Design And Implementation Of Guangzhou Medical Insurance Information System

According to the guiding ideology " Information Guangzhou, wisdom Guangzhou" related to further promote the social security information,in order to improve the system of Guangzhou medical insurance system, enhancing the ability against medical insurance fund risks and helping each other in all aid, improving the management level of the medical insurance benefits and services, we need to complete re-architecture the Guangzhou medical insurance system, achieve co-ordination and integration of municipal and rural health care related work.Reconstructed system covers all Medicare services, can meet the needs of the development of Guangzhou health insurance policy. The system provide more and better services for health insurance agencies, medical institutions, and the majority of the insured people, to achieve the target equalization of public services, and build a harmonious Guangzhou.For this project, the author team put forward on the basis of danger to plant, to insurance elements(ginseng, insurance premium, treatment, payment) of method library thoughts for Guangzhou medical insurance business in-depth analysis of the health insurance policy through research, characterized by adopting object-oriented, component-based design method and multi-layer software architecture, such as advanced design idea, and use the architecture refactoring and the principle of combining inheritance function in terms of system development. On the basis of the existing medical insurance management information system, according to the way of "seven"(that is, the technology and application of standard, unified network platform, unified database platform, unified application platform and office automation platform, unified information security facilities and resources management platform), combining with the advanced technology such as SOA(Service-Oriented Architecture), cloud computing, according to The Golden Social Security Project(phase ii), 3 edition platform for the construction of the core of social insurance system, we reconstruction this system architecture, supplement and complete business function. The original system of huge amounts of historical business data are accurated and seamless cutted over to the new system, security system has developed the scalability and maintainability, sophistication, and security. The project is fundamentally solves the multiple health care as a whole which the area respectively use different health care system in Guangzhou before, solves the problem of municipal health business as a whole, iterative development problems caused by changes in policy system, and a series of problems such as the original system function is not complete, poor performance, maintenance and so on.The new system has the following business characteristics: multi-in-one insurance business; support a data center, a number of co-ordination zone; breakthrough in the design of the existing insurance system which can be relatively easy to expand insurance; achieve flexible configuration of multi-level business managers; achieve a variety of convenient and efficient service terminal extension; improve internal control audits, ensure their security; enhance the performance appraisal management level; realize remote medical networked real-time settlement; achieve the transfer of insurance relationship networking connection; establish a unified basic information database, information sharing. And for a variety of urban and rural business, add some new features such as variety of urban and rural services network access flexible, mobile business manager, a variety of payment methods, identity information collected automatically, etc.The new system technical characteristics:The calculation model of medical treatment based on Cloud Computing, using the method base thought to adapt to changes in policy, adopting the three layer system technology to support business diversity and its extension, comprehensive hospital interface scheme, the double compatible of the C/S/S structure and B/S/S structure. Service components heat load management engine provides service 24 hours a day Pure business interface, and concealed passing parameters make the program structure more clearly, more stable.Now, the system has been in the service of more than 800 insurance ginseng protect people in Guangzhou, more than 670 medical establishment that decide a dot, more than 1000 drugstore that decide a dot, achieved good economic and social benefits.It took two years for the system from start to implement on-line. The author is a core member of the project department of Guangzhou City medical insurance information system, mainly in charge of the overall system function modules,such as the design and implementation for the modules of the management of medical institutions, comprehensive query, drug directory maintenance. The author took part in most of the construction processes, include the system needs of the preliminary investigation, the determination of the software architecture, the analysis of the system design,etc.In this paper, the author briefly described the key technologies, the project requirements, the design basis, the development process, and the implementation methods of the modules which the author in charged of.