KR102242106B1 - System and method for providing integrated medical institution information and insurance benefit information - Google Patents

Abstract

The present invention relates to a system and method for providing institutional integrated medical institution information and salary benefit information, wherein medical institution information from a plurality of related government institutions is collected and stored in the form of an API (Application Programming Interface) at regular intervals or at the request of a user. A unique key value to be common between the medical institution information collection module and the medical institution information collected from each of the related government institutions based on the address in the medical institution information collected from at least one of a plurality of related government institutions. By including a medical institution information matching module that constructs integrated medical institution information by matching the medical institution information from each of the related government institutions based on the generated key value, policy projects managed by each government institution are carried out. Information on medical institutions of each government institution can be consolidated so that they can be viewed at a different location.

Description

Institution integrated medical institution information and benefit information provision system and method {SYSTEM AND METHOD FOR PROVIDING INTEGRATED MEDICAL INSTITUTION INFORMATION AND INSURANCE BENEFIT INFORMATION}

The present invention relates to a system and method for providing institutional integrated medical institution information and salary benefit information, and more particularly, to a system and method for providing medical institution information and salary benefit information with high accuracy by standardizing medical institution information and salary benefit information. It relates to an information providing system and method.

Currently, medical institution information provided in Korea is managed by each government agency (e.g., Health Insurance Review and Assessment Service, National Health Insurance Corporation, Centers for Disease Control and Prevention, National Medical Center) , Different medical institution information is provided separately according to the vaccination project of the Centers for Disease Control and Prevention). Therefore, in order for the general public to obtain information on a specific medical institution, it is difficult to obtain information through the website of each institution or use the hospital website of the medical institution itself.

Also, despite the fact that health insurance is gradually expanding as a result of the government's policy project, medical professionals and patients do not know the scope of the benefits well. Therefore, when certain procedures that were treated as'non-payment' are changed to'payment' by the government's policy, there are frequent cases of incorrect claims because they are not aware of this. Accordingly, there are cases in which medical institutions are unable to properly provide benefits to patients at all or to reimburse medical expenses through patient reports or on-site investigations.

Accordingly, there is a need for a system and method for providing medical institution information and benefit benefit information with high accuracy by standardizing medical institution information and benefit benefit information in a medical information providing service.

Korean Patent Application Publication No. 10-2018-0055098 (Publication date 2018.05.25.) Republic of Korea Patent Publication No. 10-1722178 (Registration date 2017.03.27.)

Accordingly, the present invention has been made to solve the problems of the prior art, and an object of the present invention is to integrate medical institution information by matching medical institution information with a unique key value rather than calling the API of each relevant government institution. It is to provide an institutional integrated medical institution information and a system and method for providing salary benefit information that provides high-accuracy salary benefit information by standardizing the salary benefit information.

The technical problems to be achieved in the present invention are not limited to the technical problems mentioned above, and other technical problems that are not mentioned will be clearly understood by those of ordinary skill in the technical field to which the present invention belongs from the following description. I will be able to.

The integrated medical institution information providing system according to a preferred embodiment of the present invention for achieving the above object collects medical institution information from a plurality of related government institutions at regular intervals or at the request of a user in the form of an API (Application Programming Interface). And a unique common between the medical institution information collection module to be stored and the medical institution information collected from each of the related government institutions based on the address in the medical institution information collected from at least one of the plurality of related government institutions. And a medical institution information matching module for constructing integrated institutional medical institution information by generating a key value of and matching the medical institution information from each of the related government institutions based on the generated key value.

Preferably, the integrated medical institution information providing system receives medical institution decoration information directly from a medical institution subscribing to the integrated medical institution information system, and matches the medical institution information matched based on the key value generated by the medical institution information matching module. A medical institution information addition module for adding decoration information is further included.

More preferably, the integrated medical institution information providing system receives medical institution information keywords or user-specified keywords from a user, and provides customized medical information and associated with the user based on the keyword and a key value generated by the medical institution information matching module. It further includes a medical information providing module that provides customized health content.

