ENDEAVOUR
PATIENT BILLING SOFTWARE
SOFTWARE REQUIREMENT SPECIFICATION
COMPUTER SCIENCE AND
ENGINEERING
Revision History
Date
27.12.2010
Version
1.0
29.12.2010
2.0
Description
Patient Billing
Software
Patient Billing
Software
Author
Endeavour
Endeavour
Table of Contents
Description
1.0 Introduction
1.1 Purpose
1.2 Scope
1.3 Definition, Acronyms, and Abbreviations
1.4 References
1.5 Technologies to be used
1.6 Tools used
1.7 Overview
2.0 Overall Description
2.1 Product Perspective
2.2 Software Interface
2.3 Hardware Interface
2.4 Product Function
2.5 User Characteristics
2.6 Constraints
2.7 Use Case Model Description
2.8 Class Diagram
2.9 Sequence Diagram
2.10 Database Design
2.10.1 ER Diagram
2.11 Assumptions and
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Maintaining patient’s prescription details.
Providing billing details for indoor/outdoor patients.
If user forgets his/her password then it can be retrieved by hint question.
Related test reports, patient details report, prescription and billing reports canbe generated as per user requirements. User or Administrator can search a patient’s record by his/her name or their registration date.
2.0 Overall Description:
2.1 Product Perspective:
HTTP/HTTPS
HTML Client
(Web
Browser)
CLIENT
SOFTWARE
WAS
TCP/IP
(System User)
Client
Side
Application
Server
Database
Server
The web pages (XHTML/JSP) are present to provide the user interface on customer client side. Communication between customer and server is provided through HTTP/HTTPS protocols.
The Client Software is to provide the user interface on system user client side and for this TCP/IP protocols are used.
On the server side web server is for EJB and database server is for storing the information.
DB2
2.2 Software Interface:
-I- Front End Client: Web browser
-I- Web Server: WAS
-I- Data Base Server:DB2
-|- Back End:DB2
2.3 Hardware Interface:
Client side
Processor
Internet Explorer 7.0
RAM
Disk space
pentium IV
256MB
1GB
pentium IV pentium IV
1GB
1GB
2GB
1GB
Server Side
Web sphere Application
Server
DB2
2.4 User Characteristics:
Every user should be:
Comfortable of working with computer.
He must have knowledge in medical field.
He must also have basic knowledge of
English
The system requires the patient and the physician to have access to the Internet, computing devices and login-in credentials. Both physicians and patients would require a username and a secured password to access the portal. Given patient consent, it should be possible to add others as “caretakers” to have access to a filtered view of a patient’s plan for treatment administration.
The use of technology in HIM department works out well and effectively. Each patient who is new is assigned a unique medical record number and it always remains the same for the patient each time he/she want to get health care from this health care system. Another system
Education: Bachelor’s degree, high grades and scores on medical college admission test, doctor of medicine degree
obligations in documents and alerts. Ease-of-use and functionality of workflow processes in the EHR system are key considerations for selecting the system vendor. Consequently, the needs assessment, readiness assessment, and the workflow analysis are fundamental steps to decide if an EHR system is convenient to be implemented in your healthcare facility, however the workflow analysis will guide you in choosing and purchasing the best system that fits your institution. Mapping the workflow for various tasks enables recognizing the features and functionalities that should be in the EHR system. These features are important to be presented for the vendor as scenarios, and it is recommended to ask the vendor to show you how a patient record is initiated and managed based on your previous presented scenarios. This allows you to compare between vendors and clarify the usage of the software for various workflows in your institution. Only scenario-based demonstrations elaborate if the system’s smooth usability matches your institution workflow or not. Finally, it is critical to test-drive the system by yourself
Real time data entry, real time data driven medical decisions, provides real time transport of medical records, increased productivity as there is shift from paper-based medical record and the real time approach. It helps in efficient patient care management. The EHR embedded with clinical decision support system also helps in improving health care services delivery. The rules and decision algorithms helps in healthcare decision making. CPOE allow providers to enter order and both CPOE and CDS help in reducing medical errors. One of the studies have showed that the serious medication errors can be reduced by as much as 55% when a CPOE system is used alone, and by 83% when coupled with a CDS system that creates alerts based on what the physician orders [3].
