SAD FINAL Wit Border

Pateros Technological College
College St., Sto Rosario Kanluran

Pateros, Metro Manila
“Patient Record System and Billing”
Proponents:
Pablo, Daryl S.J.
Llanos, Anthony L.
Aggabao, Adrian C.
A System Analysis and Design Project

Submitted Fulfillment of the
Requirements for the Bachelor of Science in
Information Technology at Pateros Technological College
Engr. Reagan B. Ricafort
1
APPROVAL SHEET
This Capstone 1 entitled Patient Record System and BIlling Pateros

Technological College, in partial fulfillment of requirements in the Institute of Information
and Communication Technology prepared and submitted by Daryl S.J. Pablo Anthony L
Llanos. and Adrian C. Aggabao has been examined and recommended for acceptance
and approval for an oral defense.
Engr. Reagan Ricafort

ADVISER
Approved in partial fulfillment of the requirements for the degree of

Bachelor of Science in Information Technology by the committee in Final
Examination with grade of
Prof. Cornelio Lamera Prof. Jeffrey Oberas

Member Member
Prof. Julius Codilan

Chairman
Accepted in partial fulfillment of the requirements for degree of Bachelor of

Science in Information Technology on
Engr. Reagan Ricafort

Dean, Institution of Information and Communication Technology
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TABLE OF CONTENTS
Title Page
Abstract……………………………………………………………………………………… i
Acknowledgement………………………………………………………………………… ii
Dedication………………………………………………………………………………….. iii
Approval She.……………………………………………………………………………….iv
Table of Content…………………………………………………………………………….v
Chapter 1
THE PROBLEM AND ITS BACKGROUND
Introduction…………………………………………………………………………………5
Background of the Study…………………………………………………………………6
General Objectives………………………………………………………………………...7
Specific Objective………………………………………………………………………….7
Conceptual Framework…………………………………………………………………...8
Scope and Limitation……………………………………………………………………...9
Significance of the Study………………………………………………………………..10
Definition of Terms
Technical Terms…………………………………………………………………………..11
Operational Terms………..……………….……………………………………………...13
3
Chapter 2
REVIEW OF RELATED LITERATURE
Foreign Literature………………………………………………………………………...14
Local Literature…………………….……………………………………………………..16
Foreign Study……………………………………………………………………………..19
Local Study………………………………………………………………………………...23
Synthesis…………………………………………………………………………………...25
Existing Related System…………………………………………………………………26
TABLE OF CONTENTS
Chapter 3
Descriptive Research……………………………………………………………………..28
Experimental Research…………………………………………………………………...28
Developmental Research…………………………………………………………………29
Planning and Analyzing…………………………………………………………………..29
Design………………………………………………………………………...……………..29
Development………………………………………………………………………………..29
Evaluation…………………………………………………………………………………...30
Deployment………………………………………………………………………………….30
Flowchart…………………………………………………………………………………….31
DFD 0…………………………………………………………………………………………32
DFD 1…………………………………………………………………………………………33
System Database…………………………………………………………………………..34
4
THE PROBLEM AND ITS BACKGROUND
Introduction
The Patient Records Management System is the principal repository for information
regarding patient’s healthcare. A patient's drug and medical history is recorded in their
patient record, which is a group of papers that includes a description of each instance in
which they requested medical attention regarding substance abuse. The information
contained in the confidential record is typically kept by the facility, and it is only provided
to the patient or with the patient's express written consent. It includes the initial
evaluation of the patient's health status, the patient's medical history, laboratory and
other related results, notes from nurses and doctors, notes from psychologists, court
orders and medication sheets, admission and discharge summaries, and other relevant
information. This system aims to provide the Department of Health- Las Pinas Drug
Abuse Treatment and Rehabilitation Center an effective record tracking, database and
billing system which would in turn result in an increased quality and efficiency in
providing absolute medical assistance.
5
Background of the Study
In this chapter, a well-conducted study was made. First is the Background of the
study which contains detailed information regarding the proposed project. Second is a
Statement of the Problem that discussed certain problems that took place regarding the
existing manual process; moreover, the Objective of the Study, discussed the purpose
of the proposed study. The third is Scope and Limitation, which discusses the system’s
strengths and weaknesses.
The Department of Health- Las Pinas Drug Treatment and Rehabilitation Center is
one of the leading healthcare providers of substance abuse in the National Capital
Region. Established in the late quarter of 2019 the facility aims to provide patients with
affordable and accessible drug related healthcare. The number of patients and external
clients that have been served during the past years has dramatically increased leading
to a slow yet effective service. There is however the possibility of human error such as
incorrect encoding due to fatigue and misplaced records.
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General Objectives
To build a Patient Record System and Billing that will provide a fast and less hassle
process in admitting and discharging the patient for the employees of the Department of
Health.
Patient Record System and billing is the knowledge, skills, and tools that allow
information to be collected, managed, used, and shared in order to support healthcare
delivery and promote health.
Specific Objectives
1.1 To design a user-friendly system that will record, store and retrieve the stored
records.
1.2 To design a database and its application that will generate billing statements for
patient’s use.
1.3 To test if the functionality of the application will execute the program
successfully, the effectiveness of the program in providing an accurate and
reliable program is efficient, the usefulness of the application is easy to use, and
also the acceptability of the application. This testing is to identify if the software
application is user-friendly.
1.4 To develop a system and database that is not heavily reliant on internet
connections that would allow offices to access
7
Conceptual Framework
INPUT PROCESS OUTPUT

