This is a 230-bed rural government hospital built in pavilion style, to cater for the rural populations needs. The hospital has an extensive clinic and outpatient department with special attention to maternity and pre/post-natal services. The hospital also fulfils the role of supply depot for smaller clinics in the area, as well as being the base for the regional ambulance service.

The hospital was put out to tender by the Department of Works. By manipulation of the then PDW hospital norms, and keeping practical nursing needs in mind, costs were reduced, with the result that the tender was won by our team. The buildings are low technology structures, and locals were trained and used in most of the building trades, to leave technology and ability behind after the construction work was completed.

Housing is provided for staff, from hostel style accommodation to three-bedroom houses. Recreational facilities, swimming pool, tennis courts, and club house, as well as a child care centre forms part of the project. Open corridors link the ward blocks wherever possible, and enable the patients and their families to congregate as per their tradition in the landscaped areas between the buildings.

Optimum use is made of coal fired steam boilers for cooking, water heating, washing, sterilizing, and air conditioning, reducing running costs drastically over the lifetime of the building, while reducing dependency on the electrical supply to the site.

Source: Leon Kruger Architects. 2021. NEW TONGA HOSPITAL | Leon Kruger Architects. [Online] Available at: http://www.leonka.co.za/project_post/new-tonga-hospital/ [Accessed 25 March 2021].

a. The hospital intends to integrate a desktop-based patient registration system called NTH System to manage new patient records at the hospital. Based on your experience with how patient registration is conducted in South Africa, draw an activity diagram that models the data processing involved in registering a new patient’s information. Identify four actors and use a swimlane (partition) when drawing your diagram. Consider a medical aid provider service in your illustration. You may add a note to explain an activity.

b. Using the scenario above, draw a state machine diagram that shows the interaction that models a patient's state. This diagram must depict how a patient is registered, consulted, admitted, operated on, and how they have recovered, and been released from the hospital. You must consider whether a patient requires surgery or not. A note may be used for explaining any activity.