Functional Requirements Analysis for Advanced EHR System

This document outlines the functional requirements for various stakeholders involved in an
Advanced Electronic Health Record (EHR) system. It includes detailed requirements, role-
based access control (RBAC), and acceptance criteria to ensure robustness, maintainability,
and scalability.

Doctor

Functional Requirements:
 - Access and update Patient Notes (e.g., Physical Notes, History, etc.).
 - Prescribe Medications.
 - Request and view Investigations (e.g., lab tests, imaging).
 - Record and update Consultations and Procedures.
 - Approve Admission requests.
 - Review Reports (e.g., diagnostic and progress reports).

Acceptance Criteria:
 - Access Patient Notes: The doctor can view, create, edit, and delete notes.
 - Prescribe Medications: The system validates medication availability and shows alerts
for potential drug interactions.
 - Request Investigations: The doctor can order specific lab tests or imaging, with results
accessible upon completion.
 - Approve Admissions: The doctor can approve or reject admission requests with
reasoning.

Health Officer

Functional Requirements:
 - Access patient records for assigned cases.
 - Collaborate with doctors for investigations and prescriptions.
 - Assist in follow-up and management of patient progress.

Acceptance Criteria:
 - Access Patient Records: The health officer can view patient details and assigned notes
with limited editing rights.
 - Collaborate with Doctors: Notifications are triggered for updates on the case.

Nurse

Functional Requirements:
 - Record and monitor Vital Signs.
 - Manage and track Assignments (e.g., medication administration).
 - Assist in procedures under doctor supervision.
 - Add Nursing Notes.

Acceptance Criteria:
 - Record Vital Signs: Alerts are triggered for abnormal readings.
 - Manage Assignments: Tasks such as medication administration are tracked.

Head Nurse

Functional Requirements:
 - Assign and monitor tasks for nurses.
 - Oversee patient care progress.
 - Manage Ward Schedules and Assignments.

Acceptance Criteria:
 - Assign Tasks: Distributed tasks are tracked with deadlines.
 - Monitor Patient Care: Summary reports can be generated for patients.

Receptionist

Functional Requirements:
 - Register new patients and update patient profiles.
 - Schedule appointments with doctors.
 - Generate Patient Admission Requests.

Acceptance Criteria:
 - Register Patients: Duplicates are flagged during registration.
 - Schedule Appointments: Notifications are sent to patients and doctors.

Pharmacist Admin and Sale

Functional Requirements:
 - Manage Pharmacy Inventory.
 - Dispense medications based on prescriptions.
 - Generate billing for dispensed medications.

Acceptance Criteria:
 - Inventory Management: Low stock alerts are triggered.
 - Dispense Medications: Dispensing logs are recorded for audit.

Technician Admin and Lab Technician

Functional Requirements:
 - Manage laboratory tests and imaging workflows.
 - Upload test results and generate reports.
 - Coordinate with doctors for investigation approvals.
Acceptance Criteria:
 - Manage Tests: Test status is tracked (e.g., pending, completed).
 - Generate Reports: Results are formatted and stored as downloadable reports.

Organization Administrator

Functional Requirements:
 - Manage user accounts and roles.
 - Oversee system usage statistics.
 - Generate organizational reports.

Acceptance Criteria:
 - User Management: Role assignments adhere to RBAC policies.
 - Usage Reports: Detailed activity logs are accessible.

System Administrator

Functional Requirements:
 - Configure system settings and modules.
 - Monitor server performance and logs.
 - Perform data backups and manage disaster recovery.

Acceptance Criteria:
 - Configure System: Modules can be enabled/disabled.
 - Monitor Performance: Alerts are sent for downtime or performance issues.

Non-Functional Requirements
 - Scalability: The system should support the growth of users and data without
performance degradation.
 - Maintainability: The system should have a modular architecture to facilitate easy
updates and bug fixes.
 - Availability: The system should maintain 99.9% uptime with minimal disruption to
operations.
 - Reliability: All critical operations like saving patient data and prescription generation
must be error-free.
 - Security: Implement robust access controls, encryption, and data anonymization to
ensure patient confidentiality.
 - Performance: Response time for all operations should be under 2 seconds under
normal load.
 - Interoperability: The system should support integration with external systems like
medical devices and third-party APIs.
 - Usability: Interfaces should be intuitive and easy to use for all stakeholders, requiring
minimal training.
 - Compliance: The system must adhere to healthcare regulations like HIPAA, GDPR, and
local laws.

Modules and Features Analysis

Patient Registration Module

 - Register new patients with mandatory demographic and contact details.
 - Edit and update patient information as required.
 - Check for duplicate entries to avoid redundancy.

Pharmacy Management Module

 - Track and manage inventory of medicines.
 - Dispense medications based on prescriptions.
 - Generate billing and provide alerts for low stock.

Laboratory Information Module

 - Request and manage lab tests for patients.
 - Upload results and generate reports for doctor review.
 - Track the status of tests (pending, completed, etc.).

Radiology and Imaging Module

 - Integrate imaging devices to directly import results.
 - View and annotate imaging reports.
 - Store imaging data securely in patient records.

AI and Machine Learning Module

 - Predict patient outcomes based on historical data.
 - Flag high-risk patients for early intervention.
 - Analyze trends in hospital data for resource optimization.

Reporting and Billing Module

 - Generate detailed bills for patients, including services, pharmacy, and procedures.
 - Provide downloadable financial and operational reports for administrators.
 - Integrate with accounting systems.

Interfacing with Medical Devices

 - Seamlessly import data from devices like ECG, blood pressure monitors, etc.
 - Maintain compatibility with various device manufacturers.
 - Trigger alerts for abnormal readings.

Additional Features
 - Role-Based Access Control (RBAC) for secure data access.
 - Audit logs to track changes and actions in the system.
 - Dashboard views for doctors, nurses, and administrators.