On the other hand, in the system for providing benefit benefit information according to a preferred embodiment of the present invention to achieve the above object,'date code (law enforcement date)','disease code (Korean standard disease cause classification) )','Treatment fee (fee/action/treatment material) code','age code','(patient) self-pay rate code' or'related data', and statistics related to health of the National Statistical Office are'disease code'. , Salary benefit information coding module that matches statistical data based on the converted code by converting it to'fee code' or'age code', and receiving benefit keyword from general users or medical institutions and coded in the above pay benefit information coding module It includes a pay benefit information providing module that provides pay benefit information to a general user or a medical institution by matching the code and input information, which can be used in the integrated medical institution information providing system.

As described above, the system and method for providing institutional integrated medical institution information and benefit benefit information according to the present invention provides the following effects.

Information on medical institutions of each government institution has been integrated so that policy projects supervised by each government institution can be viewed in one place, and additionally, medical institutions directly input additional information to help the general public find a medical institution that suits them.

In addition, according to the implementation of policies of government agencies, it is possible to provide personalized benefit benefit information to medical institutions and patients, respectively, so that medical institutions and patients can receive health insurance benefits that may be missed.

1 is a block diagram schematically showing the overall configuration of an integrated institutional medical institution information providing system according to a preferred embodiment of the present invention.
2 is a block diagram schematically showing the overall configuration of a system for providing salary benefit information according to a preferred embodiment of the present invention.

Advantages and features of the present invention, and a method of achieving them will become apparent with reference to the embodiments described below in detail together with the accompanying drawings. However, the present invention is not limited to the embodiments disclosed below, but may be implemented in a variety of different forms, and only the embodiments make the disclosure of the present invention complete, and common knowledge in the technical field to which the present invention pertains. It is provided to completely inform the scope of the invention to the possessor, and the invention is only defined by the scope of the claims. The same reference numerals refer to the same elements throughout the specification.

The functional blocks shown in the drawings and described below are only examples of possible implementations. In other implementations, other functional blocks may be used without departing from the spirit and scope of the detailed description. Further, although one or more functional blocks of the present invention are represented as individual blocks, one or more of the functional blocks of the present invention may be a combination of various hardware and software configurations that perform the same function.

In addition, the expression that certain elements are included is an open expression and simply refers to the existence of the corresponding elements, and should not be understood as excluding additional elements.

In addition, when a component is connected to or is referred to as being connected to another component, it should be understood that it may be directly connected or connected to the other component, but other components may exist in the middle.

Hereinafter, a system and method for providing institutional integrated medical institution information and benefit benefit information according to the present invention will be described in detail with reference to the accompanying drawings.

1 is a block diagram schematically showing the overall configuration of an integrated institutional medical institution information providing system according to a preferred embodiment of the present invention.

As shown in Fig. 1, the integrated medical institution information providing system 100 according to a preferred embodiment of the present invention includes a medical institution information collection module 110, a medical institution information matching module 120, a medical institution information addition module 130, The medical information providing module 140 and/or the database 150 are included. The modules may be interconnected by an information network such as a LAN or WAN.

First, the medical institution information collection module 110 collects medical institution information from a plurality of related government institutions at regular intervals (eg, daily, weekly, monthly, etc.) or in the form of an application programming interface (API) at the request of a user. Thus, it is stored in the medical institution information DB 151 for each institution.

At this time, examples of related government agencies may include medical care issuing institutions (for example, the Health Insurance Review and Assessment Service), the National Health Insurance Corporation, the Centers for Disease Control and Prevention, and the National Medical Center.

Medical institution information collected and stored by the medical institution information collection module 110 from such related government institutions is in the form of an application programming interface (API), so a matching technology between medical institution information collected and stored from a plurality of related government institutions is required. This will be described in detail below.

And as an example of information collected from each of the relevant government agencies, the information collected from the Health Insurance Review and Assessment Service includes the name of the medical institution, address, contact information, map location value, treatment subject, type, evaluation information, facility information, medical equipment, and professional information. There may be numbers, traffic information, homepage, etc.Information collected from the National Health Insurance Corporation may include the name of medical institution, address, general health checkup institution, cancer health checkup institution, infant health checkup institution, and from the Centers for Disease Control and Prevention. The information collected may include the name of the medical institution, the address, and the national vaccination consignment medical institution, and the information collected from the National Medical Center may include the medical institution name, address, treatment hours, and emergency medical institutions.

