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@@ -0,0 +1,1060 @@
+  
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+# **上海经创贺联信息技术有限公司**
+
+# **信创版HIS管理系统V1.0**
+
+ 
+
+
+
+## **软件操作说明书**
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+### **目录**
+
+[一、 系统管理............................................................................................................. 4](#_Toc198)
+
+[1.1 角色管理........................................................................................................... 4](#_Toc24868)
+
+[1.2 科室管理........................................................................................................... 6](#_Toc25148)
+
+[1.3 用户管理........................................................................................................... 7](#_Toc7816)
+
+[1.4 基础字典......................................................................................................... 10](#_Toc30807)
+
+[1.5 菜单管理......................................................................................................... 11](#_Toc5764)
+
+[1.6 号源(费用)管理................................................................................................ 12](#_Toc29216)
+
+[1.7 个性化设置...................................................................................................... 13](#_Toc21010)
+
+[1.8 库房管理......................................................................................................... 15](#_Toc23132)
+
+[二、 门诊管理........................................................................................................... 17](#_Toc1997)
+
+[2.1 门诊挂号......................................................................................................... 17](#_Toc12410)
+
+[2.2门诊退号.......................................................................................................... 21](#_Toc22437)
+
+[2.3门诊收费.......................................................................................................... 23](#_Toc8702)
+
+[2.3门诊退费.......................................................................................................... 26](#_Toc22806)
+
+[2.4门诊日结.......................................................................................................... 27](#_Toc12372)
+
+[2.5门诊收费记录................................................................................................... 27](#_Toc14390)
+
+[2.6 门诊收费报表.................................................................................................. 30](#_Toc11823)
+
+[2.7 挂号查询......................................................................................................... 30](#_Toc16406)
+
+[2.8 医保对账......................................................................................................... 31](#_Toc6364)
+
+[2.9门诊划价.......................................................................................................... 32](#_Toc25929)
+
+[2.10门诊处置........................................................................................................ 33](#_Toc13618)
+
+[2.11输液记录........................................................................................................ 35](#_Toc14740)
+
+[2.12皮试记录........................................................................................................ 38](#_Toc21770)
+
+[2.13电子处方管理................................................................................................. 39](#_Toc14856)
+
+[三、 医生工作站....................................................................................................... 42](#_Toc4446)
+
+[3.1 医生角色登录.................................................................................................. 42](#_Toc13086)
+
+[3.2病历.................................................................................................................. 42](#_Toc26243)
+
+[3.3诊断.................................................................................................................. 45](#_Toc4754)
+
+[3.4医嘱.................................................................................................................. 47](#_Toc19231)
+
+[四、 库房管理........................................................................................................... 56](#_Toc31998)
+
+[4.1 药房医师角色登录........................................................................................... 56](#_Toc24510)
+
+[4.2目录管理.......................................................................................................... 56](#_Toc28053)
+
+[4.3药品目录.......................................................................................................... 57](#_Toc1085)
+
+[4.4器材目录.......................................................................................................... 59](#_Toc6250)
+
+[4.5厂商/产地......................................................................................................... 60](#_Toc18789)
+
+[4.6 采购入库......................................................................................................... 61](#_Toc19487)
+
+[4.7采购退货.......................................................................................................... 63](#_Toc10337)
+
+[4.8批量盘点.......................................................................................................... 65](#_Toc13819)
+
+[4.9采购管理.......................................................................................................... 67](#_Toc30462)
+
+[4.10库房盘点........................................................................................................ 69](#_Toc17329)
+
+[4.11领用出库........................................................................................................ 70](#_Toc1749)
+
+[4.12领用退库........................................................................................................ 71](#_Toc30817)
+
+[4.13报损管理........................................................................................................ 71](#_Toc3786)
+
+[4.14库存明细记录................................................................................................. 71](#_Toc30358)
+
+[4.15门诊发药........................................................................................................ 72](#_Toc14731)
+
+[4.16门诊退药........................................................................................................ 74](#_Toc20308)
+
+[4.17库房审批........................................................................................................ 76](#_Toc18669)
+
+[4.18发药明细........................................................................................................ 77](#_Toc26226)
+
+[4.19待发药查询..................................................................................................... 78](#_Toc32097)
+
+[4.20采购入库明细报表.......................................................................................... 78](#_Toc32461)
+
+[4.21领用出库明细报表.......................................................................................... 78](#_Toc10704)
+
+[4.22库存商品明细查询报表.................................................................................. 79](#_Toc21790)
+
+[4.23盘点明细报表................................................................................................. 79](#_Toc24483)
+
+[4.24采购退货明细报表.......................................................................................... 80](#_Toc9847)
+
+ 
+
+ 
+
+# 一、系统管理
+
+### 1.1 角色管理
+
+这里添加医院所有工作人员的角色，点击新增添加角色，并且为角色添加菜单权限。
+
+![image-20260224115045413](~@img/png/HISOperationManual/image-20260224115045413.png)
+
+![image-20260224115511420](~@img/png/HISOperationManual/image-20260224115511420.png)
+
+角色建好之后，点击分配用户，为该角色分配使用的角色用户。
+
+![image-20260224123009379](~@img/png/HISOperationManual/image-20260224123009379.png)
+
+![image-20260224123106174](~@img/png/HISOperationManual/image-20260224123106174.png)
+
+如果系统使用过程中不需要该角色，直接点击该用户后面的删除按钮，对角色进行删除。
+
+![image-20260224123210943](~@img/png/HISOperationManual/image-20260224123210943.png)
