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。
The current invention relates to transactions linked to prescription and purchase of moral drugs concerning suppliers and prescribers for instance health-related institutions and insurance coverage pharmacies and shoppers which include evaluation payers, insurers and insured individuals within the pharmaceutical distribution market. It results in being doable to clarify if There exists agreement involving the events in genuine time. Consequently, the evaluation / payment establishment / insurance company can have a possibility to efficiently Categorical their intentions regarding the variety of drugs, which enables them to increase their selections for drug prescriptions they want and strengthen their satisfaction and cost efficiency.
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、保険薬局からの照会を受付け、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ことを特徴とする医薬品処方情報照会・配信システム。
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。
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 central procedure features a calculation unit, a Exhibit and output unit, an enter unit, and an information storage unit. An example of a knowledge file to get referred to at the time of calculation is demonstrated in FIG.
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Use: Labeled Indications - Information with regards to storageof product.. Gives enough time and problems for which a solution or combination will sustain entire potency. For example, some solutions may well involve refrigeration after reconstitution whilst saved at place temperature previous to planning.
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The pharmaceutical prescription information inquiry / distribution program In keeping with claim 1, wherein a series of inquiry histories designed via the program is distributed to an evaluation payment Corporation and an insurance provider.
It's made up of assumed professional medical charge points calculated for each injuries and symptom labeled Based on circumstance, drug price normal of utilised drugs, insurance plan factors, other facts expected for evaluation of health care price specifics, and so on. Pharmaceutical prescription information inquiry and distribution program.
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contain the probably of remaining abused, and that could bring on properly becoming threats from Detrimental effects if taken improperly,
In the event the health care Qualified would love the pharmacist to present you with a particular brand of medication, they must Particularly Recognize this or register the Location furnished.