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["附件："]
["HIS信息系统改造需求明细表"]
["模块","内容","类别","工作量\n（人日）","备注"]
["系统类","1.HIS信息系统接入广州市检验检查结果互认平台，我院检查检验结果能按指定方式传输到广州市检验检查结果互认平台，我院医生站程序能查看到互认平台上其它医院检验检查结果。","接口开发",55]
[null,"2.医保结算清单和电子病历上传医保中心的过程中病人基本信息改由广东省病案系统数据库读取。","功能改造",3]
[null,"3.异地医保病人通过刷医保电子凭证、医保卡、身份证的方式（医保系统不支持的方式除外）进行门诊、住院收费结算和住院登记，稳定性改造，出现异常情况能提醒收费员如何处理。","功能改造",3]
[null,"4.广州医保、省直医保、异地医保、工伤医保等病人的入院、结算、撤销结算等操作按类型整合到同一个操作界面、同一个按钮。","功能改造",3]
[null,"5.门诊挂号和收费流程改造，收费的时候自动加载诊查费，参与医保结算，多退少补。（移动支付也是同样流程）","功能改造",3]
[null,"6.异地医保结算不再需要手动输入区划代码（医保系统不支持除外）。","功能改造",5]
[null,"7.医保病人结算时，负数费用冲正按目前的处理逻辑可能会出现调价项目无法冲正成功的情况，需要调整目前的冲正逻辑。","功能改造",8]
[null,"8.国家公立医院绩效考核病案数据上传数据包自动生成","接口开发",5]
[null,"9.医保结算清单上传和医保病案上传整合到一个程序里面去。","功能改造",5]
[null,"10.病案信息上传时，死亡和入院24小时出院病人的信息不会自动读取到录入框，手工录入的时候入院诊断只能填8条（需要更改到可以填20条）；诊疗情况输入框只能输入800以内字数（需要更改到2000字）","功能改造",3]
[null,"11.检验流程跟踪记录，记录每一个时间点例如取样时间、化验时间等等。","功能改造",3]
[null,"12.心电图接入系统，实现电子化。","接口开发",8]
[null,"13.护理文书对接医生工作站，医生可以查看部分护理数据。","接口开发",5]
[null,"14.影像系统增加外出体检使用的功能，影像系统和机器在院外使用，回来医院再将影像资料传输到服务器，然后出报告。","接口开发",3,"设备需要是标准dicom协议，患者信息列表传输后可以本地保存"]
[null,"15.将影像系统拍片信息传输给体检系统。","接口开发",10,"在第三方体检系统配合下，完成接口调整。"]
[null,"16.自动划价程序增加双重校验机制，杜绝多收漏收。","功能改造",5]
[null,"17.系统运算速度提高","功能改造",8]
["收费类","1.住院登记程序修改，收费员办理登记时候，系统自动读取病人上次住院的基本信息。","功能改造",1]
[null,"2.收费室增加身份证读卡设备，方便收费员办理病人信息录入。","功能改造",2]
[null,"3.住院登记程序修改，收费员办理登记时候，增加重复入院标识，标识上传医保系统","功能改造",1]
["药剂管理类","1.更加精准的医生处方权限的限制(抗生素用药，麻醉药品用药）","功能改造",5]
[null,"2.药房、药库批号应遵循“先进先出、近效期先出的原则来出库所有药品","功能改造",5]
[null,"3增加中药标签打印功能","功能改造",3]
[null,"4.完善药理信息维护（药库目录维护---药品基本信息--药理信息维护--禁用溶媒）","功能改造",3]
[null,"5.药库系统-药品基本信息-将是否中标改为是否“中选”,药库系统-药品基本信息-将“省基本药物”改为国家集中带量采购药品并添加一项地区集中带量采购药品,药库系统-药品基本信息-将是否GMP改为是否“国谈”并添加“重点监控药物”","功能改造",3]
[null,"6.在同一个界面体现进销存","功能改造",5]
[null,"7.药品疗程弹框提示","功能改造",1]
[null,"8.添加药品扫描入库的功能，将所有信息直接导入。","功能改造",3]
[null,"9.信息及时同步，药房已经关停某个药品，医生开处方或医嘱涉及到这个药品，需要在不重启医生站的情况有提醒，并且不允许开出该药品","功能改造",5]
[null,"10.在药房提取摆药单的时候判断药品是否该摆，在药房点击发药的时候再次判断药品是否该摆。","功能改造",3]
[null,"11.药房盘点和实时库存查询准确度需要达到99%以上","功能改造",8]
["消耗品管理","1.消耗品一级、二级库存管理更加规范，进销存功能完善。开展科室库存（三级库存）管理,具有进货和使用量对比的相关报表","功能改造",25]
["报表类","1.公立医院绩效考核相关报表","新增报表",5]
[null,"2.医保数据相关报表","新增报表",5]
[null,"3.医疗管理相关报表","新增报表",4]
[null,"4.药剂管理相关报表","新增报表",4]
[null,"5、财务管理相关报表","新增报表",4]
[null,"6、其它报表","新增报表",4]
["住院医生站","1.住院处方作废流程改造（同名中药处方作废，已记账处方作废流程）","功能改造",3]
[null,"2.限制用药弹框界面优化，弹框信息里面增加药品的处方号码。","功能改造",1]
[null,"3.按床日结算病人和中医优势住院病种病人在天健系统需要有标识，方便日后统计。","功能改造",1]
[null,"4.长期医嘱重复开时即有相同长嘱未停医嘱时提示出来。","功能改造",1]
["护理类","1.增加预出院功能，通过改功能预先判断收费异常情况，及时提醒护士处理","功能改造",2]
[null," 2.增加手腕带信息打印。","功能改造",1]
[null,"3.流动统计增加病危病重人数","功能改造",1]
[null,"5.中药处方医嘱执行，添加护士签名","功能改造",1]
[null,"6.鼻饲泵入的营养液、静滴的白蛋白、输血治疗等不是滴注的用药，也需要打印瓶签。","功能改造",2]
[null,"7.门诊护士站增输液瓶签打印功能","功能改造",2]
[null,"8.增加门诊检验标本标签打印","功能改造",1]
["合计：",null,null,"250（人日）"]

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