+
+如果在使用过程中，需要修改该该角色权限，直接点击该角色后面的修改按钮，对该角色权限进行修改。
+
+![image-20260224123338956](~@img/png/HISOperationManual/image-20260224123338956.png)
+
+### 1.2 科室管理
+
+对医院的科室信息进行维护，点击新增按钮，把医院的所有科室信息添加维护进去。
+
+![image-20260224124143414](~@img/png/HISOperationManual/image-20260224124143414.png)
+
+点击新增按钮后，在弹出的界面填写科室的科室名称、医保码、医保名称、科室类型、科室分类、上级科室信息，点击确认按钮即可。
+
+![image-20260224124220734](~@img/png/HISOperationManual/image-20260224124220734.png)
+
+如果科室下面需要有二级科室，点击需要添加科室信息后面的添加下级按钮，在弹出的界面，录入二级科室信息，点击确认即可。
+
+![image-20260224124415491](~@img/png/HISOperationManual/image-20260224124415491.png)
+
+![image-20260224124439023](~@img/png/HISOperationManual/image-20260224124439023.png)
+
+### 1.3 用户管理
+
+点击新增按钮，把医院所有工作人员都维护进去。
+
+![image-20260224134451583](~@img/png/HISOperationManual/image-20260224134451583.png)
+
+添加的时候直接给用户赋予角色，选择科室，设置账户登录名和登录密码，填写医师的医保码等重要信息。
+
+![image-20260224134519182](~@img/png/HISOperationManual/image-20260224134519182.png)
+
+ 在系统使用的过程中，如果用户需要修改自己的密码，直接点击用户后面的【重置密码】按钮，完成对密码的修改。
+
+![image-20260224134630010](~@img/png/HISOperationManual/image-20260224134630010.png)
+
+![image-20260224134727876](~@img/png/HISOperationManual/image-20260224134727876.png)
+
+如果在使用的过程中，需要调整用户的权限，点击用户后面的角色分配按钮，完成对用户权限的修改。
+
+![image-20260224134830291](~@img/png/HISOperationManual/image-20260224134830291.png)
+
+![image-20260224134916254](~@img/png/HISOperationManual/image-20260224134916254.png)
+
+ 如果要删除停用按钮，直接修改用户后面的删除按钮，即可完成对用户的停用操作。
+
+![image-20260224134950510](~@img/png/HISOperationManual/image-20260224134950510.png)
+
+### 1.4 字典管理
+
+这里界面显示的字典值编辑修改的，比如单位下拉列表没有自己想要的值，手动添加单位。
+
+![image-20260224135156433](~@img/png/HISOperationManual/image-20260224135156433.png)搜索要改的字典字段，以剂量单位为例子，双击查看详细信息。
+
+![image-20260224135350946](~@img/png/HISOperationManual/image-20260224135350946.png)
+
+![image-20260224135407329](~@img/png/HISOperationManual/image-20260224135407329.png)
+
+点击新增填写信息，点击确定后添加成功。
+
+![image-20260224135426755](~@img/png/HISOperationManual/image-20260224135426755.png)
+
+### 1.5 菜单管理
+
+这里控制系统菜单的显示和隐藏，编辑可设置菜单详细信息
+
+![image-20260224135546300](~@img/png/HISOperationManual/image-20260224135546300.png)
+
+![image-20260224135641961](~@img/png/HISOperationManual/image-20260224135641961.png)
+
+### 1.6 号源(费用)管理
+
+这里设置院内医生开放挂号的科室，设置挂号费。
+
+![image-20260224141319070](~@img/png/HISOperationManual/image-20260224141319070.png)
+
+点击添加按钮，在弹出的编辑框界面，添加号源的诊疗项目、服务分类、服务类型、科室以及服务管理等信息，然后点击确认按钮，完成号源的添加
+
+![image-20260224141359695](~@img/png/HISOperationManual/image-20260224141359695.png)
+
+如果在使用的过程中，如果要修改号源信息，直接点击号源后面的编辑按钮，在弹出的号源界面，修改号源信息，点击确认按钮，完成对号源的修改。
+
+![image-20260224141430896](~@img/png/HISOperationManual/image-20260224141430896.png)
+
+ 
+
+### 1.7 个性化设置
+
+#### 1.7.1医嘱套餐
+
+维护医院个人/科室/全院的医嘱套餐。在医嘱套餐界面完成对医嘱套餐信息的维护。
+
+![image-20260224142553088](~@img/png/HISOperationManual/image-20260224142553088.png)
+
+点击新建组套按钮，然后在基本信息里面添加组套名称、组套类型、使用范围，然后在项目列表里面添加项目信息，然后点击【确认】保存组套按钮即可。
+
+![image-20260224142741394](~@img/png/HISOperationManual/image-20260224142741394.png)
+
+如果要删除医嘱里面的组套，选中需要删除的项目，点击【删除】按钮即可。
+
+![image-20260224143002659](~@img/png/HISOperationManual/image-20260224143002659.png)
+
+  
+
+1.7.2耗材诊疗绑定
+
+用法绑定
+
+点击用法里面的内容，然后在添加绑定项目里面，添加为该用法绑定的项目，医生在开立处方的时候，会根据用法自动带出诊疗费用。
+
+![image-20260224143855247](~@img/png/HISOperationManual/image-20260224143855247.png)
+
+![image-20260224143927617](~@img/png/HISOperationManual/image-20260224143927617.png)
+
+### 1.8 库房管理
+
+医院存放药品和耗材的库房，添加维护到系统中，点击新增，下拉列表选择类型，填写名称，点击确定。
+
+ 
+
+![image-20260224144521247](~@img/png/HISOperationManual/image-20260224144521247.png)
+
+![image-20260224144543015](~@img/png/HISOperationManual/image-20260224144543015.png)
+
+# 二、门诊管理
+
+### 2.1 门诊挂号
+
+
+
+![image-20260225103246231](~@img/png/HISOperationManual/image-20260225103246231.png)
+
+点击门诊挂号，可以在本页面进行挂号，退号，医保挂号可以使用医保卡，电子凭证，自费挂号使用身份证。
+
+点击新建按钮，在弹出的新建患者界面，输入患者姓名、性别、联系方式、证件号码、民族、卡类型等信息，点击确认按钮，完成对患者基本信息的添加。
+
+![image-20260225103815276](~@img/png/HISOperationManual/image-20260225103815276.png)
+
+ 
+
+患者基本信息添加完成之后，在挂号的界面，选择需要挂号的患者信息，提取患者数据，然后选择病人的费用性质、就诊科室、挂号类型、医生等信息。
+
+![image-20260225104527909](~@img/png/HISOperationManual/image-20260225104527909.png)
+
+ 挂号信息添加号之后，点击保存挂号按钮，在弹出的收费界面，选择支付方式和支付金额，点击确认完成挂号收费操作。
+
+![image-20260225104651097](~@img/png/HISOperationManual/image-20260225104651097.png)
+
+挂号费的支付支持多种支付方式，在支付方式中选择之后依次增加，添加支付方式的金额，系统会自动计算每个支付方式的金额，然后点击确认即可。
+
+![image-20260225104728794](~@img/png/HISOperationManual/image-20260225104728794.png)
+
+ 
+
+医保挂号，点击电子凭证，患者出示电子医保，扫码挂号，或者选择医保卡，读卡获取患者信息挂号。
+
+![image-20260225104822889](~@img/png/HISOperationManual/image-20260225104822889.png)
+
+医保卡挂号患者，插入医保卡，点击医保卡，读取用户信息，保存挂号。
+
+![image-20260225105042983](~@img/png/HISOperationManual/image-20260225105042983.png)
+
+如果收费员要查询挂号的信息，直接在挂号界面，输入需要查询的挂号患者姓名、或者挂号的开始日期和结束日期，点击查询按钮即可查询所需要的数据。
+
+![image-20260225105138110](~@img/png/HISOperationManual/image-20260225105138110.png)
+
+### 2.2门诊退号
+
+![image-20260225112430398](~@img/png/HISOperationManual/image-20260225112430398.png)
+
+在门诊挂号界面，如果患者需要退号，通过输入患者的姓名，搜索需要退号的患者，点击后面的退号按钮。
+
+![image-20260225112418094](~@img/png/HISOperationManual/image-20260225112418094.png)
+
+在弹出的退费界面，输入退费金额，完成退号操作。
+
+![image-20260225112513180](~@img/png/HISOperationManual/image-20260225112513180.png)
+
+ 
+
+退号时注意，就诊状态如果是在诊状态，系统不允许退号，只有状态在待诊状态才允许退号。
+
+![image-20260225112618472](~@img/png/HISOperationManual/image-20260225112618472.png)
+
+### 2.3门诊收费
+
+完成对就诊患者的收费操作。
+
+![image-20260225113033571](~@img/png/HISOperationManual/image-20260225113033571.png)
+
+点击左侧患者列表待收费的患者
+
+![image-20260225113117588](~@img/png/HISOperationManual/image-20260225113117588.png)
+
+收费项目里面会自动调出该收费患者的收费信息，勾选所需的收费项目
+
+![image-20260225113414940](~@img/png/HISOperationManual/image-20260225113414940.png)
+
+点击确认收费按钮，在弹出的收费界面，输入收费信息，完成收费结算。
+
+![image-20260225113439896](~@img/png/HISOperationManual/image-20260225113439896.png)
+
+如果是医保患者，直接点击医保卡、电子凭证或身份证，读医保患者信息，同时系统会自动调出患者的收费信息完成医保的结算。
+
+![image-20260225113501960](~@img/png/HISOperationManual/image-20260225113501960.png)
+
+如果患者在挂号时，是自费挂号，结算的时候想用医保结算，患者的费用信息调出之后，直接点击自费转医保按钮，完成自费转医保结算。
+
+![image-20260225113528143](~@img/png/HISOperationManual/image-20260225113528143.png)
+
+如果患者挂号的时候是医保挂号，在结算的时候由于医保原因无法使用医保结算，患者可以使用自费进行结算。调出患者的费用信息，点击医保转自费，完成费用的结算。
+
+![image-20260225113550224](~@img/png/HISOperationManual/image-20260225113550224.png)
+
+ 
+
+### 2.3门诊退费
+
+ ![image-20260225114237730](~@img/png/HISOperationManual/image-20260225114237730.png)
+
+![image-20260225114304500](~@img/png/HISOperationManual/image-20260225114304500.png)
+
+医生点退费按钮后，款台刷新页面，点击退费患者列表，选中患者，点击退费，点击确定按钮，退费成功。
+
+![image-20260225135500635](~@img/png/HISOperationManual/image-20260225135500635.png)
+
+
+
+![image-20260225135606155](~@img/png/HISOperationManual/image-20260225135606155.png)
+
+### 2.4门诊日结
+
+这里查看的信息时按照当前登录收费的款员不同，查看的信息不同，这个功能方便款员对账。
+
+![image-20260225135823496](~@img/png/HISOperationManual/image-20260225135823496.png)
+
+### 2.5门诊收费记录
+
+ 
+
+![image-20260225141041177](~@img/png/HISOperationManual/image-20260225141041177.png)
+
+在收费记录界面，可以实现对收费员查询收费患者的结算信息，同时也可以查看收费信息的收费详情、开具电子发票、冲销发票和调阅发票等操作。
+
+![image-20260225141103125](~@img/png/HISOperationManual/image-20260225141103125.png)
+
+点击收费详情按钮，可以查看该收费信息的收费详细信息。
+
+![image-20260225141127552](~@img/png/HISOperationManual/image-20260225141127552.png)
+
+![image-20260225141142196](~@img/png/HISOperationManual/image-20260225141142196.png)
+
+点击开具电子发票按钮，可以完成对该收费的电子发票（需对接电子发票系统）
+
+![image-20260225141218597](~@img/png/HISOperationManual/image-20260225141218597.png)
+
+如果患者开具的发票有问题需要冲销发票，直接点进后面的冲销发票按钮，即可完成对发票的冲正（需对接电子发票系统）。
+
+![image-20260225141245142](~@img/png/HISOperationManual/image-20260225141245142.png)
+
+
+
+### 2.6 门诊收费报表
+
+按照统计类型不同，统计门诊收费详细，自己选择条件筛选。
+
+![image-20260225141729022](~@img/png/HISOperationManual/image-20260225141729022.png)
+
+ 
+
+### 2.7 挂号查询
+
+按日期、科室、医生筛选查询医院挂号情况
+
+![image-20260225142345849](~@img/png/HISOperationManual/image-20260225142345849.png)
+
+
+
+### 2.8 医保对账
+
+按日期和险种不同，查询和医保的交易明细。
+
+![image-20260225142842569](~@img/png/HISOperationManual/image-20260225142842569.png)
