## Requirements # 5. Requirements This section outlines the functional and, where available, business and interface requirements for the system, based strictly on the provided context. Requirements are organized by domain and topic, with explicit references to the source material. --- ## 5.1 Functional Requirements ### 5.1.1 Home-Visit Nursing - The responsibilities of administrators at home-visit nursing stations must be clarified and requirements reviewed to ensure efficient operation while maintaining the quality of home-visit nursing services. [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272] - Systems must promote the establishment of organizational structures for abuse prevention measures in home-visit nursing and generally prohibit physical restraints. [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272], [KB-e14d657a-8970-4e3e-9ccb-5662af7d6525] - Requirements and evaluation criteria for frequent visit add-on fees and the responsibilities of administrators must be reviewed to ensure appropriate assessment based on patient conditions. [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0] - The requirements and evaluation system for the 24-hour response system add-on must be revised to consider initiatives that reduce the burden of nursing work and to review the handling of communication systems related to 24-hour response. [KB-06db46ba-7647-483b-9f38-f7fa62a24d77] - The requirements and evaluation for emergency home-visit nursing add-on must be reviewed to ensure appropriate provision of emergency designated home-visit nursing and to revise the content required in the home-visit nursing care fee statement. [KB-4be6a015-623d-440c-95dd-a51bf556ebbd] - Requirements and evaluation for home-visit nursing management care fees must be reviewed to strengthen the functions of home-visit nursing stations, ensuring high-quality and effective care that meets diverse user and regional needs. [KB-aeb72a17-5d44-4c8e-b3c6-e83c459da003] --- ### 5.1.2 Physical Restraint Minimization - Medical institutions must establish organizational systems to minimize the use of physical restraints, strengthening initiatives to reduce their use as part of the basic hospitalization fee. [KB-8445364a-473a-46bc-8207-fb1f2671bde6], [KB-edc81296-4474-4138-a404-f797f293eb19] - The requirements and evaluation for the nursing assistant system enhancement add-on must be reviewed to further promote the division and collaboration of duties between nursing staff and assistants, and to encourage efforts to minimize physical restraint. [KB-05c4460e-0933-40a9-962c-fc2be422e060] --- ### 5.1.3 Medication Management and Guidance - Pharmacists must provide necessary guidance to patients regarding medication management, including for those requiring special safety management (e.g., narcotics, high-risk drugs), and document such guidance as required. [KB-08876a43-c1e4-4b7f-8517-0cd67e273533], [KB-10f23eda-03d3-4220-8642-6ff7cbf64700], [KB-31de50ce-f3df-4fb0-a0bd-6a1ce5795463], [KB-ad7d4dc3-8896-4c1b-92c7-8d969120b377], [KB-66969593-ac17-45cd-a41d-f335a2406225], [KB-24385190-0703-42d1-a834-6854e998b904] - For patients prescribed multiple medications or those with difficulty self-administering, pharmacists must support medication management, including packaging and providing necessary instructions, and report results to the prescribing medical institution. [KB-2f8bb1e8-7cd1-4808-802d-61cbf1dea96e], [KB-ff3ce6e4-b5ec-4058-afe5-c24124781336] - When duplicate prescriptions are identified, pharmacists must propose solutions to the prescribing physician in writing, and points are calculated once every three months. [KB-50d4fc2a-962d-4820-a105-6ba2a2e0f2bb], [KB-f2bbf07b-2196-40f3-9da7-66b45e6dd128] - For high-risk drugs, pharmacists must confirm the medication status, side effects, and provide necessary pharmaceutical management and guidance, with additional points added per case. [KB-f271747d-fadb-4d69-9ff8-ea0f4702f4f2], [KB-fde2b685-c7c4-44c8-9de7-3a7051dd9005] --- ### 5.1.4 Discharge and Home Care Support - Pharmacists at designated pharmacies must, with patient consent, provide collaborative discharge guidance for patients transitioning from inpatient to home care, and document the guidance provided. [KB-061bef49-5443-4529-80cb-0067c3bedc4f], [KB-1eebb670-f513-40ab-a8bc-7127863e3404], [KB-44db8f45-e972-47c4-ba46-8ad6a816615e] - For home care patients, pharmacists must provide emergency collaborative guidance as requested by the attending physician, with appropriate documentation and point calculation. [KB-4fc322f9-642f-4801-89c3-cb70c9af6ab1], [KB-5b2ae222-dd34-4f8c-b2de-0e51e6778c29], [KB-d1dea226-c0ae-4dfe-b0ce-d6cb90c165fb] --- ### 5.1.5 Dementia and Abuse Prevention - Systems must support the organizational establishment of abuse prevention measures in home-visit nursing, and the minimization of physical restraints for dementia patients, including requirements for assessment and care add-ons. [KB-c2bd624b-5c92-413c-be0e-30abb7e64211], [KB-8445364a-473a-46bc-8207-fb1f2671bde6], [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272], [KB-e14d657a-8970-4e3e-9ccb-5662af7d6525] --- ### 5.1.6 Information Provision and Interoperability - After dispensing, pharmacists must continue to monitor medication use and provide necessary information to medical institutions in writing, with patient consent, and calculate points once per month. [KB-37919876-98a0-4f81-879a-7de2d13e4a0f], [KB-0dc6dd3d-3ecc-4685-9f43-b8bcb2ab8ce4], [KB-c35807e4-304e-4ba2-8e86-e1404c20a9fd] - Systems must enable information sharing and collaboration between dental and medical professionals, and between dental institutions and pharmacies, regarding patient medication and treatment status. [KB-cf3f3cae-6613-483c-82ec-6394834b6a34], [KB-4d2151dc-fa29-4352-91ee-fd6151d0b86c] --- ### 5.1.7 Pediatric and Special Needs Care - For patients with disabilities as defined by the Child Welfare Act, pharmacists must confirm necessary information directly with the patient or their family, provide required medication guidance, and record the guidance in the patient’s handbook, with additional points calculated. [KB-6bb697eb-fdad-4cda-a697-9d148e072b9d], [KB-ba91d9ab-b335-4929-9779-694ba115ef39] --- ### 5.1.8 Safety and Security - Systems must comply with guidelines for the secure management of medical information systems, including cyber security measures and requirements for medical record management add-ons. [KB-f2add61c-f758-48b5-bf48-6956eec6aa8a] --- ## 5.2 Business Requirements - The requirements and evaluation for business processes, such as the submission of facility standards and electronic claims, must be reviewed to promote efficiency and reduce administrative burden for healthcare workers. [KB-b952325d-d264-48ac-afd5-532c6ea95025] --- ## 5.3 Interface Requirements - The system must support the acquisition and utilization of patient medical and medication information via online qualification confirmation systems during the initial home-visit nursing session, to enable planned management and provision of high-quality care. [KB-9e53203f-143a-4301-abb8-e7bd7dde87af] --- ## 5.4 Constraints - For certain add-ons (e.g., home care emergency collaborative guidance), calculation is limited to twice per month, and may not be available in pharmacies designated by the Minister of Health, Labour and Welfare under specific regulations. [KB-473d2d4d-0a06-4fe0-990e-29bef944a7c7], [KB-95340505-f820-4879-9646-0167a0508c15] --- ## 5.5 [GAP: Missing data for Requirements] - Any requirements not explicitly covered in the provided context are noted as gaps and require further clarification or additional source material. --- **References:** All requirements are directly referenced from the provided knowledge base context, with block IDs as cited above.