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。
In simple terms, the prescription is a bit of paper which is penned from the registered health care practitioner (RMP) according to the client's ailment challenge.
It is usually recommended that only one prescription be properly well prepared at a single time. Clean up surfaces must be used as a result of compounding. Every little bit of apparatus must be completely cleaned and dried before use.
In the technique Procedure stage, the following processing is executed in real time. Put simply, inquiries concerning The provision of coverage protection for prescription drugs from health care establishments are made by means of communication strains throughout each health-related practice, and these inquiries are as opposed While using the input information and specified disorders on the assessment and payment institutions and insurers stated above. Then, the evaluation paying out establishment and also the insurance company identify whether or not to reject the insurance policies software, distribute The end result to the health-related institution, and Exhibit it on the terminal from the health care institution by an input / output display as proven in FIG. Because of the dedication, In case the articles with the inquiry won't conform to your enter information and specified situations in the examination and payment establishment as well as insurance company, a pharmaceutical group satisfying these is searched and discovered and distributed towards the medical establishment.
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 method features a calculation unit, a display and output device, an input device, and an information storage device. An example of a knowledge file being referred to at time of calculation is shown in FIG.
consumer and The instant it definitely is signed from the medical doctor it results in remaining a authorized doc! Prescriptions are important for all
The health care prescription information inquiry / distribution technique In accordance with assert 1, wherein the professional medical prescription is been given from a professional medical institution for every healthcare exercise, and insured information (medical insurance policies similar information, injury and sickness) offered through the clinical establishment at time of inquiry.
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If it is set that the required situations are achieved, up coming, Look at the dealing with position / stock standing of prescription drugs from numerous insurance policies pharmacies close to the address in the clinical establishment / insurer, and obtain the effects. Also produce to healthcare institutions. On the flip side, if it is set that the required disorders will not be satisfied, the prescription suggestion subject matter derived based on the insured person's information presented via the clinical establishment inside of a vary that matches the required ailments with the evaluation payer and also the insurer Distribute a list of medicines to professional medical establishments and motivate them to reselect.
The present creation for resolving the above-mentioned troubles is made up of the following sections. (1) Enter and maintain information on substitutes and prescription precedence information of insurers for pharmaceuticals prescribed by insurance policies professional medical institutions for insured individuals (two) Enter and manage the situations and standards for receipt evaluate acceptance from the examination and payment Firm (three) Accepting inquiries from clinical establishments regarding the availability of insurance policy for prescription drugs for website each health care exercise, and building inquiries dependant on personal information including the insured's indications, professional medical record, age, and many others., and information on (1) and (2) higher than Judgment is built in authentic time to find out whether the content satisfies the problems specified by the insurance provider / evaluation and payment establishment (4) If the above inquiries will not satisfy the required ailments, seek out other drugs that meet the desired circumstances dependant on the insured's information including symptoms, and many others. Notify healthcare establishments and encourage them to reselect prescription articles.
Drug Lookup by Sickness/Symptom - Learn what a drug is useful for, or if an adverse reaction might be a result of a certain drug.
An example of the configuration of these kinds of an information procedure is revealed in FIG. In this instance of information system, a minimum of Show and output unit / input device / facts storage which include ordinary notebook computer with interaction usually means mounted in Just about every of evaluation paying out institution, insurance provider, coverage professional medical establishment, insurance policy pharmacy As well as a central method that performs information inquiry / resolve are linked via a interaction line including the web.
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。