+
+### 2.9门诊划价
+
+实现对门诊患者耗材的划价收费操作。
+
+![image-20260225142909079](~@img/png/HISOperationManual/image-20260225142909079.png)
+
+在患者列表里面，双击患者信息，在右侧项目里面，添加划价项目。
+
+![image-20260225143006175](~@img/png/HISOperationManual/image-20260225143006175.png)
+
+然后在弹出的划价界面，点解新增按钮，添加收费项目，添加完成之后，点击签发按钮，将划价收费的信息发送给收费室进行收费。
+
+![image-20260225143025289](~@img/png/HISOperationManual/image-20260225143025289.png)
+
+如果要修改已经划价的收费项目，如果项目已经签发还未进行收费，直接点击签退按钮，将收费信息调回，删除不需要的项目，然后点击签发按钮即可。
+
+![image-20260225143113370](~@img/png/HISOperationManual/image-20260225143113370.png)
+
+### 2.10门诊处置
+
+实现对门诊治疗的相关操作，打印瓶签、打印采血条码、打印处方、打印处置单等，对已做项目进行执行。
+
+![image-20260225145703869](~@img/png/HISOperationManual/image-20260225145703869.png)
+
+点击左侧患者列表，调出该患者所要执行的处置项目。
+
+![image-20260225152437939](~@img/png/HISOperationManual/image-20260225152437939.png)
+
+然后点击项目后面的执行按钮，完成对该项目的执行操作。
+
+![image-20260225152538152](~@img/png/HISOperationManual/image-20260225152538152.png)
+
+如果想要查看该项目的执行记录，直接点击该项目后面的执行记录按钮，即可查看该项目的执行历史记录。
+
+![image-20260225152556928](~@img/png/HISOperationManual/image-20260225152556928.png)
+
+### 2.11输液记录
+
+对门诊需要输液的患者进行输液执行。
+
+![image-20260225160912287](~@img/png/HISOperationManual/image-20260225160912287.png)
+
+通过输入就诊日期、患者信息、执行状态等信息，查询所需执行的患者。
+
+![image-20260225160959267](~@img/png/HISOperationManual/image-20260225160959267.png)
+
+在患者列表，双击患者信息，可以调出该患者需要执行的输液类医嘱。
+
+![image-20260225161015883](~@img/png/HISOperationManual/image-20260225161015883.png)
+
+勾选所需要的输液药品，点击打印瓶签，完成对输液标签的打印。
+
+![image-20260225161031505](~@img/png/HISOperationManual/image-20260225161031505.png)
+
+如果想要查询患者的医嘱信息，直接点击查看医嘱按钮，可以查看该患者的详细医嘱信息。
+
+![image-20260225161113544](~@img/png/HISOperationManual/image-20260225161113544.png)
+
+如果输液已经执行，想要撤销执行，在执行状态里面选择已完成，点击患者信息，可以调出该患者已经执行的医嘱信息，直接点击撤销按钮，对已执行的输液进行撤回。
+
+![image-20260225161134581](~@img/png/HISOperationManual/image-20260225161134581.png)
+
+### 2.12皮试记录
+
+该功能模块完成对门诊患者进行皮试的操作。
+
+![image-20260225163423223](~@img/png/HISOperationManual/image-20260225163423223.png)
+
+通用搜索患者的基本信息，调出该患者需要皮试的药品信息，点击执行操作，然后录入皮试的结果信息，供医生调阅。
+
+### 2.13电子处方管理
+
+该功能模块是对电子处方进行管理操作。
+
+![image-20260225164712821](~@img/png/HISOperationManual/image-20260225164712821.png)
+
+通过输入订单的开始结束日期或者患者信息进行搜索所需要的数据
+ ![image-20260225164729426](~@img/png/HISOperationManual/image-20260225164729426.png)
+
+点击查看按钮，可以查看该电子处方的详细信息。
+
+![image-20260225164742906](~@img/png/HISOperationManual/image-20260225164742906.png)
+
+ 
+
+点击处方上传按钮，可以将电子处方数据进行上传，完成开房的操作。
+
+![image-20260225164804833](~@img/png/HISOperationManual/image-20260225164804833.png)
+
+如果对已经上传的处方进行撤销，直接点击处方后面的处方撤销按钮，对上传的处方进行撤销。
+
+![image-20260225164821341](~@img/png/HISOperationManual/image-20260225164821341.png)
+
+处方已经上传，如果要查看处方的取药信息，点击取药查询按钮，可以查看该电子处方的患者取药信息。
+
+![image-20260225164906379](~@img/png/HISOperationManual/image-20260225164906379.png)
+
+# 三、医生工作站
+
+### 3.1 医生角色登录
+
+点击门诊医生工作站，门诊医生站，完成对门诊患者的急诊操作。
+
+![image-20260226155936354](~@img/png/HISOperationManual/image-20260226155936354.png)
+
+### 3.2病历
+
+在患者队列里面，点击待就诊患者的接诊按钮，进入门诊病历界面、
+
+![image-20260226160008815](~@img/png/HISOperationManual/image-20260226160008815.png)
+
+在病历界面，填写该患者的病历信息。
+
+![image-20260226160235451](~@img/png/HISOperationManual/image-20260226160235451.png)
+
+ 
+
+记录患者主诉，其他信息，也可以使用历史病历进行复用
+
+![image-20260226160325724](~@img/png/HISOperationManual/image-20260226160325724.png)
+
+### 3.3诊断
+
+病历填写完成后，点击保存后切换诊断页面，根据患者情况下诊断，点击新增诊断
+
+![image-20260226160443017](~@img/png/HISOperationManual/image-20260226160443017.png)
+
+选择诊断类型，慢病备案的患者，医生选择门诊慢病，并导入慢病，诊断会自动从医保局获取患者的备案慢病。其他场景一般选择普通门诊。
+
+![image-20260226160532532](~@img/png/HISOperationManual/image-20260226160532532.png)
+
+多个诊断时，继续新增，一次就诊只有一个主诊断，勾选后面的主诊断就可以，所有诊断新增好后，点击保存诊断按钮，保存诊断后切换到医嘱页面。
+
+![image-20260226160631718](~@img/png/HISOperationManual/image-20260226160631718.png)
+
+同时也可以使用历史诊断，快速开立患者的诊断信息。
+
+![image-20260226160735178](~@img/png/HISOperationManual/image-20260226160735178.png)
+
+也可以使用诊断里面的常用诊断或者诊断模板快速添加诊断
+
+![image-20260226160839877](~@img/png/HISOperationManual/image-20260226160839877.png)
+
+![image-20260226160851269](~@img/png/HISOperationManual/image-20260226160851269.png)
+
+如果需要开立中医诊断时，点击中医诊断按钮，在弹出的界面，添加中医诊断的证候。
+
+![image-20260226163155216](~@img/png/HISOperationManual/image-20260226163155216.png)
+
+### 3.4医嘱
+
+#### 3.4.1开立医嘱
+
+在医嘱界面，可以完成对门诊患者的各类医嘱的开立并保存收费。
+
+![image-20260226163234751](~@img/png/HISOperationManual/image-20260226163234751.png)
+
+点击新增按钮，对该患者进行医嘱的开立
+
+![image-20260226163323396](~@img/png/HISOperationManual/image-20260226163323396.png)
+
+如果开立口服类的药品，直接在医嘱里面输入所需要开立的药品，填写药品医嘱信息，计量信息、用药途径、频次、天数、总量。然后点击确认按钮，完成药品的开立。
+
+![image-20260226163541828](~@img/png/HISOperationManual/image-20260226163541828.png)
+
+如果要开立注射类的药品，在医嘱信息里面输入药品，然后输入药品的执行次数、计量信息、用药途径、用药频次、用药天数和总量
+
+![image-20260226164745624](~@img/png/HISOperationManual/image-20260226164745624.png)
+
+如果需要对患者开立检验申请单，直接在项目里面输入所需要的检验信息，填写申请单信息，点击确认按钮，完成申请单开立。
+
+![image-20260226164839461](~@img/png/HISOperationManual/image-20260226164839461.png)
+
+如果需要对患者开立检查项目，直接在医嘱里面开立检查项目，填写检查申请单信息，确认，完成申请单操作。
+
+![image-20260226164956670](~@img/png/HISOperationManual/image-20260226164956670.png)
+
+所有医嘱项目开立好之后，点击保存按钮，完成对门诊患者的医嘱开立操作。
+
+![image-20260226165057322](~@img/png/HISOperationManual/image-20260226165057322.png)
+
+如果开立成组的医嘱，勾选所需要成组的药品，点击组合按钮，完成成组操作。
+
+![image-20260226165228916](~@img/png/HISOperationManual/image-20260226165228916.png)
+
+如果医嘱需要拆组，选择需要拆组的医嘱，点击拆组按钮，完成拆组操作
+
+ ![image-20260226165259076](~@img/png/HISOperationManual/image-20260226165259076.png)
+
+
+
+所有医嘱开立好之后，直接点击签发按钮，完成对患者的医嘱开立，医嘱签发完成后，患者可以去门诊收费处进行缴费。
+
+![image-20260226165435564](~@img/png/HISOperationManual/image-20260226165435564.png)
+
+如果签发的医嘱需要退回修改，可以直接点击撤回按钮，完成对医嘱的撤回操作。
+
+![image-20260226165505011](~@img/png/HISOperationManual/image-20260226165505011.png)
+
+ 
+
+如果医生开立多个诊断的处方，直接在诊断处选择处方对应的诊断即可。
+
+![image-20260226165531023](~@img/png/HISOperationManual/image-20260226165531023.png)
+
+#### 3.4.2开立中药
+
+如果患者需要开立中药，在中药处方界面，完成对中药医嘱的开立。
+
+![image-20260226165706784](~@img/png/HISOperationManual/image-20260226165706784.png)
+
+在处方界面，选择医嘱的诊断，然后填写医嘱的用药途径、频次、用药天数、付数以及代煎信息。
+
+![image-20260226165943714](~@img/png/HISOperationManual/image-20260226165943714.png)
+
+然后在医嘱信息里面，搜索医嘱药品，填写处方信息，然后保存签发处方，完成对处方的开立
+
+![image-20260226170013317](~@img/png/HISOperationManual/image-20260226170013317.png)
+
+#### 3.4.3开立电子处方
+
+如果患者需要开立处方流转的电子处方，在电子处方界面完成对处方流转的开立。
+
+![image-20260226170044782](~@img/png/HISOperationManual/image-20260226170044782.png)
+
+点击新增处方按钮，在弹出的界面，输入处方诊断信息、有效天数以及处方明细，然后点击保存按钮。
+
+![image-20260226170101913](~@img/png/HISOperationManual/image-20260226170101913.png)
+
+电子处方开好之后，点击签发按钮，电子处方流转至药房，药房进行审核。
+
+![image-20260226170125128](~@img/png/HISOperationManual/image-20260226170125128.png)
+
+
+
+### 3.5开立手术申请
+
+门诊医生站开立手术申请单界面，帮助医生完成手术申请单的创建、查看、编辑和取消操作，管理患者手术申请记录。
+
+![image-20260226170253160](~@img/png/HISOperationManual/image-20260226170253160.png)
+
+点击【新增手术申请】按钮，弹出新增手术申请填写界面
+
+![image-20260226170742542](~@img/png/HISOperationManual/image-20260226170742542.png)
+
+已保存的手术申请单可以进行查看、编辑、删除业务操作
+
+![image-20260226171333865](~@img/png/HISOperationManual/image-20260226171333865.png)
+
+
+
+
+
+
+
+# 四、库房管理
+
+### 4.1 药房医师角色登录
+
+药房有系统管理，库房管理，发药管理，财务管理，报表管理四个权限菜单
+
+ 
+
+### 4.2目录管理
+
+![image-20260227095352235](~@img/png/HISOperationManual/image-20260227095352235.png)
+
+药房有药品目录，器材目录和厂商产地的查看编辑新增权限
+
+### 4.3药品目录
+
+药品目录是医院内所有在用药品的集合，需要把药品基础信息核对无误后，一一维护系统中，先对照在保存。点击添加新项目按钮，点击从医保目录导入，按照国药准字或者药品名搜索。
+
+![image-20260227095635374](~@img/png/HISOperationManual/image-20260227095635374.png)
+
+![image-20260227095659255](~@img/png/HISOperationManual/image-20260227095659255.png)
+
+![image-20260227095802398](~@img/png/HISOperationManual/image-20260227095802398.png)
+
+搜索完成后点击对照，药品信息就被导入好了，需要填写必填项，售价等信息，基础信息填写完成后点击确定按钮就可以保存了。
+
+![image-20260227104617040](~@img/png/HISOperationManual/image-20260227104617040.png)
+
+有不用的药品可以勾选停用，停用的药品在使用点启用就可以。
+
+![image-20260227104720518](~@img/png/HISOperationManual/image-20260227104720518.png)
