Although the execution with the implies of your present invention is executed via an information process, this execution is roughly divided into two stages: a technique preparing phase and an operation stage.
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【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。
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。
また、医薬品費用を負担する被保険者・保険者(健康保険組合等)が、効能・価格等の医薬品に関する情報を十分に知らされていない、複数の代替品の存在に関する情報を十分には知らされていない、といった場合が多い。このため、医薬品の選択に際しては医療機関の判断に全面的に委ねており、費用負担者及び需要者としての医薬品選択の権利が行使しにくい状況が生まれている。
The central program features a calculation unit, a display and output device, an input device, and a data storage device. An example of an information file for being referred to at some time of calculation is proven in FIG.
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During the planning phase of the process, the examination payer along with the insurance provider enter essential information and specify ailments. Samples of information entered from the evaluation payer plus the insurance provider and the required circumstances are determined by information over the insurance provider subject to examination, circumstances such as the insured's age, gender, constitution and past background You can find assumed health care cost factors calculated for each personal sickness and symptom divided, drug price tag expectations of utilised drugs, insurance policies factors, along with other information needed for assessment of clinical price specifics.
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I are aware that "Providers" could decide in his / her sole discretion that my ailment just is not appropriate for treatment technique working with telemedicine, Which I could possibly have to hunt healthcare cure and get rid of in-unique man or woman or from an alternate source.
Drug Search by Ailment/Symptom - Find out what a drug is utilized for, or if an adverse response may be due to a specific drug.
When Every line has a distinct character, alongside one another they form a whole medication final decision support Answer, serving a big selection of healthcare markets and presenting consistent content material and aligned remedies encompassing both equally drug reference and drug data.
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、判定の結果、照会内容が審査支払機関及び保険者の入力情報や指定条件に適合しない場合には、これらを満たす医薬品群を検索・同定し、医療機関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。