information representative among these cards and the card.
3, several medical treatment professional browser, automatic cash dispenser, excellent machine and database servers etc. of diagnosing a disease adopt local area network technology, the professional business hall (calling the medical station in the following text) of handling medical diagnosis and treatment of composition.The excellent machine of each medical station is by distinguishing machine, is connected (Fig. 1) with router on the internet, just is built into the safe and reliable proprietary wide area network of handling medical diagnosis and treatment business of this unit.
The medical station browser provides the workstation of the microprocessor that browser software is housed, storer and the LCD (for example touch LCD screen) etc. used to patient.The computer program (comprise a plurality of application programs, and utilize the determined program of object name to solve this object) of access and display message wherein is housed.
The medical station browser is equipped with the microprocessor and the storer of identification and Control Software, and read-write equipment and LCD etc. are housed.It has all logic functions of the son doctor ticket of reading, encode, can cure the legitimacy of ticket and bearer's identity by the independence test electronics.When legal electronics doctor ticket passed through, the medical station browser can send a kind of voice prompt, and shows with literal on LCD.If adopt the electronics doctor ticket of system of real name, can show bearer's I.D. upper part of the body photograph.When electronics doctor ticket that forge or that lost efficacy passed through, alarm sound can take place in the medical station browser, and shows it is the literal of forging or losing efficacy on LCD.In the whole inspection process, the medical station browser is easy to use, quick.It can make different shape and different size; Be made generally in fixed dexterous shape or portable.
Each medical station database is equipped with citizen's health and fitness information.Citizen handle an electronics doctor ticket, contents such as the information of seeking medical advice, medical history, medical diagnosis on disease, medication, inspection all can be charged to wherein.During prescription on individual diagnosis, the doctor cures ticket with electronics and inserts browser, just can have access to patient's information of seeking medical advice in the past, avoids unnecessary rechecking and medication.Each civic case history all is sent in the medical data base.
Medical insurance of this robotization electronics and medical system are given full play to standard, the convenience and efficient of medical insurance of robotization electronics and medical treatment, and are solved the difficult problem that existing medical system is carried out a plurality of IC-cards.
Medical insurance of robotization electronics and medical system can and utilize telephone wire to realize medical insurance and medical clinic business on network, and online payment and E-Payment are safe.
Description of drawings
Fig. 1 medical insurance and medical proprietary wide area network structural drawing.Browser, client computer, server, database server and excellent machine are formed a medical insurance and medical master station or medical insurance and medical station.Medical insurance and medical general headquarters and its are distributed in the excellent machine of each internal network (promptly handling medical insurance or medical profession station) of several the trans-regional medical insurances of diverse geographic location and medical station etc.; by distinguishing that machine and internet (Internet) couple together, make up safe and reliable and the medical insurance of information interoperability and the proprietary network of medical institutions respectively.Each of diverse geographic location handled the internal lan (medical insurance or medical station) of medical insurance or medical profession, all by distinguishing that machine and internet carry out information mutual communication.
Fig. 2 electronics doctor's ticket and medical LCD schematic diagram.They contain microprocessor respectively and the storer of identification and Control Software are housed, and read-write equipment and LCD etc. are housed.In their LCD, its digital input interface receives the TMDS digital signal of TMDS transmitter output in the extraneous computing machine; Deliver to the TMDS receiver in the LCD mainboard; The clock signal of its input is delivered to clock generator.The image zoom processor (SCALER) that digital signal is sent to governor circuit through decoding is handled.Treated line synchronizing signal in the LCD governor circuit is sent to phase-locked ring type clock generator circuit, makes the time clock and the locking of line of input synchronizing signal of its generation; Another road be sent to screen show circuit (On ScreenDisplay, OSD).Digital signal is handled through the image zoom processor (SCALER) of the governor circuit of LCD, is sent to the liquid crystal board interface circuit, digital video signal is converted to the digital video signal that meets the requirement of liquid crystal board interface circuit.Digital video signal after the liquid crystal board interface circuit will be changed is sent to the timing circuit and the Drive and Control Circuit of liquid crystal board: drive LCD; Just character display, image on liquid crystal screen.
The Database Systems backup automation scheme figure of Fig. 3 medical insurance medical treatment master station or important medical insurance and medical station.The system backup robotization solution structure of medical insurance medical treatment master station or important medical insurance and medical station can be made up of backup client, backup server, media server, redundant memory cell and backup management software etc.Backup client typically refers to application program, database or file server; Expression can and be sent to data the component software of backup server from reading of data in the online storage; Active and standby part server is used for arranging backup and resuming work, and service data deposit medium; Media server is that the instruction according to active and standby part server copies data on the backup medium.Redundant memory cell is data tape, disk or CD.
Embodiment
Robotization is handled in the different medical insurances of medical insurance medical system and the medical station (comprising medical insurance medical treatment master station) between two main frames, and is as follows with communicate by letter accurately (Fig. 1) by the safety of internet:
The information that source machine from medical insurance and medical station sends; Through the excellent machine of source end, arrive the source end " program of scrutiny program " is housed and source ends such as " source end encipherors " is distinguished machine; Through elimination virus with after encrypting; Pass through the internet; Distinguish machine to the Su Duan that " program of scrutiny program " and " place end decrypted program " etc. is housed; After deciphering and checking virus; Forward the excellent machine of place end to; Arrive place end purpose computing machine at last.
In medical insurance and medical station system, the machine of distinguishing of each medical insurance and medical station is equipped with identical " program of scrutiny program ", " source end encipheror " and " place end decrypted program " standard program.Like this, distinguish that machine all can monitor the information of turnover medical insurance and medical station for every, and refusal is illegally to the visit of each medical insurance and medical station.
For the system that has numerous medical insurances and medical station, satisfy the requirement of interactive application and stability; Has interoperability; Can distinguish the different security requirements of a concrete file; The foundation structure that can use public-key authenticates and encryption key distribution.
In medical insurance and medical station system, each distinguishes that machine also can be equipped with identical " to unit authentication encryption and authoring program " standard program, and these distinguish the Access Control List (ACL) that each Hostname (perhaps address) in each IP address table of distinguishing machine and each medical insurance and the medical station is all arranged in the machine in each medical insurance and the medical station.Like this, distinguish that machine all can monitor turnover medical insurance and each medical insurance of medical station system and the information of medical station for every, and refusal is illegally to the visit of internal institution medical insurance and medical station.
