CN111314375A - Medical insurance data adaptation engine, medical insurance data adaptation method, electronic equipment and storage medium - Google Patents

Medical insurance data adaptation engine, medical insurance data adaptation method, electronic equipment and storage medium Download PDF

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CN111314375A
CN111314375A CN202010180735.2A CN202010180735A CN111314375A CN 111314375 A CN111314375 A CN 111314375A CN 202010180735 A CN202010180735 A CN 202010180735A CN 111314375 A CN111314375 A CN 111314375A
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medical insurance
data
platform
conversion module
standard object
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CN111314375B (en
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李琴
谭明智
商永生
王士诚
曲世峰
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Baiyang Intelligent Technology Group Co ltd
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Qingdao Baiyang Intelligent Technology Co ltd
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    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L63/00Network architectures or network communication protocols for network security
    • H04L63/04Network architectures or network communication protocols for network security for providing a confidential data exchange among entities communicating through data packet networks
    • H04L63/0428Network architectures or network communication protocols for network security for providing a confidential data exchange among entities communicating through data packet networks wherein the data content is protected, e.g. by encrypting or encapsulating the payload
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q40/00Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08Insurance
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices

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  • General Health & Medical Sciences (AREA)
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Abstract

The invention provides a medical insurance data adaptation engine, wherein a communication module is used for communicating with a medical insurance information system, and the medical insurance information system sends and acquires an encrypted message through the communication module; the data conversion module is used for mutual conversion between the encrypted message and the medical insurance standard object; the data analysis module is used for analyzing the medical insurance standard object to obtain different medical insurance platform types and medical insurance business data, and synthesizing the different medical insurance platform types and the medical insurance business data into the medical insurance standard object; the platform information conversion module is used for realizing the mutual conversion of the medical insurance service data and the corresponding medical insurance service messages according to different medical insurance platform types; the data analysis module sends the medical insurance service messages to corresponding medical insurance platforms according to different medical insurance types, and the data analysis module is used for acquiring the medical insurance service messages of different medical insurance platforms and sending the medical insurance service messages to the platform information conversion module. The invention also provides a medical insurance data adaptation method. The invention also provides an electronic device and a storage medium.

Description

Medical insurance data adaptation engine, medical insurance data adaptation method, electronic equipment and storage medium
Technical Field
The invention belongs to the field of data adaptation engines, and particularly relates to a medical insurance data adaptation engine.
Background
Because different medical insurance platforms are developed by different manufacturers, each medical insurance platform is established on the basis of a private data format and a processing flow, and the problem of 'isomerism' exists between a Hospital Information System (HIS) and the medical insurance platform. The problem of 'isomerism' is formed between each medical insurance platform and a Hospital Information System (HIS), and data interaction cannot be directly realized.
Disclosure of Invention
Aiming at the technical problem that data interaction cannot be directly realized between a hospital information platform (HIS) and each medical insurance platform, the invention provides a medical insurance data adaptation engine to realize data exchange between a Hospital Information System (HIS) and each medical insurance platform and realize construction, analysis and transmission of medical insurance data.
In order to achieve the purpose, the invention adopts the following technical scheme:
the utility model provides a medical insurance data adaptation engine, connects between medical insurance information system and a plurality of medical insurance platform, includes:
the communication module is used for communicating with the medical insurance information system, and the medical insurance information system sends and acquires the encrypted message through the communication module;
the data conversion module is connected with the communication module and is used for mutual conversion between the encrypted message and the medical insurance standard object;
the data analysis module is connected with the data conversion module and each medical insurance platform, and is used for analyzing the medical insurance standard object to obtain different medical insurance platform types and medical insurance service data and synthesizing the different medical insurance platform types and medical insurance service data into a medical insurance standard object;
the platform information conversion module is connected with the data analysis module and is used for realizing the mutual conversion of the medical insurance service data and the corresponding medical insurance service messages according to different medical insurance platform types; the data analysis module sends the medical insurance service messages to corresponding medical insurance platforms according to different medical insurance types, and the data analysis module is used for acquiring the medical insurance service messages of different medical insurance platforms and sending the medical insurance service messages to the platform information conversion module.
Further, the data conversion module converts the encrypted message into a medical insurance standard object through decryption and deserialization.
