HOSPITAL MANAGEMENT SYSTEM Prepared by- Page 1
Hospital Management System
Oct 25, 2014
Case study on Hospital Management System
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HOSPITAL MANAGEMENT SYSTEM
Prepared by-
Page 1
ACKNOWLEDGEMENT
It is our pleasure to acknowledge the help I have received from different individuals,
institutions and ‘ABC hospital’ during the project based training period.
Our first sincere appreciation and gratitude goes to Professor A. Ghaisas for his
guidance, constructive comments, valuable suggestions and inspirations. During
entire project, we have received endless help from him.
Finally, I wish to say thanks to all people of the company for their kind cooperation.
Page 2
Table of Contents
Sr. No. Particulars Page No.1 Introduction
2 Business Objectives
3 System Objectives
4 Scope of the Project
5 Functional Decomposition Diagram
6 Data Flow Diagram
7 Entity Relationship Diagram
8 Table Design
9 Screen Design
10 List of Reports
Page 3
Introduction
Brief description of business:
The hospital which we have studied for the assignment is ABC Hospital Ltd.
The hospital has following departments :
Inward patient department , Outward patient department ,Pathology lab , X-ray , CT csan,Operation Theatre , Yoga center , Account dept , admin dept ,etc.
Details about hospital:
No of doctors in the hospital 25
Total bed capacity 60
Types of ward : general, deluxe, super deluxe, semi –deluxe, ICCU, ICU
No of nurse : 35
No of ward boys : 15
To narrow down the scope, four modules were selected for the assignment. The modules are as follows:
1) Patient registration
2) IPD
3) OPD
4) Pathology lab
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1) Patient registration:
As soon as a patient enters the hospital for first time he/she should get registered (irrespective of ipd or opd) .Information such as personal details, family details, etc is recorded and a registration id is issued. Every time a patient is treated at the hospital he/she will be referred by this number.
2) IPD:
Patient’s admission details such as reason for admission, ward details, operation details (if any), etc. are recorded whenever he/she is admitted.
A discharge card is issued to the patient at the time of discharge stating the treatment summary. Also, a bill is prepared against the various services availed by the patient.
3) OPD:
Consulting details of the patient are recorded and a bill is prepared (including the services such as pathology lab availed by the patient)
4) Pathology lab:
Pathology lab is used for both ipd and opd. Depending on the test prescribed, tests are performed and results are recorded. Also, the charges are included in the bill given to the patient.
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Business objectives:• The objective of the hospital management system is consistent growth of the Hospital, through
continual improvement in the processes.
• To provide quick, reliable, quality and error free service by making use of high end technology to ease the management of the patients.
• To help administration in efficient management of the organization very smoothly by achieving high competency.
System Objectives:• Transition of manual to Automated system
• User Friendly
• Time saving and more efficient
• Reduce work load
• Record maintenance
• Security
• Proper login name and password so that only valid user can assess the system.
• Generate Information which helps in decision making for management purpose.
• Manage activities of the hospital such as bed and Doctor Assignment, operations scheduling, personnel management and administrative issues.
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Functional Requirements
Patient Registration
Every patient who visits the hospital has to get registered prior to getting any consultation, treatment or investigations done. Registration of patients involves accepting certain general and demographic information about the patient. The patient is allocated a unique Registration number and a Patient Identification number. The Patient ID will remain same for his all subsequent visits to the hospital whereas he will be allocated a new registration number on every visit. The consultation charges (if applicable) can also be collected for the OPD patients during registration and a receipt will be generated.
The following information is required for the registration of OPD Patient:
Patient Details like Name, Age, Sex, Address, Contact number, Nationality, etc.
Referring Source and Sponsorship / Penal Details
Department & Consultant to be visited.
For Inpatient the additional information requirements are:
Room / bed requirement.
Consultant In charge
Treatment required
Authorisation from Sponsor/Penal if required
After registration an OPD Card is printed for the OPD patients, which list all his registration information. This card is used for the prescription writing by the consultant. An Admission form is printed with all the registration details for Indoor patients, which serves as the cover page of the patient file.
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Receipt
For billing of any OPD service like Pathology Tests, or any imaging investigation, the patient moves to OPD billing counter. Here the services are charged as per the rates already defined for various categories/ penal/ time etc to the patient with his Patient ID. The Payment is collected for the service provided and a receipt is generated. The receipt is generated at the service desk.
All services will be automatically entered into the respective modules wherever required like lab & Imaging reporting.
The Salient features of this module are:
i. Record Charges to be taken from the patient.
ii. Record details of the concession & concession authority.
iii. Consultant charges are automatically picked according to general or emergency charges.
iv. The charges for the services are automatically picked according to the category or panel of the patient.
v. The charges are also dependent on time when the service is being given to patient.
vi. When patient revisits his information will be automatically picked using his identification number.
vii. Patient can be defined under Cash & Credit OPD.
viii. All relevant information is transferred to the Investigation departments.
