CN114995728A

CN114995728A - Rule configuration method and device, electronic equipment and storage medium

Info

Publication number: CN114995728A
Application number: CN202210729983.7A
Authority: CN
Inventors: 刘凯
Original assignee: Lianren Healthcare Big Data Technology Co Ltd
Current assignee: Lianren Healthcare Big Data Technology Co Ltd
Priority date: 2022-06-24
Filing date: 2022-06-24
Publication date: 2022-09-02

Abstract

The invention discloses a rule configuration method, a rule configuration device, electronic equipment and a storage medium, wherein the method comprises the following steps: receiving selection operation aiming at least one object component displayed in the rule configuration page, and taking the selected object component as a component to be configured; receiving attribute configuration operation aiming at each component to be configured, and configuring at least one component attribute for each component to be configured to obtain the configured component to be configured; receiving a process configuration operation aiming at least one component to be configured, constructing a target process, and displaying the target process; and receiving a confirmation operation aiming at the target process, generating a target rule based on the target process, and storing the target rule into a medical insurance settlement rule list. By the technical scheme of the embodiment of the invention, the visualized configuration rule is realized, the efficiency and the accuracy of the configuration of the medical insurance settlement rule are improved, and the technical effect of improving the filling accuracy of the medical insurance settlement list is further improved.

Description

Rule configuration method and device, electronic equipment and storage medium

Technical Field

The invention relates to the technical field of medical insurance settlement, in particular to a rule configuration method and device, electronic equipment and a storage medium.

Background

With the continuous development of medical insurance payment system, the method of paying according to disease category values is gradually popularized. The medical insurance settlement list is used as a data list submitted when the medical insurance fixed-point medical institutions at all levels apply for settlement of expenses to medical insurance departments after carrying out medical services such as hospitalization, daytime operations and the like, and the filling quality of the contents is closely related to the accuracy of disease category grouping and payment settlement results in subsequent settlement.

Because the content to be filled in the medical insurance settlement list is complicated, incomplete filling, non-standardization and unreasonable problems can be caused when the medical insurance settlement list is manually input, the problem that the medical insurance settlement list is unqualified after being submitted is caused, and the problems that the grouping of disease types and the payment settlement result are inaccurate are indirectly caused.

In the process of filling in the medical insurance settlement list, the medical insurance settlement list can be audited through the rule engine. However, the writing of the rule engine requires software professionals to write rule scripts according to the requirements of medical staff, and in such a case, the cooperation of multiple types of staff is required, which causes the problems of low working efficiency and difficult rule engine configuration.

Disclosure of Invention

The invention provides a rule configuration method, a rule configuration device, electronic equipment and a storage medium, which are used for improving the efficiency and accuracy of medical insurance settlement rule configuration and further improving the filling accuracy of a medical insurance settlement list.

According to an aspect of the present invention, there is provided a rule configuration method, including:

receiving selection operation aiming at least one object component displayed in a rule configuration page, and taking the selected object component as a component to be configured, wherein the object component comprises at least one of an insurance object component, a treatment component, a fee component and a surgery component;

receiving attribute configuration operation aiming at each component to be configured, and configuring at least one component attribute for each component to be configured to obtain the configured component to be configured;

receiving a process configuration operation aiming at least one component to be configured, constructing a target process, and displaying the target process; the target process comprises a starting node, at least one component to be configured and an ending node;

and receiving a confirmation operation aiming at the target process, generating a target rule based on the target process, and storing the target rule into a medical insurance settlement rule list.

According to another aspect of the present invention, there is provided a rule configuration apparatus, including:

the device comprises a to-be-configured component determining module, a rule configuration page and a rule configuration module, wherein the to-be-configured component determining module is used for receiving selection operation of at least one object component displayed in the rule configuration page and taking the selected object component as the to-be-configured component, and the object component comprises at least one of a security object component, a treatment component, a fee component and a surgery component;

the device comprises a to-be-configured component configuration module, a to-be-configured component configuration module and a configuration module, wherein the to-be-configured component configuration module is used for receiving attribute configuration operation aiming at each to-be-configured component and configuring at least one component attribute for each to-be-configured component to obtain the configured to-be-configured component;

the target process construction module is used for receiving process configuration operation aiming at least one component to be configured, constructing a target process and displaying the target process; the target process comprises a starting node, at least one component to be configured and an ending node;

and the target rule generating module is used for receiving the confirmation operation aiming at the target process, generating a target rule based on the target process and storing the target rule into a medical insurance settlement rule list.

According to another aspect of the present invention, there is provided an electronic apparatus including:

at least one processor; and

a memory communicatively coupled to the at least one processor; wherein the content of the first and second substances,

the memory stores a computer program executable by the at least one processor, the computer program being executable by the at least one processor to enable the at least one processor to perform the rule configuration method of any embodiment of the invention.

