CN109522688B - Renal failure qualification authentication method, equipment and server based on data processing - Google Patents
Renal failure qualification authentication method, equipment and server based on data processing Download PDFInfo
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- CN109522688B CN109522688B CN201811265824.6A CN201811265824A CN109522688B CN 109522688 B CN109522688 B CN 109522688B CN 201811265824 A CN201811265824 A CN 201811265824A CN 109522688 B CN109522688 B CN 109522688B
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- G06F21/30—Authentication, i.e. establishing the identity or authorisation of security principals
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Abstract
The embodiment of the invention discloses a kidney failure qualification authentication method, equipment and a server based on data processing, wherein the method comprises the following steps: receiving a kidney failure qualification authentication request sent by a user terminal, wherein the kidney failure qualification authentication request carries a user identifier; invoking a first authentication data set corresponding to the user identifier from a preset database, and detecting whether first authentication data in the first authentication data set meets a target qualification authentication condition of renal failure; if the detection result is yes, determining that qualification authentication of the renal failure is successful, and determining a target grade of the renal failure of the user corresponding to the user identifier according to preset weight corresponding to the first authentication data; and the user identification and the target grade are sent to a medical insurance terminal so as to realize automatic and intelligent authentication of renal failure, and the authentication efficiency and the medical insurance reimbursement efficiency are improved.
Description
Technical Field
The present invention relates to the field of computer technologies, and in particular, to a method, an apparatus, and a server for authenticating renal failure qualification based on data processing.
Background
The medical insurance user needs to authenticate whether the patient has the special disease before reimburseing the diagnosis and treatment cost of the special disease, at present, a common authentication mode generally adopts manual authentication, and the patient often needs to be queued for authentication, so that the workload of staff is increased, the authentication efficiency is reduced, and the user experience is poor. Therefore, how to more effectively provide disease authentication for users is important.
Disclosure of Invention
The embodiment of the invention provides a kidney failure qualification authentication method, equipment and a server based on data processing, which realize intelligent and automatic authentication of kidney failure and improve authentication efficiency and medical insurance reimbursement efficiency.
In a first aspect, an embodiment of the present invention provides a method for authenticating renal failure qualification based on data processing, the method including:
receiving a kidney failure qualification authentication request sent by a user terminal, wherein the kidney failure qualification authentication request carries a user identifier;
invoking a first authentication data set corresponding to the user identifier from a preset database, and detecting whether first authentication data in the first authentication data set meets a target qualification authentication condition of renal failure;
If the detection result is yes, determining that qualification authentication of the renal failure is successful, and determining a target grade of the renal failure of the user corresponding to the user identifier according to preset weight corresponding to the first authentication data;
and sending the user identification and the target grade to a medical insurance terminal, wherein the target grade is used for indicating the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade.
Further, the kidney failure qualification authentication request also carries target position information of the user terminal; before the step of detecting whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure, the method further comprises:
determining a target position area corresponding to the target position information according to the corresponding relation between the preset position information and the position area;
and determining a target qualification certification condition corresponding to the target position area according to the corresponding relation between the preset position area and the qualification certification condition of the renal failure.
Further, the first authentication data includes first symptom data and diagnosis and treatment data; the detecting whether the first authentication data in the first authentication data set meets a target qualification authentication condition of renal failure includes:
Acquiring a first quantity of first symptom data in the first authentication data, wherein the first quantity of first symptom data is matched with symptom verification data in the target qualification authentication condition;
obtaining a second quantity of diagnosis and treatment data matched with diagnosis and treatment check data in the target qualification certification condition in the first certification data;
detecting whether the first number is greater than a sum of the second number and 1;
and if the detection result is yes, determining that the first authentication data in the first authentication data set meets the target qualification authentication condition.
Further, the method further comprises:
if the first quantity is detected to be smaller than or equal to the sum of the second quantity and 1, determining that first authentication data in the first authentication data set does not meet the target qualification authentication condition;
sending prompt information to the user terminal, wherein the prompt information is used for prompting a user at the user terminal side to input a second authentication data set;
and receiving a second authentication data set returned by the user terminal aiming at the prompt information, and detecting whether first authentication data in the first authentication data set and second authentication data in the second authentication data set meet the target qualification authentication condition.
Further, the second authentication data includes second symptom data; the detecting whether the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition includes:
acquiring a third number of second symptom data matched with the symptom verification data of the target qualification certification condition in the second certification data;
detecting whether the sum of the first number and the third number is greater than the sum of the second number and 1;
and if the detection result is yes, determining that the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition.
Further, after said determining said target level of renal failure for said user identification corresponding to said user, further comprising:
determining target recommendation information corresponding to the target grade according to the corresponding relation between the preset grade and the recommendation information, and sending the target recommendation information to the user terminal;
wherein the recommendation information includes: any one or more of diet recommendation information, hospital recommendation information, exercise mode recommendation information and insurance recommendation information.
Further, after the user identifier and the target level are sent to the medical insurance terminal, the method further includes:
if the warning information sent by the medical insurance terminal is received, determining to record the user identification into a preset blacklist database;
the warning information is used for prompting the user corresponding to the user identifier that the number of diseases of medical insurance reimbursement in a preset time range is larger than a preset threshold value and refusing reimbursement.
In a second aspect, an embodiment of the present invention provides a renal failure qualification apparatus based on data processing, the diagnostic device comprising means for performing the method of the first aspect described above.
