A cross-regional medical insurance file rapid positioning and sharing system

Abstract

The application discloses a kind of cross-region medical insurance archives fast orientation and sharing system, comprising: medical insurance archives cloud storage database, medical insurance archives management unit and medical insurance archives management terminal, medical insurance archives cloud storage database is used to store medical insurance archives data based on cloud platform end;Medical insurance archives management unit is used to carry out hierarchical management to different medical insurance archives categories, and the region to which the medical insurance of residents belongs is positioned according to hierarchical management, and the cross-region cooperation exchange processing of the medical insurance information of residents is carried out based on the region to which the medical insurance of residents belongs, and the cross-region sharing demand medical insurance archives management terminal is used for medical insurance staff to check medical insurance archives information and corresponding operation is carried out on medical insurance information. Through medical insurance archives cloud storage database, medical insurance archives data are stored, the effective integration of medical insurance archives related information is realized, and combined with relevant policy requirements of the state, actively promote the intelligent management of medical insurance archives and cross-region cross-department sharing.

Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of medical insurance archives, and particularly relates to a cross-regional medical insurance archive rapid positioning and sharing system. BACKGROUND

[0002] Medical insurance archives are important resources related to people's livelihood, and information rapid positioning and sharing can help provide more convenient and efficient medical insurance services for the general public, and have important significance for improving people's happiness and promoting high-quality development of medical insurance undertakings. At present, the utilization rate of medical insurance archives is low, and part of the information data is imperfect, and the digital system is not perfect, which to some extent restricts the utilization and service of archives, and effective innovative measures should be taken to improve the service capacity of medical insurance archives.

[0003] Related units pay more attention to medical insurance archive information sharing, and should create favorable conditions for medical insurance archive information sharing. First, increase vertical business cooperation. Medical insurance archives should not only serve insured personnel and business departments, but also cooperate with medical institutions and commercial insurance institutions. From the current situation, the various business systems have not been effectively connected, so the rapid sharing and effective connection of medical insurance archive information cannot be realized, and the utilization rate of medical insurance archive information resources is reduced. The top-level design should be strengthened to provide a system basis for the vertical business cooperation of medical insurance archives, and medical insurance archive information sharing standards should be developed to realize the effective connection of business ports and ensure the rapid transmission and sharing of medical insurance archive information. Second, realize cross-regional medical insurance archive information sharing, create an information sharing mode with regional characteristics, and realize cross-regional and cross-level information sharing of medical insurance archives. While realizing the information management of medical insurance archives, the block chain technology is introduced to effectively protect and manage medical insurance archive data, and the security of data is realized. SUMMARY

[0004] The application provides a cross-regional medical insurance file rapid positioning and sharing system to solve the problem that the medical insurance file is an important resource related to people's livelihood, and that information rapid positioning and sharing can help provide more convenient and efficient medical insurance services for the general public, and is of great significance to improve people's happiness and promote the high-quality development of the medical insurance industry. At present, the utilization rate of medical insurance files is low, some information data is incomplete, and the digital system is not perfect, which to some extent restricts the utilization and service of the files, and effective innovative measures should be taken to improve the service capacity of medical insurance files. Relevant units pay more attention to medical insurance file information sharing, and should create favorable conditions for medical insurance file information sharing. First, increase vertical business cooperation. In addition to serving insured personnel and business departments, medical insurance files should also be coordinated with medical institutions and commercial insurance institutions. From the current situation, the various business systems have not been effectively connected, so the rapid sharing and effective connection of medical insurance file information cannot be realized, and the utilization rate of medical insurance file information resources is reduced. The top-level design should be strengthened to provide a system basis for the vertical business cooperation of medical insurance files, and medical insurance file information sharing standards should be developed to realize the effective connection of business ports and ensure the rapid transmission and sharing of medical insurance file information. Second, realize regional medical insurance file information sharing, create an information sharing mode with regional characteristics, and realize cross-regional and cross-level information sharing of medical insurance files.

[0005] In order to achieve the above purpose, the application provides the following technical scheme:

[0006] A cross-regional medical insurance file rapid positioning and sharing system, comprising: a medical insurance file cloud storage database, a medical insurance file management unit and a medical insurance file management terminal.

[0007] The medical insurance file cloud storage database is used for storing medical insurance file data based on a cloud platform end;

[0008] The medical insurance file management unit is used for hierarchical management of different medical insurance file categories, positioning the region of the medical insurance of residents according to the hierarchical management, cross-regional cooperation and exchange processing of the medical insurance information of residents based on the region of the medical insurance of residents, and realizing the cross-regional sharing demand of medical insurance files;

[0009] The medical insurance file management terminal is used for medical insurance personnel to check medical insurance file information and perform corresponding operations on medical insurance information.

[0010] The medical insurance file cloud storage database comprises: a first medical insurance file library, a second medical insurance file library, a third medical insurance file library and a fourth medical insurance file library.

[0011] The first medical insurance file library is used for storing files collected, sorted and stored by medical insurance agencies;

[0012] The secondary medical insurance archive library is used for storing medical insurance patient diagnosis and treatment credentials managed by medical insurance designated medical service institutions;

[0013] The tertiary medical insurance archive library is used for storing resident insurance related information saved by communities;

[0014] The fourth medical insurance archive library is used for storing insurance and medical treatment records saved by insurance personnel.

[0015] The medical insurance archive management unit comprises a medical insurance archive auditing module, a data uploading processing module, a data positioning module and a remote data calling module.

[0016] The medical insurance archive auditing module is used for auditing uploaded medical insurance archives, confirming the uploaded medical insurance archive category if the audit is correct, and authorizing according to the medical insurance archive category.

[0017] The data uploading processing module is used for uploading the authorized medical insurance archives to the medical insurance archive cloud storage database.