According to another aspect of the present invention, there is provided a computer-readable storage medium storing computer instructions for causing a processor to implement a rule configuration method according to any one of the embodiments of the present invention when the computer instructions are executed.

The technical scheme of the embodiment of the invention comprises the steps of receiving selection operation aiming at least one object component shown in a rule configuration page, taking the selected object component as a component to be configured, receiving attribute configuration operation aiming at each component to be configured, configuring at least one component attribute for each component to be configured to obtain the configured component to be configured, receiving process configuration operation aiming at least one component to be configured, constructing a target process, and displays the target process, receives a confirmation operation for the target process, generates a target rule based on the target process, and the target rule is stored in the medical insurance settlement rule list, so that the problems of high rule configuration difficulty and low efficiency are solved, the visualized configuration rule is realized, the efficiency and the accuracy of the medical insurance settlement rule configuration are improved, and the technical effect of improving the filling accuracy of the medical insurance settlement list is further improved.

It should be understood that the statements in this section are not intended to identify key or critical features of the embodiments of the present invention, nor are they intended to limit the scope of the invention. Other features of the present invention will become apparent from the following description.

Drawings

In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings needed to be used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on these drawings without creative efforts.

Fig. 1 is a schematic flowchart illustrating a rule configuration method according to an embodiment of the present invention;

fig. 2 is a schematic flowchart of a rule configuration method according to a second embodiment of the present invention;

fig. 3 is a schematic layout diagram of a rule configuration page according to a second embodiment of the present invention;

fig. 4 is a page diagram of a component attribute configuration page according to a second embodiment of the present invention;

fig. 5 is a schematic layout diagram of another rule configuration page provided in the second embodiment of the present invention;

fig. 6 is a flowchart illustrating another rule configuration method according to a second embodiment of the present invention;

fig. 7 is a flowchart of an overall rule configuration method according to a second embodiment of the present invention;

fig. 8 is a flowchart of an audit scheduling method according to a second embodiment of the present invention;

fig. 9 is a schematic structural diagram of a rule configuration apparatus according to a third embodiment of the present invention;

fig. 10 is a schematic structural diagram of an electronic device according to a fourth embodiment of the present invention.

Detailed Description

In order to make the technical solutions of the present invention better understood, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

It is noted that the terms "initial", "target", and the like in the description and claims of the present invention and in the drawings described above are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It is to be understood that the data so used is interchangeable under appropriate circumstances such that the embodiments of the invention described herein are capable of operation in sequences other than those illustrated or described herein. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed, but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.

It will be appreciated that the data referred to in this disclosure, including but not limited to the data itself, the acquisition or use of the data, should comply with the requirements of the applicable laws and regulations and related regulations.

Example one

Fig. 1 is a schematic flow chart of a rule configuration method according to an embodiment of the present invention, where the method is applicable to a case where a medical insurance settlement audit rule is established for a medical insurance settlement list, and the method may be executed by a rule configuration device, where the rule configuration device may be implemented in a form of hardware and/or software, and the rule configuration device may be configured in an electronic device.

As shown in fig. 1, the method includes:

s110, receiving selection operation of at least one object component displayed in the rule configuration page, and taking the selected object component as a component to be configured.

The rule configuration page can be an operation page used for editing and configuring the medical insurance settlement auditing rule. The object component may be a component included in a pre-established component library, and the object component may be at least one component corresponding to each object type established according to the object type. The object type may be an insured object, a diagnosis and treatment item, a fee settlement, an operation item, etc. The subject component includes at least one of an insured subject component, a visit component, a cost component, and a surgical component. The selection operation may be a click operation, a hover operation, a shortcut trigger operation, etc. The click operation may be a click operation in the object component and a certain area around the object component, and may be a left click operation, a right click operation, a left double click operation, a left long press operation, or the like. The hover operation may be an operation in which the cursor is stationary for a certain time in the object component and a certain area around the object component. The shortcut triggering operation may be triggering a control corresponding to each object component, and the control may be a virtual space or a physical control. The component to be configured can be an object component for establishing the medical insurance settlement auditing rule.

Specifically, at least one object component can be displayed in the rule configuration interface, and an operator can select at least one object component in the rule configuration interface through selection operation to configure the medical insurance settlement auditing rule. And receiving selection operation aiming at least one object component, and further taking the object component corresponding to the selection operation as the component to be configured.

S120, receiving attribute configuration operation aiming at each component to be configured, and configuring at least one component attribute for each component to be configured to obtain the configured component to be configured.

The attribute configuration operation may be an operation for editing or selecting a component attribute of the component to be configured. The component attribute may be attribute information corresponding to a component to be configured, for example, the component attribute corresponding to the component to be insured may be an age attribute, a gender attribute, or the like.

Specifically, the operation user may perform attribute configuration operation on each component to be configured. Each component to be configured may be configured in the same manner, and thus, one of the components to be configured is taken as an example for description. And receiving attribute configuration operation aiming at the component to be configured, and configuring the component to be configured according to the component attribute corresponding to the attribute configuration operation to obtain the configured component to be configured.

