Abstract - Simply put, health is real wealth. But
now it is rapidly deteriorating. Human activities
and various factors have contributed to this. So
people are suffering from many diseases. There
are many shortcomings and insolvencies in
government hospitals. Many private hospitals
are being built today as a Reason for that
problem. People are drawn to private hospitals
as they can perform their surgeries faster than
government hospitals. Private hospitals are
being built in large numbers today. There for, it
is advisable to create a system for a private
hospital or channeling center.
I.
INTRODUCTION
A significant amount of information is generated by
every health care professional who engages in the
care and decision-making related to a patient. This
clinical information is entered into the health care
records of the patient, and it is typically maintained
in an EMR (Electronic Medical Record) or EHR
(Electronic Health Record) system. As the usefulness
of the data likely depends on the data structures used
to store the data, research on these data structures can
provide valuable information for the developers and
implementers of EHR systems. This thesis is a
systematic literature review on the EHR data systems
and their effect on the actual patient care.
II.
EXECUTIVE SUMMARY
Medical center based System project is a desktop
application which is developed in C# .NET platform.
There are two broad types of medical billing
management systems: those that integrate with
other medical software like practice management
and electronic medical records systems, and those
[2] The project is focused closer to growing an
integrated billing machine for hospital's patient. It is
in part used in one-of-a-kind hospitals right at now,
however the blended / integrating database device has
now not be thoroughly developed. It is not imaginary
venture and holds actual price if developed sincerely.
In our country the place database device is at its
toddler phase, projects as such is a suitable sign of
striving to go forward. The use of database at
As we all know, health is a real wealth. But now it is
rapidly deteriorating. Human activities and various
factors have contributed to this deterioration. So
people are suffering from many diseases. There are
many shortcomings and insolvencies in government
hospitals. Many private hospitals are being built
today as a result of that problem. People have
attracted to private hospitals as they can have their
medicines, surgeries and all other treatments faster
than government hospitals. Private hospitals have
become very important part of the present society.
But without a well-arranged and managed system,
it’s impossible to a private hospital to raise their
patients’ satisfaction level. Therefore, it is advisable
to create a new highly functioned system for every
private hospital or a channeling center.
that work only as stand-alone platforms. The trend
in healthcare is toward integration, but standalone
products are often cheaper and may feature simpler
functionality that works better for smaller practices
that don’t plan on purchasing an EHR and PM
system in the near future
III.
REVIEW ON LITERATURE
[1 In order to recognize the concepts related with
archives management and or computer based records
management systems, it is indispensable to look at
and analyze published material from experts
regarding the field. The motive of this review is to
analyze and examine and reap experience as regards
the advent and archival processing of electronic
records. The evaluate is based totally on an
exhaustive evaluation of the literature on
computerized electronic management and digital
records, and carries an overview of the important
concepts related with the creation of an electronic
information administration device from the
perspective of published specialists.
hospitals, specifically in the government hospitals
will clearly make it extra environment friendly and
minimizes the errors that occur from normal papering
system. It is also a research tool for researchers, and
it additionally helps to pick out the delicate health
epidemics.
[3] Practice EHR is cloud-based electronic health
record and medical practice management software
designed to accommodate the needs of small to mid-
size practices. Core features of Practice EHR include
electronic medical records, medical billing software,
patient scheduling, and more. Best for Medical
practices looking for an easy-to-use and specialtyspecific EHR with integrated billing. The scope of
that project was to take care of each and every
department's records. These data, including their
salaries, attendance, doctor's appointments and the
billing system, include the doctor, staff, specialists
and patient records. The information of the doctor
and the nurses help the hospital retain every
individual's record. Although salary is measured,
their attendance information allows them to know
about their attentive presence. The billing system
offers an easy way to measure patients' bill
information.
[4] Medical equipment has emerged as an important
aspect of modern health services. But the related
administration or upkeep is mainly vulnerable in the
BLK hospital. The growth in capabilities to control or
preserve clinical tools has lagged some distance in
the back of the rate of deployment of equipment. In
addition to the normal operation management, the
affected person safety, operation overall performance
in cost/efficient analysis, and hazard contrast and
manage are the necessary issues for the use of
medical equipment in health facility 11-12. A
framework of medical equipment administration
device has been proposed in the paper for assisting
in-house CE department early to confront the
workable risk. Through HIS we without difficulty
control medical tools in different department, specific
location in hospital. HIS helps CED department to
manage criticism device in a desirable manner so
they shortly executed answer for a particular
complaint. Before implementation of HIS in CED
department at the beginning a coaching application
also habits by using the IT department of hospital.
