Long-term care insurance information systems and electronic equipment
By realizing two-way interconnection between long-term care insurance information system, long-term care service system and long-term care insurance system, the problems of information integration and low business efficiency are solved, business processing steps are simplified and efficiency is improved .
Patent Information
- Application Number
- CN202110776940.X
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2017-05-15
- Publication Date
- 2025-01-14
- Estimated Expiration
- 2037-05-15
AI Technical Summary
The existing long-term care insurance system, management system, social security system and nursing institutions cannot integrate information, resulting in complex and inefficient procedures for insured parties when handling business.
设计了一种长期护理保险信息系统,通过将长期经办管理系统、长期护理服务系统和长期护理保险系统进行双向互联,实现数据的双向传输,并在部署环境中采用本地网络和云网络的安全 Domain separation ensures data security.
It realizes organic integration of information, simplifies business processing steps, and improves business processing efficiency. Especially in the process of long-term care insurance claims, the insured person only needs to initiate a claim request to the long-term care service system to complete the processing. The steps are simple and High efficiency.
Smart Images

Figure CN114418777B_ABST
Abstract
Description
[0001] This application is a divisional application of a patent application with an application date of May 15, 2017, application number 201710339436.7, and name “Long-term Care Insurance Information System and Electronic Equipment”. Background Art
[0003] Long-term care insurance is a health insurance that provides compensation for nursing service costs to insured persons who need long-term care due to old age, illness or disability. This is a new type of health insurance product that mainly covers the expenses of professional nursing, home care and other related service items for the elderly. Compared with other insurance products, long-term care insurance focuses on providing long-term care protection.
[0004] At present, the long-term care insurance system, the handling management system, the social security system, and the long-term care management system of nursing institutions are independent of each other, so it is impossible to integrate information. Secondly, the procedures for insured persons to handle related business are complicated and inefficient. Taking insurance claims as an example, insured persons need to go to the hospital to get a hospitalization certificate first, and then go to the insurance agency to apply for claims. The procedures are complicated and inefficient.
[0005] It should be noted that the information disclosed in the above background technology section is only used to enhance the understanding of the background of the present disclosure, and therefore may include information that does not constitute the prior art known to ordinary technicians in the field. Summary of the invention
[0006] The purpose of the present disclosure is to provide a long-term care insurance information system and an electronic device implementing the long-term care insurance information system, thereby overcoming one or more problems caused by limitations and defects of related technologies at least to a certain extent.
[0007] According to one aspect of the present disclosure, there is provided a long-term care insurance information system, comprising:
[0008] Social security system;
[0009] Long-term management system, used to implement the management business involved in long-term care insurance, and interconnected with the social security system to carry out two-way data transmission;
[0010] A long-term care service system, which is used to implement the care service business involved in the long-term care insurance, and to be interconnected with the long-term handling management system in a two-way manner for two-way data transmission;
[0011] The long-term care insurance system is used to calculate the long-term care insurance payment information, pay the long-term care insurance payment information to the long-term care service system or the insured person, and interconnect with the long-term handling management system in two directions to perform two-way data transmission.
[0012] In an exemplary embodiment of the present disclosure, the deployment environment of the long-term care insurance information system is divided into: a local network security domain and a cloud network security domain with the same security level.
[0013] In an exemplary embodiment of the present disclosure, the local network security domain includes:
[0014] A local intranet security domain, connected to a local external service security domain, for deploying the social security system;
[0015] The local external service security domain is used to provide an interface and deploy the long-term handling management system and the long-term care insurance system;
[0016] The security level of the local intranet security domain is higher than the security level of the local external service security domain.
[0017] In an exemplary embodiment of the present disclosure, the cloud network security domain is used to deploy the long-term care service system, including:
[0018] The cloud intranet security domain is connected to the cloud external service security domain and is used to process business processes, store data, and connect with the local network security domain.
[0019] The cloud external service security domain is used to provide services to the insured persons and nursing institutions;
[0020] The security level of the cloud intranet security domain is higher than the security level of the cloud external service security domain.
[0021] In an exemplary embodiment of the present disclosure, the long-term care service system includes an application front end and an application back end, and the application front end is connected to the application back end through a network.
[0022] In an exemplary embodiment of the present disclosure, the application architecture of the application front end includes:
[0023] Desktop application end and mobile application end; wherein the mobile application end includes:
[0024] A mobile evaluation terminal is used to collect evaluation data according to the evaluation task;
[0025] Mobile nursing terminal, used to obtain nursing tasks and collect nursing data;
[0026] Mobile quality inspection terminal, used to collect quality inspection data according to quality inspection tasks;
[0027] Mobile client, used to collect return visit data.