" program of scrutiny program " function: the source end is checked information after distinguishing that machine receives cleartext information, finds they to be arranged in together, and to be presented on the display of computing machine after the program wherein.If these programs are legal programs, allow its visit; Then the user selects " allowing later on " final election item when prompting occurring for the first time, distinguishes and can not inquire once more when machine is met these programs later on, and allow its visit.When the user does not answer within a certain period of time or selects " not allowing " final election item, the machine of distinguishing just abandons this program.The source end is distinguished prow elder generation and this program of isolated operation.
The machine of distinguishing is installed " program of scrutiny program " afterwards, just can prevent that virus attack from distinguishing the excellent machine network that organizational security protects.
" source end encipheror " function: the source end is distinguished machine sends desire by common network cleartext information back, adds the secret key of symmetric cryptography; With this data splitting input one-way hash function (Message Digest), draw hash (Hash) value (source end hashed value); Then source end hashed value is added in cleartext information (not comprising key) back, encrypt, become ciphertext with key; At last this ciphertext is sent to Su Duan and distinguishes machine.
" place end decrypted program " function: Su Duan distinguishes the machine decrypt ciphertext of the cipher key shared of as offered with reception, becomes expressly, obtains cleartext information and source end hashed value; Key is added in cleartext information (not comprising hashed value) back; With this data splitting, input is the one-way hash function of agreement in advance, obtains hashed value (place end hashed value); This place end hashed value is compared with the source end hashed value that receives; If these two hashed values are identical; Confirm that then this information distinguishes that from legal source end machine sends, accept this information; The place termination that sends in the excellent machine network of this place end is received on the computing machine, otherwise abandons this information.
The simple approach of authentication (Authentication) is that each distinguishes the database of setting up a username and password in the machine.
The machine of distinguishing passes through Access Control List (ACL), and (Access Control List ACL) carries out authentication.This tabulation is discerned dissimilar source-end networks (is representative to distinguish machine IP address) identity simply.When the relation of only guaranteed user and IP address is determined, just can come into force based on the authentication of address.
Whom authentication controlling can visit proprietary net, authorizes (Authorization) to stipulate then what the user after obtaining this network qualification of visit, can do.
Authentication and mandate new method are to set up a user or unit name, IP address, password and authorization privilege database.
The machine of distinguishing carries out user's (referring to other unit, affiliate unit or remote client) authentication by Access Control List (ACL).This tabulation to dissimilar source ends (user name), distinguish that machine IP address and user's password carries out identification.When having only user name, IP address and user's password identical, could guarantee to come into force based on the authentication of address with this Access Control List (ACL).
" to user's authentication encryption and authoring program " function: user's (referring to other unit, affiliate unit or remote client), encrypts with private key for user at the password that certain unit stays it; Ciphertext is as user's digital signature; With the unit PKI to digital signature and symmetric key encryption, as confidential paper; With cleartext information, user name and client public key symmetric key encryption; The source end distinguishes that machine is with this ciphertext, confidential paper; By the internet, the Su Duan of the unit's of passing to proprietary network distinguishes machine; The Yong Si Keying of unit is decrypted confidential paper; Then with symmetric key with this decrypt ciphertext, obtain cleartext information, user name, client public key and number signature that the user sends; Yong Hu Gong Keying is with the deciphering of number signature; This Su Duan distinguishes that machine contrasts the relevant information in user name, IP address and user cipher and the unit data storehouse.If entirely true, unit confirms that this information is that the user sends; This distinguishes that machine is by visiting its control tabulation; Determine user right; By the excellent machine of place end, be given to the receiving computer of corresponding authority again.
" to unit authentication encryption and authoring program " function: the password encryption that unit stays in this unit user's (referring to other unit, affiliate unit or remote client) with its private key, ciphertext is as the units word signature; User's PKI to units word signature and symmetric key encryption, as confidential paper; With cleartext information, unit name and unit PKI, use symmetric key encryption; The source end distinguishes that machine is with this ciphertext, confidential paper; By the internet, the place end client computer or the other unit Su Duan that pass to the user distinguish machine; The user uses its private key, and confidential paper is decrypted; With symmetric key with this decrypt ciphertext, cleartext information, unit name and unit PKI that the unit of obtaining sends; With the Gong Keying of unit the units word signature is deciphered; Obtain the password that the user stays in unit; Place end subscriber or other unit are distinguished the password contrast of machine with password unit of being reserved in it then.If entirely true, the user confirms that then this information is that unit sends.
Insurance institution is made up of several medical insurance browsers, automatic cash dispenser, excellent machine and database server etc., electronics doctor's ticket and information processing and 3 parts of management software.Wherein data processing and management software are mainly finished data information memory and management, carry out input and output control etc.
1, the medical insurance general headquarters of certain mechanism and its are distributed in each internal network (being the medical insurance station) of several trans-regional medical insurance branch officeses etc. of diverse geographic location, wherein each is respectively by distinguishing that machine and internet (Internet) couple together, and makes up this mechanism's medical insurance wide area network system (Fig. 1) of a safe and reliable and information interoperability.Information between two main frames of the different internal networks of this system is passed through internet (Internet) intercommunication safely and accurately.
Existing virtual private network technology carries out the deception that illegal internal resource is visited for many by camouflage medical insurance address, and is powerless; Also can't avoid the hacker to get around authentication and authentication scheme, the camouflage identity is destroyed existing the connection.
The information flow of medicare system, information transmitted is through encryption, end-to-end and authentication on the internet; Guarantee information confidentiality, integrality and authenticity; Ability with opposing assault network.
The work of browser/server pattern is all adopted in each medical insurance and medical station, characteristics: user side replaces client computer with relatively uniform browser.Because the application program of browser is some the most basic requirements.Exploitation, maintenance and the upgrading of each medical insurance and medical station (LAN (Local Area Network)) are only carried out on excellent machine like this, do not need browser is reinstalled its application program one by one.