Hardware
Requirements:
Intel(R) Core(TM) i5-
11500 Agile Methodology
CPU@4.60GHz 4.60GHz
Windows 10 Pro
Patient Record
64-bit operating system, System and Billing
x64 based processor for DOH (PRSB)
Windows Feature
Experience
Pack
120.2212.3530.0
Software
Requirements:
PHP Sublime Text /

Notepad++
PHP Code
MySQL
Figure 1. IPO Model
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Scope
This study primarily focuses on the process of the patient records, billing, checking of
the data of patients for the easiest way of working for the employees of the department
of health.
The patient record and billing system is to provide updates and create a patient record
in the fastest way using.
Administrative Module
Administrative module - enable the administrator to login and perform tasks involved in
the proposal system.
The administrator or admin is the only authorized person to manipulate the contents of
the system.
Billing and staff User Module
Billing and staff User module - enables the users to register and login to the system.
Once logged-in, the user can access the system on its dedicated user’s interface. The
user can easily add the personal information of the patients. It's also allowed to view the
latest update regarding patients and bill it before to discharge the patient.
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Medical Staff Users Module
Medical Staff User module - enable to register and login to the system. Once logged-in
the Doctor user can access the system on its dedicated doctors user interface. The
doctor user can easily see the patient data record for the test that they give for the
patient. And also doctors users can also add NOTES for the patient records to see
what's the latest update of the patient in the system.
Employer / Admin module
Admin module - enable to register and login to the system. Once logged-in the admin
user can access all interfaces. The admin user can easily see the overall update of the
system and modify it if ever have any typo errors or some minor problem regarding
patient records.
Limitation
● The system can be access by registered users to our system
● The employee can only have one account
Significance of the study
Many patients end up spending a lot of time when being diagnosed because the original
diagnosis and treatment notes cannot be retrieved, so with the development of the
proposed system this problem is solved since the system is able to manage the
patient’s details.
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Another serious issue is over prescription, where patients are continued on a