[0028] In an exemplary embodiment of the present disclosure, the application architecture of the application backend includes: business services, basic services, data centers and public technical components; wherein,
[0029] The business services include: nursing institution / personnel declaration, nursing declaration, nursing plan management, nursing execution management, assessment management, cost management, evaluation management, quality control management, scheduling management, consumables management, health record management and real-time monitoring;
[0030] The basic services include: metadata management, customer management, master data management, user organization management, communication platform, GIS platform;
[0031] The data center includes: a health data center and an operation data center;
[0032] The public technical components include: service authentication, unified configuration, service center and monitoring center.
[0033] In an exemplary embodiment of the present disclosure, the long-term handling management system includes an application front end and an application back end, and the application front end is connected to the application back end through a network.
[0034] In an exemplary embodiment of the present disclosure, the application architecture of the application backend includes: business services, basic services, and data centers; wherein:
[0035] The business services include: nursing institution declaration management, nursing declaration acceptance, assessment task allocation, nursing task allocation, cost accounting, quality control management, monitoring splitting and complaint acceptance;
[0036] The basic services include: metadata management, customer management, master data management, and user organization management;
[0037] The data center includes: an operation data center.
[0038] In an exemplary embodiment of the present disclosure, the technical architecture of the application backend of the long-term handling management system and the application backend of the long-term care service system both include:
[0039] Service layer, data layer, synchronous service gateway and asynchronous service gateway; wherein the technical architecture of the service layer includes: interface layer, business layer, persistence layer and public technical components.
[0040] According to one aspect of the present disclosure, there is provided an electronic device, including:
[0041] Processor; and
[0042] A memory, configured to store executable instructions of the processor;
[0043] Wherein, the processor is configured to implement any of the above-mentioned long-term care insurance information systems by executing the executable instructions.
[0044] The long-term care insurance information system provided by this exemplary embodiment realizes data transmission between the above systems by bidirectionally interconnecting the long-term handling management system with the social security system, the long-term care service system and the long-term care insurance system, and the long-term care insurance system pays the long-term care insurance payment information to the long-term care service system or the insured. On the one hand, the organic integration of information is realized through the data transmission between the long-term handling management system and the social security system, the long-term care service system and the long-term care insurance system; on the other hand, due to the realization of organic integration of information, the business processing steps are simplified and the business processing efficiency is improved. BRIEF DESCRIPTION OF THE DRAWINGS
[0045] The above and other features and advantages of the present disclosure will become more apparent by describing in detail its exemplary embodiments with reference to the accompanying drawings. Obviously, the drawings described below are only some embodiments of the present disclosure, and it is possible for a person of ordinary skill in the art to obtain other drawings based on these drawings without creative work. In the accompanying drawings:
[0046] Figure 1 A block diagram of a long-term care insurance information system disclosed herein;
[0047] Figure 2 A schematic diagram of a deployment environment of a long-term care insurance information system provided for an exemplary embodiment of the present disclosure;
[0048] Figure 3 A schematic diagram of the application architecture of a long-term management system and a long-term care service system provided by an exemplary embodiment of the present disclosure;
[0049] Figure 4 A functional architecture diagram of a long-term care service system provided by an exemplary embodiment of the present disclosure;
[0050] Figure 5 A functional architecture diagram of a long-term handling management system provided by an exemplary embodiment of the present disclosure;
[0051] Figure 6 A schematic diagram of the technical architecture of an application front end of a long-term handling management system and an application front end of a long-term care service system provided by an exemplary embodiment of the present disclosure;
[0052] Figure 7 A schematic diagram of the technical architecture of an application front end of a long-term handling management system and an application front end of a long-term care service system provided by another exemplary embodiment of the present disclosure;
[0053] Figure 8 A schematic diagram of the technical architecture of an application backend of a long-term handling management system and an application backend of a long-term care service system provided by an exemplary embodiment of the present disclosure.
[0054] Fig. 9 It is a schematic diagram of a module of an electronic device in an exemplary embodiment of the present disclosure. DETAILED DESCRIPTION
[0055] Example embodiments will now be described more fully with reference to the accompanying drawings. However, example embodiments can be implemented in a variety of forms and should not be construed as being limited to the embodiments set forth herein; on the contrary, these embodiments are provided so that the present disclosure will be comprehensive and complete, and the concept of the example embodiments will be fully conveyed to those skilled in the art. The described features, structures, or characteristics may be combined in one or more embodiments in any suitable manner. In the following description, many specific details are provided to provide a full understanding of the embodiments of the present disclosure. However, those skilled in the art will appreciate that the technical solutions of the present disclosure may be practiced without one or more of the specific details, or other methods, components, materials, devices, steps, etc. may be employed. In other cases, known technical solutions are not shown or described in detail to avoid blurring various aspects of the present disclosure.