+
+可以根据药品名搜索，或者首字母缩查看药品信息。
+
+![image-20260227104814740](~@img/png/HISOperationManual/image-20260227104814740.png)
+
+![image-20260227104852527](~@img/png/HISOperationManual/image-20260227104852527.png)
+
+### 4.4耗材目录
+
+ 这里主要维护医院的耗材，点击添加新项目，医保报销范围内的耗材点击从医保目录导入，点击对照，将耗材信息从医保导入，院内自费的项目直接填写信息就可以。
+
+![image-20260227160813277](~@img/png/HISOperationManual/image-20260227160813277.png)
+
+点击【添加新项目】
+
+![image-20260227160922986](~@img/png/HISOperationManual/image-20260227160922986.png)
+
+点击【从医保目录导入】
+
+![image-20260227161054338](~@img/png/HISOperationManual/image-20260227161054338.png)
+
+ 
+
+### 4.5供货商管理
+
+ 药品和耗材的供货商与生产厂家，需要添加到这个目录里，点击添加，填写信息，点确定按钮即保存。
+
+![image-20260227161431200](~@img/png/HISOperationManual/image-20260227161431200.png)
+
+可以通过厂家名称或者缩写进行查询，点击编辑，查看，可以修改和查看详细信息。
+
+![image-20260227161527774](~@img/png/HISOperationManual/image-20260227161527774.png)
+
+![image-20260227161632987](~@img/png/HISOperationManual/image-20260227161632987.png)
+
+### 4.6 采购入库
+
+该功能是对医院药品或耗材进行采购入库的操作。
+
+![image-20260227164541472](~@img/png/HISOperationManual/image-20260227164541472.png)
+
+在采购单界面，填写采购单的经办人、供应商信息以及药品类型和仓库类型
+
+![image-20260227164638022](~@img/png/HISOperationManual/image-20260227164638022.png)
+
+然后在入库单明细里面，点击添加行按钮，在项目里面搜索需要添加的药品信息、采购数量、追溯码、采购价格等信息。
+
+![image-20260227164741796](~@img/png/HISOperationManual/image-20260227164741796.png)
+
+采购单做好之后，点击提交审核按钮，对入库单进行财务审核，审核完成之后，完成采购入库的操作。
+
+![image-20260227164848821](~@img/png/HISOperationManual/image-20260227164848821.png)
+
+### 4.7采购退货
+
+改功能是对采购入库的药品或耗材进行退货操作。
+
+![image-20260227165147891](~@img/png/HISOperationManual/image-20260227165147891.png)
+
+在功能界面，填写退货单的经办人、退货的供应商、类型和仓库。
+
+![image-20260227165219439](~@img/png/HISOperationManual/image-20260227165219439.png)
+
+然后在采购退货明细里面，添加需要退货的药品信息。
+
+![image-20260227165255995](~@img/png/HISOperationManual/image-20260227165255995.png)
+
+单据做好之后，点击提交审核，财务审核完成之后，完成对药品退货的操作。
+
+![image-20260227170305892](~@img/png/HISOperationManual/image-20260227170305892.png)
+
+### 4.8批量盘点
+
+ 该功能是对药房药品进行盘点操作。
+
+![image-20260227170420448](~@img/png/HISOperationManual/image-20260227170420448.png)
+
+输入盘点的仓库类型、盘点的仓库以及盘点的类型
+
+![image-20260227170457787](~@img/png/HISOperationManual/image-20260227170457787.png)
+
+点击生成批量盘点单按钮，添加盘点的药品
+
+![image-20260227171525788](~@img/png/HISOperationManual/image-20260227171525788.png)
+
+盘点单生成之后，录入盘点信息，然后点击提交审核按钮，进行盘点数据的审核，审核完成之后，完成盘盈盘亏的操作。
+
+![image-20260227171615683](~@img/png/HISOperationManual/image-20260227171615683.png)
+
+### 4.9采购管理
+
+ 该功能是对采购单据的管理操作。
+
+![image-20260228090949856](~@img/png/HISOperationManual/image-20260228090949856.png)
+
+输入单据的信息，可以搜索已完成的单据信息
+
+![image-20260228091021747](~@img/png/HISOperationManual/image-20260228091021747.png)
+
+点击详情，可以查看单据的详细信息。
+
+![image-20260228091356710](~@img/png/HISOperationManual/image-20260228091356710.png)
+
+![image-20260228091434035](~@img/png/HISOperationManual/image-20260228091434035.png)
+
+点击撤销审批，可以对已审核的单据进行撤销操作。
+
+![image-20260228091734914](~@img/png/HISOperationManual/image-20260228091734914.png)
+
+ 
+
+### 4.10库房盘点
+
+ 盘点功能可以统计库房实际库存，计算盈亏。
+
+![image-20260228091853656](~@img/png/HISOperationManual/image-20260228091853656.png)
+
+盘点药品时，需要扫入所有药品的追溯码，手动输入实盘数量，计算盈亏。
+
+![image-20260228093307932](~@img/png/HISOperationManual/image-20260228093307932.png)
+
+
+
+![image-20260228093401032](~@img/png/HISOperationManual/image-20260228093401032.png)
+
+![image-20260228093500533](~@img/png/HISOperationManual/image-20260228093500533.png)
+
+### 4.11领用出库
+
+非药房的科室用药取药，需要填写领用出库的明细，填写好信息后提交审核，审核通过过后领用出库。
+
+ ![image-20260228094536231](~@img/png/HISOperationManual/image-20260228094536231.png)
+
+填写领用出库单据相关信息
+
+![image-20260228094651168](~@img/png/HISOperationManual/image-20260228094651168.png)
+
+点击【添加行】按钮，对领用出库药品信息进行填写
+
+![image-20260228094912624](~@img/png/HISOperationManual/image-20260228094912624.png)
+
+
+
+### 4.12领用退库
+
+领用出库的药品或者耗材可以使用领用退库归还给药房或者耗材库。
+
+![image-20260228105054670](~@img/png/HISOperationManual/image-20260228105054670.png)
+
+填写领用退款单据信息
+
+![image-20260228110130585](~@img/png/HISOperationManual/image-20260228110130585.png)
+
+点击【添加行】按钮对退库药品信息进行填写
+
+![image-20260228110211054](~@img/png/HISOperationManual/image-20260228110211054.png)
+
+
+
+
+
+### 4.13报损管理
+
+药房或者耗材库有过期损毁的药品和耗材，可以使用这个功能记录损毁物品原因明细，确定误区后提交审核。
+
+![image-20260228110319962](~@img/png/HISOperationManual/image-20260228110319962.png)
+
+填写报损管理单据信息
+
+![image-20260228111947036](~@img/png/HISOperationManual/image-20260228111947036.png)
+
+点击【添加行】按钮填写报损药品/耗材信息
+
+![image-20260228112234426](~@img/png/HISOperationManual/image-20260228112234426.png)
+
+
+
+### 4.14库存明细记录
+
+查看库房中药品和耗材的入库明细，在库数量，库存里过期时间，方便查看管理过期物品，过期或者有不使用的药品和耗材可以点击停供。
+
+![image-20260228112327067](~@img/png/HISOperationManual/image-20260228112327067.png)
+
+填写查询条件内容可以对报表进行筛选
+
+![image-20260228114153787](~@img/png/HISOperationManual/image-20260228114153787.png)
+
+
+
+### 4.15门诊发药
+
+ 该功能是对门诊患者进行发药操作。
+
+![image-20260228114307552](~@img/png/HISOperationManual/image-20260228114307552.png)
+
+点击患者列表里面待发药的患者，系统会自动调出该患者待发药的药品信息。
+
+![image-20260228114449825](~@img/png/HISOperationManual/image-20260228114449825.png)
+
+然后在选择调配药师，输入药品的追溯码信息
+
+![image-20260228114548650](~@img/png/HISOperationManual/image-20260228114548650.png)
+
+输入药品追溯码/扫码获取追溯码之后，点击发药按钮，完成处方的发药操作。
+
+![image-20260228114748450](~@img/png/HISOperationManual/image-20260228114748450.png)
+
+系统也支持处方的批量发药、批量扫码以及处方打印等操作。
+
+![image-20260228114811315](~@img/png/HISOperationManual/image-20260228114811315.png)
+
+### 4.16门诊退药
+
+该功能是对门诊需要退药的患者进行退药操作。
+
+![image-20260228144404590](~@img/png/HISOperationManual/image-20260228144404590.png)
+
+患者经过医生退药申请后，数据传到门诊药房，在患者列表栏，双击需要退药的患者。
+
+![image-20260228144541219](~@img/png/HISOperationManual/image-20260228144541219.png)
+
+然后在退药单界面，输入退药的药品追溯码信息，点击确认退药按钮，完成退药操作。
+
+![image-20260228144708368](~@img/png/HISOperationManual/image-20260228144708368.png)
+
+### 4.17库房审批
+
+采购入库，盘点，批量盘点提交审核都在这里审批，点击重置按钮，获得最新的审批记录。
+
+ ![image-20260228165706462](~@img/png/HISOperationManual/image-20260228165706462.png)
+
+点击【审核】按钮弹出采购入库单界面
+
+![image-20260228165810421](~@img/png/HISOperationManual/image-20260228165810421.png)
+
+信息核对正确后点击【审批通过】按钮，有问题的直接点击驳回。
+
+![image-20260228170004570](~@img/png/HISOperationManual/image-20260228170004570.png)
+
+### 4.18发药明细
+
+这里可以查询详细的发药情况，根据统计类型筛选查看不同的发药统计情况。
+
+![image-20260228171057060](~@img/png/HISOperationManual/image-20260228171057060.png)
+
+填写查询条件可以筛选对应的报表内容
+
+![image-20260228171951761](~@img/png/HISOperationManual/image-20260228171951761.png)
+
+### 4.19待发药查询
+
+查询所有未发放的药品，也可以根据药品名和时间进行筛选查询。
+
+ ![image-20260228173338737](~@img/png/HISOperationManual/image-20260228173338737.png)
+
+### 4.20采购入库明细报表
+
+这里可以查看所有的采购入库明细
+
+ ![image-20260228173608901](~@img/png/HISOperationManual/image-20260228173608901.png)
+
+可以根据填写查询条件对采购入库明细进行筛选
+
+![image-20260228173923879](~@img/png/HISOperationManual/image-20260228173923879.png)
+
+点击单据号字段的值可以查看单据详情
+
+![image-20260228174046337](~@img/png/HISOperationManual/image-20260228174046337.png)
+
+![image-20260228174109602](~@img/png/HISOperationManual/image-20260228174109602.png)
+
+### 4.21领用出库明细报表
+
+查看领用出库明细
+
+ ![image-20260228174222011](~@img/png/HISOperationManual/image-20260228174222011.png)
+
+填写查询条件可以对领用出库明细报表进行筛选
+
+![image-20260228174516785](~@img/png/HISOperationManual/image-20260228174516785.png)
+
+### 4.22库存商品明细查询报表
+
+查看库存商品明细
+
+![image-20260303092822553](~@img/png/HISOperationManual/image-20260303092822553.png)
+
+填写查询条件可以对报表进行筛选
+
+![image-20260303092537650](~@img/png/HISOperationManual/image-20260303092537650.png)
+
+### 4.23盘点明细报表
+
+查看采购盘点明细
+
+![image-20260303093021953](~@img/png/HISOperationManual/image-20260303093021953.png)
+
+ 
+
+### 4.24采购退货明细报表
+
+查看采购退货明细
+
+![image-20260303093123310](~@img/png/HISOperationManual/image-20260303093123310.png)
+
+   
\ No newline at end of file
diff --git a/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/docs/01.HIS操作手册/03.his使用说明书/HIS使用说明书.md b/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/docs/01.HIS操作手册/03.his使用说明书/HIS使用说明书.md
