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。
If a affected personal relates to the pharmacist to dispense medicines based on the prescription which bears a person individual 7 days previous date,It can likely be questionable through the pharmacist, that is definitely it nevertheless hold the ability to finish fill sufferers' needs.
Once the inquiry through the healthcare institution, the ultimate prescription content material is transmitted through the health-related establishment to the information program in the event the prescription drug is decided. When an coverage pharmacy inquires about the availability of insurance policies for prescription drugs explained in prescriptions, the existence / absence on the inquiry record With all the health care establishment and the final results are dispersed. Eventually, a number of inquiry histories is distributed for the examination and payment institution as well as the insurance company, and also the information inquiry / judgment method is finished.
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。
The existing creation pertains to a pharmaceutical prescription information inquiry / distribution system, a pharmaceutical prescription information inquiry / distribution procedure, along with a pharmaceutical prescription information inquiry / distribution technique.
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、本システムを介して為された一連の照会履歴を審査支払機関及び保険者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。
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。
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If it is set that the required circumstances are fulfilled, next, Check out the managing status / inventory standing of prescription drugs versus numerous insurance plan pharmacies close to the address in the clinical establishment / insurance provider, and acquire the outcomes. Also provide to health-related institutions. Then again, if it is set that the desired ailments are usually not achieved, the prescription advice subject matter derived dependant on the insured human being's information introduced because of the clinical establishment in a assortment that matches the specified disorders with the evaluation payer as well as the insurer Distribute a listing of medicines to health-related establishments and really encourage them to reselect.
And when you receive an inquiry about healthcare prescriptions from the health care institution for every personal healthcare observe, insured particular person information (healthcare coverage relevant information, information on sickness / signs and symptoms, and many others.
Furthermore, the evaluation and payment institution along with the insurance provider will specify the medicines that they wish to preferentially prescribe. The designation process is as follows: (one) Specify the title of a certain group of drugs for each damage and symptom categorized In accordance with different situations such as the insured's age, gender, Structure and professional medical record. Or use (2) the upper Restrict on the health care remuneration score / made use of drug coverage score and permit the prescription on the drug provided that the upper limit isn't exceeded. These enter information and specified situations are saved as info in the information process.
Even though each line has a distinct character, alongside one another they form a whole medication conclusion support Answer, serving a big selection of healthcare markets and presenting constant written content and aligned alternatives encompassing both equally drug reference and drug data.
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