Browser is the computing machine of an access and display message; It comprises a plurality of application programs, and determines that according to object name which application program solves this object.It is concentrated into output information the signal fritter of " packet ", and issues excellent machine in order.In order to ensure not having many browsers simultaneously to excellent machine transmission signals; All browsers, client computer and distinguish machine etc., all adopt a kind of multiple access carrier sense/collision detection (Carrier Sense Multipte Access With Collision Detect, distributed coordination scheme CSMA/CD) and binary power repeating transmission (binary exponential backoff) technology of being called.When a browser during to excellent machine transmission signals, other browsers can the detected transmission signal, and wait for this browser input finish after input again.Each " packet " is all very little, and every browser can not experience long wait.This just guarantees that every browser can both carry out business processing rapidly, timely.
The excellent machine in medical insurance station receives the solicited message from the medical insurance browser at any time, this request is handled immediately accordingly, and given browser etc. the response message of result.It is except sending the static Web document to browser; Can also go to handle the data in the interactive list according to the concrete request of medical insurance browser.Excellent machine output information also adopts multiple access carrier sense/collision detection and binary power retransmission technique.It not only has processor and enough storeies fast, can move a plurality of clients and server program simultaneously, and has the operating system that allows a plurality of application programs concurrent (concurrency) to carry out.Excellent machine all should have a server program in operation mutually to various service.That is to say that it can move the different server program simultaneously.In the design of excellent machine, main task (task) is created a new task for each client computer.Server program is made up of two parts: a part is responsible for receiving request and is generated new thread, and another part comprises the code of handling single request.When a concurrent server begins to carry out, has only first in operation.That is to say, server main task operation first, the request of wait reaches.When request arrived, main task was created a new task and is handled it.Handle tasks requested operation second portion code, stop then.Main task keeps server to be in active state simultaneously.
The most useful function of client's (perhaps browser)/server mode is arbitrarily mutual between client computer and the server.Its feature provides the server of certain service, can become the client of another service.A plurality of clients can visit a server; The server of a service also can become the client of another service.(Application ProgramInterface API), is adapted to concurrent program work to application programming interfaces.Excellent machine sends to browser to the result who needs by hypertext browsing information retrieval (HTTP) mode, and browser is write data with electronics doctor ticket placed on it, by the liquid crystal display displays of electronics doctor ticket.
Medical insurance and medical station database server allow a user, inquire about an above data message simultaneously.It also allows a plurality of users, simultaneously data query information.Wherein application program is read in data from magnetic medium (as disk), carries out data processing, outputs to the excellent machine in medical insurance and medical station then.Data come to this from the output file of database server, are transferred in the input file of excellent machine to go.Transmission service use file transfer protocol (FTP) (File Transfer Protocol, FTP).This agreement allows any file of transmission, and allows file to have entitlement and access rights.It is applicable to the isomery system---can be at transfer files between the computing machine arbitrarily.Whether number order wherein allows user's assigning remote computing machine, provide license, inquiry telefile can obtain, and one or more file of request transmission.Internet protocol series (ICP/IP protocol) has comprised a file access (file access) service.File access service allows remote computer only to duplicate or changes the small fragment file and need not duplicate whole file.
(Network File System NFS) allows application program to open a telefile to network file system(NFS), moves to an assigned address hereof, and begins to read and write data in this position.
The excellent machine in medical insurance station can go to carry out some other programs according to the actual needs of the concrete request of browser (perhaps distinguishing machine), for example the form data that the user imported is write database.(common gatewayinterface, CGI) program can be handled the data in the interactive list to CGI (Common Gateway Interface) of its operation; Can inquire about database, add, processing such as modification and deletion record; Can be the result who handles HTML (Hypertext Markup Language) (Hyper Text Markup Language, HTML), one of instant generation dynamically generates web document, and this web document returned to excellent machine, again by HTML (Hypertext Markup Language) (Hyper Text Transport Protocal, HTTP), by the CGI (Common Gateway Interface) program this web document of dynamically generating send to browser (perhaps distinguishing machine).
The medical insurance station distinguishes that machine installs various anti-virus softwares, and internet system is monitored in real time; The virus information database of regular update anti-virus software is so that safeguards system exempts from viral attack to greatest extent.Just in case certain medical insurance LAN (Local Area Network) is suffered the virus attack on the internet, also only distinguish the machine paralysis, can't have influence on the normal operation of this LAN (Local Area Network).
The machine of distinguishing also can all external references of detail record; Prevent the unauthorized access of external information on the internet simultaneously.It makes the visit of extraneous computing machine to the medical insurance LAN (Local Area Network), can only concentrate on the machine of distinguishing earlier.This just guarantees the reliable and safety of other all computing machines on the medical insurance LAN (Local Area Network).The machine of distinguishing also allows coupled excellent machine, by the internet, transmits and receive the enciphered message of other medical insurance LAN (Local Area Network) of native system.
When a medical insurance LAN (Local Area Network) sent information to another medical insurance LAN (Local Area Network), this information content at first machine of distinguishing of the side of being sent out was encrypted, and by behind the router inspection destination address, was sent to distinguishing on the machine of another medical insurance LAN (Local Area Network) by the internet then.When information arrived, take over party's router judged according to the IP address of transmit leg whether information allows to pass through.After take over party's the machine of distinguishing authorization information and the deciphering, information is given to the medical insurance LAN (Local Area Network) handles.Obvious this network new technology allows the mechanism of the medical insurance LAN (Local Area Network) of a plurality of dispersions, and internet usage is set up the proprietary wide area network that belongs to this mechanism as circuit.
The machine of distinguishing at medical insurance station not only contains the program of browser, and (messageauthentication code, MAC) technology is encoded to the transmission data, guarantees to be subjected to the information integrity of malicious attack but also can adopt message authentication codes.Its typical encoding mechanism is cryptographic hash (cryptographic hashing) mechanism.It is equipped with program and some application programs of medical insurance browser.Distinguish the program of check virus on the machine, allow the user capture on the qualified internet; Also allow inner excellent machine directly to visit the outside.It contains the file transfer protocol (FTP) CLIENT PROGRAM, can set up one with specified server between be connected and carry out file transfer.In order to obtain the authorization, the user must provide login name and password.