One of the most important characteristics of an EHR while storing the clinical information is its ability to be interoperable: to share that information among other authorized users. If different information systems cannot communicate or interact with each other, then sharing is not possible. In order to achieve the objective to exchange clinical
Communication is the key in a health care field and having patient portals has increased information sharing between physician, nurses and patients. Patient portal is software that allows patients to get access to their own electronic medical record in a secure, efficient and easy to use program. Patient portals offer updated list of medications, diagnosis, allergies, lab results, patient history and more. Patients have access to their portals, which allows them to keep themselves up to date on not only their history but new information that doctors and nurses have given them. Also, having access to their portal allows them to keep updated information such as, discharge instructions for better care. This eliminates the time the nurses would spend on phone tag. It is a secure online software that provides patients with privacy and own username and password.
Electronic health information exchange allows doctors, nurses, pharmacists, other health care providers and patients to access and securely share a patient’s vital medical information electronically improving the speed, quality, safety and cost of patient care. In this paper I am going to explain the challenges of exchanging health information, privacy and security concerns, cost of set up and maintenance. Also, the three different types of exchanges. The benefits of health information exchange.
The scenario selected for this evaluation project focuses on the electronic health record. The scenario involves patient documentation, clinical decision support, and performing nursing notes. The project involves evaluation and implementation of EHR. The electronic health record and clinical decision support are not only relevant to my current organization but also are particular interest of mine. The electronic health record has helped to reduce the amount of paper which was a nightmare to maintain with the number of new patients being admitted daily. The electronic health record has also reduced the amount of missed documentation and errors. Any clinician can testify to the wasted time and poor communication among providers that sometimes results because antiquated paper records still predominate in our offices and on the hospital wards (Shortliffe, E. H., Tang, P. C., & Deimer, D. E., 1991). The clinical decision support system has been a great assistance to clinicians. Nurses, health visitors and midwives, as the largest group of healthcare professionals, record and generate most of the information used to maintain and improve patient care (Levy, S., & Heyes, B., 2012). Clinical support systems (CDSS) integrate information (ideally from high-quality research studies) with the
Users requiring medical care, typically will find the nearest facility providing the services they require, and must contact the clinic to initiate an appointment request. Once the individual has arrived to attend the appointment, instead of promptly receiving care, the individual must fill out many forms to meet the protocol that all patients must be expected to complete. Research from the International Journal of Computer Science and Information Security Research, studied the lacking functionality of the current healthcare system, the authors studied the effectiveness of a mobile program.“The current system is
The database used should be open and industry standard to allow easy integration with other applications and easy movement of data in the future. The database
When it comes to healthcare there are a lot of things that have evolved. One in particular is that of the patients’ health care records and how they are written as well as being stored. In this paper I will be discussing the evolution of this process via the Health Information Exchange or HIE. This will involve the history of the system, problems that are involved in this evolution, as well as the security issues that will need to be addressed when moving from different types of records.
In the medical field there have been a lot of technological advances and making health records electronic is one of them. The days of having a paper health record are almost obsolete. An electronic health record keeps a patient’s medical information and history on a computer which is accessible to more people in less time. I will explain how the continuity, communication, coordination and accountability of the electronic health record can help the medical office. I will explain what can be included in the electronic health record. As an advocate of the electronic health record I will also explain some disadvantages to the electronic system.
In today’s society, medical records becomes a huge issue. In many organizations such as healthcare, patient confidentiality becomes a high concern. Having internet health services, creates a challenge for compliance in healthcare. Providers have treated application security and infrastructure security independently until now. Access must be secured for clinical applications to alleviate the concern from providers in healthcare. Therefore, IT infrastructure must be protected from hackers, misusing information as well as thieves. (FairWarning, n.d.)
After decades of paper based medical records, a new type of record keeping has surfaced - the Electronic Health Record (EHR). EHR is an electronic or digital format concept of an individual’s past and present medical history. It is the principle storage place for data and information about the health care services provided to an individual patient. It is maintained by a provider over time and capable of being shared across different healthcare settings by network-connected information systems. Such records may include key administrative and clinical data relevant to that persons care under a particular provider. Examples of such records may include: demographics, physician notes, problems or injuries, medications and allergies, vital