DESIGN AND IMPLEMENTATION OF COMPUTERIZED MEDICAL PATIENT HISTORY MANAGEMENT INFORMATION SYSTEM A CASE STUDY OF UNIVERSITY TEACHING HOSPITAL, UNTH, ENUGU.

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ABSTRACT

The study was carried out to verify all the manual processes involved in medical patient history information system and to seek for a way of automating the system for effective operations.

          Since, there are continuous moves towards technological advances that enhance productivity of labour and free human beings of task done more economically by machines.  Computer and its applications have become indispensable vital tools in economic, industrial and social development of the advanced countries of the world. Nigeria as a developing country cannot afford to lag too far behind in this kind of revolution.  Therefore there is every need to know in every discipline the areas which attracts computerization and why they need it.

          In this project, the software engineering principles were applied in the analysis, design, coding testing of software serious attention was also given to the design of the user interface.

          In the development of the software, visual basic programming language was used due to its support for all the features desired.  A brief user’s guide is also provided.  The end result is a software that is very effective and efficient in meeting its objectives and at the same time user friendly.

TABLE OF CONTENT

Title page                                                                                ii

Certification                                                                            iii

Dedication                                                                               iv

Acknowledgement                                                                             v

Abstract                                                                                  vi

Table of contents                                                                     viii

CHAPTER ONE

Introduction                                                                                      1

  1. Theoretical background of the study                             1
    1. Statement of the problem                                                        4
    1. Purpose of the study                                                      5
    1. Aims and objectives of the study                                   5
    1. Significance of the study                                                         6
    1. Limitations                                                                              6
    1. Definitions of terms                                                       7

CHAPTER TWO

Literature Review                                                                    8

  • General review of database storage and retrieval system        8
    • File organization                                                            12
    • Storage media                                                                15
    • Database retrieval techniques                                        17

CHAPTER THREE              

Analysis of the existing system                                                         20

  • Fact finding method                                                       21
    • Objectives of the existing system                                   22
    • Input, process and output analysis                                22
    • Problems of the exiting system                                                24
    • Database flow diagram                                                  25
    • Justification for New system                                         26

CHAPTER FOUR

Design of a New System                                                                   27

  • Input specification and design                                       27
    • Output specification                                                      28
    • File design                                                                      29
    • Procedure chart                                                              30
    • System flowchart                                                           31
    • System requirement                                                       32

CHAPTER FIVE                            

Implementation                                                                       33

  • Program design                                                              33
    • Program flowchart                                                                  34
    • Pseudo code                                                                            37

CHAPTER SIX  

Documentation                                                                        39

CHAPTER SEVEN

Recommendation                                                                     41

Conclusion                                                                              42

References                                                                               43

CHAPTER ONE

INTRODUCTION

  1. THEORETICAL BACKGROUND

Information system is a collection of logically related files, organized in a manner to satisfy the needs of an organization.  A database is a store of data structured so that access and update can be made by different people in different ways without needs to change its design or content for this to happen, it is essential that all data items are logically related.

          Information system is always necessary to store date items once, because of it, input cost are lower.  Duplicate letters are largely dominated thereby saving space and ensuring data consistency.  Data is defined as an unprocessed fact.  They are raw facts that are unprocessed.  Data does not have meaning.  Information is processed data through the computer, which process different type of information.  Information in the computer is stored in codes. File is the collection of related filed, field is the collection of data items.

          Information system is important, because important information requirement and non-specialist need easy ways of accessing this information.  Large amount of data with many types of records occurring many times in database management system.  Also in database information system, complex data structures including many relationships between data items.  Many organizations will have many use requirements in data base management system.  Organizations will also have many frequent demand for changes to be made which only unflexible database management system can cope with.

          Data is viewed as a source to be shared by as many process as possible.  As a result, data must be organized in a way that is flexible and adaptable to un anticipation requirements.  The data which they stored in anticipation of requests, and the requests themselves. Data may be stored as references to documents, microforms or computer coded text, graphics etc.  the service may be offered on a local basis or through a telecommunication network.  Database system may be operated by organizations for their own benefit or offered to the public on a subscription basic.  The output from database services is either a document or computer data presented, say, on a video display unit or a voice output.

          The main purpose of database is to satisfy the user information needs.  The way in which these needs are expressed largely determined the principles of operation of a particular database system.

          Perhaps the most straight forward request for database is when the user supplies a complete reference for a document. The job of the service then is to locate a copy of the document and deliver it to the user.   This is usually referred to as document retrieved service.  It may be aided by computers in compelling the index to the documents in store, and in physically locating a required document as in a computerized warehouse.

          More after then not, however, database need are expressed in terms of a request for data such as, how many patient are being admitted monthly in a hospital? Or what kind of sickness of a patient? To answer such questions reference must be made to records stored either in printed form or as computer coded data.  The first of there is often refered to as information retrieval, the later as database search, when the index to the printed record is computerized.

          The database distribution system, with the added facility of storage at computer coded text, offer one approach to reducing, the physical size of records, and to mechanizing their search and  retrieval the records unfortunately, first have to be converted into computer compatible form, and can be consulted only after reconversion via some printing or display device.

  1. STATEMENT OF THE PROBLEM

There has been this problem of too much work for the nurses in the hospital.  Owing to the growing population of patient in the hospital, the nurses are faced with heaps of file.  At times, sorting out a particular patient file takes most a month.

          Also there have been cases of missing files. Due to lack of security in the office and the poor filling system in use, the patient files at times get lost and it then becomes difficult to access the concerned patient information.

          This bitter complaints and the delay in the receiving of information for the management had been the major concern and therefore has intensified the need to design a software which will go a long way in tackling these problems and at the same time helps to quicken database processing.

DESIGN AND IMPLEMENTATION OF COMPUTERIZED MEDICAL PATIENT HISTORY MANAGEMENT INFORMATION SYSTEM A CASE STUDY OF UNIVERSITY TEACHING HOSPITAL, UNTH, ENUGU.