The present invention pertains to a pharmaceutical prescription information inquiry / distribution product, a pharmaceutical prescription information inquiry / distribution procedure, and a pharmaceutical prescription information inquiry / distribution process.
Steps Pharmacology - How the drug performs in the body to elicit a response Pharmacokinetics/Dynamics - The magnitude of the drug's impact depends on the drug focus at the site of action. The pharmacodynamics are expressed in terms of onset of action and length of motion. Pharmacokinetics are expressed when it comes to absorption, distribution (together with physical appearance in breast milk and crossing of the placenta), protein binding, metabolism, fifty percent-lifetime distribution, the perfect time to peak, and excretion.
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It truly is composed of assumed health-related rate points calculated for each personal injury and symptom categorised As outlined by scenario, drug cost typical of used drugs, insurance factors, other details expected for examination of professional medical price facts, and so on. Pharmaceutical prescription information inquiry and distribution system.
And when you receive an inquiry about health care prescriptions from the medical establishment for every person healthcare exercise, insured particular person information (professional medical insurance policies connected information, information on sickness / signs and symptoms, and so forth.
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。
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 prescription information inquiry / distribution technique In keeping with claim 1, accepting inquiries from insurance plan pharmacies for insurance coverage protection of pharmaceuticals described in prescriptions issued by clinical establishments, and existence of inquiry record with prescription issuing medical institutions Pharmaceutical prescription information inquiry and distribution system characterised by distributing final results.
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。
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In the conventional payment evaluation method, a professional medical establishment problems a prescription and prescribes and pays for that drug to your patient at an insurance policies pharmacy, and so forth., then the evaluation ask for for that medical observe is produced into the evaluation payment institution. On the other hand, it truly is impossible to evaluate the suitability of the applying contents ahead of time for health care institutions. Also, the insured / insurer (health insurance policies association, and many others.) that bears the expense of prescribed drugs will not be read more totally knowledgeable about information on drugs including efficacy and cost, and is particularly entirely knowledgeable about the existence of various alternate options. It is frequently not performed. Because of this, the choice of medicines is solely left on the judgment of the health care institution, and it truly is tricky to work out the best to select medicines as a cost bearer and also a purchaser.
How repeatedly have you still left the medical doctor’s Business, only to seek out you forgot to mention an important bit of information?
最後に、一連の照会履歴を審査支払機関及び保険者に配信し、情報照会・判定の手順を終了する。
Inside the preparing phase with the method, the examination payer as well as the insurance provider enter essential information and specify problems. Examples of information entered through the examination payer as well as the insurance provider and the required conditions are based on information to the insurer topic to evaluation, circumstances like the insured's age, gender, constitution and earlier heritage You can find assumed medical price points calculated for each individual sickness and symptom divided, drug selling price criteria of utilised drugs, insurance details, and also other knowledge needed for evaluation of medical charge particulars.