基于门诊一卡通的市医保实时结算系统设计与应用  

Design and application of real-time settlement system for medical insurance based on Outpatient One Card Solution

作　　者：郭晓玲[1] 王晓坤[1] 曹晓光 叶微微[1] 

机构地区：[1]解放军451医院,西安710054 [2]陕西惠宾电子科技有限公司,西安710048

出　　处：《医疗卫生装备》2015年第5期63-65,共3页Chinese Medical Equipment Journal

摘　　要：目的:设计基于门诊一卡通的市医保实时结算系统,减少手工核算的误差,提高工作效率。方法:根据市医保中心提供的接口函数动态库的调用规则与医院信息系统(hospital information system,HIS)内部数据结构要求,采用C#语言,以Oracle 10g为基础进行设计。结果:该系统实现了门诊医保患者持卡就医费用的实时结算功能。结论:该系统简化了门诊医保工作流程,实现了数据信息互通,大大提高了患者的满意度和医院的医保监管力度。Objective To realize real-time medical insurance settlement system of Xi’an based on Outpatient One Card Solution to reduce the errors due to artificial accounting. Methods The system was developed with C# language and Oracle 10 g, based on interface function dynamic library calling rule and HIS data structure requirements provided by Xi’an municipal medical insurance center. Results The system realized real-time settlement of the patient with medical insurance card. Conclusion The system simplifies medical insurance outpatient treatment flow and implements data communication.

关 键 词：医保接口 一卡通 实时结算 

分 类 号：TP311.52[自动化与计算机技术—计算机软件与理论] R197.3[自动化与计算机技术—计算机科学与技术]