In a third aspect, an embodiment of the present invention provides a server, including a processor, an input device, an output device, and a memory, where the processor, the input device, the output device, and the memory are connected to each other, where the memory is configured to store a computer program supporting execution of the method by a diagnostic device, where the computer program includes program instructions, and where the processor is configured to invoke the program instructions to perform the method of the first aspect.
In a fourth aspect, embodiments of the present invention provide a computer readable storage medium storing a computer program comprising program instructions which, when executed by a processor, cause the processor to perform the method of the first aspect described above.
In the embodiment of the invention, the server can receive the kidney failure qualification authentication request sent by the user terminal, wherein the kidney failure qualification authentication request carries the user identifier. The server can call a first authentication data set corresponding to the user identifier from a preset database, detect whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure, if so, determine that the qualification authentication of the renal failure is successful, and determine the target grade of the renal failure of the user corresponding to the user identifier according to preset weight corresponding to the first authentication data. The server can send the user identification and the target grade to a medical insurance terminal so as to instruct the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade. By the mode, the automatic and intelligent authentication of renal failure is realized, and the authentication efficiency, reimbursement efficiency and medical insurance reimbursement efficiency are improved.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the description of the embodiments will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic flow chart of a kidney failure qualification certification method based on data processing according to an embodiment of the present invention;
FIG. 2 is a schematic flow chart of another method for authenticating renal failure qualification based on data processing provided by an embodiment of the present invention;
FIG. 3 is a schematic flow chart of yet another method for authenticating renal failure based on data processing provided by an embodiment of the present invention;
fig. 4 is a schematic block diagram of a kidney failure qualification certification device based on data processing according to an embodiment of the present invention;
fig. 5 is a schematic block diagram of a server according to an embodiment of the present invention.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and fully with reference to the accompanying drawings, in which it is evident that the embodiments described are some, but not all embodiments of the invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
The kidney failure qualification authentication method based on data processing provided by the embodiment of the invention can be executed by a kidney failure qualification authentication system, and the kidney failure qualification authentication system comprises: the kidney failure qualification authentication device based on data processing and the user terminal are arranged on a server, and in some embodiments, the server can be an intelligent terminal such as a mobile phone, a computer, a tablet, a smart watch and the like. In some embodiments, a communication connection may be established between the server and the user terminal for bi-directional communication. In some embodiments, the server may be spatially independent of the user terminal. In some embodiments, the user terminal may include: and intelligent terminals such as mobile phones, computers, tablets, intelligent watches and the like.
The user terminal in the kidney failure qualification authentication system may send a kidney failure qualification authentication request to a server, where the kidney failure qualification authentication request carries a user identifier, and the server may call a first authentication data set corresponding to the user identifier from a preset database after receiving the kidney failure qualification authentication request. If the authentication data in the authentication data set meets the target qualification authentication condition of the renal failure, the successful qualification authentication of the renal failure can be determined, the target grade of the renal failure corresponding to the user identification is determined according to the preset weight corresponding to each authentication data in the first authentication data set, the user identification and the target grade are sent to a medical insurance terminal, and the target grade is used for indicating the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade. By the method, the automatic and intelligent qualification authentication of the renal failure is realized, and the authentication efficiency and the medical insurance reimbursement efficiency are improved. The following describes a data processing-based renal failure qualification authentication method according to an embodiment of the present invention schematically with reference to the accompanying drawings.
Referring to fig. 1, fig. 1 is a schematic flowchart of a data processing-based renal failure qualification authentication method according to an embodiment of the present invention, and as shown in fig. 1, the method may be applied to a data processing-based renal failure qualification authentication device, where the data processing-based renal failure qualification authentication device is disposed on a server, and a specific explanation of the server is as described above, which is not repeated herein. Specifically, the method of the embodiment of the invention comprises the following steps.
S101: and receiving a kidney failure qualification authentication request sent by the user terminal, wherein the kidney failure qualification authentication request carries a user identifier.
In the embodiment of the invention, the server can receive a kidney failure qualification authentication request sent by the user terminal, wherein the kidney failure qualification authentication request carries a user identifier, and in some embodiments, the user identifier can include any one or more of identification information associated with the user, such as a user name, a doctor card number, a user identity card number, and the like.
S102: and calling a first authentication data set corresponding to the user identifier from a preset database, and detecting whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure.
In the embodiment of the invention, the server can call the authentication data set corresponding to the user identifier from the preset database and detect whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure. In certain embodiments, the first authentication data includes first symptom data and/or medical data.
In some embodiments, the preset database may be a local database of a server, in some embodiments, a database of third party terminal devices, in some embodiments, the server may establish a communication connection with the third party terminal devices, in some embodiments, the third party terminal devices may be terminal devices for storing authentication data of the user, such as a database of a hospital.
In one embodiment, the symptom data may include digestive system symptom data, central and peripheral neuropathy data, skin itch data, malnutrition data, water retention data, hypertension, congestive heart failure, etc., and the diagnosis and treatment data may include glomerular filtration rate.
In one embodiment, when the server invokes the authentication data set corresponding to the user identifier from the preset database, all authentication data sets corresponding to the user identifier may be invoked from the preset database according to the user identifier.
