CN109522817B - Patient hospitalization auditing method, block chain link point equipment and system - Google Patents

Patient hospitalization auditing method, block chain link point equipment and system Download PDF

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CN109522817B
CN109522817B CN201811266646.9A CN201811266646A CN109522817B CN 109522817 B CN109522817 B CN 109522817B CN 201811266646 A CN201811266646 A CN 201811266646A CN 109522817 B CN109522817 B CN 109522817B
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CN109522817A (en
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王秋艳
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Ping An Medical and Healthcare Management Co Ltd
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Abstract

The application discloses a patient hospitalization auditing method, a block chain link point device and a system, wherein the method comprises the following steps: the target blockchain node equipment receives an inpatient auditing request sent by an inpatient auditing request terminal, wherein the inpatient auditing request carries identity information of a target patient; the hospitalization behavior auditing request terminal is deployed on a hospitalization behavior auditing request party; the target blockchain node equipment determines a target inpatient video with the number containing the identity information of the target patient according to a plurality of inpatient videos which are stored in the blockchain network in advance and numbered by using the identity information of the patient; the target block chain link point equipment judges whether pictures distributed at a plurality of moments in a target hospitalization video respectively contain patients or not; if yes, the target block chain link point equipment sends a first prompt to the hospitalization auditing request terminal; the first prompt is used for prompting the hospitalization behavior auditing requester that the hospitalization behavior of the target patient is true. By adopting the method and the device, the auditing efficiency of hospitalization behaviors of the patient can be improved.

Description

Patient hospitalization auditing method, block chain link point equipment and system
Technical Field
The application relates to the technical field of medical information processing, in particular to a method, a block chain link point device and a system for auditing hospitalization behaviors of patients.
Background
For a sound medical system, the integrity of the medical insurance fund is ensured, and a medical management department makes clear responsibility regulations for related personnel such as medical institutions, participants, doctors and the like, which violate basic medical insurance regulations, so as to prevent the liability personnel from cheating the medical insurance fund.
In the prior art, the auditing of the hospitalization of the patient is manually audited, the auditing personnel need to check and confirm the hospitalization of the patient with complicated procedures for relevant medical staff, the auditing efficiency is low, the auditing quality is also low, the error rate is high, and finally, the medical insurance fund is lost, and the medical resources (equipment such as beds of medical institutions) of the medical institutions are wasted.
Disclosure of Invention
The utility model provides a patient's in-patient behavior auditing method, block chain link point equipment and system adopts this application, on the one hand, can improve the auditing efficiency to patient's in-patient behavior, reduces the risk of medical insurance fund loss, on the other hand, can prevent medical resource waste of medical institution.
In a first aspect, the present application provides a method for auditing hospitalization behavior of a patient, applied to a blockchain node device, where the blockchain node device accesses a blockchain network, and the blockchain network includes a plurality of blockchain link point devices, the method is characterized by comprising:
the target blockchain node equipment receives an inpatient behavior auditing request sent by an inpatient behavior auditing request terminal, wherein the inpatient behavior auditing request carries identity information of a target patient; the hospitalization behavior auditing request terminal is deployed on a hospitalization behavior auditing request party;
the target block chain link point equipment determines a target hospitalization video with the number containing the identity information of the target patient according to a plurality of hospitalization videos which are stored in the block chain network in advance and numbered by using the identity information of the patient;
the target block chain link point equipment judges whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain the target patient or not;
if yes, the target block chain link point equipment sends a first prompt to the hospitalization behavior auditing request terminal; the first prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is true.
With reference to the first aspect, in some possible embodiments,
the target block link point device judges whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain the target patient or not, and then the target block link point device further comprises:
if not, the target block chain link point equipment sends a second prompt to the hospitalization behavior auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is false.
With reference to the first aspect, in some possible embodiments,
the identity information of the target patient includes: the identification card number of the target patient or the registration number of the target patient in the medical institution in the medical insurance bill.
With reference to the first aspect, in some possible embodiments,
the target block chain link point device determines a target hospitalization video numbered as the identity information of a target patient according to a plurality of hospitalization videos which are pre-stored in the block chain network and numbered by the identity information of the patient, and further comprises:
the target block chain link point equipment receives hospitalization videos sent by a plurality of hospitalization video providing terminals deployed in a medical institution respectively;
The target block link point equipment generates a unique identifier of each inpatient video according to the characteristic value of each inpatient video in the inpatient videos; the characteristic value at least comprises any two of the following: the date of the hospitalization video, the identification card number of the patient associated with the hospitalization video or the registration number of the patient associated with the hospitalization video in a medical institution;
the target block link point device sends a plurality of target information to other block link node devices outside the block link node device, so that the other block link point devices verify the plurality of target information, and the target information comprises: a hospitalization video and a unique identification of the hospitalization video;
if the plurality of target information passes the verification, the target block link point device generates a target block containing the plurality of target information;
the target block link point device writes the target block to the blockchain network.
With reference to the first aspect, in some possible embodiments,
the target block link point device generates a unique identifier of each inpatient video according to the characteristic value of each inpatient video in the inpatient videos, and specifically comprises:
The target block link point equipment receives a plurality of inpatient videos sent by a plurality of inpatient video providing terminals deployed in a medical institution respectively, carries out hash operation on the characteristic value of each inpatient video in the inpatient videos respectively, and takes the hash value after the hash operation as a unique identifier of each inpatient video respectively.