[0018] The data positioning module is used for finding the patient insurance place according to the resident information input by the medical insurance archive management terminal. The remote data calling module is used for sending a medical insurance archive information calling request from the medical insurance center of the medical place to the patient insurance place. The patient insurance place sends the medical insurance of the resident to the medical insurance center of the medical place after calling.

[0019] The medical insurance archive management terminal comprises a medical insurance office terminal, a resident medical insurance terminal and a search terminal.

[0020] The medical insurance office terminal is used for medical insurance staff to check medical insurance archive information, upload medical insurance archive information, modify archive information and create a medical insurance document name.

[0021] The resident medical insurance terminal is used for residents to pay medical insurance and check their own medical insurance use.

[0022] The search terminal is used for searching corresponding information from the medical insurance archive cloud storage database after inputting the information of the person to be queried by medical insurance staff or residents.

[0023] The data positioning module comprises a remote medical insurance positioning interaction submodule.

[0024] The remote medical insurance positioning interaction submodule is used for establishing data interaction between the national medical insurance center and the patient insurance place. The medical insurance center of the medical place performs unified authentication, unified management and centralized authorization on the identity of the patient based on the data interaction. The patient insurance place packs the medical insurance archive information data and transmits it to the medical insurance center of the medical place according to the medical insurance archive information calling request initiated by the medical insurance office terminal. The medical insurance center of the medical place performs unpacking and analysis processing on the data and then transmits the result to the medical insurance office terminal.

[0025] The remote data calling module comprises a regional chain sharing sub-module.

[0026] The patient medical record information in the medical insurance archive is added through the regional chain sharing sub-module, the patient medical record information is stored in a private cluster in the medical insurance archive cloud storage database through the AES encryption algorithm, the address information returned by the private cluster, the AES encryption key, the user ID and the corresponding time information are combined to form a ciphertext index data structure, and the private cluster address and the AES key are encrypted through the public key of the patient user and then stored in the medical insurance archive cloud storage database.

[0027] The medical office terminal comprises a medical expense reconciliation end.

[0028] The medical expense reconciliation end is used for medical expense information reconciliation by the national medical insurance center, the medical expense reconciliation end checks all remote patient settlement information of the day and settlement information called from the medical insurance center, and if abnormal data is found, the abnormal data needs to be processed.

[0029] The medical expense reconciliation end interface is entered, the date and the medical insurance type are selected, and then the medical insurance information reading and the detailed account button are clicked to display the medical insurance settlement transaction information and the corresponding remote settlement information, if the medical expense reconciliation end has abnormal data, the medical insurance abnormal data box in the lower left has data, the data is checked and processed, and if the medical insurance abnormal data box in the lower left has no data, it means that there is no data abnormality on the day.

[0030] The search terminal comprises a relationship semantic.

[0031] The relationship semantic supports relationship query on the block data, and the query processing procedure of the search terminal facing the full node comprises query analysis, logical plan generation and physical plan generation.

[0032] The query compiler is used to analyze the query and generate an abstract syntax tree, the syntax tree is converted into a logical plan, the logical plan is subjected to basic logical optimization, then a physical plan is generated and executed, in addition to the relationship query, a block chain query operation is defined, the block chain query operation comprises traceback query and joint query, the integration of on-chain or off-chain data is obtained through the joint query, the type of the off-chain database is specified through the search terminal configuration file, when the joint query is executed, the data from the off-chain database is converted into a corresponding internal data format according to the type of the off-chain database, and then the on-chain table and the off-chain table are connected.

[0033] The remote medical insurance positioning interaction sub-module is used to construct a medical insurance archive information interaction sharing analysis algorithm.

[0034] In the process of constructing the medical insurance file information interaction sharing analysis algorithm, the attribute combination of the medical insurance file information is represented as N, the logical unit Q of the basic medical file information is obtained according to the N attribute combinations, the logical unit Q is represented as a description service combination object of the medical insurance file information sharing, and the adaptive scheduling processing of the logical unit is performed by a random dynamic combination control method to obtain the medical insurance file information interaction sharing analysis algorithm.

[0035] In the process of adding patient medical record information in the medical insurance file through the regional chain sharing submodule, a medical insurance index structure is constructed, parameter information is obtained through a query code object and parameter checking is performed, after the parameter checking is passed, the format method of a string is called according to the parameter information to splice the input parameter information to the corresponding position, a query statement is formed, the getQueryResult method is called to query the data meeting the conditions in the block chain, the result of the query is an iterator object, finally the iterator returned is used to splice the query result by using a loop statement, and then the result is returned by calling the ResponseUtils of the tool class.

[0036] Compared with the prior art, the present application has the following advantages:

[0037] A cross-regional medical insurance file rapid positioning and sharing system, comprising: a medical insurance file cloud storage database, a medical insurance file management unit and a medical insurance file management terminal, the medical insurance file cloud storage database is used for storing medical insurance file data based on a cloud platform end; the medical insurance file management unit is used for hierarchical management of different medical insurance file categories, positioning of the region to which the medical insurance of residents belongs according to the hierarchical management, cross-regional collaborative exchange processing of the medical insurance information of residents based on the region to which the medical insurance of residents belongs, and realization of the cross-regional sharing demand of medical insurance files; and the medical insurance file management terminal is used for medical insurance personnel to check medical insurance file information and perform corresponding operations on the medical insurance information. The medical insurance file data is stored through the medical insurance file cloud storage database, the effective integration of the medical insurance file related information is realized, and the intelligent management of medical insurance files and the sharing across regions and departments are actively promoted in combination with the relevant policy requirements of the state; and the effective connection of modern information technology and medical insurance file service work is also realized.

[0038] Other features and advantages of the present application will be set forth in the following description, and in part will become apparent to those skilled in the art from the description, or can be learned by practice of the present application. The objects and other advantages of the present application can be achieved and obtained by the structures particularly pointed out in the written description, claims, and drawings.

