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Medical examination and treatment management software service (HIS)

12

Month

1. System Administration – User access management, system security. – Define system parameters: Information for the primary medical center, department and staff information. – Record patient insurance coverage amounts. – Manage data updates and backups. – Generate an audit log of all system activities in real-time. – Support centralized SSO (Single Sign-On) integration with Active Directory/LDAP. – Data transmission encryption using TLS 1.3; stored data encrypted with AES-256. – Automatic backup according to schedule (incremental backup) and one-click restore. 2. Manage common categories: Vietnamese government administrative units, Medical Centers (according to BHXHVN and BYT). – Technical services, surgical procedures (according to BYT). – ICD-10 medical codes – Health insurance card codes – Drug and supplies list. – Department, user, ethnic group, occupation, patient category lists. – Each list has functions: Input, edit, delete, view, print or export to Excel. 3. Receive appointment for medical care – Receive and classify patients (service patients, valid health insurance, invalid health insurance, health check-ups (if applicable)). – Receive emergency and after-hours patients. – Connect with the health insurance card information portal, verify patient examination history. – Automatically sort patients into clinics and automatically assign examination numbers. – Patients register for medical services – Print medical records with barcode and software that connects to a barcode scanner to enter patient information into the system, and the medical record contains all patient administrative information. – Transfer patient information to the billing department or clinic. – Search for medical history, statistics on old patients according to various search criteria, and calculate fees for medical care by visit and summarize. – Prioritize treatment for patients in prioritized categories. – Query and generate reports on admission and registration status. – Print service request forms for patients. – Print patient reception records, admission/discharge records. 4. Manage outpatient medical care – Manage diagnosis according to ICD-10 codes. – Manage medical record information. – Manage laboratory tests, procedures, and related costs. – Print instructions for transferring to the billing department to process payments before sending requests to the service provider. – Manage medication prescriptions at the clinic, print and store prescriptions. – Record vital signs, drug allergies, chronic conditions. – Support doctors in reporting sample prescriptions according to their specialty (drug name, dosage, unit) for reference and reuse. – Print transfer records, generate and print medical records according to current BYT regulations. – Summarize health insurance costs from the local and district levels and polyclinics. – Transfer patients – Create outpatient treatment records and print medical records – Check for drug allergies in prescriptions 5. Manage drugs, chemicals, and medical supplies – Manage drug, group of drugs, brand names, medical supplies according to BYT regulations: Suppliers, drug name, active ingredient, route of administration, hospital classification, production batch, supplier, expiration date, manage addictive drugs according to TT19/2024/TT-BYT. – Print drug statistics forms from the software: Prescription form, inventory card, import/export record, stock balance report, etc., in accordance with current BYT regulations. – Manage detailed inventory of each pharmacy (main pharmacy, branch pharmacies, VTYT pharmacy, addictive drug pharmacy, social pharmacy, etc.). – Manage information on drug and supply imports and exports, dispensing, and issuing. – Manage the pharmacy counter (if applicable), set selling prices for drugs, choose priority pricing for each drug import, manage retail drug invoices. – Function to return drugs, supplement drugs, and approve returned drug imports, create a returned drug import form from the department. – Apply FIFO, LIFO, average, and named methods. Prioritize drugs with multiple prices and expiration dates. – Automatic drug import/export, quick summary, and report generation. Export inventory data, import, and export for accounting departments. – Warn about near-expired drugs. – Connect with billing and outpatient care modules to prescribe and charge for medications. – Summarize list of patients canceling prescriptions. – Lock import, export, damage, and inventory check documents. – Choose priority prices for each type of drug. – List of near-expired drugs. – Export report. – Manage drugs according to each supplier (pharmaceutical company). – Report on drug usage according to Circular 22/2011/TT-BYT, pharmacy card TT22. – Drug and chemical inventory check form – Drug and chemical import record – Drug and chemical usage report – Medical supplies report – Statistics of drugs used in health insurance – Summarize patient discharge records – Quick report generation (15 days of drug usage) – Smart warning: near-expired drugs, drugs about to expire, incorrect unit of supply according to configuration. 6. Manage medical fees and health insurance payment – Manage income (doctors at the clinic or patients), temporary funds, and other payments from patients. – Manage service categories: Medical care services, other services according to BHXH prices and hospital prices. – Manage packages and manage costs for high-cost technical services. – Manage refunds, print refund forms in cases of: Unused sold prescriptions, fee reductions, or patient cash refunds after discharge. – Transfer patient information to pharmacy or related departments. – Print cost reports for each patient according to QĐ number 697/QĐ-BYT of the Ministry of Health and according to the requirements of medical centers. – Print reports on medical fees according to various criteria, temporary payment reports, discharge payment reports. – Print detailed or summarized patient costs for transfer to accounting departments, with report formats as required by health insurance agencies. – Collect payments for health check-ups. – Collect payments for services not covered by insurance. – Report on the percentage of patients sharing costs. – Statistics on the number of patients discharged without payment. – Statistics on medical fees according to department. – Manage and statistics of patients – Print reports on health check-up activities (if applicable). – Manage and print electronic invoices – Print revenue reports according to department and doctor 7. Connect with BHXH for BHYT settlement (XML file) – For each patient, the information about medical care is described in .XML data format. – The software automatically generates patient KCB XML files at the medical center, then transfers them to the health insurance portal of Vietnam and the Ministry of Health. 8. Manage clinical test results – Input and store test results. – Search, statistics, and export data as needed. – Function to view CLS (laboratory, diagnostic imaging, and physical examination) results, procedures, and surgeries. – After completing the service, the test results are entered into the database. Doctors can view the results on the screen immediately. – Statistics on daily, monthly, etc., according to patient type or person performing the work. – Print laboratory test records according to current BYT standards. – Receive service request information from departments. – Input image-based test results for patients into the system. – Statistics on patient cases by working day, by name of staff, and other statistics as required by the hospital. – Update, store, and display results. – Use standardized names according to the diagnostic imaging standards issued by BYT and Circular 32/2023/TT-BYT dated December 31, 2023