Next, since the information provided by the institutions that currently provide medical institution information in Korea has a different data structure format and does not have a common key value, the medical institution information matching module 120 of the present invention is applied to the medical institution information collection module 110. By generating a unique key value that will be common between medical institution information collected from each related government agency based on the address in the medical institution information collected from at least one related government agency, and each related government agency based on the key value The medical institution information from from is matched to establish an institution-integrated medical institution information DB 152. In particular, the standard for key value generation is the fact that the establishment of a medical institution is the only one that can be done at the Health Insurance Review and Assessment Service linked to the Ministry of Government Administration and Home Affairs database. It is preferable to use the address of

More specifically, the medical institution information matching module 120 uses the fact that it is not possible to open a medical institution with the same medical institution name in the same region (gu), and thus the'region code' and the'medical institution name' (optionally, here ' Create a key value with'opening date' may be added). However, since the address in the medical institution information collected by the medical institution information collection module 110 may have various systems depending on the input method, etc., first, the medical institution information matching module 120 Is converted to a numeric area code and then used as an element of the key value. To this end, the medical institution information matching module 120 parses address data consisting of text, extracts at least three address units from address data, such as'Do','Special City, Metropolitan City, City, County', and'Gu', and The same area code is assigned for each'province','special city, metropolitan city, city, county', and'gu' that are judged to be the same in the address unit data. At this time, when determining whether it is the same'province','special city, metropolitan city, city, county', or'gu', taking into account the name, abbreviation, and spacing, if the name of a specific administrative district is an alias or abbreviation, or only the spaces are different. It is judged to be the same'province','special city, metropolitan city, city, county', or'gu'. For example, the same code '10' is assigned to'Chungcheongnam-do','Chungnam-do', and'Chungnam', and the same code '11' is assigned to'Cheonan-si' and'Cheonan', and'Seobuk-gu','Northwest' The same code '12' is assigned to'Chungcheongnam-do, Cheonan, Seobuk-gu' and'Chungnam, Cheonan-si, Seobuk-gu', and the area code is 101112.

The medical institution information matching module 120 generates a key value by adding a'medical institution name' to the converted'region code' as described above (optionally, a'opening date' may be further added thereto), and Based on the value, medical institution information from each related government institution is matched. For address data that is not matched with the key value generated by the above conversion, the medical institution information matching module 120 additionally takes the following considerations. Confirm:

● Considering the case that the name of the medical institution of the same medical institution within the same area code is different for each of the plurality of related government institutions, whether the contact information of the medical institution collected from the plurality of related government institutions is identical, the actual location value of the medical institution (for example, GPS coordinates It is determined whether the medical institution name matches by checking whether the information) is within a predetermined radius (for example, preferably 500m) from the address of the medical institution owned by the relevant government institution as at least one criterion.

● Whether the contact information of medical institutions collected from a plurality of related government institutions is matched, taking into account the case that the regional system has changed due to changes in administrative districts at the time of policy supervised by the government agency, and the actual location value of the medical institution (for example, The medical institution information is matched by checking whether the GPS coordinate information) is within a predetermined radius (eg, preferably 500m) from the address of the medical institution owned by the relevant government institution as at least one criterion.

● Based on the fact that medical institutions are required to report to the competent public health center (linked to the Health Insurance Review and Assessment Service information) upon closure of business, the above Even after considering the two cases, if there is no match, it is considered closed and the information of the medical institution is deleted.

In addition to the medical institution information collected by the medical institution information collection module 110, the medical institution information adding module 130 receives medical institution decoration information directly from the medical institution subscribed to the institution integrated medical institution information system 100 of the present invention, and receives the medical institution information matching module 120. This module can add the medical institution decoration information input to the medical institution information matched based on the key value generated in ).

The input medical institution decoration information may include parking information, vacation information, examination information, disease information, hospital events, female doctors, additional facility equipment, non-payment information, smoking cessation treatment institutions, and the like.

Finally, the medical information providing module 140 includes a keyword building module 141, a keyword management module 142, and an information providing module 143 to receive a keyword for medical institution information or a user-specified keyword from a user, and receive a keyword and/or a medical institution. Based on the key value generated by the information matching module 120, customized medical information and/or customized health contents related thereto, Q&A, affiliated partners, and the like are provided to the user based on the key value generated by the information matching module 120.