With reference to the first aspect, in some possible embodiments,
the target block link point device sends a plurality of target information to other block link node devices outside the block link node device, so that the other block link point devices verify the plurality of target information, and the method comprises the following steps:
the target block chain link point equipment sends a plurality of target information to other block chain node equipment except the target block chain link point equipment in the block chain network, so that the other block chain node equipment obtains a hash function corresponding to the target block chain link point equipment according to the target block chain node equipment, and uses the hash function corresponding to the target block chain link point equipment to carry out hash operation on the characteristic value of the inpatient video in the target information, and compares the hash value after the hash operation with the received unique identifier of the inpatient video in the target information sent by the target block chain link point equipment; and if the hash value after the hash operation is the same as the received unique identification of the inpatient video in the target information sent by the target block link point equipment, the target information passes verification.
In a second aspect, the present application provides a blockchain node device, the blockchain node device being the target blockchain link node device, comprising:
the blockchain node device is the target blockchain link point device, comprising:
the receiving unit is used for receiving an inpatient behavior auditing request sent by the inpatient behavior auditing request terminal, wherein the inpatient behavior auditing request carries the identity information of a target patient; the hospitalization behavior auditing request terminal is deployed on a hospitalization behavior auditing request party;
the determining unit is used for determining a target hospitalization video with the number containing the identity information of the target patient according to a plurality of hospitalization videos which are stored in the blockchain network in advance and numbered by using the identity information of the patient;
the judging unit is used for judging whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain the patient;
the sending unit is used for sending a first prompt to the hospitalization behavior auditing request terminal if the hospitalization behavior auditing request terminal is in the same state; the first prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is true.
In a third aspect, the present application provides a blockchain node device, the blockchain node device being the target blockchain link node device, comprising: the system comprises a transceiver, a memory and a processor coupled with the memory, wherein the transceiver, the memory and the processor coupled with the memory are mutually connected, the transceiver is used for executing receiving or sending actions, the memory is used for storing implementation codes of the hospitalization behavior auditing method of the patient, and the processor is used for calling the implementation codes stored in the memory, namely executing the hospitalization behavior auditing method of the patient according to the first aspect.
In a fourth aspect, the present application provides a patient hospitalization auditing system, comprising: the system comprises a plurality of blockchain node devices and a plurality of terminals respectively corresponding to each blockchain node device in the blockchain node devices, wherein the blockchain node devices are target blockchain link point devices in the first aspect and various possible implementation manners thereof, and the terminals are hospitalization behavior auditing request terminals or hospitalization video providing terminals in the first aspect and various possible implementation manners thereof.
In a fifth aspect, the present application provides a computer readable storage medium having instructions stored thereon which, when executed by a processor, cause the processor to perform the hospitalization auditing method of a patient provided by the first aspect and any of its various possible implementations.
In a sixth aspect, the present application provides a computer program product which, when executed by a processor, causes the processor to perform the hospitalization auditing method of a patient provided by the first aspect and any of its various possible implementations.
The application provides a hospitalization behavior auditing method, block chain link point equipment and system for a patient. The block chain node equipment is accessed to a block chain network, and the block chain network comprises a plurality of block chain node equipment. Firstly, a target blockchain node device receives an inpatient behavior auditing request sent by an inpatient behavior auditing request terminal, wherein the inpatient behavior auditing request carries identity information of a target patient; the hospitalization auditing request terminal is deployed on a hospitalization auditing request party. Further, the target block link point device determines a target hospitalization video including the identity information of the target patient from a plurality of hospitalization videos that are stored in advance in the block chain network and numbered using the identity information of the patient. Then, the target block link point device judges whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain target patients. Finally, if yes, the target block chain link point equipment sends a first prompt to the hospitalization auditing request terminal; the first prompt is used for prompting the hospitalization behavior auditing requester that the hospitalization behavior of the target patient is true; if not, the target blockchain node equipment sends a second prompt to the hospitalization auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is false. By adopting the method and the device, on one hand, the auditing efficiency of hospitalization of the patient can be improved, the risk of medical insurance fund loss is reduced, and on the other hand, the medical resource waste of a medical institution can be prevented.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings needed in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are some embodiments of the present application, 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 diagram of a patient hospitalization auditing system provided herein;
FIG. 2 is a schematic diagram of a portion of a patient hospitalization auditing system provided herein;
FIG. 3 is a schematic flow chart of a method for auditing hospitalization behavior of a patient provided herein;
FIG. 4 is a schematic illustration of a medical insurance ticket provided herein;
FIG. 5 is a block chain network architecture diagram provided herein;
FIG. 6 is a diagram illustrating the relationship between hash values stored on blocks in a blockchain network provided herein;
FIG. 7 is a schematic block diagram of a blockchain node device provided herein;
fig. 8 is a schematic block diagram of another blockchain node device provided herein.
Detailed Description
The following description of the embodiments of the present application 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, of the embodiments of the present application. All other embodiments, which can be made by one of ordinary skill in the art without undue burden from the present disclosure, are within the scope of the present disclosure.
It should be understood that the terms "comprises" and "comprising," when used in this specification and the appended claims, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof.
It is also to be understood that the terminology used in the description of the present application is for the purpose of describing particular embodiments only and is not intended to be limiting of the application. As used in this specification and the appended claims, the singular forms "a," "an," and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise.
It should be further understood that the term "and/or" as used in this specification and the appended claims refers to any and all possible combinations of one or more of the associated listed items, and includes such combinations.
