Architectural Designs in Healthcare: System Management Report

This report analyzes the architectural design of a GP Practice Management System, focusing on its core components and subsystems. It details the system's architecture, including the implementation of subsystems such as appointment booking, patient record management, and treatment note integration. The report also explores the 'build or buy' decision for system components, evaluating options like AdvantEdge and RBS rialtas software. Furthermore, it presents the logical system architecture using a mobile code model and discusses the system's deployment architecture, illustrating the relationships between patients, doctors, and the server. The report emphasizes the system's modularity, modifiability, and scalability to efficiently manage patient records, appointments, and medical procedures within a healthcare setting.

Running head: ARCHITECTURAL DESIGNS IN HEALTH CARE
Architectural designs in health care
Name of the student
Name of the University
Author Note

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Executive Summary
The following report discusses about the GP Practice Management System. The report also
discusses about the architectural components regarding the chosen system to be implemented.
The report also includes two sub-systems under the main system that will help in operation. The
report further discusses about the logical and system deployment architecture.

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Table of Contents
Task1: Subsystems...........................................................................................................................3
Task 2: Build or buy........................................................................................................................7
Task 3: Logical system architecture................................................................................................8
Task 4: Deployment architecture...................................................................................................10
Conclusion:....................................................................................................................................11
References:....................................................................................................................................12

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The report mainly discusses about the architectural components in the system involved
and the sub-system regarding it. The report also includes the logical system architecture and the
deployment architecture of the health care system involved.
The main portion of this report discusses about the patient record and scheduling system
to be implemented for better addressing of the needs. The health care system employs 15 doctors
who checks 300 patients per day. The system that will be made will help the concerned
authorities to do their job in an efficient manner. The receptionist will record the patient
credentials for the first time they contact for checkup (Case Study: GP Practice Management
System, 2017). They are also responsible for allotting a doctor at an interval of 15 min. In
addition, the patients can select the preferred doctor and give additional notes. After the
confirmation, an identification number will be sent to the patient and a reminder will be sent
prior to 48 hours before the checkup to facilitate the process to cancel the appointment (Best et
al. 2012). If cancellation is not done, the patient will go to the receptionist to confirm their
identities and the checkup will commence.
Task1: Subsystems
The systems that are to be integrated in the health care system are included in this portion
of the report (Systems Architecture - Assignment 1, 2017). This section also outlines the various
CRC cards of the chosen subsystems.
1. Book Appointment: This section is used to book an appointment. In case of the
appointment, the patient or receptionist enters the timeslot from the calendar. In case of
availability, the system asks the user or receptionist to confirm and after the confirmation
process, a message is sent to the user.

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Book appointment subsystem
User or receptionist enters the required
timeslot from the patient and confirm s the
appointment
Receive Reminder
Signup process
2. Cancel appointment: This section is used to cancel the appointment by the user or
receptionist. The user cancels the appointment while the receptionist finds the
appointment by the find appointment subsystem. Then cancellation is done.
Cancel appointment
After the reminder process, the user asks to
cancel the appointment
Receive reminder
Remove timeslot
3. View appointments: This subsystem is used to show the various appointments to the user
and the receptionists.
View appointment
Patient or receptionist views the list of
appointment for the day.
4. Add treatment notes: The doctor creates a new treatment notes and this subsystem is used
to associate the note with the current patient.
Add treatment notes
Doctor adds the information related to the
treatment and system stores it
Perform medical procedure
5. Find patient: This section is used to find the patient by entering the partial details of the
patients.
Find patient
The receptionist enters the partial
information and the system shows the
patient credentials

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6. View patient history: This section is used to find the associated history of the patient by
the doctor prior to check up.
View patient history
Doctor requests the history of the patients
in terms of treatment
View treatment notes
7. View treatment notes: The doctor requests for the treatment notes to analyze the
treatment provided to them.
View treatment notes
The treatment notes are requested by the
doctor
8. Prescription medication: This section is used to provide the medications and the
prescriptions to the patient.
Prescription medication
The doctor provides the medication and
prescription to the patient involved
Perform medical procedure
9. Find appointment: The details of the appointment are found out by this system where the
receptionist enters the partial details of the associated patients.
Find appointment
The doctor or the receptionist enters the
partial information to look for the
information pertaining to the patient
Find patient
10. Sign up process: This system depends on the signup process by the patient. The patient
provides the information details and the system is used to check the existence of a user
account verifying the information given. If an account is not present, the system creates
an account and notifies the patient about the setup of an account under the patient.

