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。
・ It's not necessarily intended to extend the options for prescription drugs of insurers and lessen the expense of prescribed drugs. On top of that, PBM in the United States supplies drug Value administration solutions for firms for example companies as the leading customers and doesn't go over all citizens. is just not.
【解決手段】保険医療機関が処方する医薬品について、代替品情報、保険者の処方希望優先順位情報を入力・保持する手段、審査支払機関によるレセプト審査承認のための条件・基準を入力・保持する手段、医療機関から診療行為毎に、処方医薬品の保険適用可否に関する照会を受付け、被保険者の症状等の個人情報に基づき、照会内容が保険者・審査支払機関の指定条件に合致しているか否かを判定する手段、上記照会内容が指定条件に合致していない場合は、保険者が指定する医薬品の中から、症状等の被保険者の情報に基づき指定条件を満たす他の医薬品を検索し代替品として医療機関に通知、医療機関にて処方内容の再選択を促す手段を有するシステム。
At the moment, an information process that replaces the creation and application of the above mentioned-pointed out receipt with the Digital process from a conventional composed process has already been put into functional use. However, in the United States, Pharmacy Advantage Management (“PBM”) is a business that manages dispensing fees for policyholders.
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 As outlined by claim one, accepting inquiries from insurance policies pharmacies for insurance policies protection of pharmaceuticals explained in prescriptions issued by medical institutions, and presence of inquiry heritage with prescription issuing medical institutions Pharmaceutical prescription information inquiry and distribution program characterised by distributing results.
Any time a prescription advisable drugs is chosen by a health care institution, the managing position / inventory status at a close-by insurance plan pharmacy is confirmed and the result is notified.
Use: Labeled Indications - Information concerning storageof product or service.. Provides some time and circumstances for which a solution or mixture will retain comprehensive potency. As an example, some remedies might call for refrigeration after reconstitution when saved at space temperature ahead of preparation.
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The pharmaceutical prescription information inquiry / distribution technique Based on declare one, whereby a series of inquiry histories built by way of the technique is dispersed to an assessment payment Corporation and an insurer.
図1は、本発明の医薬品処方情報照会・配信方法を活用したビジネスモデルの一例の概略を示す図面であり、図2は、当該ビジネスモデルをより具体的に示す図面であり、図3は、情報システム構成の一例を示す図面であり、図4は、情報照会・判定の一例を示すフローチャートであり、図5は、本発明の医薬品処方情報照会・配信のための情報システム内のデータファイルの一例を示す図面であり、図6は、当該情報システムと接続した医療機関の端末の入出力イメージの一例を示す図である。
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The Pharmacists at Carnegie Sargents Pharmacy dispense prescription medications to patients and present knowledge during the safe use of prescriptions. We perform instantly with physicians, other health industry experts, and patients to make certain the medications prescribed for patients add to the best possible health outcomes. We are going to supply you with the information you should make proficient conclusions. We may even go to the trouble to debate along with you how to interpret the information in order to get an intelligent conversation with you Medical professionals.
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