) introduced with the health care institution at some time of inquiry and information acquired in advance As well as in true-time whether or not the required ailments in the insurance provider to whom the insured is affiliated along with the examination and payment Group in charge are contented.
Steps Pharmacology - How the drug operates in the body to elicit a reaction Pharmacokinetics/Dynamics - The magnitude of the drug's influence depends on the drug focus at the website of motion. The pharmacodynamics are expressed when it comes to onset of motion and length of motion. Pharmacokinetics are expressed when it comes to absorption, distribution (including visual appeal in breast milk and crossing from the placenta), protein binding, metabolism, half-existence distribution, the perfect time to peak, and excretion.
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Hereinafter, a flowchart of the illustration of an information inquiry / willpower treatment might be explained with reference to FIG. 1st, the required information is acquired in the examination payer / insurance provider / insurance plan clinical institution / insurance pharmacy. The information and selected problems to become attained through the examination payer as well as insurance company are as explained previously mentioned.
The existing invention pertains to transactions relevant to prescription and purchase of moral drugs among suppliers and prescribers such as medical institutions and insurance coverage pharmacies and individuals for example assessment payers, insurers and insured individuals in the pharmaceutical distribution market place. It gets to be doable to clarify whether or not There may be agreement amongst the get-togethers in genuine time. Due to this fact, the assessment / payment institution / insurer could have a chance to effectively express their intentions regarding the read more collection of drugs, which will permit them to extend their selections for drug prescriptions they desire and boost their pleasure and value efficiency.
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、医療機関が発行した処方箋に記されている医薬品の保険適用につき、保険薬局からの照会を受付け、処方箋発行医療機関との照会履歴の有無、結果について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。
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。
【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。
【選択図】図３[Difficulties] To provide a system for furnishing a chance to get a medical establishment / insurance policy pharmacy to preferentially undertake a medication that an insured / insurance provider or evaluation / payment establishment really wants to prescribe within the professional medical insurance policies system. Furnished. [Indicates FOR Fixing PROBLEMS] Getting into / Keeping information on alternatives, prescription priority order information of an insurance company, and conditions / expectations for acceptance of the receipt assessment by an assessment / payment establishment to get a medicine prescribed by an insurance policies professional medical establishment Inquiries pertaining to whether insurance plan for prescription drugs is available for Each individual healthcare exercise with the indicates and health-related institution, and if the inquiries match the desired ailments on the insurance company / examination and payment Business based on particular information like signs from the insured Signifies to find out whether the above inquiry content would not match the desired conditions, seek for other drugs that meet the desired conditions from your drugs specified via the insurer dependant on the insured's information including indications A method acquiring means for notifying a health care establishment instead and prompting the medical institution to reselect prescription contents. [Variety] Figure 3 Description
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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。
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。
・ It is not intended to extend the choices for pharmaceuticals of insurers and decrease the cost of pharmaceuticals. Additionally, PBM in the United States provides drug Expense management companies for firms such as corporations as the primary customers and won't include all citizens. will not be.