Release Notes - SAP · PDF filerelease notes for industry extension healthcare sap ehp 7 for sap erp 6.0 3 table of content industry solution hospital

Release NotesIndustry Extension Healthcare 6.0

SAP enhancement package 7 for SAP ERP 6.0

Version 2.0, October 28th, 2015

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RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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TABLE OF CONTENTINDUSTRY SOLUTION HOSPITAL ............................................................................................................. 7

ISH_AMBULATORY: Business Function SAP Ambulatory Care Mgmt (Changed) ............... 7ISH_CV_FR: Business Function SAP Pat Mgmt Country Vers France (Changed) ................ 7ISH_CV_FR: Delivery Class of Tables (Changed) ............................................................... 8ISH_CV_IT: Business Function SAP Pat Mgmt Country Vers Italy (Changed) ...................... 8ISH_MAIN: Business Function SAP Patient Management (Changed) .................................. 9ISH_MAIN: SAP Patient Management, Add-on for Mobile, Version 1.0 (New) .....................11ISH_MISC1: SAP Patient Management Legal Process Adoption 1 (Changed) ....................12ISH_MISC2: SAP Patient Management Legal Process Adoption 2 (Changed) ....................12ISH_MISC3: SAP Patient Management Legal Process Adoption 3 (Changed) ....................12

BASIC DATA .............................................................................................................................................14Hospital Structure ........................................................................................................................14

ISH_CV_FR: Defining Rehabilitation Cases (SSR) (Enhanced) ..........................................14Business Partners ........................................................................................................................14

ISH_MISC1 AT, CH, FR: Fee Recipient – Rank Date-Specific (Changed) ...........................14Service Master Data......................................................................................................................15

ISH_MAIN FR: Service Master Data for Drugs (Enhanced) .................................................15

PATIENT MANAGEMENT ..........................................................................................................................16General ..........................................................................................................................................16

ISH_CV_FR: PMSI Model 2012 (Changed) ........................................................................16ISH_MAIN: Side Panel "Notes/Attachments" for IS-H (New) ...............................................18ISH_MAIN: Enhancement in the Clinical Work Station (Enhanced) .....................................20ISH_MAIN: CH, IT, FR: Copying Ins. Cards in Patient Merging (Enh.).................................20ISH_MAIN: Adjustment of NV2000 Subscreens to Maximum Width (Changed) ...................21

Patient Master Data ......................................................................................................................22ISH_MAIN: Patient Merge (Enhanced) ...............................................................................22

Outpatient Case ............................................................................................................................23ISH_MAIN: Copying Services when Changing Case Type (New) ........................................23ISH_MAIN: Statistics Block (Enhanced) ..............................................................................25ISH_MAIN: Assigned Cases from Case List/Discharging Companions (Enh.) .....................26ISH_MAIN: Automatic Refresh in the Case Overview (Enhanced).......................................27

General Case Processing .............................................................................................................28ISH_MAIN: Displaying the Public List Block (New) ..............................................................28ISH_MAIN: Check Multiple Assignment for Case-Person Assgt (Changed) .........................29ISH_MAIN: Entry of Default Case Start and End Dates for Outp. Cases (New) ...................30ISH_MAIN: Evaluation by First Visit (Enhanced) .................................................................31

Care Unit Management .................................................................................................................32ISH_MAIN: New Message N1 891 Can Be Configured in Message Control (New) ..............32ISH_MAIN: Assigned Cases from Case List/Discharging Companions (Enh.) .....................32

Outpatient Clinic Management .....................................................................................................34ISH_MAIN: Enhancement to BAdI ISH_TIMESLOT_TXT (Enhanced) .................................34

MEDICAL/NURSING DOCUMENTATION ..................................................................................................35General ..........................................................................................................................................35

ISH_MAIN: New Business Transactions in Status Management (Enhanced).......................35ISH_MAIN: Editable Fields in the Diagnosis Overview (Enhanced) .....................................36ISH_MAIN: Messages in the Diagnosis Overview (Enhanced) ............................................37