Each medical insurance LAN (Local Area Network) (medical insurance station) and general headquarters' LAN (Local Area Network) (medical insurance master station) among Fig. 1, with the internet respectively by distinguishing that machine is connected, a proprietary network that is built into jointly can provide remote access, the mutual visit of the safety of medical insurance LAN (Local Area Network) and general headquarters' LAN (Local Area Network) etc.
The excellent machine in medical insurance station has the central processing unit (CPU) the strongest in the LAN (Local Area Network) at its place and the internal memory of powerful capacity.Its major function: port (as the TCP80 port) state that constantly detects this machine; At any time receive from computing machines such as browser or workstations and distinguish the solicited message of machine, each request is handled accordingly, and the response message of result, send in the LAN (Local Area Network) such as medical insurance station browser or workstation computing machine and distinguish machine.It also includes the medical insurance station is managed, and guarantees its safe and reliable supervisor.It is except sending the document to the computing machine in the LAN (Local Area Network) such as medical insurance station browser or the machine of distinguishing, can also or distinguish the needs of the concrete request of machine according to the computing machine in the LAN (Local Area Network) such as medical insurance station browser, do some other thing (as the data of being imported by the medical insurance people, write database or to data inquire about, add, processing such as modification and deletion, and a result who needs sent to browser or distinguishes machine etc.).In its calculator memory reservoir, contain the data in the frequent database that uses of needs.
Medical insurance station database server stores the message file all insurants of various places of this mechanism (for example certain insurance company).It in time closes this library file to after the data library file operation, in order to avoid artificial maloperation or other faults take place, and cause the damage of Current Library file.After the list structure definition of database, can make amendment as required.For example insurant's situation changes etc.
Backup software provides complete data protection.For example Veritas NetBackup software adopts the level Four hierarchical structure, and centralized management adapts to multiple application structure.Its technical characterstic is that flexible setting, disaster recovery, parallel processing, data are reliable, easy to use, monitoring capacity and system data recovery etc.
In medical insurance master station or the important medical insurance station, the miscellaneous service that can handle is placed in online storage (OnStore) equipment at present, guarantees to read at any time the data of these electronics doctor ticket.For taking precautions against contingent data disaster, use offline storage (OffStore) equipment that these professional data are carried out back-up storage.
Use virtual store (Storagc Virtualization) backup management software, a transparent storage system can be provided.According to the instruction at medical insurance master station or important medical insurance station, automatically the inactive data automatic archiving under the archival back-up catalogue is backuped in nearline storage (NearStore) equipment, the historical data automatic archiving is backuped in the offline storage equipment.
2, electronics doctor ticket contains microcontroller, input button and small-sized LCD (Fig. 2) etc., and essence is slice microcomputer (abbreviation single-chip microcomputer).It can also have radio-frequency receiving-transmitting and interlock circuit thereof.Single-chip microcomputer has conventional computer functions such as read-write and process information.The size of small-sized LCD is generally 4 inches to 8 inches.
The browser of medical insurance and medical station and electronics doctor ticket are formed hardware jointly.Its software have raise the price, softwares such as encryption, modulation and demodulation, deciphering, decoding, also have identification software to the secure cryptographic algorithm of electronics doctor ticket.Electronics doctor ticket adopts personal identification code (PIN) to discern bearer's identity.Significant data in the electronics doctor ticket also increases message identification code MAC after encrypting.Insurance institution's check identification code can recognize that whether electronics doctor ticket is distorted, and show on LCD.
The microcontroller of electronics doctor ticket contains the main microcomputer basic element of character such as microprocessor, random memory, ROM (read-only memory), interrupt system, timer/counter and I/O and circuit etc.Link together by address bus, data bus and control bus between their circuit, get in touch with by the circuit of input/output interface and extraneous computing machine or microcontroller again.Microcontroller has the liquid crystal display displays character on the control electronics doctor ticket and the vital role of image, not only is responsible for coordination and control to electronics doctor ticket integral body, and the numeral of burden electronics doctor ticket and the control of reading in and storing of parameter.
It is different with the extraneous data cross surface of the browser of medical insurance and medical station that electronics doctor ticket is pressed read-write mode, can be divided into contact and contactless two big classifications.
On the surface of contact-type electronic doctor ticket, some gold-plated contacts are arranged.Electronics doctor ticket will carry out the identification of the information interchange and the true and false by the browser of these contacts and medical insurance and medical station.
The integrated circuit (IC) chip of the microcontroller in the contact-type electronic doctor ticket (the perhaps browser read head of medical insurance and medical station) is connected on the golden contact chip that contains circuit board.It by eight on the chip (or six) contact points, is gone up read head with the browser that power supply is provided (perhaps electronics doctor ticket) and contacts in use.After browser reads in data on the electronics doctor ticket, whether effective by the microprocessor judges electronics doctor ticket of medical insurance and medical station.Through corresponding routine processes, microprocessor sends electronics doctor ticket and reads (writing) instruction; After electronics doctor ticket was received instruction, the central processing unit computing through self judged whether to be illegal issuing station.If not illegal issuing station, the browser of medical insurance and medical station is then read (writing) to electronics doctor ticket.Otherwise read (the writing) of electronics doctor ticket refusal medical insurance and medical station instructs, and the sound that gives the alarm, and occurs literal such as " illegal ticketings " on LCD.The plug of contact-type electronic doctor ticket is inserted on the slot of medical insurance and medical station browser.
The memory capacity of electronics doctor ticket is up to 64~256KB, is enough to store required software, once handles the full detail of medical insurance or medical profession and repeatedly handle all records of medical insurance or medical profession.Its hardware has voltage and clock detector, the exposure encryption measures such as logic, anti-dissection that crash automatically; Software has encryption methods such as cryptoguard, secure cryptographic algorithm.It can show patient's the medical insurance and the full detail of papery case history.
Transition minimized differential signaling (the Transition MinimizedDiffercntial Signaling of the browser at medical treatment and medical insurance station and electronics doctor ticket, TMDS) not only adapt to digital signal interface (the Digital VisualInterface of LCD mainboard, and also need a transmitter and a receiver when carrying out digital transmission DVI).