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Sign up process
Name
Credentials
Confirmation
Account creation
Book appointment
11. Record patient arrival: This section deals with the arrival of the patient in the front desk
of the healthcare system. They are asked to confirm their details of appointment after
performing the subsystem (Find appointment subsystem). After confirmation, the system
marks the presence of the patient and notifies it to the doctor.
Patient arrival recording
Name
Identity credentials
Verification of appointment
Find patient
Find appointment
12. Perform medical procedure: This system is used to associate the treatment details with
the patients. The system shows the cost of the treatment and the record is associated with
the patient involved.
Perform medical procedure
Treatment details
Cost
Add treatment notes

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13. Add available time slot: The system is used to create a new time slot for the doctor. If the
doctor is already addressing in the selected timeslot, another available timeslot is made.
The view appointment is used to see the list of all the appointments made for making an
available timeslot for the doctor.
Add time slot
Doctor availability View appointment
14. Remove timeslot: This system is used to cancel the appointments made. The timeslot is
removed and the patient is notified confirming the cancellation of the appointment.
Remove timeslot
Removal of timeslot
Patient is notified
Cancel appointment
15. Receive payment: The receptionist looks for the subsystem (Find patient) and requests for
the payments left. The bill is generated for the patient.
Receive payment
Patient outstanding bills
Bill is paid by the patient
Find patient
16. Confirm appointment: This section is used to confirm the appointment by the receptionist
or the patient. The patient confirms the appointment by clicking in the reminder
notification. Alternatively, the receptionist performs the subsystem (Find appointment)
Confirm appointment
Receptionist finds the appointment
Patient confirms the appointment
Find appointment

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17. Receive reminder: This system is used to send a reminder to the patient before 48 hours
of checkup to provide the patient with the option to confirm or cancel the appointment.
Receive reminder
Patient receives reminder and cancels
Patient receives reminder and confirms
Cancel appointment
Confirm appointment
18. Generate report: This system is used to generate the report of the data and figures and the
system presents the information doing the same. The treatment notes of the doctor after
the checkup and the medication prescribing is used to know the report of the doctor
involved.
Find appointment
Report requirements by the manager Treatment notes, Prescribe medication
The architectural design is based on the various main subsystems of the health care
organization. The case study provided is used to define the order of the operation of the various
subsystems. The various subsystems are defined including their own CRC cards to reference the
process of operation. For example, the first system of signup process is used to sign up the
patients in their new entry to the system. The stakeholders of the system are the various main
systems like the booking of appointment subsystem. The patients are required to provide their
credentials and according to the required problem, a doctor is assigned. The architectural designs
refer to the operation of the various subsystems in a numerological order. The booking of the
appointments is usually followed by adding of notes regarding the treatment by the patient. After
the confirmation, the appointment is showed to the patient. The doctor finds the appointment
slots and views the treatment notes and the history of records. After checkup, the doctor gives the

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prescription and adds the details for further use. In case of cancellation of the appointment by the
user, the find appointment is used to find the appointment and cancel it.
Task 2: Build or buy
This section of the report discusses about the book appointment subsystem that is the
main subsystem in this section. The other off the shelf sub-system is the AdvantEdge allotment
software and the RBS rialtas allotment management software. The two off the shelf subsystem
are required for addressing the needs of the main subsystem.
The RBS rialtas allotment management software is used to get automated software
managed allotment process (Rbssoftware.co.uk, 2017). It helps in multiple allotments and plots
the records by the sites of addressing. The billings are also automated and it provides the
credentials of the allotted users. This makes this great software for addressing the needs of the
healthcare.
The AdvantEdge also performs the same techniques but hr options to export the
documents with any extensions are also allowed (Systems, 2017). The provisions to digital map
are also providing by the technology.
Custom system:
The new custom system that can be implemented is the making of a new custom off the
shelf subsystem. This custom subsystem will help the customer to sign up in the system through
the convenience of their home. It will not require the patient to come to the health care. This
system is convenient and helps in reducing the workload (Software Component Design, 2017).
The cost of maintaining a receptionist for this job is also reduced and this helps in increased
efficiency of the organization involved. This increases the customer satisfaction and helps in
better addressing of the concerns.

