After the inquiry through the healthcare institution, the ultimate prescription content is transmitted through the professional medical institution on the information technique in the event the prescription drug is determined. When an insurance policies pharmacy inquires about The provision of insurance for prescription drugs explained in prescriptions, the presence / absence of your inquiry history Along with the health care establishment and the effects are dispersed. At last, a number of inquiry histories is dispersed into the assessment and payment establishment and the insurer, plus the information inquiry / judgment course of action is done.
The existing creation for resolving the above mentioned-described troubles is composed of the following areas. (1) Enter and keep information on substitutes and prescription precedence information of insurers for pharmaceuticals prescribed by insurance policies medical establishments for insured individuals (two) Enter and retain the situations and criteria for receipt evaluate approval from the assessment and payment Business (3) Accepting inquiries from professional medical institutions about The supply of insurance for prescription drugs for every health-related observe, and producing inquiries based on private information including the insured's signs and symptoms, clinical history, age, and so forth., and information on (one) and (two) above Judgment is created in true time to ascertain whether or not the information satisfies the conditions specified from the insurer / examination and payment establishment (four) If the above inquiries tend not to meet up with the desired conditions, look for other drugs that meet the specified disorders based on the insured's information such as signs and symptoms, and many others. Notify clinical institutions and motivate them to reselect prescription articles.
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Even though Every single line has a distinct character, collectively they kind a whole medication selection support Remedy, serving a big range of healthcare marketplaces and giving steady material and aligned options encompassing each drug reference and drug knowledge.
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The prescription ought to be signed by means of the prescriber by his / her hand. His/her deal with and registration range truly need to be well prepared in the situation of perilous and behavior-forming medicines.
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。
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。
At this time, an information technique that replaces the generation and software of the above mentioned-outlined receipt with an electronic method from a conventional created process has already been put into practical use. However, in the United States, Pharmacy Benefit Administration (“PBM”) is a company that manages dispensing expenditures for policyholders.
This A Portion of the prescription is made of Guidance for that pharmacist, inside the occasion of a drug if it needs to be compounded in the pharmacy.
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