2.7 检查报告 ................................................................................................................41
2.8 病程记录 ................................................................................................................41
2.8.1 打开病程记录.................................................................................................41
2.8.2 新增病程记录.................................................................................................42
2.8.3 修改病程记录.................................................................................................45
2.8.4 删除病程记录.................................................................................................45
2.8.5 日志.................................................................................................................46
2.8.6 已删除记录的日志.........................................................................................46
2.9 谈话记录 ................................................................................................................46
2.10 留观小结 ................................................................................................................48
2.10.1 出院诊断编辑.................................................................................................48
2.10.2 情况说明编辑.................................................................................................49
2.11 死亡资料 ................................................................................................................50
2.12 病案首页 ................................................................................................................51
3 抢救 ........................................................................................................................................52
3.1 病历 ........................................................................................................................53
3.2 诊断编辑 ................................................................................................................54
3.2.1 新增诊断.........................................................................................................54
3.2.2 新增二级诊断.................................................................................................55
3.2.3 删除诊断.........................................................................................................56
4 使用维护 ................................................................................................................................56
4.1 医嘱套餐 ................................................................................................................56
4.2 草药套餐 ................................................................................................................57
4.3 文本模板 ................................................................................................................58
4.4 整体套餐 ................................................................................................................59
4.5 检验套餐 ................................................................................................................61
4.6 检查套餐 ................................................................................................................61
4.7 密码修改 ................................................................................................................62
4.8 医生工作量统计.....................................................................................................62
5 科室管理 ................................................................................................................................62
5.1 常用检验单 ............................................................................................................62
5.2 药品常用剂量.........................................................................................................63
5.3 中草药常用剂量.....................................................................................................64
5.4 诊疗组维护 ............................................................................................................64
6 科室套餐 ................................................................................................................................65
7 基础资料 ................................................................................................................................65
7.1 诊断名词 ................................................................................................................65
7.2 诊断类型 ................................................................................................................66
7.3 手术 ........................................................................................................................67
7.4 护理 ........................................................................................................................68
7.5 膳食 ........................................................................................................................68
7.6 处置 ........................................................................................................................68
7.7 其他 ........................................................................................................................68
7.8 检验计费项目.........................................................................................................68
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