Basc Medical/Nursing Documentation ........................................................................................37ISH_CV_IT: New Business Transactions in Status Management (Enhanced) .....................37ISH_MAIN AT: Online Scoring Work Station (Enhanced) ....................................................38ISH_MAIN: New Transactions for Basic Med. Doc. Status Management (New) ...................38

PATIENT ACCOUNTING............................................................................................................................40General ..........................................................................................................................................40

ISH_CV_FR: Interim Billing for Rehabilitation Cases (SSR) (Changed) ...............................40ISH_CV_FR: FIDES – Dir. Billing with Soc. Ins. for Outp. Cases (Enhanced) ......................40ISH_CV_FR: AME Billing Reform (New) .............................................................................45ISH_CV_FR: Displaying Ins. Prov.-Specific Price Components (Changed) .........................47


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ISH_MAIN: Down Payment Clearing – Posting to Open Special Period (Enh.) ....................53

INFORMATION SYSTEM ...........................................................................................................................54General ..........................................................................................................................................54

ISH_CV_FR/MISC2: Evaluations for Nursing Homes (Enhanced) .......................................54ISH_MAIN: CH, IT, FR: Copying Ins. Cards in Patient Merging (Enh.).................................54ISH_MAIN: Evaluation by First Visit (Enhanced) .................................................................55

Government-Mandated Statistics ................................................................................................55ISH_MAIN CH: Hospital Medical Statistics (RNWCHMEDSTAT) (New) ..............................55ISH_MAIN CH: Expensive Drugs (New)..............................................................................56ISH_MAIN CH: Statistics – PRISMA from 2012 (Changed) .................................................56ISH_MAIN CH: Invoices Acc. to XML Version 4.4 – Intensive Care Data (New) ..................56ISH_MAIN CH: Hospital Med. Statistics (BfS) – RNWCHMEDSTAT (Changed) ..................56ISH_MAIN CH: Electronic Data Interchange, XML, Version 4.4 (Enhanced) ........................56

COMMUNICATION .....................................................................................................................................57General ..........................................................................................................................................57

ISH_MISC3 SG: Determining Procedure Data for CCPS EDI Procedure (New) ..................57Communication with Systems Inside the Hospital .....................................................................58

ISH_MAIN CH: Electronic Insurance Verification (New) ......................................................58Communication with Systems outside the Hospital ...................................................................58

ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced) ................................58ISH_CV_FR: EDI Procedure FR615 (New) .........................................................................59ISH_CV_FR: Check When Importing the Carte Vitale (Enhanced) ......................................59ISH_CV_FR: Carte Vitale – Access in Preregistration (New) ...............................................60ISH_MAIN SG: EDI Procedure CCPS (Enhanced) ..............................................................60ISH_MAIN AT: EDIVKA/EDILEIST – Payment Advice Note (Enhanced) .............................61ISH_MAIN AT: EDIVKA – Displaying the Error Message (Enhanced)..................................61ISH_MAIN AT: EDIVKA – SEPA Payment Transactions (Enhanced) ..................................61ISH_MAIN AT: EDI Message Formatting Program – Case Restriction (Enh.) ......................61ISH_MAIN AT: P321/ELDAL – 10th Addendum to Data Exchange (Enh.) ...........................61ISH_MAIN AT: Insurance Relationships – VDAS Query (Enhanced) ...................................61ISH_MAIN AT: GIN Query – Address Data Included (Changed) ..........................................61ISH_MAIN AT: Scoring – AGPR Transfer Status (Enhanced)..............................................61ISH_MAIN AT: Scoring – LKF Model 2013 (Changed) ........................................................62ISH_MAIN AT: GINA, Release R12B (Changed) ................................................................62ISH_MAIN AT: Ins. Verif., Calculating Previous Treatment Days (Changed) .......................62ISH_MAIN AT: EDIVKA – Include Comments in Dispatch (Enhanced) ................................62ISH_MAIN EDI – Extension of Key for NC301M (New) .......................................................62