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Summary of the two applications
AdvantEdge RBS rialtas
Requirements: Need to have a computer system
and internet access to run.
Requirement: Need a computer system.
Cost: £134.00 Cost: Need quotation from the vendor
Business value: All the information are loaded in
the cloud
Business value: All the information are stored in
the database
The AdvantEdge is a preferred solution for applying in the organization involved. As the
presence of information is cloud based, the solution it provides is very relevant and very safe, as
it will facilitate risk mitigation procedures. The price of the software is also low which makes it
recommended software for addressing the needs of the subsystems defined.
Task 3: Logical system architecture
This section of the report includes the architectural model described as the mobile code
model. This model is used to show the various relationships between the patient and the server
(Software Architecture Design, 2017). The main software packages are the software for signing
up new patients, the appointment booking and the medical procedure system. The software is
involved in the individual operations of the involved subsystem.

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Fig: Mobile code architecture
(Source: Created by the author)
The mobile code architecture is used to show the relations of the subsystems in the
organization. This architecture shows the connections and used to get the idea of the modular
design of the architecture. The modifiability of the architecture aims for the modularity of the
system. The architecture is designed into specific modules to understand the principles. This
architecture also shows the availability of the subsystems to the allocated task to which it
corresponds. The scalability of the system is referenced to provide understanding in terms of
coupling and coherence. The diagram shows loose coupling which shows the dependencies
between the subsystems. The mobile code design best addresses the principles for design. The
diagram also shows high amount of coherency in the system, which is good for the various
subsystems in the design.
The system is the one that is being created. The main subsystems are the appointment and
the medical procedure subsystems. The subsystem is the booking of appointment. The system is

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further divided into appointment and the medical procedures to be taken. The appointment
portion is used to check whether the patient is a new one or an existing one. For existing patients,
the allotment is directly done. For new patients, the system asks for user information before
allotment. The next portion is the medical procedures. The confirmation number of the
appointment is sent to the patient. The next process is the checkup commencement. After the end
of the process, the doctor notes the list of diagnosis and that is present in the system for future
preference.
Task 4: Deployment architecture
Fig: Deployment architecture
(Source: Made by the author)
The deployment architecture shows the difference in the user interface and the
application. The user interface is used to describe the user interaction of the user or the

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receptionist. They are the one mainly involved (Element Interaction Design, 2017). The user
interface is mainly dependent on the user and the receptionist. The user provides the need for
appointment and the system allocates the appointment. Moreover, the receptionist also does the
same and various other processes. Thus, the user interface is only for these two parameters. The
application part is the appointment allocation and the doctor allocation as these is the parameters
where the application is being followed. The doctor notes the checkup procedures and notes the
list of diagnosis and that is present in the system for future preference. In addition, the allotment
process is an application process of the system, which involves the system to allot the patient to a
doctor.
Conclusion:
The healthcare organizations are mainly concerned with the provisions of health care
services. The various domains that operate over there include the billing systems, appointment
systems, doctor checkup and operations. These domains are the main pre-requisites for doing the
work associated with the health care system. The billing system is concerned with the acquisition
of payment form the patients for their respective checkups and operations. The appointment
system is concerned with the booking of appointment and the cancellation of the same if the
patient requires such. The checkup and operations systems are concerned with the allotment if
the doctors to the need of the patients. Thus, it is concluded that the architectural structure to be
considered for efficient performance.

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organizations. John Wiley & Sons.

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