new file mode 100644
index 00000000..0fd6f4cd
--- /dev/null
+++ b/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/docs/01.HIS操作手册/03.his使用说明书/HIS使用说明书.md
@@ -0,0 +1,1060 @@
+  
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+# **上海经创贺联信息技术有限公司**
+
+# **信创版HIS管理系统V1.0**
+
+ 
+
+
+
+## **软件操作说明书**
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+ 
+
+### **目录**
+
+[一、 系统管理............................................................................................................. 4](#_Toc198)
+
+[1.1 角色管理........................................................................................................... 4](#_Toc24868)
+
+[1.2 科室管理........................................................................................................... 6](#_Toc25148)
+
+[1.3 用户管理........................................................................................................... 7](#_Toc7816)
+
+[1.4 基础字典......................................................................................................... 10](#_Toc30807)
+
+[1.5 菜单管理......................................................................................................... 11](#_Toc5764)
+
+[1.6 号源(费用)管理................................................................................................ 12](#_Toc29216)
+
+[1.7 个性化设置...................................................................................................... 13](#_Toc21010)
+
+[1.8 库房管理......................................................................................................... 15](#_Toc23132)
+
+[二、 门诊管理........................................................................................................... 17](#_Toc1997)
+
+[2.1 门诊挂号......................................................................................................... 17](#_Toc12410)
+
+[2.2门诊退号.......................................................................................................... 21](#_Toc22437)
+
+[2.3门诊收费.......................................................................................................... 23](#_Toc8702)
+
+[2.3门诊退费.......................................................................................................... 26](#_Toc22806)
+
+[2.4门诊日结.......................................................................................................... 27](#_Toc12372)
+
+[2.5门诊收费记录................................................................................................... 27](#_Toc14390)
+
+[2.6 门诊收费报表.................................................................................................. 30](#_Toc11823)
+
+[2.7 挂号查询......................................................................................................... 30](#_Toc16406)
+
+[2.8 医保对账......................................................................................................... 31](#_Toc6364)
+
+[2.9门诊划价.......................................................................................................... 32](#_Toc25929)
+
+[2.10门诊处置........................................................................................................ 33](#_Toc13618)
+
+[2.11输液记录........................................................................................................ 35](#_Toc14740)
+
+[2.12皮试记录........................................................................................................ 38](#_Toc21770)
+
+[2.13电子处方管理................................................................................................. 39](#_Toc14856)
+
+[三、 医生工作站....................................................................................................... 42](#_Toc4446)
+
+[3.1 医生角色登录.................................................................................................. 42](#_Toc13086)
+
+[3.2病历.................................................................................................................. 42](#_Toc26243)
+
+[3.3诊断.................................................................................................................. 45](#_Toc4754)
+
+[3.4医嘱.................................................................................................................. 47](#_Toc19231)
+
+[四、 库房管理........................................................................................................... 56](#_Toc31998)
+
+[4.1 药房医师角色登录........................................................................................... 56](#_Toc24510)
+
+[4.2目录管理.......................................................................................................... 56](#_Toc28053)
+
+[4.3药品目录.......................................................................................................... 57](#_Toc1085)
+
+[4.4器材目录.......................................................................................................... 59](#_Toc6250)
+
+[4.5厂商/产地......................................................................................................... 60](#_Toc18789)
+
+[4.6 采购入库......................................................................................................... 61](#_Toc19487)
+
+[4.7采购退货.......................................................................................................... 63](#_Toc10337)
+
+[4.8批量盘点.......................................................................................................... 65](#_Toc13819)
+
+[4.9采购管理.......................................................................................................... 67](#_Toc30462)
+
+[4.10库房盘点........................................................................................................ 69](#_Toc17329)
+
+[4.11领用出库........................................................................................................ 70](#_Toc1749)
+
+[4.12领用退库........................................................................................................ 71](#_Toc30817)
+
+[4.13报损管理........................................................................................................ 71](#_Toc3786)
+
+[4.14库存明细记录................................................................................................. 71](#_Toc30358)
+
+[4.15门诊发药........................................................................................................ 72](#_Toc14731)
+
+[4.16门诊退药........................................................................................................ 74](#_Toc20308)
+
+[4.17库房审批........................................................................................................ 76](#_Toc18669)
+
+[4.18发药明细........................................................................................................ 77](#_Toc26226)
+
+[4.19待发药查询..................................................................................................... 78](#_Toc32097)
+
+[4.20采购入库明细报表.......................................................................................... 78](#_Toc32461)
+
+[4.21领用出库明细报表.......................................................................................... 78](#_Toc10704)
+
+[4.22库存商品明细查询报表.................................................................................. 79](#_Toc21790)
+
+[4.23盘点明细报表................................................................................................. 79](#_Toc24483)
+
+[4.24采购退货明细报表.......................................................................................... 80](#_Toc9847)
+
+ 
+
+ 
+
+# 一、系统管理
+
+### 1.1 角色管理
+
+这里添加医院所有工作人员的角色，点击新增添加角色，并且为角色添加菜单权限。
+
+![image-20260224115045413](~@img/png/HISOperationManual/image-20260224115045413.png)
+
+![image-20260224115511420](~@img/png/HISOperationManual/image-20260224115511420.png)
+
+角色建好之后，点击分配用户，为该角色分配使用的角色用户。
+
+![image-20260224123009379](~@img/png/HISOperationManual/image-20260224123009379.png)
+
+![image-20260224123106174](~@img/png/HISOperationManual/image-20260224123106174.png)
