## 1. Introduction # 1. Introduction This document outlines the requirements and processes related to medication history management, provision of medication information, and home patient medication management guidance. The content is based on procedures and policies applicable to insurance pharmacies, healthcare professionals, and related stakeholders involved in the management and provision of pharmaceutical care, particularly for patients who are unable to visit medical institutions and require home-based care. The scope includes the following key topics: - Documentation and management of medication history (薬剤服用歴), including requirements for recording relevant information and providing documentation to healthcare institutions as needed [KB-07896240-bf9f-4745-aa5c-43333549921a], [KB-4f01dc63-ee67-47da-960d-7b3cac322c39], [KB-d03bfe64-39aa-4957-beb9-e8603195f98c], [KB-db53d976-4bc5-4d7c-9e3e-992d24ff0eda], [KB-fdb39442-b8df-4e1b-b8f9-58652443ce9a]. - Provision of medication information (服薬情報提供) to patients, their families, healthcare institutions, and care managers, including the frequency and conditions under which such information must be provided [KB-73a3d438-0885-4f66-aba8-ebaad73848e4], [KB-a138e70a-c6bd-4397-a060-761e7670ba53], [KB-a790e300-7bf3-4439-9a16-a4d81085765d], [KB-d39d4ea1-5ba3-4b0a-ad41-b4d3a7e2355f], [KB-e6543407-eee4-49d6-a6f7-e87e1cfa74b7]. - Home patient visit medication management guidance (在宅患者訪問薬剤管理指導), including the formulation of pharmaceutical management and guidance plans by insurance pharmacists, the conditions for providing such services, and the calculation of related fees [KB-0b046bc7-6196-45c7-8f6f-4fa08885f4c8], [KB-202617e0-b5b0-4d62-8d1a-ce3cedf9690f], [KB-2dc18274-c66c-48d9-b70e-65daaf70284f], [KB-3162b178-51a1-4b9c-ac3c-5876edfcc6a7], [KB-a91d58a5-bcae-4a27-b484-d5bbad2d16d5], [KB-f95a5c27-c855-4294-82c7-4d44f2ae6ba0]. - Prevention and management of duplicate prescriptions and drug interactions for home patients, including the procedures for adjusting leftover medications and communicating with prescribing physicians [KB-2791671d-bbb0-48b2-840c-656f2c3168b1], [KB-dd298239-458e-4918-8774-15e7efdd24db]. - Use of information and communication technology for online medication management and guidance for home patients [KB-4a35747d-ab1f-438a-81d3-8e70edd3f965]. - Requirements for providing necessary information to prescribing physicians and healthcare institutions in written form [KB-b0d94fed-b90a-4143-b253-487915bbcbb1]. This document is intended for use by insurance pharmacists, healthcare providers, and administrative personnel responsible for ensuring compliance with relevant pharmaceutical care regulations and standards. The requirements herein are based solely on the provided source materials and do not incorporate external information. ## 2. Functional Requirements # 2. Functional Requirements This section outlines the functional requirements based solely on the provided context, in accordance with ISO-29148. All requirements are referenced with their respective source block IDs. --- ## 2.1 General Functional Requirements - The system shall support data-driven outcome evaluation, including revision of requirements and evaluation for inpatient data submission, and expansion of the scope of inpatient fees requiring data submission notification. [KB-007430e9-258d-4d7a-9d9a-bc38a39eadb2] --- ## 2.2 Functional Requirements by Domain ### 2.2.1 Home Nursing (訪問看護) - The system shall clarify the responsibilities of administrators and revise requirements to ensure quality and efficient operation of home nursing stations. [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272] - The system shall mandate the establishment of abuse prevention measures and, in principle, prohibit physical restraints in home