It should be noted that one or more component attributes may be configured for each component to be configured, that is, the component attribute may be a single check or a check.

S130, receiving a process configuration operation aiming at least one component to be configured, constructing a target process, and displaying the target process.

The process configuration operation may be an operation of connecting and configuring components to be configured according to the order of the medical insurance settlement auditing rule, and may be an operation of connecting between the start node and at least one component to be configured, between components to be configured, and between at least one component to be configured and the end node. The target process may be a medical insurance settlement auditing rule process obtained after node connection configuration is performed through process configuration operation. The target process includes a start node, at least one component to be configured, and an end node. The start node may be a node for indicating a start position of the flow, and the end node may be a node for indicating an end position of the flow.

Specifically, the operation user may connect the start node, the child node corresponding to the at least one component to be configured, and the end node in the rule configuration page, so as to complete the process configuration. Receiving a flow configuration operation for at least one component to be configured, and connecting two nodes corresponding to the flow configuration operation. And then, after the process configuration operation aiming at each component to be configured is completed, constructing and displaying the target process.

It should be noted that, after each flow configuration operation is completed, the flow to be confirmed may be constructed and displayed based on the current flow configuration situation. And when the trigger flow configuration is finished, taking the flow to be confirmed as a target flow and displaying the target flow.

It should be further noted that S120 may be executed before S130, S120 may also be executed after S130, and S120 and S130 may also be executed alternately according to each component to be configured, which is not specifically limited in this embodiment.

S140, receiving a confirmation operation aiming at the target process, generating a target rule based on the target process, and storing the target rule into a medical insurance settlement rule list.

The confirmation operation may be a trigger operation for the confirmation control, such as triggering an Enter key on a keyboard, clicking a "confirm" button, and the like. The target rule may be a medical insurance settlement rule flow corresponding to the target flow. The medical insurance settlement rule list may be a list for storing each target process.

Specifically, the operation user may trigger a confirmation operation after the attribute configuration and the process configuration are completed, so as to determine to convert the target process into the target rule and store the target rule. Receiving a confirmation operation aiming at the target process, acquiring the target process in the rule configuration page, generating a target rule according to the target process, and storing the target rule so as to be convenient to view or edit through the medical insurance settlement rule list.

Optionally, in order to improve the efficiency and accuracy of rule generation, an initialization rule script may be pre-established to generate a target rule based on a target process, and specifically, the method may be implemented by the following steps:

step one, determining a settlement list type corresponding to a target process as a target settlement list type.

The settlement list type may be a type of medical insurance settlement list corresponding to various examinations, operations, rehabilitation, and the like. The target settlement list type may be a settlement list type corresponding to the target process.

Specifically, the type of the settlement list selected or input by the operator based on the rule configuration page may be received, and the type of the settlement list is determined as the target type of the settlement list corresponding to the target process.

Illustratively, in response to the new creation operation, each settlement list type is displayed for the operator to select, and the settlement list type triggered by the operator selection is used as the target settlement list type.

And step two, processing the pre-established initialization rule script based on the target flow to obtain a target rule script.

The initialization rule script can be a script file templated by the rule script, and the initialization rule script can correspond to each settlement list type and can also correspond to all settlement list types. The target rule script can be a script file obtained after the information to be configured in the initialization rule script is configured according to the target process.

Specifically, each information to be configured in the initialization rule script is configured through the target process, and the configured initialization rule script is used as the target rule script.

And step three, associating the target rule script with the target settlement list type to generate a target rule.

Specifically, after the target rule script and the target settlement list type corresponding to the target rule script are determined, the target rule script is associated with the target settlement list type, so that the target rule script is subsequently applied to the target settlement list type. And then, the associated target rule script and the target settlement list type are used as target rules.

On the basis of the above example, each target rule may also be checked through the medical insurance settlement rule list, which may specifically be:

and receiving a viewing operation aiming at the medical insurance settlement rule list, and displaying the target rule stored in the medical insurance settlement rule list.

The viewing operation may be an operation for displaying each stored target rule, and may be a trigger operation for a control such as "rule viewing".

Specifically, when the operation user wants to view the target rule that has been generated and stored, a viewing operation for the medical insurance settlement rule list may be triggered. And receiving a viewing operation aiming at the medical insurance settlement rule list, and displaying each target rule stored in the medical insurance settlement rule list, namely displaying all the target rules. And a trigger operation aiming at a target rule can be received, and a target flow, a target settlement list type and/or a target rule script corresponding to the target rule are displayed.

It should be noted that the target rules stored in the medical insurance settlement rule list may be displayed according to a generation sequence of the target rules, or may be displayed in a classified manner according to different types of medical insurance settlement lists, and a specific display manner may be set according to actual requirements, which is not specifically limited in this embodiment.

