Even though the execution of the means on the existing invention is done through an information system, this execution is approximately divided into two levels: a method planning phase and an Procedure phase.
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【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。
Investigate has proven that The share of patients with a number of medications is escalating. So has the necessity for various caregivers and/or Skilled healthcare assist personnel for your personal provided individual.
従って、本発明の課題は、わが国の医療保険制度の中で、医療サービス受給の公平性を維持しつつ、被保険者・保険者もしくは審査支払機関が、代替品の中から最も強く処方を希望する医薬品を、医療機関・保険薬局が、他の代替品の中から優先的に採用する機会を提供することを可能にさせる、医療用医薬品処方情報照会・配信システムを提供することにある。
Up coming, the movement in which the suggests of your existing invention is executed will likely be described in time sequence with reference to FIG.
shopper and the moment it really is signed in the medical professional it leads to remaining a authorized doc! Prescriptions are essential for all
The professional medical prescription information inquiry / distribution procedure In accordance with assert one, whereby the healthcare prescription is acquired from the clinical establishment for every professional medical practice, and insured information (healthcare insurance policies linked information, personal injury and illness) introduced from the medical establishment at some time of inquiry.
) presented from the healthcare establishment at some time of inquiry and information obtained upfront And in actual-time whether or not the required disorders with the insurance company to whom the insured is affiliated and also the assessment and payment Firm in charge are contented.
Due to this fact, though maintaining the fairness of receiving healthcare providers, the insured / insurance company / evaluation / payment institution has the opportunity to select a drug that's considered desirable from the viewpoint of effectiveness, price, etcetera. Is not really furnished ample. For that reason, the challenge in the present creation is that the insured particular person / insurance provider or evaluation / payment establishment really wants to prescribe the strongest prescription among alternatives even though sustaining the fairness of receiving clinical providers in Japan's professional medical insurance policies system.
The present invention for fixing the above mentioned-talked about challenges is made up of the following areas. (one) Enter and keep information on substitutes and prescription priority information of insurers for pharmaceuticals prescribed by insurance plan medical institutions for insured individuals (2) Enter and keep the disorders and conditions for receipt evaluation approval through the evaluation and payment Firm (3) Accepting inquiries from clinical establishments relating to The supply of insurance for prescription drugs for every clinical practice, and creating inquiries determined by particular information like the insured's signs, health-related background, age, etc., and information on (one) and (2) higher than Judgment is created in serious time to determine whether the content material satisfies the ailments specified with the insurer / assessment and payment institution (four) If the above inquiries will not satisfy the required situations, search for other drugs that satisfy the required conditions based upon the insured's information like signs or symptoms, and many others. Notify healthcare institutions and persuade them to reselect prescription content material.
Hereinafter, a flowchart of an illustration of an information inquiry / perseverance method will likely be explained with reference to FIG. 1st, the necessary information is attained from your assessment payer / insurer / coverage health-related establishment / insurance coverage pharmacy. The information and specified disorders for being received from the examination payer plus the insurance provider are as explained over.
Precedence day (The priority day is an assumption and is not a authorized summary. Google hasn't performed a legal Investigation and makes no representation as on the precision of the date shown.)
In the event the health care click here Specialist would love the pharmacist to offer you a particular brand of medicine, they have to Primarily Detect this or sign-up the Spot furnished.