[0039] The technical solutions of the present application will be further described in detail below by means of the drawings and examples. BRIEF DESCRIPTION OF DRAWINGS

[0040] The accompanying drawings are included to provide a further understanding of the application, and are incorporated in and constitute a part of this specification, illustrate embodiments of the application, and together with the description serve to explain the application, and do not limit the application. In the drawings:

[0041] Figure 1 A structure diagram of a cross-regional medical insurance file rapid positioning and sharing system in an embodiment of the application;

[0042] Figure 2 A medical insurance file cloud storage database structure diagram in an embodiment of the application;

[0043] Figure 3 A medical insurance file management unit structure diagram in an embodiment of the application. DETAILED DESCRIPTION

[0044] The preferred embodiments of the application are described below in conjunction with the accompanying drawings, and it should be understood that the preferred embodiments described herein are only used to explain and illustrate the application, and are not used to limit the application.

[0045] The embodiment of the application provides a cross-regional medical insurance file rapid positioning and sharing system, which comprises a medical insurance file cloud storage database, a medical insurance file management unit and a medical insurance file management terminal.

[0046] The medical insurance file cloud storage database is used for storing medical insurance file data based on a cloud platform end;

[0047] The medical insurance file management unit is used for classifying management of different medical insurance file categories, positioning a resident medical insurance belonging region according to the classified management, and performing cross-region collaborative exchange processing of resident medical insurance information based on the resident medical insurance belonging region, so as to realize cross-region sharing requirement of medical insurance files;

[0048] The medical insurance file management terminal is used for medical insurance staff to check medical insurance file information and perform corresponding operation on the medical insurance information.

[0049] The working principle of the technical scheme is that the medical insurance file cloud storage database is used to store medical insurance file data based on a cloud platform end, wherein the medical insurance file is uploaded to the cloud platform end through a medical insurance file management terminal, and the medical insurance file cloud storage database stores and performs data corresponding processing operations on the medical insurance file of the cloud platform end; the medical insurance file management unit is used to authorize and manage different medical insurance file categories, wherein the medical insurance file categories include: file category code, case category code, category code corresponding name, and file storage period; different medical insurance file categories are managed in a hierarchical manner, the region to which a resident medical insurance belongs is located according to the hierarchical management, resident medical insurance information is exchanged and processed across regions based on the region to which the resident medical insurance belongs, and the cross-regional sharing requirement of medical insurance files is realized; the medical insurance file management terminal is used for medical insurance staff to check medical insurance file information and perform corresponding operations on the medical insurance information, and the corresponding operations include: querying the medical insurance file audit state, uploading the medical insurance file, modifying the medical insurance file information, and deleting the medical insurance file.

[0050] The beneficial effects of the above technical scheme are that multiple departments participate in medical insurance file information sharing, and the ultimate goal of information sharing is to serve society and insured personnel; in order to realize medical insurance file sharing, a medical insurance file cloud storage database, a medical insurance file management unit, and a medical insurance file management terminal are set, the medical insurance file cloud storage database is used to store medical insurance file data based on a cloud platform end; the medical insurance file management unit is used to manage different medical insurance file categories in a hierarchical manner, the region to which a resident medical insurance belongs is located according to the hierarchical management, resident medical insurance information is exchanged and processed across regions based on the region to which the resident medical insurance belongs, and the cross-regional sharing requirement of medical insurance files is realized; the medical insurance file management terminal is used for medical insurance staff to check medical insurance file information and perform corresponding operations on the medical insurance information. Through the medical insurance file cloud storage database, medical insurance file data is stored, effective integration of medical insurance file related information is realized, and intelligent management of medical insurance files and cross-regional and cross-department sharing are actively promoted in combination with relevant national policy requirements; the effective connection of modern information technology and medical insurance file service work is also realized.

[0051] In another embodiment, the medical insurance file cloud storage database includes: a first-level medical insurance file library, a second-level medical insurance file library, a third-level medical insurance file library, and a fourth-level medical insurance file library.

[0052] The first-level medical insurance file library is used to store files collected, sorted, and stored by a medical insurance agency department;

[0053] The second-level medical insurance file library is used to store medical insurance patient diagnosis and treatment credentials stored by a medical insurance designated medical service institution;

[0054] The third-level medical insurance file library is used to store resident insurance related data stored by a community;

[0055] The fourth-level medical insurance archive library is used for storing the medical insurance and medical record kept by the insured personnel.

[0056] The working principle of the above technical solution is that the medical insurance archive refers to the original records in the form of text, icon, photo, electronic data and the like with the value of preservation formed by the medical insurance agencies at various levels in the medical insurance work. Specifically, it includes documents, science and technology, accounting, business, electronics, audio-visual, photos, and real objects. The medical insurance archive is a component of the archives of the labor and social security department and an important component of the national archives. Generally speaking, the medical insurance archive includes a first-level medical insurance archive library, a second-level medical insurance archive library, a third-level medical insurance archive library, and a fourth-level medical insurance archive library. The first-level medical insurance archive library is used for storing the archives collected, sorted and kept by the medical insurance agencies; the second-level medical insurance archive library is used for storing the medical insurance patient diagnosis and treatment credentials kept by the medical insurance designated medical service institutions; the third-level medical insurance archive library is used for storing the medical insurance related data of residents kept by the community; and the fourth-level medical insurance archive library is used for storing the medical insurance and medical record kept by the insured personnel.