The technical scheme of the embodiment of the invention comprises the steps of receiving selection operation aiming at least one object component shown in a rule configuration page, taking the selected object component as a component to be configured, receiving attribute configuration operation aiming at each component to be configured, configuring at least one component attribute for each component to be configured to obtain the configured component to be configured, receiving process configuration operation aiming at least one component to be configured, constructing a target process, and displaying the target process, receiving a confirmation operation for the target process, generating a target rule based on the target process, and the target rule is stored in the medical insurance settlement rule list, so that the problems of high rule configuration difficulty and low efficiency are solved, the visualized configuration rule is realized, the efficiency and the accuracy of the medical insurance settlement rule configuration are improved, and the technical effect of improving the filling accuracy of the medical insurance settlement list is further improved.

Example two

Fig. 2 is a schematic flow chart of a rule configuration method according to a second embodiment of the present invention, and on the basis of the foregoing embodiment, reference may be made to detailed explanation of the technical solution for a specific implementation manner of response and display of a rule configuration interface. The same or corresponding terms as those in the above embodiments are not explained in detail herein.

As shown in fig. 2, the method includes:

s210, responding to the rule configuration request, and displaying a rule configuration page.

The rule configuration request may be a request for triggering the display of a rule configuration page, for example, a request generated by operating a control such as "rule configuration" or "new rule" triggered by a user. The rule configuration page includes a component selection area and a rule configuration area. The component selection area is used for receiving selection operation aiming at least one object component. The rule configuration area is used for receiving flow configuration operation aiming at least one component to be configured.

Specifically, in response to the rule configuration request, a rule configuration page is displayed on the display device. The arrangement of the component selection area and the rule configuration area in the rule configuration page is shown in fig. 3.

S220, receiving selection operation aiming at least one object component displayed in the component selection area, taking the selected object component as a component to be configured, and displaying the component to be configured in the rule configuration area.

Wherein the selection operation comprises an operation of dragging the object component from the component selection area to the rule configuration area.

Specifically, when the operation user determines that at least one object component is desired to be selected, the at least one object component desired to be selected may be dragged from the component selection area to the rule configuration area, and the component to be configured is displayed in the rule configuration area. At this time, the dragged object component is taken as a component to be configured.

S230, receiving a configuration trigger operation aiming at least one component to be configured in the rule configuration area, and displaying the component attribute configuration area in the rule configuration interface, or jumping to a component attribute configuration page corresponding to the component to be configured.

The configuration triggering operation may be a triggering operation on a component to be configured in the rule configuration area, for example, an operation of clicking the component to be configured in the rule configuration area. The component attribute configuration area may be an area other than the component selection area and the rule configuration area in the rule configuration page, and is used for performing attribute configuration on the component to be configured. The component attribute configuration page may be a page for performing attribute configuration on a component to be configured, and a page schematic diagram of the component attribute configuration page is shown in fig. 4.

Specifically, when the operation user wants to configure the component attribute of the component to be configured, which wants to be configured, may be triggered in the rule configuration area. Receiving a configuration trigger operation for at least one component to be configured in the rule configuration area, and adding a display component attribute configuration area in the rule configuration page, for example: the area of the component selection area and the area of the rule configuration area in the rule configuration page can be reduced to add the component attribute configuration area, and at this time, the arrangement schematic diagram of the rule configuration page is shown in fig. 5; the component selection area and/or the rule configuration area in the rule configuration page can be hidden, and the vacated area is used as the component attribute configuration area. Or, receiving a configuration trigger operation for at least one component to be configured in the rule configuration area, and skipping from the rule configuration page to the component attribute configuration page, that is, covering the component attribute configuration page on the rule configuration page.

S240, receiving attribute configuration operation aiming at each component to be configured and input based on the component attribute configuration area or the component attribute configuration page, and configuring at least one component attribute for each component to be configured to obtain the configured component to be configured.

On the basis of the above example, the component attribute configuration area or the component attribute configuration page shows at least one preset attribute configuration item and a configuration control corresponding to the preset attribute configuration item, where the configuration control includes a configuration information entry control and/or a configuration information selection control.

The preset attribute configuration item may be an attribute to be configured corresponding to the component to be configured. The configuration control may be a control corresponding to the preset attribute configuration item, that is, the preset attribute configuration item may be configured for the component to be configured through the configuration control. The configuration information selection control can be a control such as a pull-down menu, and the configuration information entry control can be a control such as a textbox.

Accordingly, the attribute configuration operation may be received based on:

and receiving attribute configuration operation input by the configuration control corresponding to the preset attribute configuration item for each component to be configured.

Specifically, for each component to be configured, an operation user may configure the component to be configured in the component attribute configuration area or the component attribute configuration page. When the configuration of the operation user is completed, the attribute configuration operation input by aiming at the configuration control can be received so as to acquire the information input by the operation user.