nursing. [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272], [KB-e14d657a-8970-4e3e-9ccb-5662af7d6525] - The system shall revise requirements and evaluation for frequent visit addition to ensure appropriate evaluation based on patient condition. [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0] - The system shall revise requirements and evaluation for 24-hour response addition, considering efforts to reduce nursing workload and reviewing the handling of communication systems for 24-hour response. [KB-06db46ba-7647-483b-9f38-f7fa62a24d77] - The system shall revise requirements and evaluation for emergency home nursing addition and review the content of claims and documentation. [KB-4be6a015-623d-440c-95dd-a51bf556ebbd] - The system shall revise requirements and evaluation for home nursing management fee to strengthen the functions of home nursing stations and ensure high-quality, effective care. [KB-aeb72a17-5d44-4c8e-b3c6-e83c459da003] - The system shall revise requirements and evaluation for discharge support guidance addition based on patient condition and provided nursing. [KB-b375a84b-c77e-4084-a4a2-a2e0f2c22a9a] - The system shall enable planned management and provision of high-quality care by utilizing online qualification confirmation systems to obtain and use patient medical and medication information during initial visits. [KB-9e53203f-143a-40f3-b93a-0e4a5c7d7f32] --- ### 2.2.2 Nursing and Physical Restraint - The system shall revise requirements and evaluation for nursing assistant system enhancement addition to promote division and collaboration of duties between nursing staff and assistants, and minimize physical restraints. [KB-05c4460e-0933-40a9-962c-fc2be422e060] - The system shall require organizational establishment to minimize physical restraints in medical institutions. [KB-edc81296-4474-4138-a404-f797f293eb19], [KB-8445364a-473a-46bc-8207-fb1f2671bde6] --- ### 2.2.3 Medication Management and Guidance - The system shall support the provision of necessary medication guidance and management, including: - Guidance for patients using narcotics, confirming usage, storage, and side effects, and adding points per instance. [KB-08876a43-c1e4-4b7f-8517-0cd67e273533], [KB-ad7d4dc3-8896-4c1b-92c7-8d969120b377], [KB-24385190-0703-42d1-a834-6854e998b904], [KB-66969593-ac17-45cd-a41d-f335a2406225], [KB-31de50ce-f3df-4fb0-a0bd-6a1ce5795463], [KB-10f23eda-03d3-4220-8642-6ff7cbf64700] - Guidance for patients using multiple medications, including one-package dispensing and necessary support for medication management. [KB-07f1aee1-1797-47ce-a5e9-b2462436b453], [KB-2f8bb1e8-7cd1-4808-802d-61cbf1dea96e], [KB-ff3ce6e4-b5ec-4058-afe5-c24124781336] - Guidance for patients using high-risk medications, confirming usage, side effects, and adding points per instance. [KB-f271747d-fadb-4d69-9ff8-ea0f4702f4f2], [KB-fde2b685-c7c4-44d8-9de7-3a7051dd9005] - Guidance for pediatric patients with disabilities, confirming information and recording guidance in a notebook, adding points. [KB-ba91d9ab-b335-4929-9779-694ba115ef39], [KB-6bb697eb-fdad-4cda-a697-9d148e072b9d] - Guidance for inhalation drugs, including provision of information to medical institutions and adding points. [KB-604920cd-6896-4a10-97db-9faeb614d499], [KB-ef609548-ff37-4388-9fd5-c638d8bf6eab] - Guidance for medication information provision to medical institutions, care managers, and physicians, with point additions. [KB-c35807e4-304e-4ca5-8e86-e1404c20a9fd], [KB-37919876-98a0-4f81-879a-7de2d13e4a0f] - Guidance for adverse effect management, confirming occurrence and treatment plans, and providing necessary pharmaceutical management and guidance. [KB-1deff0da-ee71-4c91-9c5b-76f0767d90da], [KB-e8ad7124-d716-4649-9f50-064344c869d7] - Guidance for medication duplication, proposing solutions to prescribing