In the conventional payment assessment strategy, a clinical institution troubles a prescription and prescribes and pays for that drug for the patient at an insurance coverage pharmacy, etcetera., and then the assessment request for that healthcare practice is manufactured to the evaluation payment establishment. Having said that, it can be not possible to guage the suitability of the application contents ahead of time for clinical establishments. Additionally, the insured / insurance company (health insurance plan Affiliation, and many others.) that bears the price of prescription drugs isn't absolutely knowledgeable about information on drugs for instance efficacy and value, and is particularly completely informed concerning the existence of numerous choices. It is frequently not done. For that reason, the choice of medicines is solely left for the judgment of a medical institution, and it's difficult to training the appropriate to select medicines as a value bearer plus a customer.
Need to your healthcare medical doctor requirements the pharmacist to provide you with a selected brand of medication, they may have to precisely Take note this or sign-up the space sent.
・ Information for instance symptom and so on.) and information acquired in advance are checked to find out in serious time whether the insured who is insured plus the designated evaluation and payment organization in charge are content. Pharmaceutical prescription information inquiry / distribution procedure.
以下に、図４を用いて情報照会・判定の手順の一例のフローチャートを説明する。まず審査支払機関・保険者・保険医療機関・保険薬局から必要な情報を取得する。審査支払機関及び保険者から取得する情報・指定条件は前述の通りであり、医療機関・保険薬局からは所在地等の基本情報に加え、使用希望薬剤情報・医薬品取扱情報・同在庫情報等を取得し、取得したデータを格納する。
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、保険薬局からの照会を受付け、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ことを特徴とする医薬品処方情報照会・配信システム。
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Hereinafter, a flowchart of the illustration of an information inquiry / willpower treatment will probably be described with reference to FIG. To start with, the required information is attained with the assessment payer / insurance provider / insurance coverage health-related institution / insurance policies pharmacy. The information and specified ailments for being received with the evaluation payer along with the insurance company are as described over.
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Presently, There exists an illustration that aims to Enhance the get the job done effectiveness by digitizing the clinical cost assessment request as an alternative to composing, but That is aimed toward labor saving of Workplace work at the professional medical institution.
Inside the prescription information inquiry / distribution system As outlined by claim 1, in the event the prescription medicine inquired through the healthcare institution for every medical follow satisfies the selected circumstances on the insurance provider / examination / payment institution, the deal with with the healthcare institution or insured particular person Drug prescription information inquiry / distribution process that accesses and confirms the managing information / stock information of the drug at several coverage pharmacies close to the pharmacy.
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、判定の結果、照会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ことを特徴とする医薬品処方情報照会・配信システム。
Concurrently, for prescription drugs that meet up with the required situations, access get more info the insurance policies pharmacy database and Look at the dealing with and stock information in the pharmaceuticals at various insurance policies pharmacies near the tackle from the professional medical institution or perhaps the insured. . Additionally, when an coverage pharmacy can make an inquiry concerning the insurance plan application of a medication explained in a prescription issued by a health care establishment, the existence or absence of the inquiry background Along with the prescription issuing medical institution and the result are distributed.
Following, the move where the indicates on the existing creation is executed might be explained in time collection with reference to FIG.
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。