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1 afTiaqisa da sawyobis aRricxva hospitaluri menejmentis sistema medservisi afTiaqisa da sawyobis aRricxva

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Page 1: hospitaluri menejmentis sistema medservisimedservice.ge/failebi/Aftiaqi-PDF.pdfafTiaqisa da sawyobis aRricxva 7 Teulia tableti, meore donis erTeulia firfita da 1 firfita=10 tab, xolo

1afTiaqisa da sawyobis aRricxva

hospitaluri menejmentis sistema

medservisiafTiaqisa da sawyobis aRricxva

Page 2: hospitaluri menejmentis sistema medservisimedservice.ge/failebi/Aftiaqi-PDF.pdfafTiaqisa da sawyobis aRricxva 7 Teulia tableti, meore donis erTeulia firfita da 1 firfita=10 tab, xolo

2afTiaqisa da sawyobis aRricxva

afTiaqisa da sawyobis aRricxva

`medikamentebis~ aRricxvas ̀ klinikis~ saaRricxvo sistemaSi erTerTifundamenturi adgili uWiravs. aRricxvis es nawili dakavSirebuliapacientis kalkulaciebTan (ix. 4.2 da Tavi 5) da afTiaqis modulTan,romelic asaxavs `medikamentebis~ aRricxvis bunebriv process:

`klinikis~ centraluri afTiaqi periodulad maragdeba sxvadasxvamomwodeblebisagan

afTiaqi `medikamentebs~ awvdis damkveTebs (esenia `klinikis~ gan-yofilebebi an sxva dawesebulebebi) maTive moTxovnaTa safuZvelze

ganyofileba ̀ medikamentebs~ xarjavs pacientebze an saWiroebi-sas gadascems sxva ganyofilebas Sesabamisi aqtis safuZvelze

ganyofilebebs, iseve rogorc afTiaqs, aqvT TavianTi naSTebi da`medikamenti~ nebismier dros imyofeba an afTiaqis naSTSi anromelime ganyofilebis naSTSi an romelime pacientis danaxarjSi

aucileblobis SemTxvevaSi (mag: vadis gasvlis gamo) SesaZlebelia`medikamenti~ Camoiweros afTiaqis an ganyofilebis naSTidanSesabamisi aqtis safuZvelze

`klinikis~ buRalteria periodulad axorcielebs gadaricxvebsafTiaqis momwodeblebze

periodulad xdeba afTiaqisa da ganyofilebebis naSTebis gadakon-troleba da aucilebeli dokumentaciis (afTiaqisa da ganyofilebebisbrunvebi, Semosavlisa da gasavlis zeddebulebi, zeddebulebis nusxa,zeddebulebis naerTi formebi, brunva momwodeblebTan) ̀ klinikis~buRalteriaSi Tavmoyra.

afTiaqis modulis gaxsna SesaZlebelia programis mTavari menius punqtiTmarTva/afTiaqi an programis mTavari fanjris instrumentebis panelis RilakiT [Pm: -44- an -45-] (sur. 11.1). Tu momxmarebels miniWebuliaqvs mxolod afTiaqTan dakavSirebuli uflebebi (ix. 16.4), afTiaqigaixsneba programis gaxsnisTanave da misi daxurvisas programac daixureba.

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3afTiaqisa da sawyobis aRricxva

sawyobis moduli SesaZlebelia gaixsnas programis mTavari meniuspunqtiT marTva/sawyobi an programis mTavari fanjris instrumente-bis panelis RilakiT [Pm: -49- an -50-]. sawyobis moduli afTiaqismodulis identuria rogorc interfeisiT ise muSaobis principebiTac,amitom mas calke ar ganvixilavT.

afTiaqis modulis mTavari fanjris instrumentebis paneli moicavsSemdeg Rilakebs (`/~-iT gamoyofilia sawyobis Sesabamisi ufleba):

sur. 11.1. afTiaqis modulis mTavari fanjara

- angariSTa gegma [Pm: -45-/-50-]

- miReba [Pm: -101- an -45-/-50-]

- gacema [Pm: -101- an -45-/-50-]

- miReba angariSze (me-7 modifikaciaSi) [Pm: -102- an -45-/-50-]

- brunva momwodeblebTan [Pm: -83-]

- gadatana [Pm: -102- an -45-/-50-]

- zeddebulebi

- afTiaqis brunva [Pm: -116- an -45-/-50-]

- ganyofilebebis brunva

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4afTiaqisa da sawyobis aRricxva

11.1. angariSTa gegma

afTiaqis modulSi raime operaciis ganxorcileba SesaZlebelia mxolodim operandebis gamoyenebiT, romlebic daregistrirebulni arian anga-riSTa gegmaSi (sur. 11.2) winaswar - operaciis ganxorcielebamde, anuSualod operaciis ganxorcielebisas.

SeniSvna. afTiaqis modulis operandebia: ̀ medikamenti~, momwodebeli da damkveTi.

TiToeul operands angariSTa gegmaSi Seesabameba Sesabamisi tipisindeqsi. indeqsi warmoadgens minimalur erTeuls. is SeiZleba Seiqmnasraime angariSze an qveangariSze. angriSTa gegmaSi operandebis Sesaba-misad SeiZleba Seiqmnas sami tipis angariSi: medikamenti, momwodebelida damkveTi. angariSi SeiZleba daiyos qveangariSebad. aseve TiToeuliqveangariSic SeiZleba daiyos qveangariSebad. qveangariSebsa da indeqsebsgadaecemaT angariSis tipi. tipis Secvla SesaZlebelia mxolodangariSis doneze da Secvlis Semdeg angariSis yvela qveangariSsa daindeqss axali tipi mieniWeba.

SeniSvna. qveangariSebad CaSla SesaZlebelia sul cota 10 donemde, xoloindeqsebis raodenoba SeuzRudavia.

sur. 11.2. angariSTa gegma da misi fanjris elementebi

12

3

45

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11.1.1. angariSTa gegmis fanjris elementebi

- humanitaruli angariSi. aqtiurdeba angariSis an qveangariSismoniSvnisas. am RilakiT moniSnul angariSze an qveangariSzegaxsnili indeqsebi daangariSebaSi ar monawileobs (ix. Tavi 5).

- gaxsnili CamonaTvalis Excel-Si eqsporti

- ukan. angariSis CaSlis zeda doneze dabruneba

- waSla

- redaqtireba

- axali indeqsi

- axali angariSi/qveangariSi

- gadasvla

SeniSvna. Tu gvsurs gadasvla dasaxelebis pirveli simboloTi, maSinsakmarisia klaviaturis Sesabamis klaviSze daWera.

- Casma. aqtiuria mxolod filtris fanjridan (ix. 11.3.2) gaxsnilangariSTa gegmaSi angariSis an qveangariSis moniSvnisas. misidaniSnulebaa medikamentiT saZiebel velSi arCeuli angariSisan qveangariSis miTiTeba

- instrumentebis paneli, romelic moicavs Semdeg Rilakebs:1

- sainformacio paneli. masze aisaxeba gaxsnili angariSis/qveangariSisdasaxeleba mis zeda doneebTan erTad (sur. 11.2-ze CaSliliaangariSi `afTiaqi~ da misi qveangariSi `mza medikamentebi~).

- cxrili, romelic asaxavs gaxsnili angariSis/qveangariSis Semad-genlobas. CamonaTvalSi qveangariSebs (arsebobis SemTxvevaSi) mos-devs indeqsebi da dasaxelebebi dalagebulia alfavitiT. cxrilSigadaadgileba SesaZlebelia isrebiani klaviSebis an mausis daxma-rebiT. angariSis/qveangariSis gaxsna SesaZlebelia orjer dakli-kebiT an Enter-iT.

