Basic Hospital Information System Function Specification-outpatient doctor workstation System Function Specification

Article 1 The outpatient doctor workstation subsystem is a computer application that assists outpatient doctors in daily medical work. Its main task is to handle outpatient records, diagnostics, prescriptions, examinations, tests, treatment placement, surgery and health materials.
Article 2 The outpatient doctor workstation subsystem must comply with the requirements of relevant national and local laws, regulations, rules and regulations:
1. practicing physician Law of the People's Republic of China
2. Regulations on the Administration of Medical Institutions)
3. List of Medical Care subjects in medical institutions
4. basic standards for medical institutions
5. Interim Measures for the Administration of Drug Use scope in basic medical insurance for urban employees
6. Interim Measures for the Administration of Urban workers' basic medical insurance-designated medical institutions
Article 3 basic functions of the outpatient doctor workstation system:
1. automatically obtain or provide the following information:
1) patient basic information: visit card number, medical record number, name, gender, age, and medical insurance fee category.
2) Medical Information: medical history, subject complaint, current medical history, past history, etc.
3) Doctor information: department, name, title, and time of diagnosis and treatment.
4) fee information: Project name, specification, price, medical insurance fee category, quantity, etc.
5) reasonable medication information, regular usage and dose, cost, functions and indications, adverse reactions and prohibitions.
2. Support doctors in outpatient record, examination, examination, diagnosis, prescription, treatment and disposal, Health material, surgery, income Hospital, and other medical activities.
3. provides automatic monitoring and consultation functions for prescriptions: drug dose, drug interaction, incompatibility, and indications.
4. Provides Dictionary of common clinical projects, doctor's advice templates, and relevant editing functions for hospitals, departments, and doctors.
5. automatically review the integrity of the entered doctor's advice, record the doctor's name and time, once confirmed, cannot be changed, and provide the doctor's advice void function.
6. The remarks function is provided for all medical orders. physicians can enter relevant precautions.
7. Support doctors to query relevant information: previous medical information, inspection results, and comparison functions.
8. automatically calculates medical expenses and supports medical insurance fee management.
9. The printing function is provided, such as a prescription or examination application form. The printed result is signed by the relevant physician.
L0. provides doctor permission management, such as departments, levels, and functions.
11. The health check, inspection, diagnosis, prescription, treatment and treatment, surgery, hospital reception, and other medical information will be automatically sent to the relevant departments to ensure the smooth execution of the medical instruction.
Article 4 operational requirements of the outpatient doctor workstation system:
1. The outpatient doctor's workstation system cannot make decisions on behalf of doctors, nor should it limit doctors' decision-making behaviors.
2. the doctor's information generated on the outpatient doctor's workstation is the basic data source of Outpatient Pharmacy, inspection and inspection, outpatient charges, and other systems. During online operation, the data must be accurate, reliable, and fast, strong confidentiality. The system requires software and hardware contingency plans. In case of a fault, the start time of the contingency plan should be less than 5-10 minutes.