TOOLS .......................................................................................................................................................62General ..........................................................................................................................................62

ISH_MAIN: Treatment Authorization as Central Check Service (New).................................62

CLINICAL SYSTEM ...................................................................................................................................65ISHMED_MAIN: Business Function Clinical System (Changed) ..........................................65ISHMED_MISC01: Business Function Clinical System MISC01 ..........................................65ISHMED_SCD: Clin. Syst. Situation Based Clinical Documentation (Changed) ...................67

ISH_CV_FR: PDG-MCO Grouper Version 13.11e (Changed) .............................................48ISH_CV_FR: Reduction by Patient Contribution (Changed) ................................................48ISH_MAIN AT: Changes for Interim/Final Billed Cases (Changed) ......................................48ISH_MAIN AT: Scoring (Enhanced) ....................................................................................49ISH_MAIN: Fee-Based Billing – English Language (Enhanced) ..........................................49ISH_MISC3: Repayment (New) ..........................................................................................49ISH_MISC3: Partial Payment (New) ...................................................................................49ISH_MISC3 CN: Selection of Payment Types for Down Payments (New) ...........................50

Services ........................................................................................................................................50ISH_CV_FR: SR F00: Generate Patient Contribution (Changed) ........................................50ISH_CV_FR: SR F05: Patient Contribution Exemption (Changed) ......................................51ISH_CV_FR/MISC2: SR Absence Control (F21) (Enhanced) ..............................................52ISH_MISC2 FR: Tooth Number in Service Entry (New) .......................................................53

Down Payment


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ISHMED_EDP: BF Clin. System Enhanced Documentation Processes ...............................67

SMART UI ..................................................................................................................................................69Patient Groups ..............................................................................................................................69

ISHMED_MISC01: Patient Groups in Smart UI (New) .........................................................69ISHMED_MISC01: Patient Groups - Selection Dialog (New) ...............................................70ISHMED_MISC01: Patient Groups - Views and Displays (New) ..........................................71ISHMED_MISC01: Patient Groups - Filters (New) ..............................................................71ISHMED_MISC01: Patient Groups - Graphical Plan (New) .................................................72

Patient Pofile.................................................................................................................................72ISHMED_MISC01: Patient Profile in Smart UI (New) ..........................................................72ISHMED_MISC01: Patient Header - Displayed Data (Enhanced) ........................................74ISHMED_MISC01: Patient Record - Create/Process Objects (Enhanced) ...........................74ISHMED_MISC01: Patient Record - Smart Chart (New) .....................................................77

Task Management ........................................................................................................................80ISHMED_MISC01: Task Management in Smart UI (New) ...................................................80

Applications ..................................................................................................................................80ISHMED_MISC01: Service Ordering - Overview (New).......................................................80ISHMED_MISC01: Service Ordering - Setup Functions (New) ............................................82ISHMED_MISC01: Service Ordering - Integration in Task Management (New) ...................84

Interfaces for Mobile Applications ...............................................................................................86ISHMED_MAIN: i.s.h.med Mobile Medication (New) ...........................................................86

GENERAL DUTIES ....................................................................................................................................88Event Management .......................................................................................................................88

ISHMED_MAIN: Event Management - Customizing (Enhanced) .........................................88

EXTENDED BASIC DATA ..........................................................................................................................89Clinical Work Station ....................................................................................................................89

ISHMED_MISC01: CWS - Calendar Function in View Types (Enhanced) ...........................89

CLINICAL DOCUMENTATION ...................................................................................................................90Clinical Progress Documentation ................................................................................................90

ISHMED_MAIN: i.s.h.med Progress Documentation (New) .................................................90ISHMED_MAIN: Progress Notes - Discontinued Functions (Changed) ................................92

Documents ....................................................................................................................................92ISHMED_MAIN: PMD Mass Generation (New) ...................................................................92