In one embodiment, the kidney failure qualification authentication request carries a kidney failure identifier, the preset database includes a plurality of sub-databases, and when the server calls the first authentication data set corresponding to the user identifier from the preset database, the server may query the sub-databases corresponding to the user identifier and the kidney failure identifier from the preset database according to the user identifier and the kidney failure identifier, and call the first authentication data set corresponding to the kidney failure qualification authentication from the sub-databases.
In one embodiment, the first authentication data includes first symptom data and/or diagnosis and treatment data, the target qualification authentication condition of renal failure includes symptom verification data and/or diagnosis and treatment verification data, and the server may detect whether the first symptom data matches symptom verification data in the target qualification authentication condition of renal failure and/or detect whether the diagnosis and treatment data matches diagnosis and treatment verification data in the target qualification authentication condition of renal failure when detecting whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure, and/or determine that the first authentication data in the authentication data set meets the target qualification authentication condition of renal failure if detecting that the first symptom data matches the symptom verification data and/or the diagnosis and treatment data matches the diagnosis and treatment verification data.
S103: if the detection result is yes, the qualification authentication of the renal failure is determined to be successful, and the target grade of the renal failure of the user corresponding to the user identification is determined according to the preset weight corresponding to the first authentication data.
In the embodiment of the present invention, after determining that the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure, the server may determine that qualification authentication of renal failure is successful, and determine, according to a preset weight corresponding to the first authentication data, a target level of renal failure corresponding to the user identifier. In one embodiment, the server may determine the target grade of the renal failure of the user corresponding to the user identifier according to a preset correspondence between the weight and the grade corresponding to the first authentication data.
For example, assuming that the preset weight corresponding to the first authentication data is a, if the preset weight a of the preset first authentication data corresponds to a target level B, it may be determined that the target level of renal failure of the user corresponding to the user identification is B.
In one embodiment, the server may calculate a target ratio of the number of the first authentication data satisfying the target qualification authentication condition to the total data amount of the first authentication data, determine a target grade corresponding to the target ratio according to a preset correspondence between the ratio and the grade, and determine the target grade as the target grade of renal failure suffered by the user corresponding to the user identifier.
S104: and sending the user identification and the target grade to a medical insurance terminal.
In the embodiment of the invention, after the server determines that the qualification authentication of the renal failure is successful, the user identifier and the target grade are sent to a medical insurance terminal, wherein the target grade is used for indicating the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade.
In one embodiment, when the server sends the user identifier and the target grade to the medical insurance terminal for medical insurance reimbursement processing, the medical insurance reimbursement instruction can be generated according to the user identifier and the target grade, and the medical insurance reimbursement instruction is used for indicating the medical insurance terminal to determine a target reimbursement proportion of renal failure according to the target grade, and reimburses diagnosis and treatment cost of the renal failure for the user corresponding to the user identifier according to the target reimbursement proportion.
In one embodiment, after the server sends the user identifier and the target level to the medical insurance terminal, if the warning information sent by the medical insurance terminal is received, the server may determine to record the user identifier in a preset blacklist database; the warning information is used for prompting the user corresponding to the user identifier that the number of diseases of medical insurance reimbursement in a preset time range is larger than a preset threshold value, and reimbursement is refused.
In the embodiment of the invention, the server can receive the kidney failure qualification authentication request sent by the user terminal, wherein the kidney failure qualification authentication request carries the user identifier. The server can call a first authentication data set corresponding to the user identifier from a preset database, detect whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure, if so, determine that the qualification authentication of the renal failure is successful, and determine the target grade of the renal failure of the user corresponding to the user identifier according to preset weight corresponding to the first authentication data. The server can send the user identification and the target grade to a medical insurance terminal so as to instruct the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade. By the mode, the automatic and intelligent authentication of renal failure is realized, and the authentication efficiency, reimbursement efficiency and medical insurance reimbursement efficiency are improved.
Referring to fig. 2, fig. 2 is a schematic flowchart of another method for authenticating renal failure based on data processing according to an embodiment of the present invention, as shown in fig. 2, the method may be performed by a server, and a specific explanation of the server is as described above, which is not repeated here. Specifically, the method of the embodiment of the invention comprises the following steps.
S201: and receiving a kidney failure qualification authentication request sent by the user terminal, wherein the kidney failure qualification authentication request carries a user identifier and target position information of the user terminal.
In the embodiment of the present invention, the server may receive a kidney failure qualification authentication request sent by the user terminal, where the kidney failure qualification authentication request carries a user identifier, and explanation of the user identifier is as described above and will not be repeated here. In some embodiments, the target location information is used to indicate a location where the user terminal is located, where the target location information may be coordinate information of a global positioning system (Global Positioning System, GPS) or longitude and latitude information, and embodiments of the present invention are not limited specifically.
S202: and calling a first authentication data set corresponding to the user identification from a preset database.
In the embodiment of the present invention, the server may call a first authentication data set corresponding to the user identifier from a preset database, where the first authentication data set includes first authentication data, and explanation of the first authentication data is as described above and will not be repeated here.
S203: and determining a target position area corresponding to the target position information according to the corresponding relation between the preset position information and the position area.
In the embodiment of the invention, the server can determine the target position area corresponding to the target position information according to the corresponding relation between the preset position information and the position area. In some embodiments, the location area may be a geographical location area, such as a province, a city, a county, etc., where the location information corresponds.