prescription that is not effective and yet this can have access to the patient records. So
with the development of this system, the patient’s details will be followed by the doctor
to prescribe better or effective prescriptions.
Beneficiaries
The developed system is beneficial to the medical staff and billing personnel of the
facilities especially its external clients and the patients.
The Patients:
The system will allow to generate billing statements for external clients in a small
amount of time compared to the traditional pen and paper
Medical Staff
The system will help the medical staff in accurately recording, updating and keeping
track of all patient’s medical records such as medicines that were administered and
other laboratory services that were provided during the patients visit with the facility.
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Technical Terms
Database - Are used to storing, maintaining and accessing any sort of data. They
collect information on people, places or things. That information is gathered in one place
so that it can be observed and analyzed. Database can be thought of as an organized
collection of information.
System - Is a group of interacting or interrelated elements that act according to a set of
rules to form a unified whole. A system, surrounded and influenced by its environment,
is described by its boundaries, structure and purpose and expressed in its functioning.
Computer - Is a machine or device that performs processes, calculations and
operations based on instructions provided by a software or hardware program. It has
the ability to accept data (input), process it, and then produce outputs.
Software - is often used to describe all the functional aspects of a computer that do not
refer to its physical components (hardware). Scripts, applications, programs and a set of
instructions are all terms often used to describe software.Everything that “runs” on a
computer, from an operating system, to a diagnostic tool, video game, or app can be
defined as software.
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Information - is an abstract concept that refers to that which has the power to inform.
At the most fundamental level information pertains to the interpretation of that which
may be sensed.
Account - The combination of user and password that provides an individual, group, or
service with access to a computer system or computer network.
Password - Sometimes called a passcode, is a secret data, typically a string of
characters, usually used to confirm a user’s identity.
Operational Terms
PHP Programming - an all-purpose scripting language designed with web development
in mind. Rasmus Lerdorf, a Danish-Canadian programmer, first developed it in 1994.
The PHP Group currently creates the PHP reference implementation..
MySQL - is a relational database management system that is free and open source.
MySQL, like other relational databases, stores data in tables composed of rows and
columns. Structured Query Language, or SQL, allows users to define, manipulate,
control, and query data. MySQL, the world's most popular open-source database
system, is a versatile and powerful program. It is used to store and retrieve data in a
wide range of popular applications, websites, and services.
13
Login - A person logs on to a computer system by identifying and authenticating
themselves, which is the procedure known as computer security. The login is
sometimes used to refer to the user credentials, which are normally some kind of
username and a password that matches.
Logout - is the length of the login session, which is the time frame within which a user
can carry out his or her operations.
Admin - The act or process of administering, especially of the government or a large
institution.
Users - individuals authorized to access the licensed Software to execute Software or
system transactions.
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CHAPTER 2
Review of Related Literature and Studies
Foreign Literature
The hospital management system is designed and developed to make a good use of
digital resources in terms of health care. It is easy to use and convenient for the
hospital. Hospital management system provides the benefits to the administration that
they can maintain and manage the database. The higher authorities can monitor the
activities by one click. Patients will be more benefited by this kind of application
because they will get high-quality facilities at the same place and at the same time.
Over the years, medical care has become more complex, making complete patient
medical history not accessible in certain situations. The quest for comprehensive
medical history of patients for the purpose of continuity of care brought about the
evolution of storing patient information electronically. Previous health information plays
a critical role in the proper diagnosis and treatment of patients. Therefore, there should
be an efficient information management system in place that can provide the patients’
health information needs of health facilities providing care. Yendi Health Centre among
several health facilities is still using a paper-based system to manage patients’ records.
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In healthcare services, patient medical records are becoming large in size and the
complexity of exchanging patient records such as prescription detail, referral data,
diagnosis status and appointment schedules between various clinic-units can be a
problem without a fully integrated system. Moreover, access to patient records requires
privacy. Quite a number of works have been conducted on healthcare services to
address issues such as medical record inconsistency, lack of immediate record storage