Image and Findings Documentation CWD – i.s.h.med ................................................................92ISHMED_MAIN: Image and Findings Documentation (New) ...............................................92

Image Integration i.s.h.med - IMAGIC ..........................................................................................94ISHMED_SCD: Imagic - i.s.h.med Image Integration (New) ................................................94

CLINICAL ORDER .....................................................................................................................................96General ..........................................................................................................................................96

ISHMED_MAIN: Clinical Order - Synchronization Check (Changed) ...................................96

SURGERY SYSTEM ..................................................................................................................................97General ..........................................................................................................................................97

ISHMED_MAIN: Surgery System - Surgery Scheduling Replaces Surgery Progress Monitor(Changed) ..........................................................................................................................97

RADIOLOGIE .............................................................................................................................................98General ..........................................................................................................................................98

ISHMED_EDP: Radiology - MPPS and Reconciliation (Changed) .......................................98

MEDICATION .............................................................................................................................................99Medication Master Data ................................................................................................................99

ISHMED_MAIN:Medication - Master Data (Enhanced)........................................................99Medication Order ..........................................................................................................................99

ISHMED_MISC01: Medication - Order in Smart UI (New) ...................................................99ISHMED_MAIN: Medication - Order (Enhanced) ...............................................................100ISHMED_MAIN: Medication - Order (Changed) ................................................................103

MESSAGE COMMUNICATION INFRASTRUCTURE ...............................................................................105ISHMED_MAIN: Message Communication Infrastructure - Overview (New) ......................105


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ISHMED_MAIN: Message Communication Infrastructure - Available Connectors (Enhanced), HL7 Segments (New) ....................................................................................................105

CONNECTIVITY .......................................................................................................................................107ISHMED_MAIN: Connectivity - Overview (Changed) ........................................................107


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ISH_CV_FR: Business Function SAP Pat Mgmt Country Vers France (Changed)

The business function SAP Patient Management Country Version France (ISH_CV_FR) has beenavailable since SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H604). For more information, see the release note ISH_CV_FR: Business Function SAP Pat MgmtCountry Version France (New) for SAP enhancement package 4.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) forthis business function, see the following detailed release note:

ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced), see page 58ISH_CV_FR: EDI Procedure FR615 (New), see page 59ISH_CV_FR/MISC2: Evaluations for Nursing Homes (Enhanced), see page 54ISH_CV_FR: PMSI Model 2012 (Changed), see page 16ISH_CV_FR: SR F00: Generate Patient Contribution (Changed), see page 50ISH_CV_FR: SR F05: Patient Contribution Exemption (Changed), see page 51ISH_CV_FR: Defining Rehabilitation Cases (SSR) (Enhanced), see page 14ISH_CV_FR: Interim Billing for Rehabilitation Cases (SSR) (Changed), see page 40ISH_CV_FR: FIDES – Dir. Billing with Soc. Ins. for Outp. Cases (Enhanced), see page 40ISH_CV_FR: AME Billing Reform (New), see page 45ISH_CV_FR: Displaying Ins. Prov.-Specific Price Components (Changed), see page 47ISH_CV_FR: Delivery Class of Tables (Changed), see page 8ISH_CV_FR: Check When Importing the Carte Vitale (Enhanced), see page 59ISH_CV_FR: Carte Vitale – Access in Preregistration (New), see page 60

Industry Solution Hospital

ISH_AMBULATORY: Business Function SAP Ambulatory Care Mgmt (Changed)

