Healthcare

Hospital Management System

HMS Custom Development

An integrated hospital system connecting registration, outpatient and inpatient care, laboratory, pharmacy, billing and reporting in one secure platform.

  • Web-based
  • Android
  • Server-based

Overview

Hospital Management System (HMS)

A Hospital Management System brings the daily work of a hospital into one connected platform. Reception, consulting rooms, wards, the laboratory, the pharmacy and the cashier all work from the same patient record, so information moves with the patient instead of on paper slips carried between departments.

Extrion Tech designs and develops HMS solutions in-house for hospitals in Zanzibar and across Tanzania. We begin by mapping how your facility actually runs – outpatient flow, admissions, ward rounds, theatre bookings and discharge – and then configure modules, user roles and reports around that process rather than forcing staff into a generic template. Insurance claims, mobile money payments and SMS reminders can be added where the relevant provider offers an API and the project scope includes them.

The result is a system that gives management a reliable daily view of patient numbers, bed occupancy, revenue and stock, while giving clinicians quick access to history, results and prescriptions. Access to clinical data is restricted by role, every change is recorded, and privacy, retention and regulatory requirements are agreed with your team for the relevant jurisdiction before go-live.

Business problems it addresses

  • Patient files are stored on paper and are often missing or incomplete when the patient returns.
  • Departments work in isolation, so lab requests, prescriptions and charges are lost between rooms.
  • Revenue leaks because services delivered are not always captured on the patient’s bill.
  • Management cannot see bed occupancy, patient volumes or daily collections without manual tallies.
  • Preparing monthly statistical and insurance reports takes days of manual compilation.

Interface

Five screens of the system

Illustrative mockups with sample data — not screenshots of a client’s system.

Workflow

From registration to follow-up

  1. 1

    Patient registration

    Reception registers new patients or retrieves existing files and assigns a unique hospital number.

  2. 2

    Appointment or walk-in

    The patient is booked to a clinic or added to the walk-in queue for triage and vital signs.

  3. 3

    Consultation

    The clinician records history, examination, diagnosis and orders in the electronic record.

  4. 4

    Laboratory or pharmacy, if required

    Lab requests and prescriptions reach the relevant department instantly, with results returned to the record.

  5. 5

    Billing

    Every consultation, test, drug and bed-day is charged automatically to cash, insurance or corporate accounts.

  6. 6

    Payment

    The cashier receives payment, issues a receipt and clears the patient for services or discharge.

  7. 7

    Reports and follow-up

    Follow-up visits are scheduled and management reviews daily clinical, financial and stock reports.

Functions covered

Modules and what they do

01 Patient access

  • Registration and records

    Registers patients, assigns hospital numbers and keeps demographic and next-of-kin details.

  • Appointments and queues

    Books clinic appointments and manages walk-in queues from triage to the consulting room.

02 Clinical care

  • Outpatient consultation

    Captures complaints, examination, diagnosis and treatment plans for each visit.

  • Inpatient and ward management

    Handles admissions, bed allocation, transfers, nursing notes and discharge summaries.

  • Theatre scheduling Optional / subject to scope

    Plans surgical lists, theatre allocation and records operation notes.

  • Maternity and child health Optional / subject to scope

    Tracks antenatal visits, deliveries and postnatal care for mother and baby.

03 Diagnostics and pharmacy

  • Laboratory

    Receives test requests, records results and returns them to the requesting clinician.

  • Pharmacy and stores

    Dispenses prescriptions, tracks batches and expiry dates and manages store requisitions.

  • Radiology Optional / subject to scope

    Manages imaging requests, scheduling and the recording of radiology reports.

04 Finance and management

  • Billing and cashier

    Generates itemised bills, receives payments and issues receipts per department.

  • Insurance claims Optional / subject to scope

    Prepares claims for insurers, with NHIF submission optional where an API is available.

  • Reports and dashboards

    Produces patient statistics, revenue, occupancy and morbidity reports for management.

