If it is set that the desired disorders are achieved, up coming, Examine the dealing with position / stock position of prescription drugs versus various insurance policy pharmacies close to the tackle of your professional medical establishment / insurance provider, and acquire the results. Also supply to professional medical institutions. However, if it is decided that the desired ailments will not be fulfilled, the prescription advice matter derived based on the insured human being's information offered via the health-related establishment inside a vary that matches the specified disorders from the evaluation payer and the insurer Distribute an index of medicines to healthcare establishments and persuade them to reselect.
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。
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After the inquiry from your clinical institution, the final prescription material is transmitted through the professional medical establishment to the information program once the prescription drug is determined. When an insurance policy pharmacy inquires about The supply of insurance policies for prescribed drugs explained in prescriptions, the existence / absence with the inquiry heritage With all the health-related establishment and the outcome are dispersed. Lastly, a series of inquiry histories is dispersed on the examination and payment establishment along with the insurer, as well as information inquiry / judgment process is done.
【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 clinical prescription information inquiry / distribution technique In accordance with assert 1, wherein the medical prescription is gained from the health care establishment for every healthcare exercise, and insured information (healthcare coverage similar information, personal injury and sickness) introduced from the medical institution at time of inquiry.
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。
At the moment, There's an case in point that aims to improve the get the job done efficiency by digitizing the clinical fee evaluation request as an alternative to crafting, but This is often geared toward labor conserving of Office environment work within the healthcare institution.
along with the information in (one) and (two) over, whether or not the inquiry material meets the website specified conditions of your insurance company / evaluation / payment in real time (4) If the above inquiries don't match the specified disorders, seek out other drugs that meet the desired conditions based upon the insured's information like signs or symptoms in the drugs specified from the insurance provider. Notify clinical institutions as an alternative, Prompting reselection prescription at motor working these types of process, immediately and efficiently, the choice of formulation medicament, for the opportunity of insurance plan protection, reach consensus amongst the parties.
In standard phrases, the prescription is a bit of paper which is prepared throughout the registered health treatment practitioner (RMP) according to the customer's ailment difficulty.
Drug Lookup by Ailment/Symptom - Discover what a drug is utilized for, or if an adverse reaction could be attributable to a certain drug.
Subsequent, the circulation wherein the indicates of your present creation is executed will probably be described in time series with reference to FIG.
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