+
+如果系统使用过程中不需要该角色，直接点击该用户后面的删除按钮，对角色进行删除。
+
+![image-20260224123210943](~@img/png/HISOperationManual/image-20260224123210943.png)
+
+如果在使用过程中，需要修改该该角色权限，直接点击该角色后面的修改按钮，对该角色权限进行修改。
+
+![image-20260224123338956](~@img/png/HISOperationManual/image-20260224123338956.png)
+
+### 1.2 科室管理
+
+对医院的科室信息进行维护，点击新增按钮，把医院的所有科室信息添加维护进去。
+
+![image-20260224124143414](~@img/png/HISOperationManual/image-20260224124143414.png)
+
+点击新增按钮后，在弹出的界面填写科室的科室名称、医保码、医保名称、科室类型、科室分类、上级科室信息，点击确认按钮即可。
+
+![image-20260224124220734](~@img/png/HISOperationManual/image-20260224124220734.png)
+
+如果科室下面需要有二级科室，点击需要添加科室信息后面的添加下级按钮，在弹出的界面，录入二级科室信息，点击确认即可。
+
+![image-20260224124415491](~@img/png/HISOperationManual/image-20260224124415491.png)
+
+![image-20260224124439023](~@img/png/HISOperationManual/image-20260224124439023.png)
+
+### 1.3 用户管理
+
+点击新增按钮，把医院所有工作人员都维护进去。
+
+![image-20260224134451583](~@img/png/HISOperationManual/image-20260224134451583.png)
+
+添加的时候直接给用户赋予角色，选择科室，设置账户登录名和登录密码，填写医师的医保码等重要信息。
+
+![image-20260224134519182](~@img/png/HISOperationManual/image-20260224134519182.png)
+
+ 在系统使用的过程中，如果用户需要修改自己的密码，直接点击用户后面的【重置密码】按钮，完成对密码的修改。
+
+![image-20260224134630010](~@img/png/HISOperationManual/image-20260224134630010.png)
+
+![image-20260224134727876](~@img/png/HISOperationManual/image-20260224134727876.png)
+
+如果在使用的过程中，需要调整用户的权限，点击用户后面的角色分配按钮，完成对用户权限的修改。
+
+![image-20260224134830291](~@img/png/HISOperationManual/image-20260224134830291.png)
+
+![image-20260224134916254](~@img/png/HISOperationManual/image-20260224134916254.png)
+
+ 如果要删除停用按钮，直接修改用户后面的删除按钮，即可完成对用户的停用操作。
+
+![image-20260224134950510](~@img/png/HISOperationManual/image-20260224134950510.png)
+
+### 1.4 字典管理
+
+这里界面显示的字典值编辑修改的，比如单位下拉列表没有自己想要的值，手动添加单位。
+
+![image-20260224135156433](~@img/png/HISOperationManual/image-20260224135156433.png)搜索要改的字典字段，以剂量单位为例子，双击查看详细信息。
+
+![image-20260224135350946](~@img/png/HISOperationManual/image-20260224135350946.png)
+
+![image-20260224135407329](~@img/png/HISOperationManual/image-20260224135407329.png)
+
+点击新增填写信息，点击确定后添加成功。
+
+![image-20260224135426755](~@img/png/HISOperationManual/image-20260224135426755.png)
+
+### 1.5 菜单管理
+
+这里控制系统菜单的显示和隐藏，编辑可设置菜单详细信息
+
+![image-20260224135546300](~@img/png/HISOperationManual/image-20260224135546300.png)
+
+![image-20260224135641961](~@img/png/HISOperationManual/image-20260224135641961.png)
+
+### 1.6 号源(费用)管理
+
+这里设置院内医生开放挂号的科室，设置挂号费。
+
+![image-20260224141319070](~@img/png/HISOperationManual/image-20260224141319070.png)
+
+点击添加按钮，在弹出的编辑框界面，添加号源的诊疗项目、服务分类、服务类型、科室以及服务管理等信息，然后点击确认按钮，完成号源的添加
+
+![image-20260224141359695](~@img/png/HISOperationManual/image-20260224141359695.png)
+
+如果在使用的过程中，如果要修改号源信息，直接点击号源后面的编辑按钮，在弹出的号源界面，修改号源信息，点击确认按钮，完成对号源的修改。
+
+![image-20260224141430896](~@img/png/HISOperationManual/image-20260224141430896.png)
+
+ 
+
+### 1.7 个性化设置
+
+#### 1.7.1医嘱套餐
+
+维护医院个人/科室/全院的医嘱套餐。在医嘱套餐界面完成对医嘱套餐信息的维护。
+
+![image-20260224142553088](~@img/png/HISOperationManual/image-20260224142553088.png)
+
+点击新建组套按钮，然后在基本信息里面添加组套名称、组套类型、使用范围，然后在项目列表里面添加项目信息，然后点击【确认】保存组套按钮即可。
+
+![image-20260224142741394](~@img/png/HISOperationManual/image-20260224142741394.png)
+
+如果要删除医嘱里面的组套，选中需要删除的项目，点击【删除】按钮即可。
+
+![image-20260224143002659](~@img/png/HISOperationManual/image-20260224143002659.png)
+
+  
+
+1.7.2耗材诊疗绑定
+
+用法绑定
+
+点击用法里面的内容，然后在添加绑定项目里面，添加为该用法绑定的项目，医生在开立处方的时候，会根据用法自动带出诊疗费用。
+
+![image-20260224143855247](~@img/png/HISOperationManual/image-20260224143855247.png)
+
+![image-20260224143927617](~@img/png/HISOperationManual/image-20260224143927617.png)
+
+### 1.8 库房管理
+
+医院存放药品和耗材的库房，添加维护到系统中，点击新增，下拉列表选择类型，填写名称，点击确定。
+
+ 
+
+![image-20260224144521247](~@img/png/HISOperationManual/image-20260224144521247.png)
+
+![image-20260224144543015](~@img/png/HISOperationManual/image-20260224144543015.png)
+
+# 二、门诊管理
+
+### 2.1 门诊挂号
+
+
+
+![image-20260225103246231](~@img/png/HISOperationManual/image-20260225103246231.png)
+
+点击门诊挂号，可以在本页面进行挂号，退号，医保挂号可以使用医保卡，电子凭证，自费挂号使用身份证。
+
+点击新建按钮，在弹出的新建患者界面，输入患者姓名、性别、联系方式、证件号码、民族、卡类型等信息，点击确认按钮，完成对患者基本信息的添加。
+
+![image-20260225103815276](~@img/png/HISOperationManual/image-20260225103815276.png)
+
+ 
+
+患者基本信息添加完成之后，在挂号的界面，选择需要挂号的患者信息，提取患者数据，然后选择病人的费用性质、就诊科室、挂号类型、医生等信息。
+
+![image-20260225104527909](~@img/png/HISOperationManual/image-20260225104527909.png)
+
+ 挂号信息添加号之后，点击保存挂号按钮，在弹出的收费界面，选择支付方式和支付金额，点击确认完成挂号收费操作。
+
+![image-20260225104651097](~@img/png/HISOperationManual/image-20260225104651097.png)
+
+挂号费的支付支持多种支付方式，在支付方式中选择之后依次增加，添加支付方式的金额，系统会自动计算每个支付方式的金额，然后点击确认即可。
+
+![image-20260225104728794](~@img/png/HISOperationManual/image-20260225104728794.png)
+
+ 
+
+医保挂号，点击电子凭证，患者出示电子医保，扫码挂号，或者选择医保卡，读卡获取患者信息挂号。
+
+![image-20260225104822889](~@img/png/HISOperationManual/image-20260225104822889.png)
+
+医保卡挂号患者，插入医保卡，点击医保卡，读取用户信息，保存挂号。
+
+![image-20260225105042983](~@img/png/HISOperationManual/image-20260225105042983.png)
+
+如果收费员要查询挂号的信息，直接在挂号界面，输入需要查询的挂号患者姓名、或者挂号的开始日期和结束日期，点击查询按钮即可查询所需要的数据。
+
+![image-20260225105138110](~@img/png/HISOperationManual/image-20260225105138110.png)
+
+### 2.2门诊退号
+
+![image-20260225112430398](~@img/png/HISOperationManual/image-20260225112430398.png)
+
+在门诊挂号界面，如果患者需要退号，通过输入患者的姓名，搜索需要退号的患者，点击后面的退号按钮。
+
+![image-20260225112418094](~@img/png/HISOperationManual/image-20260225112418094.png)
+
+在弹出的退费界面，输入退费金额，完成退号操作。
+
+![image-20260225112513180](~@img/png/HISOperationManual/image-20260225112513180.png)
+
+ 
+
+退号时注意，就诊状态如果是在诊状态，系统不允许退号，只有状态在待诊状态才允许退号。
+
+![image-20260225112618472](~@img/png/HISOperationManual/image-20260225112618472.png)
+
+### 2.3门诊收费
+
+完成对就诊患者的收费操作。
+
+![image-20260225113033571](~@img/png/HISOperationManual/image-20260225113033571.png)
+
+点击左侧患者列表待收费的患者
+
+![image-20260225113117588](~@img/png/HISOperationManual/image-20260225113117588.png)
+
+收费项目里面会自动调出该收费患者的收费信息，勾选所需的收费项目
+
+![image-20260225113414940](~@img/png/HISOperationManual/image-20260225113414940.png)
+
+点击确认收费按钮，在弹出的收费界面，输入收费信息，完成收费结算。
+
+![image-20260225113439896](~@img/png/HISOperationManual/image-20260225113439896.png)
+
+如果是医保患者，直接点击医保卡、电子凭证或身份证，读医保患者信息，同时系统会自动调出患者的收费信息完成医保的结算。
+
+![image-20260225113501960](~@img/png/HISOperationManual/image-20260225113501960.png)
+
+如果患者在挂号时，是自费挂号，结算的时候想用医保结算，患者的费用信息调出之后，直接点击自费转医保按钮，完成自费转医保结算。
+
+![image-20260225113528143](~@img/png/HISOperationManual/image-20260225113528143.png)
+
+如果患者挂号的时候是医保挂号，在结算的时候由于医保原因无法使用医保结算，患者可以使用自费进行结算。调出患者的费用信息，点击医保转自费，完成费用的结算。
+
+![image-20260225113550224](~@img/png/HISOperationManual/image-20260225113550224.png)
+
+ 
+
+### 2.3门诊退费
+
+ ![image-20260225114237730](~@img/png/HISOperationManual/image-20260225114237730.png)
+
+![image-20260225114304500](~@img/png/HISOperationManual/image-20260225114304500.png)
+
+医生点退费按钮后，款台刷新页面，点击退费患者列表，选中患者，点击退费，点击确定按钮，退费成功。
+
+![image-20260225135500635](~@img/png/HISOperationManual/image-20260225135500635.png)
+
+
+
+![image-20260225135606155](~@img/png/HISOperationManual/image-20260225135606155.png)
+
+### 2.4门诊日结
+
+这里查看的信息时按照当前登录收费的款员不同，查看的信息不同，这个功能方便款员对账。
+
+![image-20260225135823496](~@img/png/HISOperationManual/image-20260225135823496.png)
+
+### 2.5门诊收费记录
+
+ 
+
+![image-20260225141041177](~@img/png/HISOperationManual/image-20260225141041177.png)
+
+在收费记录界面，可以实现对收费员查询收费患者的结算信息，同时也可以查看收费信息的收费详情、开具电子发票、冲销发票和调阅发票等操作。
+
+![image-20260225141103125](~@img/png/HISOperationManual/image-20260225141103125.png)
+
+点击收费详情按钮，可以查看该收费信息的收费详细信息。
+
+![image-20260225141127552](~@img/png/HISOperationManual/image-20260225141127552.png)
+
+![image-20260225141142196](~@img/png/HISOperationManual/image-20260225141142196.png)
+
+点击开具电子发票按钮，可以完成对该收费的电子发票（需对接电子发票系统）
+
+![image-20260225141218597](~@img/png/HISOperationManual/image-20260225141218597.png)
+
+如果患者开具的发票有问题需要冲销发票，直接点进后面的冲销发票按钮，即可完成对发票的冲正（需对接电子发票系统）。
+
+![image-20260225141245142](~@img/png/HISOperationManual/image-20260225141245142.png)
+
+
+
+### 2.6 门诊收费报表
+
+按照统计类型不同，统计门诊收费详细，自己选择条件筛选。
+
+![image-20260225141729022](~@img/png/HISOperationManual/image-20260225141729022.png)
+
+ 
+
+### 2.7 挂号查询
+
+按日期、科室、医生筛选查询医院挂号情况
+
