A utility for reading a barcode and an electronic carrier of an OMS policy. The utility for reading the barcode and electronic media of the OMS policy On the front side of the card you can see

opening speech

In the modern world, it is difficult to imagine a field of human activity that does not use bar-coding of goods, services, documents, accounting information and other products, or their storage in an electronic medium built into a smart card.

Machine reading of the information contained in a barcode gives a person significant advantages.

First of all, it is the time required for information processing. For example, entering a single 16-digit patient policy number by pressing the buttons on the keyboard will take an experienced operator at least 8 seconds. And if we add here the time required for the operator to enter the last name, first name, patronymic and date of birth, then all this will take at least 2 minutes. While reading this information from a barcode will take less than 0.3 seconds.

In addition, by using a barcode, the time required to search for a patient in the database can be greatly reduced.

The next advantage is the higher accuracy compared to manual data entry. With manual input, on average, one error occurs per 300 characters (numbers, letters). When working with a barcode, the norm is less than one error in every 1,000,000 codes read. Errors in data entry lead to additional losses of the operator's time, and, consequently, the costs of the medical organization.

This application allows medical statisticians (PC operators) to obtain information about the insured person by reading the barcode of the compulsory medical insurance policy, copy the read information to the clipboard and paste it where necessary, or print and even upload it to a file of a special format for integration into the medical care accounting program.
In addition, the new version of the program implements the ability to read information from the compulsory medical insurance policy in the form of a plastic card with electronic media.

About the CHI policy barcode scanner

To read the barcode of the MHI policy, you will need a two-dimensional barcode scanner.

The scanners available in some MOs, supplied through the RMIS line in 2012, are unlikely to be suitable for this purpose, since not every scanner can read the barcode of the MHI policy.

If your hospital has any scanner, open a notepad and try to scan the barcode of the CHI policy. Will not work. And all because, firstly, the standard for encoding the information of the compulsory medical insurance policy involves their special decoding, and secondly, not all scanners support this standard.

Having studied the market and materials on this topic, we settled on the Honeywell Xenon 1900 scanner. On the Internet, the price range ranges from 13 to 22 thousand rubles, which depends on the modification of the scanner, the seller, etc. The main thing is that we found the necessary instructions and drivers for this device, which will be supplied with the scanner. With delivery, delivery of drivers and other expenses, the scanner will cost about 17-18 tr.

If you have another suitable scanner, then you will have to find the necessary instructions and drivers yourself and perform all the necessary installations and settings yourself. Therefore, this proposal considers options for supplying the utility, both with equipment and without equipment. Believe me, finding the necessary drivers and making the necessary settings is not an easy task.

About the smart card reader (electronic CHI policy)

To read the electronic compulsory medical insurance policy, a smart card reader built into the pin keyboard with the following characteristics is suitable:
support for smart cards with contact interface GOST R ISO/IEC 7816 part 3, protocol T1;
execution of a given command to send a pin code directly from the pin keyboard;
availability of a driver for the Microsoft PC/SC subsystem.

Having studied the market and materials on this topic, we settled on the ACR series reader (38U, 39U). These are relatively inexpensive readers, the price of which is about 4 - 5 thousand rubles. Most importantly, we found the necessary instructions and drivers for this device, which will be supplied with the reader if you purchase the reader through us.

If you have another suitable reader, then you will have to find the necessary instructions and drivers yourself and perform all the necessary installations and settings yourself. Therefore, this proposal considers options for supplying the utility, both with equipment and without equipment.

Estimated cost of the utility

The cost of a license for the barcode reading utility, as a standalone product, without integration with other software, is 5525 rubles.

The license is perpetual, paid for upon purchase and used on any number of computers of one legal entity.

The cost of the Honeywell Xenon 1900 scanner with drivers, installation and configuration instructions, and technical support for the installation is 16,740 rubles. At the request of the customer, you can choose another scanner cheaper.
The approximate cost of an ACR series smart card reader with the necessary drivers and instructions is approximately 5,000 rubles. A more precise price will be specified in the supply contract.

