In the traditional payment examination process, a professional medical establishment difficulties a prescription and prescribes and pays for that drug towards the patient at an insurance policies pharmacy, and so forth., then the examination ask for for your health-related practice is designed for the assessment payment institution. On the other hand, it is actually not possible to evaluate the suitability of the application contents ahead of time for medical institutions. On top of that, the insured / insurer (health insurance plan association, and many others.) that bears the expense of pharmaceuticals just isn't thoroughly knowledgeable about information on drugs for instance efficacy and cost, and is also entirely knowledgeable with regard to the existence of multiple options. It is usually not accomplished. Due to this, the selection of medicines is solely left for the judgment of a health-related institution, and it really is hard to workout the proper to choose medicines as a cost bearer and a purchaser.
In fundamental terms, the prescription is a bit of paper that is penned in the registered health treatment practitioner (RMP) determined by the client's ailment challenge.
請求項１に記載の医薬品処方情報照会・配信システムにおいて、医療機関が発行した処方箋に記されている医薬品の保険適用につき、保険薬局からの照会を受付け、処方箋発行医療機関との照会履歴の有無、結果について配信することを特徴とする医薬品処方情報照会・配信システム。
指定条件を満たしていると判定した場合には、次に、医療機関・保険者の住所から近くに存在する複数の保険薬局に対して、処方対象医薬品の取扱状況・在庫状況を確認、結果をあわせて医療機関へ配信する。一方、指定条件を満たしていないと判定した場合には、審査支払機関及び保険者の指定条件に合致する範囲内で医療機関が提示した被保険者情報をもとに導出される処方推奨対象となる医薬品のリストを医療機関に配信、医療機関にて再選択を促す。医療機関にて処方推奨医薬品が選択されると、近隣の保険薬局での取扱状況・在庫状況を確認、結果を通知する。
The existing invention relates to a pharmaceutical prescription information inquiry / distribution gadget, a pharmaceutical prescription information inquiry / distribution program, as well as a pharmaceutical prescription information inquiry / distribution strategy.
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システムの運用段階では、以下の処理をリアルタイムで実施する。すなわち、個々の診療行為に際して保健医療機関からの処方医薬品の保険適用の可否の問い合わせが通信回線を介して行われ、この問い合わせを前述の審査支払機関及び保険者の入力情報や指定条件に照らし合わせて、審査支払機関及び保険者が保険適用を却下しないか否かを判定し結果を医療機関に配信し、図６に示されるような入出力画面によって医療機関の端末に表示される。尚、判定の結果、問い合わせ内容が審査支払機関及び保険者の入力情報や指定条件に適合しない場合には、これらを満たす医薬品群を検索・同定し、医療機関に配信する。併せて、指定条件を満たした医薬品については、医療機関や被保険者の住所の近くに存在する保険薬局数軒での当該医薬品の取扱情報・在庫情報を保険薬局のデータベースにアクセスし確認を行う。また、保険薬局が、医療機関が発行した処方箋に記されている医薬品の保険適用につき照会を行う場合には、処方箋発行医療機関との照会履歴の有無、結果について配信する。
You take is a typical expression in English. Previously, the indicator was check here imagined to obtain originate from the Jupiter indicator. God of therapeutic Jupiter can be a Greek deity. The influenced personal's fast Restoration was questioned for by utilizing this sign.
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Within the prescription information inquiry / distribution technique In keeping with assert one, in the event the prescription drugs inquired with the medical institution for every medical practice satisfies the selected disorders of your insurer / examination / payment establishment, the tackle with the clinical institution or insured particular person Drug prescription information inquiry / distribution program that accesses and confirms the dealing with information / inventory information of the drug at quite a few coverage pharmacies close to the pharmacy.
図１は、本発明の医薬品処方情報照会・配信方法を活用したビジネスモデルの一例の概略を示す図面であり、図２は、当該ビジネスモデルをより具体的に示す図面であり、図３は、情報システム構成の一例を示す図面であり、図４は、情報照会・判定の一例を示すフローチャートであり、図５は、本発明の医薬品処方情報照会・配信のための情報システム内のデータファイルの一例を示す図面であり、図６は、当該情報システムと接続した医療機関の端末の入出力イメージの一例を示す図である。
Moreover, the evaluation and payment establishment plus the insurance provider will specify the medicines that they wish to preferentially prescribe. The designation process is as follows: (one) Specify the title of a certain group of drugs for each injury and symptom classified according to various conditions including the insured's age, gender, Structure and health-related background. Or use (two) the higher Restrict on the health-related remuneration rating / applied drug insurance plan score and permit the prescription in the drug so long as the higher limit will not be exceeded. These enter information and specified problems are stored as facts inside the information system.
An example of the configuration of this sort of an information program is proven in FIG. In this example of information method, at the very least Screen and output device / enter unit / information storage like regular laptop computer with communication means mounted in Just about every of evaluation paying out institution, insurance provider, coverage professional medical establishment, insurance coverage pharmacy And a central procedure that performs information inquiry / willpower are connected through a interaction line for example the web.
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。