[0057] Among them, the first-level medical insurance archive library refers to the policy and regulation archives, such as the policy documents about medical insurance, work injury insurance, maternity insurance and urban resident medical insurance issued by the state and provinces and cities, and the relevant implementation plans, rules and operation procedures formulated by the local medical insurance management and agency. These data must be properly kept by the medical insurance agencies; the second-level medical insurance archive library refers to the basic data archives. As the most basic and important component of the national medical insurance archive, the basic data is the core of the national medical insurance archive. The national medical insurance archive establishes the medical insurance information participated by all people, and requires each insured person to fill in the relevant basic information of himself. These basic information is an important component of the medical insurance archive and a true and factual evidence of the medical insurance payment of the insured unit and individual. The third-level medical insurance archive library refers to the fund management archives. The fund management is the main database of the medical insurance business. The archiving data is required to be very strict, that is, accurate, complete and timely. The fund management archive is also called the accounting archive, mainly referring to the paper archives such as the accounting vouchers, accounting books and financial accounting reports output from the accounting computerization system. In addition to the normal reports, books and vouchers, the fund management archives should also include the audit report, early warning report and operation analysis report of the fund. The fourth-level medical insurance archive library refers to the electronic file. With the arrival of the network society, the popularity of the network and the promotion of the modernization of office, the electronic document has entered the field of archives. In the process of managing the medical insurance archive, we should fully utilize the advantages of the electronic document and make full use of the advantages of the electronic document. The archiving workers should also continuously strengthen the network and digital learning and timely research the system of the medical insurance electronic document to manage the medical insurance archive by means of modernization and science and technology, so as to play the role of information sharing of the electronic document.

[0058] The beneficial effects of the above technical solutions are that the first-level medical insurance archive library is used for storing archives collected, sorted and stored by a medical insurance agency; the second-level medical insurance archive library is used for storing medical insurance patient diagnosis and treatment credentials stored by a medical insurance designated medical service institution; the third-level medical insurance archive library is used for storing resident insurance-related data stored by a community; and the fourth-level medical insurance archive library is used for storing insurance and medical treatment records stored by an insurance participant. The medical insurance archives are stored and managed by the medical insurance archive cloud storage database, so as to play a role of medical insurance archive data sharing.

[0059] In another embodiment, the medical insurance archive management unit comprises a medical insurance archive auditing module, a data uploading processing module, a data positioning module and a remote data calling module.

[0060] The medical insurance archive auditing module is used for auditing uploaded medical insurance archives, confirming the category of the uploaded medical insurance archives if the audit is correct, and authorizing according to the category of the medical insurance archives.

[0061] The data uploading processing module is used for uploading the authorized medical insurance archives to the medical insurance archive cloud storage database.

[0062] The data positioning module is used for finding the patient insurance place according to the resident information input by the medical insurance archive management terminal.

[0063] The remote data calling module is used for sending a medical insurance archive information calling request from a medical insurance center in a medical treatment place to a patient insurance place, and sending the medical insurance of the resident in the patient insurance place to the medical insurance center in the medical treatment place.

[0064] The working principle of the above technical solutions is that the medical insurance archive auditing module is used for auditing uploaded medical insurance archives, confirming the category of the uploaded medical insurance archives if the audit is correct, and authorizing according to the category of the medical insurance archives; the data uploading processing module is used for uploading the authorized medical insurance archives to the medical insurance archive cloud storage database; the data positioning module is used for finding the patient insurance place according to the resident information input by the medical insurance archive management terminal; and the remote data calling module is used for sending a medical insurance archive information calling request from a medical insurance center in a medical treatment place to a patient insurance place, and sending the medical insurance of the resident in the patient insurance place to the medical insurance center in the medical treatment place. The medical insurance archive management unit further comprises medical insurance systems in all regions of the country, and the medical insurance systems in the medical treatment place and the patient insurance place belong to the medical insurance archive management unit.

[0065] Through the medical insurance record management unit, the sharing of medical insurance records, health resources, information and services across regions will be gradually realized, as well as the collaboration of multiple businesses with public health, community health and medical services. By increasing interactive functions, insured persons can query their personal health record information through their medical insurance card, and can also enter their health information for health management through the medical insurance record management terminal, and can also be accessed by business collaboration departments. In addition to basic business collaboration, the development of medical insurance record information also includes the construction of a cloud storage database for medical insurance records to meet the specific needs of different departments. This cloud storage database further comprises a medical insurance decision-making database, a drug safety monitoring database, and a disease monitoring and early warning database. The medical insurance decision-making database provides decision-makers and fund managers with archival information generated during the budgeting, collection, allocation, payment, and investment processes of the medical insurance fund, addressing issues related to payment standards, fund collection channels, and fund utilization. The drug safety monitoring database is used to extensively mine archival information on adverse drug reactions and drug abuse, further analyzing drug usage status to support drug safety monitoring. The disease monitoring and early warning database utilizes sequence pattern analysis, classification, and neural network techniques to mine massive amounts of disease data related to the time, location, treatment institutions, diagnostic processes, and outcomes of medical insurance patients, ultimately applying these techniques to disease dimension analysis, disease prediction, and early warning.

[0066] The beneficial effects of the above technical solution are as follows: The medical insurance file review module is used to review the uploaded medical insurance files. If the review is correct, the category of the uploaded medical insurance file is confirmed, and authorization is granted according to the category. The data upload processing module is used to upload the authorized medical insurance files to the medical insurance file cloud storage database. The data positioning module is used to locate the patient's place of insurance based on the resident information entered in the medical insurance file management terminal. The cross-regional data retrieval module is used for the medical insurance center at the place of treatment to send a request to the patient's place of insurance to retrieve medical insurance file information. After retrieving the resident's medical insurance information, the patient's place of insurance sends it to the medical insurance center at the place of treatment. The medical insurance file management unit is used to perform hierarchical management of different medical insurance file categories, locate the region to which the resident's medical insurance belongs based on the hierarchical management, and perform cross-regional collaborative exchange and processing of resident medical insurance information based on the region to which the resident's medical insurance belongs. This enables rapid location and sharing of medical insurance files across regions.