It should be noted that the configuration control may be a configuration information entry control and a configuration information selection control, for example: and selecting default fields to be selected, such as equal to, less than, greater than, intervals and the like, from the pull-down menu by the configuration control combined by the pull-down box and the input box, and inputting self-defined fields, such as specific numerical values, from the input box.

Optionally, the preset attribute configuration item includes at least one of a component name, an attribute name, attribute content, and an association mode; the association mode comprises an association relation, an association field and an association data set; associative relations include containment, exclusions, and intersections.

The component name may be a custom name of the component to be configured. The property name may be a custom name for the property of the component. The attribute content may be attribute information content corresponding to an attribute name. The association schema may be an association relationship set between the association field and the association data set. The association field may include an attribute name of at least one component to be configured. The associated data set may be a pre-established data set. The association relationship may be containment, that is, the attribute content corresponding to the attribute name is contained in the association data set; except that the attribute content corresponding to the attribute name has no intersection with the associated data set; there is an intersection, i.e. the attribute content corresponding to the attribute name partially coincides with the associated data set.

It should be noted that both the associated field and the associated data set can be singled or checked.

Illustratively, the components to be configured are an insurance subject component and a surgical component, the sex of the insurance subject component is configured as a male, the surgical component is configured with a discharge diagnosis code set, and the association mode can be the surgical code set + except. At this time, if the rule is satisfied, that is, the sex corresponding to the component to be insured is male, and if a code other than the male operation, that is, a code for the female operation is filled, is satisfied, the rule is considered to be illegal.

S250, receiving a process configuration operation aiming at least one component to be configured, constructing a target process, and displaying the target process.

And S260, receiving the confirmation operation aiming at the target process, generating a target rule based on the target process, and storing the target rule into a medical insurance settlement rule list.

Fig. 6 is a schematic flow chart of another rule configuration method provided in the second embodiment of the present invention, and on the basis of the foregoing embodiment, reference may be made to the detailed description of the technical solution for the specific implementation of response and display of the rule configuration interface. The same or corresponding terms as those in the above embodiments are not explained in detail herein.

As shown in fig. 6, the method includes:

s310, responding to the rule configuration instruction, and displaying a rule configuration page.

The rule configuration page comprises a component selection area, a rule configuration area and a component attribute configuration area. It can be understood that the rule configuration page is divided into three parts, which are shown in the same page.

S320, receiving selection operation aiming at least one object component displayed in the component selection area, taking the selected object component as a component to be configured, and displaying the component to be configured in the rule configuration area.

S330, receiving a configuration trigger operation aiming at least one component to be configured in the rule configuration area, and displaying at least one preset attribute configuration item and a configuration control corresponding to the preset attribute configuration item in the component attribute configuration area.

Specifically, when the operation user wants to configure the component attribute of the component to be configured, which wants to be configured, may be triggered in the rule configuration area. Receiving a configuration trigger operation for at least one component to be configured in the rule configuration area, and displaying at least one preset attribute configuration item and a configuration control corresponding to the preset attribute configuration item in the component attribute configuration area in the rule configuration page.

S340, receiving attribute configuration operation input by aiming at the configuration control corresponding to the preset attribute configuration item, and configuring at least one component attribute for each component to be configured to obtain the configured component to be configured.

Specifically, for each component to be configured, an operation user may configure the component to be configured. When the configuration of the operation user is completed, the attribute configuration operation input by aiming at the configuration control can be received so as to obtain the information input by the operation user and complete the configuration of the component attribute.

S350, receiving flow configuration operation aiming at least one component to be configured, constructing a target flow, and displaying the target flow.

And S360, receiving the confirmation operation aiming at the target process, generating a target rule based on the target process, and storing the target rule into a medical insurance settlement rule list.

Fig. 7 is a flowchart of an overall rule configuration method according to a second embodiment of the present invention.

As shown in fig. 7, the method includes:

and connecting with the data storage space to acquire data in the data storage space, wherein the data storage space comprises an application database and Redis. When the target rule is established, the type of the settlement list is determined, and the component to be configured corresponding to the target rule is determined. And then configuring a related data set, a component to be configured and the like according to the rule detail to be specified, and updating the target rule through rule assembly, engine audit, past detail search and doubt collection so that the target rule corresponds to the rule detail. And further storing the established target rule, namely storing the target rule into a medical insurance settlement rule list.

Fig. 8 is a flowchart of an audit scheduling method according to a second embodiment of the present invention.

As shown in fig. 8, the method includes:

the engine service caller submits the audit task to the engine service, when the engine service receives the audit task, the interface parameter is verified, if not, the information of parameter verification failure is fed back to the engine service caller; if the result is passed, whether the engine queue is full is further judged, if yes, information that the engine queue is full is fed back to the engine service caller, if not, a batch number corresponding to the audit task is generated according to the audit task, the batch number is added to the task list, and the batch number is fed back to the engine service caller.