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Billing:
Indoor billing module has a supervisory role. The entries for billing are automatically transferred to the patient bill by the respective departments, which provide the service. The services are charged as per the category/panel/package applicable.
Here the bill is compiled and the payment collected from time to time. Provisional and Final bills are generated which provides complete information about the Services availed, its Charges, Advance collected, appropriate Receipts, Refunds, Credit notes, Concession allowed, etc.
Salient Features:
i. Collection of Payment by Cash/Credit Card/ DD or Cheque.
ii. Receipts, refunds, Credit Note Generation.
iii. Provisional & Final Bills.
iv. Department wise services availed.
v. Automatic scrutiny of the credit limit available to the patient
vi. Provision to bill a patient against another account (LIC account/company account/Donors account etc.)
vii. Additional payment for Ambulance/attendants at discharge if required.
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Medicine
The Medicine Module deal with the Retail Sale of medicines to OPD patients and Issue of medicines to the In-patients in the hospital. Its function includes, online drug prescription, inventory management and billing of drugs, consumables and sutures. This module is closely linked to the Billing Module and In-patient Module. All the drugs required by the patient can be indented from the various sub stores.
Salient Features:
i. This module enables complete control on pharmacy including Purchase & Issue of medicine to IPD or OPD Patient.
ii. Total amount of the bill for IPD Patient will automatically get added in his bill.
iii. The Medicine can acknowledge the return of items and issue Credit notes.
iv. Items cannot be issued after the expiry date.
BedThis module deals with the allocation of bed to the in house patients. It has an interface with the billing module. The charges levied to any bed are automatically added to the final bill.
Salient Features:
i. This module enables complete control on the allocation of beds.
ii. The beds are of various types (i.e, ICU, General etc.).
iii. A single patient may change the type of bed allotted to him during his period of stay at the hospital.iv. The bed charges are added to the boll automatically.
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Other functionalities:
Security: Each member is required to enter an individual password when accessing the site. Administrators have the option of increasing the level of password security their members must use. The data on your site is secured through multiple layers of protection. One of those security layers involves member passwords. For maximum security of your site, each member must protect their password.
Performance requirements: The performance of our product is at its best if stored locally, as the response time will be much faster. If the product accessed via Internet, the performance is limited by the connection speed. The only foreseen limitation is that of web-server response.
Safety: Humans are error-prone, but the negative effects of common errors should be limited. E.g., users should realize that a given command will delete data, and be asked to confirm their intent or have the option to undo.
User DocumentationThe form generation language will be separately documented.
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Scope of application software:
Login:
• Allows the doctors, attendants, and management to login to the system using their respective login ids.
• Doctors will be able to manage their information (like input their availability for the week or day), view patient case history, treatment details, test reports etc.
• Attendants will be able to help the patients to view their case history, treatment details, appointment with the doctors, bill details, wards, medical services provided, test results etc.
• Management will be able to view some overall records pertaining to them and then see reports.
Patient registration: As soon as a patient enters the hospital for first time he/she should get registered (irrespective of ipd or opd) .Information such as personal details, family details, etc is recorded and a registration id is issued. Every time a patient is treated at the hospital he/she will be referred by this number.
IPD: Patient’s admission details such as reason for admission, ward details, operation details (if any), etc. are recorded whenever he/she is admitted.
A discharge card is issued to the patient at the time of discharge stating the treatment summary. Also, a bill is prepared against the various services availed by the patient.
OPD: Consulting details of the patient are recorded and a bill is prepared (including the services such as pathology lab availed by the patient)
Pathology lab: Pathology lab is used for both ipd and opd. Depending on the test prescribed, tests are performed and results are recorded. Also, the charges are included in the bill given to the patient.