S204: and determining a target qualification certification condition corresponding to the target position area according to the corresponding relation between the preset position area and the qualification certification condition of the renal failure.
In the embodiment of the invention, the server can determine the target qualification certification condition corresponding to the target location area according to the corresponding relation between the preset location area and the qualification certification condition of the renal failure. In some embodiments, different location areas may correspond to different qualification conditions for renal failure.
In one embodiment, the target qualification conditions corresponding to the target location area of the renal failure include symptom verification data and diagnosis and treatment verification data as shown in table 1, and as can be seen from table 1, the symptom verification data includes: digestive system symptoms, central and peripheral neuropathy, severe skin itching, severe malnutrition, severe water retention, hypertension, congestive heart failure; the diagnosis and treatment check data comprises: glomerular filtration rate (gfr) <15min. In some embodiments, the glomerular filtration rate is calculated according to a predetermined formula, which may be: gfr= (140-age) body weight/creatinine concentration (ml/dl) 72. In some embodiments, if female, the predetermined formula is: gfr= (140-age) body weight/creatinine concentration (ml/dl) 72 x 0.85.
TABLE 1
S205: detecting whether first authentication data in the first authentication data set meets the target qualification authentication condition.
In the embodiment of the invention, the server can detect whether the first authentication data in the first authentication data set meets the target qualification authentication condition.
In one embodiment, the first authentication data may include first symptom data and diagnosis and treatment data, and the server may obtain a first amount of the first symptom data in the first authentication data that matches the symptom verification data in the target qualification condition, and obtain a second amount of the diagnosis and treatment data in the first authentication data that matches the diagnosis and treatment verification data in the target qualification condition. The server may detect whether the first number is greater than a sum of the second number and 1, and if so, may determine that first authentication data in the first authentication data set meets the target qualification authentication condition.
For example, assuming that the symptom verification data and the diagnosis and treatment verification data in the target qualification condition are shown in table 1, if the first symptom data included in the first authentication data acquired by the server includes: central and peripheral neuropathy, severe skin itching and hypertension, and the acquired diagnosis and treatment data comprise: the glomerular filtration rate is less than 15ml/min, that is, the number of the first symptom data satisfying the target qualification certification condition is 3,3 is greater than 2, and the server may determine that the first certification data in the first certification data set satisfies the target qualification certification condition.
In one embodiment, if the server detects that the first number is less than or equal to the sum of the second number and 1, determining that the first authentication data in the first authentication data set does not meet the target qualification authentication condition, and sending prompt information to the user terminal, where the prompt information is used to prompt a user on the user terminal side to input a second authentication data set. The server can receive a second authentication data set returned by the user terminal aiming at the prompt information and detect whether first authentication data in the first authentication data set and second authentication data in the second authentication data set meet the target qualification authentication condition.
For example, assuming that the symptom verification data and the diagnosis and treatment verification data in the target qualification condition are shown in table 1, if the first symptom data included in the first authentication data acquired by the server includes: central and peripheral neuropathy, and the diagnosis and treatment data obtained includes: the glomerular filtration rate is less than 15ml/min, and the number of the first symptom data meeting the target qualification condition can be determined to be 1, and the server can determine that the first authentication data in the first authentication data set meets the target qualification condition because 1 is less than 2 and does not meet the target qualification condition described in table 1.
S206: if the detection result is negative, sending prompt information to the user terminal, and receiving a second authentication data set returned by the user terminal aiming at the prompt information.
In the embodiment of the present invention, if the server detects that the first authentication data in the first authentication data set does not meet the target qualification authentication condition, the server may send a prompt message to the user terminal, and receive a second authentication data set returned by the user terminal for the prompt message, where the second authentication data set includes second authentication data.
In one embodiment, the second authentication data may include second symptom data, the server may acquire a third number of second symptom data matching symptom verification data of the target qualification in the second authentication data when determining whether the first authentication data in the first authentication data set and the second authentication data in the second authentication data set satisfy the target qualification, and detect whether a sum of the first number and the third number is greater than a sum of the second number and 1, and if so, may determine that the first authentication data in the first authentication data set and the second authentication data in the second authentication data set satisfy the target qualification. In some embodiments, the second set of authentication data includes second authentication data, which may include: any one or more data of digestive system symptoms, severe skin itch, severe malnutrition, severe water retention, hypertension, congestive heart failure and the like.
For example, assuming that the symptom verification data and the diagnosis and treatment verification data in the target qualification condition are shown in table 1, if the server determines that the first number of first symptom data satisfying the target qualification condition in the first authentication data is 1, it may be determined that the first authentication data does not satisfy the target qualification condition. The server may send a prompt message to the user terminal, where the prompt message is used to prompt a user at the user terminal side to input a second authentication data set, and if second authentication data in the second authentication data set input by the user includes: the server may obtain a third number of second symptom data of the second authentication data, which is matched with the symptom verification data of the target qualification certification condition in table 1, of two data of hypertension and congestive heart failure, and thus may determine that the sum of the first number 1 and the third number 2 is 3, and may determine that the first authentication data and the second authentication data satisfy the target qualification certification condition in table 1 because 3 is greater than 2.
S207: and if the first authentication data in the first authentication data set and the second authentication data in the second authentication data set are detected to meet the target qualification authentication condition, determining that qualification authentication of the renal failure is successful.
In the embodiment of the present invention, if the server detects that the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition, it determines that qualification authentication of the renal failure is successful.