[0056] In addition, the accompanying drawings are only schematic illustrations of the present disclosure and are not necessarily drawn to scale. The same reference numerals in the drawings identify the same or similar parts, and thus their repeated description will be omitted.
[0057] In this exemplary embodiment, a long-term care insurance information system is first disclosed. Figure 1 As shown, the long-term care insurance information system includes:
[0058] Social security system11;
[0059] The long-term handling management system 12 is used to implement the handling management business involved in long-term care insurance, and is bidirectionally interconnected with the social security system 11 to perform bidirectional data transmission;
[0060] The long-term care service system 13 is used to implement the care service business involved in the long-term care insurance and to be interconnected with the long-term handling management system 12 in a two-way manner for two-way data transmission;
[0061] The long-term care insurance system 14 is used to calculate the long-term care insurance payment information, pay the long-term care insurance payment information to the long-term care service system 13 or the insured person, and bidirectionally interconnect with the long-term handling management system 12 for bidirectional data transmission.
[0062] Through the long-term care insurance information system in this exemplary embodiment, on the one hand, the organic integration of information is achieved through the data transmission between the long-term handling management system and the social security system, the long-term care service system and the long-term care insurance system respectively; on the other hand, due to the realization of the organic integration of information, the business processing steps are simplified and the business processing efficiency is improved.
[0063] Next, we will refer to Figure 1 The long-term care insurance information system in this exemplary embodiment is further described. The long-term care insurance information system may include:
[0064] Social security system11;
[0065] The long-term handling management system 12 is used to implement the handling management business involved in long-term care insurance, and is bidirectionally interconnected with the social security system 11 to perform bidirectional data transmission;
[0066] The long-term care service system 13 is used to implement the care service business involved in the long-term care insurance and to be interconnected with the long-term handling management system 12 in a two-way manner for two-way data transmission;
[0067] The long-term care insurance system 14 is used to calculate the long-term care insurance payment information, pay the long-term care insurance payment information to the long-term care service system 13 or the insured person, and bidirectionally interconnect with the long-term handling management system 12 for bidirectional data transmission.
[0068] In this exemplary embodiment, the long-term handling management system 12 can be deployed in the government, mainly used to realize the functions of handling supervision, qualification review, quality monitoring, service setting, calculation of long-term care insurance claims information, etc. involved in long-term care insurance. The long-term care service system 13 can be deployed in a nursing institution, mainly realizing the functions of professional evaluation, nursing service management, process management, nursing management, insured object management, monitoring management, etc. involved in long-term care insurance. The nursing institution can be a nursing home, hospital, rehabilitation center, etc., and this exemplary embodiment does not make special restrictions on this. The long-term care insurance system 14 can be deployed in an insurance company, mainly realizing the calculation and payment of long-term care insurance payment information.
[0069] In order to fully ensure the isolation and data security of the long-term management system 12 and the social security system 11, the long-term management system 12 and the social security system 11 can be interconnected by calling interface information. The long-term management system 12 and the social security system 11 can transmit the insured data of the insured, long-term care insurance claim information, etc., which is not specifically limited in this exemplary embodiment.
[0070] In order to avoid the Internet, make the data transmission between the two systems invisible on the Internet, and thus shield a large number of attacks from the Internet, the long-term care service system 13 and the long-term handling management system 12 can be interconnected in a dedicated line. Similarly, the long-term care insurance system 14 and the long-term handling management system 12 can also be interconnected in a dedicated line.
[0071] By transferring data between the long-term handling management system 12 and the social security system 11, the long-term care service system 13 and the long-term care insurance system 14, organic integration of information is achieved; in addition, since organic integration of information is achieved, business processing steps are simplified and business processing efficiency is improved.
[0072] The following is an explanation of the claims process for long-term care insurance.
[0073] The insured person can initiate a claim request to the long-term care service system 13; when the long-term care service system 13 receives the claim request, it responds to the claim request and sends the claim request and the nursing information of the insured person to the long-term handling management system 12. The nursing information may include the identity information, nursing items, the quantity and name of nursing drugs, nursing equipment, etc. of the insured person, and this exemplary embodiment does not specifically limit this; when the long-term handling management system 12 receives the claim request and the nursing information of the insured person, it responds to the claim request and calculates the long-term care insurance claim information of the insured person according to the nursing information of the insured person, and sends the long-term care insurance claim information of the insured person to the long-term care insurance system 14; the long-term care insurance system 14 calculates the long-term care insurance payment information of the insured person according to the long-term care insurance claim information of the insured person, and pays the long-term care insurance payment information of the insured person to the insured person or the long-term care service system 13. In the above manner, the insured person only needs to initiate a claim request to the long-term care service system to handle the long-term care insurance claim, and the steps are simple and efficient.