[0067] In another embodiment, the medical insurance record management terminal includes: a medical insurance office terminal, a resident medical insurance terminal, and a retrieval terminal;

[0068] The medical insurance office terminal is used by medical insurance staff to view, upload, modify, and create medical insurance document names.

[0069] The resident medical insurance terminal is used by residents to pay for medical insurance and view their own medical insurance usage information.

[0070] The retrieval terminal is used for retrieving corresponding information from the medical insurance archive cloud storage database after inputting personnel information to be queried by the medical insurance staff or the resident.

[0071] The working principle of the technical solution is that the medical insurance office terminal is used for medical insurance staff to check medical insurance archive information, upload medical insurance archive information, modify archive information, and create a medical insurance document name; the resident medical insurance terminal is used for residents to pay medical insurance and check their own medical insurance use; and the retrieval terminal is used for retrieving corresponding information from the medical insurance archive cloud storage database after inputting personnel information to be queried by the medical insurance staff or the resident, wherein the inputted personnel information to be queried includes a name and an ID card.

[0072] When the medical insurance staff uploads medical insurance archive information, clicks the "upload document" button, a "new document" dialog box is popped up to fill in the corresponding document information; clicks the "select directory" folder button to select the directory for saving the corresponding document; clicks the "scan file" link to open the scanner to perform a document scanning operation, then clicks the "add attachment" to select the scanned file to upload to the medical insurance archive cloud storage database, and finally clicks the "save" button to complete the saving operation of the medical insurance archive document.

[0073] In the information retrieval based on cloud computing, when a user puts forward a query requirement through the retrieval terminal, firstly submits a query type to a retrieval agent, and then sends the retrieval query type to each server stored in the cloud by the retrieval agent, analyzes and sorts the data information in each server in the medical insurance archive cloud storage database, obtains the servers with high relevance, and performs distributed retrieval on the storage servers, integrates the retrieval results again, sorts them according to the relevance, and then transmits them to the user retrieval interface to present them to the user, thereby improving the retrieval capability and the retrieval speed.

[0074] The beneficial effects of the technical solution are that the medical insurance office terminal is used for medical insurance staff to check medical insurance archive information, upload medical insurance archive information, modify archive information, and create a medical insurance document name; the resident medical insurance terminal is used for residents to pay medical insurance and check their own medical insurance use; and the retrieval terminal is used for retrieving corresponding information from the medical insurance archive cloud storage database after inputting personnel information to be queried by the medical insurance staff or the resident. The retrieval capability and the retrieval speed are improved through the retrieval terminal.

[0075] In another embodiment, the data positioning module comprises a remote medical insurance positioning interaction submodule.

[0076] The data interaction between the national medical insurance center and the patient's insured place is established through the off-site medical insurance positioning interaction submodule, the medical insurance center in the place of treatment carries out unified authentication, unified management and centralized authorization on the identity of the patient based on the data interaction, the patient's insured place transmits the medical insurance archive information data to the medical insurance center in the place of treatment according to the medical insurance archive information retrieval request initiated by the medical insurance office terminal, and the medical insurance center in the place of treatment transmits the result to the medical insurance office terminal after the data is unpacked and analyzed.

[0077] The working principle of the technical solution is that the data interaction between the national medical insurance center and the patient's insured place is established through the off-site medical insurance positioning interaction submodule, the medical insurance center in the place of treatment carries out unified authentication, unified management and centralized authorization on the identity of the patient based on the data interaction, the patient's insured place transmits the medical insurance archive information data to the medical insurance center in the place of treatment according to the medical insurance archive information retrieval request initiated by the medical insurance office terminal, and the medical insurance center in the place of treatment transmits the result to the medical insurance office terminal after the data is unpacked and analyzed.

[0078] The data interaction between the national medical insurance center and the patient's insured place is established, which can realize the functions of adding, modifying, deleting and querying the basic medical insurance drug directory, diagnosis and treatment directory and service facility standard issued by the medical insurance center, support batch import, and have the function of medical insurance three directory comparison.

[0079] The working principle of the technical solution is that the data interaction between the national medical insurance center and the patient's insured place is established through the off-site medical insurance positioning interaction submodule, the medical insurance center in the place of treatment carries out unified authentication, unified management and centralized authorization on the identity of the patient based on the data interaction, the patient's insured place transmits the medical insurance archive information data to the medical insurance center in the place of treatment according to the medical insurance archive information retrieval request initiated by the medical insurance office terminal, and the medical insurance center in the place of treatment transmits the result to the medical insurance office terminal after the data is unpacked and analyzed.

[0080] In another embodiment, the off-site data retrieval module comprises a regional chain sharing submodule.

[0081] The patient medical record information in the medical insurance archive is added through the regional chain sharing submodule, the patient medical record information is stored in the private cluster in the medical insurance archive cloud storage database through the AES encryption algorithm, the address information returned by the private cluster, the AES encryption key, the user ID and the corresponding time information are composed into a ciphertext index data structure, and then the private cluster address and the AES key are encrypted through the public key of the patient user and stored in the medical insurance archive cloud storage database.

[0082] The working principle of the technical solution is that the regional chain sharing sub-module adds patient medical record information in the medical insurance archive, the patient medical record information is stored in a private cluster in the medical insurance archive cloud storage database through an AES encryption algorithm, address information returned by the private cluster, an AES encryption key, a user ID, and corresponding time information are combined to form a ciphertext index data structure, and the private cluster address and the AES key are encrypted through a public key of a patient user and then stored in the medical insurance archive cloud storage database, thereby realizing safe storage of the user medical insurance archive. Secondly, in the function of the doctor applying to view medical record information in the medical insurance archive, the doctor queries the medical record index record list of the patient according to the patient ID information, inputs an authorization code, and the system can query the index proxy re-encryption result through the authorization code, decrypt the index information by using the encryption result, and obtain and decrypt the medical record plaintext in the medical insurance archive through the index.