The keyword construction module 141 automatically constructs, as medical institution information keywords, items of integrated institutional medical institution information and items of medical institution decoration information in the medical institution information keyword DB 153. In addition, the keyword building module 141 builds items directly input by the user, such as the user's gender, date of birth, residential area, and health interests, as user-designated keywords in the user-designated keyword DB 154. The system administrator of the present invention can access the medical institution information keyword DB 153 or the user-specified keyword DB 154 to add, modify, or delete keywords, and make it impossible for general users to access and change keywords arbitrarily. desirable.

The keyword management module 142 groups the constructed medical institution information keywords or user-specified keywords for each keyword. For example, among the keywords for information on medical institutions,'Infant Health Checkup','Infant Vaccination Institutions', and'Pediatrics and Adolescents' are grouped under the keyword'Infants'. In this case, the medical information providing module 140 groups the similar keywords into keywords such as a built medical institution information keyword or a user-specified keyword in consideration of the similar keyword. For example, in the keyword of'Pediatrics and Adolescents','Growth','Yoosik Lee','Infant Height', and'Infant Development' are considered as similar keywords. Group by keyword'.

The information providing module 143 matches a medical institution information keyword or a user-specified keyword of the information to be provided input from a user with a keyword built by the keyword building module 141 and the keyword management module 142 to have a matching keyword. Provide medical institution information or health contents to users.

In particular, when providing medical institution information, a specific medical institution information keyword entered by the user as a convenience is matched with a built keyword and a key value generated by the medical institution information matching module 120 accordingly, and based on this, the integrated medical institution information DB ( 152) allows a general user to quickly and easily obtain the desired medical institution information and its affiliated partner information without the hassle of having to visit each institution's homepage.

For example, when a user searches for'the criterion of high blood pressure', the keyword building module 141 extracts keywords such as'high blood pressure' and'high blood pressure excellent hospital' from the search word, and the keyword management module 142 is'high blood pressure'. 'Chronic diseases, blood pressure, and numerical values' are considered as similar keywords to the keyword, and the information providing module 143 draws hospitals with excellent high blood pressure as customized medical institution information, and'standards of high blood pressure','foods good for high blood pressure' as customized health contents. 'Exercise good for high blood pressure' is provided by extracting it from the related DB.

The database 150 integrates information of medical institutions by matching with a key value generated by the institution-specific medical institution information DB 151, which stores all institution-specific medical institution information input to the medical institution information collection module 110, and the medical institution matching module 120. It includes an institution-integrated medical institution information DB 152 that stores the information, a medical institution information keyword DB 153 that stores medical institution information keywords, and/or a user-specified keyword DB 154 that stores user-specified keywords.

2 is a block diagram schematically showing the overall configuration of a system for providing salary benefit information according to a preferred embodiment of the present invention.

As shown in Fig. 2, the system 200 for providing benefit benefit information according to a preferred embodiment of the present invention includes a payroll benefit information coding module 210 and a payroll benefit information providing module 220. The modules may be interconnected by an information network such as a LAN or WAN. In this embodiment, salary means health insurance salary.

The salary benefit information coding module 210 converts the data on medical care benefits related to the Ministry of Welfare into'date code (law enforcement date)','disease code (Korean standard disease classification)', and'treatment fee (fee/action/treatment material) ','age code','(patient) self-pay rate code', and'related data' are standardized. In addition, the salary benefit information coding module 210 converts health-related statistical data of the National Statistical Office into'disease code','paid code','age code', etc., and matches the statistical data based on the converted code.

The salary benefit information providing module 220 inputs salary benefit keywords (e.g.,'age','gender' and'disease' or'treatment fee' related to a general user (ie, patient)) from a general user or a medical institution. The received benefit information coding module 210 matches the coded code and the input information to provide benefit benefit information to a general user or a medical institution. At this time, the salary benefit information provided to the general user may be a self-pay rate for each'disease' or'treatment fee', and the salary benefit information provided to a medical institution may be code-oriented information.

In particular, the wage benefit information provided to the medical institution is charged on the electronic chart program by linking the code coded in the actual EMR claim and the benefit benefit information coding module 210 (for example, a disease code or a medical fee code applied by an actual doctor). It can also be used as a recommendation for medical treatment in the city. In addition, the benefit benefit information provided to the general user may be used to recommend a medical institution related thereto through the integrated medical information providing system 100.

Although the present invention has been described in more detail with reference to several embodiments above, the present invention is not necessarily limited to these embodiments, and various modifications may be made without departing from the spirit of the present invention.

