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  "generated_at": "2026-06-03T07:56:51Z",
  "question": "门诊超量开药应该核对哪些医保审核依据？ 需要补充核验哪些原始凭证？ 的适用条件和例外情况是什么？",
  "answer": "问题：门诊超量开药应该核对哪些医保审核依据？ 需要补充核验哪些原始凭证？ 的适用条件和例外情况是什么？\n当前回答由检索依据直接组成，未生成无引用结论。\n法规依据：\n- …必须按照国家统一的会计制度的规定对原始 凭证进行审核，对不真实、不合法的原始凭证有权不予接受，并向单 位负责人报告；对记载不准确、不完整的原始凭证予以退回，并要求 按照国家统一的会计制度的规定… [C1]\n规则依据：\n- …药品，在实际监管工作中除外。 68. 超说明书用量开药 （1）定义：对超说明书给定剂量范围开药情形进行监管。 （2）逻辑：就诊信息中药品开药剂量大于药品说明书中最大剂量时违反此规则。 （3）规… [C2]\n- …可组织专家论证常见的可跨性别使用的性别限定药品，在实际监管工作中除外。 68. 超说明书用量开药 （1）定义：对超说明书给定剂量范围开药情形进行监管。 （2）逻辑：就诊信息中药品开药剂量大于药 [C3]",
  "confidence": "high",
  "confidence_label": "高",
  "fallback_used": true,
  "fallback_label": "检索直出",
  "review_gate": "可进入人工复核",
  "review_notice": "该导出为审计线索和人工复核底稿，不替代正式审计结论。",
  "review_checklist": [
    "核对引用片段是否完整覆盖问题。",
    "打开原文确认条款上下文。",
    "检查目录、规则、法规版本是否适用。",
    "确认是否还需 HIS 原始凭证补证。"
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