physicians and adding points. [KB-50d4fc2a-962d-4820-a105-6ba75b15cf4c], [KB-f2bbf07b-2196-40f3-9da7-66b45e6dd128] - Guidance for medication risk management, providing safety information to patients and adding points. [KB-9720cc93-fb47-4376-9506-fbb4d8f61048], [KB-5398730a-d7b5-4d8b-830e-5282b5bf61c8] - Guidance for medication information provision after discharge, including collaborative guidance with designated pharmacies and medical institutions. [KB-061bef49-5443-4529-80cb-0067c3bedc4f], [KB-44db8f45-e972-47c4-ba46-8ad6a816615e], [KB-1eebb670-f513-40ab-a8bc-7127863e3404] - Guidance for emergency home patient collaborative guidance, adding points for urgent cases. [KB-4fc322f9-642f-4801-89c3-cb70c9af6ab1], [KB-5b2ae222-dd34-4f8c-b2de-0e51e6778c29], [KB-d1dea226-c0ae-4dfe-b0ce-d6cb90c165fb], [KB-3471e397-bc65-485a-89e4-733c6e99747b], [KB-95340505-f820-4879-9646-0167a0508c15], [KB-473d2d4-0a06-4fe0-990e-29bef944a7c7] - The system shall support information provision and guidance using information communication devices, including remote medication guidance and telemedicine. [KB-aa54fa9a-3239-4b1e-8e7d-f1996a6420e8], [KB-f77500df-52fe-450b-80c7-cbf364803425] --- ### 2.2.4 Inpatient and Discharge Guidance - The system shall support collaborative discharge guidance for patients, including coordination between designated pharmacies and medical institutions, and adding points for such guidance. [KB-061bef49-5443-4529-80cb-0067c3bedc4f], [KB-44db8f45-e972-47c4-ba46-8ad6a816615e], [KB-1eebb670-f513-40ab-a8bc-7127863e3404] --- ### 2.2.5 Comprehensive Home Medical Care - The system shall revise requirements and evaluation for comprehensive support addition based on patient condition. [KB-09f32992-f81b-4576-aaa4-262f9f8d8579] - The system shall revise requirements and evaluation for terminal care addition to support end-of-life care in accordance with patient wishes. [KB-3e410501-b1b1-45a9-8876-3e7fcf55b2dd] - The system shall revise requirements and evaluation for home medical transition addition to ensure 24-hour support for patients transitioning to home care. [KB-75ca8a38-02f4-46be-9a1d-a9f8673d799c] - The system shall revise requirements and evaluation for home medical management fee to ensure comprehensive care for home patients. [KB-4fc322f9-642f-4801-89c3-cb70c9af6ab1] --- ### 2.2.6 Cancer and Palliative Care - The system shall support evaluation and requirements for high-quality cancer pain relief treatment, including radiation therapy and nerve block. [KB-6a308157-81df-47a6-a129-4eef297ca3fc] - The system shall support evaluation and requirements for outpatient cancer chemotherapy, including pharmacist confirmation and evaluation of medication status, information provision, and prescription proposals. [KB-f700221a-650f-4f32-ada0-aff43c6a8ba9], [KB-ae822bb5-db0a-4310-9d78-651887df1be2] - The system shall support evaluation and requirements for palliative care, including guidance and management for narcotic injection in non-terminal cancer patients. [KB-7feb02b9-5c22-4143-be1d-bdddef349def], [KB-a37a229d-a301-4e7f-8fcb-6324bf53e88d] - The system shall support the use of ICT for sharing information among medical personnel for high-quality palliative care for terminal cancer patients. [KB-fa0fdacb-f933-4296-8d0b-ac501b9102a5], [KB-ef95bdaa-ef0b-4848-bf4b-a5c073be5ba9], [KB-480d9aa3-66dc-4243-a37f-5768cac799b4] --- ### 2.2.7 Dementia Care - The system shall revise requirements and evaluation for dementia care addition, including assessment for delirium and minimization of physical restraints. [KB-c2bd624b-5c92-413c-be0e-30abb7e64211] - The system shall revise requirements and evaluation for dental disease management addition for dementia patients, promoting information sharing and collaboration between primary dentists and