As used in this specification and the appended claims, the term "if" may be interpreted as "when..once" or "in response to a determination" or "in response to detection" depending on the context. Similarly, the phrase "if a determination" or "if a [ described condition or event ] is detected" may be interpreted in the context of meaning "upon determination" or "in response to determination" or "upon detection of a [ described condition or event ]" or "in response to detection of a [ described condition or event ]".
In particular implementations, the terminals described herein include, but are not limited to, other portable devices such as mobile phones, laptop computers, or tablet computers having a touch-sensitive surface (e.g., a touch screen display and/or a touch pad). It should also be appreciated that in some embodiments, the device is not a portable communication device, but a desktop computer having a touch-sensitive surface (e.g., a touch screen display and/or a touch pad).
In the following discussion, a terminal including a display and a touch sensitive surface is described. However, it should be understood that the terminal may include one or more other physical user interface devices such as a physical keyboard, mouse, and/or joystick.
The terminal supports various applications, such as one or more of the following: drawing applications, presentation applications, word processing applications, website creation applications, disk burning applications, spreadsheet applications, gaming applications, telephony applications, video conferencing applications, email applications, instant messaging applications, workout support applications, photo management applications, digital camera applications, digital video camera applications, web browsing applications, digital music player applications, and/or digital video player applications.
Various applications that may be executed on the terminal may use at least one common physical user interface device such as a touch sensitive surface. One or more functions of the touch-sensitive surface and corresponding information displayed on the terminal may be adjusted and/or changed between applications and/or within the corresponding applications. In this way, the common physical architecture (e.g., touch-sensitive surface) of the terminal may support various applications with user interfaces that are intuitive and transparent to the user.
Referring to fig. 1, which is a schematic diagram of a system for auditing hospitalization of a patient, as shown in fig. 1, the system for auditing hospitalization of a patient may include: the system comprises a plurality of block chain node devices and a plurality of terminals respectively corresponding to each block chain node device in the plurality of block chain node devices.
It should be noted that the target blockchain node device is a blockchain node device in a blockchain network, and taking the target blockchain node device as a blockchain node device a as an example, the blockchain node device a corresponds to a medical institution a, and the blockchain network may further include a blockchain node device B, where the blockchain node device B corresponds to the medical institution B. For ease of description, the present application will be described with reference to a target blockchain node device corresponding to medical institution a.
The hospitalization auditing system of the patient will be described in detail below by taking the target block link point device in the hospitalization auditing system of the patient as an example.
Fig. 2 is a schematic diagram schematically showing a part of the structure of the hospitalization behavior auditing system of a patient.
As shown in fig. 2, the partial structure may include:
target block chain node equipment, hospitalization behavior auditing request terminals and hospitalization video providing terminals corresponding to the target block chain node equipment. Wherein,,
the hospitalization auditing request terminal and the hospitalization video providing terminal may be terminals in a hospitalization auditing system of a patient, where the terminals may refer to access terminals, user Equipment (UE), subscriber units, subscriber stations, mobile stations, remote terminals, mobile terminals, user terminals, wireless communication devices, user agents, or user devices. An access terminal may be a cellular telephone, a cordless telephone, a conference initiation protocol telephone, a wireless local loop station, a personal digital assistant, a handheld device with wireless communication capabilities, a computing device or other processing device connected to a wireless modem, a wearable device, or a terminal device in a future-evolving public land mobile network.
In a hospitalization auditing system for a patient, it may comprise: the hospitalization video provider, the hospitalization auditing requester and the hospitalization auditing party. In the embodiment of the application, the hospitalization auditing request terminal is deployed at the hospitalization auditing request party, the hospitalization video providing terminal is deployed at the hospitalization video provider, and the target blockchain node device is deployed at the hospitalization auditing party.
In the embodiment of the application, a staff of a medical institution can log in a hospitalization video providing client to input registration information to a hospitalization video providing terminal deployed at a hospitalization video provider (such as the medical institution), the hospitalization video providing terminal sends the registration information to target block chain link point equipment deployed at a hospitalization behavior auditing party, and then the target block chain node equipment obtains a private key which is set by the staff of the medical institution and used for logging in the hospitalization video providing client, and stores the private key.
The inpatient behavior auditing request party staff (such as medical institution staff or human resource social security bureau staff) can log in the inpatient behavior auditing request client to input registration information to the blockchain node equipment deployed at the inpatient behavior auditing request party (such as medical institution or human resource social security bureau), the inpatient behavior auditing request terminal sends the registration information to the target blockchain node equipment deployed at the inpatient behavior auditing party, and then the target blockchain node equipment obtains a private key for logging in the inpatient behavior auditing request client and stores the private key.
Furthermore, after different users are registered in the target block chain link point equipment through the hospitalization auditing request terminal or the hospitalization video providing terminal respectively, staff of the hospitalization auditing request party can log in the hospitalization auditing request client to input a hospitalization auditing request to the hospitalization auditing request terminal; staff of the medical institution can input the inpatient videos to a plurality of inpatient video providing terminals arranged at inpatient video providers (such as medical institutions) through inpatient video providing clients respectively.
It should be noted that a medical facility may include: hospitals, women and child care homes, community health service centers, rural (town) care homes, nursing homes, outpatient departments (such as the department of Chinese medicine outpatient, the department of Chinese and Western medicine combined with the outpatient department), village care rooms, emergency treatment centers, clinical examination centers, dedicated disease control homes or nursing homes, and the like.
The medical insurance audit requester may include: human resource social security bureau (social security bureau), medical institution.