And scheduling the task consumption thread at regular time, wherein the task consumption thread can be a polling task list, judging whether an audit task is in operation, if so, returning to the polling task list to wait, and if not, acquiring the audit task corresponding to a batch number from the task list. And when the audit task is successfully acquired, reading the target rule corresponding to the audit task, further loading each to-be-audited diagnosis number corresponding to the batch number, and writing the to-be-audited diagnosis numbers into a to-be-audited queue.

The auditing execution thread can be used for monitoring the queue to be audited, judging whether a new examination number to be audited exists in the queue to be audited, if not, returning to the queue to be audited, if so, analyzing the examination number to be audited, loading a list to be audited corresponding to the examination number to be audited, auditing the list to be audited through the auditing task, and returning the auditing result.

The technical scheme of the embodiment of the invention comprises the steps of responding to a rule configuration request, displaying a rule configuration page, receiving selection operation aiming at least one object component displayed in a component selection area, using the selected object component as a component to be configured, displaying the component to be configured in the rule configuration area, receiving configuration trigger operation aiming at least one component to be configured in the rule configuration area, displaying a component attribute configuration area in a rule configuration interface, or jumping to a component attribute configuration page corresponding to the component to be configured, receiving attribute configuration operation aiming at each component to be configured and input based on the component attribute configuration area or the component attribute configuration page, configuring at least one component attribute for each component to be configured to obtain the configured component to be configured, receiving flow configuration operation aiming at least one component to be configured, and constructing a target flow, and the target process is displayed, the confirmation operation aiming at the target process is received, the target rule is generated based on the target process, and the target rule is stored in the medical insurance settlement rule list, so that the problems of high rule configuration difficulty and low efficiency are solved, the visualized configuration rule is realized, the efficiency and the accuracy of medical insurance settlement rule configuration are improved, and the technical effect of improving the filling accuracy of the medical insurance settlement list is further improved.

EXAMPLE III

Fig. 9 is a schematic structural diagram of a rule configuration apparatus according to a third embodiment of the present invention. As shown in fig. 9, the apparatus includes: the system comprises a component to be configured determining module 310, a component to be configured configuring module 320, a target flow constructing module 330 and a target rule generating module 340.

The component to be configured determining module 310 is configured to receive a selection operation for at least one object component shown in the rule configuration page, and use the selected object component as a component to be configured, where the object component includes at least one of an insurance-participating object component, a visit component, a cost component, and a surgical component; a to-be-configured component configuring module 320, configured to receive an attribute configuration operation for each to-be-configured component, and configure at least one component attribute for each to-be-configured component to obtain a configured to-be-configured component; a target process constructing module 330, configured to receive a process configuration operation for at least one component to be configured, construct a target process, and display the target process; the target process comprises a starting node, at least one component to be configured and an ending node; and the target rule generating module 340 is configured to receive a confirmation operation for the target process, generate a target rule based on the target process, and store the target rule in a medical insurance settlement rule list.

Optionally, the apparatus further comprises: the rule configuration page comprises a component selection area and a rule configuration area; the to-be-configured component determining module 310 is further configured to receive a selection operation for at least one object component shown in the component selection area, use the selected object component as the to-be-configured component, and display the to-be-configured component in the rule configuration area; the selection operation comprises an operation of dragging an object component from a component selection area to the rule configuration area; the to-be-configured component configuration module 320 is further configured to receive a configuration trigger operation for at least one to-be-configured component in the rule configuration area, display a component attribute configuration area in the rule configuration interface, or jump to a component attribute configuration page corresponding to the to-be-configured component; and receiving attribute configuration operation input for each component to be configured based on the component attribute configuration area or the component attribute configuration page.

Optionally, the component attribute configuration area or the component attribute configuration page displays at least one preset attribute configuration item and a configuration control corresponding to the preset attribute configuration item, where the configuration control includes a configuration information entry control and/or a configuration information selection control; the module 320 for configuring components to be configured is further configured to receive, for each component to be configured, a property configuration operation input for the configuration control corresponding to the preset property configuration item.

Optionally, the preset attribute configuration item includes at least one of a component name, an attribute name, attribute content, and an association mode; the association mode comprises an association relation, an association field and an association data set; the incidence relation comprises including, except and intersection.

Optionally, the apparatus further comprises: the request response module is used for responding to a rule configuration instruction and displaying a rule configuration page, wherein the rule configuration page comprises a component selection area, a rule configuration area and a component attribute configuration area; the to-be-configured component determining module 310 is further configured to receive a selection operation for at least one object component shown in the component selection area, use the selected object component as the to-be-configured component, and display the to-be-configured component in the rule configuration area; wherein the selection operation comprises an operation of dragging the object component from the component selection area to the rule configuration area; the to-be-configured component configuration module 320 is further configured to receive a configuration trigger operation for at least one to-be-configured component in the rule configuration area, and display at least one preset attribute configuration item and a configuration control corresponding to the preset attribute configuration item in the component attribute configuration area; and receiving attribute configuration operation input by the configuration control corresponding to the preset attribute configuration item.