They demonstrated the necessity for HIS, proper
implementation and gain of the hospital information
system in this report. The findings will show a few
examples of MEMS operational management
analysis (such as failure patterns, basic system
malfunction analysis). These operational data were
obtained from the BL KAPUR Hospital (BLK)
operating results in April 2012. BLK is a medical
facility with 700 beds (386 running), 125 modular
ICUs (68 running) and more than 30,000 medical
devices in its possession. We will explore how to use
the data to improve the efficiency of the procedure
and to monitor the future risk of medical devices.
[5]Athena One helps doctors deliver high quality care
by organizing the moment of care for maximum
clinical productivity, performing administrative and
quality services on a doctor’s behalf to ensure full
payment, and tracking all physician orders to close
the loop on results and follow-up care. Doctors
benefit from continuous embedded access to the best
practices of the nation’s largest clinical network, the
most up-to-date and extensive quality rules and
industry guidelines. Web based program. Features;
Out-Patient Management and Patient Records
Management, Accounting Integration, Appointment
Scheduling
[6] Soft Clinic is the world's best EHR & HMS
(Hospital Management System Software) with all
required features to run a practice or hospital
smoothly and hassle-free. Soft Clinic has become a
preferred choice for respective physicians, clinics,
hospitals, and nursing homes. Currently, there are
more than a million patients registered on Soft Clinic
in over 30 countries. Having various integrated
modules like pharmacy, laboratory, HR, and financial
accounting, it has everything a physician needs. It
can install on windows and ios. Best For; Physicians,
Clinics, Hospital.
Table 1
Features of Existing Solution and Missing Features
IV.
My system
Similar systems
Haven’t HIPAA
complaint
Use SQL server for data
store
No firewall
Have HIPAA complaint
Have every information
about clinics, reports,
services that can get
from hospital
Only 20 patient can book
a doctor per day
Can’t pay from
credit/debit cards
Have 3 sub-systems as
booking, billing and
information sector.
Use MS Access server
for data store
Some programs have
firewall
Other system haven’t
include information
Booking method is
different from system to
system
Can pay from credit debit
cards
Have many sub systems
for each sector of the
hospital
GEOGRAPHIC DISTRIBUTION
The papers included were listed as belonging to the
country where, irrespective of the researchers'
affiliation, the actual study was carried out.
METHODOLOGY
Firstly view login form and after that view main
interface. Main interface has 3 sectors.



Billing sector with patient information.
Doctors booking sector.
Information sector (about what service give
from hospital to the patient such as ECG).
Way of solving the problem of client



Table 2
Solution Comparison Table
Computerize patient details and store in data
base.
Systematic bill printing sector to print bill
with patient information.
Providing protection for the valuable data of
the company
Software use to program this system

Quality
User
friendl
y ness
Soft
Clinic
Highly
recommend
ed world
best multi
task system
for hospital
management
.
High
High
High
Athena
one
Patient
management
system
High
Mediu
m
Mediu
m
Practic
e HER
Medium
size billing
system.
High
Low
Syste
m
Description
Mediu
m
cost
Microsoft Visual Studio, 2019
Visual studio is the programing language
environment. Microsoft Visual Studio is an
integrated development environment (IDE)
from Microsoft. It is used to develop
computer programs, as well as websites,
web apps, web services and mobile apps.
Visual Studio uses Microsoft software
development platforms such as Windows
API, Windows Forms, Windows
Presentation Foundation, Windows Store
and Microsoft Silverlight


C#
C# is pronounced "C-Sharp". It is an objectoriented programming language created by
Microsoft that runs on the .NET
Framework. C# has roots from the C family,
and the language is close to other popular
languages like C++ and Java.
SQL server
Microsoft SQL Server is a relational
database management system developed by
Microsoft. It has better safe for store data.
Firstly user should login to the system by entering
correct password and admin number. Then main
interface is view. Main interface has 3 sectors which
are; billing sub system, hospital information sub
system and booking sub system. Billing sub system
has a form that can enter patient information and
what service are gains by patient. There is a calculate
button in this form and when press it automatically
calculate total charges and view the bill with charges
and patient information. Those details are stored in
database and that output bill can print. Booking sub
system reserve doctor according to the first come.