It should be noted that the client may include: locally running applications, functions running on a Web browser (also known as Web App), applets embedded in email, applets embedded in client software for instant messaging (e.g., weChat), and functions embedded in other applications (e.g., weChat) (e.g., weChat public numbers), etc. For the client, the target block link point device needs to run a corresponding target block link point device end program to provide corresponding services, such as database services, data calculation, decision execution, and the like.
In this embodiment of the present application, the target blockchain link node device may also be referred to as a background blockchain node device, a component blockchain node device, or the like, where the target blockchain node device may be communicatively connected to a hospitalization auditing request terminal capable of sending a hospitalization auditing request, and a hospitalization video providing terminal capable of sending a hospitalization video through the internet, and may respond to the received hospitalization auditing request.
It should be noted that, the target blockchain node device receives the hospitalization auditing request sent by the hospitalization auditing request terminal, and the hospitalization auditing request carries the identity information of the target patient; the hospitalization auditing request terminal is deployed on a hospitalization auditing request party. The target blockchain node device determines a target hospitalization video containing the identity information of the target patient according to a plurality of hospitalization videos which are stored in the blockchain network in advance and numbered by using the identity information of the patient. The target block chain link point equipment judges whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain target patients. If yes, the target block chain link point equipment sends a first prompt to the hospitalization auditing request terminal; the first prompt is used for prompting the hospitalization behavior auditing requester that the hospitalization behavior of the target patient is true; if not, the target blockchain node equipment sends a second prompt to the hospitalization auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is false. By adopting the method and the device, on one hand, the auditing efficiency of hospitalization of the patient can be improved, the risk of medical insurance fund loss is reduced, and on the other hand, the medical resource (equipment such as beds of medical institutions) of the medical institutions can be prevented from being wasted.
The blockchain has the following three properties: 1. blockchain is a distributed database system placed in an unsecure environment; 2. adopting a hash function mode to ensure that the existing data is not tampered; 3. and adopting a consensus algorithm to agree on the newly added data.
Embodiments of the present application are directed primarily to the property of tamper resistance by employing a hash function to ensure that target information stored onto a blockchain is not tampered with.
It should be noted that the hash function has the following properties, and assuming that X is obtained by hashing, y=h (X), then: knowing X, Y is easy to derive, whereas knowing Y does not, in particular, there is no other X1, so that H (X1) =y. That is, the hash function has irreversibility.
Referring to fig. 3, fig. 3 is a schematic flow chart of a method for auditing hospitalization behavior of a patient according to an embodiment of the present application.
As shown in fig. 3, the following details the method for checking hospitalization provided by the hospitalization auditing system for patients, the method may at least include the following steps:
s301, receiving an inpatient behavior auditing request sent by an inpatient behavior auditing request terminal by target blockchain node equipment.
In the embodiment of the present application, the target block link point device is a block link point device in a block chain network. The hospitalization auditing request carries the identity information of the patient.
The identity information of the patient includes: the identification card number of the patient and the registration number of the patient in the medical institution in the medical insurance bill can also comprise: patient name, gender, social security number.
It should be noted that the hospitalization auditing request terminal is deployed at the hospitalization auditing requester.
The medical insurance audit requester may include: human resource social security bureau (social security bureau), medical institution.
S302, the target blockchain node equipment determines target hospitalization videos with the number containing the identity information of the target patient according to a plurality of hospitalization videos which are stored in the blockchain network in advance and numbered through the identity information of the patient.
Specifically, the target blockchain node device can receive the hospitalization videos of a plurality of patients sent by a hospitalization video providing terminal of a hospitalization video provider (such as a medical institution), wherein the hospitalization videos of the patients carry the identity information of the patients; further, the target block link point device takes the identity information of the patient as the number of the hospitalization video of the corresponding patient.
Specifically, the target block link point device may include, but is not limited to, two ways of determining a target hospitalization video whose number includes identity information of a target patient from a plurality of hospitalization videos in a block chain network, and may include the following scenarios:
First scenario: the target blockchain node equipment determines a target inpatient video numbered as an identification card number of a target patient according to a plurality of inpatient videos which are stored in the blockchain network in advance and numbered by using the identity information of the patient.
Specifically, during hospitalization of the target patient, the blockchain node device may first identify a plurality of hospitalization videos (files) in the blockchain network by using an optical character recognition technology (Optical Character Recognition, OCR) through the acquired identification card number of the patient (e.g., scanning the second-generation identification card of the target patient), and determine a target hospitalization video numbered as the identification card number of the target patient from the plurality of hospitalization videos (files).
In summary, the target block link point device can audit the authenticity of the hospitalization behavior of the patient by retrieving the target hospitalization video containing the identification card number of the patient from the block link network.
The second scenario: the target blockchain node device determines a target hospitalization video numbered as the registration number of the patient in the medical insurance ticket at the medical institution according to a plurality of hospitalization videos which are stored in the blockchain network in advance and numbered by using the identity information of the patient.
Specifically, when the hospitalization of the patient is finished, the patient goes to the human resource social security agency to pay for the expense through the medical insurance ticket, the block chain link point device can identify a plurality of hospitalization videos (files) through optical characters in the block chain network by acquiring the registration number of the patient in the medical institution in the medical insurance ticket, and determines a target hospitalization video with the registration number of the patient in the medical institution in the medical insurance ticket from the plurality of hospitalization videos.
Fig. 4 illustrates a schematic diagram of a medical insurance ticket.