S208: and determining a target grade of the renal failure of the user corresponding to the user identification according to the first authentication data and the second authentication data.
In the embodiment of the invention, the server can determine the target grade of the renal failure of the user corresponding to the user identifier according to the first authentication data and the second authentication data.
In one embodiment, after determining that the qualification of the renal failure is successful, if it is detected that the first authentication data and the second authentication data satisfy the target qualification condition, the server may determine that the qualification of the renal failure is successful, and determine the target level of the renal failure for the user identifier corresponding to the user according to a preset weight corresponding to the first authentication data and a preset weight corresponding to the second authentication data.
In one embodiment, the server may determine a first level corresponding to the first authentication data and a second level corresponding to the second authentication data according to a preset correspondence between a weight corresponding to the first authentication data, a weight corresponding to the second authentication data and a level, calculate an average level of the first level and the second level, and determine the average level as the target level of the renal failure of the user corresponding to the user identifier.
For example, assuming that the preset weight corresponding to the first authentication data is A1 and the preset weight corresponding to the second authentication data is A2, if the preset weight A1 of the preset first authentication data corresponds to the target level B1 and the preset weight A2 of the preset second authentication data corresponds to the target level B2, it may be determined that the target level of renal failure of the user corresponding to the user id is (b1+b2)/2.
S209: and sending the user identification and the target grade to a medical insurance terminal.
In the embodiment of the invention, after the server determines that the qualification authentication of the renal failure is successful, the user identifier and the target grade are sent to a medical insurance terminal, wherein the target grade is used for indicating the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade. The process of the specific embodiment is as described above, and will not be described here again.
In the embodiment of the invention, the server can receive the kidney failure qualification authentication request sent by the user terminal, wherein the kidney failure qualification authentication request carries the user identifier and the target position information of the user terminal. The server may call a first authentication data set corresponding to the user identifier from a preset database, determine a target location area corresponding to the target location information according to a corresponding relation between preset location information and location areas, and determine a target qualification authentication condition corresponding to the target location area according to a corresponding relation between the preset location area and a qualification authentication condition of renal failure. If the server detects that the first authentication data in the first authentication data set does not meet the target qualification authentication condition, prompt information can be sent to the user terminal, a second authentication data set returned by the user terminal aiming at the prompt information is received, whether the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition is determined, and if yes, successful qualification authentication of the renal failure can be determined. By the mode, the automatic and intelligent authentication of renal failure is realized, and the authentication efficiency and the medical insurance reimbursement efficiency are improved.
Referring to fig. 3, fig. 3 is a schematic flowchart of yet another method for authenticating renal failure based on data processing according to an embodiment of the present invention, as shown in fig. 3, the method may be performed by a server, and a specific explanation of the server is as described above, which is not repeated herein. Specifically, the method of the embodiment of the invention comprises the following steps.
S301: and receiving a kidney failure qualification authentication request sent by the user terminal, wherein the kidney failure qualification authentication request carries a user identifier.
In the embodiment of the present invention, the server may receive a kidney failure qualification authentication request sent by the user terminal, where the kidney failure qualification authentication request carries a user identifier, and explanation of the user identifier is as described above and will not be repeated here.
S302: and calling a first authentication data set corresponding to the user identifier from a preset database, and detecting whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure.
In the embodiment of the invention, the server can call the first authentication data set corresponding to the user identifier from the preset database and detect whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure. The schematic illustration of the specific embodiments is as described above and will not be repeated here.
S303: if the detection result is yes, the qualification authentication of the renal failure is determined to be successful, and the target grade of the renal failure of the user corresponding to the user identification is determined according to the preset weight corresponding to the first authentication data.
In the embodiment of the invention, after determining that the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure, the qualification authentication of renal failure can be determined to be successful, and the target grade of renal failure of the user corresponding to the user identifier is determined according to the preset weight corresponding to the first authentication data. Specific embodiments and examples are as described above and will not be described in detail herein.
S304: and determining target recommendation information corresponding to the target grade according to the corresponding relation between the preset grade and the recommendation information, and sending the target recommendation information to the user terminal.
In the embodiment of the invention, after determining the target grade of the renal failure corresponding to the user identifier, the server may determine target recommendation information corresponding to the target grade according to a preset corresponding relation between the grade and recommendation information, and send the target recommendation information to the user terminal. In some embodiments, the recommendation information includes: any one or more of diet recommendation information, hospital recommendation information, exercise mode recommendation information and insurance recommendation information.
In the embodiment of the invention, the server can receive a kidney failure qualification authentication request carrying a user identifier sent by a user terminal, call a first authentication data set corresponding to the user identifier from a preset database, determine that kidney failure qualification authentication is successful if the first authentication data in the first authentication data set meets the target qualification authentication condition of kidney failure, determine a target grade of kidney failure corresponding to the user identifier according to a preset weight corresponding to the first authentication data, determine target recommendation information corresponding to the target grade according to a corresponding relation between the preset grade and recommendation information, and send the target recommendation information to the user terminal. According to the method, the target grade of the renal failure can be determined on the basis of realizing automatic and intelligent authentication of the renal failure, and target recommendation information is sent to the user terminal according to the target grade, so that a user can adjust living habits or select hospital visits according to the target recommendation information, and therefore the visit efficiency and the medical insurance reimbursement efficiency are improved.
