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黑龙江省医保接口,2020年度最新接口文档,含电子二维码开发,医院his接口必须开发文档。黑龙江省医保接口,2020年度最新接口文档,含电子二维码开发,医院his接口必须开发文档。
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哈尔滨工业大学软件工程股份有限公司 金保工程定点医院 HIS 系统接口说明
黑龙江省金保工程定点医院
HIS 系统接口说明
(整合 v1.01 版)
哈尔滨工业大学软件工程股份有限公司
(2018.09)
第 1 页

哈尔滨工业大学软件工程股份有限公司 金保工程定点医院 HIS 系统接口说明
目 录
HIS 系统接口说明............................................................................................1
(整合 V1.01 版)...........................................................................................1
第一部分 概述.................................................................................................5
1 引言.................................................................................................................................................5
1.1 编写目的.....................................................................................................................................5
1.2 修订记录.....................................................................................................................................5
1.3 接口文件说明...........................................................................................................................12
2 接口说明.......................................................................................................................................13
2.1 接口模式说明...........................................................................................................................13
第二部分 业务流程........................................................................................14
1 三项目录管理...............................................................................................................................14
2 门诊收费流程...............................................................................................................................17
2.1 门诊挂号业务...........................................................................................................................18
2.2 门诊退号业务...........................................................................................................................19
2.3 门诊收费业务...........................................................................................................................19
2.4 门诊退费业务...........................................................................................................................23
2.5 门诊收据重打...........................................................................................................................25
2.6 门诊预警业务...........................................................................................................................27
2.7 门诊特殊治疗登记管理...........................................................................................................27
2.8 门诊特殊治疗方案管理...........................................................................................................28
3 住院收费流程...............................................................................................................................28
3.1 住院登记...................................................................................................................................29
3.2 住院登记修改...........................................................................................................................31
3.3 住院转科...................................................................................................................................32
3.4 退院处理...................................................................................................................................33
3.5 转院管理(省直没有)...........................................................................................................34
3.6 住院收退费...............................................................................................................................36
3.7 补交预交金...............................................................................................................................38
3.8 预交金收据重打.......................................................................................................................39
3.9 出院结算...................................................................................................................................40
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哈尔滨工业大学软件工程股份有限公司 金保工程定点医院 HIS 系统接口说明
3.10 打印结算收据.........................................................................................................................42
3.11 打印结算概要.........................................................................................................................42
3.12 打印结算明细.........................................................................................................................43
3.13 出院结算申请.........................................................................................................................44
3.14 出院退结算申请.....................................................................................................................45
3.15 出院退结算.............................................................................................................................46
3.16 住院病案首页登记.................................................................................................................47
3.17 住院中途结算.........................................................................................................................48
4 特殊人员报销...............................................................................................................................48
5 博思财政票据...............................................................................................................................49
6 其他相关业务...............................................................................................................................49
6.1 个人帐户查询...........................................................................................................................49
6.2 IC 卡密码修改..........................................................................................................................50
第三部分 接口函数应用.................................................................................51
1 约定...............................................................................................................................................51
1.1 应用环境...................................................................................................................................51
1.2 约定...........................................................................................................................................51
2 接口函数使用...............................................................................................................................52
2.1 接口函数参数...........................................................................................................................52
2.2 接口函数返回值.......................................................................................................................55
2.3 接口函数调用流程...................................................................................................................58
第四部分 接口函数定义.................................................................................59
1 接口函数分类...............................................................................................................................59
2 接口函数详解...............................................................................................................................59
2.1 配置函数...................................................................................................................................59
2.2 三项目录管理...........................................................................................................................71
2.3 门诊收费服务.........................................................................................................................110
2.4 住院收费.................................................................................................................................178
2.5 特殊人员报销(S)....................................................................................................................300
2.6 博思财政票据(S)....................................................................................................................322
2.7 统计查询.................................................................................................................................333
2.9 其它.........................................................................................................................................470
第五部分 数据字典......................................................................................474
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哈尔滨工业大学软件工程股份有限公司 金保工程定点医院 HIS 系统接口说明
1 医疗保险数据字典.....................................................................................................................474
1.1 处方药标志.............................................................................................................................474
1.2 收费项目等级.........................................................................................................................475
1.3 限价类别.................................................................................................................................475
1.4 性别.........................................................................................................................................475
1.12 医疗类别...............................................................................................................................476
1.13 转出标志...............................................................................................................................476
1.17 计算机编码属性...................................................................................................................476
1.8 医疗方式.................................................................................................................................477
2 本说明特设数据字典.................................................................................................................477
2.1 目录类别.................................................................................................................................477
2.2 预交金方式.............................................................................................................................478
2.3 转科标志.................................................................................................................................478
2.4 不允许继续计费提示.............................................................................................................478
2.5 是否使用个人帐户.................................................................................................................478
2.6 预交金结算标志.....................................................................................................................479
2.7 门诊收据状态.........................................................................................................................479
2.8 门诊预警审核状态.................................................................................................................479
2.9 出院申请审核状态.................................................................................................................480
2.10 特殊人员报销方式...............................................................................................................480
2.11 特殊人员报销类别...............................................................................................................480
2.12 医疗费用月申报类型...........................................................................................................480
第六部分 常见问题说明...............................................................................481
1.收据附加说明:...........................................................................................................................481
1.1 结算单说明.............................................................................................................................481
2.哈尔滨结算收据附件说明:.......................................................................................................509
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哈尔滨工业大学软件工程股份有限公司 金保工程定点医院 HIS 系统接口说明
第一部分 概述
1 引言
1.1 编写目的
针对黑龙江省金保工程省直定点医院,制定统一的医疗保险门诊和住院
实时结算的 HIS 接口说明,HIS 必须遵循本说明。
要求 HIS 厂商在统一规范、标准和要求下,调用本接口,本说明为 HIS
开发、调试提供参考,使 HIS 接口调用顺利进行,尽快达到门诊和住院实时结
算的要求。
本说明仅限于黑龙江省金保工程省直基本医疗保险门诊和住院实时结算
的 HIS 系统使用。
哈尔滨工业大学软件工程有限公司为定点医疗机构提供医院端组件。
1.2 修订记录
2018-04-03 升级内容:
(1)3205 业务,工号不为空时返回计费成功后的费用明细信息,带处方
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