The present creation pertains to transactions relevant to prescription and buy of moral drugs in between suppliers and prescribers such as professional medical institutions and insurance policies pharmacies and consumers which include assessment payers, insurers and insured people in the pharmaceutical distribution industry. It will become possible to explain if There's settlement among the parties in authentic time. Because of this, the evaluation / payment establishment / insurance company will have a chance to proficiently Categorical their intentions concerning the number of drugs, which will permit them to develop their choices for drug prescriptions they need and strengthen their satisfaction and value usefulness.
Additionally, the evaluation and payment institution along with the insurance company will specify the medicines that they want to preferentially prescribe. The designation process is as follows: (1) Specify the title of a selected team of drugs for each personal injury and symptom categorized Based on a variety of disorders including the insured's age, gender, constitution and healthcare record. Or use (2) the upper limit of your professional medical remuneration rating / utilised drug insurance plan score and allow the prescription from the drug as long as the higher Restrict is not really exceeded. These input information and specified circumstances are saved as info in the information process.
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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。
) offered because of the health care establishment at enough time of inquiry and information obtained beforehand As well as in true-time whether or not the required ailments from the insurance company to whom the insured is affiliated plus the examination and payment Corporation in cost are contented.
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。
The clinical prescription information inquiry / distribution process In line with claim one, wherein the clinical prescription is been given from the medical establishment for every healthcare exercise, and insured information (clinical insurance related information, injuries and sickness) introduced with the health care establishment at the time of inquiry.
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Now, You can find an case in point that aims to improve the work effectiveness by digitizing the clinical price examination ask for instead of creating, but This is often targeted at labor conserving of Business do the job with the healthcare institution.
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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、判定の結果、照会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。
Consider therapy modification - knowledge show that the required agents could interact with one another in a very clinically-important fashion and patient-precise evaluation needs to be carried out to determine regardless of whether the many benefits of concomitant therapy outweigh the hazards. Certain steps must be taken in order to understand the benefits and/or lower toxicity of concomitant use. Avoid mixture - facts demonstrate that the required brokers may possibly communicate with one another within a clinically-major way and the risk frequently outweighs any probable gain. Concurrent use of these brokers is mostly considered contraindicated. Check Interactions - Listing of assay interferences when relevant
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。