100: Institutional integrated medical institution information provision system
110: Medical institution information collection module
120: Medical institution information matching module
130: Medical institution information addition module
140: medical information providing module
141: keyword building module
142: keyword management module
143: information providing module
150: database
151: DB for information on medical institutions by institution
152: Integrated medical institution information DB
153: Medical institution information keyword DB
154: User information keyword DB
200: Salary benefit information provision system
210: Salary benefit information coding module
220: Salary benefit information providing module

Claims (14)

A medical institution information collection module that collects and stores medical institution information from a plurality of related government institutions in the form of an API (Application Programming Interface) at regular intervals or at the request of a user, and
Based on the address in the medical institution information collected from at least one of the plurality of related government institutions, a unique key value to be shared between the medical institution information collected from each of the related government institutions is generated and generated. And a medical institution information matching module for constructing integrated medical institution information by matching the medical institution information from each of the related government institutions based on a key value,
The medical institution information matching module checks whether the medical institution name matches by checking whether the contact information of the medical institution is matched or whether the actual location value of the medical institution is within a predetermined radius from the address of the medical institution of the at least one related government institution. Judging, integrated medical institution information provision system. The method according to claim 1,
The related government agencies include two or more of the Health Insurance Review and Assessment Service, the National Health Insurance Service, the Centers for Disease Control and Prevention, and the National Medical Center. The method according to claim 2,
The generation of the key value is based on the address in the medical institution information collected from the Health Insurance Review and Assessment Service, an integrated medical institution information providing system. The method according to claim 1,
The medical institution information matching module generates the key value with the region code of the medical institution and the medical institution name. The method of claim 4,
The medical institution information matching module converts up to a'gu' unit of address data composed of text into an area code composed of numbers. The method of claim 5,
The medical institution information matching module parses the address data, extracts at least three address units, including'do','special city, metropolitan city, city, county', and'gu', and determines that they are identical from the extracted address unit data. An integrated medical institution information providing system that assigns the same area code for each province, city, metropolitan city, city, county, and district. The method of claim 6,
The medical institution information matching module is an integrated medical institution information providing system that considers an alias, abbreviation, or spacing in determining whether the medical institution information matching module is the same'province','special city, metropolitan city, city, county'or'gu'. delete The method according to claim 1,
An integrated medical institution information providing system that deletes the medical institution information when information not included in the medical institution information of the at least one related government institution as a standard exists as information from other related government institutions. The method according to any one of claims 1 to 7 and 9,
A medical institution information adding module for receiving medical institution decoration information directly from a medical institution subscribed to the integrated medical institution information system and adding the medical institution decorating information to the medical institution information matched based on the key value generated by the medical institution information matching module. Including, integrated medical institution information provision system. The method of claim 10,
A medical information providing module that receives a medical institution information keyword or a user-specified keyword from a user and provides customized medical information and customized health content related thereto to the user based on the keyword and a key value generated by the medical institution information matching module. Including, integrated medical institution information provision system. The method of claim 11, wherein the medical information providing module,
A keyword construction module for constructing the items of the integrated medical institution information and the items of the medical institution decoration information as the medical institution information keywords, and constructing items directly input by the user as the user-specified keywords,
A keyword management module for grouping the constructed medical institution information keyword or the user-specified keyword by keyword, and
And an information providing module that matches the medical institution information keyword or the user-specified keyword input by the user with the built-in keyword and provides medical information or health content having the matching keyword. The method of claim 12,
The keyword management module groups the similar keyword to be considered into a keyword such as the constructed medical institution information keyword or the user-designated keyword. As a salary benefit information providing system that can be linked with the integrated medical institution information providing system of any one of claims 1 to 7 and 9 to 13,
The Ministry of Health and Welfare related laws and regulations related to medical care benefits can be found in'Date Code (Effective Date)','Disease Code (Korean Standard Classification of Diseases)','Care Fees (Fees/Acts/Treatment Materials) Code','Age Code','( Patient) Standardizes the self-pay rate code'or'relateddata', and converts the health-related statistical data of the National Statistical Office into'disease code','paid code'or'agecode' to match statistical data based on the converted code. Salary benefit information coding module and
Salary benefit information, including a salary benefit information providing module that provides salary benefit information to general users or medical institutions by matching the code coded in the salary benefit information coding module and input items by receiving a salary benefit keyword from a general user or a medical institution Delivery system.

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