As of SAP ERP 6.0, Industry Extension Healthcare, the business function SAP Ambulatory CareManagement (ISH_AMBULATORY) provides new and enhanced functions in various components ofSAP Ambulatory Care Management.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) forthis business function, see the following release notes:� ISH_AMBULATORY DE: Blank Form Printing – Overview (Enhanced) � ISH_AMBULATORY DE: PPA: Changes to Sample 10 in Q1/2012 (Changed) � ISH_AMBULATORY DE: PPA Billing FI3006 in Q3/2012 (New) � ISH_AMBULATORY DE: PPA Billing: Field ID 3004, Status of KBV Check Module (Changed) � ISH_AMBULATORY DE: PPA Billing – No Case Splitting If Insurance Provider Changed (New) � ISH_AMBULATORY DE: PPA Sample 10, Lab Referral Certificate (Changed) � ISH_AMBULATORY DE: PPA Sample 13 and 18 According to Drug Prescription from 01� ISH_AMBULATORY DE: Prescription Assistant (Enhanced)

See also

You can access the release notes for SAP ERP 6.0, Industry Extension Healthcare on SAP ServiceMarketplace under the quick link /healthcare-releasenotes o Release Notes. To display the releasenotes for the corresponding support packages, choose Release Notes for Support Packages.


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ISH_CV_FR: PDG-MCO grouper version 13.11e (Changed), see page 48ISH_CV_FR: Reduction by Patient Contribution (Changed), see page 48ISH_CV_FR/MISC2: SR Absence Control (F21) (Enhanced), see page 52

See also

You can access the release notes for SAP ERP 6.0, Industry Extension Healthcare on SAP ServiceMarketplace at http://service.sap.com/healthcare-releasenotes under Release Notes. To display therelease notes for the corresponding support packages, choose Release Notes for Support Packages.

ISH_CV_FR: Delivery Class of Tables (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in theSupport Packages listed below, SAP has changed the delivery class of the following tables from "A"(application table) to "C" (Customizing). This means you can include the tables in BC sets to allow youto import data:NLPA – IS-H: Service Rules for Service Pairs/ISHFR/PARAM – IS-H FR: System Control Parameters/ISHFR/TNWFRPD – IS-H FR: Payment Distribution – Limit by Contract Scheme/ISHFR/TNWFR_B2 – IS-H FR: Control Settings for B2 Dispatch/ISHFR/TNWFR_CCP – IS-H FR: Coordinated Care Path/ISHFR/TNWFR_F00 – IS-H FR: Fixed Patient Contribution/ISHFR/TNWFR_F10 – IS-H FR – Per Diem Fee

This change is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), SupportPackage 14, business function SAP Patient Management Country Version France (ISH_CV_FR)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), SupportPackage 07, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_CV_IT: Business Function SAP Pat Mgmt Country Vers Italy (Changed)

The business function SAP Patient Management Country Version Italy (ISH_CV_IT) has beenavailable since SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H603). For more information, see the release note ISH_CV_IT: Business Function SAP Pat MgmtCountry Version Italy (New) for SAP enhancement package 4.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) forthis business function, see the following detailed release note:

New Business Transactions in Status Management (Enhanced), see page 37

See also

You can access the release notes for SAP ERP 6.0, Industry Extension Healthcare on SAP ServiceMarketplace at http://service.sap.com/healthcare-releasenotes under Release Notes. To display therelease notes for the corresponding support packages, choose Release Notes for Support Packages.


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ISH_MAIN: Business Function SAP Patient Management (Changed)