physicians. [KB-99f12607-9c830a43-09a7-4754-8768-2280a1c7c4d0], [KB-d5f332af-4a8d-4af8-a3a3-8261a8217cb1], [KB-6325a096-0775-4575-b189-c388b3fb3707] --- ### 2.2.8 Other Functional Requirements - The system shall revise requirements and evaluation for medical technology, including new technology adoption and re-evaluation of existing technologies. [KB-a64f1d1c-0908-41ba-837c-9ebc4bde0608], [KB-ffab649b-a67a-4acf-80e1-d2c52ddeea35], [KB-5a5f94bb-dd29-4f1f-8647-be1b9469aedb] - The system shall revise requirements and evaluation for clinical laboratory tests, including new insurance-covered tests. [KB-5d6133e4-cdeb-4ac5-9baa-ce5451c553c3] - The system shall revise requirements and evaluation for program medical devices used mainly by patients for health management, including review of medical management evaluation. [KB-3946602b-77ef-4fbf-8abf-2c629ad8e56b], [KB-46559c19-059b-4235-ad61-6449cfc86d8d] - The system shall revise requirements and evaluation for medical institution business efficiency, including digitization of facility standard notifications and claims. [KB-b952325d-d264-48ac-afd5-532c6ea95025] - The system shall revise requirements and evaluation for mental health care, including telemedicine and information communication device-based psychiatric therapy. [KB-e0dc4383-67ee-4091-918d-5e929ef99278] --- ## 2.3 Interface Requirements - The system shall support provision and sharing of medical and medication information between medical institutions, pharmacies, and care managers, using documentation and information communication devices. [KB-cf3f3cae-6613-483c-82ec-6394834b6a34], [KB-cd5ee7fe-b23b-4de0-a8e1-f8ff41e250cf], [KB-13f9d33a-9d57-4158-96f2-7c33b4d90e11], [KB-4d2151dc-fa29-4352-91ee-fd6151d0b86c] --- ## 2.4 Data Requirements - The system shall support collection and management of data related to insurance medical institutions and pharmacies, including contact information, pharmacist names, and dispensing dates. [KB-bf5e76bf-9720-4fb5-8590-b39fc4fdf016], [KB-e7eef004-bf0c-43f9-9e9a-db9883abc8ea] --- [GAP: Missing data for 2. Functional Requirements] (if any requirement is not covered by the provided context) --- *All requirements are strictly based on the provided context and referenced accordingly.* ## 3. Non-Functional Requirements # 3. Non-Functional Requirements ## 3.1 Regulatory and Compliance Constraints - For insurance coverage, applications must comply with the conditions specified by the Minister of Health, Labour and Welfare. Coverage is limited to cases performed within 240 days from the date the application for insurance coverage is submitted, and only at hospitals, clinics, or pharmacies that meet the facility standards specified by the Minister [KB-10b6eef3-83b9-4f85-989d-52eedff98666], [KB-1db39487-01df-43ec-8332-a98fe5080a80], [KB-5ab9a8fb-c6b0-49c6-8519-dbe98c154013], [KB-9cab8459-80dc-4246-9f26-2fdc9a9c4cf2], [KB-f4af8acc-afde-4533-88e0-2910d6f4c88c], [KB-852b7555-31af-4e5b-8e1a-0e085ed29976]. - For medical devices, program medical devices, and regenerative medical products, insurance coverage and approval must comply with the conditions and periods specified by the Minister of Health, Labour and Welfare. Changes to approved items (such as effectiveness or usage method) require separate approval [KB-1102d56d-2dce-4df7-9cd8-a5f9242dcf2f], [KB-1d5fff79-ad72-4795-9e4e-1f991e08f732], [KB-22e74deb-6aac-4721-877b-18d1d268f072], [KB-a7072a0c-9c31-469f-8d54-898517319aeb], [KB-abbcef23-0e26-48a2-9ecc-e8214df5b875], [KB-c4ca1951-fb1a-40e5-b0de-d46e38483f8a]. ## 3.2 Calculation and Management Constraints - The following calculation constraints apply to care worker improvement additions and service provision system strengthening additions: | Addition Type | Calculation Formula | Notes | |-----------------------------------------------|----------------------------------------------|-----------------------------------------------------------------------------------------| | Care Worker Improvement Addition (Ⅴ) (1) | + designated units × 89/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (2) | + designated units × [GAP: Missing formula] | | | Care Worker Improvement Addition (Ⅴ) (3) | + designated units × 83/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (4) | + designated units × 78/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (5) | + designated units × [GAP: Missing formula] | | | Care Worker Improvement Addition (Ⅴ) (6) | + designated units × 67/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (7) | + designated units × 65/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (8) | + designated units × 79/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (9) | + designated units × 59/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (10) | + designated units × 44/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (11) | + designated units × 52/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (12) | + designated units × 48/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (13) | + designated units × 68/1000 per month | | | Care Worker Improvement Addition (Ⅴ) (14) | + designated units × 73/1000 per month | | | Service Provision System Strengthening Addition (Ⅰ) | + designated units × 100/1000 per month | | | Service Provision System Strengthening Addition (Ⅱ) | + 36 units per occurrence | | | Service Provision System Strengthening Addition (Ⅲ) | + 12 units per occurrence | | [KB-9dee249a-0ce6-43a8-ae7b-b695d7ac7a17], [KB-992e44e9-d5ba-4f88-9ed5-94bf14f522b8], [KB-e3a845c3-fa12-4e36-a01e-e974dc79fa93], [KB-d10a1682-f265-4290-8645-696a4eca8676], [KB-dd4e6f9b-5ea7-407a-a82f-7c048c4687fa], [KB-5daf830a-9837-4fc3-b7e1-bae0ff3f33ee], [KB-b0043100-5b05-44ec-91ad-d80f862b25fd], [KB-5e2814d0-0900-4bc4-994e-6dd58b56e0f9], [KB-7fbe375f-4eb6-46bb-9d89-9d5c5f02cffe], [KB-44976d5a-d3c0-4bdb-b5fe-fdb32093eec9], [KB-603908c0-953d-49c5-a13a-cde6ba241825], [KB-6454401b-880e-45df-9d50-276d993c88d7], [KB-8b25059d-8e2f-4ea4-b64b-39b0475cfe36]. - "Care Worker Improvement Addition" and "Service Provision System Strengthening Addition" are excluded from the management of payment limit amounts (支給限度額管理) for designated services [KB-51596246-f941-4c95-b3eb-a5cfeb039e8e], [KB-645385d4-54cb-467c-8144-5f22db52e6a1], [KB-c1336494-c95b-4ccd-be27-67ba6f9d04ea], [KB-70905c95-1c1e-409e-96d9-8669611c1709], [KB-cfabf651-f71f-4ce3-a1ba-b72579f4cda5], [KB-97375cea-0072-4262-97f3-f0d571b501dc], [KB-4f918019-89ee-44de-91a4-9a94f0edeb8e], [KB-32623906-89f8-4efb-8c30-40eb26bf3957], [KB-70905c95-1c1e-409e-96d9-8669611c1709], [KB-3e409869-7eaf-4094-afd9-f719b02e82fb], [KB-645385d4-54cb-467c-8144-5f22db52e6a1], [KB-7327b196-bb40-401b-990c-89d131d76a66], [KB-c4101ee7-c01e-4160-a681-85fe5be2e38a], [KB-eba350f9-1ecf-4617-ac34-0e1c22f027e6], [KB-d01af661-fcbe-46c9-b8af-eaad36d0670e], [KB-ac7edda1-9f0b-4e4b-8ef1-ccb118785487], [KB-a18e1234-396a-47ba-b31e-beb600e91214], [KB-3e409869-7eaf-4094-afd9-f719b02e82fb], [KB-cfabf651-f71f-4ce3-a1ba-b72579f4cda5], [KB-97375cea-0072-4262-97f3-f0d571b501dc], [KB-4f918019-89ee-44de-91a4-9a94f0edeb8e], [KB-32623906-89f8-4efb-8c30-40eb26bf3957], [KB-70905c95-1c1e-409e-96d9-8669611c1709], [KB-3e409869-7eaf-4094-afd9-f719b02e82fb], [KB-645385d4-54cb-467c-8144-5f22db52e6a1], [KB-7327b196-bb40-401b-990c-89d131d76a66], [KB-c4101ee7-c01e-4160-a681-85fe5be2e38a], [KB-eba350f9-1ecf-4617-ac34-0e1c22f027e6], [KB-d01af661-fcbe-46c9-b8af-eaad36d0670e], [KB-ac7edda1-9f0b-4e4b-8ef1-ccb118785487], [KB-a18e1234-396a-47ba-b31e-beb600e91214]. ## 3.3 Temporal Constraints - Certain additions, such as "Care Worker Improvement Addition (Ⅴ)", are only valid until March 31, 2025 (令和７年３月３１日まで算定可能) [KB-2089c049-4806-43af-b1ca-d5df8d3871a2], [KB-d9823346-1fec-4446-bafe-1a7213d8cf6e], [KB-51596246-f941-4c95-b3eb-a5cfeb039e8e], [KB-ded165e5-0ffc-466d-a44a-e3f2f59911b9], [KB-c58a4c86-0c61-4775-83a7-6d837a7b5e3e]. - The "Business Continuity Plan Not Formulated Deduction" (業務継続計画未策定減算) will be applied from April 1, 2025 (令和７年４月１日から適用する) [KB-28745fdd-93d7-482f-b2aa-c03fd4b81aa9], [KB-7002e3a1-0202-4e76-a44c-225449d27cfd], [KB-bcafea09-eea4-4aab-b5ca-a62b71781c25], [KB-c1336494-c95b-4ccd-be27-67ba6f9d04ea], [KB-950c72a7-37bd-4bfd-adb4-63125baaad24], [KB-f54917b1-160d-40f6-bf5d-c4aec3e0d05b], [KB-3e26eb54-e253-4fcf-98c0-4a8b69a9d938], [KB-ded165e5-0ffc-466d-a44a-e3f2f59911b9], [KB-fa59d176-d888-4794-ab96-3fcedc7caf89], [KB-b275d8f2-c60a-403d-851d-42b2e3a20b0e]. ## 3.4 Exclusion from Payment Limit Management - The following items are excluded from payment limit management (支給限度額管理): | Excluded Items | |---------------------------------------------------------------------------------------------------------| | 特別地域介護予防福祉用具貸与加算 (Special Regional Preventive Care Welfare Equipment Rental Addition) | | 中山間地域等における小規模事業所加算 (Small-scale Office Addition in Mountainous Regions, etc.) | | 中山間地域等に居住する者へのサービス提供加算 (Service Provision Addition for Residents in Mountainous Regions, etc.) | | 介護職員等処遇改善加算 (Care Worker Improvement Addition) | | サービス提供体制強化加算 (Service Provision System Strengthening Addition) | | 特別療養費 (Special Care Fee) | | 緊急時施設療養費 (Emergency Facility Care Fee) | [KB-51596246-f941-4c95-b3eb-a5cfeb039e8e], [KB-645385d4-54cb-467c-8144-5f22db52e6a1], [KB-c1336494-c95b-4ccd-be27-67ba6f9d04ea], [KB-70905c95-1c1e-409e-96d9-8669611c1709], [KB-cfabf651-f71f-4ce3-a1ba-b72579f4cda5], [KB-97375cea-0072-4262-97f3-f0d571b501dc], [KB-4f918019-89ee-44de-91a4-9a94f0edeb8e], [KB-32623906-89f8-4efb-8c30-40eb26bf3957], [KB-70905c95-1c1e-409e-96d9-8669611c1709], [KB-3e409869-7eaf-4094-afd9-f719b02e82fb], [KB-645385d4-54cb-467c-8144-5f22db52e6a1], [KB-7327b196-bb40-401b-990c-89d131d76a66], [KB-c4101ee7-c01e-4160-a681-85fe5be2e38a], [KB-eba350f9-1ecf-4617-ac34-0e1c22f027e6], [KB-d01af661-fcbe-46c9-b8af-eaad36d0670e], [KB-ac7edda1-9f0b-4e4b-8ef1-ccb118785487], [KB-a18e1234-396a-47ba-b31e-beb600e91214]. ## 3.5 Operational Constraints - If the night shift working condition deduction (夜勤勤務条件減算) is applied, the night shift nursing addition (夜間勤務等看護加算) cannot be applied [KB-135ed21d-894d-453e-b73b-e8de2bf5703d], [KB-40a52a99-163a-4301-a621-c1f046161a6f], [KB-5c416815-97da-47e4-a4c4-c464e209423f], [KB-b09df152-e38d-428e-b8e8-bea26fc03d7f]. - When "Ha" or "He" is applied, "※2" cannot be applied [KB-135ed21d-894d-453e-b73b-e8de2bf5703d], [KB-40a52a99-163a-4301-a621-c1f046161a6f], [KB-b275d8f2-c60a-403d-851d-42b2e3a20b0e], [KB-fa59d176-d888-4794-ab96-3fcedc7caf89]. ## 3.6 Business Continuity and Emergency Planning - The deduction for not formulating a business continuity plan (業務継続計画未策定減算) will be applied from April 1, 2025. However, for infection prevention and disaster planning, if guidelines and concrete plans are in place, the deduction is not applied until March 31, 2025 [KB-28745fdd-93d7-482f-b2aa-c03fd4b81aa9], [KB-b275d8f2-c60a-403d-851d-42b2e3a20b0e], [KB-fa59d176-d888-4794-ab96-3fcedc7caf89]. ## 3.7 Other Constraints - For certain additions, such as those related to infection control, the requirements and evaluation methods are subject to revision based on regulatory and operational needs [KB-44286717-f48a-4e25-8a84-638c73d9b4aa], [KB-5c3c979d-e378-4f24-80bb-8a8c21518e71], [KB-1497b4a5-d1c1-4d5a-87ca-3b1d15fc83bb], [KB-2a531b65-c901-4e8c-a03c-35398406b73b]. --- If further non-functional requirements are required, please provide additional context or source material. [GAP: Missing data for 3. Non-Functional Requirements] ## 4. Architecture 4. Architecture [GAP: Missing data for 4. Architecture]