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    Phisform hsm04 PDF

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    Surgery HSM
    This document is a user ID request form for the Pharmacy Information System (PHIS) at Hospital Seri Manjung in Perak, Malaysia. It collects information such as the user's name, IC number, department, job role, and contact details. It also includes sections for endorsement by the head of department, user acknowledgement of the system's guidelines, and assignment of roles within the system by an administrator. The roles determine the user's access and permissions within the pharmacy inventory, approval, registration, and reporting modules.

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    © All Rights Reserved
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    Phisform hsm04 PDF

    Uploaded by

    Surgery HSM
    46 views2 pages
    This document is a user ID request form for the Pharmacy Information System (PHIS) at Hospital Seri Manjung in Perak, Malaysia. It collects information such as the user's name, IC number, department, job role, and contact details. It also includes sections for endorsement by the head of department, user acknowledgement of the system's guidelines, and assignment of roles within the system by an administrator. The roles determine the user's access and permissions within the pharmacy inventory, approval, registration, and reporting modules.

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    phisform-hsm04.pdf

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    This document is a user ID request form for the Pharmacy Information System (PHIS) at Hospital Seri Manjung in Perak, Malaysia. It collects information such as the user's name, IC number, department, job role, and contact details. It also includes sections for endorsement by the head of department, user acknowledgement of the system's guidelines, and assignment of roles within the system by an administrator. The roles determine the user's access and permissions within the pharmacy inventory, approval, registration, and reporting modules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    46 views2 pages

    Phisform hsm04 PDF

    Uploaded by

    Surgery HSM
    This document is a user ID request form for the Pharmacy Information System (PHIS) at Hospital Seri Manjung in Perak, Malaysia. It collects information such as the user's name, IC number, department, job role, and contact details. It also includes sections for endorsement by the head of department, user acknowledgement of the system's guidelines, and assignment of roles within the system by an administrator. The roles determine the user's access and permissions within the pharmacy inventory, approval, registration, and reporting modules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    PHARMACY INFORMATION SYSTEM (PHIS) HSM-ICT-Brg.

    04 (Pindaan-02)

    HOSPITAL SERI MANJUNG, PERAK. )

    USER ID REQUEST FORM


    A. USER INFORMATION
    Type of Request: □ New □ Re-activation □ De-activation
    □ Reset password □ Change Department/Location/Discipline
    Name:
    IC No:
    Designation:
    Category : □ Permanent □ Houseman/Student □ Temporary
    Current Department :
    Department:
    New Department : Effective Date :
    Wad(Nurses Only):
    Contact No:
    Email Address:

    * For Consultant/Specialist Medical Officer / Houseman / Pharmacist


    Prescriber Type: □ Resident □ Visiting □ Part-time
    Discipline:
    Prescriber Category: □ Consultant/Specialist □ Medical Officer/HO □ Pharmacist
    Registration No:
    Qualification:
    Joint Date:
    Validity (for contract &
    houseman)

    B. HEAD OF DEPARTMENT ENDORSEMENT


    Name :
    Designation & Signature :
    Date:

    C. USER ACKNOWLEDGEMENT
    I hereby understand and agree to the term set forth in Pharmacy Information System (PhIS) Guideline and
    I shall not share my user ID. If I were found to misuse the user ID, disciplinary action shall be taken on me.
    Name :
    Designation & Signature : Date:

    D. ADMINISTRATOR

    Created/Updated by : Designation & Signature :


    Date :

    Fill in by Unit Pengurusan Maklumat/Jabatan Farmasi Give back to user after registration/update User ID PHIS

    Name
    IC No
    Department /Unit
    Username
    Password
    *Please Change your password after first time login to system.
    PHARMACY INFORMATION SYSTEM (PHIS) HSM-ICT-Brg.04 (Pindaan-02)

    HOSPITAL SERI MANJUNG, PERAK. )

    E. USER ROLE ASSIGNMENT (MO /HO /MA / NURSES/ IT ADMIN / CLERK)


    Tick by Approve
    Role Name Description
    User By Admin
    All User
    / Change Password User can change password
    Nurse/Medical Assistant
    Nurse Med Return All Nurses
    Nursing Personnel Mandatory role for all Nurses / Medical Assistants
    Inventory
    Inventory User All user involve in inventory management
    Approval/verification access rights in Inventory Module (SISTER / PENYELIA / MATRON)
    Head of Nursing Unit/Clinic Sister/Matron/Medical Assistant in-charge of unit/ward
    Inventory User (Head of Unit) Head of unit supervising the inventory management (Approver)
    Tasklist Request Non Standard to Rights to verify Request to change Non Standard item to Standard
    Standard Verification Item. (Pharmacy sub-store & other requester unit)
    Tasklist Indent Approval Rights to approve Indent (Pharmacy sub-store & other requester unit)
    Tasklist Stock Transfer Approval Rights to approve Stock Transfer (Pharmacy sub-store & other
    requester unit)
    Tasklist Return to Sub- Rights to approve Return to Sub-store/Pharmacy Store (Pharmacy
    Store/Pharmacy Store Approval sub-store & other requester unit)
    Tasklist Issuing Approval - Offline/ Rights to approve Issue (Offline/Direct/Ward Stock) (All unit)
    Direct/ Ward Stock
    Tasklist Count Sheet Approval Rights to approve Count Sheet (All unit)
    Tasklist Stock Adjustment Approval Rights to approve Stock Adjustment (All unit)
    Tasklist Slow Moving Item Approval Rights to approve Slow Moving Item (All unit)
    Tasklist Near Expiration Rights to approve Near Expiration (All unit)
    Tasklist Product Complaints Approval Rights to approve Product Complaint (All unit)
    Registration Clerk
    Registration Personnel Registration clerks
    Facility Administrator (IT Admin)
    Facility Admin General System administrator for managing User Profile & Other General
    information at facility
    Doctors (HO/MO/ *Specialist/**Head Of Department/***Hospital Director)
    Prescriber Hospital Prescriber medication to patient – Mandatory role to all doctors
    *Special Drug (Request Order) Rights to approve drug
    Approval
    *Specialist that can edit KPK Rights to edit KPK
    screen (Inactive)
    *Consultant/Specialist All Specialist
    **Head of Department (Clinical) For view report
    **Head of Department that can For view report
    edit KPK screen (Inactive)
    ***Hospital Director For view report
    ***Hospital Director that can edit Right to edit KPK
    KPK screen (Inactive)

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