- sainformacio paneli, romelic gviCvenebs moniSnuli dasaxelebisSesabamis programul kods. kodi avtomaturad ganisazRvreba prog-ramis mier angariSis/qveangariSis an indeqsis Seqmnisas.

SeniSvna. kodis Sedgenis principi aseTia: raime doneze angariSis/qvean

3

2

4

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11.1.2. angariSis/qveangariSis Seqmna

1. davaklikoT Rilakze ;

2. gaxsnil fanjaraSi (sur. 11.3) mivuTiToT angariSis dasaxeleba datipi: ̀ medikamenti~, mom-wodebeli an damkveTi;

3. Tu aRniSnuli fanj-ris gaxsnamde arcerTiangariSi ar gvqonda CaS-lili, maSin diax-ze dak-likebiT Seiqmneba axaliangariSi, winaaRmdeg Sem-TxvevaSi Seiqmneba axaliqveangariSi gaxsnil an-gariSSi/qveangariSSi.

11.1.3. indeqsis Seqmna

1. gavxsnaT angariSi/qveangariSi, romelzec gvsurs indeqsis Seqmna;

2. davaklikoT Rilakze ;

3. mivuTiToT indeqsis dasaxeleba;

4. medikamentis tipis indeqsisaTvis mivuTiToT erTeulebi da zedadonis erTeulidan qvedadonis erTeulze gadamy-vani numerusebi. dasaSve-bia sami erTeulis miTi-Teba, rac iZleva sxvadas-xva erTeulebSi operacie-bis warmoebis da brun-vebis (ix. 11.2, 11.4) daT-valierebis saSualebas.

sur. 11.4-ze mocemuli in-deqsisaTvis minimaluri er

5

gariSis an indeqsis Seqmnisas am donis Sesabamis programul kodsemateba defisi da axali angariSis/qveangariSis an indeqsisaTvis programismier miniWebuli nomeri.

- sainformacio paneli, romelic gviCvenebs moniSnuli indeqsisSesabamis farmakologiur jgufs.

sur. 11.3. axali angariSi

sur. 11.4. axali indeqsi

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7afTiaqisa da sawyobis aRricxva

Teulia tableti, meore donis erTeulia firfita da 1 firfita=10 tab, xolomesame donis erTeulia kolofi da 1 kol=5 firfita;

Tu indeqss miTiTebuli aqvs erTze meti erTeuli, maSin misi dasaxelebisgaswvriv avtomaturad miewereba gadamyvani numerusebis namravli.garda amisa II an III donis erTeulebiT brunvis daTvalierebisasdasaxelebis gaswvriv avtomaturad miewereba II-dan I-ze (an III-dan I-ze) gadamyvani numerusi minimalur erTeulTan erTad da erTeulisvelSi gamoCndeba arCeuli donis Sesabamisi erTeuli (ix. 11.4).

5. CavrToT erTeuli-2-Tan mdebare alami, Tu saWiroa rom afTiaqisbrunvis minimaluri erTeulebiT daTvalierebisas Sesaqmneli indeqsiaisaxos meore donis erTeuliT anu afTiaqis brunvisaTvis meoredonis erTeuli iqneba minimaluri erTeuli;

6. brunvis daTvalierebisas SesaZlebelia im medikamentebis gamoyofa,romelTa raodenobebi kritikul raodenobebze naklebia. maragSi mie-TiTeba kritikuli raodenoba - marcxniv afTiaqis brunvisaTvis, marjvnivki ganyofilebebis brunvisaTvis;

7. medikamentis tipis indeqss saWiroebis SemTxvevaSi jgufSi undamieTiTos farmakologiuri jgufi.

11.1.4. redaqtireba da waSla

angariSis, qveangariSis an indeqsis saregistracio monacemebis Sesac-vlelad saWiroa:

1. movniSnoT Sesacvleli angariSi, qveangariSi an indeqsi;

2. davaklikoT Rilakze ;

3. gaxsnil fanjaraSi ganvaxorcieloT sasurveli cvlilebebi;

4. indeqsis redaqtirebis SemTxvevaSi Tu gvsurs cvlilebebi aisaxosukve gatarebul zeddebulebSi (ix. 11.2, 11.3), maSin diax-ze daklikebamdeCavrToT alami Secvale zeddebulebSi.

angariSis, qveangariSis an indeqsis wasaSlelad saWiroa:

1. movniSnoT wasaSleli angariSi, qveangariSi an indeqsi;

2. davaklikoT Rilakze ;

3. Tu wasaSleli obieqti monawileobda raime operaciaSi, maSin programagamoitans Setyobinebas rom obieqtis waSla SeuZlebelia, winaaRmdegSemTxvevaSi ki waSlis dadasturebis Setyobinebas (ix. C.2.) da dadas-turebis Semdeg obieqti waiSleba.

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8afTiaqisa da sawyobis aRricxva

11.2. operaciebi

afTiaqis modulis operaciebis gamoyenebiT SesaZlebelia:

`medikamentebis~ afTiaqSi miReba

afTiaqidan ganyofilebebze (damkveTebze) gacema

afTiaqis gverdis avliT damkveTis angariSze miReba

damkveTebs Soris `medikamentebis~ urTierTgadacema

afTiaqidan da ganyofilebidan `medikamentebis~ Camowera

xarjSi gadatana

afTiaqisa da ganyofilebebis sawyisi naSTebis dasma.

SeniSvna. Camowerisa da xarjSi gadatanis operaciebisaTvis rekomendirebuliadamkveTebis angariSze davamatoT indeqsebi: `Camowerili medikamentebi~ da`xarji~, xolo afTiaqis sawyisi naSTis dasmisaTvis - momwodeblebis angariSzedavamatoT indeqsi `naSTi~.

`medikamentis~ identificireba xdeba Semdegi identifikatorebiT: 1. da-saxeleba 2. erTeuli 3. seria 4. vada 5. erTeulis fasi.

erTidaimave indeqss SeiZleba gaaCndes gansxvavebuli identifikatorebi.am SemTxvevaSi sasaqonlo brunvebSi programa maT gansxvavebul ̀ medi-kamentebad~ aRiqvams.

11.2.1. miReba

afTiaqSi `medikamentebis~ misaRebad saWiroa:

1. davaklikoT afTiaqis modulis mTavari fanjris instrumentebispanelis Rilakze da gaixsneba Semosavlis zeddebulis fanjara(sur. 11.5). yovel zeddebuls (ganurCevlad zeddebulis tipisa)programa avtomaturad aniWebs programul nomers, romelic aisaxebafanjris saTaurSi.

2. mivuTiToT Semdegi monacemebi:

TariRi - miRebis TariRi. zeddebulis gaxsnisas Sesabamis velSiavtomaturad ewereba mimdinare TariRi;

dok. # - saqonlis miRebis damadasturebeli dokumentis #;

SeniSvna. Cveulebriv Semosavlis zeddebulSi dokumentis #-is bolo samisimbolo ar unda iyos “-GN“, romelic aris darezervebuli sityva sawyisinaSTebisaTvis (ix. 11.2.5).

seria - xelmisawvdomia programis me-15 modifikaciaSi. SesaZlebeliasami mniSvnelobidan erT-erTis arCeva: H - humanitaruli, U - usasyidlo,

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9afTiaqisa da sawyobis aRricxva

sur. 11.5. afTiaqSi `medikamentebis~ miRebis zeddebuli

B - sabiujeto. arCeuli mniSvneloba avtomaturad miewereba medikamen-tis serias zeddebulSi Casmisas an daredaqtirebisas. H da U seriebismqone indeqsebi ar monawileobs xarjebis daTvlaSi (ix. Tavi 5, 11.5).

momwodebeli - firma visganac viRebT saqonels. Rilakze an mom-wodeblis velze orjer daklikebiT gaxsnil angariSTa gegmaSi avarCioTsasurveli momwodebeli da mis dasaxelebaze orjer daklikebiT anklaviSiT Enter momwodeblis dasaxeleba Cajdeba aRniSnul velSi. Tumomwodebeli ar aris angariSTa gegmaSi, is aqve SeiZleba daematos.

