医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
21期
32-33
,共2页
医保三险合一%信息系统整合%数据接口
醫保三險閤一%信息繫統整閤%數據接口
의보삼험합일%신식계통정합%수거접구
Three-to-one medical insurance integration%Information system integration%Data interface
目的：基本医疗保险城乡统筹和一体化管理进入了实质化执行阶段，分块管理的医保三险(城镇职工、城镇居民、新农合)正逐步改为统一的经办机构，这也是完善医保制度、体现社会公平、提高管理效率和保障绩效的客观要求，总结并讨论现行的医疗保险信息系统在多开发商、维护升级应用过程中难点及应用经验，提出数据交互与共享方面实施工作的技术难点和解决方法，希望能对未来医疗保险信息系统的整合工作有所帮助。方法通过对现状及问题的分析，举例说明包括数据项标准、数据格式、代码标准等数据接口标准建设方面应采取的措施，提出可行性规范的解决办法。结果结合当前形式和政策的要求，从科学性、系统性、可扩展性、兼容性和综合性方面对信息系统数据接口进行管理规范，确保了政策顺利实施。结论建立标准化的信息分类编码是打造具有可扩展性、实现方式灵活、能较快的适应调整政策和运行环境等改变成功系统的重中之重。
目的：基本醫療保險城鄉統籌和一體化管理進入瞭實質化執行階段，分塊管理的醫保三險(城鎮職工、城鎮居民、新農閤)正逐步改為統一的經辦機構，這也是完善醫保製度、體現社會公平、提高管理效率和保障績效的客觀要求，總結併討論現行的醫療保險信息繫統在多開髮商、維護升級應用過程中難點及應用經驗，提齣數據交互與共享方麵實施工作的技術難點和解決方法，希望能對未來醫療保險信息繫統的整閤工作有所幫助。方法通過對現狀及問題的分析，舉例說明包括數據項標準、數據格式、代碼標準等數據接口標準建設方麵應採取的措施，提齣可行性規範的解決辦法。結果結閤噹前形式和政策的要求，從科學性、繫統性、可擴展性、兼容性和綜閤性方麵對信息繫統數據接口進行管理規範，確保瞭政策順利實施。結論建立標準化的信息分類編碼是打造具有可擴展性、實現方式靈活、能較快的適應調整政策和運行環境等改變成功繫統的重中之重。
목적：기본의료보험성향통주화일체화관리진입료실질화집행계단，분괴관리적의보삼험(성진직공、성진거민、신농합)정축보개위통일적경판궤구，저야시완선의보제도、체현사회공평、제고관리효솔화보장적효적객관요구，총결병토론현행적의료보험신식계통재다개발상、유호승급응용과정중난점급응용경험，제출수거교호여공향방면실시공작적기술난점화해결방법，희망능대미래의료보험신식계통적정합공작유소방조。방법통과대현상급문제적분석，거례설명포괄수거항표준、수거격식、대마표준등수거접구표준건설방면응채취적조시，제출가행성규범적해결판법。결과결합당전형식화정책적요구，종과학성、계통성、가확전성、겸용성화종합성방면대신식계통수거접구진행관리규범，학보료정책순리실시。결론건립표준화적신식분류편마시타조구유가확전성、실현방식령활、능교쾌적괄응조정정책화운행배경등개변성공계통적중중지중。
Objective Urban and rural basic medical insurance coordination and their integrative management have come into an essential implementation phrase, and the three kinds of medical insurances (urban workers, urban residents and the NCMS) under block management are gradual y replaced by a unified agency, which is also the objective requirement of medical insurance system maturity, social equity embodiment, management ef iciency improvement and performance guarantee. The dif iculty and experience of current medical insurance information system by multiple developers in the process of maintenance, upgrade and application are summarized and discussed, and the technical dif iculty and solution in data exchange and share are proposed, in the hope of helping the future integration of medical insurance information system. Methods Through the analysis of current situation and problems, measures to be taken in the construction of data interface standard, including data item criteria, data format, coding standard etc. are il ustrated, and feasible and standard solutions are proposed. Results According to the requirement of present situations and policies, information system data interface is managed and regulated from the aspects of science, scalability, compatibility and integration, making sure that policies are carried out smoothly. Conclusion To establish standardized information classification and coding is the top priority in the successful system that means creating scalable, flexible approach, adapting quickly to adjust policies and changes in the operating environment.
