## Requirements

# Requirements

This section defines the functional and business requirements for the relevant healthcare domains, based strictly on the provided context.

## 1. Functional Requirements

### 1.1 Home Nursing (訪問看護)
- The responsibilities of administrators at home nursing stations must be clarified, and requirements reviewed to ensure efficient operation while maintaining quality of care [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272].
- Measures to prevent abuse and optimize physical restraint in home nursing must be institutionalized, with physical restraint generally prohibited [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272], [KB-e14d657a-8970-4e3e-9ccb-5662af7d6525].
- The requirements and evaluation criteria for frequent visit additions must be reviewed to better reflect patient conditions [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0].
- The requirements and evaluation for 24-hour response system additions must be reviewed, considering initiatives to reduce nursing workload and revising contact system handling [KB-06db46ba-7647-483b-9f38-f7fa62a24d77].
- Requirements and evaluation for emergency home nursing additions must be reviewed, including revision of claim forms [KB-4be6a015-623d-440c-95dd-a51bf556ebbd].
- Requirements and evaluation for home nursing management fees must be reviewed to strengthen station functions and address diverse user and regional needs [KB-aeb72a17-5d44-4c8e-b3c6-e83c459da003].
- Requirements for discharge support guidance additions must be enhanced to reflect patient status and nursing provision on discharge day [KB-b375a84b-c77e-4084-a4a2-a2e0f2c22a9a].
- The introduction of online qualification confirmation systems for home nursing must be evaluated, with new assessments for planned management using acquired patient information [KB-9e53203f-143a-4301-abb8-e7bd7dde87af].

### 1.2 Nursing and Physical Restraint
- Requirements and evaluation for nursing assistant system enhancement additions must be reviewed to promote task sharing and minimize physical restraint [KB-05c4460e-0933-40a9-962c-fc2be422e060].
- Medical institutions must establish organizational systems to minimize physical restraint [KB-edc81296-4474-4138-a404-f797f293eb19], [KB-8445364a-473a-46bc-8207-fb1f2671bde6].

### 1.3 Medication Management and Guidance
- Requirements for medication management must include support for patients and families in organizing medications brought to pharmacies, with information provided to medical institutions [KB-2f8bb1e8-7cd1-4808-802d-61cbf1dea96e].
- Requirements for medication guidance must include the provision of necessary guidance to patients, especially for high-risk medications and narcotics, with appropriate documentation and scoring [KB-24385190-0703-42d1-a834-6854e998b904], [KB-66969593-ac17-45cd-a41d-f335a2406225], [KB-ad7d4dc3-8896-4c1b-92c7-8d969120b377], [KB-10f23eda-03d3-4220-8642-6ff7cbf64700], [KB-31de50ce-f3df-4fb0-a0bd-6a1ce5795463].
- Requirements for medication information provision must include monthly documentation to medical institutions, physicians, and care managers as appropriate [KB-c35807e4-304e-4ca5-8e86-e1404c20a9fd], [KB-37919876-98a0-4f81-879a-7de2d13e4a0f].
- Requirements for medication management must include proposals to physicians for resolving duplicate prescriptions, with scoring limited to once every three months [KB-50d4fc2a-962d-4820-a105-6ba75b15cf4c], [KB-f2bbf07b-2196-40f3-9da7-66b45e6dd128].
- Requirements for inhalation drug guidance additions must include documentation and use of practice inhalers, with scoring limited to once every three months [KB-604920cd-689f-4a10-97db-9faeb614d499], [KB-ef609548-ff37-4388-9fd5-c638d8bf6eab].
- Requirements for pediatric-specific additions must include direct confirmation and guidance for children with disabilities, with documentation in a notebook and scoring [KB-6bb697eb-fdad-4cda-a697-9d148e072b9d], [KB-ba91d9ab-b335-4929-9779-694ba115ef39].
- Requirements for adverse effect management must include documentation and guidance for patients with adverse effects, with scoring [KB-1deff0da-ee71-4c91-9c5b-76f0767d90da], [KB-e8ad7124-d716-4649-9f50-064344c869d7].
- Requirements for medication guidance using information and communication technology (ICT) must be included, with scoring per prescription [KB-aa54fa9a-3239-4b1e-8e7d-f1996a6420e8], [KB-f77500df-52fe-450b-80c7-cbf364803425].
- Requirements for medication guidance in special facilities (e.g., nursing homes) must be included, with scoring [KB-f77500df-52fe-450b-80c7-cbf364803425].