The embodiment of the invention also provides a kidney failure qualification authentication device based on data processing, which is arranged on a server and is used for executing the unit of any one of the methods. In particular, referring to fig. 4, fig. 4 is a schematic block diagram of a renal failure qualification apparatus based on data processing according to an embodiment of the present invention. The renal failure qualification authentication apparatus based on data processing of the present embodiment includes: a receiving unit 401, a detecting unit 402, a determining unit 403, and a transmitting unit 404.
A receiving unit 401, configured to receive a kidney failure qualification authentication request sent by a user terminal, where the kidney failure qualification authentication request carries a user identifier;
a detection unit 402, configured to invoke a first authentication data set corresponding to the user identifier from a preset database, and detect whether first authentication data in the first authentication data set meets a target qualification certification condition of renal failure;
a determining unit 403, configured to determine that qualification authentication of the renal failure is successful if the detection result is yes, and determine, according to a preset weight corresponding to the first authentication data, a target level of the renal failure of the user corresponding to the user identifier;
And the sending unit 404 is configured to send the user identifier and the target level to a medical insurance terminal, where the target level is used to instruct the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target level.
Further, the kidney failure qualification authentication request also carries target position information of the user terminal; the detecting unit 402 is further configured to, before detecting whether the first authentication data in the first authentication data set meets a target qualification criterion for renal failure:
determining a target position area corresponding to the target position information according to the corresponding relation between the preset position information and the position area;
and determining a target qualification certification condition corresponding to the target position area according to the corresponding relation between the preset position area and the qualification certification condition of the renal failure.
Further, the first authentication data includes first symptom data and diagnosis and treatment data; the detecting unit 402 is specifically configured to, when detecting whether the first authentication data in the first authentication data set meets a target qualification authentication condition for renal failure:
acquiring a first quantity of first symptom data in the first authentication data, wherein the first quantity of first symptom data is matched with symptom verification data in the target qualification authentication condition;
Obtaining a second quantity of diagnosis and treatment data matched with diagnosis and treatment check data in the target qualification certification condition in the first certification data;
detecting whether the first number is greater than a sum of the second number and 1;
and if the detection result is yes, determining that the first authentication data in the first authentication data set meets the target qualification authentication condition.
Further, the detecting unit 402 is further configured to:
if the first quantity is detected to be smaller than or equal to the sum of the second quantity and 1, determining that first authentication data in the first authentication data set does not meet the target qualification authentication condition;
sending prompt information to the user terminal, wherein the prompt information is used for prompting a user at the user terminal side to input a second authentication data set;
and receiving a second authentication data set returned by the user terminal aiming at the prompt information, and detecting whether first authentication data in the first authentication data set and second authentication data in the second authentication data set meet the target qualification authentication condition.
Further, the second authentication data includes second symptom data; the detecting unit 402 is specifically configured to, when determining whether the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition:
Acquiring a third number of second symptom data matched with the symptom verification data of the target qualification certification condition in the second certification data;
detecting whether the sum of the first number and the third number is greater than the sum of the second number and 1;
and if the detection result is yes, determining that the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition.
Further, after determining the target level of renal failure for the user for which the user identification corresponds, the determining unit 403 is further configured to:
determining target recommendation information corresponding to the target grade according to the corresponding relation between the preset grade and the recommendation information, and sending the target recommendation information to the user terminal;
wherein the recommendation information includes: any one or more of diet recommendation information, hospital recommendation information, exercise mode recommendation information and insurance recommendation information.
Further, after the sending unit 404 sends the user identifier and the target level to the medical insurance terminal, the sending unit is further configured to:
if the warning information sent by the medical insurance terminal is received, determining to record the user identification into a preset blacklist database;
The warning information is used for prompting the user corresponding to the user identifier that the number of diseases of medical insurance reimbursement in a preset time range is larger than a preset threshold value and refusing reimbursement.
In this embodiment of the present invention, the receiving unit 401 may receive a renal failure qualification authentication request sent by a user terminal, where the renal failure qualification authentication request carries a user identifier, the detecting unit 402 invokes a first authentication dataset corresponding to the user identifier from a preset database, if it is detected that first authentication data in the first authentication dataset meets a target qualification authentication condition of renal failure, the determining unit 403 may determine that the qualification authentication of renal failure is successful, and determine, according to a preset weight corresponding to the first authentication data, a target grade of renal failure corresponding to the user identifier, where the sending unit 404 may send the user identifier and the target grade to a medical insurance terminal, so as to instruct the medical insurance terminal to reimburse a diagnosis and treatment cost of renal failure according to the target grade. By the mode, the automatic and intelligent authentication of renal failure is realized, and the authentication efficiency and the medical insurance reimbursement efficiency are improved.
Referring to fig. 5, fig. 5 is a schematic block diagram of a server according to an embodiment of the present invention. The server in the present embodiment as shown in the drawings may include: one or more processors 501; one or more input devices 502, one or more output devices 503, and a memory 504. The processor 501, the input device 502, the output device 503, and the memory 504 are connected via a bus 505. The memory 504 is used for storing a computer program comprising program instructions, and the processor 501 is used for executing the program instructions stored by the memory 504. Wherein the processor 501 is configured to invoke the program instruction execution:
receiving a kidney failure qualification authentication request sent by a user terminal, wherein the kidney failure qualification authentication request carries a user identifier;
invoking a first authentication data set corresponding to the user identifier from a preset database, and detecting whether first authentication data in the first authentication data set meets a target qualification authentication condition of renal failure;
if the detection result is yes, determining that qualification authentication of the renal failure is successful, and determining a target grade of the renal failure of the user corresponding to the user identifier according to preset weight corresponding to the first authentication data;
And sending the user identification and the target grade to a medical insurance terminal, wherein the target grade is used for indicating the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade.
