北京市基本医疗保险信息系统门诊实时结算 HIS 改造接口规范(V2.00 版)首都信息发展股份有限公司2013 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规范...................................................................................................................72.1接口模式说明...................................................................................................................73名词解释..............................................................................................................................................8第二部分业务流程..................................................101目录对照流程....................................................................................................................................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医保普通门急诊结算..........................