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Development of a computerized provider order entry system for laboratory

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par Gérard Bisama Mutshipayi
University of Ghana - Master of Science (MSc) 2015
  

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CHAPTER 4

4. SYSTEM DEVELOPMENT

The development or the coding phase has been performed using two mains tools: the Visual Studio 2010 IDE and PostgreSQL 9.0. Visual Studio 2010 was used for the programming of the client side (front end) of system using the C# programming language. The physical design step of the database was performed using SQL over PostgreSQL RDMS. The GSM modem is connected on the Universal Serial Bus (USB) port of the PC that will be used to send the alert and notification, according to the workflow the GSM modem can be installed either on the lab computer or on the clerk work station.

The CPOE is designed to meet the system requirement of lab order management within a district hospital in Ghana. It hasseven functional modules:

1. The users and system administration module

2. The medical staff management module

3. The patient management module

4. The appointment and consultation module

5. The laboratory test order management module

6. The laboratory test result management module

7. The report module

Figure 4.1:The CPOE system information form

4.1. The users and system administration module

To access the system, the user should have a valid user name and password. The user is created by the system administrator. The system administrator is a super user and his account is created during the system installation. The user of the system are physician, nurses and administrative staff. To access the system any staff member should be first registered in the system.

The first task of the system administrator is to register the medical staff and to associate a credentials (user name and password) to them. During the user creation, the system suggest a username and generate randomly a password for each associated staff. Those credentials should be communicated to each user by the system administrator and then the user can change the generated to ensure the security of their account. Each user should be assigned to the group system which is associated to a collection of features that a user can access in the system. So each user access only the information associated to his role within the organization. By this mechanism the system ensure the confidentiality of the patient information. The user registration and management processes are shown in figures 4.2 to 4.5.

Figure 4.2: System login form

Figure 4.3: Main form of the system

Figure 4.4: Users security system access configuration

Figure 4.5: User change password form

4.2. The medical staff management module

All staff should be first registered prior of being associated to a credential. Medical personnel like physician, nurses and laboratory technicians will provide their license number that will serve as their primary identification. For other administrative categories, they will provide their national identification number (ID) or any other type of identification number. Phone numbers and e-mails are not required for all group of system users but for the purpose of receiving laboratory notification, clinicians are required to provide their cell phone numbers and/or email to be able to subscribe to SMS and email notification of laboratory result (Figure 4.6).

Figure 4.6:Medical staff personal details registration

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