SeniSvna. Tu operacias gavauqmebT, maSin operaciis msvlelobisas angariSTagegmaSi Setanili cvlilebebic gauqmdeba.

3. fanjris qveda nawilSi mdebare cxrilSi SevadginoT misaRebi`medikamentebis~ CamonaTvali. striqonis damateba SesaZlebelia kla-viaturis qveda isriani klaviSiT, xolo waSla - kombinaciiT Ctrl+Del.cxrilis nacrisfer velebSi - dasaxeleba, erTeuli da Tanxa - mona-cemebis xeliT Setana dablokilia. `medikamentis~ dasaxeleba undaCavsvaT angariSTa gegmidan, romelic SegviZlia gavxsnaT RilakiTan klaviSiT Ins. `medikamenti~ (dasaxeleba da erTeuli) Cajdeba imstriqonSi, romelic angariSTa gegmis gaxsnamde iyo moniSnuli.

4. TiToeuli ̀ medikamentisaTvis~ mivuTiToT seria da vada (saWiroe

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10afTiaqisa da sawyobis aRricxva

bisamebr, mag. speckontrols daqvemdebarebuli ̀ medikamentebisaTvis~).

SeniSvna. ̀ medikamentebis~ naSTebSi wiTeli foniT iqneba mocemuli is ̀ medi-kamentebi~, romelTac vadis gasvlamde darCaT 1 Tveze naklebi.

5. TiToeuli ̀ medikamentisaTvis~ mivuTiToT erTeulis velSi mocemulierTeulis Sesabamisi fasi da raodenoba. Tanxa avtomaturad daiTvleba.

6. roca saWiroa raodenobis da mTliani Tanxis miTiTeba da erTeulisfasis avtomaturad daTvla, maSin raodenobis Setanis Semdeg davaklikoTRilakze an davaWiroT klaviSze F9. gaxsnilfanjaraSi (sur. 11.6) marcxena velSi mivu-TiToT mTliani raodenobis Sesabamisi Tanxa.Tu gvsurs, rom raodenoba gadamravldes gar-kveul numerusze, namravli Caiweros zeddebu-lis raodenobis velSi da erTeulis fasi axali raodenobis mixedviTiqnas daTvlili, maSin fanjris marjvena (wiTel) velSi CavweroT aRni-Snuli numerusi. davaklikoT Rilakze an davaWiroT klaviSze Enter.

7. zeddebulSi dasaxelebiT ZebnisaTvis SegviZlia gamoviyenoT gadas-vlis Rilaki, xolo amobeWdvisaTvis - Rilaki .

8. monacemebis Setanis dasrulebis Semdeg jami (ix. fanjris marjvenaqveda kuTxeSi) SevadaroT Sesatani dokumentis jamur Tanxas.

9. zeddebulis Sesanaxad davaklikoT Rilakze (klaviSi F4) dadamowmebis SetyobinebaSi davaklikoT CvenTvis sasurvel Rilakze.

11.2.2. gacema

gacemis operaciis daxmarebiT SesaZlebelia ̀ medikamentebis~ afTiaqidanganyofilebebze (damkveTebze) gacema da afTiaqidan Camowera.

1. davaklikoT afTiaqis modulis mTavari fanjris instrumentebis pane-lis Rilakze. gaixsneba gasavlis zeddebulis fanjara (sur. 11.7).

2. mivuTiToT Semdegi monacemebi:

TariRi - gacemis/Camoweris TariRi. zeddebulSi erTi Canawerisarsebobis SemTxvevaSic ki TariRis veli aRar iqneba aqtiuri, amitomes veli yuradRebiT SeavseT zeddebulis gaxsnisTanave;

dok. # - zeddebulis nomeri. danomvris wess programa ar zRudavsda misi SerCeva individualuria;

SeniSvna. Cveulebriv gasavlis zeddebulSi:1. dokumentis #-i ar unda iyos “GN“, romelic aris darezervebuli sityva

sur. 11.6. saerTo Tanxa

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sur. 11.7. gasavlis zeddebuli

sawyisi naSTebisaTvis (ix. 11.2.5).2. programis me-15 da ufro maRal modifikaciebSi Tu dokumentis #-isbolo 4 simboloa “[-P]“, maSin es zeddebuli emateba damkveTis naSTs maSinacki, roca zeddebulis TariRi sawyisi naSTebis aTvlis TariRze naklebia.

ganyofileba - `klinikis~ ganyofileba/damkveTi (SeiZleba iyos sxvadawesebulebac), romelsac gaaqvs ̀ medikamentebi~ afTiaqidan. Rilakzean ganyofilebis velze orjer daklikebiT gaxsnil angariSTa gegmaSiavarCioT sasurveli damkveTi da mis dasaxelebaze orjer daklikebiTan klaviSiT Enter damkveTis dasaxeleba Cajdeba aRniSnul velSi;SeniSvna. afTiaqidan ̀ medikamentebis~ Camowerisas damkveTebSi unda avarCioTSesabamisi indeqsi, romelsac sasurvelia erqvas ̀ Camowerili medikamentebi~.

3. fanjris qveda nawilSi mdebare cxrilSi SevadginoT gasacemi anCamosaweri ̀ medikamentebis~ CamonaTvali. cxrilSi monacemebis xeliTSetana dablokilia. ̀ medikamentis~ dasaxeleba unda davamatoT afTiaqisnaSTidan, romelic SegviZlia gavxsnaT RilakiT an klaviSiT Ins(sur. 11.8). gaxsnili fanjara gviCvenebs TariRis velis mniSvnelobisSesabamis naSTs (swored am mizeziT iTiSeba TariRis veli zeddebulSiCanaweris arsebobis SemTxvevaSi). movZebnoT sasurveli ̀ medikamenti~dasaxelebis pirveli simbolos Sesabamis klaviSze daWeriT an kom-binacia Ctrl+Ins-iT gaxsnili gadasvlis fanjriT da masze orjer

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sur. 11.8. gasavlis zeddebulidan gaxsnili afTiaqis naSTi

daklikebiT an Enter-ze daWeriT gaxsnili fanjris (sur. 11.9) marcxenavelSi mivuTiToT gasacemi/Camosaweri raodenoba. Tu gvsurs mivuTiToTwili arCeuli ̀ medikamentis~ erTeulis Sesabamisi numerusidan (mag.30ml-i 100 ml-iani flakonidan), maSin marcxena velSi mivuTiToTwili, xolo marjvenaSi numerusi. davaWiroT klaviSze Enter an Rilakze da `medikamenti~ daemateba zeddebuls.

SeniSvna. rogorc 11.2-is dasawyisSi avRniSneT naSTSi erTidaigive ̀ medikamenti~SeiZleba ramdenime striqoniT iyos warmodgenili Tu maT gansxvavvebuliidentifikatorebi aqvT (mag: fasi). Tu moniSnul poziciaze sakmarisi raodenobaar aris, maSin darCenili raodenoba sxva poziciebidan unda gavitanoT.

naSTis fanjara gaxsnisas asaxavs arahumanitarul ̀ medikamentebs~ (ix.11.1.1) I formiT. Tu gvsurs humanitarul `medikamentebze~ gadasvlaan naSTis II-III formiT warmodgena, maSin visargebloT konteqsturimenius Sesabamisi punqtebiT. imisdamiuxedavad Tu romeli formagvaqvs arCeuli, ̀ medikamenti~ zeddebulSi mainc I formiT (minimalurierTeuliT) Cajdeba.