[0083] The beneficial effects of the technical solution are that the regional chain sharing sub-module adds patient medical record information in the medical insurance archive, the patient medical record information is stored in a private cluster in the medical insurance archive cloud storage database through an AES encryption algorithm, address information returned by the private cluster, an AES encryption key, a user ID, and corresponding time information are combined to form a ciphertext index data structure, and the private cluster address and the AES key are encrypted through a public key of a patient user and then stored in the medical insurance archive cloud storage database, thereby realizing safe storage of the user medical insurance archive.

[0084] In another embodiment, the medical insurance office terminal comprises a medical expense reconciliation end.

[0085] The national medical insurance center performs medical expense information reconciliation through the medical expense reconciliation end, the medical expense reconciliation end checks all out-of-town patient settlement information of the day and settlement information called from the medical insurance center, and if abnormal data is found, the abnormal data needs to be processed.

[0086] Enter the medical expense reconciliation end interface, select the date and the medical insurance type, and then click the read medical insurance information and the detailed account button to display the medical insurance settlement transaction information and the corresponding out-of-town settlement information. If the medical expense reconciliation end has abnormal data, the medical insurance abnormal data box in the lower left has data, and the data is checked and processed. If the medical insurance abnormal data box in the lower left has no data, it means that there is no data abnormality on the day.

[0087] The working principle of the technical solution is that the national medical insurance center performs medical fee information reconciliation through a medical fee reconciliation terminal, the medical fee reconciliation terminal checks all out-of-town patient settlement information of the day with settlement information from the medical insurance center, and if abnormal data is found, it needs to be processed; entering the medical fee reconciliation terminal interface, selecting the date and medical insurance type, and then clicking the read medical insurance information and detailed account buttons, the medical insurance settlement transaction information and the corresponding out-of-town settlement information are displayed, if the medical fee reconciliation terminal has abnormal data, the medical insurance abnormal data box in the lower left corner has data, and the existing data is checked and processed; if the medical insurance abnormal data box in the lower left corner has no data, it means that there is no data anomaly on that day.

[0088] The beneficial effects of the above technical solution are that the national medical insurance center performs medical fee information reconciliation through a medical fee reconciliation terminal, the medical fee reconciliation terminal checks all out-of-town patient settlement information of the day with settlement information from the medical insurance center, and if abnormal data is found, it needs to be processed; entering the medical fee reconciliation terminal interface, selecting the date and medical insurance type, and then clicking the read medical insurance information and detailed account buttons, the medical insurance settlement transaction information and the corresponding out-of-town settlement information are displayed, if the medical fee reconciliation terminal has abnormal data, the medical insurance abnormal data box in the lower left corner has data, and the existing data is checked and processed; if the medical insurance abnormal data box in the lower left corner has no data, it means that there is no data anomaly on that day.

[0089] In another embodiment, the retrieval terminal includes a relationship semantic;

[0090] The relationship semantic supports relationship queries on block data; the query processing process of the retrieval terminal facing the full node includes query analysis, logical plan generation, and physical plan generation;

[0091] First, use the query compiler to parse the query and generate an abstract syntax tree; then convert the syntax tree into a logical plan, perform basic logical optimization on the logical plan, and then generate a physical plan and execute; in addition to relationship queries, custom blockchain query operations are also defined, including traceback queries and joint queries, through joint queries to obtain the integration of on-chain or off-chain data, through the retrieval terminal configuration file to specify the type of off-chain database, when executing the joint query, the query module converts the data from the off-chain database into the corresponding internal data format according to the type of off-chain database, and then performs the connection operation of on-chain tables and off-chain tables.

[0092] The working principle of the above technical solution is as follows: relational semantics supports relational queries on block data; the query processing process of the retrieval terminal for full nodes includes: query parsing, logical plan generation, and physical plan generation; first, the query compiler is used to parse the query and generate an abstract syntax tree; then, the syntax tree is converted into a logical plan, the logical plan is optimized, and then a physical plan is generated and executed; in addition to relational queries, custom blockchain query operations are also defined, including trace queries and federated queries. The federated query obtains the integration of on-chain or off-chain data. The off-chain database type is specified through the retrieval terminal configuration file. When executing a federated query, the query module converts the data from the off-chain database into the corresponding internal data format according to the off-chain database type, and then performs the connection operation between the on-chain table and the off-chain table. Thus, only slight changes are needed to add database types that support relational semantics.

[0093] The beneficial effects of the above technical solution are as follows: relational semantics support relational queries on block data; the query processing of the retrieval terminal for full nodes includes: query parsing, logical plan generation, and physical plan generation; first, a query compiler is used to parse the query and generate an abstract syntax tree; then, the syntax tree is converted into a logical plan, the logical plan is optimized, and finally, a physical plan is generated and executed; in addition to relational queries, custom blockchain query operations are also defined, including trace queries and federated queries. The federated query integrates on-chain or off-chain data, specifying the off-chain database type through the retrieval terminal configuration file. When executing a federated query, the query module converts the data from the off-chain database into the corresponding internal data format according to the off-chain database type, and then performs the join operation between the on-chain and off-chain tables. Therefore, only minor modifications are needed to add database types that support relational semantics. This enables query processing for full nodes, quickly locating and sharing medical insurance records across regions.

[0094] In another embodiment, an algorithm for analyzing and sharing medical insurance file information is constructed based on the cross-regional medical insurance location interaction submodule.