As shown in fig. 4, the charging ticket may include: the registration number of the patient in XX hospital in the charging bill (0004883472), the bill number of the charging bill (KL 36745674), the name of the medical institution where the patient is in the charging bill, the name, sex, date of the treatment (2018, 6, 9 days), and the diagnosis item (physical examination).
In summary, the target block link point device can audit the authenticity of patient hospitalization by retrieving target hospitalization videos containing patient's registration numbers in medical institutions in medical insurance tickets from the block chain network, with which the risk of medical insurance fund loss can be reduced.
It should be noted that, before the target block link point device determines a target hospitalization video containing identity information of a patient according to a plurality of hospitalization videos pre-stored in the block chain network, the following working procedures are further included:
the working process is as follows: the target block link point equipment respectively receives the hospitalization videos sent by a plurality of hospitalization video providing terminals deployed in the medical institution.
In particular, the hospitalization video providing terminal may store the hospitalization video in two ways, including but not limited to the following.
The first way is: and storing the hospitalization video in a cloud database connected with the hospitalization video providing terminal.
The second way is: and storing the hospitalization video in an internal memory of the hospitalization video providing terminal.
And the working process is as follows: the target block link point device generates a unique identifier for each of the plurality of hospitalization videos based on the characteristic value of each of the plurality of hospitalization videos.
The hospitalization video is associated with the patient, that is, the hospitalization video is a video for recording the hospitalization behavior of the patient.
It should be noted that the above feature values may include: the date of the hospitalization video, the identification card number of the patient associated with the hospitalization video or the registration number of the patient associated with the hospitalization video in the medical institution, the name, sex, contact information of the patient associated with the hospitalization video, and the like.
And the working process is as follows: the target blockchain node device sends a plurality of target information to other blockchain node devices outside the blockchain node device, so that the other blockchain node devices verify the plurality of target information, wherein the target information comprises: the hospitalization video and the unique identification of the hospitalization video.
Specifically, the target block chain node device sends a plurality of target information to other block chain link point devices except the target block chain link point device in the block chain network, so that the other block chain node devices acquire a hash function corresponding to the target block chain link point device according to the target block chain link point device, hash operation is carried out on a characteristic value of the inpatient video in the target information by using the hash function corresponding to the target block chain node device, and the hash value after the hash operation is compared with a unique identifier of the inpatient video in the received target information sent by the target block chain node device; if the hash value after the hash operation is the same as the unique identification of the inpatient video in the received target information sent by the target blockchain node equipment, the target information passes verification.
And the working process is as follows: if the plurality of target information passes the verification, the target block link point device generates a target block containing the plurality of target information.
Specifically, the blocks on the blockchain network are composed of block heads and block bodies. The block header includes the hash value of the current block, the hash value of the previous block, the timestamp and other information, and the block body includes the data information of the current block.
Taking the hospitalization video uploaded by the staff of the medical institution as an example, as shown in fig. 5, the block structures of the block N and the block (n+1) are the same, and the hospitalization video is stored in the block main body.
Working process five: the target block link point device writes the target block to the blockchain network.
Specifically, the specific manner in which a target block containing multiple target information is written to the blockchain network is described in detail below.
Firstly, taking the last block on the existing block chain network as the last block of the target block, and recording the hash value of the last block in the block head of the target block; and then recording the current time as the time stamp of the target block, and when the next new block is generated, taking the target block as the previous block of the new block, wherein the hash value of the target block is recorded in the block head of the new block. Wherein, the last block on the blockchain network refers to the block with the time of the timestamp record closest to the current time in all blocks on the blockchain network.
In summary, the objective block records the hash value of the last block and the hash value of the objective block, and the objective block is to ensure the non-tamper-resistance of the hospitalized video by utilizing the chain structure of the block chain network and the irreversibility of the hash encryption algorithm.
For example, as shown in fig. 6, consider a block 1-4 on a blockchain network, where the block 1 holds the hash value H0 of the previous block, the hash value H1 of the block 1, and the data block a of the block 1, and the block 2 holds the hash value H1 of the previous block, the hash value H2 of the block 2, and the data block B of the block 2, the block 3-level block 4, and so on. For each block, the hash value of the block is calculated by performing hash operation on the data synthesized by the data block of the block and the hash value of the last block.
For example, the hash value of block 1 to block 4 in fig. 6 is calculated by: h1 =hash (a|h0), h2=hash (b|h1), h3=hash (c|h2), h4=hash (d|h3), where|denotes concatenation and Hash denotes a Hash operation. In summary, it can be seen that, if a data block on any block is tampered with, the hash values on all blocks after the block on the blockchain network need to be changed according to the connection relationship between the front block and the back block. For example: if the contents of data block a on block 1 in fig. 6 were to be changed, the hash values in Ha Xitou on block 2, block 3, block 4 and subsequent blocks would need to be changed accordingly. Obviously, the difficulty is high, the cost is very high, and in theory, 51% and more nodes (the nodes can create new blocks, commonly called mining nodes) on the blockchain network are controlled, so that the tampering of the data can be completed.
S303, the target block chain link point device judges whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain patients.
Specifically, the target blockchain node device can judge whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain patients or not through an image recognition technology.
The plurality of time instants may be a plurality of time instants within a day.
For example, the plurality of time instants may include: 9:00AM, 11:00AM, 1:00PM, 3:00PM, 5:00PM, 7:00PM, 9:00PM on X-year, X-month, and X-day.
The plurality of time instants may be a plurality of time instants within a plurality of days.
For example, the plurality of time instants may include: 9:00AM on month 26 of 2018, 1:00PM, 5:00PM, 9:00AM on month 27 of 2018, 1:00PM, 5:00PM, 9:00PM.
