北京市基本医疗保险门诊实时结算 HIS 改造接口法律规范 v200门诊实时结算 HIS 改造接口法律规范（V2.00 版）首都信息进展股份2025 年 11 月目 录第一部分概述.......................................................51引言......................................................................................................................................................51.1编写目的...........................................................................................................................51.2版本变更内容...................................................................................................................52门诊内嵌式改造接口法律规范...........................................................................................................72.1接口模式说明...................................................................................................................73名词说明..............................................................................................................................................8第二部分业务流程..................................................101名目对比流程....................................................................................................................................102费用处理流程概要.............................................................................................................................103费用上传和对账流程.........................................................................................................................124费用申报流程....................................................................................................................................125业务流程详解....................................................................................................................................125.1医保门诊挂号.................................................................................................................125.2医保一般门急诊结...
