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Ltd


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Case Study

CLIENT - Healthcare Management System-
Implementation


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CLIENT - Healthcare Management System is a huge web-based application created exclusively for
CLIENT Hospital and Medical College for handling patient data starting from patient admission to
discharge. The application included recording of patient data, money collection, bill generation,
scheduling, pharmacy purchase and sale, stores management, laboratory and radiology
management, blood bank etc.

The application being web-based could be accessed from anywhere without any installation. The
application is based on MVC architecture with ability to take load of huge number of patient data.
User role management provided the user functions to control every users rights and accessibility.

Following is the list of modules present in the CLIENT - Healthcare system.

Reception and Appointment Scheduling
Out Patient Management
In Patient Management
Laboratory and Radiology Management
Operation Theatre Management
Pharmacy Management
Stores Management & Purchases Management
Billing (Cash & Credit)
Account & Receivables (Cash & Credit)
Contract Management
Security and Administration
MIS and Department Reports
Medical Reports
Blood Bank
CSSD
Bio Medical and Maintenance
Personnel and Payroll













Client Requirement
Project Challenges
Team faced the following challenges:

Developing a system that was capable of delivering good performance and speed to
handle hospital patient records and multi-user access.

Developing a system with ability to handle data extracted from old hospital
information system being used by the client.

Integration with Laboratory equipments and saving the output data at runtime into
the database.

Designing a system such that it covers all the hospital modules and be user-friendly
to be a single-point of access for all hospital users.

Ensuring safe and secure transfer of data.



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Technologies Used









Manpower










Planning


Taking into consideration the functionality of the server the following development
areas were charted out to be elaborated upon:

The web server using HTTP protocol for communication with the web browser.

System-level windows services were developed in order for capturing data from the laboratory
equipments.

Desktop-based executable was developed in order to ensure that equipment exported data is
inserted into the database.

Requirement gathering was done on-site and complete development was done off-site. The
equipment integration was carried out on-site parallel to deployment.
Operating System &
Server Management
Windows OS, Multi-Server Architecture with Staging & Production
Environment through Version Controlling releases, Server
Optimization, Security & SSL Implementation, Scheduler for Back-ups,
Alert Monitoring System Integration, Server Performance Tuning at
regular intervals, Software Firewall Configuration & Maintenance
Development Tools &
Environments
ASP.Net, MVC, C#, SSRS etc.
Database MSSQL DatabaseServer 2008, Report Service (SSRS), DB Clustering,
DB Optimization, Master Slave Replication, Query Optimization,
Scheduler for Backups

Project Leader

2

Developers

4

Designers

2

Quality Assurance Testers

2


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Complex Reporting.

Architecture


We are using 3-tier architecture which provides Presentation layer (PL), Business Access layer
(BL) and Data Access layer (DAL).

BAL: Business Access layer contains business logic, validation related to the data.

DAL: Data Access layer contains method which helps Business layer to connect the data and
perform required action like returning data or manipulating data (insert, delete, update).

PL: Presentation layer contain .asp or html where data is presented to the user and inputs are
taken from the users.

Deployment Architecture

For deployment we are using Windows Server 2008 with IIS7. We are using MVC architecture.
Benefits of MVC are given below:

1. Enables the full control over the rendered HTML.
2. Provides clean separation of concerns (SoC).
3. Enables Test Driven Development (TDD).
4. Easy integration with JavaScript frameworks.
5. Follows the design of stateless nature of the web.
6. Restful urls that enables SEO.
7. No View-State and Post-Back events.
8. It provides RAD development.
9. Easy development models for developers those coming from WinForm development.



Development Highlights


The application provided the client with a system capable of handling all hospital data and with
ease of access for everyone. The detailed requirement gathering done on-site helped setting up a
well-designed system with all modules integrated into it along with control over user access.
Laboratory equipment data was easily transported from machine to the database and in turn shown
to the user on web interface. The control of site was given to administrator, who can set up users,
user roles and assign page-level access to each of these roles.