and retrieval and paper-based approach. Consequently, this work tries to automate and
enhance the clinical services of Sule Lamido University Clinic by developing a web-
based application. The application will allow both the clinicians and patients to have
access to electronic records easily, which will, in turn, minimize the cost, difficulties, and
ineffectiveness of working with patients’ records manually and to enhance the benefits
and profits in running the clinic services. It can be used in decision making as it provides
complete, reliable, accessible and understandable information pointing to the clinic's
progress and shortcomings. Initially, the problems of the current system were identified,
the requirements were however specified and analyzed. Model of the system was
designed and implemented using SDLC and finally, the system was tested and
validated. The results revealed that the system complies with the specified
requirements. Hence, the objectives under which the system is defined were achieved.
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Local Literature
This bill pushes for the development of the health system in the Philippines by
institutionalizing the One Patient- One Electronic Medical Record System. One Patient-
One Electronic Medical Record System provides that each patient In the Philippines will
have only one electronic medical record containing the history of his/her medical
conditions and treatments made thereto which can be accessible at any health care
facility in the country. Through this system, patient medical records will no longer be
scattered in different health care providers, thus aiding in accuracy in patient diagnosis
and treatment through full disclosure of patient medical history to health care
professionals. It improves health care quality, reduces medical errors, reduces health
disparities, and advances the delivery of patient-centered medical care. It also reduces
health care costs resulting from inefficiency. This system can also be an effective anti-
fraud tool for Philhealth, SSS and GSIS by providing these agencies information
necessary to verify claims, thereby facilitating millions of pesos in savings from anti-
fraud verifications. For the above-mentioned benefits, immediate passage of this bill is
earnestly sought.
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Hospitals going digital is an important component in the success of the Universal Health
Care (UHC) Law implementation since it provides quality care for more patients, a
health care expert said. In an interview on the sidelines of a health forum in
Mandaluyong City, St. Luke’s Medical Center President Arturo de la Peña told the
Philippine News Agency (PNA) that the use of electronic medical records (EMR) would
allow hospitals, both private and public, to provide faster and quality health care
services, especially now that every Filipino is entitled to them under the UHC law. The
EMR, a relatively new system being used in some hospitals in the Philippines,
integrates existing hospital systems and provides immediate access to patient records.
The system includes patient profiles and lists, hospital-wide results viewing, patient
charts viewing and management. It can also keep track of the performance of a hospital
and a physician. According to an announcement by the Ateneo de Manila University
(ATENEO), the Philippine Department of Health Region VII is integrating the SHINE
OS+ electronic medical record system of Smart Communications and Ateneo Java
Wireless Competency Center (AJWCC) with its existing reporting tool to enhance the
region's health programs. Integration of SHINE OS+ with its existing reporting tool will
help enhance the Department of Health Region VII’s health programs. Central Visayas,
or Region VII of the Philippines, is made up of four provinces, which are Bohol, Cebu,
Negros Oriental and Siquijor. Some of the health programs that the Department of
Health Regional Office VII is focusing on include the control and elimination of human
rabies and leprosy by 2020.
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The CHITS (Community Health Information and Tracking System), the first electronic
medical record system in the Philippines that is used widely, has persevered through
time and slowly extended its geographic footprint, even without a national policy. This
study describes the process of CHITS development, its enabling factors and challenges
affecting its adoption, and its continuing use and expansion through eight years of
implementation (2004 to 2012) using the HOT-fit model. This paper used a case study
approach. CHITS was developed through collaborative and participative user-centric
strategies. Increased efficiency, improved data quality, streamlined records
management and improved morale among government health workers are benefits
attributed to CHITS. Its longevity and expansion through peer and local policy adoption
speaks of an eHealth technology built for and by the people. While computerization has
been adapted by an increasing number of local governments, the needs of end-users,
program managers and policy-makers continue to evolve. Challenges in keeping CHITS
technically robust, up-to-date and scalable are already encountered. Lack of standards
hampers meaningful data exchange and use across different information systems.
Infrastructure for electricity and connectivity especially in the countryside must be
established more urgently to meet over-all development goals specially. Policy and
operational gaps identified in this study have to be addressed using people centric
perspectives and participatory strategies with the urgency to achieve universal health
care. Further rigorous research studies need be done to evaluate CHITS' effects on
