Even though the execution in the usually means on the existing invention is carried out by an information program, this execution is around divided into two levels: a program planning phase and an Procedure phase.
In essential phrases, the prescription is a little bit of paper that is penned throughout the registered health care practitioner (RMP) dependant on the consumer's ailment problem.
【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。
From the procedure operation phase, the subsequent processing is done in true time. Basically, inquiries pertaining to the availability of insurance coverage protection for prescription drugs from health care establishments are made by means of communication strains for the duration of Every single healthcare exercise, and these inquiries are in contrast with the input information and specified disorders with the examination and payment institutions and insurers outlined over. Then, the evaluation paying institution as well as insurer decide whether to reject the insurance application, distribute the result for the clinical establishment, and Display screen it around the terminal in the clinical institution by an input / output screen as shown in FIG. As a result of the determination, When the content of the inquiry does not conform to the enter information and specified ailments with the evaluation and payment establishment along with the insurer, a pharmaceutical team gratifying these is searched and identified and dispersed for the healthcare institution.
The existing creation relates to a pharmaceutical prescription information inquiry / distribution product, a pharmaceutical prescription information inquiry / distribution procedure, along with a pharmaceutical prescription information inquiry / distribution technique.
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Any time a prescription advisable drugs is chosen by a health care establishment, the handling standing / stock position at a close-by insurance policy pharmacy is verified and The end result is notified.
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If it is determined that the specified ailments are met, up coming, Look at the handling status / inventory standing of prescription drugs from multiple insurance policies pharmacies close to the tackle of your healthcare institution / insurer, and obtain the outcome. Also provide to health care establishments. On the flip side, if it is determined that the required conditions usually are not satisfied, the prescription recommendation topic derived depending on the insured individual's information presented by the medical establishment in a assortment that matches the specified disorders with the examination payer and the insurance company Distribute a list of medicines to medical institutions and inspire them to reselect.
And when you receive an inquiry about clinical prescriptions from a medical establishment for every particular person health-related observe, insured particular person information (health-related insurance coverage similar information, information on sickness / indicators, etc.
In addition, the examination and payment establishment as well as insurance provider will specify the medicines that they wish to preferentially prescribe. The designation process is as follows: (one) Specify the identify of a certain group of drugs for each injury and symptom categorised according to various conditions including the insured's age, gender, Structure and health care history. Or use (two) the upper Restrict with the professional medical remuneration score / utilized drug insurance rating and allow the prescription with the drug provided that the higher limit is not really exceeded. These input information and specified conditions are stored as data while in the information method.
Any time a medical establishment prescribes medicines, the insured (patient) is examined by a physician with the health health care institution, the medical doctor problems a prescription according to the analysis consequence, Pain relief medications along with the medicine is dispensed within the insurance plan pharmacy determined by the prescription , Supplied. With regards to proclaiming the cost of medicines protected by insurance coverage, professional medical institutions and insurance plan pharmacies, and so on.
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