S304, if yes, the target block chain link point equipment sends a first prompt to the hospitalization auditing request terminal; the first prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the patient is true.
In the embodiment of the application, if the target block chain link point device judges that pictures distributed at a plurality of moments in the target hospitalization video respectively contain patients through the image recognition technology, the target block chain node device can determine that the hospitalization behavior of the patients is true.
Specifically, if the plurality of times may be a plurality of times of day, the target blockchain node device may determine that the patient's hospitalization behavior is true on the day.
If the plurality of times may be a plurality of times over a plurality of days, the target blockchain node device may determine that the patient's hospitalization is authentic over the plurality of days.
After the target block chain node equipment judges whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain patients or not, if not, the target block chain node equipment sends a second prompt to a hospitalization auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the patient is false.
Fig. 4 to 6 are merely for explaining the present application, and should not be construed as limiting the present application.
In summary, the target blockchain node device receives an inpatient behavior auditing request sent by an inpatient behavior auditing request terminal, wherein the inpatient behavior auditing request carries identity information of a patient; the hospitalization auditing request terminal is deployed on a hospitalization auditing request party. The target blockchain node device determines a target hospitalization video containing the identity information of the patient according to a plurality of hospitalization videos which are stored in the blockchain network in advance and numbered by using the identity information of the patient. The target block chain link point equipment judges whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain target patients. If yes, the target block chain link point equipment sends a first prompt to the hospitalization auditing request terminal; the first prompt is used for prompting the hospitalization behavior auditing requester that the hospitalization behavior of the target patient is true; if not, the target blockchain node equipment sends a second prompt to the hospitalization auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is false. By adopting the embodiment of the application, the auditing efficiency of hospitalization of patients can be improved, the risk of medical insurance fund loss is reduced, and medical resources (equipment such as beds of medical institutions) of medical institutions can be prevented from being wasted.
Referring to fig. 7, a blockchain node device 70 is provided herein, and the blockchain link point device may be the target blockchain point device in fig. 3. As shown in fig. 7, the blockchain node device 70 includes: a receiving unit 701, a determining unit 702, a judging unit 702, and a transmitting unit 703. Wherein:
the receiving unit 701 is configured to receive an hospitalization auditing request sent by the hospitalization auditing request terminal, where the hospitalization auditing request carries identity information of a target patient; the hospitalization behavior auditing request terminal is deployed on a hospitalization behavior auditing request party;
a determining unit 702, configured to determine, according to a plurality of hospitalization videos that are stored in advance in the blockchain network and numbered using identity information of a patient, a target hospitalization video whose number includes the identity information of the target patient;
a judging unit 703, configured to judge whether the pictures distributed at a plurality of moments in the target hospitalization video respectively contain a patient;
a sending unit 704, configured to send a first prompt to the hospitalization auditing request terminal if the first prompt is yes; the first prompt is used for prompting the hospitalization behavior auditing requester that the hospitalization behavior of the target patient is true.
The determining unit 702 is specifically configured to determine, according to a plurality of hospitalization videos that are pre-stored in the blockchain network and numbered by using identity information of a patient, a target hospitalization video numbered as an identity card number of the patient;
Or,
and determining the target hospitalization video numbered as the registration number of the target patient in the medical insurance ticket in the medical institution according to a plurality of hospitalization videos which are pre-stored in the blockchain network and numbered by using the identity information of the patient.
The sending unit 704 is further configured to: after the judging unit 703 judges whether the pictures distributed at a plurality of moments in the target hospitalization video respectively contain the target patient, if not, a second prompt is sent to the hospitalization behavior auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is false.
The blockchain node device 70 includes: the receiving unit 701, the determining unit 702, the judging unit 702, and the transmitting unit 703 include: the device comprises a first generating unit, a second generating unit and a writing unit.
The receiving unit 701 is further configured to receive the hospitalization videos transmitted by the plurality of hospitalization video providing terminals disposed in the medical institution, respectively.
The first generation unit is used for generating a unique identifier of each inpatient video according to the characteristic value of each inpatient video in the inpatient videos.
The sending unit 703 is further configured to send a plurality of pieces of target information to other block link point devices outside the block chain node device, so that the other block chain node device verifies the plurality of pieces of target information, where the pieces of target information include: the hospitalization video and the unique identification of the hospitalization video.
And a second generation unit configured to generate a target block containing the plurality of target information if the plurality of target information passes the verification.
And the writing unit is used for writing the target block into the blockchain network.
It should be understood that blockchain node device 70 is merely one example provided by embodiments of the present application, and that blockchain node device 70 may have more or fewer components than shown, may combine two or more components, or may have a different configuration implementation of the components.
It will be appreciated that, regarding the specific implementation of the functional blocks included in the blockchain node device 70 of fig. 7, reference may be made to the method embodiment described in fig. 3, and a detailed description thereof is omitted herein.
Another blockchain node device is provided, and the blockchain link point device 80 may be the target blockchain point device in fig. 3. As shown in fig. 8, the blockchain node device 80 may include: a processor 801, memory 802 (one or more computer-readable storage media), and a transceiver 803. These components may communicate over one or more communication buses 804.
The processor 801 may be a central processing unit (Central Processing Unit, CPU), a network processor (Network Processor, NP) or a combination of CPU and NP.
