In the conventional payment examination process, a health care establishment difficulties a prescription and prescribes and pays with the drug to your patient at an insurance plan pharmacy, and so forth., and afterwards the assessment ask for for your health-related observe is built for the examination payment establishment. On the other hand, it truly is impossible to judge the suitability of the application contents beforehand for health care institutions. On top of that, the insured / insurer (health coverage association, etc.) that bears the cost of prescription drugs will not be completely knowledgeable about information on drugs for example efficacy and cost, and it is totally knowledgeable regarding the existence of multiple solutions. It is commonly not done. For this reason, the selection of medicines is fully remaining towards the judgment of a healthcare institution, and it really is hard to physical exercise the best to select medicines as a value bearer along with a consumer.
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。
Prescriptions is a sort accustomed to retail outlet prescribed medication. The shape is beneficial for it helps you track side effects and mood swings associated with the interaction of some medications you have been prescribed.
Following the inquiry in the clinical institution, the final prescription information is transmitted from your healthcare institution towards the information technique when the prescription drug is decided. When an coverage pharmacy inquires about The supply of insurance coverage for prescription drugs described in prescriptions, the existence / absence with the inquiry background While using the health care establishment and the outcome are dispersed. Last but not least, a number of inquiry histories is distributed to the evaluation and payment establishment and the insurer, along with the information inquiry / judgment procedure is finished.
【解決手段】保険医療機関が処方する医薬品について、代替品情報、保険者の処方希望優先順位情報を入力・保持する手段、審査支払機関によるレセプト審査承認のための条件・基準を入力・保持する手段、医療機関から診療行為毎に、処方医薬品の保険適用可否に関する照会を受付け、被保険者の症状等の個人情報に基づき、照会内容が保険者・審査支払機関の指定条件に合致しているか否かを判定する手段、上記照会内容が指定条件に合致していない場合は、保険者が指定する医薬品の中から、症状等の被保険者の情報に基づき指定条件を満たす他の医薬品を検索し代替品として医療機関に通知、医療機関にて処方内容の再選択を促す手段を有するシステム。
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 healthcare prescription information inquiry / distribution technique Based on declare 1, wherein the healthcare prescription is obtained from a health-related establishment for each professional medical practice, and insured information (healthcare insurance relevant information, damage and ailment) introduced from the medical institution at the time of inquiry.
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At the moment, There's an example that aims to Enhance the function efficiency by digitizing the health care price assessment ask for as opposed to composing, but This is often targeted at labor conserving of Business operate with the health-related institution.
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The prescription need to be signed via the prescriber by his / her hand. His/her tackle and registration wide range actually ought to be organized in the case of perilous and habits-forming medicines.
Every time a prescription advised medicine is get more info chosen by a healthcare institution, the managing status / inventory status at a close-by coverage pharmacy is verified and The end result is notified.
This A Portion of the prescription consists of Instructions for that pharmacist, within the function of the drug if it should be compounded within the pharmacy.
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、医療機関から診療行為毎に照会される処方医薬品が、保険者・審査支払機関の指定条件を満たす場合、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ことを特徴とする医薬品処方情報照会・配信システム。