A interoperable electronic system and method for health insurance accounting by using domain specific language based on ontology

摘要

The present invention converts and stores billing information, such as a number code, into ontology, and converts the rules of the medical treatment fee examination criteria into a DSL execution code written in a DSL (domain specific language). The present invention relates to an ontology-based interoperable health insurance electronic billing system and method for verifying and verifying fit and claiming medical expenses.;Specifically, the present invention is an ontology storage unit for storing the ontology database for the billing information, DSL storage unit for storing the DSL execution code written in the DSL (domain specific language) of the screening criteria rules, billing for the benefit payment from the user terminal Receiving a test request for the execution of the DSL execution code for the test request processing unit, a data update unit for continuously updating the data of the ontology database, an external billing information DB to access the external billing information DB And an ontology conversion unit for automatically converting data into an ontology format.;Through this, the present invention can secure compatibility and expandability between the systems of each nursing institution in progress, and greatly changes the human and time resources consumed in acquiring the corresponding contents and changing the system when the screening criteria or number is changed. Can be reduced.;Health insurance, medical expenses, medical benefits, medical bills, DSL, domain-specific language, ontology, ontology, auditor, screening criteria, rules, number, number code, price notice, price, price code, price notice, notice