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。
If the health care Experienced would like the pharmacist to present you with a specific brand of drugs, they must Specially See this or sign up the Location furnished.
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。
as well as the information in (one) and (two) previously mentioned, if the inquiry articles satisfies the required disorders in the insurance provider / assessment / payment in genuine time (4) If the above inquiries will not match the desired ailments, search for other drugs that meet the specified situations determined by the insured's information for instance symptoms from the drugs specified by the insurance provider. Notify medical institutions instead, Prompting reselection prescription at motor managing these kinds of process, speedily and proficiently, the choice of formulation medicament, for the possibility of insurance protection, accomplish consensus in between the get-togethers.
The existing creation relates to transactions connected to prescription and buy of moral drugs involving suppliers and prescribers for example health-related establishments and insurance pharmacies and people including assessment payers, insurers and insured persons during the pharmaceutical distribution industry. It will become feasible to make clear if There is certainly settlement between the events in serious time. Therefore, the assessment / payment establishment / insurance provider may have a chance to effectively express their intentions regarding the collection of drugs, which will permit them to develop their choices for drug prescriptions they drive and improve their satisfaction and price effectiveness.
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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。
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It really is an object of your present invention to provide a prescription information inquiry / distribution process for prescription information that allows healthcare institutions / insurance plan pharmacies to preferentially undertake the choice medicines from other choices. 前記課題を解決するための本発明は、以下の各部から構成されることを特徴とする
I are aware that "Firms" could determine in his / her sole discretion that my ailment just is just not suitable for procedure approach working with telemedicine, Which I might have to hunt healthcare procedure and treatment in-individual particular person or from another source.
If it is set that the desired ailments are achieved, next, Examine the handling status / inventory status of prescription drugs against multiple insurance coverage pharmacies near the handle of your professional medical institution / insurance provider, and acquire the final results. Also supply to health care establishments. Then again, if it is determined that the specified disorders are certainly not satisfied, the prescription recommendation subject matter derived determined by the insured individual's information offered from the health-related institution inside of a selection that matches the specified ailments in the examination payer plus the insurer Distribute a listing of medicines to healthcare institutions and persuade them to reselect.
The clinical prescription information inquiry / distribution process according to declare one, wherein the health-related prescription is obtained from a professional medical establishment for each healthcare practice, and insured information (professional medical coverage similar information, harm and sickness) introduced with the health-related establishment at the time of inquiry.
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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。