After the inquiry with the health care institution, the ultimate prescription content material is transmitted within the health-related establishment into the information method if the prescription drug is set. When an insurance coverage pharmacy inquires about The supply of insurance for pharmaceuticals described in prescriptions, the presence / absence in the inquiry heritage with the health-related institution and the outcomes are distributed. Ultimately, a series of inquiry histories is distributed to the examination and payment establishment as well as insurance provider, plus the information inquiry / judgment procedure is done.
1st, in FIG. 1, the events connected to the information method from the present creation will be clarified. This information system features a professional medical establishment that prescribes prescribed drugs for the insured, an insurance plan pharmacy that dispenses prescribed drugs depending on a prescription issued from the clinical institution and delivers them on the insured, an insurance company that bears clinical insurance plan fees, and An assessment / payment institution that examines professional medical payment details from medical establishments / insurance pharmacies is linked. Every occasion offers the information technique with a series of needed information to generally be described later.While in the information procedure, (one) information on options and prescriptions in the insurance company for drugs prescribed because of the insurance medical institution for the insured Enter / keep sought after precedence information, (2) Enter / hold circumstances / specifications for approval of receipt review by review / payment Corporation, (three) Inquire about availability of insurance plan for prescription drugs from health care institutions for every professional medical exercise Depending on individual information such as acceptance, insured's symptom, professional medical historical past, age, and so on.
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Whilst Every single line has a distinct character, collectively they kind a whole medication selection support Remedy, serving a wide array of healthcare marketplaces and featuring dependable written content and aligned alternatives encompassing both equally drug reference and drug knowledge.
The present invention relates to transactions connected to prescription and purchase of moral drugs among suppliers and prescribers such as professional medical institutions and insurance coverage pharmacies and individuals for example assessment payers, insurers and insured individuals in the pharmaceutical distribution current market. It turns into probable to clarify whether there is arrangement involving the parties in actual time. Consequently, the evaluation / payment institution / insurance provider can have a chance to correctly express their intentions regarding the collection of drugs, which will permit get more info them to develop their selections for drug prescriptions they drive and improve their satisfaction and cost usefulness.
医療機関による医薬品の処方に際しては、被保険者（患者）が保健医療機関で医師の診察を受け、その診断結果をもとに医師が処方箋を発行、同処方箋に基づき保険薬局にて医薬品が調剤、提供される、という流れになっている。保険が適用される医薬品の費用請求については、被保険者による一部費用負担を除くと、医療機関・保険薬局などが、レセプトと呼ばれる診療報酬明細書に、診療、検査、投薬、手術など医療行為の内容を記入し、月ごとに審査支払機関に提出、医療費を請求する。審査は、社会保険診療報酬支払基金と都道府県支部、国民健康保険中央会と各都道府県の国民健康保険団体連合会にて実施され、かかった医療費をそのまま医療保険から支払う「出来高払い制」を採用されている。
従って、本発明の課題は、わが国の医療保険制度の中で、医療サービス受給の公平性を維持しつつ、被保険者・保険者もしくは審査支払機関が、代替品の中から最も強く処方を希望する医薬品を、医療機関・保険薬局が、他の代替品の中から優先的に採用する機会を提供することを可能にさせる、医療用医薬品処方情報照会・配信システムを提供することにある。
The prescription information inquiry / distribution system In accordance with declare 1, accepting inquiries from insurance policy pharmacies for insurance policies protection of prescription drugs described in prescriptions issued by medical institutions, and presence of inquiry history with prescription issuing healthcare institutions Pharmaceutical prescription information inquiry and distribution technique characterized by distributing results.
【選択図】図３[Complications] To offer a technique for supplying a possibility for your health care institution / coverage pharmacy to preferentially adopt a medicine that an insured / insurer or evaluation / payment institution hopes to prescribe within the professional medical insurance plan program. Provided. [Signifies FOR Resolving Troubles] Moving into / holding information on alternate options, prescription precedence order information of an insurer, and ailments / requirements for approval of the receipt examination by an evaluation / payment institution for your medication prescribed by an insurance plan medical institution Inquiries concerning no matter if coverage for prescription drugs is obtainable for Just about every health-related apply from your implies and health-related institution, and if the inquiries match the desired circumstances from the insurance provider / examination and payment organization dependant on own information for instance indicators from the insured Means to find out whether or not the above inquiry information isn't going to match the specified ailments, hunt for other drugs that fulfill the required situations within the drugs specified with the insurance provider dependant on the insured's information including signs or symptoms A method acquiring means for notifying a health-related institution as an alternative and prompting the medical institution to reselect prescription contents. [Selection] Figure 3 Description
Cautions Notify: U.S. Boxed Warning - The FDA-authorized labeling includes a boxed warning. See Warnings/Precautions section for a concise summary of the information. For verbatim wording of your boxed warning, consult with the product or service labeling or . Warnings/Safeguards - Precautionary considerations, harmful circumstances relevant to use in the drug, and disease states or patient populations where the drug needs to be cautiously used. Boxed warnings, when current, are Evidently recognized and they are adapted through the FDA-authorized labeling. Talk to the product labeling for the exact black box warning with the manufacturer's or maybe the FDA Web sites. Checking Parameters - Laboratory tests and patient Bodily parameters that needs to be monitored for safety and efficacy of drug therapy Pregnancy Hazard Factor - Five types set up because of the FDA to point the opportunity of the systemically absorbed drug for causing danger for the fetus Pregnancy Considerations - A summary of human and/or animal information pertinent to or connected to the usage of the drug since it pertains to medical effects around the fetus, newborn, or Expecting female Lactation - Suggests If your drug stated while in the monograph is current in breast milk as well as maker's recommendation to be used while breast-feeding (when advice of American Academy of Pediatrics differs, notation is built) Patient Education - Precise information pertinent for your patient
指定条件を満たしていると判定した場合には、次に、医療機関・保険者の住所から近くに存在する複数の保険薬局に対して、処方対象医薬品の取扱状況・在庫状況を確認、結果をあわせて医療機関へ配信する。一方、指定条件を満たしていないと判定した場合には、審査支払機関及び保険者の指定条件に合致する範囲内で医療機関が提示した被保険者情報をもとに導出される処方推奨対象となる医薬品のリストを医療機関に配信、医療機関にて再選択を促す。医療機関にて処方推奨医薬品が選択されると、近隣の保険薬局での取扱状況・在庫状況を確認、結果を通知する。
Priority day (The precedence day is surely an assumption and is not a authorized summary. Google hasn't done a lawful Assessment and can make no illustration as towards the accuracy on the day detailed.)
It is normally advised that just one prescription be properly well prepared at one time. Clean up up surfaces must be used through compounding. Each and every bit of apparatus needs to be extensively cleaned and dried prior to use.
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、医療機関から診療行為毎に照会される処方医薬品が、保険者・審査支払機関の指定条件を満たす場合、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ことを特徴とする医薬品処方情報照会・配信システム。