For medical organizations of the Republic of Dagestan

Today, the accounting of medical care provided to insured citizens in medical organizations of the Republic of Dagestan is carried out in the MedFoms program, which most closely meets the requirements of federal legislation in this area.

An additional contract is required to integrate the utility with the MedFoms program.

Specify the cost of integration into the MedFoms program with integration technical support through the Feedback form.

For medical organizations of the Chechen Republic

Today, the registration of medical care provided to insured citizens in medical organizations of the Chechen Republic is carried out in the privately developed information system RegMO, which most closely meets the requirements of federal legislation in this area.

The proposed barcode reader utility is fully integrated into the RegMO program and allows medical extras (PC operators) to fill in information about the insured person by reading the barcode of the MHI policy, wherever it is in the program: in the register of patients, in the register of attached, in the patient information editor, etc.

In addition, by reading the barcode information, it is possible to search for persons present in these registries. The module for reading smart cards with an electronic policy will also be built into the RegMO program
For medical organizations of the Chechen Republic that purchased a perpetual license for the utility in 2017, the utility with the ability to read smart cards is supplied free of charge.
Integration of the utility into the RegMO program is included in the price of the license for the RegMO program for 2018.

Specify the cost of a license for RegMO for 2018 with technical support for integration and with annual maintenance through the Feedback form.

You can download the utility itself, the User's Guide, drivers for the necessary equipment, as well as draft contracts for purchasing a license for the utility and supplying equipment.

If you are interested in this offer - write to the Feedback form

In your proposals, do not forget to indicate the short name of your medical organization, how you want to purchase the utility: with integration, without integration, whether you plan to purchase a barcode scanner from us, the approximate number of scanners (by the number of operators).

A few years ago, a new model of compulsory medical insurance policies began to be issued on the territory of the Russian Federation. Now, instead of a paper carrier, you can get a mobile and convenient plastic card. What an electronic compulsory medical insurance policy looks like and what it is, you will learn further.

Appearance of the new CHI policy

The electronic compulsory medical insurance policy (EPOMS) has the form of a plastic card. It is the same size as a bank card. It is compact and easily fits in a wallet along with other cards, business cards.

On the front of the card you can see:

  • in the upper part - the coat of arms of the Russian Federation, the name of the document "Policy of compulsory medical insurance", the logo of the CHI system;
  • in the middle - a microchip for reading data from the electronic compulsory medical insurance policy about the insured person, about the insurer, about the features of the insurance program;
  • at the bottom is an individual 16-digit insurance code.

To the right of the chip is an imprint of the insurance organization with its name, the name of the branch, its contact details.

Example:

The reverse side of the document looks like this:

  • in the upper part - the contact phone number of the Territorial Compulsory Medical Insurance Fund (TFOMS), the signature of the insured, the blue POMS badge
  • in the middle - a holographic sign confirming the authenticity of the document;
  • below - full name and photograph of the owner, serial number (below it), validity period of the document, sex of the insured person, date of birth.

Example:

Advantages and disadvantages of EPOMS

Each innovation has its pros and cons. An electronic compulsory health insurance policy began to be issued in order to improve the health insurance system. Its holders face the advantages as well as the disadvantages of this document.

Advantages:

  1. Convenience and compactness. Due to its small size, EPOMS fits easily into a wallet. This paper policy is different from plastic.
  2. Strength and wear resistance. The plastic is not torn, and the data on it is not overwritten - the information can always be easily read.
  3. Replacing a paper OMS with an electronic one is absolutely free.
  4. Only the insured person can use the CHI policy in public hospitals and clinics. The card is protected from scammers by a pin code, a chip, a photo of the owner.
  5. Thanks to EPOMS, the insured person can make an appointment with a doctor through a personal account of the Internet portal of public services or through a terminal.