The LCD of the electronics doctor ticket among Fig. 2 needs and extraneous computing machine intercommunication, so it need provide its identification signal, gives extraneous COMPUTER DETECTION identification.In the input/output interface circuit of LCD, display data passage (Display Data Chnnel, DDC) memory circuitry are set.This storer is that a slice can be wiped and formula ROM (read-only memory) able to programme (EEPROM), stored the display recognition data, be the electronic record data information of display, for example can receive row/field frequency scope, production firm, date, product ID, model, standard indicator pattern and parameter, device data and required data in service or the like.
The DDC storer of electronics doctor ticket carries out information mutual communication by DDC serial data pin, DDC serial clock pin and extraneous computing machine, finishes the identification of LCD.Have only extraneous computer Recognition LCD, both could be synchronously, coordinate, stably work.
The digital input interface of the LCD of electronics doctor ticket receives the TMDS digital signal that the TMDS transmitter is exported in the extraneous computing machine (browser); Deliver to the TMDS receiver in the LCD mainboard; The clock signal of its output is delivered to clock generator.The image zoom processor (SCALER) that digital signal is sent to governor circuit through decoding is handled.Governor circuit carries out form to received image signal to be judged, image is carried out operations such as convergent-divergent processing, framing.
Treated line synchronizing signal in the LCD governor circuit of electronics doctor ticket is sent to phase-locked ring type clock generator circuit, makes the time clock and the locking of line of input synchronizing signal of its generation; Another road be sent to screen show circuit (On ScreenDisplay, OSD).Screen shows row/field sync signal (HS, VS) that circuit needs, and is not row/field sync signal of directly taking from outside input, but takes from the row/field sync signal of governor circuit output.Even LCD is not when having the signal input, its governor circuit is sent to row/field sync signal that screen shows circuit, the timing data good according to programming in advance, row/the field sync signal that in image zoom processor (SCALER), produces, can guarantee LCD when not having the signal input, also can have normal screen to show and the menu demonstration.
The digital signal of electronics doctor ticket is handled through the image zoom processor (SCALER) of the governor circuit of LCD, enable to be fit to the digital signal of liquid crystal board physical resolution, together with numeral row/field sync signal, be sent to the liquid crystal board interface circuit, digital video signal be converted to the digital video signal that meets the requirement of liquid crystal board interface circuit.
Digital video signal after the liquid crystal board interface circuit of electronics doctor ticket will change, is sent to the timing circuit and the Drive and Control Circuit of liquid crystal board at independent (if itself comprises display line/field sync signal) or together with display line/field sync signal; The liquid crystal screen that drives LCD is gone up character display, image.
Row/field sync signal that the digital input interface of electronics doctor ticket receives also has one the tunnel to be sent to microcontroller, and LCD is carried out administration of energy conservation, and the control LCD enters operate as normal, standby, hang-up, closed condition etc.
The LCD of electronics doctor ticket is used the DisplayPort interface, can realize cheaply directly drive-type LCD, only needs a connecting line just can all be input to all signals in the video processor of mainboard simultaneously.
When if certain medical insurance and medical station have a plurality of medical insurances and medical browser to handle medical insurance or medical profession simultaneously; during one of them process accessing database; just with a lock; pin the execution of other process; after this process is finished and data is write back database; release again allows other process operations.So just can control the mutually exclusive accessing database of each electronics doctor's ticket, thereby guarantee the integrality of the data in the database.The function R that for example locks LOCK () and unlock command UNLOCK, it is synchronous to be used for the control process.
One, by the medical insurance people by medical insurance and medical station browser (Fig. 1), the general flow of directly handling medical insurance or medical payment business in medical insurance and medical station is as follows:
(1), by the medical insurance people electronics is cured the plug of ticket, the electronics that is inserted in the medical insurance browser of medical insurance and medical station is cured on the ticket dedicated slot, and clicks the webpage on the medical insurance browser, enters the webpage of medical insurance and medical station, according to page prompts, the information such as premium that input is paid.
(2), on automatic cash dispenser, deposited in premium, forwarding (5) content of carrying out electronics doctor ticket to writes by the medical insurance people; Perhaps select the instrument of online payment, as credit card, stored value card, electronic cash, eCheck or Internet bank's number of the account etc., and obtain licensing of bank, on the page of medical insurance browser, prompting according to webpage, import Bank Account Number and password, and bank paying information is encrypted.
(3), the excellent machine of medical insurance and medical station to by the medical insurance people handle medical insurance or medical profession information is checked, is confirmed; and be transmitted to payment gateway by medical insurance people payment information etc. through what encrypt relevant; bank's backstage service server up to bank's dedicated network is confirmed; in the hope of from electronic money issuers such as banks, verify the mandate that is obtained disbursing funds by the medical insurance people.
(4), behind bank's demonstration validation,, send for the browser of medical insurance and medical station and excellent machine and confirm and the payment and settlement successful information by the encrypted tunnel communication of setting up via payment gateway.
(5), the excellent machine of medical insurance and medical station receives that automatic cash dispenser confirms to be paid the bill by the medical insurance people; Perhaps after the online clearing successful information that bank sends, give by medical insurance people's electronics doctor ticket and write the information of handing over premium, and send for the medical insurance browser and paid the bill by the medical insurance people; Perhaps network successful payment and handle the medical insurance business information that finishes; Notice is pulled out electronics doctor ticket by the medical insurance people.
So far, once typical premium process of exchange finishes.
If two, by medical insurance people web handling medical insurance business, the method for this transaction and payment adopts medical insurance and medical station, by the medical insurance people and the bank of deposit thereof, and pair of secret keys (PKI and private key) is all arranged separately.The all covert new method of these PKIs and private key.This method must possess by the medical insurance people in bank of deposit's (calling the bank by the medical insurance people in the following text) number of the account, certain deposit is arranged, by medical insurance people password, and knows the PKI of this bank; There is number of the account medical insurance and medical station in bank of deposit's (calling medical insurance and medical station bank in the following text), have the password of medical insurance and medical station in advance, and know the PKI of this bank; Medical insurance and medical station bank are known by the PKI of medical insurance people bank.Known the PKI of medical insurance and medical station bank by medical insurance people bank.There are being the clearing number of the account in medical insurance and medical station bank by medical insurance people bank.
Carried out web handling medical insurance (Fig. 5) by the medical insurance people by the internet, the basic procedure of business transaction and E-Payment:
(1) connected the internet by medical insurance human client computer (perhaps browser), enter the webpage of medical insurance and medical station with Web browser, according to page prompts, input volume of premium information.And then the means of account settlement of selection online payment, as credit card, stored value card, electronic cash, eCheck or the Internet bank etc.