Optionally, the apparatus further comprises: and the rule display module is used for receiving the viewing operation aiming at the medical insurance settlement rule list and displaying the target rules stored in the medical insurance settlement rule list.

Optionally, the target rule generating module 340 is further configured to determine that the settlement list type corresponding to the target process is a target settlement list type; processing the pre-established initialization rule script based on the target process to obtain a target rule script; and associating the target rule script with the target settlement list type to generate a target rule.

The rule configuration device provided by the embodiment of the invention can execute the rule configuration method provided by any embodiment of the invention, and has corresponding functional modules and beneficial effects of the execution method.

Example four

FIG. 10 illustrates a schematic diagram of an electronic device 10 that may be used to implement embodiments of the present invention. Electronic devices are intended to represent various forms of digital computers, such as laptops, desktops, workstations, personal digital assistants, servers, blade servers, mainframes, and other appropriate computers. The electronic device may also represent various forms of mobile devices, such as personal digital assistants, cellular phones, smart phones, wearable devices (e.g., helmets, glasses, watches, etc.), and other similar computing devices. The components shown herein, their connections and relationships, and their functions, are meant to be exemplary only, and are not meant to limit implementations of the inventions described and/or claimed herein.

As shown in fig. 10, the electronic device 10 includes at least one processor 11, and a memory communicatively connected to the at least one processor 11, such as a Read Only Memory (ROM)12, a Random Access Memory (RAM)13, and the like, wherein the memory stores a computer program executable by the at least one processor, and the processor 11 may perform various suitable actions and processes according to the computer program stored in the Read Only Memory (ROM)12 or the computer program loaded from a storage unit 18 into the Random Access Memory (RAM) 13. In the RAM 13, various programs and data necessary for the operation of the electronic apparatus 10 can also be stored. The processor 11, the ROM 12, and the RAM 13 are connected to each other via a bus 14. An input/output (I/O) interface 15 is also connected to bus 14.

A number of components in the electronic device 10 are connected to the I/O interface 15, including: an input unit 16 such as a keyboard, a mouse, or the like; an output unit 17 such as various types of displays, speakers, and the like; a storage unit 18 such as a magnetic disk, an optical disk, or the like; and a communication unit 19 such as a network card, modem, wireless communication transceiver, etc. The communication unit 19 allows the electronic device 10 to exchange information/data with other devices via a computer network such as the internet and/or various telecommunication networks.

The processor 11 may be a variety of general and/or special purpose processing components having processing and computing capabilities. Some examples of processor 11 include, but are not limited to, a Central Processing Unit (CPU), a Graphics Processing Unit (GPU), various specialized Artificial Intelligence (AI) computing chips, various processors running machine learning model algorithms, a Digital Signal Processor (DSP), and any suitable processor, controller, microcontroller, or the like. The processor 11 performs the various methods and processes described above, such as the rule configuration method.

In some embodiments, the rule configuration method may be implemented as a computer program tangibly embodied in a computer-readable storage medium, such as storage unit 18. In some embodiments, part or all of the computer program may be loaded and/or installed onto the electronic device 10 via the ROM 12 and/or the communication unit 19. When the computer program is loaded into RAM 13 and executed by processor 11, one or more steps of the rule configuration method described above may be performed. Alternatively, in other embodiments, the processor 11 may be configured to perform the rule configuration method by any other suitable means (e.g., by means of firmware).

Various implementations of the systems and techniques described here above may be implemented in digital electronic circuitry, integrated circuitry, Field Programmable Gate Arrays (FPGAs), Application Specific Integrated Circuits (ASICs), Application Specific Standard Products (ASSPs), system on a chip (SOCs), load programmable logic devices (CPLDs), computer hardware, firmware, software, and/or combinations thereof. These various embodiments may include: implemented in one or more computer programs that are executable and/or interpretable on a programmable system including at least one programmable processor, which may be special or general purpose, receiving data and instructions from, and transmitting data and instructions to, a storage system, at least one input device, and at least one output device.

A computer program for implementing the methods of the present invention may be written in any combination of one or more programming languages. These computer programs may be provided to a processor of a general purpose computer, special purpose computer, or other programmable data processing apparatus, such that the computer programs, when executed by the processor, cause the functions/acts specified in the flowchart and/or block diagram block or blocks to be performed. A computer program can execute entirely on a machine, partly on a machine, as a stand-alone software package partly on a machine and partly on a remote machine or entirely on a remote machine or server.

In the context of the present invention, a computer-readable storage medium may be a tangible medium that can contain, or store a computer program for use by or in connection with an instruction execution system, apparatus, or device. A computer readable storage medium may include, but is not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device, or any suitable combination of the foregoing. Alternatively, the computer readable storage medium may be a machine readable signal medium. More specific examples of a machine-readable storage medium would include an electrical connection based on one or more wires, a portable computer diskette, a hard disk, a Random Access Memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or flash memory), an optical fiber, a portable compact disc read-only memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the foregoing.

