CN106845067A - Business insurance is directly paid for and directly pay passage intelligence conversion system and method - Google Patents
Business insurance is directly paid for and directly pay passage intelligence conversion system and method Download PDFInfo
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- CN106845067A CN106845067A CN201611150711.2A CN201611150711A CN106845067A CN 106845067 A CN106845067 A CN 106845067A CN 201611150711 A CN201611150711 A CN 201611150711A CN 106845067 A CN106845067 A CN 106845067A
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Abstract
Directly paid for the invention discloses a kind of business insurance and directly pay passage intelligence conversion system and method, the system includes that request message receiver module, request message parsing module, Shang Bao companies identification module, request message package module, request message sending module, result packet parsing module, result message assembling module and result message return to module.The present invention solves the problems, such as that each business protects Corporation system and its transmission information ununified message format in hospital side's needed for different business, possesses the ability that many different business protect the treatment of Corporation system differentiation data；The message format of hospital information system HIS requests is unified；Intelligent conversion is carried out to the data that hospital and business are protected between Corporation system, terseness, the ease for use of passage has been improved so that interaction is more smooth, safe efficient.
Description
Technical field
The present invention relates to internet medical information technical field, directly paid in particular to a kind of business insurance and directly pay passage intelligence
Conversion system and method.
Background technology
Commercial health insurance is the important component of China's health security system, accelerates the development of commercial health insurance,
Be conducive to tamping multi-level health security system, meet the diversified health care demand of the people.At this stage, business health
The compensation of insurance mainly by artificial come what is completed under line, is wasted time and energy for patient and insurance institution, patient and business
Industry insurance company is required for expending bigger cost and could complete entirely to compensate flow, has so both been unfavorable for that patient obtained business in time
The compensation of industry health insurance, is also unfavorable for that business protects the management of Corporation system reduction commercial health insurance and compensates cost.At present, exist
Set up business to protect during Corporation system docks passage with hospital information system HIS, due to each business guarantor's Corporation system and its not
Varied with hospital side's transmission information or form needed for business, there is no unified message format, and cause hospital side's HIS systems
Have to protect Corporation system according to different business or identical business protects the different business demand of Corporation system to both sides' mutual message
It is adjusted, so that docking difficulty gradually increases, the maintenance and adjustment to exchange channels are more and more difficult, to exchange channels
Business, the extension of function can not be standardized, and significantly reduced the docking flexibility of passage, stability, scalability, can be safeguarded
Property.
The content of the invention
For defect of the prior art, directly paid for the invention provides a kind of business insurance and directly pay passage intelligence transformation system
System, solves each business and protects asking for Corporation system and its transmission information ununified message format in hospital side's needed for different business
Topic.
To achieve the above object, the business insurance designed by the present invention is directly paid for and directly pay passage intelligence conversion system, and its is special
Part is, including the encapsulation of request message receiver module, request message parsing module, Shang Bao companies identification module, request message
Module, request message sending module, result packet parsing module, result message assembling module and result message return to module；
The request message receiver module：Message for receiving hospital information system request；
The request message parsing module：Message for parsing the hospital information system request, row format of going forward side by side is tested
Card；
Shang Bao companies identification module：For the message asked according to the hospital information system, what judgement to be sent
Business protects Corporation system, and obtains the message format that the business protects Corporation system；
The request message package module：Message format for protecting Corporation system according to the business seals message data
Dress；
The request message sending module：Corporation system is protected for the message after the encapsulation to be sent to the business；
The result packet parsing module：Protect the returning result of Corporation system and parse for receiving the business；
The result message assembles module：The returning result encapsulation of Corporation system is protected for the business after by parsing；
The result message returns to module：The returning result for protecting Corporation system for the business after by encapsulation is sent to doctor
Institute's information system.
Further, the request message receiver module, result message return to the interface side of module and hospital information system
Formula includes WebService, Http, Https.The present invention provides the various ways deployment services such as WebService, Http, Https
Called for hospital information system HIS, there is provided unified entrance, with professional platform independence, across language property, enable hospital HIS according to certainly
Body realizes autonomous Selection and call mode, and the complexity called is reduced as far as possible.
Further, the interface mode of the request message sending module, result packet parsing module and business's insurance system
Including WebService, Http, Https.The present invention provides the various ways such as WebService, Http, Https to meet difference
Business protects the request method that Corporation system needs.
