## Requirements # Requirements ## 3.1 Functional Requirements ### 3.1.1 Home Nursing Quality and Efficiency - **Requirement 3.1.1.1**: Ensure the quality of home nursing services while efficiently operating home nursing stations by clarifying managerial responsibilities and revising requirements [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272]. - **Requirement 3.1.1.2**: Establish abuse prevention measures and minimize physical restraints in home nursing, with physical restraints prohibited as a principle [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272][KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0]. ### 3.1.2 Medication Management - **Requirement 3.1.2.1**: Revise conditions and evaluation criteria for nursing assistant systems to promote collaboration between nursing staff and assistants, and minimize physical restraints [KB-05c4460e-0933-40a9-962c-fc2be422e060]. - **Requirement 3.1.2.2**: Provide medication management support for patients taking multiple medications, including individualized packaging and guidance, with points calculated based on the number of administration days [KB-07f1aee1-1797-47ce-a5e9-b2462436b453]. - **Requirement 3.1.2.3**: For controlled substances, confirm patient usage, storage, and adverse effects, and provide pharmaceutical management and guidance [KB-08289384-33b4-4060-8531-77d29c0895ef][KB-08876a43-c1e4-4b7f-8517-0cd67e273533]. ### 3.1.3 Home Care and Discharge Guidance - **Requirement 3.1.3.1**: Revise evaluation criteria for comprehensive support measures in home care to better assess patient conditions [KB-09f32992-f81b-4576-aaa4-262f9f8d8579]. - **Requirement 3.1.3.2**: Provide medication guidance for patients discharged from hospitals, with insurance pharmacists designated by patients to confirm post-discharge medication management [KB-061bef49-5443-4529-80cb-0067c3bedc4f][KB-06db46ba-7647-483b-9f38-f7fa62a24d77]. ### 3.1.4 Abuse Prevention and Physical Restraint Minimization - **Requirement 3.1.4.1**: Mandate the establishment of abuse prevention systems in home nursing and prohibit physical restraints as a principle [KB-15bc6074-4d74-4461-9c88-c2c778b6b986][KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0]. - **Requirement 3.1.4.2**: Minimize physical restraints in medical institutions by establishing organizational systems to reduce their use [KB-8445364a-473a-46bc-8207-fb1f2671bde6]. ### 3.1.5 Medication Safety and Guidance - **Requirement 3.1.5.1**: For high-risk medications, confirm patient usage, adverse effects, and provide pharmaceutical management and guidance, adding 5 points for specific cases [KB-08289384-33b4-4060-8531-77d29c0895ef][KB-08876a43-c1e4-4b7f-8517-0cd67e273533]. - **Requirement 3.1.5.2**: Add 22 points for pharmaceutical management guidance when controlled substances are prescribed, with a limit of 100 points per instance [KB-08289384-33b4-4060-8531-77d29c0895ef][KB-10f23eda-03d3-4220-8642-6ff7cbf64700]. ### 3.1.6 Home Nursing Station Efficiency - **Requirement 3.1.6.1**: Revise the 24-hour response system for home nursing stations to reduce nursing workload and improve evaluation systems [KB-06db46ba-7647-483b-9f38-f7fa62a24d77]. - **Requirement 3.1.6.2**: Clarify managerial responsibilities and revise requirements for home nursing stations to ensure efficient operations [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0]. ### 3.1.7 Specialized Medication Management - **Requirement 3.1.7.1**: Add 100 points for specific medication management guidance for patients with malignant tumors, limited to once per month [KB-1a041fdb-9f3f-4485-887a-113bbc6d3aa7]. - **Requirement 3.1.7.2**: Add 5 points for initial prescriptions of high-risk medications, limited to one instance per patient [KB-1deff0da-ee71-4c91-9c5b-76f0767d90da]. ### 3.1.8 Emergency and Frequent Home Visits - **Requirement 3.1.8.1**: Revise requirements and evaluation for emergency home nursing to ensure appropriate service delivery [KB-4be6a015-623d-440c-95dd-a51bf556ebbd]. - **Requirement 3.1.8.2**: Revise conditions for frequent home visits to better assess patient needs [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0]. ## 3.2 Non-Functional Requirements ### 3.2.1 Data Security and Privacy - **Requirement 3.2.1.1**: Ensure secure management of medical records and implement cybersecurity measures for ICT systems during emergencies [KB-f2bbf07b-2196-40f3-9da7-66b45e6dd128]. ### 3.2.2 Interoperability - **Requirement 3.2.2.1**: Enable information sharing between medical institutions and pharmacies for medication management, including drug use status and adverse effects [KB-cf3f3cae-6613-483c-82ec-6394834b6a34]. ## 3.3 Business Requirements ### 3.3.1 Medication Management Fees - **Requirement 3.3.1.1**: Add 30 points for inhalation medication guidance, limited to once every three months [KB-604920cd-689f-4a10-97db-9faeb614d499]. - **Requirement 3.3.1.2**: Add 350 points for specific pediatric care, requiring direct confirmation with patients or families and documentation in medical records [KB-6bb697eb-fdad-4cda-a697-9d148e072b9d]. ### 3.3.2 Emergency and Critical Care - **Requirement 3.3.2.1**: Revise evaluation criteria for emergency home care guidance to ensure timely support for patients with sudden condition changes [KB-4fc322f9-642f-4801-89c3-cb70c9af6ab1]. ## 3.4 Constraints ### 3.4.1 Prohibited Practices - **Requirement 3.4.1.1**: Prohibit the calculation of "Medication Information Provision Fee" when specific pharmaceutical management guidance is provided [KB-31de50ce-f3df-4fb0-a0bd-6a1ce5795463]. ### 3.4.2 Limitations - **Requirement 3.4.2.1**: Limit the calculation of pharmaceutical management guidance for controlled substances to once per month [KB-10f23eda-03d3-4220-8642-6ff7cbf64700]. --- **Note**: All requirements are derived directly from the provided context. No external knowledge was used.