Tu Lan Medical Station

Medical examination and treatment management software service (HIS)

12

Month

9. Statistical Reports - Print statistical reports such as: Health Station revenue report, statistical report of services performed, revenue by department, etc., according to criteria such as health insurance patients, service patients, reporting period, outpatient or outpatient treatment patients. - Report on activities at the outpatient department - Outpatient reports by specialty and department - Statistical reports for the Planning and General Affairs Department, Department of Health and Ministry of Health - Internal reports by disease code and by health insurance card group “HN”, “TE”, “CK”,… - Reports of clinical laboratory test logs: Biochemistry, hematology, urine, ultrasound, X-ray, electrocardiogram... - Reports and printing of admission, discharge and referral logs. - Comprehensive analysis reports, analysis by revenue group, analysis of examination and treatment situation. - Compilation of patient list with health insurance card. - Compilation of examination and treatment records for the entire Health Station. 10. Automated Queue Management - Obtaining registration numbers for examinations - Assigning examination rooms and queuing for examination rooms - Queuing at the diagnostic imaging area - Queuing at the pharmacy counter 11. Medical Equipment Management - Managing the equipment catalog - Managing detailed equipment information and status (broken/lost/rotated) - Administrative inventory reports - Repair location management 12. Treatment Appointment Management, Follow-up Appointment Reminders - Patient appointment list - Patient appointment reports 13. Drug/Medication Interaction Management - Managing the list of active ingredients - Managing active ingredient-active ingredient interactions - Managing active ingredient-ICD 10 interactions - Checking interactions when prescribing medication - Interaction alerts based on interaction levels - Enabling/disabling the use of multiple interactions 14. Electronic Medical Record Management - Archiving - Managing storage compartments and cells for records - Organizing the storage of discharged patient records - Managing patient records for borrowed departments - Controlling the list of unsaved discharge records - Reporting on patient record archiving - Searching for patient records 15. Information Search and Retrieval (Information KIOS) - Searching and retrieving technical services - Service prices - Patient results 16. Long-Term Outpatient Record Management - Receiving new patients from the reception department or outpatient department; for patients undergoing treatment, they are received according to the appointment slip from the treating physician. - Diagnostic functions, technical service prescriptions, and prescriptions are similar to the examination and treatment subsystem. - Connecting to other modules such as billing, paraclinical, pharmacy, etc. - Creating long-term treatment patient records. - Having separate statistical templates according to the management requirements of the commune health station and the program's drug sources. 17. Procedure Management - Receiving the list of patients scheduled for procedures, allowing viewing of all patient record information before performing the procedure. - Enter operational information during the procedure, such as the team involved, the time of the procedure, medications, consumables, and intravenous fluids used during the procedure. - Manage and monitor the drug inventory and the medical clinic's medicine cabinet.

