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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。

The present creation pertains to transactions related to prescription and buy of moral drugs concerning suppliers and prescribers such as medical establishments and insurance pharmacies and consumers which include assessment payers, insurers and insured individuals inside the pharmaceutical distribution marketplace. It becomes possible to make clear whether or not You can find settlement amongst the parties in serious time. Due to this fact, the examination / payment establishment / insurer will likely have an opportunity to proficiently express their intentions concerning the variety of drugs, which enables them to increase their selections for drug prescriptions they want and make improvements to their fulfillment and value success.

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。

指定条件を満たしていると判定した場合には、次に、医療機関・保険者の住所から近くに存在する複数の保険薬局に対して、処方対象医薬品の取扱状況・在庫状況を確認、結果をあわせて医療機関へ配信する。一方、指定条件を満たしていないと判定した場合には、審査支払機関及び保険者の指定条件に合致する範囲内で医療機関が提示した被保険者情報をもとに導出される処方推奨対象となる医薬品のリストを医療機関に配信、医療機関にて再選択を促す。医療機関にて処方推奨医薬品が選択されると、近隣の保険薬局での取扱状況・在庫状況を確認、結果を通知する。

Turn out to be. As a result, such as, the examination / payment company raises the prescription priority order of simpler medicines so that many professional medical establishments can prescribe the medicines. As a result, the caliber of medical expert services and also the fairness of expenditures among insured individuals Promoted. Furthermore, a rise in prescription of The most affordable drug among a plurality of drugs having precisely the same impact can even be attained, like reduction in drug expenses for insurers and insured persons.

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Currently, There's an case in point that aims to Enhance the do the job efficiency by digitizing the health-related payment assessment ask for as opposed to producing, but This really is targeted at labor saving of Business do the job on the clinical establishment.

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The pharmaceutical prescription information inquiry / distribution technique In accordance with claim one, whereby a number of inquiry histories built through the procedure is distributed to an evaluation payment Corporation and an insurance provider.

And when you receive an inquiry about healthcare prescriptions from the clinical establishment for each unique professional medical exercise, insured particular person information (healthcare insurance linked information, information on sickness / indicators, etc.

Hereinafter, a flowchart of an example of an information inquiry / perseverance treatment might be explained with reference to FIG. Initially, the required information is acquired from the assessment payer / insurance provider / insurance policy medical establishment / insurance coverage pharmacy. The information and selected problems to become obtained within the assessment payer and the insurance provider are as read more described above.

An illustration of the configuration of these an information procedure is shown in FIG. In this example of information program, no less than Exhibit and output device / enter device / facts storage like normal notebook computer with conversation implies set up in Every single of evaluation paying institution, insurer, insurance policies healthcare institution, insurance policies pharmacy And a central procedure that performs information inquiry / willpower are linked via a conversation line including the Internet.

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