Further, the deserializing comprises:
creating an object, namely decrypting the encrypted message to obtain an object state, creating a corresponding object state, and creating a corresponding medical insurance standard object;
type conversion, converting the character string into data of corresponding type by using different type converters according to the attribute type;
and (6) data binding, namely assigning the converted data of the corresponding type to a corresponding medical insurance standard object.
Further, the data conversion module converts the medical insurance standard object into an encrypted message through serialization and encryption.
Further, the serializing comprises:
traversing object attributes, wherein the object attributes read all attributes of the medical insurance standard object;
type conversion, which is to perform data type conversion on all attributes and attribute values;
and storing the data, namely storing the converted data.
Further, the communication module communicates with the hospital information system through a websocket protocol.
The invention also provides a medical insurance data adaptation method, which comprises the following steps:
s1: the medical insurance information system serializes and encrypts the medical insurance standard object to obtain an encrypted message, and sends the encrypted message to the data conversion module through the communication module;
s2: the data conversion module decrypts and deserializes the encrypted message to convert the encrypted message into a first medical insurance standard object;
s3: the data analysis module acquires a first medical insurance standard object, analyzes the first medical insurance standard object to obtain a medical insurance platform type and first medical insurance business data, and sends the medical insurance platform type and the first medical insurance business data to the platform information conversion module;
s4: the platform information conversion module acquires the type of the medical insurance platform and the first service data, and converts the first medical insurance service data into a first medical insurance service message corresponding to the medical insurance platform according to the type of the medical insurance platform; the data analysis module sends the first medical insurance service message to a corresponding medical insurance service platform according to the type of the medical insurance platform;
s5: the corresponding medical insurance service platform processes the medical insurance information into a second medical insurance service message according to the obtained first medical insurance service message and returns the second medical insurance service message to the data analysis module;
s6: the data analysis module sends the second medical insurance service message to the platform information conversion module, and the platform information conversion module converts the second medical insurance service message into corresponding second medical insurance service data; the data analysis module synthesizes the second medical insurance business data and the medical insurance platform type into a second medical insurance standard object;
s7: the data conversion module acquires a second medical insurance standard object, serializes and encrypts the second medical insurance standard object to obtain a second encrypted message, and the data conversion module sends the second encrypted message to the hospital information system through the communication module.
Further, the step S5 is followed by:
s51, the data analysis module receives the second medical insurance message and judges whether the analysis is successful; if the parsing is successful, performing step S6; if the analysis is unsuccessful, a failure message is sent to the data conversion module, and the data conversion module serializes and encrypts the failure message and then sends the failure message to the hospital information system through the communication module.
The present invention also provides an electronic device comprising:
a processor;
a memory;
and a program stored in the memory and configured to be executed by the processor, the program comprising instructions for performing the above medical insurance data adaptation method.
The invention also provides a computer readable storage medium, on which a computer program is stored, the computer program is executed by a processor to perform the medical insurance data adaptation method.
Compared with the prior art, the invention has the beneficial effects that:
the medical insurance data adaptation engine comprises a communication module, a data conversion module, a data analysis module and a platform information conversion module, wherein a hospital information platform sends encrypted messages to the data conversion module through the communication module, the data conversion module processes the first encrypted messages into a first medical insurance standard object and sends the first encrypted messages to the data analysis module, the data analysis module analyzes the first medical insurance standard object into a medical insurance platform type and first medical insurance business data and sends the medical insurance platform type and the first medical insurance business data to the platform information conversion module, the platform information conversion module converts the first medical insurance business data into first medical insurance messages of different corresponding medical insurance platforms according to the medical insurance platform type, and the data analysis module sends the first medical insurance messages to different medical insurance platforms and obtains second encrypted messages of the corresponding medical insurance platforms; the medical insurance data adaptation engine reversely executes the processes, and sends the second encrypted message returned by the corresponding medical insurance platform to the hospital information system through the platform information conversion module, the data analysis module, the data conversion module and the communication module. The medical insurance data adaptation engine provided by the invention can adapt to the heterogeneous scene of a hospital information system and each medical insurance platform, and provides a medical insurance information interaction solution. And a convenient access mode is provided, the data transmission is converted, adapted and the like, and the flexibility of medical insurance calling is improved.
Drawings
Fig. 1 is a main framework diagram of the medical insurance data adaptation engine provided in this embodiment.