To provide for interaction with a user, the systems and techniques described here can be implemented on an electronic device having: a display device (e.g., a CRT (cathode ray tube) or LCD (liquid crystal display) monitor) for displaying information to a user; and a keyboard and a pointing device (e.g., a mouse or a trackball) by which a user can provide input to the electronic device. Other kinds of devices may also be used to provide for interaction with a user; for example, feedback provided to the user can be any form of sensory feedback (e.g., visual feedback, auditory feedback, or tactile feedback); and input from the user may be received in any form, including acoustic, speech, or tactile input.

The systems and techniques described here can be implemented in a computing system that includes a back-end component (e.g., as a data server), or that includes a middleware component (e.g., an application server), or that includes a front-end component (e.g., a user computer having a graphical user interface or a web browser through which a user can interact with an implementation of the systems and techniques described here), or any combination of such back-end, middleware, or front-end components. The components of the system can be interconnected by any form or medium of digital data communication (e.g., a communication network). Examples of communication networks include: local Area Networks (LANs), Wide Area Networks (WANs), blockchain networks, and the internet.

The computing system may include clients and servers. A client and server are generally remote from each other and typically interact through a communication network. The relationship of client and server arises by virtue of computer programs running on the respective computers and having a client-server relationship to each other. The server can be a cloud server, also called a cloud computing server or a cloud host, and is a host product in a cloud computing service system, so that the defects of high management difficulty and weak service expansibility in the traditional physical host and VPS service are overcome.

It should be understood that various forms of the flows shown above may be used, with steps reordered, added, or deleted. For example, the steps described in the present invention may be executed in parallel, sequentially, or in different orders, and are not limited herein as long as the desired results of the technical solution of the present invention can be achieved.

The above-described embodiments should not be construed as limiting the scope of the invention. It should be understood by those skilled in the art that various modifications, combinations, sub-combinations and substitutions may be made in accordance with design requirements and other factors. Any modification, equivalent replacement, and improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. A method for rule configuration, comprising:

2. The method of claim 1, further comprising:

responding to a rule configuration request, and displaying a rule configuration page, wherein the rule configuration page comprises a component selection area and a rule configuration area;

the receiving a selection operation for at least one object component shown in the rule configuration page, and taking the selected object component as a component to be configured includes:

receiving selection operation aiming at least one object component displayed in the component selection area, taking the selected object component as a component to be configured, and displaying the component to be configured in the rule configuration area; wherein the selection operation comprises an operation of dragging the object component from the component selection area to the rule configuration area;

the receiving attribute configuration operation aiming at each component to be configured comprises the following steps:

receiving configuration triggering operation aiming at least one component to be configured in the rule configuration area, and displaying a component attribute configuration area in the rule configuration interface, or jumping to a component attribute configuration page corresponding to the component to be configured;

and receiving attribute configuration operation input for each component to be configured based on the component attribute configuration area or the component attribute configuration page.

3. The method according to claim 2, wherein the component property configuration area or the component property configuration page is displayed with at least one preset property configuration item and a configuration control corresponding to the preset property configuration item, wherein the configuration control comprises a configuration information entry control and/or a configuration information selection control;

the receiving of the attribute configuration operation input based on the component attribute configuration area or the component attribute configuration page and aiming at each component to be configured comprises:

4. The method of claim 3, wherein the preset attribute configuration item comprises at least one of a component name, an attribute content, and an association pattern; the association mode comprises an association relation, an association field and an association data set; the incidence relation comprises including, except and intersection.

5. The method of claim 1, further comprising:

responding to a rule configuration instruction, and displaying a rule configuration page, wherein the rule configuration page comprises a component selection area, a rule configuration area and a component attribute configuration area;

receiving configuration trigger operation aiming at least one component to be configured in the rule configuration area, and displaying at least one preset attribute configuration item and a configuration control corresponding to the preset attribute configuration item in the component attribute configuration area;

and receiving attribute configuration operation input by aiming at the configuration control corresponding to the preset attribute configuration item.

6. The method of claim 1, further comprising:

7. The method of claim 1, wherein generating the target rule based on the target process comprises:

determining the settlement list type corresponding to the target flow as a target settlement list type;

processing the pre-established initialization rule script based on the target process to obtain a target rule script;

and associating the target rule script with the target settlement list type to generate a target rule.

8. A rule configuration apparatus, comprising:

9. An electronic device, characterized in that the electronic device comprises:

at least one processor; and

a memory communicatively coupled to the at least one processor; wherein, the first and the second end of the pipe are connected with each other,

the memory stores a computer program executable by the at least one processor to enable the at least one processor to perform the rule configuration method of any one of claims 1-7.

10. A computer-readable storage medium storing computer instructions for causing a processor to implement any one of claims 1-7 when executed.