A kind of method for directly paying for intelligent recommendation system online for above-mentioned commercial health insurance, it is characterized in that, bag
Include following steps：
1) request message receiver module receives the message of hospital information system request；
2) request message parsing module is parsed and verified to the message for receiving；
3) according to the message after the parsing, the judgement business to be sent protects Corporation system, and obtains the Shang Bao companies
The message format of system；
4) message that Shang Bao companies identification module is protected after the message format translation resolution of Corporation system according to the business, request
Message package module is packaged：
5) message after the encapsulation is sent to the business and protects Corporation system (10) by request message sending module；
6) result packet parsing module receives the business and protects the returning result of Corporation system and parse；
7) business after result message assembling module receives hospital information system request by parsing protects returning for Corporation system
Return result encapsulation；
8) returning result that the business after result message returns to module by encapsulation protects Corporation system is sent to information for hospital
System.
Preferably, the step 2) in checking include：Non- null authentication, date format checking, length checking, mapping are tested
Whether card, business checking, format specification is met with checking prediction message form.
Preferably, the step 4) in conversion include：Operation code conversion, the conversion of amount of money cell translation, date format,
To meet the interface standard of commercial insurance company.
Preferably, the step 6) in returning result include status indicator, when status indicator is for failure, will failure it is former
Because corresponding change conditional code and miscue information are changed, so that hospital information system can read.
Advantages of the present invention includes：
1) possesses the ability that many different business protect the treatment of Corporation system differentiation data；
2) message format of hospital information system HIS requests has been unified, for hospital, one time business protects interface docking,
Can support that many business protect Corporation system and access, improve the access efficiency of hospital；
3) intelligent conversion has been carried out to the data that hospital and business are protected between Corporation system, has improved the terseness, easily of passage
With property so that interaction is more smooth, safe efficient；
4) by the verification to hospital information system HIS request messages, filtered due to the invalid number that error in data is caused
According to interaction, the expense to network connection is saved.
Brief description of the drawings
Fig. 1 is that business insurance of the present invention directly pays for the straight structured flowchart for paying passage intelligence conversion system.
Fig. 2 is the data flowchart that commercial health insurance of the present invention directly pays for intelligent recommendation method online.
Wherein：Request message receiver module 1, request message parsing module 2, Shang Bao companies identification module 3, request message envelope
Die-filling piece 4, request message sending module 5, as a result packet parsing module 6, as a result message assembling module 7, as a result message return to mould
Block 8, hospital information system 9, business protects Corporation system 10.
Specific embodiment
Below in conjunction with the drawings and specific embodiments, the present invention is described in further detail.
As depicted in figs. 1 and 2, a kind of business insurance of the invention is directly paid for and directly pay passage intelligence conversion system, including request report
Literary receiver module 1, request message parsing module 2, Shang Bao companies identification module 3, request message package module 4, request message hair
Module 5, result packet parsing module 6, result message assembling module 7 and result message is sent to return to module 8.
Request message receiver module 1：Message for receiving the request of hospital information system 9.The system is provided
The various ways such as WebService, Http, Https deployment services are called for hospital information system 9, there is provided unified entrance, tool
There are professional platform independence, across language property, enable hospital HIS according to autonomous Selection and call mode itself is realized, reduce call as far as possible
Complexity.
Request message parsing module 2：Message for parsing the request of hospital information system 9 is for exercisable data and right
Critical field carries out format verification.
Shang Bao companies identification module 3：For the message asked according to hospital information system 9, judgement will be sent to what is specified
Business protects Corporation system 10, and obtains business's guarantor's message format set in advance of Corporation system 10 specified.According to recipient's code
(receiverCode) it is insurance company's code, business is obtained in the present system and protects the corresponding configuration information of Corporation system 10.It is right to obtain
Business is answered to protect the request path of Corporation system 10, request method (WebService, Http, Https), different business protect Corporation system 10 pairs
Answer specific business module coding inconsistent, it is necessary to pass through recipient's code (receiverCode) i.e. insurance company's code matches pair
Answer business to protect the respective handling module of Corporation system 10, then do distribution processor.
Request message package module 4：Protected according to the business for specifying for the result according to Shang Bao companies identification module 3
The message format of Corporation system 10 encapsulates message data.Be converted to accordingly according to the interface specification that correspondence business protects Corporation system 10
Message, the conversion of operation code (busseID), the as above busseID of corresponding A insurance company, correspondence B insurance company
transType；The conversion of relevant amount, the message uniform units of hospital information system 9 for point, Shang Bao companies or for point or for unit,
Or need two-decimal or need four decimals, unified conversion is done in the present system；Correlation closes the conversion of date format, hospital
Information system 9 is " yyyyMMdd ", and business protects Corporation system 10 or for " yyyy-MM-dd " or be " yyyy-MM-dd HH:mm:
Ss ", the system protects the conversion that Corporation system 10 does the correspondence date according to different business.
Request message sending module 5：Corporation system 10 is protected for the message after encapsulation to be sent to business.Request message sends
The message that module 5 will be assembled is sent to correspondence business and protects Corporation system 10, and the requesting party that Corporation system 10 needs is protected according to the business
Formula (WebService, Http, Https) does unified encapsulation.
