そして個々の診療行為毎に医療機関から医薬品処方につき照会を受けると、照会時に医療機関から提示される被保険者情報(医療保険関連情報、傷病・症状等の情報等)と、予め取得した情報とを照合し、被保険者が加入している保険者並びに担当の審査支払機関の指定条件を満たしているか否かをリアルタイムで判定する。
The present invention pertains to transactions connected to prescription and buy of ethical drugs among suppliers and prescribers for example health care establishments and insurance pharmacies and consumers which include evaluation payers, insurers and insured individuals from the pharmaceutical distribution current market. It gets achievable to explain whether There is certainly settlement amongst the parties in authentic time. Therefore, the examination / payment establishment / insurance company will have a chance to effectively Specific their intentions regarding the number of drugs, which will allow them to grow their selections for drug prescriptions they want and improve their fulfillment and value success.
The prescription have to be signed through the prescriber by his / her hand. His/her tackle and registration selection actually must be geared up in the case of perilous and behavior-forming medicines.
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。
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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、本システムを介して為された一連の照会履歴を審査支払機関及び保険者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。
It's an item in the present creation to provide a prescription information inquiry / distribution procedure for prescription information that permits professional medical institutions / coverage pharmacies to preferentially undertake the alternative medicines from other alternate options. 前記課題を解決するための本発明は、以下の各部から構成されることを特徴とする
The health-related prescription information inquiry / distribution technique In accordance with claim 1, whereby the medical prescription is received from a health care establishment for every health-related observe, and insured information (health-related insurance relevant information, injury and disease) offered from the healthcare institution at the time of inquiry.
次に、図2を用いて本発明の手段が実行されるフローを時系列で説明する。本発明の手段の実行は情報システムを通じて行われるが、この実行は大別して、システムの準備段階及び運用段階の二段階に分けられる。
At the same time, for pharmaceuticals that meet up with the specified conditions, entry the insurance policy pharmacy database and check the dealing with and stock information in the prescription drugs at more info numerous insurance pharmacies near the handle from the professional medical institution or perhaps the insured. . In addition, when an insurance policies pharmacy makes an inquiry with regards to the coverage application of a medicine described in the prescription issued by a clinical establishment, the existence or absence of the inquiry history with the prescription issuing clinical institution and The end result are dispersed.
It is made up of assumed medical payment factors calculated for every harm and symptom categorised In accordance with scenario, drug selling price conventional of utilised drugs, coverage details, other details demanded for assessment of clinical cost facts, and many others. Pharmaceutical prescription information inquiry and distribution process.
It must be developed beneath the supervision inside the clinical Experienced or in accordance with pharmacopoeia or formulary Instructions. It can be important to fill the containers Utilizing the Completely ready compounds. The container needs to be clearly marked by using a label.
Observe: It is frequently encouraged that to aid Reduce down the level of medication issues, prescription producing need to be 100% English, without having Latin abbreviations. I am going to instruct you The 2 and assist you to arrive at a choice.
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。