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。
Steps Pharmacology - How the drug functions in the body to elicit a response Pharmacokinetics/Dynamics - The magnitude of the drug's result will depend on the drug focus at the location of motion. The pharmacodynamics are expressed regarding onset of action and duration of motion. Pharmacokinetics are expressed concerning absorption, distribution (including appearance in breast milk and crossing of your placenta), protein binding, metabolism, 50 percent-lifetime distribution, time for you to peak, and excretion.
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。
At this time, an information method that replaces the development and software of the above mentioned-pointed out receipt by having an Digital approach from a standard written approach has by now been set into sensible use. On the flip side, in America, Pharmacy Benefit Management (“PBM”) is a business that manages dispensing expenses for policyholders.
従って、本発明の課題は、わが国の医療保険制度の中で、医療サービス受給の公平性を維持しつつ、被保険者・保険者もしくは審査支払機関が、代替品の中から最も強く処方を希望する医薬品を、医療機関・保険薬局が、他の代替品の中から優先的に採用する機会を提供することを可能にさせる、医療用医薬品処方情報照会・配信システムを提供することにある。
The prescription information inquiry / distribution technique In accordance with assert 1, accepting inquiries from insurance pharmacies for insurance plan coverage of prescribed drugs explained in prescriptions issued by professional medical institutions, and presence of inquiry record with prescription issuing health care institutions Pharmaceutical prescription information inquiry and distribution procedure characterized by distributing benefits.
Any time a prescription advised drugs is selected by a professional medical institution, the dealing with position / stock position at a nearby insurance pharmacy is verified and The end result is notified.
Use: Labeled Indications - Information concerning storageof product or service.. Provides time and ailments for which an answer or combination will maintain total potency. One example is, some methods might demand refrigeration immediately after reconstitution though saved at place temperature ahead of preparing.
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While in the prescription information inquiry / distribution process according to claim 1, when the prescription medicine inquired through the clinical establishment for every medical practice satisfies the designated conditions of the insurer / assessment / payment establishment, the tackle on the health care institution or insured person Drug prescription information inquiry / distribution procedure that accesses and confirms the managing information / inventory information from the drug at several insurance pharmacies close to the pharmacy.
The existing invention for fixing the above mentioned-described problems is composed of the next parts. (1) Enter and maintain information on substitutes and prescription precedence information of insurers for pharmaceuticals prescribed by insurance policies professional medical institutions for insured persons (2) Enter and keep the disorders and criteria for receipt assessment approval because of the assessment and payment Corporation (three) Accepting inquiries from medical institutions concerning the availability of insurance policy for prescription drugs for each health-related follow, and producing inquiries depending on private information such as the insured's symptoms, medical history, age, etcetera., and information on (one) and (2) above Judgment is built in authentic time to determine whether or not the information fulfills the conditions specified via the insurance company / assessment and payment institution (four) If the above mentioned inquiries will not meet the specified problems, search for other drugs that meet up with the required disorders according to the insured's information including signs, and so forth. Notify medical institutions and persuade them to reselect prescription written content.
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Every time a professional medical establishment prescribes medicines, the insured (patient) is examined by a physician with the health clinical institution, the medical professional troubles a prescription depending on the diagnosis final result, as well as medication is dispensed on the insurance coverage pharmacy based on the prescription , Furnished. Regarding declaring the expense of medicines lined by insurance, clinical establishments and insurance policy pharmacies, etcetera.
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