Tu Lan Medical Station

Electronic Medical Record (EMR) Software Services

12

Month

1. Electronic Medical Record Management – The electronic medical record software allows for the management of all information within a patient's medical record, including: + The electronic medical record manages personal information, examination results, laboratory test results, functional assessment results, diagnostic and treatment processes, care, and other relevant information related to the patient's treatment at the healthcare facility; + Each patient has a unique identification code based on their personal identification number to link electronic medical records; + The electronic medical record manages documents and information related to the patient and the examination and treatment process; + The electronic medical record includes information as specified in the sample medical records in Annex XXVIII of Circular No. 32/2023/TT-BYT issued by the Ministry of Health on December 31, 2023. + The software supports viewing electronic medical record information in .pdf format. - The electronic medical record software has functions for managing patient medical record lists, configuring access permissions, creating new records, editing, deleting, and restoring data within the electronic medical record. - The software allows displaying information on a computer screen or other handheld devices according to the medical record template and exporting it to print medical record templates as specified by the Ministry of Health. - The electronic medical record software uses a common category as defined by the Ministry of Health. - Manage patient's medical history - Manage patient's entry into healthcare facilities - Manage clinical records, disease progression, and treatment processes - Manage medication prescriptions, orders, CLS, and quick prescription - Manage CLS results - Manage forms and templates in the medical record - Synchronize medical records - Manage medical record storage and retrieval - Digitalize medical record samples (Additional samples and functions can be added as needed) - Patient management according to status 2. Administrative Information Management – Managing doctor and healthcare staff information - Managing patient and healthcare personnel information and synchronizing personnel information - Managing connections and interactions with other systems 3. Manage specialty-specific medical record categories according to Circular No. 32/2023/TT-BYT issued by the Ministry of Health on December 31, 2023: General outpatient medical record, dental and facial outpatient medical record, ear, nose, throat outpatient medical record, traditional medicine outpatient medical record, PHCN outpatient medical record, mental health outpatient medical record 4. Manage, create, update, and edit medical record templates - The electronic medical record software can be automatically created and updated through data synchronization from other systems or directly creating a medical record on the electronic medical record software. - Approval consent form - Request for examination/treatment - Procedure form - Fluid infusion tracking form - Treatment monitoring form - Pregnancy check-up form - Medical record summary - Request for medical record summary/related documents - Allergy history form - 15-day treatment outcome form - Self-assessment form - Drug allergy tracking form - Drug reaction test form - Drug disclosure form - Consultation - health education 5. HIS connection with other peripherals - Data synchronization between the medical record and HIS - Function to extract and summarize medical records - HL7 extraction function - HL7 reading function - PDF medical record extraction - FHIR standard document export - HL7-CDA standard document export - Export electronic medical record data in XML format - Electronic signature for healthcare professionals (excluding digital certificates) - Digital signature for patients (excluding digital certificates) 6. Electronic medical record storage and secure access - Extracting medical record documents to PDF files sent to the server or storage system - Log recording of extracted documents - Closing the patient's case in the storage system - Automatic extraction of stored medical records on the hard drive or database - Periodic medical record audit according to time - Packaging and data synchronization to cloud storage - The electronic medical record software monitors user actions, including: + Ensuring privacy, security, and traceability; + Ensuring user authentication and granting permissions; + Having the ability to record all user transactions and interactions within the electronic medical record software. - Patient's electronic medical record data is stored independently without dependence on other systems in the healthcare facility. 7. Permissions and security of electronic medical records: - Ensure user authentication and permission granting; - Ensure privacy, security, and traceability; - User permissions according to job roles; - Set a limited access time for users to access the electronic medical record software; - Protect and prevent unauthorized access to electronic medical records. 8. Integration of digital signatures and electronic signatures in medical records - The electronic medical record software allows healthcare professionals, patients, or patient representatives to digitally sign and confirm within the electronic medical record according to the Electronic Transaction Law and Circular No. 13/2025/TTBYT issued by the Ministry of Health on June 6, 2025. - Obtain digital signature (Seri number) from the provider and integrate into HIS. - Sign digital signatures, electronic signatures on all documents in PM HIS (forms, medical records…) - Sign digital signatures on file XML sending data - Integrate with all digital signatures/digital signatures and many digital signature technologies (USB – Token, HSM) - Align digital or electronic signature (Scan) when signing the medical record - Manage digital signature directory - Sign image, sign number on PDF file of the medical record - Manage PDF files according to current regulations - Format date and time for digital signature, insert scan signature and customize signature area - Warn about missing digital or electronic signature forms - Install and configure all digital signatures, electronic signatures on all medical record forms - Review signed medical records - Cancel signature on medical record 9. Electronic medical record audit for social insurance agencies - Manage accounts of auditing personnel to log in to the software - Manage list of electronic medical records: List of PDF files extracted from the system is uploaded. - Social insurance auditors can view detailed patient medical records (only view medical records provided by the hospital) 10. Integration with other systems according to BYT, BHXH - Connect patients with health system. - Connect data with other software systems as requested by BYT and BHXH - The electronic medical record software can export information from the electronic medical record in XML or JSON format for data exchange when required. 11. Software development method, connection with other software systems - Built on Winform .net technology - Export electronic medical record information in XML or JSON format for data exchange, sharing of electronic medical records, including information according to Annex "Data exchange description for electronic medical records". - SQL SERVER ensures data security and transmission - Real-time notification and messaging system on the software - Support international healthcare data exchange standards: HL7 FHIR R4, IHE XDS, DICOM 3.0. - AI supports diagnosis and medication suggestions based on patient history and ICD-10 code. - Dashboard for real-time data analysis (Real-time BI) with visual charts for management. - Encrypt all electronic medical records, automatic tracking. - Open API (RESTful/GraphQL) to integrate with medical devices (laboratory equipment, imaging machines) and third-party systems. 12. Non-functional features - The software prevents unauthorized access to the database. There are full backup and recovery mechanisms and ensures data integrity. - The software applies encryption for stored data. - The software meets all safety information requirements before being used as required in Decision No. 742/QĐ-BTTTT issued by the Minister of Information and Communications on April 22, 2022, requiring basic software security. - The software has a mechanism to encrypt/decrypt patient information when transmitting/receiving data. Manage user logs, user permissions, and track activity on the electronic medical record software. - Software processing time and complexity are fast.

