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Sumex I+; :10; 1 © TMR AG TMR AG Introduction Sumex I+ Quality assurance and electronic transfer of physician’s invoice
Sumex I+; :10; 2 © TMR AG TMR AG Boundary conditions for Sumex I+ Boundary conditions relevant for physicians No increased costs No increased time requirement Free choice of the clearing center Boundary conditions relevant for software houses Publication and standardization of all interfaces Hiding of XML standard and OCR-Print layout behind functional interfaces Automatic update of data and software Quality and continuity guaranty of project by the healthcare insurance companies
Sumex I+; :10; 3 © TMR AG TMR AG Sumex I+ implementation Validator modules: Search & browsing of tariff database Validation of services against the tariff rules (tarmedValidator, labValidator, etc.) Invoice module: Generation and printing of standardized OCR invoice Generation and transfer of XML invoice to insurance Automatic usage of validator modules internally netUpdate package: Keeping software modules and databases up-to-date
Sumex I+; :10; 4 © TMR AG TMR AG Sumex I+ modules Validators tarmedValidator labValidator migelValidator drugValidator physioValidator Managers MDInvoiceManager netUpdate Package
Sumex I+; :10; 5 © TMR AG TMR AG Technical implementation MDInvoiceManager and validation modules ATL-DLL modules written in C++ netUpdate package MFC-EXE modules written in C++ Database access OleDB access on local ready-only mdb-File All databases are password protected
Sumex I+; :10; 6 © TMR AG TMR AG MDInvoiceManager overview Physician software COM / XML COM tarmed Validator COM Data Validation XML Data Modeler Server Secure Communication (MediPort) Printer OCR print Invoice Manager
Sumex I+; :10; 7 © TMR AG TMR AG netUpdate package
Sumex I+; :10; 8 © TMR AG TMR AG Hardware & Software requirements Software Windows 98 or higher Windows 2000 or higher recommended Note: Windows 95 is not supported by MSXML4 Hardware Pentium III 500 MHz 100 MB free disk space 128 MB RAM
Sumex I+; :10; 9 © TMR AG TMR AG Requested interface changes for final release tarmedValidator TP of assistant (ISearch) Limitation information as in html-browser (ISearch) All validators RoleType enumeration values as in migelValidator
Sumex I+; :10; 10 © TMR AG TMR AG Versioning scheme Version number for example tarmedValidator build number (bugfixes, no interface change) 00 minor version (added features, interface change) 1 major version (heavy interface change) Implications on physician software Build number change: no impact on software (netupdate) Minor change: software may adapt new interface Major change: software must eventually adapt new interface
Sumex I+; :10; 11 © TMR AG TMR AG Schedule & information Beta-Release Available since Final-Release for all modules and languages Download & documentation area (schema files) Mailing list, Support & FAQ
Sumex I+; :10; 12 © TMR AG TMR AG Summary: win-win situation for all physician can produce a correct invoice according to the rules has a free choice of the intermediate or print locally software house have to implement only one interface Hiding of standards behind functional interfaces insurance receive high quality invoices automated data processing is possible (XML or OCR invoices)
Sumex I+; :10; 13 © TMR AG TMR AG Excursion: XML & schema file validation XSD schema files help to improve the quality of the invoice mandatory elements and attributes can be requested patterns can be set to allow only specific values the MDInvoiceManager handles the XML generation and schema validation, however you should get familiar with the mandatory fields (www.xmldata.ch) pdf-File or xsd-File
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