[0074] In order to take into account the data security of the social security system 11, the long-term management system 12, the long-term care service system 13 and the long-term care insurance system 14, Figure 2 As shown, the deployment environment of the long-term care insurance information system can be divided into: a local network security domain 21 and a cloud network security domain 22 with the same security level.
[0075] The local network security domain 21 may include: a local intranet security domain 211, connected to a local external service security domain 212, for deploying the social security system 11; the local external service security domain 212, for providing an interface and deploying the long-term management system 12 and the long-term care insurance system 13; the security level of the local intranet security domain 211 is higher than the security level of the local external service security domain 212. In this exemplary embodiment, in order to ensure data security, only servers in the local intranet security domain 211 may be allowed to actively transmit data to servers in the local external service security domain 212. Servers in the local external service security domain 212 may not actively transmit data to servers in the local intranet security domain 211. Specifically, an offline data transmission solution can be adopted. For example, the data related to long-term care insurance stored in the local intranet security domain 211 is regularly copied to the local external service security domain 212. This solution can achieve physical isolation between the two security domains and has extremely high security. An online one-way data transmission solution can also be adopted. For example, a server is deployed in the local external service security domain 212 to receive data transmission requests sent from the server in the local intranet security domain 211, and the sending data server and the receiving data server respectively perform legitimacy checks on each other.
[0076] The local network security domain 21 can perform two-way data interaction with the agency network 23 . Specifically, the local external service security domain 212 in the local network security domain 21 can perform two-way data interaction with the agency network 23 .
[0077] The cloud network security domain 22 can be used to deploy the long-term care service system 13, which may include: a cloud intranet security domain 221, connected to a cloud external service security domain 222, used to implement business process processing, data storage, and docking with the local network security domain 21; the cloud external service security domain 222: used to provide services to the insured and nursing institutions; the security level of the cloud intranet security domain 221 is higher than the security level of the cloud external service security domain 222. In this exemplary embodiment, in order to ensure data security, the cloud intranet security domain 221 and the cloud external service security domain 222 can set restriction rules for source IP, destination IP, and port in their respective network layers; and can also perform legitimacy verification on the data sent by the other party at their respective application layers to avoid illegal data transmission between the two security domains.
[0078] The cloud network security domain 22 can perform two-way data interaction with the nursing institution network 24 . Specifically, the cloud external service security domain 222 in the cloud network security domain 22 can perform two-way data interaction with the nursing institution network 24 .
[0079] To ensure the security during data transmission, the data transmission between the cloud intranet security domain 221 and the local network security domain 21 can adopt a dedicated line solution to avoid the Internet, so that the services open to the outside world by the two security domains are invisible on the Internet, and a large number of attacks from the Internet can be shielded. On this basis, a confidential channel can also be established to prevent eavesdropping during data transmission. The data transmission between the cloud intranet security domain 221 and the local network security domain 21 can also adopt an Internet solution. Since the data is transmitted through the Internet, it is necessary to adopt security reinforcement technology, such as locking the source and destination IP ports, establishing an encrypted channel, and then transmitting data, establishing defense measures against DDOS (distributed denial of service attacks), and data legitimacy verification mechanisms and other security reinforcement technologies.
[0080] The cloud external service security domain 222 is open to the Internet and provides servers to users on the Internet. Therefore, the cloud external service security domain 222 is the outermost line of defense. In order to ensure the security of the cloud external service security domain 222, defense measures can be taken according to different security risks. Common security risks may include malicious attack risks such as DDOS (distributed denial of service attack) and CC attack (Challenge Collapsar), targeted malicious intrusion risks, business risks in specific business scenarios, and security risks in operation and maintenance management.
[0081] To address the risks of malicious attacks such as DDOS and CC, you can deploy firewalls and IPS (intrusion prevention system) devices at the Internet exit to defend against small and medium-scale DDOS attacks and CC attacks. You can also implement traffic migration to defend against large-scale DDOS attacks and CC attacks that far exceed the Internet exit traffic.
[0082] For targeted malicious intrusion risks, the following methods can be used to resist intrusion, for example, standardize software security development lifecycle management (SDL) to ensure the security of online systems; regularly scan online security vulnerabilities to ensure that online systems receive regular security checks; deploy web IDS (web intrusion detection system) and other equipment to provide real-time protection for online systems; improve the security data collection and analysis platform to help grasp the real-time security status of each server in the entire cloud external service security domain 222; establish a professional security emergency response team to respond quickly to security intrusion incidents 24 hours a day, 7 days a week.
