Data interchange between health care providers and the Health Insurance Institute of Slovenia

Roman Žurga (2011) Data interchange between health care providers and the Health Insurance Institute of Slovenia. EngD thesis.

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Abstract

The aim of this diploma thesis is a development of the software which enables acquiring and submitting data to On-line Health Insurance System of Health Insurance Institute of Slovenia (ZZZS) by the supplier of medical technical vision aids (optician). The customer with developed software acquires data of insured persons, validity of insurances and prescribed aids and submits issuance of aids. The solution supports and automates all business processes in business with ZZZS. The introduction presents the description of the problem, purpose and aims of the diploma thesis. The solution is based on XML (eXtensible Markup Language) and related technologies, which are described in the second chapter. The following chapter describes the On-line Health Insurance System and exchanging data between the ZZZS and supplier systems. This is followed by a description of the development process. The methodology of Rational Unified Process (RUP) has been used during the development process. The development is presented according to the RUP processes: business modeling, requirements, analysis and design, implementation, test and deployment. The processes of business modeling and requirement are specifically described in detail due to the high complexity of business processes, which are supported by the developed solution. The chapter is ended with a description of main software functionality, which may be used as the user manuals. The conclusions are describing development difficulties, success of achieving goals, evaluation of work and ideas for further development.

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