Certificate

This is to certify that group third of S.Y.IT Class has satisfactorily

completed the case study on Hospital Management as the Prescribed
by University of Mumbai for the year 2010 to 2011
 DAVE HASMUKH PARMANAND 21
 DEORUKHKAR AKSHAYA ANIL 22
 DERE SHRINATH MANSING 23
 DESAI VIPRA VINOD 24
 DESHMUKH AKSHAY RAJARAM 25
 DEVALATALA RUCHIK A H 26
 DEVAN DHANASHRI AMRUT 27
 DHAKAN VICKY JITENDRA 28
 DHAUSKAR MANOHAR M 29
 DHOLAM YASHWANT VISHRAM 30

Professor –in-charge

Date Head of the Department

College Stamp

Case Study
 On
Hospital
Management

Acknowledgement
We the student of second Bsc IT have successfully completed
our case study under guidance of Mrs.
Kaustubh Sir

We have also receive a great support from the IT department

We are thankful to our H.O.D professor Gaikwad for allotting IT

lab for case study
THANK YOU

 Introduction
Scope & Assumption & Requirement
 E-R Model
Entities of Hospital Management
Tables of Entity
Relationship Model
Description
Entity Relation
Mapping Constraint
Attribute

Scope
It can be used in any Hospital, Clinic, Dispensary or
Pathology labs for maintaining
Patient details and their test results.
Project is related to Hospital Management System.
The project maintains two levels of users:-

 Administrator Level-Doctor
  User Level-Data Entry Operator

Main facilities available in this project are:-

 Maintaining records of indoor/outdoor patients.
 Maintaining patients diagnosis details, advised
tests to be done.
 Providing different test facilities to a doctor for
diagnosis of patients.
 X-Ray
 Urine Test
 Stool Test
 Sonography Test
 Gastroscopy Test
 Colonoscopy Test
 Blood Test
 Biochemistry Test

Maintaining patient’s injection entry records.

Maintaining patient’s prescription, medicine and

diet advice details.

Providing billing details for indoor/outdoor patients.

Maintaining backup of data as per user requirements
(between mentioned dates).

In this project collection of data is from different

pathology labs.

User or Administrator can search a patient’s record

by his/her name or their
Registration date.

Patient’s diet advice can be provided in Hindi.

Requirements

For Patient module

This module facilitates the capturing of patient-
related data at different entry points, enables
queries at different workstations and generates
reports at required frequency. The following details
are part of this module:
Patient Registration
 OPD, IPD and Investigation Cases
  Ward Allocation
 Patient Admission
 Patient Transfer
 Deposits and Advances
 Automatic Charge Calculation
 Estimate and Final Billing
 Operation Theatre Scheduling
 Receipts and Refunds
 Discounts and Concession
 Doctor Register
 Patient Discharge
 Patient Inquiries
Patient Registration
This function of the Hospital Management
Information System deals with registering new
patients, for either OPD or IPD and issuing unique
identification numbers to the patients. These
numbers are unique throughout the system.
A patient can be registered either at the IPD front
office or at the OPD reception.
The OPD or IPD identification number is also
created for each of the patient's separate visits. This
also serves as a part of patient registration.
The IPD/OPD ID is used for tracking the medical
records of the patient for that particular OPD visit
or IPD admission.
All medical records of the patient are identified by a
combination of numbers, i.e. Patient ID and
OPD/IPD ID.
The numbers allow for a flexible search in terms of
finding the patient's history record.

OPD / IPD Investigation Cases

This module of the Hospital Management System
deals with all kinds of investigations suggested by
doctors.
The function enables the entry of investigations
/procedures for a particular patient.
The entered investigations are rooted through the
billing/cash office and once the patient pays for the
investigations, the entries of the same go to their
respective diagnostics centers.

This flow is not compulsory for IPD patients since

the billing for IPD patients is done at the time of
discharge.
Investigation requisition is created and printed with
function and the same is available at respective
diagnostics centers for the preparation of reports.
IPD Admission and Ward Allocation
This function, Patient IPD Admission, facilitates the
process of patient admission and the allocation of
beds to patients.
The system identifies the patient as either a new
IPD patient, or an intern referred from hospital
OPD/CMO. This function gives information on
vacant beds in a hospital.
Occupancy status on that particular position can be
ascertained while allocating the bed.
The main function, Patient Admission, facilitates the
admission of patients according to requirements,
considering the type of admission and the patient's
condition.
The admission of a patient can be direct, or be a
referral from a consultant or hospital. The category
of the patient can be Company, Self, Government
Schemes, Insurance or MLC ,depending on which
the admission procedure is completed.
Once the patient is admitted to the hospital, the
room charge starts from the time of admission. The
case paper of the patient is printed from the system
and is sent to the proper nursing station.
Once the admission of the patient is completed, an
IPD identification number is created by the system
for that particular admission of the patient.
The IPD Admit Card is also printed along with the
case paper. The system informs, with audio visual
alerts ,the respective nursing station of the
admission of the patient under them, allowing them
to prepare room for the patient. In the case of MLC,
the system stores the details of the police station,
as well as the name of the official informed about
the Medical Legal Case.
Patient Transfer
This function of the Hospital Management System is
to facilitate the transfer of a patient from one room
to another within the hospital.
With this function, the patient’s actual position can
be updated online so that internal functions such as
billing, investigation and surgery can be planned.
The position of the patient is very important since
charges for surgery procedures and investigations
are related to room category.
Deposits, Advances, Refunds, Discounts and
Concessions
This function of the Hospital Management System
facilitates all types of payments received from the
patient.
This function plays a vital role in payment recovery
from patients throughout their stay.
The advances from the patient depend on the type
of admission and the patient category is prompted
by the system.
The interim bill versus advances ratio is also
maintained in order to carry out recovery planning.
Advances and deposits accepted by the billing/cash
counter are directly posted into Accounts.
Refund cases are considered when excess advances
have been paid.