[0083] In response to business risks in specific business scenarios, security risks can be reduced by identifying and defending against spam registrations and effectively identifying malicious attacks on user accounts.
[0084] In response to security risks in operation and maintenance management, a complete security management system can be established to ensure security during the operation and maintenance management process. For example, any operation involving the production server must be implemented through the bastion host, and the operator's authority must be strictly restricted, and all operations are recorded. It effectively avoids malicious or erroneous operations by external personnel and personnel who do not have the authority to operate the server. For another example, the use of VPN (virtual private network) remote access mechanism can effectively ensure that operation and maintenance personnel can promptly handle any problems arising on the server at any location, and can also effectively prevent non-operation and maintenance personnel from performing malicious operations remotely.
[0085] like Figure 3 As shown, the long-term care service system 13 may include an application front end and an application back end, and the application front end is connected to the application back end via a network.
[0086] In this exemplary embodiment, the application front end is used to provide services to the insured persons or the staff of the nursing institution, and can be a computer, a mobile phone, a tablet computer, etc., which is not specifically limited in this exemplary embodiment. The application back end is used to perform business logic and store related data, and can include multiple servers.
[0087] The application architecture of the application front end may include: a desktop application end and a mobile application end. The desktop application end may be a laptop or a desktop computer. The mobile application end may be a mobile phone, a tablet computer or a mobile smart terminal dedicated to long-term care insurance. According to different functions, the mobile application end may include: a mobile evaluation end, a mobile care end, a mobile quality inspection end and a mobile customer service end.
[0088] The mobile assessment terminal is used to collect assessment data according to the assessment task and transmit the collected assessment data to the application backend, and is mainly equipped for professional assessors. Since professional assessors can take the mobile assessment terminal to the location of the insured person for professional assessment, the assessment of the insured person is not restricted by the geographical location, and the insured person does not need to go to a specific nursing institution for assessment, which brings great convenience to the insured person.
[0089] The mobile nursing terminal is used to obtain nursing tasks and collect nursing data and transmit the collected nursing data to the application backend, and is mainly equipped for nursing workers. The nursing worker can use the mobile nursing terminal to verify the identity of the insured person and query the nursing tasks associated with the insured person. When the nursing worker completes the nursing task, the nursing data can be input through the mobile nursing terminal. The nursing data may include nursing task completion confirmation information, nursing duration or recorded video of performing nursing tasks, etc. Through the mobile nursing terminal, the nursing worker can query nursing tasks, confirm the identity of the insured person, and collect nursing data anytime and anywhere.
[0090] The mobile quality inspection terminal is used to collect quality inspection data according to the quality inspection task and send the collected quality inspection data to the application backend. It is mainly equipped for quality inspectors. The quality inspection data can be videos or photos taken by quality inspectors during the quality inspection process. The mobile quality inspection terminal allows quality inspectors to collect quality inspection data on site, while also ensuring the accuracy of the quality inspection data.
[0091] The mobile customer service terminal is used to collect return visit data and send the collected return visit data to the application backend, and is mainly equipped for customer service personnel.
[0092] The application architecture of the application backend may include: business services, basic services, data centers and public technical components; the business services may include: nursing institution / personnel declaration, nursing declaration, nursing plan management, nursing execution management, assessment management, cost management, evaluation management, quality control management, scheduling management, consumables management, health record management and real-time monitoring. The basic services may include: metadata management, customer management, master data management, user institution management, communication platform and GIS platform (geographic information system). The data center may include: health data center and operation data center. The public technical components may include: service authentication, same configuration, service center and monitoring center.
[0093] like Figure 4 As shown, the functional architecture of the long-term care service system 13 may include: front-end portal, business functions, basic management and system management. The front-end portal may include: user registration, information disclosure, personal agent, personal workbench and portal configuration. The business functions may include: online application for nursing institutions, nursing institution information management, service personnel information management (including nursing workers, professional assessors, quality inspectors, customer service personnel), assessment task management, assessment object result information management, nursing object information management, nursing plan management, nursing task management, nursing service management, nursing scheduling management, nursing problem management, adverse event management, health record management, quality inspection task management, nursing knowledge management, nursing decision-making assistance, real-time monitoring within nursing institutions, emergency calls, online consultations, complaint management and cost management. The basic management may include service items, assessment items, quality control items, policy rules, and other basic data. The system management may include: users, roles, permissions, workflows, batch tasks and logs.