As a result packet parsing module 6：For receiving, business protects the returning result of Corporation system 10 and to resolve to system operable
Data.As a result packet parsing module 6 parses the returned packet that different business protect Corporation system 10, obtains status indicator, such as A insurances
Company is that errorCode, B insurance company are failureReason, and matching insurance company return code judges whether successfully, right
Failure cause does unified conversion, and the respective field in corresponding operation code, the hospital HIS message of failure cause does unified conversion.
As a result message assembling module 7：Returning result for the business after parsing to be protected Corporation system 10 is encapsulated as system about
The message of the formula that fixes.Return to hospital HIS message format consistent with request message form, change conditional code (errorCode), mistake
Prompt message (errorMsg), enables hospital HIS to do corresponding Business Processing according to prompting by mistake.
As a result message returns to module 8：Returning result for the business after encapsulation to be protected Corporation system 10 is sent to hospital's letter
Breath system 9.
A kind of method for directly paying for intelligent recommendation system online for above-mentioned commercial health insurance, comprises the following steps：
1) request message receiver module 1 receives the message of the request of hospital information system 9.
The message for receiving is as follows：
Request A insurance companies of central hospital message：
Request B insurance companies of central hospital message：
2) message of 2 pairs of receptions of request message parsing module is parsed and verified.Request message parsing module 2 is right first
Whether message correctness and integrality do preliminary identification, and operation code (busseID) is verified, judge open-minded in the system
Corresponding with service；Then serial number (billNum) is settled accounts to personnel's coding (userId), medical serial number (medicalNum), IS
Non- null authentication is done Deng non-NULL field；Then to date fields such as Settlement Date (settleDate), discharges date (dischDate)
Do date format checking；Also include doing the fields such as secondary diagnosis name 1 (diagnosisName1) length checking；To medical class
The field such as (medicalType) does not do dictionary mapping checking, judges that it whether there is in data dictionary；Personnel are encoded
(userId) business checking is done, judges whether this personnel coding can carry out related service treatment.
3) according to the message after parsing, the judgement business to be sent protects Corporation system 10 to Shang Bao companies identification module 3, and obtains
The fixed business of fetching protects the message format of Corporation system 10.Shang Bao companies identification module 3 is according to recipient's code
(receiverCode) it is insurance company's code, Shang Bao companies correspondence configuration information is obtained in the present system.Correspondence business is obtained to protect
The request path of Corporation system 10, request method (WebService, Http, Https), message format.
4) business that request message package module 4 is obtained according to Shang Bao companies identification module 3 protects the message lattice of Corporation system 10
Formula, the message after translation resolution, and be packaged.Request message package module 4 turns according to the interface specification of correspondence insurance company
Be changed to corresponding message, including operation code (busseID) conversion, the as above busseID of corresponding A insurance company, correspondence B protects
The transType of dangerous company；The conversion of relevant amount, hospital HIS system message uniform units for point, Shang Bao companies or for point,
Or for unit or need four decimals of two-decimal or needs；Correlation closes the conversion of date format, and hospital HIS system is
" yyyyMMdd ", business's insurance system or for " yyyy-MM-dd " or be " yyyy-MM-dd HH:mm:ss”.Request message Encapsulation Moulds
Block 4 protects the conversion that Corporation system 10 does operation code, amount units and correspondence date according to different business.Message after encapsulation is as follows
It is shown：
Message after the conversion of A insurance companies：
Message after the conversion of B insurance companies：
5) request message sending module 5 according to business protect Corporation system 10 need request method (WebService, Http,
Https) message after encapsulation is sent to business and protects Corporation system 10.6) result packet parsing module 6 receives business and protects Corporation system
10 returning result is simultaneously parsed.Request message sending module 5 parses the returned packet that different business protect Corporation system 10, obtains state
Mark, such as A insurance companies are that errorCode, B insurance company are failureReason, and matching insurance company return code is sentenced
It is disconnected whether to succeed, unified conversion, the corresponding word in corresponding operation code, the hospital HIS message of failure cause are done to failure cause
Section does unified conversion.
Returned packet is as follows：
A insurance companies returned packet：
B insurance companies returned packet：
7) business after parsing is protected result message assembling module 7 the returning result encapsulation of Corporation system 10；
8) result message returns to module 8 and sends to information for hospital system the returning result that the business after encapsulation protects Corporation system 10
The final result that system 9 is asked as this.
Above in association with most preferred embodiment, invention has been described, but the invention is not limited in implementation disclosed above
Example, and modification, equivalent combinations that various essence of the invention are carried out should be covered.
