After the inquiry within the medical establishment, the final prescription written content is transmitted within the clinical institution into the information process once the prescription drug is decided. When an insurance policies pharmacy inquires about The supply of insurance plan for prescribed drugs explained in prescriptions, the presence / absence in the inquiry heritage with the professional medical institution and the effects are dispersed. Lastly, a series of inquiry histories is dispersed on the evaluation and payment establishment and also the insurer, and also the information inquiry / judgment process is accomplished.
The current creation for fixing the above-outlined difficulties is composed of the following pieces. (1) Enter and hold information on substitutes and prescription priority information of insurers for pharmaceuticals prescribed by insurance policies health-related establishments for insured persons (2) Enter and sustain the problems and requirements for receipt evaluate acceptance through the evaluation and payment Corporation (three) Accepting inquiries from healthcare establishments pertaining to The provision of insurance policy for prescription drugs for each health-related exercise, and producing inquiries dependant on own information including the insured's symptoms, health care history, age, and so forth., and information on (one) and (two) higher than Judgment is built in real time to ascertain whether the content material meets the ailments specified via the insurer / assessment and payment establishment (four) If the above inquiries tend not to meet up with the required problems, look for other drugs that fulfill the specified disorders based upon the insured's information like signs and symptoms, and many others. Notify medical institutions and encourage them to reselect prescription information.
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。
It really is composed of assumed clinical price factors calculated for every injury and symptom classified In accordance with circumstance, drug price tag standard of applied drugs, insurance policies factors, other facts required for assessment of professional medical price details, and many others. Pharmaceutical prescription information inquiry and 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。
Every time a healthcare establishment prescribes medicines, the insured (patient) is examined by a health care provider on the health medical institution, the health practitioner problems a prescription based on the diagnosis consequence, and the medicine is dispensed on the coverage pharmacy based on the prescription more info , Supplied. With regards to boasting the expense of medicines covered by insurance plan, medical institutions and insurance pharmacies, and so on.
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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。
The Pharmacists at Carnegie Sargents Pharmacy dispense prescription medications to patients and give knowledge while in the safe usage of prescriptions. We work instantly with doctors, other health industry experts, and patients to ensure that the medications prescribed for patients contribute to the best possible health results. We'll present you with the information you need to make knowledgeable choices. We may also take some time to discuss with you ways to interpret the information in order to get an intelligent conversation with you Medical professionals.
Entire the shape and afterwards click the bins to point the type of information you need to get.
If it is set that the specified disorders are achieved, subsequent, Check out the handling position / inventory position of prescription drugs in opposition to numerous coverage pharmacies close to the address from the medical institution / insurance provider, and procure the outcomes. Also deliver to health-related establishments. On the flip side, if it is determined that the desired situations will not be achieved, the prescription suggestion subject matter derived according to the insured person's information offered via the health-related establishment inside a array that matches the specified circumstances on the evaluation payer and also the insurance company Distribute a listing of medicines to professional medical establishments and inspire them to reselect.
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。
Turn out to be. Therefore, one example is, the assessment / payment agency raises the prescription priority order of more effective medicines so that lots of medical establishments can prescribe the medicines. Due to this fact, the standard of healthcare solutions and the fairness of costs amid insured persons Promoted. Additionally, a rise in prescription of The most cost effective drug among the a plurality of drugs getting a similar result may also be attained, which include reduction in drug fees for insurers and insured folks.
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