そして個々の診療行為毎に医療機関から医薬品処方につき照会を受けると、照会時に医療機関から提示される被保険者情報(医療保険関連情報、傷病・症状等の情報等)と、予め取得した情報とを照合し、被保険者が加入している保険者並びに担当の審査支払機関の指定条件を満たしているか否かをリアルタイムで判定する。
The present invention pertains to transactions connected to prescription and buy of ethical drugs in between suppliers and prescribers including health-related institutions and insurance pharmacies and individuals for instance evaluation payers, insurers and insured persons during the pharmaceutical distribution current market. It results in being attainable to clarify if There exists agreement involving the parties in serious time. Due to this fact, the examination / payment establishment / insurer will likely have an opportunity to proficiently express their intentions regarding the array of drugs, which allows them to develop their options for drug prescriptions they wish and make improvements to their satisfaction and value performance.
Once the inquiry within the professional medical institution, the ultimate prescription material is transmitted within the health-related establishment to the information technique in the event the prescription drug is determined. When an insurance plan pharmacy inquires about The provision of insurance plan for pharmaceuticals described in prescriptions, the presence / absence with the inquiry history With all the health care establishment and the final results are dispersed. Eventually, a number of inquiry histories is dispersed to your assessment and payment establishment along with the insurance company, along with the information inquiry / judgment treatment is accomplished.
医療機関からの照会後、処方医薬品を確定した段階で医療機関から最終の処方内容が情報システムに送信される。保険薬局から処方箋記載の医薬品の保険適用の可否について照会があった場合には、医療機関との照会履歴の有無、結果を配信する。
また、医薬品費用を負担する被保険者・保険者(健康保険組合等)が、効能・価格等の医薬品に関する情報を十分に知らされていない、複数の代替品の存在に関する情報を十分には知らされていない、といった場合が多い。このため、医薬品の選択に際しては医療機関の判断に全面的に委ねており、費用負担者及び需要者としての医薬品選択の権利が行使しにくい状況が生まれている。
The central program includes a calculation device, a display and output device, an input unit, and a data storage unit. An illustration of a data file to be referred to at enough time of calculation is shown in FIG.
client and The instant it actually is signed with the health practitioner it ends in becoming a lawful doc! Prescriptions are essential for all
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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。
Within the prescription information inquiry / distribution program As outlined by declare 1, if the prescription medication inquired within the medical establishment for every professional medical observe satisfies the selected disorders of the insurance provider / evaluation / payment institution, the address of the medical establishment or insured man or woman Drug prescription information inquiry / distribution technique that accesses here and confirms the handling information / stock information on the drug at numerous insurance policy pharmacies close to the pharmacy.
And when you get an inquiry about healthcare prescriptions from the health care institution for each person professional medical exercise, insured individual information (professional medical insurance policies associated information, information on sickness / indications, and so forth.
Drug Research by Disease/Symptom - Figure out what a drug is useful for, or if an adverse reaction could possibly be caused by a certain drug.
hold the likely of remaining abused, and that would result in very well currently being threats from Unfavorable effects if taken incorrectly,
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