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GB/T 45938-2025Information platform of healthcare security — Technical specifications for public convenience services (English PDF)

医疗保障信息平台 便民服务相关技术规范

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Issued by

SAMR; SAC

Level / Type

National · Recommended

Issue date

June 30, 2025

Implementation date

January 1, 2026

Scope

GB/T 45938-2025 is the English-translated version of 医疗保障信息平台 便民服务相关技术规范.

GB/T 45938-2025 is the Chinese national standard covering how a bank, a pharmacy or a payment provider connects to the national medical insurance platform — the access method and the unified identifier that ties a person to their record, the functions each connected institution may offer including online payment, the performance requirements, the security requirements covering personal information, cryptographic modules and PIN entry, and the self-service terminal specified in the two normative annexes. First edition, under the National Healthcare Security Administration. In force from 1 January 2026. Issued on 30 June 2025, it has been in force since 1 January 2026.

Document preview — GB/T 45938-2025

National Standard of the People's Republic of China

ICS
35.240
Classification
C 07

Issued by: State Administration for Market Regulation; Standardization Administration of the PRC

Contents

  • PrefaceIII
  • 1 Scope1
  • 2 Normative references1
  • 3 Terms and Definitions1
  • 4 Abbreviations2
  • 5 Overview2
  • 6 Access Method3
  • 7 Access Function Requirements4
  • 8 Performance Requirements5
  • 9 Safety Requirements6
  • 10 Verification Method6
  • Appendix A (Normative) Technical Requirements for Medical Insurance Business Integrated Service Terminals7
  • Appendix B (Normative) Security Requirements for Medical Insurance Business Integrated Service Terminals10
  • Reference11

Foreword

This document is in accordance with the provisions of GB/T 1.1-2020 "Guidelines for standardization work Part 1: Structure and drafting rules for standardization documents" Drafting.

Please note that some of the contents of this document may involve patents. The issuing organization of this document does not assume the responsibility for identifying patents.

This document is proposed and coordinated by the National Healthcare Security Administration.

This document was drafted by: National Healthcare Security Administration Big Data Center, China National Institute of Standardization, China Medical Insurance Research Association, Chongqing Municipal Medical Insurance Association, Medical Security Center, Henan Province Medical Price and Tendering and Procurement Service Center, Chongqing Huiju Information Technology Co., Ltd., Yilianzhong Information Technology Co., Ltd., Shanghai Jinshida Weining Software Technology Co., Ltd., Beijing UnionPay Gold Card Technology Co., Ltd., Alipay (China) Network Technology Technology Co., Ltd., Industrial and Commercial Bank of China Limited, and Agricultural Bank of China Limited.

The main drafters of this document are: Huang Huabo, Fu Chaoqi, Cao Wenbo, Li Xiang, Zhang Jie, Qin Tingxin, Liu Ruitong, Chen Jing, Zhang Shuai, Chen Yingyi, Wang Canqi, Feng Min, Fan Yang, Zhang Tailin, Wang Ning, Yan Jiayi, Wu Jinwei, Zhang Yonghui, Zheng Liangchen, An Xinde, Li Chong, Chen Yijun, Chu Zhiyue, Wang Juan, Li Yang, Zhang Meng, Yu Hong, Li Yuan, Zhang Yu, Huang Shaofeng, Yang Yujie, Chang Kai, Cheng Jie, Guo Lifeng, Zhang Wenting, Wu Tongjia, Li Rui, and Luo Qiqi.

Medical Insurance Information Platform Technical specifications related to convenient services

1 Scope

This document specifies the access method, access function requirements, performance requirements and security requirements of the convenient service business of the medical insurance information platform.

The verification method is described.

This document applies to cooperative application institutions accessing the convenient service business of the medical insurance information platform.

Note. The cooperative application institutions must be identified by the medical insurance department, including designated medical institutions (including designated retail pharmacies and designated medical institutions), cooperative financial institutions, institutions, third-party payment institutions, government service departments and other institutions.

2 Normative references

GB/T 9254.1

GB/T 9254.2

GB/T 22239-2019

GB/T 35273

GB/T 35742

GB/T 41772-2022

GB/T 42585

3 Terms and Definitions

The following terms and definitions apply to this document.

3.1

Insured persons, medical insurance handling personnel, medical personnel, insurance institutions, medical institutions, medical insurance handling institutions, etc. obtain information on the medical insurance information platform Unified information identification.

Note. Medical personnel refer to the medical, pharmaceutical, nursing, and technical professionals in medical institutions.

3.2

Online payment service provided by the medical insurance department for individuals.

......
This preview omits tables, figures, formulas and parts of the technical clauses. The complete document — 17 pages — is available in the English PDF.

Referenced standards

Editions of GB/T 45938

EditionTitleRevisionStatus
GB/T 45938-2025Information platform of healthcare security - Technical specifications for public convenience servicescurrent editionCurrent

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