SeniSvna. naSTis amobeWdva SesaZlebelia kombina-ciiT Ctrl+P.4. zeddebulSi dasaxelebiT ZebnisaTvis Seg-viZlia gamoviyenoT gadasvlis Rilaki, xo-lo amobeWdvisaTvis - Rilaki .

sur. 11.9. gasacemi rao-denoba (naSTidan)

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13afTiaqisa da sawyobis aRricxva

sur. 11.10. gasavl

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eddebulis sabeWdi forma

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14afTiaqisa da sawyobis aRricxva

SeniSvna. gasavlis zeddebulis amobeWdva (sur. 11.10) mkacrad rekomendire-bulia! xelmowerili zeddebulis erTi nawili rCeba afTiaqs, xolo meore- ganyofilebis/damkveTis pasuxismgebel pirs (ufros meddas).

5. zeddebulis Sesanaxad davaklikoT Rilakze (klaviSi F4) dadamowmebis SetyobinebaSi davaklikoT CvenTvis sasurvel Rilakze.

11.2.3. gadatana

gadatanis operaciis daxmarebiT SesaZlebelia `medikamentebis~ dam-kveTebs Soris urTierTgadacema, ganyofilebidan Camowera da xarjSigadatana.

davaklikoT afTiaqis modulis mTavari fanjris instrumentebis panelis Rilakze. gaixsneba gadatanis zeddebulis fanjara (sur. 11.11), romelicgasavlis zeddebulis fanjris (ix. 11.2.2) analogiuria. gasavliszeddebulisagan gansxvavebiT unda mivuTiToT gamcem-mimRebi ganyofi-lebebi angariSTa gegmidan, romelic ixsneba Sesabamis velze orjerdaklikebiT an Rilakze daklikebiT (am SemTxvevaSi winaswar undaiyos gaaqtiurebuli Sesabamisi veli masSi erTxel daklikebiT).

SeniSvna 1. ganyofilebidan ̀ medikamentebis~ Camowerisas mimReb velSi unda

sur. 11.11. gadatanis zeddebuli

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15afTiaqisa da sawyobis aRricxva

mivuTiToT indeqsi ̀ Camowerili medikamentebi~, xolo xarjSi gasatareblad- indeqsi `xarji~.

SeniSvna 2. `medikamentebis~ ganyofilebis xarjSi gadatana rogorc wesiaucilebelia im SemTxvevebSi, rodesac SeuZlebelia TiToeul pacientzexarjis aRricxva ganyofilebis specifiurobis gamo (mag. laboratoria) an`medikamentis~ specifiurobis gamo (mag. sadezinfeqcio xsnarebi, wveTebi).

SeniSvna 3. Tu programis momxmareblis uflebebSi (ix. 16.4) gawerilia konk-retuli damkveTis angariSis nomeri, maSin velSi gasca avtomaturad Cajdebaes damkveTi da mas momxmarebeli ver Secvlis. programis me-9 modifikaciaSiam SemTxvevaSi velSi miiRo avtomaturad jdeba `xarji~ anu momxmarebeliSeZlebs mxolod Tavisi angariSidan xarjSi gadatanas.

11.2.4. angariSze miReba

angariSze miRebis operaciis gamoyenebiT SesaZlebelia ganyofilebam/damkveTma ganaxorcielos ̀ medikamentebis~ miReba afTiaqisgan damou-kideblad. es operacia xelmisawvdomia programis me-7 modifikaciaSi.

davaklikoT afTiaqis modulis mTavari fanjris instrumentebis panelis Rilakze. gaixsneba gadatanis zeddebulis fanjara (sur. 11.11), ro-melSic veli gasca dablokilia da unda mivuTiToT mxolod mimRebiganyofileba. naSTis fanjaraSi nacvlad afTiaqis naSTisa asaxuliiqneba afTiaqis mier miRebuli yvela ̀ medikamenti~. sxvamxriv angariSzemiRebis operacia gacemisa (ix. 11.2.2) da gadatanis (ix. 11.2.3) opera-ciebis analogiuria.

SeniSvna. Tu programis momxmareblis uflebebSi (ix. 16.4) gawerilia kon-kretuli damkveTis angariSis nomeri, maSin velSi miiRo avtomaturad Caj-deba es damkveTi anu momxmarebeli SeZlebs mxolod Tavis angariSze miRebas.

11.2.5. sawyisi naSTebi

`medikamentebis~ aRricxvis dawyebis momentSi `klinikis~ afTiaqsada ganyofilebebSi arsebuli `medikamentebis~ maragebi (arsebobisSemTxvevaSi) programaSi unda dafiqsirdes sawyis naSTebad.

afTiaqis sawyisi naSTi fiqsirdeba Semosavlis zeddebulis (ix. 11.2.1)saxiT, romlis TariRis velSi miTiTebuli unda iyos naSTis dafiq-sirebis TariRi, xolo momwodeblis velSi - `naSTi~.

ganyofilebebis naSTebi unda dafiqsirdes erTidaimave TariRisaTvis.naSTis dafiqsirebis TariRi gawerili unda iyos programis globalurparametrebSi (ix. 16.3.1).

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16afTiaqisa da sawyobis aRricxva

sur. 11.12. miReba-gacemaSi gansxvavebuli fasebiT dafiqsirebuli ̀ medikamentebi~

SeniSvna. programis me-15 da ufro maRal modifikaciebSi SesaZlebeliaganyofilebaTa erTi jgufisaTvis gvqondes naSTis dafiqsirebis erTi TariRi,meore jgufisaTvis ki meore TariRi. am SemTxvevaSi globalur parametrebSiunda gaiweros maqsimaluri TariRi (vTqvaT es aris meore TariRi) dapirveli jgufis ganyofilebebze arsebul gasavlis zeddebulebSi, romlebicSedgenilia pirveli TariRidan meore TariRis CaTvliT, dokumentis nomersboloSi unda mieweros “[-P]“.ganyofilebis naSTis dafiqsirdebisaTvis saWiroa:

1. davafiqsiroT Semosavlis zeddebuli, romlis TariRis velis mniS-vneloba naklebi an toli unda iyos naSTis dafiqsirebis TariRze,dokumentis nomris bolo sami simboloa “-GN“ da momwodebelSimiTiTebulia `naSTi~.

2. davafiqsiroT gasavlis zeddebuli, romlis TariRis velis mniS-vneloba Sesabamisi Semosavlis zeddebulis TariRis tolia, dokumentisnomeria “GN“ da ganyofilebis velSi miTiTebulia ganyofileba, romlisnaSTsac vafiqsirebT.

SeniSvna 1. naSTis dafiqsirebis TariRamde (CaTvliT) ganyofilebaze gacemuli`medikamentebi~ mis naSTSi ar aisaxeba.

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17afTiaqisa da sawyobis aRricxva

SeniSvna 2. naSTebis dafiqsirebis sisworis gadasamowmeblad saWiroa:1. gavxsnaT zeddebulebis Jurnali (ix. 11.3.1). gamoviZaxoT filtri (ix.11.3.2). velSi dok. # mivuTiToT “%GN%“. diaxze daWeris Semdeg gamotaniliiqneba sawyisi naSTebisaTvis Sedgenili Semosavlisa da gasavlis zeddebulebi.maTi jami unda iyos 0.2. gavxsnaT afTiaqis brunva (ix. 11.4.1). gamoviZaxoT filtri (ix. 11.4.3).velSi dok. # mivuTiToT “%GN%“. diaxze daWeris Semdeg naSTi unda iyoscarieli. Secdomis arsebobis SemTxvevaSi (sur. 11.12) naSTSi aisaxeba medikamenti,romlis Semosaval-gasavlis monacemebi erTmaneTs ar emTxveva.