Detailed Description
The technical solutions in the embodiments of the present invention will be fully described in detail below with reference to the accompanying drawings. It is obvious that the described embodiments are only some specific embodiments, not all embodiments, of the general technical solution of the present invention. All other embodiments, which can be derived by a person skilled in the art from the general idea of the invention, fall within the scope of protection of the invention.
Aiming at the technical problem that data interaction cannot be directly realized between a hospital information platform (HIS) and each medical insurance platform, the invention provides a medical insurance data adaptation engine to realize data exchange between a Hospital Information System (HIS) and each medical insurance platform and realize construction, analysis and transmission of medical insurance data. The technical solution of the present invention will be specifically described with reference to specific examples.
The utility model provides a medical insurance data adaptation engine, connects between medical insurance information system and a plurality of medical insurance platform, includes:
the communication module is used for communicating with the medical insurance information system, and the medical insurance information system sends and acquires the encrypted message through the communication module;
the data conversion module is connected with the communication module and is used for mutual conversion between the encrypted message and the medical insurance standard object;
the data analysis module is connected with the data conversion module and each medical insurance platform, and is used for analyzing the medical insurance standard object to obtain different medical insurance platform types and medical insurance service data and synthesizing the different medical insurance platform types and medical insurance service data into a medical insurance standard object;
the platform information conversion module is connected with the data analysis module and is used for realizing the mutual conversion of the medical insurance service data and the corresponding medical insurance service messages according to different medical insurance platform types; the data analysis module sends the medical insurance service messages to corresponding medical insurance platforms according to different medical insurance types, and the data analysis module is used for acquiring the medical insurance service messages of different medical insurance platforms and sending the medical insurance service messages to the platform information conversion module.
The medical insurance data adaptation engine provided by the embodiment comprises a communication module, a data conversion module, a data analysis module and a platform information conversion module, wherein a hospital information platform sends encrypted messages to the data conversion module through the communication module, the data conversion module processes the first encrypted messages into a first medical insurance standard object and sends the first encrypted messages to the data analysis module, the data analysis module analyzes the first medical insurance standard object into a medical insurance platform type and first medical insurance service data and sends the medical insurance platform type and the first medical insurance service data to the platform information conversion module, the platform information conversion module converts the first medical insurance service data into corresponding first medical insurance messages of different medical insurance platforms according to the medical insurance platform type, and the data analysis module sends the first medical insurance messages to different medical insurance platforms and obtains second encrypted messages of the corresponding medical insurance platforms; the medical insurance data adaptation engine reversely executes the processes, and sends the second encrypted message returned by the corresponding medical insurance platform to the hospital information system through the platform information conversion module, the data analysis module, the data conversion module and the communication module. The medical insurance data adaptation engine provided by the embodiment can adapt to heterogeneous scenes of a hospital information system and each medical insurance platform, and provides a medical insurance information interaction solution. And a convenient access mode is provided, the data transmission is converted, adapted and the like, and the flexibility of medical insurance calling is improved.
Specifically, the medical insurance data adaptation engine provided by this embodiment includes a communication module, a data conversion module, a data analysis module, and a platform information conversion module. The Hospital Information System (HIS) is used as a message sender and a message receiver, serializes and converts the medical insurance standard object into a binary format, encrypts the binary format to generate an encrypted message, and sends the encrypted message to a medical insurance data adaptation engine through a communication module; meanwhile, the encrypted messages sent by the data adaptation engine are decrypted and deserialized to obtain the relevant information of each medical insurance platform. The preferred encryption method may be encryption according to Base64 encoding. Preferably, the communication module communicates with the hospital information system through a websocket protocol.
The data conversion module is connected with the communication module and is used for mutual conversion between the encrypted message and the medical insurance standard object. Specifically, when the encrypted message is converted into the standard medical insurance object, the data conversion module decrypts the encrypted message after receiving the encrypted message, and deserializes the decrypted data to obtain the standard medical insurance object. Deserialization includes object creation, type conversion, and data binding. More specifically, the data conversion module decrypts the encrypted message, acquires the object state, and creates a corresponding medical insurance standard object according to the object state; then, performing type conversion, and converting the character strings into data of corresponding types by using different type converters according to the attribute types of the medical insurance standard object; and assigning the converted data of the corresponding type to the corresponding medical insurance standard object so as to obtain the medical insurance standard object. On the contrary, when the medical insurance standard object is converted into the encrypted message, the data conversion module acquires the medical insurance standard object sent by the data analysis module, deserializes the medical insurance standard object and encrypts the medical insurance standard object to obtain the encrypted message. Serialization includes object attribute traversal, type conversion, and data storage. More specifically, the data conversion module performs object attribute traversal after receiving the medical insurance standard object, reads all attributes of the medical insurance standard object, performs type conversion, performs data type conversion on all attributes and attribute values, and stores the converted data.