Technology stack

Technology selected for this solution

These are the technologies planned for this type of system. The final stack depends on scale, performance, licensing, infrastructure, integrations and your requirements.

Frontend

Vue.jsHTML5CSS3TypeScript

Backend

Laravel / PHPREST APIs

Database

MySQLPostgreSQL

Mobile

Flutter

Infrastructure

Linux serversOn-premises hostingCloud hostingAutomated backupsMonitoring

Integrations

NHIF and insurer APIs (optional, where available)Mobile money (where an API is available)SMS gatewayLaboratory analysers (subject to scope)

Security & data integrity

Protecting your data and its accuracy

Patient records are restricted so that clinicians, cashiers and records staff see only what their role requires. Privacy safeguards, retention periods and compliance requirements are agreed with the hospital for the relevant jurisdiction.

Standard protections

  • Role-based access control

    Each user sees only what their role allows.

  • Authentication and authorisation

    Every request is checked for a signed-in, permitted user.

  • Fine-grained permissions

    Permissions per module and action, such as view, edit or approve.

  • Secure password storage

    Passwords are stored using strong one-way hashing, never in plain text.

  • Encryption in transit

    HTTPS/TLS protects data between users and the server.

  • Server-side input validation

    All input is validated on the server before it is saved.

  • Protection against common web vulnerabilities

    Defences against injection, cross-site scripting and request forgery.

  • Database constraints and transactions

    Constraints and transactions keep related records consistent.

  • Audit logs

    Important actions are recorded with who, what and when.

  • User activity history

    A history of each user’s activity for supervisors and administrators.

  • Backup and restoration

    Scheduled backups with tested restoration procedures.

  • Session management

    Session time-outs and the ability to sign out other devices.

  • Data retention and deletion policies

    Retention periods and deletion rules agreed with you.

Optional advanced protections

  • Multi-factor authentication A second sign-in step for selected or all users.
  • Encryption at rest Sensitive data encrypted on disk where the infrastructure supports and is configured for it.
  • Disaster recovery planning A documented plan to restore service after a major failure.
  • Single sign-on Sign in with your organisation’s identity provider where supported.
  • Offline mode with controlled synchronisation Work offline and synchronise safely when the connection returns.

Data integrity

Each charge is linked to the service order that created it, and billing, dispensing and stock movements are saved in single database transactions so a bill cannot exist without its matching service. Clinical entries are never overwritten; amendments are recorded with the user and time, and daily cashier totals reconcile against receipts.

Security controls are configured for each project. We do not claim certification, compliance or immunity from attack unless independently verified for your deployment.

Customisation & integration

Tailored to how you work

We tailor modules, reports, permissions, workflows, branding and integrations to your organisation. Tell us which features you need when you request a quote.

  • Departments, wards, clinics and bed categories
  • Price lists per payer, insurer or corporate scheme
  • Clinical forms, triage fields and discharge templates
  • Statistical, revenue and management report formats
  • Hospital branding on receipts, cards and reports

Deployment & support

From go-live to continuous improvement

Onboarding, data migration, training, maintenance, technical support and future enhancements are services we scope into your project.

Cloud-hostedClient-owned serverLocal networkHybridDesktop installationMobile app distribution
Data migration

Bringing records from spreadsheets or older systems, checked and reconciled.

Training

Role-based training for users, supervisors and administrators.

Support

Technical support and maintenance under an agreed support plan.

Enhancements

New modules, reports and integrations as your organisation grows.

Pricing

Pricing tailored to your requirements

Every organisation has different workflows, users, infrastructure, and integration needs. Request a quotation for a solution designed around your requirements.

  • Number of users, branches and modules
  • Customisation and integrations
  • Hosting: cloud, your server or hybrid
  • Data migration and training
  • Support and maintenance plan
Request pricing

Request a Quote

Tell us about your organisation and requirements. Our team will review your request and contact you with the next steps.

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