[0095] In the process of constructing the medical insurance record information interaction and sharing analysis algorithm, the attribute combination of medical insurance record information is represented as N. Based on the N attribute combinations, the logical unit Q of basic medical record information is obtained. The logical unit Q is represented as the description service combination object of medical insurance record information sharing. The logical unit is adaptively scheduled and processed by a random dynamic combination control method to obtain the medical insurance record information interaction and sharing analysis algorithm.

[0096] The working principle of the above technical solution is as follows: In the process of constructing the medical insurance record information interaction and sharing analysis algorithm, the attribute combination of medical insurance record information is represented as N, and through the N attribute combinations, the logical unit of medical record information can be known as: Q={Q1,Q2,Q3,……,Q N The logical unit is the set of shared medical insurance records information corresponding to the fusion attributes. Here, let Q represent the description service combination object of the medical record sharing platform, and we can obtain the second logical unit: Q. i 'i' represents the keyword attributes required when users access different databases. The application of data algorithms is to help users quickly retrieve the information they want, so it is necessary to clarify the association mapping relationship of the feature quantities of the association rules. Among them, the big data partitioning benefit coefficient of medical insurance file information is represented by C. The logic unit is adaptively scheduled and processed using a random dynamic combination control method to obtain the medical insurance file information interaction and sharing analysis algorithm. However, in order to improve the sharing and interactivity of medical insurance file information, it is also necessary to establish a statistical sample set to construct an adaptive feature search algorithm. In this way, when performing data retrieval, users can more accurately query the content they need based on word meaning.

[0097] The beneficial effects of the above technical solution are as follows: In the process of constructing the medical insurance record information interaction and sharing analysis algorithm, the attribute combinations of medical insurance record information are represented as N, and logical units Q of basic medical record information are obtained based on the N attribute combinations. Logical unit Q is represented as a description service combination object for medical insurance record information sharing. An adaptive scheduling process is performed on the logical units using a random dynamic combination control method to obtain the medical insurance record information interaction and sharing analysis algorithm. This enhances the platform's information sharing efficiency and interactivity.

[0098] In another embodiment, during the process of adding patient medical record information from medical insurance files through the blockchain sharing submodule, a medical insurance index structure is constructed. The input parameter information is obtained through the query code object and the parameter is checked. After the parameter check is passed, the string format method is called according to the parameter information to concatenate the input parameter information to the corresponding position to form a query statement. Then, the getQueryResult method is called to query the data that meets the conditions in the blockchain. The query result is an iterator object. Finally, the returned iterator is used to concatenate the query results using a loop statement, and then the ResponseUtils utility class is called to return the result.

[0099] The working principle of the above technical solution is that in the process of adding patient medical record information in the medical insurance file through the regional chain sharing submodule, the medical insurance index structure is constructed, the parameter information transmitted is obtained through the query code object and parameter checking is performed, after the parameter checking passes, the format method of the string is called according to the parameter information to splice the transmitted parameter information to the corresponding position, a query statement is formed, the getQueryResult method is called to query the data meeting the conditions in the block chain, the result of the query is an iterator object, finally the returned iterator is used to splice the query result by using the loop statement, and then the newSuccessResponse method of the ResponseUtils tool class is called to return the result.

[0100] The security of the regional chain sharing submodule is analyzed by obtaining the new block generated by the node, and the formula probability of the node generating a new block is represented as:

[0101]

[0102] wherein, P h represents the probability of the regional chain node generating a new block; k represents that the attacker exceeds the height of the regional chain node block, and satisfies k [1, t-2n-h]; represents that the honest node generates a new block, and the attack node does not, that is, the probability of the height difference becoming large; represents that the attack node generates a new block, and the honest node does not, that is, the probability of the height difference becoming small; represents and both generate or do not generate a new block, that is, the probability of the height difference being unchanged; n represents the number of times of the height difference being unchanged; h represents the height difference of the regional chain per second; t represents time (per second); m represents the number of times of the height difference becoming small.

[0103] According to the probability of the regional chain node generating a new block, the probability of the attack node successfully tampering with the block data is obtained, and the security of the data communication process in the regional chain sharing submodule is analyzed.

[0104] The beneficial effects of the above technical scheme are that in the process of adding patient medical record information in the medical insurance file through the regional chain sharing sub-module, a medical insurance index structure is constructed, parameter information transmitted is acquired through a query code object and parameter checking is performed, after the parameter checking passes, a format method of a string is called according to the parameter information to splice the transmitted parameter information to a corresponding position, a query statement is formed, a getQueryResult method is called to query data meeting a condition in a block chain, the result of the query is an iterator object, finally, the result of the query is spliced through a loop statement by using the returned iterator, and then a newSuccessResponse method of a ResponseUtils tool class is called to return the result, thereby improving privacy protection of medical insurance file information data.

[0105] Obviously, those skilled in the art can make various modifications and variations to the present application without departing from the spirit and scope of the present application. Thus, if these modifications and variations of the present application belong to the scope of the claims of the present application and their equivalents, the present application also intends to include these modifications and variations.