public health program management, and on clinical outcomes.
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Electronic health records (EHR)-based studies have been utilized in new discoveries for
diseases and their traits. They have contributed to case-control studies and larger meta-
analyses and demonstrated the potential of EHRs to provide information for phenome-
wide associations in genetic conditions and other medical conditions. This is a
partnership of the Ateneo Autism Study Group with Smart Communications, Secured
Health Information Network and Exchange (SHINE) OS+ (Fig. 1), which is a web and
mobile electronic and referral system developed and maintained by the Ateneo Center
for Computing Competency and Research (ACCCRE) to address the need of rural
health units (RHUs) to have a system that will allow for digitization of health records.
The main motivation for digitization is because the Philippine Health Insurance
Corporation (PHIC / PhilHealth) now requires all LGUs to submit required reports for
electronic claims (e.g. Primary Care Benefit Package).
Foreign Studies
Electronic Health Record (EHR) can promote awareness or knowledge about
healthcare among patients and healthcare professionals to improve collaboration
between different governmental bodies, and enhance healthcare quality. The aim of the
study is to identify the critical factors affecting the physicians’ adoption of EHR in the
healthcare system of Bangladesh by extending the Unified Theory of Acceptance and
Use of Technology (UTAUT) to include Personal Innovativeness in Information
Technology and Resistance to Change. A cross-sectional survey questionnaire was
20
used to collect data from 300 participants in different private and public hospitals in
Dhaka, the capital city of Bangladesh. The study used the partial least squares (PLS)
method, a statistical analysis technique based on the structural equation modeling
(SEM), to analyze the collected data. The results of the study determined that Social
Influence, A policymakers should increase the adoption of the EHR system by
developing social strategies to encourage physicians to stimulate each other to use the
EHR system and ensuring technical sufficiency, training to facilitate the use of the EHR
system. In addition, the policymakers should identify physicians who possess a
propensity to experiment with new information technologies as well as reduce existing
challenges and barriers such as computer crushes, poor infrastructure with erratic
power supply etc. Moreover, we identify future research areas that provide scholars
opportunities to push theoretical and empirical boundaries and offer further insights into
the study of the EHR system.
The digital archive of the patient’s personal health records is the electronic Health
Record (EHR) that has various advantages. For finding the best solution to resolve the
associated issues, a detailed study is required to utilize modern technologies and
standards so that these issues and errors can be minimized. There are several issues
associated with implementing the EHR, including data management, privacy, and
patient data security. AThis research aims to examine the use of the Blockchain in EHR
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frameworks as per the national and international standards EHR to reduce the
associated issues. A blockchain-based framework can be successful in solving the
current challenges in EHR. It allows storing, sharing, managing, controlling, and
maintaining patient information between healthcare providers.
The Study illustrated the related difficulties of integrating EHR and proposed Blockchain
as a solution to help manage the records and preserve privacy, confidentiality, usability
and protection of patient-related details. This study helps to understand the current
challenges better and help in the proper implementation of Blockchain technology in
EHR.
COVID-19 is currently a major global public health challenge. In the battle against the
outbreak of COVID-19, how to manage and share the COVID-19 Electronic Medical
Records (CEMRs) safely and effectively in the world, prevent malicious users from
tampering with CEMRs, and protect the privacy of patients are very worthy of attention.
In particular, the semi-trusted medical cloud platform has become the primary means of
hospital medical data management and information services. Security and privacy
issues in the medical cloud platform are more prominent and should be addressed with
priority. To address these issues, on the basis of ciphertext policy attribute-based
encryption, we propose a blockchain-empowered security and privacy protection
scheme with traceable and direct revocation for COVID-19 medical records. In this
22
scheme, we perform the blockchain for uniform identity authentication and all public
keys, revocation lists, etc are stored on a blockchain. The system manager server is
responsible for generating the system parameters and publishes the private keys for the
COVID-19 medical practitioners and users
The cloud service provider (CSP) stores the CEMRs and generates the intermediate
decryption parameters using policy matching. The user can calculate the decryption key
if the user has private keys and intermediate decrypt parameters. Only when attributes
are satisfied with the access policy and the user's identity is out of the revocation list,
the user can get the intermediate parameters by CSP. The malicious users may track
according to the tracking list and can be directly revoked. The security analysis
demonstrates that the proposed scheme is indicated to be safe under the Decision
Bilinear Diffie-Hellman (DBDH) assumption and can resist many attacks. The simulation
