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。
If a afflicted personal relates to the pharmacist to dispense medicines dependant on the prescription which bears a single distinct seven times outdated day,It can likely be questionable via the pharmacist, which is surely it however provide the ability to finish fill sufferers' needs.
After the inquiry with the health-related establishment, the ultimate prescription material is transmitted within the health-related establishment into the information program if the prescription drug is decided. When an insurance policy pharmacy inquires about The supply of coverage for pharmaceuticals described in prescriptions, the existence / absence from the inquiry background Along with the medical establishment and the results are dispersed. Finally, a number of inquiry histories is dispersed to your evaluation and payment institution as well as the insurer, and also the information inquiry / judgment process is finished.
Also, when drugs are only taken as essential, commonly the frequency is accompanied via the letters ‘PRN’—which means as critical. There are numerous even further frequencies and abbreviations, but these are definitely frequently the commonest.
結果として、医療サービス受給の公平性を保ちつつ、代替品が存在する医薬品の中で、被保険者・保険者や審査支払機関が、効果・価格等の観点から望ましいと考える医薬品を選択する機会が十分に提供されていない。
The central procedure includes a calculation device, a Screen and output unit, an enter device, and an information storage device. An example of a knowledge file for being referred to at some time of calculation is demonstrated in FIG.
It's an item in the existing invention to offer a prescription information inquiry / distribution method for prescription information that allows health-related establishments / insurance policy pharmacies to preferentially undertake the choice medicines from other alternate options. 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
Notice: It is frequently recommended that to help minimize the quantity of medication errors, prescription crafting truly ought to be 100% English, without the need of Latin abbreviations. I'll let you know about equally and allow you to make your examine far more thoughts up.
) presented by the medical establishment at enough time of inquiry and information acquired in advance As well as in authentic-time whether the specified conditions of your insurance company to whom the insured is affiliated along with the examination and payment Corporation in cost are happy.
Therefore, though maintaining the fairness of receiving health-related expert services, the insured / insurance provider / assessment / payment establishment has the opportunity to decide on a drug that is definitely considered fascinating with the viewpoint of performance, selling price, and many others. Will not be presented ample. For that reason, the trouble in the existing creation is that the insured human being / insurance provider or evaluation / payment establishment would like to prescribe the strongest prescription between choices whilst protecting the fairness of getting medical expert services in Japan's health-related insurance technique.
The existing invention for fixing the above mentioned-talked about complications is composed of the next sections. (1) Enter and hold information on substitutes and prescription priority information of insurers for prescribed drugs prescribed by insurance policy clinical institutions for insured persons (2) Enter and retain the conditions and requirements for receipt overview acceptance via the assessment and payment organization (3) Accepting inquiries from healthcare institutions concerning the availability of insurance policy for prescription drugs for each healthcare apply, and producing inquiries determined by personalized information like the insured's signs, health-related background, age, and so on., and information on (1) and (two) over Judgment is built in real time to determine if the material meets the conditions specified via the insurer / assessment and payment institution (four) If the above inquiries do not meet up with the specified ailments, seek out other drugs that fulfill the desired disorders depending on the insured's information which include indicators, etcetera. Notify health care establishments and inspire them to reselect prescription articles.
1st, in FIG. 1, the events connected to the information program in the present invention will probably be clarified. This information method features a medical establishment that prescribes prescribed drugs for the insured, an insurance policy pharmacy that dispenses pharmaceuticals depending on a prescription issued through the healthcare establishment and supplies them towards the insured, an insurance provider that bears health care insurance policy costs, and An evaluation / payment establishment that examines health-related fee facts from healthcare establishments / insurance coverage pharmacies is linked. Each social gathering provides the information technique which has a series of needed information to be described later.While in the information procedure, (1) information on choices and prescriptions with the insurance provider for drugs prescribed via the insurance coverage health-related institution to the insured Enter / maintain wanted priority information, (2) Enter / keep conditions / criteria for acceptance of receipt assessment by assessment / payment Firm, (3) Inquire about availability of insurance for prescription drugs from medical establishments for each health-related apply Based on own information for instance acceptance, insured's symptom, more info health-related background, age, and many others.
When a medical institution prescribes medicines, the insured (patient) is examined by a health care provider within the health professional medical establishment, the medical professional troubles a prescription determined by the diagnosis result, as well as medication is dispensed on the insurance coverage pharmacy based on the prescription , Furnished. Regarding saying the price of medicines coated by coverage, health care establishments and insurance policy pharmacies, etc.
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