The processor 801 may further include a hardware chip. The hardware chip may be an Application-specific integrated circuit (ASIC), a programmable logic device (Programmable Logic Device, PLD), or a combination thereof. The PLD may be a complex programmable logic device (Complex Programmable Logic Device, CPLD), a Field programmable gate array (Field-programmable Gate Array, FPGA), general array logic (Generic Array Logic, GAL), or any combination thereof.
As can be appreciated, the processor 801 may be configured to determine a target hospitalization video containing identity information of a target patient from a plurality of hospitalization videos pre-stored in a blockchain network and numbered using the identity information of the patient; and judging whether the pictures distributed at a plurality of moments in the target hospitalization video respectively contain target patients.
Memory 802 is coupled to processor 801 and may be used to store various software programs and/or sets of instructions. In particular implementations, memory 802 may include high-speed random access memory, and may also include non-volatile memory, such as one or more magnetic disk storage devices, flash memory devices, or other non-volatile solid-state storage devices. The memory 802 may store an operating system (hereinafter referred to as a system), such as ANDROID, IOS, WINDOWS, or an embedded operating system, such as LINUX. Memory 802 may also store network communication programs that may be used to communicate with one or more additional devices, one or more terminal devices, and one or more network devices. The memory 802 may also store a user interface program that can vividly display the content image of the application program through a graphical operation interface, and receive control operations of the application program by a user through input controls such as menus, dialog boxes, buttons, and the like.
As can be appreciated, the memory 802 may be further configured to store an hospitalization auditing request sent by the hospitalization auditing request terminal and an hospitalization video sent by the hospitalization video providing terminal, where the hospitalization auditing request carries identity information of the target patient; the hospitalization auditing request terminal is deployed on a hospitalization auditing request party.
The transceiver 803 may be further configured to, after determining, by the processor 801, whether the pictures distributed at the plurality of moments in the target hospitalization video respectively include the patient, if not, send a second prompt to the hospitalization auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is false.
The transceiver 803 can also be used for receiving the hospitalization auditing request sent by the hospitalization auditing request terminal and the hospitalization video sent by the hospitalization video providing terminal.
It should be understood that blockchain node device 80 is merely one example provided by embodiments of the present application, and that blockchain node device 80 may have more or fewer components than shown, may combine two or more components, or may have different configuration implementations of the components.
It will be appreciated that, regarding the specific implementation of the functional blocks included in the blockchain node device 80 of fig. 8, reference may be made to the method embodiment described in fig. 3, and a detailed description thereof is omitted herein.
The present application provides a computer readable storage medium storing a computer program which is implemented when executed by a processor.
The computer readable storage medium may be an internal storage unit of the terminal according to any of the foregoing embodiments, for example, a hard disk or a memory of the terminal. The computer readable storage medium may also be an external storage device of the terminal, 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 terminal. Further, the computer readable storage medium may also include both an internal storage unit of the terminal and an external storage device. The computer-readable storage medium is used to store a computer program and other programs and data required by the terminal. The computer-readable storage medium may also be used to temporarily store data that has been output or is to be output.
The present application also provides a computer program product comprising a non-transitory computer readable storage medium storing a computer program operable to cause a computer to perform part or all of the steps of any one of the methods described in the method embodiments above. The computer program product may be a software installation package, the computer comprising the electronic device.
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 application.
It will be clearly understood by those skilled in the art that, for convenience and brevity of description, the specific working procedures of the terminal and the unit described above may refer to the corresponding procedures in the foregoing method embodiments, which are not repeated herein.
In several embodiments provided in the present application, it should be understood that the disclosed terminal and method may be implemented in other manners. For example, the compositions and steps of the examples are described. 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.
The above-described terminal embodiments are merely illustrative, for example, the division of the units is merely a logical function division, and there may be other manners of division in actual implementation, for example, multiple units or components may be combined or integrated into another system, or some features may be omitted, or not performed. In addition, the coupling or direct coupling or communication connection shown or discussed with each other may be an indirect coupling or communication connection via some interfaces, terminals or units, or may be an electrical, mechanical or other form of connection.
The units described as separate units may or may not be physically separate, and units shown as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the units may be selected according to actual needs to achieve the purposes of the embodiments of the present application.
In addition, each functional unit in each embodiment of the present application may be integrated in one processing unit, or each unit may exist alone physically, or two or more units may be integrated in one unit. The integrated units may be implemented in hardware or in software functional units.
The integrated units, if implemented in the form of software functional units and sold or used as stand-alone products, may be stored in a computer readable storage medium. Based on such understanding, the technical solution of the present application is essentially or a part contributing to the prior art, or all or part of the technical solution may be embodied in the form of a software product stored in a storage medium, including several instructions for causing a computer device (which may be a personal computer, a target block link point device, or a network device, etc.) to perform all or part of the steps of the methods described in the embodiments of the present application. And the aforementioned storage medium includes: a U-disk, a removable hard disk, a Read-Only Memory (ROM), a random access Memory (Random Access Memory, RAM), a magnetic disk, or an optical disk, or other various media capable of storing program codes.
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. Therefore, the protection scope of the present application shall be subject to the protection scope of the claims.