SeniSvna 3. sawyisi naSTebis dafiqsirebisas rekomendirebulia:1. jer dafiqsirdes ganyofilebaTa naSTebi da Semdeg afTiaqis naSTi.2. ganyofilebaTa naSTebis dafiqsirebisas jer unda dafiqsirdes erTiganyofilebis miReba-gacemis zeddebulebi, Semdeg meoresi da a.S. Tu asemoviqceviT maSin gacemis zeddebulSi afTiaqis naSTSi gamoCndeba mxolodam ganyofilebisaTvis Sedgenili miRebis zeddebulis `medikamentebi~ daSegviZlia naSTSi arsebuli yvela ̀ medikamenti~ CavyaroT zeddebulSi. igiveefeqti miiReba Tu sxvadasxva ganyofilebebis Sesabamis miRebis zeddebulebs(Tundac erTdroulad) davafiqsirebT sxvadasxva TariRiT (romelic naklebianaSTis dafiqsirebis TariRze) da gacemebs gavakeTebT rigrigobiT TariRebiszrdis TanmimdevrobiT.

sur. 11.13. zeddebulebis Jurnali

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18afTiaqisa da sawyobis aRricxva

11.3. zeddebulebze muSaoba

afTiaqis operaciebis Sedegad Seqmnil zeddebulebs programa aregis-trirebs zeddebulebis JurnalSi. Jurnalis funqciebis daxmarebiTSesaZlebelia zeddebulebis redaqtireba, waSla, Zebna sxvadasxva pa-rametrebiT da analizi.

11.3.1. zeddebulebis Jurnali

zeddebulebis Jurnali (sur. 11.13) ixsneba afTiaqis modulis mTavarifanjris RilakiT. Jurnalis instrumentebis paneli moicavs Sem-deg Rilakebs:

SeniSvna. Tu programis momxmareblis uflebebSi (ix. 16.4) gawerilia konkretu-li damkveTis angariSis nomeri, maSin aRdgenis Rilaki gaiTiSeba da momxma-rebeli filtris daxmarebiT (ix. 11.3.2) SeZlebs mxolod Tavis zeddebu-lebze muSaobas.

JurnalSi warmodgenilia Semdegi monacemebi: zeddebulis SeqmnisTariRi, zeddebulis # (programuli), dokumentis #, pasuxismgebeli(momwodebeli, damkveTi an gasca=>miiRo) da zeddebulis jamuriTanxa. JurnalSi gamotanili zeddebulebis Tanxebis jami aisaxebafanjris marjvena qveda kuTxeSi.

SeniSvna. Tu Jurnali dafiltrulia `medikamentis~ identifikatorebiT,maSin Tanxis velSi aisaxeba zeddebulSi Semavali Sesabamisi ̀ medikamentebis~Tanxebis jami.

11.3.2. filtri

Jurnalis filtris daxmarebiT SesaZlebelia zeddebulebis Zebnasxvadasxva parametrebiT (sur. 11.14).

- zeddebulis gaxsna [Pm: -84-/-85- an -45-/-50-]

- zeddebulis waSla [Pm: -84-/-85- da -45-/-50-]

- filtri. Jurnalis gafiltvra sxvadasxva monacemebiT

- aRdgena. Jurnalis yvela Canaweris gamotana

- Excel-Si eqsporti

- beWdva

- dajgufeba. filtraciis Semdeg naerTi monacemebis gamotana

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19afTiaqisa da sawyobis aRricxva

1. tipi - zeddebulistipi: yvela - nebis-mieri zeddebuli (ti-pi filtraciaSi mo-nawileobas ar miiRe-bs), Semosavali - mxo-lod Semosavlis ze-ddebulebi, gasavali -mxolod gasavlis ze-ddebulebi, gadatana -mxolod gadataniszeddebulebi.

2. periodi - zeddebulebi, romelTa Sedgenis TariRi jdeba miTiTebulperiodSi - metia an tolia pirveli velis mniSvnelobaze da naklebiaan tolia meore velis mniSvnelobaze. am parametriT filtraciisaTvissaWiroa periodis Sesabamisi almis CarTva.

SeniSvna. Tu gvsurs konkretuli TariRis zeddebulebis moZebna, maSin periodisorive velSi erTidaigive TariRi unda SevitanoT.

3. erTeuli - zeddebulebi, romelTa Semadgeneli erTi ̀ medikamenti~mainc erTeuliT Seesabameba miTiTebul mniSvnelobas.

4. seria - zeddebulebi, romelTa Semadgeneli erTi `medikamenti~mainc seriiT Seesabameba miTiTebul mniSvnelobas. programis me-15modifikaciaSi SegviZlia amovirCioT am velis mniSvnelobebi:

[^HUB] - Cveulebrivi `medikamentebi~

[H+U] - humanitaruli da usasyidlo `medikamentebi~

[^HU] - Cveulebrivi da sabiujeto `medikamentebi~

H% - humanitaruli `medikamentebi~

U% - usasyidlo `medikamentebi~

B% - sabiujeto `medikamentebi~.

5. zed. # - konkretuli programuli nomris mqone zeddebuli.

6. dok. # - zeddebulebi, romelTa nomeri Seesabameba miTiTebulmniSvnelobas. Tu amovarCevT am velis mniSvnelobas %GN%, maSingamotanili iqneba ganyofilebaTa sawyisi naSTebis Sesabamisi zeddebu-lebi (ix. 11.2.5).

7. pasuxismgebeli - miTiTebuli pasuxismgeblis Sesabamisi zeddebulebi.

sur. 11.14. zeddebulebis Jurnalis filtri

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20afTiaqisa da sawyobis aRricxva

miTiTebis Semdeg: Semosavlis zeddebulebisaTvis momwodebeli, gasavliszeddebulebisaTvis ganyofileba, gadatanis zeddebulebisaTvis ki gamcem-mimRebi ganyofilebebi. mniSvneloba unda avarCioT velze orjerdaklikebiT an Rilakze daklkebiT gaxsnili angariSTa gegmidan.

8. medikamenti - (sawyobis modulSi saqoneli) zeddebulebi, romelTaSemadgeneli erTi ̀ medikamenti~ mainc dasaxelebiT Seesabameba miTiTebulmniSvnelobas. ̀ medikamenti~ unda avarCioT velze orjer daklikebiTan Rilakze daklikebiT gaxsnili angariSTa gegmidan. Tu gvsursmivuTiTiT ramdenime `medikamenti~, maSin meore da Semdgomi `medika-mentis~ arCevis win CavrToT alami +. Tu CavrTavT alams gardaarCeulisa, maSin moZebnili iqneba zeddebulebi, romelTa SemadgenlobaSiSemavali arcerTi ̀ medikamenti~ ar Seesabameba miTiTebul mniSvnelobas.

SeniSvna. angariSTa gegmidan Sesabamis velSi angariSis an qveangariSis Casas-melad saWiroa movniSnoT angariSi/qveangariSi da davaklkoT Rilakze.

11.3.3. dajgufeba. naerTi monacemebi

dajgufebis funqciis gamoyenebiT SesaZlebelia sxvadasxva parametrebisSesabamisi zeddebulebis naerTi formis miReba, romelSic zeddebu-lebis jamuri Tanxebi dajamebuli iqneba pasuxismgeblebis mixedviT:Semosavlis zeddebulebi - momwodeblebis mixedviT (sur. 11.15), gasavliszeddebulebi - ganyofilebebis/damkveTebis mixedviT (sur. 11.16), ga-datanis zeddebulebi - gamcemi ganyofilebebis mixedviT.

naerTi formis misaRebad saWiroa zeddebulebis filtraciamde (fil-tris gaxsnamde an aRdgenis Rilakze daklikebamde) CavrToT instru-mentebis panelze mdebare dajgufebis alami (ix. 11.3.1).