### 1.4 Discharge Guidance
- Requirements for discharge guidance must include joint guidance fees for designated pharmacies providing post-discharge home medication management, with scoring [KB-061bef49-5443-4529-80cb-0067c3bedc4f], [KB-1eebb670-f513-40ab-a8e2-7127863e3404], [KB-44db8f45-e972-47c4-ba46-8ad6a816615e].

### 1.5 Dementia Care
- Requirements for dementia care additions must be reviewed to promote assessment and minimize physical restraint, including delirium identification [KB-c2bd624b-5c92-413c-be0e-30abb7e64211].
- Requirements for dental disease management additions for dementia patients must be reviewed to promote information sharing and collaboration [KB-99f12607-9f08-40a0-abb5-7c958e92d05d], [KB-d5f332af-4a8d-4af8-a3a3-8261a8217cb1], [KB-6325a096-0775-4575-b189-c388b3fb3707].

### 1.6 Cancer Care and Chemotherapy
- Requirements for outpatient cancer chemotherapy must be reviewed to ensure safe and secure implementation, with new assessments for pharmacist pre-examination and information provision [KB-ae822bb5-db0a-4310-9d78-651887df1be2], [KB-f700221a-650f-4f32-ada0-aff43c6a8ba9].

### 1.7 Palliative Care
- Requirements for palliative care must be reviewed to support pediatric palliative care and evaluate guidance for narcotic injection management in home settings [KB-480d9aa3-66dc-4243-a37f-5662af7d6525], [KB-a37a229d-a301-4e7f-8fcb-6324bf53e88d], [KB-7feb02b9-5c22-4143-be1d-bdddef349def].
- Requirements for ICT utilization in palliative care must be included to support information sharing among healthcare providers during end-of-life care [KB-fa0fdacb-f933-4296-8d0b-ac501b9102a5], [KB-ef95bdaa-ef0b-4848-bf4b-a5c073be5ba9].

### 1.8 Stroke Care
- Requirements for acute stroke care must be reviewed to promote t-PA therapy and thrombectomy in underserved areas, with new assessments for collaborative implementation [KB-756163a1-0f55-439f-af3c-df24ec1730ad], [KB-c8459382-6685-4ba2-b7b8-f7a8be6f4afe], [KB-c1b6365e-b34e-410b-ac5d-64e07546e891], [KB-a1c5144b-9c03-4494-8d4f-ef88d8051c06].

### 1.9 Oral Function and Dental Care
- Requirements for oral function management and evaluation must be reviewed to promote stage-appropriate management and objective assessment [KB-3ed45171-4c40-4e89-9640-f4c1995c3d49], [KB-55a5d584-6926-4b26-9155-c82fd864073e], [KB-6325a096-0775-4575-b189-c388b3fb3707].
- Requirements for perioperative oral function management must be reviewed for patients receiving scheduled surgery [KB-2c3ae029-fe1e-4a01-9a81-f0d7106adac9].
- Requirements for dental disease management and prevention must be reviewed, including additions for high-risk caries and periodontal disease [KB-b20115c0-dfac-4691-b5d7-1d6e8ec40744], [KB-eebfa16b-b49a-4568-9b3d-96e4e136aa44].
- Requirements for information sharing and collaboration between dental and medical/pharmacy institutions must be reviewed [KB-cf3f3cae-6613-483c-82ec-6394834b6a34].

### 1.10 Rehabilitation and Elderly Care
- Requirements for comprehensive provision of rehabilitation, nutrition management, discharge support, and home return functions for elderly acute patients must be included [KB-e42d5a49-750c-4718-b2db-55360e448c01], [KB-43486f34-da66-4a24-88a9-80f4681a98b2].

### 1.11 Medical Technology Evaluation
- Requirements for medical technology evaluation must be reviewed to prioritize insurance introduction of new technologies and re-evaluate existing ones [KB-a64f1d1c-0908-41ba-837c-9ebc4bde0608], [KB-ffab649b-a67a-4acf-80e1-d2c52ddeea35], [KB-5a5f94bb-dd29-4f1f-8647-be1b9469aedb].

### 1.12 Information and Communication Technology (ICT)
- Requirements for ICT utilization in medical and dental care, including remote diagnosis and guidance, must be reviewed and newly evaluated [KB-917a0021-4179-46ea-ac1d-4d70ec48b2f4], [KB-e0dc4383-67ee-4091-918d-5e929ef99278], [KB-d54d86c7-7d07-4321-aa16-d25bc8f6524a].

