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Business Software & ERP

Hospital Management System — custom built, no per-bed licence fees

OPD, IPD, EHR, pharmacy, lab and billing on one platform you own.

  • Custom Built
  • Electronic Health Records
  • OPD & IPD
  • Pharmacy & Lab
  • Billing & Insurance
  • Full IP Ownership
0 licence
No per-bed or per-module fees
1 system
All departments on a single platform
60 days
Standard delivery to go-live
100%
Built to your clinical workflows

Overview

ITNS-Global's Hospital Management System (HMS) is a fully bespoke clinical and administrative management platform designed and developed by ITNS-Global's engineering team — covering the complete patient journey from registration through consultation, investigation, admission, treatment, discharge, and billing, with all departmental workflows integrated in a single system and all data owned entirely by the healthcare facility.

Generic HMS platforms impose significant constraints on healthcare organisations. Modular licensing — paying separately for OPD, IPD, pharmacy, lab, radiology, and billing — creates escalating costs as the facility grows. Rigid clinical workflow templates force medical staff to adapt their documentation to the software's structure rather than the software adapting to clinical practice. Per-bed pricing that penalises growth. Data hosted on vendor servers, creating privacy concerns and creating dependency on the vendor for data access.

ITNS-Global builds the HMS to your hospital's specific clinical reality. If your facility has specialties with specific consultation templates — a structured SOAP note for general medicine, an ophthalmology eye examination chart, an orthopaedic joint assessment form — those templates are built into the EHR. If your pharmacy has specific dispensing rules, formulary restrictions, or narcotic register requirements, those are programmed in. If your insurance panel has specific pre-authorisation workflows and claim formats, those are integrated.

The result is an HMS that clinical and administrative staff actually use — because it reflects how they work, not how a generic software vendor thinks a hospital should work.

What it includes

Patient Registration & UHID Management

A central patient registration module assigning every patient a Unique Health Identification (UHID) number that persists across all visits, departments, and encounters — enabling a complete longitudinal patient record from first visit onwards. Registration captures demographics, contact details, emergency contacts, insurance panel membership, and consent documentation. Quick registration for walk-in patients with full record completion in under 2 minutes. Patient search by name, mobile number, UHID, and Aadhaar for instant record retrieval.

Appointment Scheduling & OPD Queue

An online and front-desk appointment booking system with doctor-wise availability, specialty-wise scheduling, and configurable slot durations. Patient-facing online booking portal with appointment confirmation SMS/email. OPD token management and queue display system for waiting area screens. Walk-in patient token integration. Doctor dashboard showing today's appointment list with patient chief complaint visible before the consultation begins. Appointment analytics tracking no-shows, cancellations, and peak load by doctor and specialty.

OPD Consultation & Electronic Health Records

Specialty-specific consultation templates built for each department — structured fields for chief complaint, history of presenting illness, past medical history, medication history, examination findings, investigations ordered, diagnosis (ICD-10 coded), and management plan. Prescription module integrated with the pharmacy formulary for drag-and-drop drug selection. Investigation orders flow directly to the lab or radiology module. Patient's complete history, prior visits, past investigations, and prior prescriptions visible to the consulting doctor from a single screen.

IPD Admission, Ward & Bed Management

Inpatient management from admission request through bed allocation, nursing care documentation, daily round notes, diet orders, surgical scheduling, procedure documentation, and discharge summary generation. Live bed occupancy dashboard with ward-wise and bed-type-wise availability. Bed transfer and upgrade management. Nursing station module for medication administration recording, vital signs charting, and nursing notes. Discharge process with automated final billing consolidation from all departmental charges accumulated during the admission.

Pharmacy Management

An integrated pharmacy module managing drug inventory, dispensing against prescriptions, and stock control — prescription-based dispensing with dose verification, drug interaction alerts for contraindicated combinations, expiry date tracking and batch management, narcotic and controlled substance register, reorder level alerts, and supplier management. OPD prescriptions dispensed with automatic stock deduction; IPD medication administration linked to the nursing module for consumption tracking. Pharmacy billing integrated with the central billing system.

Laboratory Information System (LIS)

A complete laboratory management module handling test order entry from OPD/IPD, sample collection with barcode labelling, sample processing workflow, result entry by technician, pathologist verification and sign-off, and automated result delivery to the requesting doctor's dashboard. Reference range flagging with abnormal result highlighting. Report generation in facility-branded format for patient delivery. Critical value alert notification to the ordering doctor. Test-wise turnaround time tracking for quality management.

Billing & Insurance Management

A comprehensive billing module consolidating charges from all departments — consultation fees, procedure charges, pharmacy, lab, radiology, room rent, nursing charges, and sundry items — into a single patient bill. Insurance panel rate cards configured with CGHS, Ayushman Bharat, and private TPA tariff structures. Pre-authorisation request generation and tracking. Claim submission and follow-up management. Co-payment calculation. GST on applicable services. Receipt generation with payment mode recording and advance payment adjustment.

Hospital Analytics & MIS

Hospital-wide analytics dashboard providing leadership with real-time operational intelligence — daily patient census (OPD and IPD), bed occupancy rate, specialty-wise patient distribution, revenue by department and doctor, average length of stay, discharge and readmission rates, pharmacy consumption trends, lab test volume, and insurance claim status. MIS reports for management review, accreditation documentation, and clinical quality monitoring. All reports exportable and schedulable for automated monthly delivery.

What changes for you

1 system

All Departments, One Platform

OPD, IPD, pharmacy, lab, radiology, and billing all operating within a single integrated system eliminates the information silos and manual handoffs between departments that cause delays, errors, and duplicate data entry in facilities running multiple disconnected software tools.