Flaws:

  1. Not all polyclinics are equipped with the necessary equipment and software to work with scanners or chip readers.
  2. Not all insurers are engaged in issuing EPOMS.
  3. When changing personal data, you cannot simply rewrite them on the chip - you will have to change the card itself.

Where to apply for a plastic health insurance card?

Owners of health insurance often postpone the replacement of paper carriers with EPOMS until later, as they fear that this procedure may drag on for a long time. In fact, it is not problematic to issue a plastic policy. How to get EPOMS?

You can apply for a replacement:

  • to your insurer. You can find out which company has insurance in your medical institution. This is usually a local clinic. You can get acquainted with the list of points where insurance is replaced on the website of your insurance organization or regional TFOMS;
  • in any insurance company. If there is a desire to change the insurer, you can familiarize yourself with the list of insurance companies on the website of the regional TFOMS, and you can also check the EPOMS there;
  • on the public services website. To do this, you need to register on this resource, go to the section "What is a CHI policy and how to get it" and fill out an application. However, at the moment this option is being finalized, so it is temporarily not possible to issue an electronic compulsory medical insurance policy through public services. You can order EPOMS online only in some regions of the country, for example, in Moscow or St. Petersburg;
  • through the MFC. You can get a card at any branch of the MFC by handing over a package of necessary papers to the operator and filling out an application;
  • to the employer. Officially employed citizens can notify the personnel department at their enterprise of their desire to receive an electronic policy. Large organizations themselves send papers to the insurer, but you will have to personally receive EPOMS.

The list of insurers that deal with medical insurance includes large and reliable organizations such as SOGAZ-Med, RESO-Med, Rosgosstrakh-Medicina, Ingosstrakh-M.

Step-by-step instructions for obtaining

To replace an old-style agreement with a new plastic card, you must follow the following instructions:

  1. Find out the contacts of your insurer or choose a new organization and call the main office in advance to find out which branches are issuing plastic cards;
  2. Come to the office of the insurer;
  3. Write an application, submit documents for consideration and receive a temporary certificate of insurance;
  4. Come get new insurance. Usually it takes no more than 10 days to make it. By law, the card must be issued no later than 30 days after the application is submitted.

Together with the card, a pin code and a pack code are issued. What are they needed for? The pin code is required to confirm that the information is entered with the knowledge of the user, and the pack code is needed to unlock the card in case of an incorrectly entered pin code three times. EPOMS activation occurs on first use.

Required documents

To obtain EPOMS, you need to collect the following papers:

  • civil passport or birth certificate of the insured person;
  • replacement request;
  • insurance number of an individual personal account (SNILS);
  • old insurance contract (optional).

If the card is issued for a minor, he must be accompanied by a parent with his passport or a legal representative with a passport and a power of attorney, which is dictated by the Rules of Compulsory Medical Insurance. For children under 14 years of age, the presence of SNILS is not a prerequisite.

Do I need to change the old contract to a new one?

It is advisable to replace medical insurance contracts received before 2011 with new documents, but this is not a prerequisite. Insurance is considered valid until its term has expired - this is stated in Art. 51 p. 2 of the Federal Law "On Compulsory Medical Insurance in the Russian Federation". Therefore, health workers do not have the right to refuse to provide medical care when they see an old-style document, since it is valid.

Sooner or later, the document will need to be replaced, because earlier medical insurance was issued with a validity period. Thus, it is advisable to make a replacement as early as possible, because using the electronic MHI policy, you can make an appointment with a doctor remotely, moreover, it is unlimited.

Conclusion

An electronic health insurance card is an extremely convenient and useful thing. Thanks to her, you can forget about the queues in clinics by making an appointment online. In February 2017, the issuance of plastic cards was suspended, but already on May 1 of the same year it was resumed - now every citizen can replace his old paper medical insurance contract with a compact electronic MHI policy with a Russian-made micron chip.