Claims

1. A cross-regional medical insurance file rapid positioning and sharing system, characterized in that, Comprise: Medical insurance file cloud storage database, medical insurance file management unit and medical insurance file management terminal; The medical insurance file cloud storage database is used for storing medical insurance file data based on a cloud platform end; The medical insurance file management unit is used for hierarchical management of different medical insurance file categories, positioning the region to which a resident medical insurance belongs according to the hierarchical management, cross-region collaborative exchange processing of resident medical insurance information based on the region to which the resident medical insurance belongs, and realizing the cross-region sharing demand of medical insurance files; The medical insurance file management terminal is used for medical insurance staff to check medical insurance file information and perform corresponding operations on the medical insurance information; The medical insurance file management terminal comprises a medical insurance office terminal, a resident medical insurance terminal and a search terminal; The medical insurance office terminal is used for medical insurance staff to check medical insurance file information, upload medical insurance file information, modify file information and create a medical insurance document name; The resident medical insurance terminal is used for residents to pay medical insurance and check their own medical insurance use; The search terminal is used for searching corresponding information from the medical insurance file cloud storage database after inputting personnel information to be queried by medical insurance staff or residents; The search terminal comprises relationship semantics; The relationship semantics supports relationship query on block data; the query processing process of the search terminal facing full nodes comprises query analysis, logical plan generation and physical plan generation; First, a query compiler is used to analyze the query and generate an abstract syntax tree; then the syntax tree is converted into a logical plan, the logical plan is subjected to basic logical optimization, and then a physical plan is generated and executed; in addition to relationship query, a blockchain query operation is also defined, the blockchain query operation comprises traceability query and joint query, integration of on-chain or off-chain data is obtained through joint query, a chain database type is specified through a search terminal configuration file, when the joint query is executed, the query module converts data from the off-chain database into a corresponding internal data format according to the chain database type, and then performs a connection operation on the on-chain table and the off-chain table.

2. The cross-regional medical insurance file fast positioning and sharing system according to claim 1, characterized in that, The medical insurance file cloud storage database comprises a first-level medical insurance file library, a second-level medical insurance file library, a third-level medical insurance file library and a fourth-level medical insurance file library; The first-level medical insurance file library is used for storing files collected, sorted and stored by a medical insurance agency; The second-level medical insurance file library is used for storing medical insurance patient diagnosis and treatment credentials stored by medical insurance designated medical service institutions; The third-level medical insurance file library is used for storing resident insurance related data stored by communities; The fourth-level medical insurance file library is used for storing insurance and medical records stored by insurance personnel.

3. The cross-regional medical insurance file fast positioning and sharing system according to claim 1, characterized in that, The medical insurance file management unit comprises a medical insurance file audit module, a data upload processing module, a data positioning module and a remote data calling module; The medical insurance file audit module is used for auditing uploaded medical insurance files, confirming the category of the uploaded medical insurance files if the audit is correct, and authorizing according to the category of the medical insurance files; The data upload processing module is used for uploading the authorized medical insurance files to the medical insurance file cloud storage database; The data positioning module is used for finding the insurance place of a patient according to resident information input by the medical insurance file management terminal; The data calling module in the other place is used for sending a medical insurance file information calling request from the medical insurance center in the place of treatment to the place of insurance of the patient, and the place of insurance of the patient sends the medical insurance file information to the medical insurance center in the place of treatment after calling the medical insurance file.

4. The cross-regional medical insurance file fast positioning and sharing system according to claim 3, characterized in that, The data positioning module comprises an interactive submodule for positioning medical insurance in other places. The data interaction between the national medical insurance center and the place of insurance of the patient is established through the interactive submodule for positioning medical insurance in other places, the identity of the patient is uniformly authenticated, uniformly managed and centrally authorized by the medical insurance center in the place of treatment based on the data interaction, the medical insurance file information data is packaged and transmitted to the medical insurance center in the place of treatment according to the medical insurance file information calling request initiated by the medical insurance office terminal, and the result is transmitted to the medical insurance office terminal after the data is unpacked and analyzed by the medical insurance center in the place of treatment.

5. The cross-regional medical insurance file fast positioning and sharing system according to claim 3, characterized in that, The data calling module in the other place comprises a regional chain sharing submodule. The patient medical record information in the medical insurance file is added through the regional chain sharing submodule, the patient medical record information is stored in a private cluster in the medical insurance file cloud storage database through the AES encryption algorithm, the address information, the AES encryption key, the user ID and the corresponding time information returned by the private cluster are combined to form a ciphertext index data structure, and the private cluster address and the AES key are stored in the medical insurance file cloud storage database after being encrypted by the public key of the patient user.

6. The cross-regional medical insurance file fast positioning and sharing system according to claim 1, characterized in that, The medical insurance office terminal comprises a medical expense reconciliation end. The medical expense reconciliation end is used for medical expense information reconciliation by the national medical insurance center, all out-of-town patient settlement information on the same day is checked with the settlement information called from the medical insurance center, and if abnormal data is found, it needs to be processed. After entering the medical expense reconciliation end interface, the date and the medical insurance type are selected, and then the medical insurance information reading button and the detailed account button are clicked to display the medical insurance settlement transaction information and the corresponding out-of-town settlement information, if there is abnormal data in the medical expense reconciliation end, there is data in the medical insurance abnormal data box in the lower left, the data is checked and processed, and if there is no data in the medical insurance abnormal data box in the lower left, it means that there is no data abnormality on the same day.

7. The cross-regional medical insurance file fast positioning and sharing system according to claim 4, characterized in that, Based on the interactive submodule for positioning medical insurance in other places, a medical insurance file information interactive sharing analysis algorithm is constructed. In the process of constructing the medical insurance file information interactive sharing analysis algorithm, the attributes of the medical insurance file information are combined as N, the logic unit Q of the basic medical file information is obtained according to the N attribute combinations, the logic unit Q is represented as a description service combination object of medical insurance file information sharing, the logic unit is adaptively scheduled and processed by a random dynamic combination control method, and the medical insurance file information interactive sharing analysis algorithm is obtained.

8. The cross-regional medical insurance file fast positioning and sharing system according to claim 5, characterized in that, In the process of adding patient medical record information in medical insurance archives through regional chain sharing sub-module, the medical insurance index structure is constructed, the parameter information transmitted is obtained through the query code object and parameter checking is performed, after the parameter checking passes, the format method of string is called according to the parameter information to splice the transmitted parameter information to the corresponding position, a query statement is formed, the getQueryResult method is called to query the data meeting the conditions in the block chain, the result of the query is an iterator object, finally the returned iterator is used to splice the query result by using the loop statement, and then the result is returned by calling the ResponseUtils of the tool class.

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