system analysis and design report for hospital management system

Designing Hospital Information Systems

A Hospital Information System (HIS) basically is a synonym for information management system

at use in hospitals. Hospitals generate a wealth of data round the clock, 365 days a year, all of

which needs to be well managed to ensure efficient functioning. Patients visit such as

establishments for outpatient care in an emergency, or get admitted for either a short stay (a few

hours) or long in duration (that may sometimes be indefinite). The recent trend sees a growing

emphasis on improving overall efficiency and clinical management.

Important HIS Aspects to Consider Requirements Management

In the requirements gathering phase, one should undertake an as-is study exercise to perform a

comprehensive impact analysis of all business processes in order to identify the ones that will be

affected by having the new system in place and the way this will occur. The various business

processes that exist, the stakeholders involved and the systems / applications currently being

used within the establishment that would be affected, albeit to varying degrees. Once this has

been finalised and agreed upon, a requirements analysis followed by documentation needs to be


Once finalised, the software requirement specification and functional design documents should

be prepared with proper functional architecture in place. These should be signed-off by the

competent authorities on both the customer and the vendor sides. The documents should then

be turned over to the system design team for further action to ensure that the required system is

delivered as per the specifications.

General Requirements– An Overview

Generally, the system should be safe and secure from a data management point-of-view. Highly

sensitive data is handled by such systems and hence the comfort-level related to privacy and

safety issues need to be addressed aggressively. The system should ensure efficient flow of

information that provides interdepartmental support to the establishment, functional and process

integration, be adaptable and flexible from a user perspective, and last, but not the least, be

standards-based to ensure interoperability in terms of syntactic, semantic and process.

The following points are that need to be given serious attention in order to build and implement a

viable solution that will be able to deliver true value-for-money on a long-term basis:

I. Use of a unique patient identifier like UHID (unique health identifier);

II. Quick registration in times of emergency – use of “break-the-glass feature”, with due

record of who did what, when and why (the reason for this action);

III. Data security, patient confidentiality and privacy;

IV. User-based-role-based access control with a sound and practical process using


V. Eligibility check of all insurance and ability to accept an upfront deposit to cover the

estimated cost of care;

VI. E-prescription for outpatients, Computerized Physician Order Entry (CPOE) for others;

VII. For investigations, the consultant needs to know the total costs and the individual

investigation charges. This would allow them to prioritise the ones that the patients must

get done right away irrespective of the costs while leaving the rest later when they can

afford them;

VIII. The Electronic Medical Record (EMR) needs to be integrated with Laboratory Information

System (LIS), Radiology Information System (RIS) and Picture Archiving and

Communication System (PACS) to allow all images to be viewed and compared with any

archived images;

IX. Secured remote access to view information and add notes;

X. Checking for Economic Order Quantity (EOQ) and re-order levels and automated listing of

near-expiry items at least 90 days prior to expiry;

XI. Slow moving materials in the medical stores should be tracked and appropriate alerts

should ensure that all stakeholders are aware of the situation;

XII. Bar coding for tracking patients, services, material and medication; and

Evner: Forretnings Analyse, Rapport Skrivning, Research, Research Writing, Teknisk Forfatning

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