[0094] like Figure 3 As shown, the long-term handling management system 12 may include an application front end and an application back end, and the application front end is connected to the application back end via a network.
[0095] In this exemplary embodiment, the application front end is used to provide services related to long-term care insurance to employees of long-term management institutions and insured persons, and can be smart terminals such as computers and mobile phones. The application back end is used to perform business logic and store related data, and can include multiple servers.
[0096] The application architecture of the application backend may include: business services, basic services, and a data center; wherein the business services may include: nursing institution declaration management, nursing declaration acceptance, assessment task allocation, nursing task allocation, cost accounting, quality control management, monitoring analysis, and complaint acceptance; the basic services may include: metadata management, customer management, master data management, and user institution management; the data center may include: an operations data center.
[0097] like Figure 5 As shown, the functional architecture of the long-term handling management system 12 may include a personal homepage, business functions, basic management, and system management. The personal homepage may include: personal to-do, information disclosure, personal workbench, and portal configuration. The business functions may include application for long-term care insurance benefits, assessment task management, assessment result management, nursing object delivery, nursing agreement management, nursing record management, underwriting settlement, customer complaint management, quality inspection task management, blacklist management, health records and insured person information management, nursing institution / personnel approval and information management, real-time monitoring, statistical analysis, and big data decision support. The basic management may include: service items, assessment items, quality control items, policy rules, and other basic data. The system management may include: organization, user, role, authority, workflow, and log.
[0098] like Figures 6-7 As shown, the technical architecture of the application front end of the long-term management system 12 and the application front end of the long-term care service system 13 can adopt Jquery (a cross-browser JavaScript library) + Html5 + CSS3 (cascading style sheets) or React Native. For example, the computer and WeChat terminals can adopt the Jquery + Html5 + CSS3 technical architecture; the mobile terminal application adopts the React Native technical architecture. The React Native can include JS (JSX), VirtualDOM, Android, IOS, and Browser.
[0099] like Figure 8As shown, the technical architecture of the application backend of the long-term handling management system 12 and the application backend of the long-term care service system 13 may include: a service layer, a data layer, a synchronous service gateway and an asynchronous service gateway; wherein the technical architecture of the service layer may include: an interface layer, a business layer, a persistence layer and public technical components. In this exemplary embodiment, the interface layer can be implemented using spring-amqp, Swagger2 and CXF. The business layer can be implemented using Acticity and spring-boot, and the persistence layer can be implemented using spring-data-redis, spring-data-jpa and spring-data-mongodb. The public technical components can be implemented using OAuth2 server, Config server, Eureka server and Zipkin server. The data layer can be implemented using redis, MySQL and MongoDB. The synchronous service gateway can be implemented using NetFlix Zuul and Nginx. The asynchronous service gateway can be implemented using Rabbit MQ.
[0100] In an exemplary embodiment of the present disclosure, an electronic device capable of implementing the above system or method is also provided.
[0101] It will be appreciated by those skilled in the art that various aspects of the present invention may be implemented as a system, method or program product. Therefore, various aspects of the present invention may be specifically implemented in the following forms, namely: a complete hardware implementation, a complete software implementation (including firmware, microcode, etc.), or a combination of hardware and software, which may be collectively referred to herein as a "circuit", "module" or "system".
[0102] Refer to the following Fig. 9 The electronic device 600 according to this embodiment of the present invention is described. Fig. 9 The electronic device 600 shown is only an example and should not bring any limitation to the functions and scope of use of the embodiments of the present invention.
[0103] like Fig. 9 As shown, the electronic device 600 is in the form of a general computing device. The components of the electronic device 600 may include but are not limited to: at least one processing unit 610, at least one storage unit 620, a bus 630 connecting different system components (including the storage unit 620 and the processing unit 610), and a display unit 640.
[0104] In which, the storage unit stores program code, and the program code can be executed by the processing unit 610, so that the processing unit 610 executes the method steps executed by one or more of the above-mentioned systems in this specification, for example, it can execute the method steps executed by the above-mentioned long-term management system 12, long-term care service system 13, and long-term care insurance system 14.
[0105] The storage unit 620 may include a readable medium in the form of a volatile storage unit, such as a random access memory unit (RAM) 6201 and / or a cache memory unit 6202 , and may further include a read-only memory unit (ROM) 6203 .
[0106] The storage unit 620 may also include a program / utility 6204 having a set (at least one) of program modules 6205, such program modules 6205 including but not limited to: an operating system, one or more application programs, other program modules, and program data, each of which or some combination may include an implementation of a network environment.