SeniSvna. dajgufebis reJimSi Jurnalis velebSi TariRi, zed. # da dok. #,gamotanili iqneba 1-ebi, radganac es velebi am reJimSi ufunqcioa. dajgufebisreJimSi aseve ufunqcioa redaqtirebisa da waSlis Rilakebi (ix. 11.3.1)

11.3.4. zeddebulis redaqtireba da waSla

zeddebulis redaqtirebis an waSlisaTvis saWiroa:

1. movniSnoT sasurveli zeddebuli;

2. wasaSlelad davaklikoT Rilakze ;

3. redaqtirebisaTvis orjer davaklikoT zeddebulze an davaklikoTRilakze . gaxsnil fanjaraSi SevitanoT sasurveli cvlilebebi dazeddebuli SevinaxoT [Pm: -45- da -84-].

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21afTiaqisa da sawyobis aRricxva

sur. 11.16. gasavlis zeddebulebis naerTi forma ganyofilebebis mixedviT

sur. 11.15. Semosavlis zeddebulebis naerTi forma momwodeblebis mixedviT

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11.4. brunva

am punqtSi ganxiluli iqneba ̀ medikamentebis~ moZraobasTan dakavSire-buli sakiTxebi: sawyisi da saboloo naSTebi miTiTebuli periodisaTvis,Semosaval-gasavali miTiTebul periodSi, ̀ medikamentis~ Semosavlisada gasavlis detalizacia (afTiaqSi ganyofilebebis doneze, ganyofi-lebaSi - pacientebis doneze), Semosavlisa da gasavlis naerTi monacemebi.

aseve ganvixilavT pacientebze Setanili `medikamentebis~ (ix. 4.2)dacvisa da wliuri arqivis Seqmnisas (ix. 16.5) axal bazaSi naSTebisgadatanis sakiTxebs.

11.4.1. afTiaqis/sawyobis brunvis fanjris elementebi

afTiaqis brunva (sur. 11.17) ixsneba afTiaqis modulis mTavari fan-jris RilakiT. misi instrumentebis paneli moicavs Semdeg Rilakebs:

instrumentebis panelis Semdeg mdebareobs cxrili, romelic SedgebaoTxi gverdisagan, Tu filtraciaSi (ix. 11.4.3) monawileobs periodida Sedgeba sami gverdisagan (sur. 11.12), Tu filtraciaSi ar monawi-leobs periodi an davaklkebT aRdgenis Rilaks. es gverdebia:

1. Zveli naSTi - naSTi filtrSi miTiTebuli periodis dasawyisisaTvis.es gverdi ekranze aisaxeba mxolod periodiT filtraciisas

2. Semosavali - Semosavali filtrSi miTiTebul periodSi an mTliani

- gadasvla. eZebs cxrilis gaaqtiurebul gverdze (ix. qvemoT)

- filtri. monacemebis filtracia sxvadasxva parametrebiT (ix. 11.4.3)

- aRdgena. mTliani Semosaval-gasavali da maTi sxvaoba (saboloo naSTi)

- gaSla. TiToeuli poziciis detaluri gaSla (ix. 11.4.4)

- dajgufeba. Semosavlis dajgufeba momwodeblebis mixedviT dagasavlis dajgufeba ganyofilebebis/damkveTebis mixedviT (ix. 11.4.5)

- beWdva (ix. 11.4.6)

- gaaqtiurebuli gverdis Excel-Si eqsporti

- forma. brunvis sxvadasxva erTeulebSi warmodgena (ix. 11.4.7)

- gaxarjulis naSTSi asaxva. Tu monacemebis dafiltvramde CavrTavTam Rilaks, maSin naSTSi aisaxeba ganulebuli ̀ medikamentebic~.

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23afTiaqisa da sawyobis aRricxva

sur. 11.17. afTiaqis brunva. gverdi gasavali

Semosavali (Tu davaklikebT aRdgenis Rilaks)

3. gasavali - gasavali filtrSi miTiTebul periodSi an mTlianigasavali (Tu davaklikebT aRdgenis Rilaks)

4. naSTi - naSTi filtrSi miTiTebuli periodis dasasrulisaTvis ansaboloo naSTi - mTlian Semosavals daklebuli mTliani gasavali(Tu davaklikebT aRdgenis Rilaks).

filtraciiT monacemebis gamotanisas cxrili asaxavs ̀ medikamentebs~xuTive idenTifikatoriT filtrSi miTiTebuli parametrebis Sesaba-misad. erTidaigive `medikamenti~ SeiZleba ramdenime striqoniT iyoswarmodgenili Tu maT erTi an ramdenime gansxvavebuli identifikatoriaqvT (mag: seria, fasi). Tumca rogorc qvemoT vnaxavT (ix. 11.4.3)SesaZlebelia aseTi ̀ medikamentebis~ jamuri raodenobiTa da jamuriTanxiT gamotanac.

fanjris qveda nawilSi mdebare zoli gviCvenebs jamur monacemebs:Zvel naSTsa da naSTSi - Tanxebis jams, SemosavalSi - saSualodRiur Semosavals, saSualo Tviur Semosavals da Tanxebis jams dagasavalSi - saSualo dRiur gasavals, saSualo Tviur gasavals daTanxebis jams.

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24afTiaqisa da sawyobis aRricxva

11.4.2. ganyofilebebis brunvis fanjris elementebi

ganyofilebebis brunva ixsneba afTiaqis modulis mTavari fanjris RilakiT. misi fanjris elementebi afTiaqis brunvis fanjris el-ementebis identuria. amitom qvemoT ganvixilavT mxolod gansxvave-bul elementebs.

SeniSvna. naSTebSi (ix. 4.2, 11.2.2, 11.4.1, 11.4.2) Tanxis velSi wiTeli foniTgamoiyofa araTanmimdevruli operaciebis Sedegad daminusebuli ̀ medikamentebi.~

11.4.3. filtri

filtris daxmarebiT SesaZlebelia sxvadasxva parametrebis Sesabamisi`medikamentebis~ brunvis daTvaliereba.

afTiaqis brunvis filtri zeddebulebis Jurnalis filtrisagan (sur.11.14) gansxvavdeba mxolod ori detaliT:

1. tipi: yvela - yvela `medikamenti~. brunvis cxrilSi aisaxeba Se-mosavlis, gasavlisa da naSTis gverdebi. Tu am tipTan erTad arCeuligvaqvs periodic, maSin damatebiT aisaxeba Zveli naSTis gverdic;Semosavali - afTiaqSi miRebuli `medikamnetebi~. brunvis cxrilSiaisaxeba mxolod Semosavlis gverdi; gasavali - afTiaqidan gasuli`medikamentebi~. brunvis cxrilSi aisaxeba mxolod gasavlis gverdi.

SeniSvna. Tu filtrSi miTiTebulia mxolod tipi yvela da sxva arcerTiparametri ar aris arCeuli, maSin filtraciis Semdeg miviRebT mTlianSemosaval-gasavals da maT sxvaobas - saboloo naSTs.

2. dajgufeba - es Rilaki mdebareobs dok. #-is marjvniv. Tu cien

- dajgufeba. Semosavlis da gasavlis dajgufeba ganyofilebebis/damkveTebis mixedviT (ix. 11.4.5)

- dablokva. es Rilaki (iseve rogorc blokis moxsnis Rilaki)Cans mxolod afTiaqis modulis ganyofilebebis brunvaSi dairTveba filtriT ganyofilebebis/damkveTebis gasavlis gamo-tanisas [Pm: -45- da -84-]. masze daklikebiT filtriT gamotanili`medikamentebis~ is nawili, romlebic warmoadgenen pacientebzexarjvas, daiblokeba da maTi waSla pacientis xarjis furclebidan(Tundac istoria daublokavi iyos) (ix. 4.2, 16.1) blokis moxsnamdeSeuZlebeli iqneba

- blokis moxsna. pacientebze xarjvaSi dablokil ̀ medikamentebze~blokis moxsna.