↓ wait

Reduced Patient Wait Times

Digital appointment scheduling, token-based queue management, electronic prescriptions flowing directly to pharmacy, and investigation orders arriving at the lab electronically eliminate the paper-based handoffs that cause delays between registration, consultation, and investigation. Patient journey time consistently reduced 30–40% in facilities migrating from paper to a well-designed HMS.

0 lost

No Lost Revenue

Centralised charge capture from every department with automatic consolidation into the patient bill eliminates the missed billing that is endemic in paper-based hospital billing — procedures performed but not billed, pharmacy dispensed but not charged, investigations done but not invoiced. Every service delivered is captured and billed.

0 per-bed

No Per-Bed Licence Fees

Generic HMS vendors charge per bed, per module, and per concurrent user — a cost structure that punishes growth. ITNS-Global's custom HMS is a one-time development investment with no ongoing per-bed, per-module, or per-user fees. As your facility expands from 50 to 200 beds, your HMS cost does not grow.

100 %

Patient Data Sovereignty

All patient health records, clinical notes, investigation results, and billing data are stored exclusively on infrastructure controlled by the hospital. No patient data on ITNS-Global servers. No dependency on a vendor for data access. Healthcare data is among the most sensitive personal data — complete control is non-negotiable.

↑ clinical

Clinical Decision Support

Specialty-specific consultation templates with drug interaction alerts, clinical decision prompts, and ICD-10 coded diagnosis support improve documentation quality and clinical safety. Doctors documenting in a system built for their specialty document more completely and more accurately than in generic free-text EHR fields.

Pricing

Indicative pricing, shown so you can judge fit before talking to anyone. Final scope and cost are confirmed in writing after a short discovery call.

Prices exclude applicable taxes and any third-party licence fees, which are billed to you directly by the vendor so you keep ownership and visibility.

Where it has been used

Client outcome

₹3.8L monthly revenue recovered from unbilled charges in month 1

Client outcome

2.5 hrs average TAT — down from 6 hrs; 78% digital delivery adoption

Client outcome

62% reduction in claim rejections — 3 hrs daily billing to 25 mins

Client outcome

3 min consultation documentation — from 8 mins on paper; specialty-specific EHR

How delivery runs

  1. 01

    Clinical Discovery

    Workflow mapping across all departments & EHR template design

  2. 02

    Core Build

    Registration, OPD, IPD, EHR, pharmacy & LIS modules

  3. 03

    Billing & Integration

    Billing engine, TPA configuration, insurance & MIS

  4. 04

    UAT & Staff Training

    Department-wise UAT, data migration & staff training

  5. 05

    Go-Live

    Phased go-live by department; intellectual property delivery & support

Specifications

Application TypeCustom web application; department-specific UIs; role-based access for clinical, nursing, pharmacy, lab, billing, and admin roles
Front-EndReact.js; optimised for clinical data entry speed; touch-friendly for tablet use at nursing stations; print-optimised for reports and prescriptions
Back-EndNode.js or Python; event-driven charge capture; UHID-linked record model; audit trail on all clinical and billing entries
DatabasePostgreSQL; UHID-centric patient record model; complete clinical history retained; full data export in HL7-compatible format on request
EHR TemplatesSpecialty-specific consultation templates designed during clinical discovery; ICD-10 coded diagnosis; SOAP note structure; prescription builder
LISTest order entry; barcode sample labelling; result entry and pathologist verification; reference range flagging; branded PDF report; SMS/email delivery
PharmacyDrug formulary; prescription-based dispensing; drug interaction alerts; batch/expiry management; narcotic register; stock reorder alerts
BillingMulti-department charge consolidation; TPA rate cards; co-payment calculation; CGHS/Ayushman Bharat support; GST on services; receipt generation
Bed ManagementLive bed occupancy dashboard; ward-wise availability; bed category management (general/semi-private/private/ICU); transfer management
Standard ScopeUp to 100 beds; up to 10 OPD specialty departments; pharmacy; LIS; billing; insurance management
IP OwnershipFull IP ownership transferred on go-live; complete application and data ownership by the healthcare facility
Delivery60 business days; phased go-live by department recommended; PACS, OT, blood bank scoped separately

Questions people ask

Is this a licensed product or a custom build?

A custom build. The system is designed around your facility's own clinical workflows and delivered with full IP ownership. There are no per-bed, per-module or per-user licence fees, now or later.

How is patient data protected?

Role-based access control across clinical, nursing, pharmacy, laboratory, billing and administrative roles, with a complete audit trail on every clinical and billing entry. Hosting can be on your own infrastructure so patient data never leaves your premises. For Indian facilities the design follows the DPDP Act 2023.

Can it handle multiple specialties with different documentation?

Yes — that is the main reason to build rather than buy. Consultation templates are designed per specialty during clinical discovery, so a SOAP note for general medicine, an ophthalmology examination chart and an orthopaedic joint assessment each get their own structure.

How long does implementation take?

Around 60 days to go-live for a standard facility, running clinical discovery, core build, billing and integration, department-wise UAT and staff training, then a phased go-live by department.

Can you migrate data from our existing system?

Yes. Patient master data, historical visits and outstanding balances are migrated and reconciled during UAT, with export available in HL7-compatible format.

What happens after go-live?

A support and enhancement plan covers bug fixes, regulatory updates and new module development. Because you own the intellectual property, you are also free to engage any other developer.

Request a proposal

Get a written proposal with full scope, timeline and commercial terms — usually within one working day.

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