TABLE OF CONTENTS
DECLARATION
DEDICATION
ii
ACKNOWLEDGEMENT
iii
ABSTRACT
iv
TABLE OF CONTENTS
vi
LIST OF FIGURES
ix
LIST OF TABLES
xi
LIST OF ABBREVIATIONS
xii
CHAPTER 1
1
1. INTRODUCTION
1
1.1. Background
1
1.2. Problem statement
5
1.3. Framework of the laboratory test order
management system
7
1.4. Justification of the study
9
1.5. Objectives
11
1.5.1. General objectives
11
1.5.2. Specific objectives
11
CHAPTER 2
12
2. LITERATURE REVIEW
12
2.1. The use of automated laboratory data
management with an EMR
12
2.2. The benefits of improving laboratory
data management on the patient safety in care delivery
13
2.3. The importance of laboratory data for
public health monitoring of diseases and epidemics
14
2.4. The benefits of Electronic Health
Record and problems associated with their implementation.
15
2.5. The mobile Health (mHealth)
16
2.5.1. Cell phone text messages for
communication of lab results in Uganda
16
2.5.2. The Mobile Technology for Community
Health (MoTeCH) Initiative in Ghana
17
2.6. The common categories of Computerized
Provider Order Entry (CPOE)
18
2.7. Works on the design and implementation
of Health Information system
19
2.7.1. Design of the Open Medical Record
System (OpenMRS) to support HIV treatment in Rwanda
19
2.7.2. The LabPush system in Swaziland
21
2.7.3. Design of an application for the
chemotherapy treatment process at University Hospital of Geneva
22
2.8. Conclusion
24
CHAPTER 3
26
3. METHODOLOGY
26
3.1. Data collection
26
3.2. System development life cycle
28
3.3. The planning phase
29
3.4. The analysis phase
30
3.4.1. The existing situation
30
3.4.2. Improvements identification
31
3.4.3. Requirements definition
31
Business requirements
32
Functional requirements
32
Nonfunctional requirements
34
3.5. System design
35
3.5.1. System Architecture
35
3.5.2. The process modelling
36
Activity Diagrams
37
Use case diagrams
38
Class diagrams
41
Sequences diagrams
43
3.5.3. The data modelling
45
Conceptual data design
45
Logical data design
48
Physical data design
52
CHAPTER 4
53
4. SYSTEM DEVELOPMENT
53
4.1. The users and system administration
module
54
4.2. The medical staff management module
56
4.3. The patient management module
57
4.4. The appointment and consultation
module
58
3.1. The laboratory test order management
module
59
4.5. The laboratory test result management
module
61
4.6. The report module
65
CHAPTER 5
67
5. DISCUSSION
67
5.1. The design consideration
67
5.2. Benefits of the system
68
5.3. Limitation
69
5.4. Future works
69
6. CONCLUSION AND RECOMMENDATION
71
6.1. Conclusion
71
6.2. Recommendation
72
Reference
74
LIST OF FIGURES
Figure 1.1:Adapted framework of CPOE system in the
district hospital
2
Figure 3.2: System architecture
36
Figure 3.3: Activity diagram
38
Figure 3.5: Use case diagram for patient and
medical staff management subsystem
39
Figure 3.6: Use case diagram for the laboratory
test order management subsystem
40
Figure 3.8: Use case diagram for the lab order
result management subsystem
41
Figure 3.9: Class diagram for the user's management
package
42
Figure 3.10: Class diagram for the location
package
42
Figure 3.11: Class diagram for the order and result
management package
43
Figure 3.12: Sequence diagram for order laboratory
test scenario
44
Figure 3.13: Sequence diagram for record lab test
result scenario
45
Figure 3.14: First ER diagram
47
Figure 3.15: Final ER diagram
50
Figure 4.2: System login form
55
Figure 4.3: Main form of the system
55
Figure 4.4: Users security system access
configuration
56
Figure 4.5: User change password form
56
Figure 4.6: Medical staff personal details
registration
57
Figure 4.7: Patient search form
58
Figure 4.8: Patient registration form
58
Figure 4.9: Patient assignment to clinician
59
Figure 4.10: Laboratory test group order for a
patient.
60
Figure 4.11: List of order place by a clinician
60
Figure 4.12: Laboratory specimen deposit record
62
Figure 4.13: Lab result record and notification
62
Figure 4.14: SMS lab result notification format for
the patient
63
Figure 4.15: SMS lab result notification format for
the clinician
63
Figure 4.16: E-mail lab notification format for the
patient
63
Figure 4.17: E-mail lab result notification format
for the clinician
64
Figure 4.18: Lab result view and treatment
registration form
64
Figure 4.19: Resend of lab result notification to
patient and/or clinician
65
Figure. 4. 20: Patient lab history report
66
Figure. 4. 21: Case-based surveillance reporting
form
66
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