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diaxze daWeramde amRilaks CavrTavT, ma-Sin sxvadasxva seriis,vadisa da fasis mqoneerTidaigive ̀ medika-menti~ dajgufebulisaxiT aisaxeba brun-vaSi da mis gverdiTmiTiTebuli iqnebajamuri raodenoba dajamuri Tanxa.

ganyofilebebis brunvis filtrs (sur. 11.18) emateba ramdenime parametri.

1. tipi gadatana - gadatanis zeddebulebiT (ix. 11.2.3) ganyofilebebsSoris gadacemuli ̀ medikamentebi~. brunvis cxrilSi aisaxeba mxolodgasavlis gverdi. am tipis arCevisas SegviZlia mivuTiToT mimReb-gamcemi ganyofilebebi - orive erTdroulad an calk-calke.

magaliTad: Tu gvsurs vnaxoT ra ̀ medikamentebi~ Camoweres ganyofilebebma,mimReb velSi mivuTiToT indeqsi `Camowerili medikamentebi~.

2. standarti - es parametri iseve rogorc qvemoT moyvanili parametrebi:kompania, gare medikamentebi da mimarTuleba, CairTveba Tu avarCevTtips gasavali. CamosaSleli siidan SegviZlia avarCioT am parametrisSemdegi mniSvnelobebi:

Sida standarti, saxelmwifo standarti da umweoTa polisi - SesabamisistandartiT gatarebul baraTebze (ix. 3.6) gaxarjuli ̀ medikamentebi~.

dablokili da daublokavi - Sesabamisad, dablokili an daublokavi`medikamentebi~.

3. kompania - CamosaSleli siidan arCeuli sadazRvevo kompaniispacientebze daxarjuli `medikamentebi~.

SeniSvna 1. yuradReba gavamaxviloT am parametris ramdenime mniSvnelobaze:

individualuri - dauzRvevel pacientebze daxarjuli ̀ medikamentebi~;

moqalaqe - (me-15 modifikacia) samoqalaqo pacientebze daxarjuli ̀ medikamentebi~;

klinika 45% da klinika 100% - daxarjuli ̀ medikamentebi~ im pacientebze,romlebsac kompaniaSi miTiTebuli aqvT klinika da dazRvevis procentiaSesabamisad 45% an 100%;

klinika [/45%,100%] - daxarjuli ̀ medikamentebi~ im pacientebze, romlebsac

sur. 11.18. ganyofilebebis brunvis filtri

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26afTiaqisa da sawyobis aRricxva

kompaniaSi miTiTebuli aqvT klinika da dazRvevis procenti gansxvavdeba45%-sa da 100%-sagan.

SeniSvna 2. es parametri iseve rogorc qvemoT moyvanili parametrebi: garemedikamentebi da mimarTuleba, xelmisawvdomia programis yvela modifikaciaSigarda me-9 modifikaciisa.

4. gare medikamenti - miTiTebuli gare medikamentis xarjva. SegviZliagamoviyenoT parametris Semdegi ori mniSvnelobac: garda gare medikamen-tebisa - yvela `medikamentis~ xarjva garda gare medikamentebisa;mxolod gare medikamentebi - mxolod gare medikamentebis xarjva.

SeniSvna. gare medikamenti aris is `medikamenti~, romelic ganyofilebaSixvdeba afTiaqis gverdis avliT. mag: Jangbadi da xSir SemTxvevaSi sisxliskomponentebi (ix. 15.6).

5. mimarTuleba - xarjvis mimarTuleba. CamosaSleli siidan SegviZliaavirCioT Semdegi mniSvnelobebi:

stacionari - stacionarul pacientebze daxarjuli ̀ medikamentebi~;

ambulatoria - ambulatoriul pacientebze daxarjuli ̀ medikamentebi~;

baraTi - stacionarul da ambulatoriul pacientebze daxarjuli`medikamentebi~;

Camowera - Camowerili `medikamentebi~;

xarji - gadatanis operaciiT xarjebSi gaSvebuli `medikamentebi~;

sruli xarji - pacientebze daxarjuli, Camowerili da xarjebSigaSvebuli `medikamentebi~;

gadacema - sxva ganyofilebebze gadacemuli `medikamentebi~.

SeniSvna. Tu programis momxmareblis uflebebSi (ix. 16.4) gawerilia konkretu-li damkveTis angariSis nomeri, maSin ganyofilebebis brunvaSi aRdgenisRilaki gaiTiSeba da momxmarebeli filtris daxmarebiT SeZlebs mxolodTavis ̀ medikamentebze~ muSaobas.

11.4.4. detalizacia

detalizaciis daxmarebiT SesaZlebelia `medikamentis~ Semosavlisada gasavlis detalurad gaSla (sur. 11.19).

aRniSnuli funqciis gamoyeneba SesaZlebelia brunvis gverdebze Semo-savali, gasavali da naSTi instrumentebis panelis RilakiT anarCeul `medikamentze~ orjer daklikebiT. gaxsnili fanjris zedanawilSi warmodgenili iqneba arCeuli ̀ medikamentis~ moZraoba, xolo

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27afTiaqisa da sawyobis aRricxva

qveda nawilSi - cxrili, romelic gviCvenebs Semosavlis detalurgaSlas, Tu detalizacias vakeTebT brunvis Semosavlis gverdidan dagasavlis detalur gaSlas, Tu detalizacias vakeTebT brunvis gasavlisan naSTis gverdidan.

cxrilSi warmodgenili iqneba Semdegi velebi:

afTiaqis brunvidan detalizaciisas - TariRi, zed. # (zeddebulisprogramuli #), dokumentis #, momwodebeli Semosavlidan detali-zaciisas da damkveTi gasavlidan detalizaciisas, raodenoba da Tanxa;

ganyofilebebis brunvis Semosavlidan detalizaciisas - TariRi, zed. #(zeddebulis programuli #), dokumentis #, momwodebeli, raodenobada Tanxa. Tu ̀ medikamenti~ miRebulia afTiaqidan, momwodeblis velisSesabamisi Canaweri iqneba carieli, xolo Tu miRebulia sxva ganyo-filebidan, maSin momwodeblis velis Sesabamisi Canaweri gviCvenebs amganyofilebas;

ganyofilebebis brunvis gasavlidan an naSTidan detalizaciisas -TariRi, istoriis #, baraTi, damkveTi, raodenoba da Tanxa. Tu ̀ medika-menti~ gacemulia stacionarul pacientze, maSin istoriis #-Si aisaxebaam pacientis istoriis #, xolo Tu gacemulia ambulatoriul pa

sur. 11.19. ganyofilebaSi gaxarjuli `medikamentis~ detalizacia

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tze, maSin baraTSi aisaxeba am pacientis ambulatoriuli baraTis #.orive SemTxvevaSi damkveTSi aisaxeba pacientis gvari da saxeli. Tu`medikamenti~ gadacemulia sxva ganyofilebaze, maSin ist. # da baraTiiqneba carieli da damkveTSi aisaxeba mimRebi ganyofileba.

11.4.5. dajgufeba. naerTi monacemebi

dajgufebis Rilakis gamoyenebiT SesaZlebelia filtraciis Se-degad miRebuli brunvidan sxvadasxva saxis naerTi formebis miReba(sur. 11.20), imis da mixedviT Tu brunvis romeli gverdi gvaqvs gaxsnili.

afTiaqis brunvis Semosavlis gverdidan miiReba naerTi forma momwo-deblebis mixedviT - Semosavali dajamebuli momwodeblebis mixedviT.

afTiaqis brunvis gasavlis gverdidan miiReba naerTi forma ganyofile-bebis/damkveTebis mixedviT - gasavali dajamebuli damkveTebis mixedviT.

ganyofilebebis brunvis Semosavlis gverdidan miiReba naerTi forma gan-yofilebebis mixedviT - Semosavali dajamebuli ganyofilebebis mixedviT.

ganyofilebebis brunvis gasavlis gverdidan miiReba naerTi formaganyofilebebis mixedviT - ̀ medikamentebis~ xarji dajamebuli ganyo-filebebis mixedviT.

