T/SIGA 007-2026 General requirements for AI-assisted processing system of medical insurance archives

Scope

With the continuous development of health insurance-related businesses, the fundamental role of health insurance archives in business management and information support is becoming increasingly prominent. The number of health insurance archives is constantly increasing, and the types and content forms of archives are becoming increasingly diverse, placing higher demands on the efficiency, consistency, and standardization of archives processing. In practical applications, health insurance archives are typically archived and managed in electronic document formats such as portable document formats. Their content includes various information forms such as text, tables, and images, with complex page layouts and significant differences in content structures. The process of automating archives processing places high demands on the system's page processing capabilities, process connectivity and consistency, and traceability of processing results. Relying solely on manual methods to handle archives processing is difficult to meet the efficiency and stability requirements of large-scale applications. Against this backdrop, it is necessary to propose unified standards for the technical implementation of AI-assisted health insurance archive processing systems. This document specifies the technical requirements for AI-assisted health insurance archive processing systems from aspects such as the technical architecture of the processing system, functional module requirements, performance requirements, and testing methods. It is used to standardize the design, implementation, and evaluation of related systems, and promote the standardized and intelligent application of health insurance archive automation processing technologies.

Development Information

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