[0107] Bus 630 may represent one or more of several types of bus structures, including a memory unit bus or memory unit controller, a peripheral bus, an accelerated graphics port, a processing unit, or a local bus using any of a variety of bus architectures.
[0108] The electronic device 600 may also communicate with one or more external devices 700 (e.g., keyboards, pointing devices, Bluetooth devices, etc.), may also communicate with one or more devices that enable a user to interact with the electronic device 600, and / or communicate with any device that enables the electronic device 600 to communicate with one or more other computing devices (e.g., routers, modems, etc.). Such communication may be performed via an input / output (I / O) interface 650. Furthermore, the electronic device 600 may also communicate with one or more networks (e.g., local area networks (LANs), wide area networks (WANs), and / or public networks, such as the Internet) via a network adapter 660. As shown, the network adapter 660 communicates with other modules of the electronic device 600 via a bus 630. It should be understood that, although not shown in the figure, other hardware and / or software modules may be used in conjunction with the electronic device 600, including but not limited to: microcode, device drivers, redundant processing units, external disk drive arrays, RAID systems, tape drives, and data backup storage systems, etc.
[0109] Through the description of the above implementation, it is easy for those skilled in the art to understand that the example implementation described here can be implemented by software, or by software combined with necessary hardware. Therefore, the technical solution according to the implementation of the present disclosure can be embodied in the form of a software product, which can be stored in a non-volatile storage medium (which can be a CD-ROM, a USB flash drive, a mobile hard disk, etc.) or on a network, including several instructions to enable a computing device (which can be a personal computer, a server, a terminal device, or a network device, etc.) to execute the method according to the implementation of the present disclosure.
[0110] In an exemplary embodiment of the present disclosure, a computer-readable storage medium is also provided, on which a program product capable of implementing the above method of the present specification is stored. In some possible implementations, various aspects of the present invention can also be implemented in the form of a program product, which includes a program code. When the program product is run on a terminal device, the program code is used to enable the terminal device to execute the method steps executed by one or more systems of the present specification, for example, the method steps executed by the above-mentioned long-term management system 12, long-term care service system 13, and long-term care insurance system 14 can be executed.
[0111] The program product may be in the form of a portable compact disk read-only memory (CD-ROM) and include program code, and may be run on a terminal device, such as a personal computer. However, the program product of the present invention is not limited thereto, and in this document, a readable storage medium may be any tangible medium containing or storing a program that may be used by or in conjunction with an instruction execution system, apparatus, or device.
[0112] The program product may use any combination of one or more readable media. The readable medium may be a readable signal medium or a readable storage medium. The readable storage medium may be, for example, but not limited to, an electrical, magnetic, optical, electromagnetic, infrared, or semiconductor system, device or device, or any combination of the above. More specific examples (non-exhaustive list) of readable storage media include: an electrical connection with one or more wires, a portable disk, 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 disk read-only memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the above.
[0113] Computer readable signal media may include data signals propagated in baseband or as part of a carrier wave, in which readable program code is carried. Such propagated data signals may take a variety of forms, including but not limited to electromagnetic signals, optical signals, or any suitable combination of the above. Readable signal media may also be any readable medium other than a readable storage medium, which may send, propagate, or transmit a program for use by or in conjunction with an instruction execution system, apparatus, or device.
[0114] The program code embodied on the readable medium may be transmitted using any appropriate medium, including but not limited to wireless, wired, optical cable, RF, etc., or any suitable combination of the foregoing.
[0115] Program code for performing the operations of the present invention may be written in any combination of one or more programming languages, including object-oriented programming languages such as Java, C++, etc., and conventional procedural programming languages such as "C" or similar programming languages. The program code may be executed entirely on the user computing device, partially on the user device, as a separate software package, partially on the user computing device and partially on a remote computing device, or entirely on a remote computing device or server. In cases involving a remote computing device, the remote computing device may be connected to the user computing device through any type of network, including a local area network (LAN) or a wide area network (WAN), or may be connected to an external computing device (e.g., through the Internet using an Internet service provider).
[0116] Those skilled in the art will readily appreciate other embodiments of the present disclosure after considering the specification and practicing the invention disclosed herein. This application is intended to cover any variations, uses, or adaptations of the present disclosure that follow the general principles of the present disclosure and include common knowledge or customary techniques in the art that are not disclosed in the present disclosure. The specification and examples are to be considered exemplary only, and the true scope and spirit of the present disclosure are indicated by the claims.
[0117] It should be understood that the present disclosure is not limited to the exact structures that have been described above and shown in the drawings, and that various modifications and changes may be made without departing from the scope thereof. The scope of the present disclosure is limited only by the appended claims.