Reports
Following are the main reports / outputs
 Patient List –Admitted/Discharged.
This report gives information on
admitted/discharged patients during a certain
time period. This facilitates keeping track of the
admissions vs. discharges ratio.
 Bed occupancy Reports.
This report gives information on bed occupancy
at any given time room category-wise.
 Ward Allocation Reports.
This report gives allocated room reports for
tracking of patients.

 Interim Bill v/s Advance Report.

This report gives the ratio of interim bill vs.
advances paid by the patient with the
percentage of payment.
 Admission / Discharge Register.
The admission and discharge register is
maintained by the system. This report gives
details regarding patient admissions and
discharges during specific period.
  Patients/ by Doctor
This report categorizes patients by attending
physician at any point of time.
 Appointment List
The appointments for consultants are
maintained on the system.
 Performed operation list.
 Patient follow-up report.
 Prescriptions Discharge Card

Diagnostic Centers
This module enables the retrieval of the patient’s
investigation and procedure record from different
locations i.e. IPD, OPD, Casualty.
The module covers a laboratory system for
Pathology, Radiology, Cardiology, Neurology, and
Chest Medicine.
Prescriptions written by doctors are routed through
a billing system to the respective diagnostic centers.

Assumption
MODULES

       SERVICES MANAGEMENT 

       SECURITY MANAGEMENT 
       PATIENT MANAGEMENT 
       OPD MANAGEMENT 
       IPD MANAGEMENT
       DISCHARGE SUMMARY 
       CONSULTANT MANAGEMENT 
       STORE MANAGEMENT 
       LAB & IMAGING 
       PHARMACY MANAGEMENT 
       RADIOLOGY MANAGEMENT 
       MEDICAL DATA 
       TPA (PENALS) MANAGEMENT 
       RECEPTION MANAGEMENT 
       MRD RECORDS 
       MIS REPORTS 
       FINANCIAL ACCOUNTS 
       PAYROLL & HRD MANAGEMENT 

MODULES 

Services Management 
This module will take care of services provided by the
hospital. Rate of services is charged by rules of
hospital. It will consider panel , Night Charges ,
Emergency charges , Age of patient and other
parameters while calculating the rate of services for a
particular patient.
Patient Management 
Every patient treated in hospital will be given unique
Patient ID which is useful in tracking visits of patients.
All patient's data is useful for MRD purposes. 
OPD Management 
OPD Registration When a patient comes to the
reception desk, A new registration number is
automatically Allotted to him. His personal details like
Name, Age, Sex, Address etc. and the services desired
are feeded into the software.
OPD Billing / Collection Billing of all OPD patients with
complete details of Patient Information, Services
provided like Consultation, Laboratory, X-ray,
Ultrasound, Medicines, Procedures etc. along with
Payment details.
IPD Management 
IPD registration When a patient comes to the reception
desk for admission, A Separate new registration
number is automatically allotted to him. His personal
details along with the details of Admission, Room,
Consultant, Surgeon, Diet, etc. and the Advance
Payment made are fed into the software. The Software
will record all this information and print the related
documents. 

IPD Billing On-line billing of all IPD patients with details

of Patient Information, Services provided on daily basis
like Room rent, Operation, Delivery, Oxygen & Other
Gases, Consultation, Nursing Charges, Laboratory tests,
X-ray, Ultrasound, Medicines, Procedures etc.
IPD Collection Collection of part payment along / Full
Payment details/ Refunds/Credit Notes. This
information will provide the data for all MIS reports.
Discharge Summary 
After the discharge of patient discharge summary can
be automatically generated with just few press of keys.
Laboratory data can automatically be imported.
Specialty wise standard format can be set.
Consultant Management 
Tracking of consultant share for OPD /Indoor
procedures. Option for defining consultant shared
based on procedures/department. 

Classifying visit of patient as new / old for that

consultant
Store Management 
Maintain Purchase order with due dates of delivery 
Maintain MRN and Issue slips 
Maintaining Stock , Reorder levels and show
appropriate warning. 
Bills can be adjusted against the payments made at
other department. 
Laboratory Management 
As the test is booked at reception request is
automatically send to laboratory. Lab can feed the
result later and prints attractive reports.
Security Management 
Role base security will be provide to user. Client-server
architecture will be followed.
Pharmacy Management 
Complete pharmacy shop can be managed through this
module. Additionally it can be linked to main billing. As
patient collects medicines from pharmacy shop their
charges will automatically transfer to patient billing.
Radiology Management 
As the tests related to radiology is booked at reception
request is automatically send to radiology department .
Medical Data 
This module will take care of all medical data of
patient . Patient's intake , outtake , Medication ,
reading etc. 
TPA (Penals) 
Pre-admission forms for different TPA can be set. After
admission limit of Panel's approval will be taken care
of.
Reception Management 
Status of any patient/doctor can be queried from this
module e.g. timing of consultant, residential
address/patient room search.
MRD Management 
Keeps history of all patient. Data analysis can be
further done on any field Keeps truck of the ICD
numbers/Bed days per consultant and other MRD
Records. 
MIS Reports 
It will provide vital and key reports to management. All
the Further we are planning to incorporate graphical
analysis of reports. 
Payroll & HRD Management 
Complete salary can be computed through this module.
This module can be attached through Time machines
also. All necessary formats can be generated through
this module.
Accounts Management

Financial accounts 
All purchase , expenses ,payments can be feeded in this
module. Receipts can be directly imported from OPD
and IPD department.