+![image-20260225142345849](~@img/png/HISOperationManual/image-20260225142345849.png)
+
+
+
+### 2.8 医保对账
+
+按日期和险种不同，查询和医保的交易明细。
+
+![image-20260225142842569](~@img/png/HISOperationManual/image-20260225142842569.png)
+
+### 2.9门诊划价
+
+实现对门诊患者耗材的划价收费操作。
+
+![image-20260225142909079](~@img/png/HISOperationManual/image-20260225142909079.png)
+
+在患者列表里面，双击患者信息，在右侧项目里面，添加划价项目。
+
+![image-20260225143006175](~@img/png/HISOperationManual/image-20260225143006175.png)
+
+然后在弹出的划价界面，点解新增按钮，添加收费项目，添加完成之后，点击签发按钮，将划价收费的信息发送给收费室进行收费。
+
+![image-20260225143025289](~@img/png/HISOperationManual/image-20260225143025289.png)
+
+如果要修改已经划价的收费项目，如果项目已经签发还未进行收费，直接点击签退按钮，将收费信息调回，删除不需要的项目，然后点击签发按钮即可。
+
+![image-20260225143113370](~@img/png/HISOperationManual/image-20260225143113370.png)
+
+### 2.10门诊处置
+
+实现对门诊治疗的相关操作，打印瓶签、打印采血条码、打印处方、打印处置单等，对已做项目进行执行。
+
+![image-20260225145703869](~@img/png/HISOperationManual/image-20260225145703869.png)
+
+点击左侧患者列表，调出该患者所要执行的处置项目。
+
+![image-20260225152437939](~@img/png/HISOperationManual/image-20260225152437939.png)
+
+然后点击项目后面的执行按钮，完成对该项目的执行操作。
+
+![image-20260225152538152](~@img/png/HISOperationManual/image-20260225152538152.png)
+
+如果想要查看该项目的执行记录，直接点击该项目后面的执行记录按钮，即可查看该项目的执行历史记录。
+
+![image-20260225152556928](~@img/png/HISOperationManual/image-20260225152556928.png)
+
+### 2.11输液记录
+
+对门诊需要输液的患者进行输液执行。
+
+![image-20260225160912287](~@img/png/HISOperationManual/image-20260225160912287.png)
+
+通过输入就诊日期、患者信息、执行状态等信息，查询所需执行的患者。
+
+![image-20260225160959267](~@img/png/HISOperationManual/image-20260225160959267.png)
+
+在患者列表，双击患者信息，可以调出该患者需要执行的输液类医嘱。
+
+![image-20260225161015883](~@img/png/HISOperationManual/image-20260225161015883.png)
+
+勾选所需要的输液药品，点击打印瓶签，完成对输液标签的打印。
+
+![image-20260225161031505](~@img/png/HISOperationManual/image-20260225161031505.png)
+
+如果想要查询患者的医嘱信息，直接点击查看医嘱按钮，可以查看该患者的详细医嘱信息。
+
+![image-20260225161113544](~@img/png/HISOperationManual/image-20260225161113544.png)
+
+如果输液已经执行，想要撤销执行，在执行状态里面选择已完成，点击患者信息，可以调出该患者已经执行的医嘱信息，直接点击撤销按钮，对已执行的输液进行撤回。
+
+![image-20260225161134581](~@img/png/HISOperationManual/image-20260225161134581.png)
+
+### 2.12皮试记录
+
+该功能模块完成对门诊患者进行皮试的操作。
+
+![image-20260225163423223](~@img/png/HISOperationManual/image-20260225163423223.png)
+
+通用搜索患者的基本信息，调出该患者需要皮试的药品信息，点击执行操作，然后录入皮试的结果信息，供医生调阅。
+
+### 2.13电子处方管理
+
+该功能模块是对电子处方进行管理操作。
+
+![image-20260225164712821](~@img/png/HISOperationManual/image-20260225164712821.png)
+
+通过输入订单的开始结束日期或者患者信息进行搜索所需要的数据
+ ![image-20260225164729426](~@img/png/HISOperationManual/image-20260225164729426.png)
+
+点击查看按钮，可以查看该电子处方的详细信息。
+
+![image-20260225164742906](~@img/png/HISOperationManual/image-20260225164742906.png)
+
+ 
+
+点击处方上传按钮，可以将电子处方数据进行上传，完成开房的操作。
+
+![image-20260225164804833](~@img/png/HISOperationManual/image-20260225164804833.png)
+
+如果对已经上传的处方进行撤销，直接点击处方后面的处方撤销按钮，对上传的处方进行撤销。
+
+![image-20260225164821341](~@img/png/HISOperationManual/image-20260225164821341.png)
+
+处方已经上传，如果要查看处方的取药信息，点击取药查询按钮，可以查看该电子处方的患者取药信息。
+
+![image-20260225164906379](~@img/png/HISOperationManual/image-20260225164906379.png)
+
+# 三、医生工作站
+
+### 3.1 医生角色登录
+
+点击门诊医生工作站，门诊医生站，完成对门诊患者的急诊操作。
+
+![image-20260226155936354](~@img/png/HISOperationManual/image-20260226155936354.png)
+
+### 3.2病历
+
+在患者队列里面，点击待就诊患者的接诊按钮，进入门诊病历界面、
+
+![image-20260226160008815](~@img/png/HISOperationManual/image-20260226160008815.png)
+
+在病历界面，填写该患者的病历信息。
+
+![image-20260226160235451](~@img/png/HISOperationManual/image-20260226160235451.png)
+
+ 
+
+记录患者主诉，其他信息，也可以使用历史病历进行复用
+
+![image-20260226160325724](~@img/png/HISOperationManual/image-20260226160325724.png)
+
+### 3.3诊断
+
+病历填写完成后，点击保存后切换诊断页面，根据患者情况下诊断，点击新增诊断
+
+![image-20260226160443017](~@img/png/HISOperationManual/image-20260226160443017.png)
+
+选择诊断类型，慢病备案的患者，医生选择门诊慢病，并导入慢病，诊断会自动从医保局获取患者的备案慢病。其他场景一般选择普通门诊。
+
+![image-20260226160532532](~@img/png/HISOperationManual/image-20260226160532532.png)
+
+多个诊断时，继续新增，一次就诊只有一个主诊断，勾选后面的主诊断就可以，所有诊断新增好后，点击保存诊断按钮，保存诊断后切换到医嘱页面。
+
+![image-20260226160631718](~@img/png/HISOperationManual/image-20260226160631718.png)
+
+同时也可以使用历史诊断，快速开立患者的诊断信息。
+
+![image-20260226160735178](~@img/png/HISOperationManual/image-20260226160735178.png)
+
+也可以使用诊断里面的常用诊断或者诊断模板快速添加诊断
+
+![image-20260226160839877](~@img/png/HISOperationManual/image-20260226160839877.png)
+
+![image-20260226160851269](~@img/png/HISOperationManual/image-20260226160851269.png)
+
+如果需要开立中医诊断时，点击中医诊断按钮，在弹出的界面，添加中医诊断的证候。
+
+![image-20260226163155216](~@img/png/HISOperationManual/image-20260226163155216.png)
+
+### 3.4医嘱
+
+#### 3.4.1开立医嘱
+
+在医嘱界面，可以完成对门诊患者的各类医嘱的开立并保存收费。
+
+![image-20260226163234751](~@img/png/HISOperationManual/image-20260226163234751.png)
+
+点击新增按钮，对该患者进行医嘱的开立
+
+![image-20260226163323396](~@img/png/HISOperationManual/image-20260226163323396.png)
+
+如果开立口服类的药品，直接在医嘱里面输入所需要开立的药品，填写药品医嘱信息，计量信息、用药途径、频次、天数、总量。然后点击确认按钮，完成药品的开立。
+
+![image-20260226163541828](~@img/png/HISOperationManual/image-20260226163541828.png)
+
+如果要开立注射类的药品，在医嘱信息里面输入药品，然后输入药品的执行次数、计量信息、用药途径、用药频次、用药天数和总量
+
+![image-20260226164745624](~@img/png/HISOperationManual/image-20260226164745624.png)
+
+如果需要对患者开立检验申请单，直接在项目里面输入所需要的检验信息，填写申请单信息，点击确认按钮，完成申请单开立。
+
+![image-20260226164839461](~@img/png/HISOperationManual/image-20260226164839461.png)
+
+如果需要对患者开立检查项目，直接在医嘱里面开立检查项目，填写检查申请单信息，确认，完成申请单操作。
+
+![image-20260226164956670](~@img/png/HISOperationManual/image-20260226164956670.png)
+
+所有医嘱项目开立好之后，点击保存按钮，完成对门诊患者的医嘱开立操作。
+
+![image-20260226165057322](~@img/png/HISOperationManual/image-20260226165057322.png)
+
+如果开立成组的医嘱，勾选所需要成组的药品，点击组合按钮，完成成组操作。
+
+![image-20260226165228916](~@img/png/HISOperationManual/image-20260226165228916.png)
+
+如果医嘱需要拆组，选择需要拆组的医嘱，点击拆组按钮，完成拆组操作
+
+ ![image-20260226165259076](~@img/png/HISOperationManual/image-20260226165259076.png)
+
+
+
+所有医嘱开立好之后，直接点击签发按钮，完成对患者的医嘱开立，医嘱签发完成后，患者可以去门诊收费处进行缴费。
+
+![image-20260226165435564](~@img/png/HISOperationManual/image-20260226165435564.png)
+
+如果签发的医嘱需要退回修改，可以直接点击撤回按钮，完成对医嘱的撤回操作。
+
+![image-20260226165505011](~@img/png/HISOperationManual/image-20260226165505011.png)
+
+ 
+
+如果医生开立多个诊断的处方，直接在诊断处选择处方对应的诊断即可。
+
+![image-20260226165531023](~@img/png/HISOperationManual/image-20260226165531023.png)
+
+#### 3.4.2开立中药
+
+如果患者需要开立中药，在中药处方界面，完成对中药医嘱的开立。
+
+![image-20260226165706784](~@img/png/HISOperationManual/image-20260226165706784.png)
+
+在处方界面，选择医嘱的诊断，然后填写医嘱的用药途径、频次、用药天数、付数以及代煎信息。
+
+![image-20260226165943714](~@img/png/HISOperationManual/image-20260226165943714.png)
+
+然后在医嘱信息里面，搜索医嘱药品，填写处方信息，然后保存签发处方，完成对处方的开立
+
+![image-20260226170013317](~@img/png/HISOperationManual/image-20260226170013317.png)
+
+#### 3.4.3开立电子处方
+
+如果患者需要开立处方流转的电子处方，在电子处方界面完成对处方流转的开立。
+
+![image-20260226170044782](~@img/png/HISOperationManual/image-20260226170044782.png)
+
+点击新增处方按钮，在弹出的界面，输入处方诊断信息、有效天数以及处方明细，然后点击保存按钮。
+
+![image-20260226170101913](~@img/png/HISOperationManual/image-20260226170101913.png)
+
+电子处方开好之后，点击签发按钮，电子处方流转至药房，药房进行审核。
+
+![image-20260226170125128](~@img/png/HISOperationManual/image-20260226170125128.png)
+
+
+
+### 3.5开立手术申请
+
+门诊医生站开立手术申请单界面，帮助医生完成手术申请单的创建、查看、编辑和取消操作，管理患者手术申请记录。
+
+![image-20260226170253160](~@img/png/HISOperationManual/image-20260226170253160.png)
+
+点击【新增手术申请】按钮，弹出新增手术申请填写界面
+
+![image-20260226170742542](~@img/png/HISOperationManual/image-20260226170742542.png)
+
+已保存的手术申请单可以进行查看、编辑、删除业务操作
+
+![image-20260226171333865](~@img/png/HISOperationManual/image-20260226171333865.png)
+
+
+
+
+
+
+
+# 四、库房管理
+
+### 4.1 药房医师角色登录
+
+药房有系统管理，库房管理，发药管理，财务管理，报表管理四个权限菜单
+
+ 
+
+### 4.2目录管理
+
+![image-20260227095352235](~@img/png/HISOperationManual/image-20260227095352235.png)
+
+药房有药品目录，器材目录和厂商产地的查看编辑新增权限
+
+### 4.3药品目录
+
+药品目录是医院内所有在用药品的集合，需要把药品基础信息核对无误后，一一维护系统中，先对照在保存。点击添加新项目按钮，点击从医保目录导入，按照国药准字或者药品名搜索。
+
+![image-20260227095635374](~@img/png/HISOperationManual/image-20260227095635374.png)
+
+![image-20260227095659255](~@img/png/HISOperationManual/image-20260227095659255.png)
+
+![image-20260227095802398](~@img/png/HISOperationManual/image-20260227095802398.png)
+
+搜索完成后点击对照，药品信息就被导入好了，需要填写必填项，售价等信息，基础信息填写完成后点击确定按钮就可以保存了。
+
+![image-20260227104617040](~@img/png/HISOperationManual/image-20260227104617040.png)
