Design And Implementation Of Interface Program For HIS Different Areas Medical Insurance System In Hospitals

In the past decades of implementing the medical insurance system in China,the basic medical insurance coverage rate has reached over 95%,and the number of insured has exceeded 1.3 billion.The implementation of the basic medical insurance system can be said to have improved the problem that people are hard to see a doctor and expensive to see a doctor.The supporting medical insurance real-time settlement system also saves the trouble of the second reimbursement of medical insurance patients.With the rapid growth of China's economy,the economic and cultural level of cities in various regions is gradually different.There are a large number of floating population in the country,which is increasing day by day.The medical insurance and medical treatment problems of these floating population,the people living outside and the people resettled in other places are gradually emerging.Under the current medical insurance system,if the patients want to enjoy the medical insurance reimbursement treatment,they need to pay the medical expenses in full in the place of medical treatment first,and return to the place of insurance with relevant materials for reimbursement.The medical insurance center of the place of insurance can only check the personal information and medical information of the patients manually,which brings great inconvenience to the patients.In 2014,the province realized the direct settlement of medical treatment in different places in the province,and launched the pilot of cross province direct settlement in 2015.In January 2017,it was officially connected to the national cross provincial medical settlement platform,followed by the hospital his system for the transformation of the interface of the remote medical insurance real-time settlement system.The wide application of his system in hospital provides convenience for daily management of hospital,and when the real-time settlement systemof urban and rural medical insurance is online,his system has reformed the real-time settlement interface of medical insurance,and realized the real-time settlement of medical insurance patients,providing convenience for the real-time reimbursement of medical insurance patients.The interface transformation of the real-time settlement system for patients in different places will be based on the real-time settlement system of medical insurance as a reference,combined with its advantages and disadvantages,and make the medical insurance settlement system more perfect and convenient.This system is based on his system of a provincial top three hospital.It is aimed at the remote medical insurance real-time settlement interface issued by the medical insurance center.The system is developed for the purpose of realizing the basic transaction function in the interface.The development tool is m programming language and cache data base.The DLL function of medical insurance is embedded in his system by using dynamic link library,which makes the hospital When handling the settlement of patients with different medical insurance,Fang Fang no longer needs to operate another medical insurance system,so as to realize the purpose of reimbursement for patients with different medical insurance in one settlement.The system includes 4 sub-system structures and 10 data tables to meet the normal operation of the system.Firstly,this paper introduces the current development of medical insurance in China,and through the in-depth analysis of the medical treatment process of the remote medical insurance patients in the hospital to determine the development needs of the remote medical insurance system interface program.Secondly,it analyzes and designs the overall framework and each subsystem of the remote medical insurance real-time settlement system,as well as the detailed analysis and design of the database,including the logical design of the database and the physical design of the database,and then tests and realizes the business of the remote medical insurance real-time settlement system.So that the remotemedical insurance patients can realize the data transmission,real-time reimbursement and other businesses at the same time in a settlement.Finally,it summarizes,analyzes and prospects the real-time settlement system of remote medical insurance.