Further, the kidney failure qualification authentication request also carries target position information of the user terminal; the processor 501 is further configured to, before detecting whether the first authentication data in the first authentication data set meets a target qualification condition for renal failure:
determining a target position area corresponding to the target position information according to the corresponding relation between the preset position information and the position area;
and determining a target qualification certification condition corresponding to the target position area according to the corresponding relation between the preset position area and the qualification certification condition of the renal failure.
Further, the first authentication data includes first symptom data and diagnosis and treatment data; the processor 501 is specifically configured to, when detecting whether the first authentication data in the first authentication data set meets a target qualification authentication condition for renal failure:
acquiring a first quantity of first symptom data in the first authentication data, wherein the first quantity of first symptom data is matched with symptom verification data in the target qualification authentication condition;
Obtaining a second quantity of diagnosis and treatment data matched with diagnosis and treatment check data in the target qualification certification condition in the first certification data;
detecting whether the first number is greater than a sum of the second number and 1;
and if the detection result is yes, determining that the first authentication data in the first authentication data set meets the target qualification authentication condition.
Further, the processor 501 is further configured to:
if the first quantity is detected to be smaller than or equal to the sum of the second quantity and 1, determining that first authentication data in the first authentication data set does not meet the target qualification authentication condition;
sending prompt information to the user terminal, wherein the prompt information is used for prompting a user at the user terminal side to input a second authentication data set;
and receiving a second authentication data set returned by the user terminal aiming at the prompt information, and detecting whether first authentication data in the first authentication data set and second authentication data in the second authentication data set meet the target qualification authentication condition.
Further, the second authentication data includes second symptom data; the processor 501 is specifically configured to, when determining whether the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition:
Acquiring a third number of second symptom data matched with the symptom verification data of the target qualification certification condition in the second certification data;
detecting whether the sum of the first number and the third number is greater than the sum of the second number and 1;
and if the detection result is yes, determining that the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition.
Further, after determining the target level of renal failure for the user identification, the processor 501 is further configured to:
determining target recommendation information corresponding to the target grade according to the corresponding relation between the preset grade and the recommendation information, and sending the target recommendation information to the user terminal;
wherein the recommendation information includes: any one or more of diet recommendation information, hospital recommendation information, exercise mode recommendation information and insurance recommendation information.
Further, after the processor 501 sends the user identifier and the target level to the medical insurance terminal, the processor is further configured to:
if the warning information sent by the medical insurance terminal is received, determining to record the user identification into a preset blacklist database;
The warning information is used for prompting the user corresponding to the user identifier that the number of diseases of medical insurance reimbursement in a preset time range is larger than a preset threshold value and refusing reimbursement.
In the embodiment of the invention, the server can receive the kidney failure qualification authentication request sent by the user terminal, wherein the kidney failure qualification authentication request carries the user identifier. The server can call a first authentication data set corresponding to the user identifier from a preset database, detect whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure, if so, determine that the qualification authentication of the renal failure is successful, and determine the target grade of the renal failure of the user corresponding to the user identifier according to preset weight corresponding to the first authentication data. The server can send the user identification and the target grade to a medical insurance terminal so as to instruct the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade. By the mode, the automatic and intelligent authentication of renal failure is realized, and the authentication efficiency, reimbursement efficiency and medical insurance reimbursement efficiency are improved.
It should be appreciated that in embodiments of the present invention, the processor 501 may be a central processing unit (Central Processing Unit, CPU), which may also be other general purpose processors, digital signal processors (Digital Signal Processor, DSPs), application specific integrated circuits (Application Specific Integrated Circuit, ASICs), off-the-shelf programmable gate arrays (Field-Programmable Gate Array, FPGAs) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, or the like. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
The input device 502 may include a touch pad, a microphone, etc., and the output device 503 may include a display (LCD, etc.), a speaker, etc.
The memory 504 may include read only memory and random access memory and provide instructions and data to the processor 501. A portion of memory 504 may also include non-volatile random access memory. For example, the memory 504 may also store information of device type.
In a specific implementation, the processor 501, the input device 502, and the output device 503 described in the embodiments of the present invention may execute the implementation described in the embodiments of the methods of fig. 1, fig. 2, or fig. 3 of the kidney failure qualification authentication method based on data processing provided in the embodiments of the present invention, and may also execute the implementation of the kidney failure qualification authentication device based on data processing described in fig. 4 of the embodiments of the present invention, which is not described herein again.
The embodiment of the present invention further provides a computer readable storage medium, where the computer readable storage medium stores a computer program, where the computer program when executed by a processor implements a method for authenticating renal failure based on data processing described in the embodiment corresponding to fig. 1, fig. 2, or fig. 3, and may also implement a device for authenticating renal failure based on data processing according to the embodiment corresponding to fig. 4 or a server according to the embodiment corresponding to fig. 5, which are not described herein.