experiment demonstrates that the communication and storage overhead is less than
other schemes in the public-private key generation, CEMRs encryption, and decryption
stages. Besides, we also verify that the proposed scheme works well in the blockchain
in terms of both throughput and delay.
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The adoption of EHR systems has greatly increased in recent years; hospitals that have
adopted EHR systems now exceed 84% and 94% in the US and UK, respectively . As a
result, EHR systems of a national (and/or a large) medical organization now are likely to
capture data from millions of individuals over many years. Each individual’s EHR can
link data from many sources (e.gprimary and hospital care) and hence contain
“concepts'' such as diagnoses, interventions, lab tests, clinical narratives, and more.
Each instance of a concept can mean a single or multiple data points. Just a single
hospitalization, for instance, can generate thousands of data points for an individual,
whereas a diagnosis can be a single data point (i.e., a disease code). This makes large-
scale EHR a uniquely rich source of insight and an unrivaled data for training data-
hungry ML models.
Local Studies
The purpose of the proposed system was to improve the current situation of the school
clinic to improve difficult tasks in a simple way. The researchers are committed to meet
the demands of the user once the problems arise. The researchers analyzed the current
situation in the school clinic to provide the appropriate solution to the problem. The
researchers discovered that Bestlink College of The Philippines clinic has problems
searching the student’s records because the school uses Microsoft Excel. The school
can search the information easily in Microsoft Excel. However, once the user searches
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the surname of the student, similar results will appear. The method that the researchers
used was the systems development life cycle method to follow the schedule on time to
allow the school to track the given steps on how to document or finish the research on
time. The CHITS (Community Health Information and Tracking System), the first
electronic medical record system in the Philippines that is used widely, has persevered
through time and slowly extended its geographic footprint, even without a national
policy. This study describes the process of CHITS development, its enabling factors and
challenges affecting its adoption, and its continuing use and expansion through eight
years of implementation (2004 to 2012) using the HOT-fit model. This paper used a
case study approach. CHITS was developed through collaborative and participative
user-centric strategies. Increased efficiency, improved data quality, streamlined records
management and improved morale among government health workers are benefits
attributed to CHITS.
All databases contain population-based cohort data on the medical costs of reimbursed
medical conditions, identified using International Classification of Diseases, Tenth
Revision (ICD-10) codes. Linkage to other national databases, ensuring protection of
patient privacy data, would improve their usability. Duration to database access and
data extraction varies from country to country. The main limitations of all databases
include the short span of data records, and the unknown degree of internal validity. Both
JKN and PhilHealth databases capture bundled claims, inherently excluding information
25
on prescriptions and out-of-pocket expenditure. Due to the recent establishment of the
VHIS database, it may not be suitable for studies that intend to explore trends.
Recently, the education system has faced an unprecedented health crisis that has
shaken up its foundation. Given today’s uncertainties, it is vital to gain a nuanced
understanding of students’ online learning experience in times of the COVID-19
pandemic. Although many studies have investigated this area, limited information is
available regarding the challenges and the specific strategies that students employ to
overcome them. Thus, this study attempts to fill in the void. Using a mixed-methods
approach, the findings revealed that the online learning challenges of college students
varied in terms of type and extent. Their greatest challenge was linked to their learning
environment at home, while their least challenge was technological literacy and
competency. The findings further revealed that the COVID-19 pandemic had the
greatest impact on the quality of the learning experience and students’ mental health.
In terms of strategies employed by students, the most frequently used were resource
management and utilization, help-seeking, technical aptitude enhancement, time
management, and learning environment control. Implications for classroom practice,
policy-making, and future research are discussed.
26
Synthesis
The growing use of the PRSB in our present health-care systems necessitates new
ways of operating. Similarly, the increased use of PRSB necessitates a new approach
to training and preparing future health care workers. It is critical to implement PRSB into
educational settings in order to improve information technology capabilities and hence
ensure patient safety. Electronically generated records are replacing traditional paper-
based paperwork, but students are not being adequately educated to use them.
Incorporating instructional PRSB into clinical simulations is an effective technique for
closing the health-care gap.Some of the characteristics of an ideal educational PRSB
include accessible graphical user interfaces that are simple to edit and patient data that
is simple to arrange to aid in realistic health facility simulations. Furthermore, enough