### 1.13 Medical Safety and Record Management
- Requirements for medical safety must be reviewed, including the need for special measures in intensive care units and laparoscopic surgery [KB-360b6f6e-0849-4755-9436-c9fda0dba185].
- Requirements for medical record management must include cyber security measures for emergency preparedness [KB-f2add61c-f758-48b5-bf48-6956eec6aa8a].

## 2. Business Requirements

- Requirements for scoring and documentation of various guidance and management activities must be defined, including monthly and per-visit limitations [KB-20775cd7-be3a-4a41-a8e2-53ac409c2538], [KB-5398730a-d7b5-4d8b-830e-5282b5bf61c8], [KB-fde2b685-c7c4-44d8-9de7-3a7051dd9005].
- Requirements for electronic submission of facility standards and claims must be included to promote efficiency [KB-b952325d-d264-48ac-afd5-532c6ea95025].

## 3. Constraints

- Scoring for certain guidance and management activities is limited to specific frequencies (e.g., monthly, twice per month, once every three months) [KB-473d2d4d-0a06-4fe0-990e-29bef944a7c7], [KB-95340505-f820-4879-9646-0167a0508c15], [KB-3471e397-bc65-485a-89e4-733c6e99747b].

## 4. Quality and Security Requirements

- Requirements for cyber security and information management must be included for medical record systems [KB-f2add61c-f758-48b5-bf48-6956eec6aa8a].
- Requirements for safe and effective use of ICT in pediatric mental health and remote guidance must be reviewed [KB-82af478a-eb1e-461e-befc-c32755e8d262], [KB-e0dc4383-67ee-4091-918d-5e929ef99278].

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[GAP: Missing data for Requirements] (if any specific requirements are not covered by the provided context)

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**References:**  
- [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272]  
- [KB-e14d657a-8970-4e3e-9ccb-5662af7d6525]  
- [KB-05c4460e-0933-40a9-962c-fc2be422e060]  
- [KB-edc81296-4474-4138-a404-f797f293eb19]  
- [KB-8445364a-473a-46bc-8207-fb1f2671bde6]  
- [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0]  
- [KB-06db46ba-7647-483b-9f38-f7fa62a24d77]  
- [KB-4be6a015-623d-440c-95dd-a51bf556ebbd]  
- [KB-aeb72a17-5d44-4c8e-b3c6-e83c459da003]  
- [KB-b375a84b-c77e-4084-a4a2-a2e0f2c22a9a]  
- [KB-9e53203f-143a-4301-abb8-e7bd7dde87af]  
- [KB-24385190-0703-42d1-a834-6854e998b904]  
- [KB-66969593-ac17-45cd-a41d-f335a2406225]  
- [KB-ad7d4dc3-8896-4c1b-92c7-8d969120b377]  
- [KB-10f23eda-03d3-4220-8642-6ff7cbf64700]  
- [KB-31de50ce-f3df-4fb0-a0bd-6a1ce5795463]  
- [KB-c35807e4-304e-4ca5-8e86-e1404c20a9fd]  
- [KB-37919876-98a0-4f81-879a-7de2d13e4a0f]  
- [KB-50d4fc2a-962d-4820-a105-6ba75b15cf4c]  
- [KB-f2bbf07b-2196-40f3-9da7-66b45e6dd128]  
- [KB-604920cd-689f-4a10-97db-9faeb614d499]  
- [KB-ef609548-ff37-4388-9fd5-c638d8bf6eab]  
- [KB-6bb697eb-fdad-4cda-a697-9d148e072b9d]  
- [KB-ba91d9ab-b335-4929-9779-694ba115ef39]  
- [KB-1deff0da-ee71-4c91-9c5b-76f0767d90da]  
- [KB-e8ad7124-d716-4649-9f50-064344c869d7]  
- [KB-aa54fa9a-3239-4b1e-8e7d-f1996a6420e8]  
- [KB-f77500df-52fe-450b-80c7-cbf364803425]  
- [KB-061bef49-5443-4529-80cb-0067c3bedc4f]  
- [KB-1eebb670-f513-40a8-a8e2-7127863e3404]  
- [KB-44db8f45-e972-47c4-ba46-8ad6a816615e]  
- [KB-c2bd624b-5c92-413c-be0e-30abb7e64211]  
- [KB-99f12607-9f08-40a0-abb5-7c958e92d05d]  
- [KB-d5f332af-4a8d-4af8-a3a3-8261a8217cb1]  
- [