The data analysis module is connected with the data conversion module and each medical insurance platform, and is used for analyzing the medical insurance standard object to obtain different medical insurance platform types and medical insurance business data and synthesizing the different medical insurance platform types and medical insurance business data into the medical insurance standard object. Specifically, the data analysis module receives the medical insurance standard object generated by the data conversion module, analyzes the medical insurance standard object to obtain different medical insurance platform types and medical insurance service data, and then sends the different medical insurance platform types and medical insurance service data to the platform information conversion module; meanwhile, the data analysis platform can acquire the medical insurance service messages sent by the platform information conversion module and send the medical insurance service messages to corresponding medical insurance platforms according to different types of the medical insurance platforms. Conversely, the corresponding medical insurance platform can send the medical insurance service messages returned by different medical insurance platforms to the platform information conversion module; meanwhile, the data analysis module acquires the medical insurance service data of the platform information conversion module and synthesizes the medical insurance service data and the medical insurance platform type into a medical insurance standard object.
The platform information conversion module is connected with the data analysis module and is used for realizing the mutual conversion of the medical insurance service data and the corresponding medical insurance service messages according to different medical insurance platform types; the data analysis module sends the medical insurance service messages to corresponding medical insurance platforms according to different medical insurance types, and the data analysis module is used for acquiring the medical insurance service messages of different medical insurance platforms and sending the medical insurance service messages to the platform information conversion module.
The embodiment also provides a medical insurance data adaptation method, which comprises the following steps:
s1: the medical insurance information system serializes and encrypts the medical insurance standard object to obtain an encrypted message, and sends the encrypted message to the data conversion module through the communication module;
s2: the data conversion module decrypts and deserializes the encrypted message to convert the encrypted message into a first medical insurance standard object;
s3: the data analysis module acquires a first medical insurance standard object, analyzes the first medical insurance standard object to obtain a medical insurance platform type and first medical insurance business data, and sends the medical insurance platform type and the first medical insurance business data to the platform information conversion module;
s4: the platform information conversion module acquires the type of the medical insurance platform and the first service data, and converts the first medical insurance service data into a first medical insurance service message corresponding to the medical insurance platform according to the type of the medical insurance platform; the data analysis module sends the first medical insurance service message to a corresponding medical insurance service platform according to the type of the medical insurance platform;
s5: the corresponding medical insurance service platform processes the medical insurance information into a second medical insurance service message according to the obtained first medical insurance service message and returns the second medical insurance service message to the data analysis module;
s6: the data analysis module sends the second medical insurance service message to the platform information conversion module, and the platform information conversion module converts the second medical insurance service message into corresponding second medical insurance service data; the data analysis module synthesizes the second medical insurance business data and the medical insurance platform type into a second medical insurance standard object;
s7: the data conversion module acquires a second medical insurance standard object, serializes and encrypts the second medical insurance standard object to obtain a second encrypted message, and the data conversion module sends the second encrypted message to the hospital information system through the communication module.
Further, step S5 is followed by:
s51, the data analysis module receives the second medical insurance message and judges whether the analysis is successful; if the parsing is successful, performing step S6; if the analysis is unsuccessful, a failure message is sent to the data conversion module, and the data conversion module serializes and encrypts the failure message and then sends the failure message to the hospital information system through the communication module.
The present embodiment also provides an electronic device, including:
a processor;
a memory;
and a program stored in the memory and configured to be executed by the processor, the program comprising instructions for performing the above medical insurance data adaptation method.
The embodiment also provides a computer-readable storage medium, on which a computer program is stored, and the computer program is executed by a processor to perform the medical insurance data adaptation method.