financial assistance and training are required for a successful educational PRSB. The
Department of Health must get basic training on how to utilize the PRSB education
system, as well as access to support people to assist solve any difficulties that may
develop. Because low user happiness is a primary cause of unsuccessful system
implementations, it is critical to measure staff and user satisfaction.
27
Existing Related System
According to Huffstetler, Alison N. (2021), it stated with the National Academies of
Sciences, Engineering, and Medicine called for “designing information technology that
better serves the patient, family, and interprofessional care teams.” The report
recommended that digital health systems should be person-centered, ensure equitable
access and use, and simplify the user experience, and called for vendors to be held
accountable for whether their systems achieve these goals. The need for person-
centered, simplified experience in digital health crosses several domains, including
delivery of preventive services. Historically, digital health platforms have implemented
strategies to improve some preventive health domains such as cancer screening but
have not comprehensively addressed preventive services of behavioral and social
needs.
To accomplish digital health goals, it is essential to adhere to several of the key
principles outlined in the report. First, digital health systems need to make it easy for
clinicians to deliver national guidelines and quality recommendations. While there is
debate on some guidelines and quality goals, for most, there is clear agreement on
what standard care should be. Digital health systems need to have these guidelines and
goals embedded as standard functionality and not require local tailoring and
configuration.
28
Second, digital health systems need to make information actionable for clinicians and
patients. This can occur through automated delivery of screening instruments to
patients before office visits, built-in scoring of screening instruments, alerts and
reminders for patients and clinicians when care is needed, and educational material to
engage and activate patients. Third, digital health systems need to be easy to use; they
should be intuitive for users, easily accessible, and not require complex workflows to
enter and retrieve data.
Electronic health records (EHRs) and their associated patient portals are the foundation
of the digital health environment. EHRs are a powerful tool for clinicians to access
patient information, document and order care, and be alerted of recommended services,
including behavioral preventive health services, such as for depression, intimate partner
violence, and unhealthy alcohol use. The EHR has become such an essential tool for
care that much of a clinician’s patient care time is spent working in the EHR, accounting
for more time than spent face to face with the patient. Fundamentally, this means that
the content in the EHR and how it is presented to clinicians can change how clinicians
care for their patients, positively or negatively. Screening for preventable conditions is
necessary for high-quality care; however, behavioral and mental health screenings are
less commonly addressed during clinical encounters and are under-resourced in the
EHR.
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CHAPTER 3
Methodology
Descriptive Research
Implementing a Patient Record System and Billing for the Department of Health that will
ensure data records and billing. Creating patient records, backup and bill and make the
process more easier than manual process.
Experimental Research
The Patient Record System and Billing for Patients will be implemented at The
Department of Health as our system was based on Experimental Research as we gave
our best to execute the ideas we tried our research and brainstormed the information
we gathered from the internet. The function of this system will be useful for Department
of Health employees who seek to have system based patient data records for the easier
tracking of records.
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Development Method
The Patient Record System and Billing for DOH employees system will be implemented
at the Department of Health. Our system was based on Developmental Research
because we developed a system that will provide DOH employees to create and track
system based patient records. The system requires DOH employees to sign in with their
respective username and password to access the system and explore. Since this is a
new era of technology we need to update ourselves regarding technology to make our
life easier especially for our work.
Planning and Analyzing
During this phase, the proponents will study the data they will collect and build a method
for the Patient Record System and Billing.
Design
Following planning and analysis, the proponents will build the system with some user-
required criteria.
31
Development
The proponents will code and create the system interfaces during this phase. The
system will be implemented using PHP Programming, according to the proponents. This
phase will also include database design. With their functions, PHP and MySQL will
compose the entire system architecture.
Evaluation
After process planning and design, the system is tested in the evaluation phase. If a
problem is discovered during testing, the proponents will fix it till it works properly.
Deployment
The final step of the system is deployment; if the system is reliable and free of mistakes,
the proponents will go on to the next phase of the project. The procedure is repeated
until all necessary characteristics are completed.
32
Flowchart
33
DFD Level 0
34
DFD Level 1
35
System Database
36

