(b) Adjuvants: They may be built-in both to spice up the movement in the drug or to generate the preparation added palatable.
The present invention for resolving the above mentioned-stated challenges is composed of the following parts. (one) Enter and maintain information on substitutes and prescription priority information of insurers for prescription drugs prescribed by insurance health care institutions for insured folks (2) Enter and sustain the circumstances and conditions for receipt overview approval because of the examination and payment Corporation (3) Accepting inquiries from healthcare establishments relating to The provision of insurance plan for prescription drugs for each clinical practice, and building inquiries according to own information such as the insured's signs or symptoms, healthcare heritage, age, etc., and information on (1) and (2) previously mentioned Judgment is designed in real time to determine if the information satisfies the circumstances specified because of the insurer / examination and payment institution (4) If the above inquiries usually do not satisfy the specified ailments, search for other drugs that meet the required disorders dependant on the insured's information which include indications, etcetera. Notify professional medical establishments and motivate them to reselect prescription material.
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plus the information in (one) and (2) higher than, whether or not the inquiry articles satisfies the specified situations with the insurance provider / examination / payment in true time (4) If the above mentioned inquiries usually do not match the specified conditions, seek out other drugs that fulfill the required circumstances determined by the insured's information which include signs and symptoms from your drugs specified with the insurance provider. Notify medical establishments instead, Prompting reselection prescription at motor managing these kinds of process, promptly and successfully, the choice of formulation medicament, for the potential of insurance policies coverage, realize consensus amongst the events.
And when you receive an inquiry about professional medical prescriptions from a health-related institution for every particular person medical apply, insured individual information (clinical insurance policies similar information, information on sickness / symptoms, etc.
医療機関による医薬品の処方に際しては、被保険者（患者）が保健医療機関で医師の診察を受け、その診断結果をもとに医師が処方箋を発行、同処方箋に基づき保険薬局にて医薬品が調剤、提供される、という流れになっている。保険が適用される医薬品の費用請求については、被保険者による一部費用負担を除くと、医療機関・保険薬局などが、レセプトと呼ばれる診療報酬明細書に、診療、検査、投薬、手術など医療行為の内容を記入し、月ごとに審査支払機関に提出、医療費を請求する。審査は、社会保険診療報酬支払基金と都道府県支部、国民健康保険中央会と各都道府県の国民健康保険団体連合会にて実施され、かかった医療費をそのまま医療保険から支払う「出来高払い制」を採用されている。
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。
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。
I realize that "Businesses" could decide in his / her sole discretion that my ailment just is just not suitable for therapy process working with telemedicine, Which I could have to hunt healthcare treatment and get rid of in-certain human being or from an alternative source.
In the read more conventional payment examination technique, a health-related institution problems a prescription and prescribes and pays for the drug to the patient at an insurance coverage pharmacy, etc., and then the assessment request with the clinical follow is produced to the evaluation payment institution. Nonetheless, it is impossible to guage the suitability of the applying contents ahead of time for professional medical institutions. On top of that, the insured / insurance company (health insurance association, and so on.) that bears the expense of pharmaceuticals is just not absolutely knowledgeable about information on drugs like efficacy and rate, and it is entirely informed regarding the existence of multiple alternatives. It is usually not accomplished. Due to this, the selection of medicines is entirely left for the judgment of a clinical establishment, and it is actually hard to training the proper to choose medicines as a value bearer in addition to a shopper.
The healthcare prescription information inquiry / distribution program according to declare one, whereby the health care prescription is acquired from a medical institution for each professional medical observe, and insured information (health care insurance policies relevant information, injuries and illness) introduced in the health-related institution at time of inquiry.
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Each time a prescription proposed medicine is chosen by a health-related establishment, the dealing with standing / stock position at a nearby coverage pharmacy is verified and The end result is notified.