The computer readable storage medium may be an internal storage unit of the server according to any of the foregoing embodiments, for example, a hard disk or a memory of the server. The computer readable storage medium may also be an external storage device of the server, such as a plug-in hard disk, a Smart Media Card (SMC), a Secure Digital (SD) Card, a Flash memory Card (Flash Card), or the like, which are provided on the server. Further, the computer readable storage medium may also include both an internal storage unit and an external storage device of the server. The computer-readable storage medium is used to store the computer program and other programs and data required by the server. The computer-readable storage medium may also be used to temporarily store data that has been output or is to be output.
Those of ordinary skill in the art will appreciate that the elements and algorithm steps described in connection with the embodiments disclosed herein may be embodied in electronic hardware, in computer software, or in a combination of the two, and that the elements and steps of the examples have been generally described in terms of function in the foregoing description to clearly illustrate the interchangeability of hardware and software. Whether such functionality is implemented as hardware or software depends upon the particular application and design constraints imposed on the solution. Skilled artisans may implement the described functionality in varying ways for each particular application, but such implementation decisions should not be interpreted as causing a departure from the scope of the present invention.
While the invention has been described with reference to certain preferred embodiments, it will be understood by those skilled in the art that various changes and substitutions of equivalents may be made and equivalents will be apparent to those skilled in the art without departing from the scope of the invention.
Claims (9)
1. A method for authenticating renal failure qualification based on data processing, comprising:
receiving a kidney failure qualification authentication request sent by a user terminal, wherein the kidney failure qualification authentication request carries a user identifier;
Invoking a first authentication data set corresponding to the user identifier from a preset database, and detecting whether first authentication data in the first authentication data set meets a target qualification authentication condition of renal failure;
the first authentication data includes first symptom data and diagnosis and treatment data; the detecting whether the first authentication data in the first authentication data set meets a target qualification authentication condition of renal failure includes:
acquiring a first quantity of first symptom data in the first authentication data, wherein the first quantity of first symptom data is matched with symptom verification data in the target qualification authentication condition;
obtaining a second quantity of diagnosis and treatment data matched with diagnosis and treatment check data in the target qualification certification condition in the first certification data;
detecting whether the first number is greater than a sum of the second number and 1;
if the detection result is yes, determining that the first authentication data in the first authentication data set meets the target qualification authentication condition;
if the detection result is yes, determining that qualification authentication of the renal failure is successful, and determining a target grade of the renal failure of the user corresponding to the user identifier according to preset weight corresponding to the first authentication data;
And sending the user identification and the target grade to a medical insurance terminal, wherein the target grade is used for indicating the medical insurance terminal to reimburse the diagnosis and treatment cost of the renal failure according to the target grade.
2. The method according to claim 1, wherein the request for renal failure qualification includes target location information of the user terminal; before the step of detecting whether the first authentication data in the first authentication data set meets the target qualification authentication condition of renal failure, the method further comprises:
determining a target position area corresponding to the target position information according to the corresponding relation between the preset position information and the position area;
and determining a target qualification certification condition corresponding to the target position area according to the corresponding relation between the preset position area and the qualification certification condition of the renal failure.
3. The method according to claim 1, wherein the method further comprises:
if the first quantity is detected to be smaller than or equal to the sum of the second quantity and 1, determining that first authentication data in the first authentication data set does not meet the target qualification authentication condition;
sending prompt information to the user terminal, wherein the prompt information is used for prompting a user at the user terminal side to input a second authentication data set;
And receiving a second authentication data set returned by the user terminal aiming at the prompt information, and detecting whether first authentication data in the first authentication data set and second authentication data in the second authentication data set meet the target qualification authentication condition.
4. A method according to claim 3, wherein the second authentication data comprises second symptom data; the detecting whether the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition includes:
acquiring a third number of second symptom data matched with the symptom verification data of the target qualification certification condition in the second certification data;
detecting whether the sum of the first number and the third number is greater than the sum of the second number and 1;
and if the detection result is yes, determining that the first authentication data in the first authentication data set and the second authentication data in the second authentication data set meet the target qualification authentication condition.
5. A method according to claim 1, wherein after said determining the target level of renal failure for the user for which the user identification corresponds, further comprising:
Determining target recommendation information corresponding to the target grade according to the corresponding relation between the preset grade and the recommendation information, and sending the target recommendation information to the user terminal;
wherein the recommendation information includes: any one or more of diet recommendation information, hospital recommendation information, exercise mode recommendation information and insurance recommendation information.
6. The method of claim 1, wherein after said transmitting said user identification and said target level to a medical insurance terminal, further comprising:
if the warning information sent by the medical insurance terminal is received, determining to record the user identification into a preset blacklist database;
the warning information is used for prompting the user corresponding to the user identifier that the number of diseases of medical insurance reimbursement in a preset time range is larger than a preset threshold value and refusing reimbursement.
7. A renal failure qualification device based on data processing, characterized by comprising means for performing the method according to any one of claims 1-6.
8. A server comprising a processor, an input device, an output device and a memory, the processor, the input device, the output device and the memory being interconnected, wherein the memory is adapted to store a computer program comprising program instructions, the processor being configured to invoke the program instructions to perform the method of any of claims 1-6.
9. A computer readable storage medium, characterized in that the computer storage medium stores a computer program comprising program instructions which, when executed by a processor, cause the processor to perform the method of any of claims 1-6.
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