If it is decided that the desired problems are fulfilled, upcoming, Test the dealing with status / stock position of prescription drugs in opposition to a number of insurance policies pharmacies near the handle with the health care institution / insurance provider, and procure the outcomes. Also produce to health care institutions. Conversely, if it is set that the required ailments usually are not satisfied, the prescription advice matter derived according to the insured man or woman's information presented with the healthcare institution in just a range that matches the required disorders from the examination payer as well as the insurance provider Distribute an index of medicines to healthcare institutions and stimulate them to reselect.
Need to your health care medical professional requires the pharmacist to provide you with a particular brand of medication, they've to precisely Take note this or register the House sent.
このような情報システムの構成の一例を図３に示す。本情報システム例では、審査支払機関・保険者・保険医療機関・保険薬局のそれぞれに設置される通信手段をそなえた通常のパーソナルコンピューターのような、少なくとも、表示及び出力部・入力部・データ格納部、を備えた端末、及び情報照会・判定を行う中央システムとが、インターネットのような通信回線を介して接続される。当該中央システムは、演算部・表示及び出力部・入力部・データ格納部から構成され、演算時に参照するデータファイルの例が図５に示される。
Following the inquiry within the clinical institution, the ultimate prescription content is transmitted in the medical institution into the information system when the prescription drug is set. When an insurance policy pharmacy inquires about The provision of insurance coverage for prescribed drugs explained in prescriptions, the presence / absence on the inquiry history Together with the health-related institution and the results are dispersed. Lastly, a series of inquiry histories is dispersed for the examination and payment establishment along with the insurance provider, and also 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。
The pharmaceutical prescription information inquiry / distribution program As outlined by assert one, whereby a number of inquiry histories made by way of the program is distributed to an examination payment organization and an insurance provider.
Hereinafter, a flowchart of the illustration of an information inquiry / determination treatment will be described with reference to FIG. First, the necessary information is acquired through the evaluation payer / insurance company / coverage medical establishment / insurance plan pharmacy. The information and selected disorders to generally be obtained in the evaluation payer plus the insurance company are as described above.
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And when you get an inquiry about clinical prescriptions from a health care establishment for each specific clinical apply, insured person information (medical coverage similar information, information on sickness / indicators, and so forth.
From the prescription information inquiry / distribution process In keeping with assert one, once the prescription medicine inquired with the health-related institution for each medical practice satisfies the specified disorders in the insurance company / assessment / payment institution, the address on the clinical institution or insured particular person Drug prescription information inquiry / distribution system that accesses and confirms the handling information / stock information of the drug at quite a few insurance policy pharmacies near the pharmacy.
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The prescription information inquiry / distribution process Based on claim one, accepting inquiries from coverage pharmacies for insurance policies coverage of prescription drugs explained in prescriptions issued by clinical institutions, and presence of inquiry history with prescription issuing health-related institutions Pharmaceutical prescription information inquiry and distribution procedure characterized by distributing final results.
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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、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。