In the standard payment evaluation approach, a healthcare establishment issues a prescription and prescribes and pays for the drug to the patient at an insurance coverage pharmacy, etc., after which you can the evaluation ask for for your medical exercise is produced into the examination payment establishment. Nevertheless, it is not possible to judge the suitability of the appliance contents upfront for health care establishments. In addition, the insured / insurance company (health insurance association, etcetera.) that bears the cost of prescription drugs isn't entirely educated about information on drugs which include efficacy and cost, and is also entirely knowledgeable regarding the existence of a number of solutions. It is commonly not finished. Due to this, the choice of medicines is fully remaining into the judgment of the health care institution, and it's difficult to exercise the right to settle on medicines as a value bearer as well as a buyer.
If you suspect in great faith that someone has wrongly submitted a learn of copyright infringement in opposition for you, the DMCA permits you to definitely send out out to Enterprise a counter-recognize. Notices and counter-notices will have to satisfy the then-present-day statutory specifications imposed With all the DMCA.
【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。
(b) Adjuvants: These are integrated both to spice up the movement in the drug or to produce the planning additional palatable.
Interfere with or disrupt the Procedure of the Website or maybe the servers or networks used to produce the web site available, together with by hacking or defacing any share in the Internet site; or violate any prerequisite, strategy or strategy of this kind of servers or networks. Restrict or inhibit every other particular man or woman from using the Web page. Infringe the patent, trademark, trade secret, copyright or other mental property or other rights of One more individual individual or entity. Reproduce, modify, adapt, translate, Make by-item is productive of, industry, hire, lease, money loan, timeshare, distribute or if not exploit any portion of (or any utilization of) the web site except as expressly approved herein or or else make use of the Internet site for the good thing about a third party or to work a providers bureau, without the need to have of Corporation’s express prior composed consent. Reverse engineer, decompile or disassemble any portion of the web site, in addition to particularly where by this type of restriction is expressly prohibited by applicable laws.
Upcoming, the stream in which the means of your current invention is executed will be explained in time series with reference to FIG.
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。
In the planning phase in the procedure, the examination payer along with the insurer enter needed information and specify conditions. Examples of information entered through the evaluation payer as well as insurer and the specified circumstances are determined by information to the insurance provider issue to assessment, disorders including the insured's age, gender, Structure and earlier record There are assumed health-related price points calculated for each individual sickness and symptom divided, drug price standards of used drugs, insurance policy points, as well as other data demanded for evaluation of health-related charge aspects.
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。
Simultaneously, for prescription drugs that meet up with the specified conditions, obtain the insurance policies pharmacy database and Look at the handling and stock information from the prescription drugs at a number of coverage pharmacies near the address from the clinical institution or maybe the insured. . Also, when an coverage pharmacy helps make an inquiry regarding the coverage application of a medicine described within a prescription issued by a clinical establishment, the existence or absence of the inquiry heritage with the prescription issuing healthcare institution and The end result are distributed.
The existing invention for fixing the above mentioned-talked about challenges is composed of the following sections. (one) Enter and hold information on substitutes and prescription priority information of insurers for prescribed drugs prescribed by insurance plan healthcare institutions for insured individuals (2) Enter and retain the conditions and criteria for receipt assessment approval with the evaluation and payment Group (three) Accepting inquiries from clinical establishments pertaining to The provision of insurance plan for prescription drugs for every health care follow, and generating inquiries determined by personalized information like the insured's signs, healthcare history, age, etcetera., and information on (1) and (two) higher than Judgment is manufactured in actual time to determine if the material satisfies the problems specified from the insurance provider / evaluation and payment establishment (4) If the above mentioned inquiries do not meet up with the specified problems, look for other drugs that meet up with the required situations based on the insured's information for example symptoms, and so forth. Notify professional medical institutions and motivate them to reselect prescription information.
Very first, in FIG. 1, the parties connected to the information system of the existing creation is going to be clarified. This information technique includes a healthcare establishment that prescribes prescribed drugs for the insured, an insurance policy pharmacy that dispenses pharmaceuticals based on a prescription issued via the health care institution and presents them on the insured, an insurer that bears clinical insurance policies expenses, and An evaluation / payment establishment that examines health care fee facts from healthcare establishments / insurance pharmacies is linked. Each individual get together presents the information method by using a number of necessary information to get explained later on.During the information system, (1) information on choices and prescriptions on the insurance company for drugs prescribed because of the insurance healthcare institution for the Allergy medications insured Enter / keep desired priority information, (2) Enter / keep disorders / standards for acceptance of receipt evaluate by evaluate / payment Corporation, (three) Inquire about availability of insurance plan for prescription drugs from clinical institutions for every professional medical exercise Determined by private information including acceptance, insured's symptom, healthcare record, age, and many others.
Notice: It is frequently encouraged that to assist Minimize down the level of medication problems, prescription producing must be 100% English, without Latin abbreviations. I will train you The 2 and help you arrive at a choice.
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。