Claims
1. A long-term care insurance information system, characterized in that: include: Social security system; The long-term management system is deployed in the government to realize the management business involved in long-term care insurance, and is interconnected with the social security system to carry out two-way data transmission; A long-term care service system, deployed in a nursing institution, is used to implement the nursing service business involved in the long-term care insurance, and is bidirectionally interconnected with the long-term handling management system to perform bidirectional data transmission; A long-term care insurance system, deployed in an insurance company, is used to calculate long-term care insurance payment information, pay the long-term care insurance payment information to the long-term care service system or the insured, and bidirectionally interconnect with the long-term handling management system to perform bidirectional data transmission; The long-term care service system is further used to receive a claim request initiated by the insured person, and in response to the claim request, send the claim request and the nursing information of the insured person to the long-term handling management system; The long-term handling management system is further configured to, upon receiving the claim settlement request and the nursing information of the insured, calculate the long-term care insurance claim settlement information of the insured according to the nursing information of the insured in response to the claim settlement request, and send the long-term care insurance claim settlement information of the insured to the long-term care insurance system; The long-term care insurance system is also used to calculate the long-term care insurance payment information of the insured subject based on the long-term care insurance claim information of the insured subject; The deployment environment of the long-term care insurance information system is divided into: a local network security domain and a cloud network security domain with the same security level; The local network security domain includes: A local intranet security domain, connected to a local external service security domain, for deploying the social security system; The local external service security domain is used to provide an interface and deploy the long-term handling management system and the long-term care insurance system; The security level of the local intranet security domain is higher than the security level of the local external service security domain; the local intranet security domain transmits data unidirectionally to the local external service security domain; the long-term care insurance system is connected to the long-term handling management system through a dedicated line; the long-term handling management system is interconnected with the social security system by calling interface information to transmit the insurance data of the insured and the long-term care insurance claim information; The cloud network security domain is used to deploy the long-term care service system, including: The cloud intranet security domain is connected to the cloud external service security domain and is used to process business processes, store data, and connect with the local network security domain. The cloud external service security domain is used to provide services to the insured persons and nursing institutions; The security level of the cloud intranet security domain is higher than the security level of the cloud external service security domain; data transmission between the cloud intranet security domain and the local network security domain uses a dedicated line.
2. The long-term care insurance information system according to claim 1, characterized in that: The long-term care service system includes an application front end and an application back end, and the application front end is connected to the application back end through a network.
3. The long-term care insurance information system according to claim 2, characterized in that: The application architecture of the application front end includes: Desktop application end and mobile application end; wherein the mobile application end includes: A mobile evaluation terminal is used to collect evaluation data according to the evaluation task; Mobile nursing terminal, used to obtain nursing tasks and collect nursing data; Mobile quality inspection terminal, used to collect quality inspection data according to quality inspection tasks; Mobile client, used to collect return visit data.
4. The long-term care insurance information system according to claim 2, characterized in that: The application architecture of the application backend includes: business services, basic services, data centers and public technical components; The business services include: nursing institution / personnel declaration, nursing declaration, nursing plan management, nursing execution management, assessment management, cost management, evaluation management, quality control management, scheduling management, consumables management, health record management and real-time monitoring; The basic services include: metadata management, customer management, master data management, user organization management, communication platform, GIS platform; The data center includes: a health data center and an operation data center; The public technical components include: service authentication, unified configuration, service center and monitoring center.
5. The long-term care insurance information system according to claim 1, characterized in that: The long-term handling management system includes an application front end and an application back end, and the application front end is connected to the application back end through a network.
6. The long-term care insurance information system according to claim 5, characterized in that: The application architecture of the application backend includes: business services, basic services, and data centers; The business services include: nursing institution declaration management, nursing declaration acceptance, assessment task allocation, nursing task allocation, cost accounting, quality control management, monitoring splitting and complaint acceptance; The basic services include: metadata management, customer management, master data management, and user organization management; The data center includes: an operation data center.
7. The long-term care insurance information system according to any one of claims 1 to 6, characterized in that: The technical architecture of the application backend of the long-term management system and the application backend of the long-term care service system both include: Service layer, data layer, synchronous service gateway and asynchronous service gateway; wherein the technical architecture of the service layer includes: interface layer, business layer, persistence layer and public technical components.
8. An electronic device, characterized in that: include: processor; as well as A memory, configured to store executable instructions of the processor; Wherein, the processor is configured to implement the long-term care insurance information system according to any one of claims 1 to 7 by executing the executable instructions.
Citation Information
Patent Citations
Care insurance service management system and method based on intelligent terminals
CN105719215A