Medical Record and Help System

Overview

The Medical Record and Help System is designed to streamline patient information management and provide efficient assistance to healthcare providers. This comprehensive platform will integrate with existing hospital management systems and medical devices, ensuring data security and compliance with healthcare regulations.

Introduction

Purpose

This document outlines the software requirements for a Medical Record and Help System aimed at enhancing the efficiency of healthcare providers and ensuring patient data security.

Scope

The system includes features for patient record management, appointment scheduling, medical assistance information, and regulatory compliance.

Overall Description

Product Perspective

The system will serve as a comprehensive platform integrating with hospital management systems and medical devices.

Product Features

• Patient record management
• Appointment scheduling
• Medical history tracking
• Prescription management
• Lab results integration
• Medical knowledge base and assistance
• Secure messaging
• Reporting and analytics

Frontend(Web)

HTML
CSS
JAVASCRIPT
REACT

Backend(Web)

Node.js
Express.js

Databse

Mongo db
My SQL

Ai Ml

Tensor
Keras
Pandas
Numpy
Matplotlib
Scikit-Learn

User Classes and Characteristics

• Physicians: Input and access patient data.
• Nurses: Assist in patient care and record management.
• Administrative Staff: Manage appointments and basic patient information.
• Patients: Limited access to their own medical records.
• IT Administrators: Manage system configuration and security.

Specific Requirements

Functional Requirements

1. Patient Record Management

   • Create and modify patient records.
   • Include demographics, medical history, and medications.

2. Appointment Scheduling

   • Schedule, reschedule, and cancel appointments.
   • Prevent double-booking of healthcare providers.

3. Medical History Tracking

   • Maintain a comprehensive medical history for each patient.

4. Prescription Management

   • Create and manage prescriptions.
   • Check for potential drug interactions.

5. Lab Results Integration

   • Integrate with laboratory information systems.

6. Medical Knowledge Base and Assistance

   • Provide a searchable database of medical information.

7. Secure Messaging

   • Allow secure communication between healthcare providers.

8. Reporting and Analytics

   • Generate customizable reports on patient data.

Non-Functional Requirements

• Performance: Load patient records within 3 seconds.
• Security and Privacy: Comply with HIPAA regulations.
• Usability: Intuitive UI requiring minimal training.
• Reliability and Availability: Uptime of at least 99.9%.
• Interoperability: Support HL7 standards for data exchange.

System Interfaces

User Interfaces

• Web-based interface for desktop access.
• Mobile-responsive design for tablet access.
• Native mobile apps for iOS and Android (optional).

Hardware Interfaces

• Integration with medical devices.
• Support for barcode scanners.

Software Interfaces

• HL7 interface for data exchange.
• E-prescribing system interface.

Data Requirements

Logical Data Model

• Patients: id, name, dob, gender, contact_info, etc.
• Encounters: id, patient_id, date, provider_id, notes, etc.
• Medications: id, name, dosage, frequency, etc.
• LabResults: id, patient_id, test_name, result, date, etc.
• Appointments: id, patient_id, provider_id, date_time, status, etc.

Data Dictionary

(Detailed description of each data entity and its attributes)