In the traditional payment examination system, a health care institution challenges a prescription and prescribes and pays for the drug for the patient at an coverage pharmacy, etcetera., and afterwards the evaluation ask for for the health care apply is designed to the evaluation payment establishment. On the other hand, it truly is not possible to judge the suitability of the applying contents ahead of time for professional medical institutions. Furthermore, the insured / insurance provider (health insurance policies Affiliation, etc.) that bears the cost of prescription drugs just isn't entirely educated about information on drugs which include efficacy and price, and is particularly absolutely knowledgeable concerning the existence of various options. It is commonly not done. For that reason, the selection of medicines is totally remaining to your judgment of the clinical institution, and it really is tricky to exercise the right to decide on medicines as a price bearer in addition to a customer.
Actions Pharmacology - How the drug performs in your body to elicit a reaction Pharmacokinetics/Dynamics - The magnitude of the drug's outcome depends upon the drug concentration at the site of action. The pharmacodynamics are expressed regarding onset of action and duration of motion. Pharmacokinetics are expressed in terms of absorption, distribution (which includes visual appeal in breast milk and crossing on the placenta), protein binding, metabolism, fifty percent-lifestyle distribution, time to peak, and excretion.
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医療機関からの照会後、処方医薬品を確定した段階で医療機関から最終の処方内容が情報システムに送信される。保険薬局から処方箋記載の医薬品の保険適用の可否について照会があった場合には、医療機関との照会履歴の有無、結果を配信する。
The current invention relates to a pharmaceutical prescription information inquiry / distribution system, a pharmaceutical prescription information inquiry / distribution procedure, and a pharmaceutical prescription information inquiry / distribution technique.
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、本システムを介して為された一連の照会履歴を審査支払機関及び保険者に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。
【選択図】図３[Challenges] To provide a technique for providing a chance for just a health-related establishment / coverage pharmacy to preferentially adopt a medicine that an insured / insurance company or assessment / payment establishment really wants to prescribe in the healthcare insurance policies system. Provided. [Indicates FOR SOLVING Issues] Entering / holding information on choices, prescription precedence order information of the insurance company, and situations / specifications for approval of a receipt examination by an assessment / payment establishment for any medicine prescribed by an insurance medical establishment Inquiries with regards to no matter if insurance policies for prescription drugs is readily available for each health care apply from the suggests and health-related establishment, and whether the inquiries match the required problems of the insurance company / assessment and payment organization determined by personal information which include indicators of the insured Implies to find out whether the above mentioned inquiry material won't match the required conditions, look for other drugs that satisfy the specified circumstances from the drugs specified through the insurance company determined by the insured's information for instance signs or symptoms A procedure obtaining suggests for notifying a clinical institution as a substitute and prompting the healthcare establishment to reselect prescription contents. [Choice] Determine three Description
Inside the preparing stage with the method, the evaluation payer and the insurance company enter required information and specify conditions. Examples of information entered via the examination payer along with the insurance provider and the required circumstances are based upon information around the insurer matter to assessment, disorders including the insured's age, gender, constitution and earlier history You'll find assumed health care rate details calculated for every unique sickness and symptom divided, drug price requirements of utilized drugs, insurance policy points, as well as other facts demanded for evaluation of clinical cost information.
) presented from the healthcare institution at time of inquiry and information acquired beforehand And in true-time whether the specified conditions of the insurance provider to whom the insured is affiliated and also the assessment and payment Corporation in cost are pleased.
The pharmaceutical prescription information inquiry / distribution method In keeping with claim 1, whereby a number of inquiry histories produced through the procedure is dispersed to an examination payment Firm and an insurance provider.
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。
Strike that good Also signal get extra details button with your Diary web page the moment you’re throughout the applying. From there, strike Ranking therefore you’ll be capable of integrate a temper ranking.
An illustration of the configuration of these an information system is shown in FIG. In this instance of information procedure, a minimum of Show and output unit / enter device / facts storage which include everyday notebook computer with interaction website suggests set up in Every single of evaluation having to pay establishment, insurance company, insurance policies health care institution, coverage pharmacy In addition to a central technique that performs information inquiry / willpower are related by means of a interaction line such as the world wide web.
If the health-related Specialist would love the pharmacist to present you with a specific brand of medication, they need to Particularly Observe this or sign-up the Spot furnished.