(2) medical insurance and medical station distinguish that machine is to by medical insurance people's information, check, confirm, and be given to server (excellent machine), excellent machine uses the PKI of medical insurance and medical station bank the PKI of medical insurance and medical station and medical insurance and the encryption of medical station account No., ciphertext is as medical insurance and medical station digital signature, with volume of premium, medical insurance and medical station Bank Name, pass on the net by the medical insurance people together.
(3) by after the medical insurance people confirmation, with private key to it by the account number and the password encryption of medical insurance people bank, the ciphertext conduct is by medical insurance people digital signature, will be by medical insurance people digital signature and medical insurance and medical station digital signature, Payment Amount, medical insurance and medical station Bank Name, by medical insurance people PKI etc., with by the public key encryption of medical insurance people bank, and these ciphertexts are passed to the bank by the medical insurance people.
(4) by medical insurance people bank with oneself private key with decrypt ciphertext, obtain the plaintext, medical insurance and the medical station digital signature that are sent by the medical insurance people and by medical insurance people digital signature; Then with in expressly by medical insurance people PKI to being decrypted by medical insurance people digital signature.Checking by medical insurance people number of the account, password and by the data that the medical insurance people retains after will being deciphered by medical insurance people bank just is confirmed to be the information of being sent by the medical insurance people after errorless.
(5) by medical insurance people bank with medical insurance and medical station bank by clearing number of the account, the password of medical insurance people bank, with the encrypted private key of oneself, as by medical insurance people bank digital signature; Then with collection amount, by the digital signature of medical insurance people bank digital signature, medical insurance and medical station etc., with medical insurance and medical station bank public key encryption, send to medical insurance and medical station bank.To in the account of this bank, be deducted the premium money by the medical insurance people by medical insurance people bank, medical insurance and medical station bank are increased this money in by the balance account of medical insurance people bank, and inform medical insurance and medical station bank additional premium money on its medical insurance and medical station account.
(6) medical insurance and medical station bank receive by after the ciphertext of medical insurance people bank, with oneself private key with decrypt ciphertext, obtain by the cleartext information and the digital signature thereof of the transmission of medical insurance people bank, use then by medical insurance people bank PKI being decrypted by medical insurance people bank digital signature, if success then is confirmed to be and is sent by medical insurance people bank.Medical insurance and medical station bank are decrypted medical insurance and medical station digital signature with own private key again, if successfully, are confirmed to be then that medical insurance and medical station send.Medical insurance and medical station bank use medical insurance and medical station PKI to medical insurance and medical station number of the account, password and medical insurance and medical station amount receivable, send medical insurance and medical station to after encrypting together.
(7) after information is received in medical insurance and medical station, with the private key deciphering of oneself.If it is correct that own amount receivable and medical insurance and medical station number of the account, password are confirmed in medical insurance and medical station.After the information that will be confirmed payment by the PKI of medical insurance people bank and password encryption, send to bank by the medical insurance people., obtained being sent the information and the password of accept money really with decrypt ciphertext by the private key of medical insurance people bank usefulness oneself by the medical insurance people.
(8) medical insurance and medical station bank and by medical insurance people bank in the designated time, settle accounts.
So far, once typical premium transaction and online payment process finish.
Three, be the same by the condition of medical insurance people call handle medical insurance or medical profession and web handling medical insurance or medical profession.Promptly, each have pair of secret keys (PKI and private key) by the medical insurance people and the bank of deposit thereof; In bank of deposit's (calling bank in the following text) number of the account, certain deposit and password are arranged by the medical insurance people by the medical insurance people; And know the PKI of this bank etc.The general flow of its call handle medical insurance or medical profession is:
By the medical insurance people computing machine is connected with telephone wire,, will be transferred on the computer screen of oneself by the browser page of medical insurance people medical insurance and medical station by telephone wire; Operate the premium that the decision selection oneself need be paid according to this page prompts.Selected the means of account settlement of online payment again by the medical insurance people, as credit card, stored value card, electronic cash, eCheck or the Internet bank etc.All the other steps are the same with web handling medical insurance business.
3, medical LCD of medical matters clinic system (calling medical device in the following text) and electronics doctor ticket software all has encryptions, raises the price, modulates and deciphers, same software such as decoding, demodulation, also has the encryption and decryption software of electronics being cured the secure cryptographic algorithm of ticket.It adopts personal identification code (PIN) to discern bearer's identity.Significant data in the electronics doctor ticket also increases message identification code MAC after encrypting.Medical LCD check identification code can be recognized whether electronics doctor ticket is distorted, and show on the LCD of medical device.
This medical device can be made fixed or portable shape and different size; Be made generally in fixed dexterous shape or portable.Its stock size is 8 inches to 14 inches; Can show by medical insurance people's photograph.It can also write down patient's the state of an illness and prescription.
The microcontroller of medical treatment device contains the main microcomputer basic element of character such as microprocessor, random memory, ROM (read-only memory), interrupt system, timer/counter and I/O and circuit etc.Link together by address bus, data bus and control bus between their circuit, get in touch with by the circuit of input/output interface and extraneous computing machine or microcontroller again.Its essence also is slice microcomputer.It has control on the medical device the liquid crystal display displays character and the vital role of image, not only be responsible for coordination and control, and the reading in and storing of burden numeral and parameter to complete machine.
Transition minimized differential signaling (the Transition Minimized DifferentialSignaling that medical treatment device (Fig. 2) adopts, TMDS), digital signal interface (the Digital VisualInterface that not only adapts to mainboard on the LCD, and also need a transmitter and a receiver when carrying out digital transmission DVI).
Because medical device needs and extraneous computing machine intercommunication,, give extraneous COMPUTER DETECTION identification so its identification signal need be provided.In the input/output interface circuit of LCD, display data passage (Display Data Chnnel, DDC) memory circuitry are set.This storer is that a slice can be wiped and formula ROM (read-only memory) able to programme (EEPROM), storage expanded scope recognition data, be the electronic record data information of display, for example can receive row/field frequency scope, production firm, date, product ID, model, standard indicator pattern and parameter, device data and required data in service etc.
