In the standard payment assessment method, a healthcare institution problems a prescription and prescribes and pays for your drug for the patient at an insurance plan pharmacy, and many others., after which you can the assessment ask for with the professional medical observe is designed to your examination payment establishment. Having said that, it can be not possible to guage the suitability of the application contents upfront for clinical institutions. Furthermore, the insured / insurer (health insurance coverage association, and many others.) that bears the price of pharmaceuticals is not really absolutely knowledgeable about information on drugs including efficacy and cost, and is thoroughly informed regarding the existence of various alternate options. It is commonly not carried out. This is why, the choice of medicines is solely left for the judgment of the health-related institution, and it truly is hard to exercising the appropriate to choose medicines as a cost bearer as well as a buyer.
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Instead, notify the health-related establishment, and inspire the health care institution to reselect prescription information, Pharmaceutical prescription information inquiry / distribution method characterized by comprising
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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。
It must be made beneath the supervision within the clinical professional or in accordance with pharmacopoeia or formulary Directions. It may be critical to fill the containers Utilizing the Prepared compounds. The container ought to be Evidently marked by making use of a label.
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。
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and the information in (1) and (2) previously mentioned, if the inquiry content meets the desired problems in the insurance company / evaluation / payment in authentic time (4) If the above inquiries usually do not match the desired problems, hunt for other drugs that satisfy the specified situations depending on the insured's information for example indicators through the drugs specified with the insurance company. Notify health care institutions in its place, Prompting reselection prescription at engine operating this sort of process, immediately and proficiently, the choice of formulation medicament, for the possibility of insurance policy coverage, accomplish consensus involving the events.
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。
In the program Procedure phase, the subsequent processing is performed in true time. In other words, inquiries relating to The supply of insurance plan protection for prescription drugs from health treatment establishments are made through conversation traces through Each and every healthcare apply, and these inquiries are in contrast Together with the input information and specified conditions of the assessment and payment establishments and insurers described previously mentioned. Then, the assessment paying out institution plus the insurance company figure out if to reject the insurance policies application, distribute The end result on the health-related institution, and Show it about the terminal of the medical institution by an enter / output display as revealed in FIG. Because of the determination, If your written content of the inquiry isn't going to conform to your input information and specified disorders of your examination and payment institution as well as insurance provider, a pharmaceutical group fulfilling these is searched and determined and dispersed for the health-related institution.
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