Claims (10)

1. The utility model provides a medical insurance data adaptation engine, connects between medical insurance information system and a plurality of medical insurance platform, its characterized in that includes:
the communication module is used for communicating with the medical insurance information system, and the medical insurance information system sends and acquires the encrypted message through the communication module;
the data conversion module is connected with the communication module and is used for mutual conversion between the encrypted message and the medical insurance standard object;
the data analysis module is connected with the data conversion module and each medical insurance platform, and is used for analyzing the medical insurance standard object to obtain different medical insurance platform types and medical insurance service data and synthesizing the different medical insurance platform types and medical insurance service data into a medical insurance standard object;
the platform information conversion module is connected with the data analysis module and is used for realizing the mutual conversion of the medical insurance service data and the corresponding medical insurance service messages according to different medical insurance platform types; the data analysis module sends the medical insurance service messages to corresponding medical insurance platforms according to different medical insurance types, and the data analysis module is used for acquiring the medical insurance service messages of different medical insurance platforms and sending the medical insurance service messages to the platform information conversion module.
2. The medical insurance data adaptation engine of claim 1, wherein the data conversion module converts the encrypted messages into the medical insurance standard object by decryption and deserialization.
3. The medical insurance data adaptation engine of claim 2, wherein the deserialization comprises:
creating an object, namely decrypting the encrypted message to obtain an object state, creating a corresponding object state, and creating a corresponding medical insurance standard object;
type conversion, converting the character string into data of corresponding type by using different type converters according to the attribute type;
and (6) data binding, namely assigning the converted data of the corresponding type to a corresponding medical insurance standard object.
4. The medical insurance data adaptation engine of claim 1, wherein the data conversion module converts the medical insurance standard object into an encrypted message by serialization and encryption.
5. The medical insurance data adaptation engine of claim 4, wherein the serializing comprises:
traversing object attributes, wherein the object attributes read all attributes of the medical insurance standard object;
type conversion, which is to perform data type conversion on all attributes and attribute values;
and storing the data, namely storing the converted data.
6. The medical insurance data adaptation engine of claims 1-5, wherein the communication module communicates with a hospital information system via a websocket protocol.
7. A medical insurance data adaptation method is characterized by comprising the following steps:
s1: the medical insurance information system serializes and encrypts the medical insurance standard object to obtain an encrypted message, and sends the encrypted message to the data conversion module through the communication module;
s2: the data conversion module decrypts and deserializes the encrypted message to convert the encrypted message into a first medical insurance standard object;
s3: the data analysis module acquires a first medical insurance standard object, analyzes the first medical insurance standard object to obtain a medical insurance platform type and first medical insurance business data, and sends the medical insurance platform type and the first medical insurance business data to the platform information conversion module;
s4: the platform information conversion module acquires the type of the medical insurance platform and the first service data, and converts the first medical insurance service data into a first medical insurance service message corresponding to the medical insurance platform according to the type of the medical insurance platform; the data analysis module sends the first medical insurance service message to a corresponding medical insurance service platform according to the type of the medical insurance platform;
s5: the corresponding medical insurance service platform processes the medical insurance information into a second medical insurance service message according to the obtained first medical insurance service message and returns the second medical insurance service message to the data analysis module;
s6: the data analysis module sends the second medical insurance service message to the platform information conversion module, and the platform information conversion module converts the second medical insurance service message into corresponding second medical insurance service data; the data analysis module synthesizes the second medical insurance business data and the medical insurance platform type into a second medical insurance standard object;
s7: the data conversion module acquires a second medical insurance standard object, serializes and encrypts the second medical insurance standard object to obtain a second encrypted message, and the data conversion module sends the second encrypted message to the hospital information system through the communication module.
8. The medical insurance data adaptation method according to claim 7, further comprising, after the step S5:
s51, the data analysis module receives the second medical insurance message and judges whether the analysis is successful; if the parsing is successful, performing step S6; if the analysis is unsuccessful, a failure message is sent to the data conversion module, and the data conversion module serializes and encrypts the failure message and then sends the failure message to the hospital information system through the communication module.
9. An electronic device, comprising:
a processor;
a memory;
and a program stored in the memory and configured to be executed by the processor, the program comprising instructions for performing the medical insurance data adaptation method of any of claims 7 to 8.
10. A computer-readable storage medium, on which a computer program is stored, wherein the computer program is executed by a processor to perform the medical insurance data adaptation method according to any one of claims 7 to 8.
CN202010180735.2A 2020-03-16 2020-03-16 Medical insurance data adaptation engine, medical insurance data adaptation method, electronic equipment and storage medium Active CN111314375B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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