The content not being described in detail in this specification belongs to prior art known to professional and technical personnel in the field.
Claims (7)
1. a kind of business insurance is directly paid for and directly pay passage intelligence conversion system, it is characterised in that：Including request message receiver module
(1), request message parsing module (2), Shang Bao companies identification module (3), request message package module (4), request message send
Module (5), result packet parsing module (6), result message assemble module (7) and result message returns to module (8)；
The request message receiver module (1)：Message for receiving hospital information system (9) request；
The request message parsing module (2)：Message for parsing the hospital information system (9) request, row format of going forward side by side
Checking；
Shang Bao companies identification module (3)：For the message asked according to the hospital information system (9), judgement will send
Business protect Corporation system (10), and obtain the message format that the business protects Corporation system (10)；
The request message package module (4)：For protecting the message format of Corporation system (10) according to the business by message data
Encapsulation；
The request message sending module (5)：Corporation system (10) is protected for the message after the encapsulation to be sent to the business；
The result packet parsing module (6)：Protect the returning result of Corporation system (10) and parse for receiving the business；
The result message assembles module (7)：The returning result encapsulation of Corporation system (10) is protected for the business after by parsing；
The result message returns to module (8)：The returning result for protecting Corporation system (10) for the business after by encapsulation sends
To hospital information system (9).
2. business insurance according to claim 1 is directly paid for and directly pay passage intelligence conversion system, it is characterised in that：The request
Message receiver module (1), result message return module (8) and the interface mode of hospital information system (9) include WebService,
Http、Https。
3. business insurance according to claim 2 is directly paid for and directly pay passage intelligence conversion system, it is characterised in that：The request
The interface mode of message sending module (5), result packet parsing module (6) and business's insurance system (10) include WebService,
Http、Https。
4. a kind of commercial health insurance for described in any claim in claims 1 to 3 directly pays for intelligent recommendation system online
The method of system, it is characterised in that：Comprise the following steps：
1) request message receiver module (1) receives the message of hospital information system (9) request；
2) request message parsing module (2) is parsed and verified to the message for receiving；
3) according to the message after the parsing, the judgement business to be sent protects Corporation system (10), and obtains the Shang Bao companies
The message format of system (10)；
4) message that Shang Bao companies identification module (3) is protected after the message format translation resolution of Corporation system (10) according to the business,
Request message package module (4) is packaged：
5) message after the encapsulation is sent to the business and protects Corporation system (10) by request message sending module (5)；
6) result packet parsing module (6) receives the business and protects the returning result of Corporation system (10) and parse；
7) result message assembles the business after module (7) receives hospital information system request (9) by parsing and protects Corporation system
(10) returning result encapsulation；
8) returning result that the business after result message returns to module (8) by encapsulation protects Corporation system (10) is sent to hospital's letter
Breath system (9).
5. commercial health insurance according to claim 4 directly pays for intelligent recommendation method online, it is characterised in that：The step
2) checking in includes：Non- null authentication, date format checking, length checking, mapping checking, business checking.
6. commercial health insurance according to claim 4 directly pays for intelligent recommendation method online, it is characterised in that：The step
4) conversion in includes：Operation code conversion, the conversion of amount of money cell translation, date format.
7. commercial health insurance according to claim 4 directly pays for intelligent recommendation method online, it is characterised in that：The step
6) returning result includes status indicator in, when status indicator is for failure, by corresponding change conditional code and the mistake of failure cause
Prompt message is changed by mistake.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611150711.2A CN106845067A (en) | 2016-12-14 | 2016-12-14 | Business insurance is directly paid for and directly pay passage intelligence conversion system and method |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611150711.2A CN106845067A (en) | 2016-12-14 | 2016-12-14 | Business insurance is directly paid for and directly pay passage intelligence conversion system and method |
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| CN106845067A true CN106845067A (en) | 2017-06-13 |
Family
ID=59139886
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| CN201611150711.2A Pending CN106845067A (en) | 2016-12-14 | 2016-12-14 | Business insurance is directly paid for and directly pay passage intelligence conversion system and method |
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| CN107729376A (en) * | 2017-09-13 | 2018-02-23 | 平安科技（深圳）有限公司 | Insurance data checking method, device, computer equipment and storage medium |
| CN108416572A (en) * | 2018-03-09 | 2018-08-17 | 梧桐树保险经纪有限公司 | A method of each insurance company flow of insuring is integrated into general flow of insuring |
| CN109615548A (en) * | 2018-12-14 | 2019-04-12 | 泰康保险集团股份有限公司 | A kind of Shang Baozhi pays the method and device of clearing |
| CN109685666A (en) * | 2017-10-18 | 2019-04-26 | 四川智迅车联科技有限公司 | Vehicle insurance insurance data acquisition system |
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