Claims (10)

1. A method for auditing hospitalization behavior of a patient, applied to a blockchain node device, the blockchain node device accessing a blockchain network, the blockchain network comprising a plurality of blockchain node devices, comprising:
the target blockchain node equipment receives an inpatient behavior auditing request sent by an inpatient behavior auditing request terminal, wherein the inpatient behavior auditing request carries identity information of a target patient; the hospitalization behavior auditing request terminal is deployed on a hospitalization behavior auditing request party;
the target block link point device determines a target hospitalization video with the number containing the identity information of the target patient according to a plurality of hospitalization videos which are pre-stored in the block link network and numbered by using the identity information of the patient, and specifically comprises the following steps: the target block chain link point equipment utilizes an optical character recognition technology to recognize a plurality of hospitalization videos which are pre-stored in the block chain network, and determines a target hospitalization video with the number of the identity card number of a target patient from the plurality of hospitalization videos or determines a target hospitalization video with the number of the registration number of the target patient in a medical insurance bill in a medical institution from the plurality of hospitalization videos;
The target block chain link point equipment judges whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain the target patient or not;
if yes, the target block chain link point equipment sends a first prompt to the hospitalization behavior auditing request terminal; the first prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is true.
2. The method for auditing hospitalization behaviors of a patient according to claim 1, wherein said target block link point device determines whether pictures distributed at a plurality of times in said target hospitalization video respectively contain said target patient, further comprising:
if not, the target block chain link point equipment sends a second prompt to the hospitalization behavior auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is false.
3. A method for auditing hospitalization of a patient as defined in claim 1,
the identity information of the target patient includes: the identification card number of the target patient or the registration number of the target patient in the medical institution in the medical insurance bill.
4. The method for auditing hospitalization behaviors of a patient according to claim 1, wherein before the target block link point device determines a target hospitalization video numbered as the identity information of the target patient according to a plurality of hospitalization videos pre-stored in the block chain network and numbered by the identity information of the patient, further comprising:
the target block chain link point equipment receives hospitalization videos sent by a plurality of hospitalization video providing terminals deployed in a medical institution respectively;
the target block link point equipment generates a unique identifier of each inpatient video according to the characteristic value of each inpatient video in the inpatient videos; the characteristic value at least comprises any two of the following: the date of the hospitalization video, the identification card number of the patient associated with the hospitalization video or the registration number of the patient associated with the hospitalization video in a medical institution;
the target block link point device sends a plurality of target information to other block link node devices outside the block link node device, so that the other block link point devices verify the plurality of target information, and the target information comprises: a hospitalization video and a unique identification of the hospitalization video;
If the plurality of target information passes the verification, the target block link point device generates a target block containing the plurality of target information;
the target block link point device writes the target block to the blockchain network.
5. A method for auditing hospitalization of a patient as defined in claim 4,
the target block link point device generates a unique identifier of each inpatient video according to the characteristic value of each inpatient video in the inpatient videos, and specifically comprises:
the target block link point equipment receives a plurality of inpatient videos sent by a plurality of inpatient video providing terminals deployed in a medical institution respectively, carries out hash operation on the characteristic value of each inpatient video in the inpatient videos respectively, and takes the hash value after the hash operation as a unique identifier of each inpatient video respectively.
6. The method of claim 4, wherein the target blockchain node device sends a plurality of target information to other blockchain node devices outside the blockchain node device, and wherein the other blockchain node devices verify the plurality of target information, comprising:
The target block chain link point equipment sends a plurality of target information to other block chain node equipment except the target block chain link point equipment in the block chain network, so that the other block chain node equipment obtains a hash function corresponding to the target block chain link point equipment according to the target block chain node equipment, and uses the hash function corresponding to the target block chain link point equipment to carry out hash operation on the characteristic value of the inpatient video in the target information, and compares the hash value after the hash operation with the received unique identifier of the inpatient video in the target information sent by the target block chain link point equipment; and if the hash value after the hash operation is the same as the received unique identification of the inpatient video in the target information sent by the target block link point equipment, the target information passes verification.
7. A block link point apparatus, comprising:
the receiving unit is used for receiving an inpatient behavior auditing request sent by the inpatient behavior auditing request terminal, wherein the inpatient behavior auditing request carries the identity information of a target patient; the hospitalization behavior auditing request terminal is deployed on a hospitalization behavior auditing request party;
The determining unit is used for determining a target hospitalization video with the number containing the identity information of the target patient according to a plurality of hospitalization videos which are pre-stored in the blockchain network and numbered by using the identity information of the patient, and is specifically used for: identifying a plurality of hospitalization videos pre-stored in the blockchain network by utilizing an optical character identification technology, and determining a target hospitalization video with the identification card number of a target patient from the plurality of hospitalization videos or determining a target hospitalization video with the registration number of the target patient in a medical insurance bill in a medical institution from the plurality of hospitalization videos;
the judging unit is used for judging whether pictures distributed at a plurality of moments in the target hospitalization video respectively contain the patient;
the sending unit is used for sending a first prompt to the hospitalization behavior auditing request terminal if the hospitalization behavior auditing request terminal is in the same state; the first prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is true.
8. The block link point apparatus of claim 7, wherein,
the sending unit is further configured to: if not, a second prompt is sent to the hospitalization auditing request terminal; the second prompt is used for prompting the hospitalization behavior auditing requesting party that the hospitalization behavior of the target patient is false.
9. A block link point apparatus, comprising: a transceiver, a memory and a processor coupled to the memory, the transceiver, the memory and the processor coupled to the memory being interconnected, wherein the transceiver is configured to perform a receiving or transmitting action, the memory is configured to store implementation code of a patient hospitalization auditing method, and the processor is configured to invoke the implementation code stored in the memory, i.e., to perform the patient hospitalization auditing method of any of claims 1-6.
10. A computer readable storage medium, characterized in that the computer readable storage medium stores a computer program comprising program instructions which, when executed by a processor, cause the processor to perform the hospitalization auditing method of a patient according to any of claims 1-6.
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