The DDC storer of medical treatment device carries out information mutual communication by DDC serial data pin, DDC serial clock pin and extraneous computing machine, finishes the identification of LCD.Have only extraneous computer Recognition LCD, both could be synchronously, coordinate, stably work.
Digital input interface in the medical treatment device receives the TMDS digital signal that the TMDS transmitter is exported in the extraneous computing machine; Deliver to the TMDS receiver in the LCD mainboard; The clock signal of its output is delivered to clock generator.The image zoom processor (SCALER) that digital signal is sent to governor circuit through decoding is handled.Governor circuit carries out form to received image signal to be judged, image is carried out operations such as convergent-divergent processing, framing.
Treated line synchronizing signal in the governor circuit of medical device is sent to phase-locked ring type clock generator circuit, makes the time clock and the locking of line of input synchronizing signal of its generation; Another road be sent to screen show circuit (On Screen Display, OSD).Screen shows row/field sync signal (HS, VS) that circuit needs, and is not row/field sync signal of directly taking from outside input, but takes from the row/field sync signal of governor circuit output.Even LCD is not when having the signal input, its governor circuit is sent to row/field sync signal that screen shows circuit, the timing data good according to programming in advance, row/the field sync signal that in image zoom processor (SCALER), produces, can guarantee LCD when not having the signal input, also can have normal screen to show and the menu demonstration.
Digital signal is handled through the image zoom processor (SCALER) of the governor circuit of LCD, enable to be fit to the digital signal of liquid crystal board physical resolution, together with numeral row/field sync signal, be sent to the liquid crystal board interface circuit, digital video signal be converted to the digital video signal that meets the requirement of liquid crystal board interface circuit.
The digital video signal of liquid crystal board interface circuit after will change of medical treatment device, is sent to the timing circuit and the Drive and Control Circuit of liquid crystal board at independent (if itself comprises display line/field sync signal) or together with display line/field sync signal; Drive LCD; Character display, image on the liquid crystal screen.
Row/field sync signal that the digital input interface of LCD receives also has one the tunnel to be sent to microcontroller, and LCD is carried out administration of energy conservation, and the control LCD enters operate as normal, standby, hang-up, closed condition etc.
The LCD of medical treatment device is used the DisplayPort interface, can realize cheaply directly drive-type LCD, only needs a connecting line just can all be input to all signals in the video processor of mainboard simultaneously.
Contact medical treatment device mainly is made up of input button and the LCD etc. that contains single-chip microcomputer.
The integrated circuit (IC) chip of medical treatment in the device is connected on the golden contact chip that contains circuit board.It by eight on the chip (or six) contact points, contacts with read head on the electronics doctor ticket that power supply is provided in use.After the medical treatment device reads in data on the electronics doctor ticket, whether effective by its microprocessor judges electronics doctor ticket.It is through corresponding routine processes, and its microprocessor sends electronics doctor ticket and reads (writing) instruction; After electronics doctor ticket was received instruction, the central processing unit computing through self judged whether to be the disabled user.If not the disabled user, medical device is then read (writing); Otherwise read (the writing) of its refusal electronics doctor ticket instructs, and the sound that gives the alarm, and occurs literal such as " illegal electronics doctor tickets " on LCD.
When being advanced the medical matters outpatient service by the medical insurance people, the information that medical device will send enters electronics doctor ticket after encrypting.Relevant circuit in the electronics doctor ticket is modulated, is deciphered and decode this signal, and is judged as read command.Electronics doctor ticket reads from storer for information about, and is encoded, encrypt, after the modulation, send to medical device.After the medical treatment device carries out demodulation, deciphering, decoding to the information that receives, deliver to its microcomputer and handle.Through corresponding routine processes, microprocessor sends electronics doctor ticket and reads (writing) instruction in the medical device; After electronics doctor ticket was received instruction, the central processing unit computing through self judged whether to be the disabled user.If not the disabled user, medical device is then read (writing); Otherwise read (the writing) of its refusal electronics doctor ticket instructs, and the sound that gives the alarm, and occurs literal such as " illegal electronics doctor tickets " on LCD.If password and doctor's ticket authority through judging electronics doctor ticket correspondence are not inconsistent, then return various error messages; And on medical device, give the alarm, show alert content.If the relevant circuit in the electronics doctor ticket is modulated, is deciphered and decode this signal, be judged as the write order of modification information then, the internal charge pump that the relevant controlling signal causes promotes operating voltage, and the content in the flash EEPROM is to make amendment for information about.
Cluster and disaster tolerance technology can guarantee the availability of system.For data, cluster and disaster tolerance technology are the presences of protection system, guarantee that data can be accessed at any time.
Each medical insurance or medical station are all write down every situation that business is concrete separately, and gather every day at last, and the result informs medical insurance and medical master station or important medical insurance and medical station.By gathering and preserve in medical insurance and medical master station or important medical insurance and medical station.
Fig. 3 is the structural drawing of the data backup system of medical insurance and medical master station or important medical insurance and medical station.The system backup robotization solution structure of medical insurance and medical master station can be made up of backup client, backup server, media server, redundant memory cell and backup management software etc.
Backup client typically refers to application program, database or file server.It also is used for representing and can and data be sent to the component software of backup server from reading of data in the online storage.
Active and standby part server is used for arranging backup and resuming work, and service data deposit medium.
Media server is according to the instruction of active and standby part of server, copies data on the backup medium.Redundant memory cell is connected with media server.
Redundant memory cell is data tape, disk or CD, usually by media server control and management.
Backup management software is every work of control and management backup client, backup server, media server and redundant memory cell.
Various encryption anti-counterfeitings of native system and safe and secret technology can thoroughly be taken precautions against and be stolen by medical insurance people's personal information and fund information, guarantee that reliable and privacy is not revealed by medical insurance people's fund security.
Existing each hospital, health care institute, cooperative medical service society etc., each LAN (Local Area Network) of having set up also can be used as an excellent machine LAN (Local Area Network) simultaneously, is attached to medical insurance and medical proprietary wide area network.This can not produce any adverse effect to total system.
Tele-consultation system can be held a consultation to basic medical unit by medical insurance and medical proprietary wide area network.