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FDD:
Page 13
Context Level DFD
Page 14
Service
Test
First level DFD
Doctor master maintenance
Master Maintenance
Administrator
Doctor
Medicine
Bed
Bed Master Maintenance
1Medicine master maintenance
Service Master Maintenance
Lab Master MaintenanceMaintenance notification
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Test
Service
Doctor
Patient
Service
Patient
Medicine
Bed
Appointment details
2Enquire general service
Medicine Details
Change of bed details
Test Details
OPD
Patient
Doctor
Medicine
Doctor
Enquire consulting doctor
Pay Consulting fees
Consulting Payment
Medicine details
3
Test details
Provide Prescription
Page 16
Bill
Patient
Receipt
Bed
Test
Bill
Service
IPD
Patient
Doctor
Medicine
Doctor
Admission
Tests and treatment
4
Bed allotment
Provide diagnosis/treatment
details
Medical services
Page 17
Patient
Services
Bill
Billing
Patient
Medicine
Receipt
Patient Details
Services details
Bill
5
Doctor Consultation details
Page 18
Patient
A/C receivable
Patient
Bill
Receipt
Payment Details
Bill details
Receipt details
6
Page 19
Patient Discharge Card
Patient
Discharge
Discharge details 7
DoctorFollowup details
Page 20
Patient
Receipt
Bed
Test
Bill
Service
Reports
Administrator
Medicine
Doctor
Queries
8Reports
Page 21
User
Login
Admin
Access details 9
User
Sign in details
Security confirmation
Page 22
Bed Master Maintainence
1.1
Bed
Medical Master Maintainence
1.2
Medicine
Service Master Maintainence
1.3
Service
Doctor Master Maintainence
1.4
Doctor
Lab Master Maintainence
1.5
Test
Second level DFD
1- Master maintainence
1.1
Administration
Bed master details
Medical master details
Service master details
Doctor master details
Lab master details
Page 23
Service
Patient
Medicine
Patient
Bed
Patient
2- Services
General ServicesPatient
Avail a service
2.1
Service details
Purchase MedicinePatient Medical prescription
2.2
Issue of medicines
Change BedPatient Change request
Availability status
2.3
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Test
Patient
Consulting Doctor
3.1
Doctor
Patient
Doctor
Bill Payment
3.2
Bill
Patient
3-OPD
Doctor AppointmentPatient Test details
Test report details
2.5
Patient Appointment Details
Test report details
DoctorProvide Prescription
Patient
Doctor Prescription Details
Bill details
Page 25
Allotment of room
4.1
Bed
Patient
Services
Diagnosis Treatment
4.2
Doctor
Patient
Medicine
Bill
Receipt
4-IPD
Patient Patient Details
Bed allotment details
DoctorAdmittance details
Services Fetched Details
Patient
Treatment details
DoctorProvide Treatment Prescription
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Patient Compute Doctor Charges
5.1
Bed
Doctor
Compute Services Charges
5.2.2
Patient
Medicine
Service
Compute bed charges
5.33
Patient
Bed
Compute Medicine charges
5.4Patient
Medicine
Test
Patient Taxes and issue bill
5.5
Test
Medicine
5- Billing
1.1
Patients
Doctor consultation details
Services details
Bed alloted details
Medicine details
Final bill generation
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ERD:
Page 28
TABLE AND DATA DICTIONARY
TABLE DESIGN:
Service:
Attribute Type Width Key Constraint Description
Ser_id Number 6 Primary
Key
Not Null, Unique
Gives the Unique service Id No
Ser_name Varchar2 10 Not Null Gives the service Name
Ser_desc Varchar2 15 Not Null Describe the service
Cost_per_unit Number 5 Not Null Gives the cost per unit for each service
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Doctor :
Attribute Type Width Key Constraint Description
Doc_id Number 6 Primary
key
Not Null, Unique
Unique for every doctor
Doc_name Varchar2 20 Not Null The doctor’s name
Doc_contact Number 14 Not Null Doctor’s Contact Details
Doc_address Varchar2 50 Not Null Doctor’s Address
Doc_Specialization Varchar2 20 Not Null Doctor’s Field Of Specialization
Doc_Cons_Fees
Number 6 Not Null Consultation Fees
Doc_dpt Vacrchar2
15 Not Null Type of department
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Medicine:
Attribute Type Width Key Constraint Description
Med_id Varchar2 6 Primary
key
Not Null, Unique
Gives the Medicine Id
Med_desc Varchar2 10 Not Null Medicine Details
Manf_Name Varchar2 10 Not Null Name of the Medical Manufacturer
Med_type Varchar2 10 Not Null Type of medicine
Med_cost_per_unit Number 5 Not Null Cost per unit of medicine
Bed:
Attribute Type Width Key Constraint Description
Bed_id Varchar2 6 Primary
key
Not Null, Unique
Gives the Bed Id
Bed_type Varchar2 10 Not Null Gives the type of bed
Bed_Cost_per_day Number 6 Not Null Gives the bed
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cost per day
Registration:
Attribute Type Width Key Constraint Description
Reg_id Varchar2 6 Primary
key
Not Null, Unique
Is Unique For Every Registration
Reg_By Varchar2 20 Registration Incharge
Reg_reason Varchar2 30 Reason for admittance
Patient_Id Varchar2 6 Foreign Key
Not Null A reference to the patient id
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Patient:
Attribute Type Width Key Constraint Description