Hospital information sub system has all information
about what services that gives from the hospital
Table 3
Working progress
Activity
Refer related
systems.
Identify problem
and design rough
plan
Design system
deliver
Start and End
date
20/11/2020 01/12/2020
01/12/2020 12/12/2020
13/12/202001/01/2021
01/02/2020
PROPOSED SYSTEM.
Applicati
on
Servi
ces
Recours
es
Billing
system
User
Applicatio
n
Applicatio
n
Main
Informatio
n sector
interface
Applicatio
n
Booking
system
Patient
Billing section
Login
form
Booking
section
Information sector
Data
base
Reports
DB
EVALUATION AND RESULTS
LOGIN FORM
When enter correct password and user name, then
display main interface. In this input are username and
password, output is main interface
When user enters password and username correctly,
he or she can login directly. Neither user enters
password and username wrongly at 3 times, system
stop automatically.
Figure 3 - main interface
Figure 1 - login form when user enter
correct password and user name
Figure 2 login form when user enter wrong password and
user name
BILLING FORM
In billing form user must input patient details and
charges related to each patient. When click “calculate
amount “button automatically calculate total.
.
Figure 4 – billing form details entering form
When click “view bill report” button, all charges and
patient details show in new form and it can print.
Figure 5 – bill sheet
Figure – 6, 7, 8 and 5.9 – codes of billing sub section
DOCTOR RESERVING SECTION
Figure 10 – booking system interface
First chose doctor and ten enter number, name and
contact number as inputs and click “reserve doctor”
button. Then the entered data show in data grid view
table.
Firstly chose dates you want as an input. Then click
“load button”. Finally load all patient reports related
to selected dates as output.
PATIENT DETAIL REPORT
PRODUCING
TIME ESTIMATE
Table 4
Time estimate
Activity
Refer related systems.
Identify problem and
design rough plan
Figure 11 patient details report
Design system
deliver
Start and End date
20/11/2020 05/12/2020
06/12/2020 18/12/2020
19/12/202020/01/2021
10/02/2020
IMPLEMENTATION TIME
CONCLUSION
Table 5
Implementation time
Activity
Start and End date
Design
Implementation
Testing
Improving
Delivery phase
Duration
19/12/202020/01/2021
21/01/2021 31/01/2021
01/02/2021 11/02/2021
12/01/202121/01/2021
22/01/202110/02/2021
31
10
10
09
02
Any hospital being a complex health care unit
involves the operation of multiple synchronized
services such that high quality patient care could be
provided in a timely manner. It thus rules out the use
of old and familiar management methods. Just like
Any large business organization, a hospital
healthcare unit requires a complete management
system to be flexible, data-based and innovation to
function properly. The traditional way of having
paper -based medical records burdensome in terms
of time consumption. Moreover, it also potentially
raises the risk of errors and imprecision recording.
Apart from inaccuracy, there adds a risk of losing
time on searching for the record in need. So that
hospital management system is a great way to solve
all the problems in terms of recording and reaching
the information.
SUMMARY AS A TABLE
Table 6
Summary
REFERENCES
section
input
process
output
Login section
Password and
username
Username
and password
verification
Main
interface
Billing
section
Doctor
reserving
section
Patient
details and
hospital
charges
Patient
details with
channeling
doctor
Patient detail
search
Patient name
Report
generate
section
Dates which
you want
Calculate
total charges
Bill sheet
booking
Booked
patient
searching
Patient detail
searching
Information
of related
dates
[1]
Paras Kumar Bishwakarma “locus proposal” 17.06.2014
available https://flipkarma.com/media_dir/main_documents/locuspr
oposal.pdf
[2]
Aashish Rai “Hospitals Registration and Billing
Management system” 2014 available https://www.academia.edu/4460527
[3]
Cloud-based electronic health record and medical practice
management software. Available:
https://www.practiceehr.com
[4]
Dr. Sudhir Rewar “ International Journal of Scientific &
Engineering Research Volume 3, Issue 8, August-2012 1
ISSN 2229-5518 Research-paperhospital-informationsystem-in-clinical-engineering-department” available https://www.ijser.org/researchpaper/Researchpaperhospital-information-system-in-clinical-engineeringdepartment.pdf
[5]
Hospital management system “Athena one” available:
https://www.capterra.com/p/203065/athenaOne/
[6]
Best EHR & HMS (Hospital Management System
Software. Available:
https://www.capterra.com/p/130500/SoftClinic/