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。
The present invention pertains to transactions associated with prescription and purchase of moral drugs involving suppliers and prescribers for instance clinical establishments and insurance policies pharmacies and buyers for example examination payers, insurers and insured persons within the pharmaceutical distribution market. It results in being doable to clarify if There exists agreement involving the parties in serious time. Therefore, the examination / payment establishment / insurer could have a possibility to efficiently Categorical their intentions regarding the number of drugs, which will allow them to grow their selections for drug prescriptions they want and strengthen their satisfaction and cost efficiency.
【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。
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。
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In its place, notify the professional medical institution, and persuade the medical establishment to reselect prescription articles, Pharmaceutical prescription information inquiry / distribution process characterized by comprising
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) introduced via the professional medical establishment at enough time of inquiry and information acquired ahead of time And in real-time if the desired problems in the insurer to whom the insured is affiliated and the assessment and payment Firm in charge are satisfied.
If it is decided that the specified ailments are satisfied, subsequent, Check out the managing status / inventory standing of prescription drugs against a number of insurance coverage pharmacies near the tackle of the clinical establishment / insurance provider, and obtain the outcome. Also supply to professional medical establishments. Alternatively, if it is set that the desired problems are usually not satisfied, the prescription recommendation topic derived determined by the insured man or woman's information offered with the health care institution inside a assortment that matches the specified conditions of the assessment payer plus the insurance company Distribute a list of medicines to medical establishments and stimulate them to reselect.
From the pharmaceutical prescription information inquiry / distribution program Based on declare 1, if the result of resolve is that the inquiry articles isn't going to conform into the input information and designated ailments from the assessment and payment institution plus the insurance provider, search and discover the pharmaceutical team that satisfies these Pharmaceutical prescription information inquiry / distribution procedure characterised by distribution to medical institutions.
This A Portion of the prescription contains Instructions for that pharmacist, inside the celebration of the drug if it should be compounded in the pharmacy.
hold the likely of remaining abused, and that would result in very well getting threats from Destructive effects if taken incorrectly,
This A Element of the prescription also features the strength read more of your drug (the amount of milligrams, for instance) moreover the pill, capsule, or other type through which your Health care services provider want you to definitely absolutely consider it. A Get Be aware identified as "Disp" refers to this information regarding how the drug needs to be dispensed.