Medical insurance mechanism and medical institutions also can form proprietary wide area network of proprietary medical insurance or medical proprietary wide area network respectively.
Electronics doctor ticket service system is used The present computer technology, the communication technology and Internet technology, can be for provided convenience, handle efficiently medical insurance or medical profession service by the medical insurance people.The medical insurance business is handled in medical insurance that it provided or medical profession station, robotization online or phone, demonstrates fully just, fair and open, just and convenient, safety.Various encryption anti-counterfeitings of native system and safe and secret technology; To by medical insurance people's personal information and fund information, guarantee safe and reliable and do not reveal.

Claims (6)

1, the total technical characterictic of the proprietary wan technology of unit and existing virtual private network technology:,, realize the proprietary wide area network of this unit by using the Internet between a plurality of internal networks of the unit that disperses on the geographic position, setting up the secure communication circuit.The excellent machine of each internal lan that it is characterized in that unit is respectively by distinguishing that machine is connected with router on the Internet, just makes up the proprietary wide area network of this unit.With the excellent machine of each medical insurance medical service activity of certain enterprise, by distinguishing machine, be connected separately with the router on the Internet, just be built into the medical proprietary system (wide area network) of this enterprise.
2, electronics doctor's ticket technology and the total technical characterictic of existing integrated circuit (IC) medical card technology: with no paper doctor's ticket of storage medical matters information on integrated circuit chip.Its technical characterictic is that the input end that electronics is cured the integrated circuit of ticket is attached on the plug of electronics doctor ticket shell, is convenient to be inserted in the special-purpose jack on the medical matters browser; The output coupled of integrated circuit is convenient to show the information of medical insurance and medical treatment on LCD.
3, the total technical characterictic of medical device technology and existing medical card technology: the information that can recognition integrated circuit stores, and send different sound, the true and false of reminds people electronics doctor ticket.Its technical characterictic is that the input end with integrated circuit is attached to input unit on the medical device shell, so that give medical device writing information; The output coupled of integrated circuit is convenient to show various information on LCD.
4, medical insurance money technology and the existing total technical characterictic of medical insurance money technology of handing over are handed in the medical insurance station: click on the medical insurance browser, enter the webpage at medical insurance station, and according to page prompts, the number of input medical insurance money.Its technical characterictic is the true and false that can recognize the possessor of real name electronic doctor ticket, confirm electronics doctor ticket be forge or lost efficacy.
5, hand over medical insurance money technology and the existing online total technical characterictic of medical insurance money technology of handing on the net: be connected the Internet with client computer, enter the webpage at medical insurance station,, after the information such as number of medical insurance are handed in input, select the means of account settlement of online payment according to page prompts.Its technical characterictic is: the excellent machine in medical insurance station is encrypted the PKI at medical insurance station and medical insurance station account No. with the PKI of medical insurance station bank, and ciphertext is as medical insurance station digital signature; By medical insurance human private key to it by the account number and the password encryption of medical insurance people bank, ciphertext is as by medical insurance people digital signature; By medical insurance people bank with medical insurance station bank by clearing number of the account, the password of medical insurance people bank, with the encrypted private key of oneself, as by medical insurance people bank digital signature; Medical insurance station bank to medical insurance station number of the account, password and medical insurance station amount receivable, sends medical insurance station after encrypting together with medical insurance station PKI.
6, utilize telephone wire to hand over medical insurance money technology and the total technical characterictic of existing telephone ticket booking: to be connected with telephone wire by medical insurance human computing machine,, to select the means of account settlement of online payment by telephone wire.Its technical characterictic is that the excellent machine in medical insurance station is encrypted the PKI at medical insurance station and medical insurance station account No. with the PKI of medical insurance station bank, and ciphertext is as medical insurance station digital signature; By medical insurance human private key to it by the account number and the password encryption of medical insurance people bank, ciphertext is as by medical insurance people digital signature; By medical insurance people bank with medical insurance station bank by clearing number of the account, the password of medical insurance people bank, with the encrypted private key of oneself, as by medical insurance people bank digital signature; Medical insurance station bank to medical insurance station number of the account, password and medical insurance station amount receivable, sends medical insurance station after encrypting together with medical insurance station PKI.
CN200910111565A 2009-04-27 2009-04-27 Electric medical affairs system and device Pending CN101533504A (en)

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CN103236933A (en) * 2013-05-13 2013-08-07 陈勇 Online real-name certification system for online medical system and certification method of online real-name certification system
CN103533959A (en) * 2011-05-02 2014-01-22 米伦纽姆医药公司 Formulation for anti-Alpha4Beta7 antibody
CN105741415A (en) * 2016-01-21 2016-07-06 广东华大互联网股份有限公司 Intelligent card automatic service terminal system and application method thereof
CN107171801A (en) * 2017-04-27 2017-09-15 西安诺瓦电子科技有限公司 The method and apparatus of crypto-binding and encryption display control, display screen system

Cited By (9)

* Cited by examiner, † Cited by third party
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WO2011137558A1 (en) * 2010-05-04 2011-11-10 Liu Wenxiang Network finance device and method thereof
CN102541919A (en) * 2010-12-29 2012-07-04 王春雷 Tibetan medicine well-known and old experts' medical skill database information system
CN103533959A (en) * 2011-05-02 2014-01-22 米伦纽姆医药公司 Formulation for anti-Alpha4Beta7 antibody
CN103533959B (en) * 2011-05-02 2018-06-05 米伦纽姆医药公司 The preparation of 4 β of anti alpha, 7 antibody
CN103236933A (en) * 2013-05-13 2013-08-07 陈勇 Online real-name certification system for online medical system and certification method of online real-name certification system
CN103236933B (en) * 2013-05-13 2016-01-20 陈勇 For on-line real name Verification System and the authentication method thereof of online medical system
CN105741415A (en) * 2016-01-21 2016-07-06 广东华大互联网股份有限公司 Intelligent card automatic service terminal system and application method thereof
CN105741415B (en) * 2016-01-21 2019-04-16 广东华大互联网股份有限公司 Smart card automation services terminal system and its application method
CN107171801A (en) * 2017-04-27 2017-09-15 西安诺瓦电子科技有限公司 The method and apparatus of crypto-binding and encryption display control, display screen system

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Application publication date: 20090916