11.4.6. brunviTi uwyisi da sabeWdi formebi

beWdvis Rilakisa da misi menius (romelic ixsneba mis marjvnivmdebare patara isriT) daxmarebiT SesaZlebelia miviRoT brunvisgaaqtiurebuli gverdis sabeWdi forma da mTliani brunviTi uwyisi.

sasurveli gverdis amosabeWdad gavaaqtiuroT igi da davaklkoTbeWdvis Rilakze an avirCioT gverdis Sesabamisi dasaxelebis mqonebrZaneba Rilakis meniudan.

sur. 11.20. naerTi forma afTiaqis brunvis gasavlis gverdidan

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sur. 11.21. anesT

ezio

logiuri ganyofil

ebis brunviT

i uwyisi

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brunviTi uwyisis misaRebad Rilakis meniudan avirCioT brZaneba brunva.miviRebT sabeWd formas (sur. 11.21), romelzec TiTeuli `medikamen-tisaTvis~ gamotanili iqneba yvela is veli, romlebic mocemuliabrunvis oTxive gverdze.

ganyofilebebis brunvaSi damatebiT gaaqtiurebuli iqneba beWdvisRilakis menius brZaneba xarjvis furceli. misi daxmarebiT miviRebTformas, romelic daxmarebas gagviwevs iseTi ganyofilebebis xarjebisdafiqsirebaSi, romlebSic SeuZlebelia xarjebis dafiqsireba pacien-tebis mixedviT (mag: laboratoria).

11.4.7. brunvis sxvadasxva erTeulebSi warmodgena

instrumentebis panelze mdebare CamosaSleli siis mniS-vnelobis cvlilebiT (E - 1, E - 2 an E - 3) brunva SeiZleba warmovadginoTsami formiT: I, II an III donis erTeulebiT. brunvis gaxsnisas avto-maturad arCeulia I forma. formis cvlileba Seexeba mxolod im`medikamentebs~, romelTaTvisac angariSTa gegmaSi gansazRvrulia Se-sabamisi donis erTeuli (ix. 11.1.3).

arCeul formasTan SesabamisobaSi iqneba moyvanili dasaxelebisa daerTeulis velebi ise rogorc es 11.1.3-Sia aRwerili da fasisa daraodenobis velebi - fasi mravldeba arCeuli donidan I donezegadamyvan numerusze, xolo raodenoba ki iyofa aRniSnul numerusze.

11.4.8. naSTebis gadatana

monacemTa bazis wliuri arqivis Seqmnisas (ix. 16.5) aucilebeliadasaarqivebeli wlis 31 dekembrisaTvis afTiaqisa da ganyofilebebisnaSTebi momdevno wlis bazaSi daisvas sawyis naSTebad.

aRniSnuli operaciis ganxorcieleba SesaZlebelia instrumentebispanelis Semdegi elementebiT [Pm: -67-]:

- naSTis dasma wlis bolos

- dokumentis nomeri.

afTiaqis naSTis axal (mimdinare) bazaSi gadasatanad saWiroa wina(dasaarqivebeli) wlis bazaSi gavxsnaT afTiaqis naSTi 31 dekembrisaTvis,dokumentis nomris grafaSi CavweroT sasurveli nomeri da davaWiroTnaSTis gadatanis Rilaks.

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ganyofilebebis naSTebis axal (mimdinare) bazaSi gadasatanad saWiroawina (dasaarqivebeli) wlis bazaSi TanmimdevrobiT gavxsnaT ganyofi-lebebis naSTebi 31 dekembrisaTvis, dokumentis nomris grafaSi CavweroTsasurveli nomeri, romelic unda iyos arCeuli ganyofilebis Sesabamisida misi bolo sami simbolo aucileblad unda iyos “-GN“ da davaWiroTnaSTis gadatanis Rilaks.

naSTebis gatanis Semdeg axal (mimdinare) bazaSi Seiqmneba sawyisinaSTebis Sesabamisi Semosavlisa da gasavlis zeddebulebi dasaarqi-vebeli wlis 31 dekembriT.

11.5. salarosTan kavSiri. brunva momwodeblebTan

qvemod ganxiluli forma amyarebs kavSirs afTiaqsa da salaros (ix.Tavi 6) Soris, rac gulisxmobs afTiaqis Semosavlis zeddebulebisada salarodan momwodeblebisaTvis gadaxdili Tanxebis SesabamisobaSimoyvanas, rac Tavis mxriv saSualebas iZleva nebismier periodSimomwodeblebTan brunvisa da sawyisi da saboloo naSTebis daTvalie-rebis saSualebas (sur. 11.22).

sur. 11.22. brunva momwodeblebTan

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formaSi TiToeuli momwodeblisaTvis asaxuli iqneba Semdegi monacemebi:Zveli naSTi - sawyisi naSTi momwodebelTan miTiTebuli periodisaTvis,Semotana - miTiTebul periodSi momwodeblisagan Semosuli `medika-mentebis~ Rirebuleba, gadaxda - miTiTebul periodSi momwodeblisaTvisgadaxdili Tanxa da vali - saboloo naSTi momwodebelTan miTiTebuliperiodisaTvis (debitoruli an kreditoruli davalianeba).

SeniSvna. angariSTa gegmaSi RilakiT moniSnuli momwodeblebi formaSiaisaxebian siis dasawyisSi.

formis gamarTulad funqcionirebisaTvis saWiroa:

1. salarodan gatanis operaciis (ix. 6.2) gamoyenebiT davafiqsiroTsawyisi naSTebi momwodeblebTan (kreditorisaTvis Tanxa unda mieTiTos`-~ niSniT, xolo debitorisaTvis ki `+~ niSniT)

2. naSTis dafiqsirebis TariRi unda gaiweros programis globalurparametrebSi (ix. 16.3.1). naSTis dafiqsirebis TariRamde Semotanili`medikamentebis~ Tanxebi formaSi ar aisaxeba

3. programis yvela modifikaciisaTvis, garda me-15 modifikaciisa,globalur parametrebSi unda gaiweros angariSTa gegmis is angariSebi,romlebic monawileobas miiReben formis formirebaSi (Tu ̀ medikamenti~ar ekuTvnis arcerT gaweril angariSs, maSin misi Rirebuleba formaSiar aisaxeba)

4. naSTis dafiqsirebis TariRidan momwodeblebisaTvis gadaxdiliTanxebi gadaxdisTanave gatardes programaSi salarodan gatanis ope-raciis gamoyenebiT.

momwodeblebTan brunvis amsaxveli formis misaRebad saWiroa mivuTiToTsasurveli periodi da davaklkoT Rilakze an davaWiroT klaviSzeEnter. formis amosabeWdad davaklikoT Rilakze .

programis me-15 modifikaciaSi SesaZlebelia seriiT filtraciac.CamosaSleli siidan SegviZlia avirCioT sami mniSvnelobidan erT-erTi:` ~ - yvela `medikamenti~ garda humanitaruli da usasyidlo `me-dikamentebisa~, [^HUB] - Cveulebrivi ̀ medikamentebi~ (arahumanitaruli,arausasyidlo da arabiujeturi) da B% - biujeturi ̀ medikamentebi~.

SeniSvna. biujetur `medikamentebze~ gadaxdebi salaroSi unda gatardesnomriT, romlis pirveli simboloa B. yvela sxva gadaxdis orderi formaSiaRqmuli iqneba rogorc gadaxda Cveulebriv `medikamentebze~.