SAD FINAL Wit Border

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Pateros Technological College

College St., Sto Rosario Kanluran

“Patient Record System and Billing”

Pablo, Daryl S.J.

A System Analysis and Design Project

Engr. Reagan B. Ricafort

This Capstone 1 entitled Patient Record System and BIlling Pateros

Engr. Reagan Ricafort

Approved in partial fulfillment of the requirements for the degree of

Prof. Cornelio Lamera Prof. Jeffrey Oberas

Prof. Julius Codilan

Accepted in partial fulfillment of the requirements for degree of Bachelor of

Engr. Reagan Ricafort

THE PROBLEM AND ITS BACKGROUND

providing absolute medical assistance.

Background of the Study

strengths and weaknesses.

incorrect encoding due to fatigue and misplaced records.

information to be collected, managed, used, and shared in order to support healthcare

delivery and promote health.

successfully, the effectiveness of the program in providing an accurate and

connections that would allow offices to access

INPUT PROCESS OUTPUT

PHP Sublime Text /

Figure 1. IPO Model

in the fastest way using.

the proposal system.

Billing and staff User Module

Medical Staff Users Module

what's the latest update of the patient in the system.

Employer / Admin module

● The system can be access by registered users to our system

● The employee can only have one account

Significance of the study

Another serious issue is over prescription, where patients are continued on a

so that it can be observed and analyzed. Database can be thought of as an organized

System - Is a group of interacting or interrelated elements that act according to a set of

Computer - Is a machine or device that performs processes, calculations and

operations based on instructions provided by a software or hardware program. It has

service with access to a computer system or computer network.

Password - Sometimes called a passcode, is a secret data, typically a string of

characters, usually used to confirm a user’s identity.

PHP Programming - an all-purpose scripting language designed with web development

in mind. Rasmus Lerdorf, a Danish-Canadian programmer, first developed it in 1994.

The PHP Group currently creates the PHP reference implementation..

columns. Structured Query Language, or SQL, allows users to define, manipulate,

wide range of popular applications, websites, and services.

Login - A person logs on to a computer system by identifying and authenticating

themselves, which is the procedure known as computer security. The login is

username and a password that matches.

can carry out his or her operations.

Admin - The act or process of administering, especially of the government or a large

Users - individuals authorized to access the licensed Software to execute Software or

Review of Related Literature and Studies

evolution of storing patient information electronically. Previous health information plays

complexity of exchanging patient records such as prescription detail, referral data,

diagnosis status and appointment schedules between various clinic-units can be a

privacy. Quite a number of works have been conducted on healthcare services to

complete, reliable, accessible and understandable information pointing to the clinic's

health care expert said. In an interview on the sidelines of a health forum in

and a physician. According to an announcement by the Ateneo de Manila University

rabies and leprosy by 2020.