Tu Lan Medical Station

Hire I-CA digital signature service for individuals belonging to the Organization – 15 Packages/Year (15 medical staff)

12

Month

- Key length: 2048 BIT - SHA 256 standard - FIPS 140-2 Level 3 standard - Digitally sign Pdf file: + Select pdf file + Select digital signature image + Select digital signature location + Enter pin code information + Download digitally signed file - Digitally sign office file: + Select office file + Enter pin code information + Download digitally signed file - Digitally sign xml file: + Select xml file + Enter pin code information + Download digitally signed file - Authenticate Digital signature: + Select the file to be authenticated: pdf, xml, office file format + Verify the content of the digital signature in the file + Verify the integrity of digital signature information - Integrate systems: + System calls pdf, office, Raw digital signature API. + Authentication API calling system - 15 CKS/Package/Year (15 medical staff)

Tu Lan Medical Station

Hire I-CA digital signature service for Organizations

12

Month

- Key length: 2048 BIT - SHA 256 standard - FIPS 140-2 Level 3 standard - Digitally sign Pdf file: + Select pdf file + Select digital signature image + Select digital signature location + Enter pin code information + Download digitally signed file - Digitally sign office file: + Select office file + Enter pin code information + Download digitally signed file - Digitally sign xml file: + Select xml file + Enter pin code information + Download digitally signed file - Authenticate Digital signature: + Select the file to be authenticated: pdf, xml, office file format + Verify the content of the digital signature in the file + Verify the integrity of digital signature information - Integrate systems: + System calls pdf, office, Raw digital signature API. + Authentication API call system - 01 organizational CKS/Package/Year

Tu Lan Medical Station

Rent Cloud Server Service (Cloud Server)

12

Month

- Minimum Processor (CPU): 16 Core - Minimum internal memory (RAM): 32 GB - Minimum SSD hard drive: 1 TB - Internet bandwidth (Bandwidth): 1000Mbps - LAN connection port: 10Gb - There is a periodic backup mechanism and the provider is located in a Tiger3 standard data center or higher - 24/7 support

Tu Lan Medical Station