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In primary phrases, the prescription is a bit of paper which happens to be published with the registered health treatment practitioner (RMP) determined by the client's ailment challenge.
【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。
医療機関からの照会後、処方医薬品を確定した段階で医療機関から最終の処方内容が情報システムに送信される。保険薬局から処方箋記載の医薬品の保険適用の可否について照会があった場合には、医療機関との照会履歴の有無、結果を配信する。
The current invention relates to a pharmaceutical prescription information inquiry / distribution system, a pharmaceutical prescription information inquiry / distribution technique, and also a pharmaceutical prescription information inquiry / distribution process.
Subsequent, the flow by which the indicates from the existing invention is executed will probably be explained in time sequence with reference to FIG.
consumer and The instant it genuinely is signed through the medical professional it leads to being a legal doc! Prescriptions are important for all
The healthcare prescription information inquiry / distribution process Based on declare one, whereby the medical prescription is acquired from the clinical establishment for every professional medical practice, and insured information (healthcare insurance policies linked information, personal injury and health issues) introduced with the healthcare institution at the time of inquiry.
) offered because of the professional medical establishment at enough time of inquiry and information acquired in advance As well as in true-time whether the desired situations in the insurance provider to whom the insured is affiliated as well as evaluation and payment Business in demand are content.
At the same time, for prescription drugs that meet up with the specified disorders, accessibility the insurance coverage pharmacy databases and Verify the managing and inventory information on the pharmaceuticals at quite a few insurance pharmacies close to the tackle with the health care institution or the insured. . On top of that, when an insurance plan pharmacy can make an inquiry with regards to the insurance policies software of the medicine described in a very prescription issued by a medical institution, the presence or absence of an inquiry heritage Using the prescription issuing health care institution and the result are dispersed.
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。
First, in FIG. one, the get-togethers linked to the information process of your existing invention is going to be clarified. This information technique includes a healthcare establishment that prescribes prescription drugs on the insured, an insurance policies pharmacy that dispenses prescribed drugs according to a prescription issued from the professional medical establishment and offers them into the insured, an insurance company that bears healthcare coverage expenditures, and An examination / payment establishment that examines healthcare rate information from medical institutions / coverage pharmacies is connected. Just about every party delivers the information method by using a number of necessary information for being described later on.From the information system, (1) information on choices and prescriptions of your insurer for drugs prescribed here through the insurance policies professional medical establishment with the insured Enter / keep wished-for priority information, (2) Enter / keep situations / specifications for approval of receipt evaluation by evaluation / payment organization, (three) Inquire about availability of insurance plan for prescription drugs from clinical institutions for each professional medical exercise Based upon personalized information including acceptance, insured's symptom, medical record, age, and so forth.
Any time a medical establishment prescribes medicines, the insured (patient) is examined by a health care provider for the health clinical institution, the medical doctor problems a prescription based on the analysis end result, as well as the drugs is dispensed for the insurance policies pharmacy depending on the prescription , Provided. Regarding declaring the expense of medicines lined by insurance, clinical institutions and insurance policies pharmacies, etc.
Really should your clinical doctor requires the pharmacist to give you a selected brand of medication, they may have to exactly Be aware this or sign up the Room delivered.