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Important! After March 7, 2017 Calendar in the main version of Mozilla stopped supporting java plugins Link to mozilla support

The default browser is updated automatically, to save the functionality in the Patient Portal, you need to install a 32-bit version for Windows Firefox 52 ESR direct download link


Due to the lack of support in the latest versions of browsers and floating problems Option 2 - via RMIS extensions on the client:

Setting up the reader of the electronic compulsory medical insurance policy at the user's workplace

1) Install Microsoft .NET Framework 4.0.
2) Download and unzip to any location the setup.exe installation package from
3) Run the setup-x64.bat or setup-x86.bat program, depending on the bitness of your system.

Check the result, there should be files msvcr100.dll and msvcp100.dll https://gyazo.com/
4) Install the device driver. (Driver ACR38 Win64, ACR38 Win86) Important: install only this driver for ACR38, and not "actual from the site"

Set the user-level setting in RMIS (previously select the username for which this setting is performed in the "user" field) Individual search component → Use the data reader from the MHI electronic policy to search for a patient https://gyazo.com/4907690f5299ae99d4acdb55af4532a0

Link to download drivers for the Metrologic MS 1690 scanner http://my-files.ru/bertby

Drivers for readers:

1) ACR38 Smart Card Reader reader: - you need to run after to copy the dll to the Windows folder (do it with administrator rights in OS with UAC control)

Important: Aladdin conflicts with Rutoken devices, if the latter were installed on the workplace, they must be disabled for the reader to work https://paste.is-mis.ru/mLWooXFx/+inline

Setting up the OMS policy barcode scanner at the user's workplace

1) Install the device driver. For Motorola ds4208 https://www.zebra.com/us/en/support-downloads/scanners.html
2) put the device into com-port emulation mode, to do this, read the settings barcode
for Metrologic 1690 and for Motorola ds4208


Checking work

Option 1 - via applets:

In order to initiate the call of the reader and scanner applets, it is necessary to set 2 user-level settings in RMIS: Individual search component → Use universal applet for barcode scanners (Windows x64, x86) and Scanner port (COM or /dev/tty... )

After the settings have been made, the reading option should be available on all forms of advanced patient search, and the "Device connected" checkbox will be active.
When inserting the card into the reader or scanning the barcode, the patient's full name and date of birth will be transferred to the corresponding filter fields and it will be possible to search for them.
If the "Device is connected" checkbox does not appear, and an error about launching in a separate modal window of the applet is not displayed, it may not start and it is worth checking the RMIS settings.
If the reading itself does not occur, you can try to catch error in java console- choose Show Console in Control Panel → Java https://gyazo.com/e62b91bcfd155d8ce645ec5f7842fcad

For the Patient Portal, the client settings are located at

Important:

Recommended browser for Mozilla devices. In Chrome, support for npapi plugins has been discontinued as of September 1, 2015.

When setting up on Windows 7, install OS updates.
How can you do it (on the example of Buryatia):
1. Add the actual address of RMIS (the address by which RMIS is logged in) to the Java security settings exceptions and set the protection level to High instead of Very High
Screenshot: http://gyazo.com/
and also add

  • Port of the server running the RMIS extensions on the client: 5000

    Before starting, you need to open https://localhost:5000/readers in mozilla and confirm the security exception, in Chrome also go to chrome://flags/#allow-insecure-localhost and install " Allow sending requests to server localhost..." otherwise there will be an error with the code: MOZILLA_PKIX_ERROR_CA_CERT_USED_AS_END_ENTITY

    Scheme of work

    1. The program and the web application communicate through HTTP requests.
    2. The web application periodically polls the program for readable devices. If the response is positive, the web application informs the user that the device is ready.
    3. If the device is ready, the web application sends a request to receive data. In case of a successful response, the received data is processed.

    SSL support

    If you are using an SSL-enabled version of the application, the package name will have the -ssl suffix. For example rcext- --ssl.zip . In this case, the application will work via HTTPS, and you need to add the cert.pem certificate, located inside the archive, to the browser's trusted certificates.

    After the settings have been made, the ability to read should be available on all patient search forms https://gyazo.com/