Patient_id Varchar2 6 Primary
key
Not Null, Unique
Is Unique For Every patient
Patient_name Varchar2 20 Not Null Name of the patient
Patient_dob Date Not Null Date of birth of the person
Patient_sex Varchar2 10 Not Null Sex of the patient
Patient_contact_no Number 14 Patient contact number
Patient_Address Varchar2 50 Not Null Address of the patient
Patient_type Varchar2 10 Patient of opd or ipd
Patient_category Varchar2 20 Company candidate or normal
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Bill:
Attribute Type Width Key Constraint Description
Bill_No Varchar2 6 Primary
key
Not Null, Unique
Generated Automatically and is unique
Bill_date Date Not Null Generated When bill is printed
Bill_amt Number 10 Not Null Generated with the bill
Reg_Id Varchar2 6 Not Null A reference to registration
User
Attribute Type Width Key Constraint Description
User_Id Varchar2 6 Primary
key
Not Null, Unique
Unique user id
User_Name Varchar2 Not Null User name
Access Varchar2 10 Not Null Access to system
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Receipt:
Attribute Type Width Key Constraint Description
Rec_No Number 6 Primary
key
Not Null, Unique
Is Unique for every patient
Rec_date Date Not Null Date of receipt generation
Rec_amt Number 10 Not Null Amount for which the receipt is generated
Reg_Id Varchar 2 6 Foreign key
Not Null A reference to registration
Payment_Mode Varchar2 10 Not null Mode Of Payment
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Dicharge_Card:
Attribute Type Width Key Constraint Description
Discharge_card_id Varchar2 6 Primary
key
Not Null, Unique
Gives the Uniques service Id No
Patient_Id Varchar2 6 Foreign key
Not Null Gives the patient Id
Follow_up Varchar2 100 Not Null Gives the follow up
Doc_details Varchar2 50 Not Null Gives the doctor details
Next_appointment_date
Date Not Null Gives the next appointment date
Reg_id Varchar2 6 Foreign key
Not Null A reference to the registration
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Test:
Attribute Type Width Key Constraint Description
Test_id Varchar 2 4 Primary key Not Null, Unique
Gives the unique test id
Test_name Varchar 2 20 Not Null Name of the test
Test_desc Varchar 2 30 Not Null Description of the test
Test_type Varchar 2 20 Not Null Type of test
Rate Number (6,2) Rate of test
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Input Form
Medicine_Master_Form:
Page 38
Doctor_Master_Form:
Page 39
Service_Master_Form:
Page 40
Bed_Master_Form:
Page 41
Registration_Master_form
Page 42
Bill_Form:
Page 43
Medicine_Purchase_Form:
Page 44
Discharge_Card_Form:
Page 45
Receipt_Form:
Page 46
Doctor_View_Form:
Page 47
REPORTS
Month Wise Revenue Report:
Name of the Report : Month wise revenue generated Purpose : To analyze monthly revenue generated from different departmentUser : Lower Level Management
Tables referred : doctor, patient, bill
Page 48
Quarterly Revenue Report:
Name of the Report : Quarterly revenue generated Purpose : To analyze quarterly revenue generated from different departmentUser : Middle Level Management
Tables referred : doctor, patient, bill
Page 49
Yearly Revenue Report:
Name of the Report : Yearly Revenue Collected From different DepartmentPurpose : To analyze Yearly revenue generated from different departmentUser : Top Management
Tables referred : doctor, patient, bill
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Number of Patients Referred Report:
Name of the Report : Yearly Number of Patients Referred Purpose : To analyze number of patients referred by a doctorUser : Management
Tables referred : doctor, patient, test, medicine
Page 51
Yearly Category wise Patients Report:
Name of the Report : Yearly category wise patient ReportPurpose : To analyze different category of patientsUser : Management
Tables referred : patient, service, medicine, bill
Page 52
Yearly Company wise Patients underwent Treatment Report:
Name of the Report : Company wise number of Patient undergone treatment in hospitalPurpose : To analyze revenue generated from a companyUsers : Management
Tables referred : patient, service, medicine and bill
Page 53
Bed wise allocation Report:
Name of the Report : bed wise allocation reportPurpose : To provide bed to the patient unambiguouslyUsers : Lower level Management
Tables referred : patient, bed, medicine and discharge card
Page 54
Bed wise availability Report:
Name of the Report : bed wise availability status reportPurpose : To provide bed status to the patientUsers : Lower level Management
Tables referred : bed, service, patient
Page 55
Hospital Bill Report:
Name of the Report : Hospital BillPurpose : To provide Bill to the patient at the time of dischargeUsers : Lower level Management
Tables referred : patient, bill, doctor, discharge card, service
Page 56
OPD/IPD Registration Report:
Name of the Report : OPD/IPD registration reportPurpose : To provide details of patient at OPD/IPDUsers : Lower level Management
Tables referred : patient, service, doctors
Page 57
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