+
+有不用的药品可以勾选停用，停用的药品在使用点启用就可以。
+
+![image-20260227104720518](~@img/png/HISOperationManual/image-20260227104720518.png)
+
+可以根据药品名搜索，或者首字母缩查看药品信息。
+
+![image-20260227104814740](~@img/png/HISOperationManual/image-20260227104814740.png)
+
+![image-20260227104852527](~@img/png/HISOperationManual/image-20260227104852527.png)
+
+### 4.4耗材目录
+
+ 这里主要维护医院的耗材，点击添加新项目，医保报销范围内的耗材点击从医保目录导入，点击对照，将耗材信息从医保导入，院内自费的项目直接填写信息就可以。
+
+![image-20260227160813277](~@img/png/HISOperationManual/image-20260227160813277.png)
+
+点击【添加新项目】
+
+![image-20260227160922986](~@img/png/HISOperationManual/image-20260227160922986.png)
+
+点击【从医保目录导入】
+
+![image-20260227161054338](~@img/png/HISOperationManual/image-20260227161054338.png)
+
+ 
+
+### 4.5供货商管理
+
+ 药品和耗材的供货商与生产厂家，需要添加到这个目录里，点击添加，填写信息，点确定按钮即保存。
+
+![image-20260227161431200](~@img/png/HISOperationManual/image-20260227161431200.png)
+
+可以通过厂家名称或者缩写进行查询，点击编辑，查看，可以修改和查看详细信息。
+
+![image-20260227161527774](~@img/png/HISOperationManual/image-20260227161527774.png)
+
+![image-20260227161632987](~@img/png/HISOperationManual/image-20260227161632987.png)
+
+### 4.6 采购入库
+
+该功能是对医院药品或耗材进行采购入库的操作。
+
+![image-20260227164541472](~@img/png/HISOperationManual/image-20260227164541472.png)
+
+在采购单界面，填写采购单的经办人、供应商信息以及药品类型和仓库类型
+
+![image-20260227164638022](~@img/png/HISOperationManual/image-20260227164638022.png)
+
+然后在入库单明细里面，点击添加行按钮，在项目里面搜索需要添加的药品信息、采购数量、追溯码、采购价格等信息。
+
+![image-20260227164741796](~@img/png/HISOperationManual/image-20260227164741796.png)
+
+采购单做好之后，点击提交审核按钮，对入库单进行财务审核，审核完成之后，完成采购入库的操作。
+
+![image-20260227164848821](~@img/png/HISOperationManual/image-20260227164848821.png)
+
+### 4.7采购退货
+
+改功能是对采购入库的药品或耗材进行退货操作。
+
+![image-20260227165147891](~@img/png/HISOperationManual/image-20260227165147891.png)
+
+在功能界面，填写退货单的经办人、退货的供应商、类型和仓库。
+
+![image-20260227165219439](~@img/png/HISOperationManual/image-20260227165219439.png)
+
+然后在采购退货明细里面，添加需要退货的药品信息。
+
+![image-20260227165255995](~@img/png/HISOperationManual/image-20260227165255995.png)
+
+单据做好之后，点击提交审核，财务审核完成之后，完成对药品退货的操作。
+
+![image-20260227170305892](~@img/png/HISOperationManual/image-20260227170305892.png)
+
+### 4.8批量盘点
+
+ 该功能是对药房药品进行盘点操作。
+
+![image-20260227170420448](~@img/png/HISOperationManual/image-20260227170420448.png)
+
+输入盘点的仓库类型、盘点的仓库以及盘点的类型
+
+![image-20260227170457787](~@img/png/HISOperationManual/image-20260227170457787.png)
+
+点击生成批量盘点单按钮，添加盘点的药品
+
+![image-20260227171525788](~@img/png/HISOperationManual/image-20260227171525788.png)
+
+盘点单生成之后，录入盘点信息，然后点击提交审核按钮，进行盘点数据的审核，审核完成之后，完成盘盈盘亏的操作。
+
+![image-20260227171615683](~@img/png/HISOperationManual/image-20260227171615683.png)
+
+### 4.9采购管理
+
+ 该功能是对采购单据的管理操作。
+
+![image-20260228090949856](~@img/png/HISOperationManual/image-20260228090949856.png)
+
+输入单据的信息，可以搜索已完成的单据信息
+
+![image-20260228091021747](~@img/png/HISOperationManual/image-20260228091021747.png)
+
+点击详情，可以查看单据的详细信息。
+
+![image-20260228091356710](~@img/png/HISOperationManual/image-20260228091356710.png)
+
+![image-20260228091434035](~@img/png/HISOperationManual/image-20260228091434035.png)
+
+点击撤销审批，可以对已审核的单据进行撤销操作。
+
+![image-20260228091734914](~@img/png/HISOperationManual/image-20260228091734914.png)
+
+ 
+
+### 4.10库房盘点
+
+ 盘点功能可以统计库房实际库存，计算盈亏。
+
+![image-20260228091853656](~@img/png/HISOperationManual/image-20260228091853656.png)
+
+盘点药品时，需要扫入所有药品的追溯码，手动输入实盘数量，计算盈亏。
+
+![image-20260228093307932](~@img/png/HISOperationManual/image-20260228093307932.png)
+
+
+
+![image-20260228093401032](~@img/png/HISOperationManual/image-20260228093401032.png)
+
+![image-20260228093500533](~@img/png/HISOperationManual/image-20260228093500533.png)
+
+### 4.11领用出库
+
+非药房的科室用药取药，需要填写领用出库的明细，填写好信息后提交审核，审核通过过后领用出库。
+
+ ![image-20260228094536231](~@img/png/HISOperationManual/image-20260228094536231.png)
+
+填写领用出库单据相关信息
+
+![image-20260228094651168](~@img/png/HISOperationManual/image-20260228094651168.png)
+
+点击【添加行】按钮，对领用出库药品信息进行填写
+
+![image-20260228094912624](~@img/png/HISOperationManual/image-20260228094912624.png)
+
+
+
+### 4.12领用退库
+
+领用出库的药品或者耗材可以使用领用退库归还给药房或者耗材库。
+
+![image-20260228105054670](~@img/png/HISOperationManual/image-20260228105054670.png)
+
+填写领用退款单据信息
+
+![image-20260228110130585](~@img/png/HISOperationManual/image-20260228110130585.png)
+
+点击【添加行】按钮对退库药品信息进行填写
+
+![image-20260228110211054](~@img/png/HISOperationManual/image-20260228110211054.png)
+
+
+
+
+
+### 4.13报损管理
+
+药房或者耗材库有过期损毁的药品和耗材，可以使用这个功能记录损毁物品原因明细，确定误区后提交审核。
+
+![image-20260228110319962](~@img/png/HISOperationManual/image-20260228110319962.png)
+
+填写报损管理单据信息
+
+![image-20260228111947036](~@img/png/HISOperationManual/image-20260228111947036.png)
+
+点击【添加行】按钮填写报损药品/耗材信息
+
+![image-20260228112234426](~@img/png/HISOperationManual/image-20260228112234426.png)
+
+
+
+### 4.14库存明细记录
+
+查看库房中药品和耗材的入库明细，在库数量，库存里过期时间，方便查看管理过期物品，过期或者有不使用的药品和耗材可以点击停供。
+
+![image-20260228112327067](~@img/png/HISOperationManual/image-20260228112327067.png)
+
+填写查询条件内容可以对报表进行筛选
+
+![image-20260228114153787](~@img/png/HISOperationManual/image-20260228114153787.png)
+
+
+
+### 4.15门诊发药
+
+ 该功能是对门诊患者进行发药操作。
+
+![image-20260228114307552](~@img/png/HISOperationManual/image-20260228114307552.png)
+
+点击患者列表里面待发药的患者，系统会自动调出该患者待发药的药品信息。
+
+![image-20260228114449825](~@img/png/HISOperationManual/image-20260228114449825.png)
+
+然后在选择调配药师，输入药品的追溯码信息
+
+![image-20260228114548650](~@img/png/HISOperationManual/image-20260228114548650.png)
+
+输入药品追溯码/扫码获取追溯码之后，点击发药按钮，完成处方的发药操作。
+
+![image-20260228114748450](~@img/png/HISOperationManual/image-20260228114748450.png)
+
+系统也支持处方的批量发药、批量扫码以及处方打印等操作。
+
+![image-20260228114811315](~@img/png/HISOperationManual/image-20260228114811315.png)
+
+### 4.16门诊退药
+
+该功能是对门诊需要退药的患者进行退药操作。
+
+![image-20260228144404590](~@img/png/HISOperationManual/image-20260228144404590.png)
+
+患者经过医生退药申请后，数据传到门诊药房，在患者列表栏，双击需要退药的患者。
+
+![image-20260228144541219](~@img/png/HISOperationManual/image-20260228144541219.png)
+
+然后在退药单界面，输入退药的药品追溯码信息，点击确认退药按钮，完成退药操作。
+
+![image-20260228144708368](~@img/png/HISOperationManual/image-20260228144708368.png)
+
+### 4.17库房审批
+
+采购入库，盘点，批量盘点提交审核都在这里审批，点击重置按钮，获得最新的审批记录。
+
+ ![image-20260228165706462](~@img/png/HISOperationManual/image-20260228165706462.png)
+
+点击【审核】按钮弹出采购入库单界面
+
+![image-20260228165810421](~@img/png/HISOperationManual/image-20260228165810421.png)
+
+信息核对正确后点击【审批通过】按钮，有问题的直接点击驳回。
+
+![image-20260228170004570](~@img/png/HISOperationManual/image-20260228170004570.png)
+
+### 4.18发药明细
+
+这里可以查询详细的发药情况，根据统计类型筛选查看不同的发药统计情况。
+
+![image-20260228171057060](~@img/png/HISOperationManual/image-20260228171057060.png)
+
+填写查询条件可以筛选对应的报表内容
+
+![image-20260228171951761](~@img/png/HISOperationManual/image-20260228171951761.png)
+
+### 4.19待发药查询
+
+查询所有未发放的药品，也可以根据药品名和时间进行筛选查询。
+
+ ![image-20260228173338737](~@img/png/HISOperationManual/image-20260228173338737.png)
+
+### 4.20采购入库明细报表
+
+这里可以查看所有的采购入库明细
+
+ ![image-20260228173608901](~@img/png/HISOperationManual/image-20260228173608901.png)
+
+可以根据填写查询条件对采购入库明细进行筛选
+
+![image-20260228173923879](~@img/png/HISOperationManual/image-20260228173923879.png)
+
+点击单据号字段的值可以查看单据详情
+
+![image-20260228174046337](~@img/png/HISOperationManual/image-20260228174046337.png)
+
+![image-20260228174109602](~@img/png/HISOperationManual/image-20260228174109602.png)
+
+### 4.21领用出库明细报表
+
+查看领用出库明细
+
+ ![image-20260228174222011](~@img/png/HISOperationManual/image-20260228174222011.png)
+
+填写查询条件可以对领用出库明细报表进行筛选
+
+![image-20260228174516785](~@img/png/HISOperationManual/image-20260228174516785.png)
+
+### 4.22库存商品明细查询报表
+
+查看库存商品明细
+
+![image-20260303092822553](~@img/png/HISOperationManual/image-20260303092822553.png)
+
+填写查询条件可以对报表进行筛选
+
+![image-20260303092537650](~@img/png/HISOperationManual/image-20260303092537650.png)
+
+### 4.23盘点明细报表
+
+查看采购盘点明细
+
+![image-20260303093021953](~@img/png/HISOperationManual/image-20260303093021953.png)
+
+ 
+
+### 4.24采购退货明细报表
+
+查看采购退货明细
+
+![image-20260303093123310](~@img/png/HISOperationManual/image-20260303093123310.png)
+
+   
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