Since SAP ERP 6.0, Industry Extension Healthcare, new and enhanced functions in variouscomponents of SAP Patient Management have been available with the business function SAP PatientManagement (ISH_MAIN). For more information, see the SAP ERP 6.0 release note ISH_MAIN:Business Function SAP Patient Management.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) forthis business function, see the following release notes:� ISH_MAIN: Adjustment of NV2000 Subscreens to Maximum Width (Changed), see page 21� ISH_MAIN: Down Payment Clearing – Posting to Open Special Period (Enh.), see page 53� ISH_MAIN: Displaying the Public List Block (New), see page 28� ISH_MAIN:Evaluation by First Visit (Enhanced) , see page 55� ISH_MAIN: Automatic Refresh in the Case Overview (Enhanced) , see page 27� ISH_MAIN: Treatment Authorization as Central Check Service (New), see page 62� ISH_MAIN: Editable Fields in the Diagnosis Overview (Enhanced), see page 36� ISH_MAIN: EDI – Extension of Key for NC301M (New), see page 62� ISH_MAIN: Enhancement to BAdI ISH_TIMESLOT_TXT (Enhanced), see page 34� ISH_MAIN: Enhancement in the Clinical Work Station (Enhanced), see page 20� ISH_MAIN: Copying Services when Changing Case Type (New), see page 23� ISH_MAIN: Messages in the Diagnosis Overview (Enhanced), see page 37� ISH_MAIN: New Message N1 891 Can Be Configured in Message Control (New), see page 32� ISH_MAIN: New Business Transactions in Status Management (Enhanced) , see page 35� ISH_MAIN: New Transactions for Basic Med. Doc. Status Management (New) , see page 38� ISH_MAIN: Patient Merge (Enhanced), see page 22� ISH_MAIN: Check Multiple Assignment for Case-Person Assgt (Changed), see page 29� ISH_MAIN: SAP Patient Management, Add-on for Mobile, Version 1.0 (New), see page 11� ISH_MAIN: Side Panel "Notes/Attachments" for IS-H (New), see page 18� ISH_MAIN: Statistics Block (Enhanced), see page 25� ISH_MAIN: Entry of Default Case Start and End Dates for Outp. Cases (New), see page 30� ISH_MAIN: Assigned Cases from Case List/Discharging Companions (Enh.), see page 26� ISH_MAIN: Fee-Based Billing – English Language (Enhanced), see page 49� ISH_MAIN AT: Changes for Interim/Final Billed Cases (Changed), see page 48� ISH_MAIN AT: EDIVKA/EDILEIST – Payment Advice Note (Enhanced), see page 61� ISH_MAIN AT: EDIVKA – Displaying the Error Message (Enhanced), see page 61� ISH_MAIN AT: EDIVKA – Also Send Comments (Enhanced), see page 62� ISH_MAIN AT: EDIVKA – SEPA Payment Transactions (Enhanced), see page 61� ISH_MAIN AT: EDI Message Formatting Program – Case Restriction (Enh.), see page 61� ISH_MAIN AT: GIN Query – Address Data Included (Changed), see page 61� ISH_MAIN AT: GINA, Release R12B (Changed), see page 62� ISH_MAIN AT: Online IV Adjustment (Enhanced)� ISH_MAIN AT: Online Scoring Work Station (Enhanced), see page 38� ISH_MAIN AT: P321/ELDAL – 10th Addendum to Data Exchange (Enh.), see page 61� ISH_MAIN AT: Scoring – AGPR Transfer Status (Enhanced), see page 61� ISH_MAIN AT: Scoring – LKF Model 2013 (Changed), see page 62� ISH_MAIN AT: Patient Routing System, 10-Digit PRS Number (Changed)� ISH_MAIN AT: Scoring (Enhanced), see page 49� ISH_MAIN AT: Insurance Relationships – VDAS Query (Enhanced), see page 61� ISH_MAIN CH: Absence Rules (Enhanced)� ISH_MAIN CH: External Order Add-On (Enhanced)� ISH_MAIN CH: Adjustment to Requirement 533 (Enhanced)� ISH_MAIN CH: Response to Online Card Query – Code Texts (Changed) � ISH_MAIN CH: Screen Modification for Fields in the External Order (New)� ISH_MAIN CH: DRG Work Station (Enhanced)� ISH_MAIN CH: Electronic Data Interchange, XML, Version 4.4 (Enhanced), see page 56 � ISH_MAIN CH: Electronic Insurance Verification (New), see page 58


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� ISH_MAIN CH: Determining Fee-Based Services (RNWCHHONERM) (Changed)� ISH_MAIN CH: Ext. Order in CH Menu "SICH" (Enhanced)� ISH_MAIN CH: Revenue Accrual – DRG Accrual Service (Enh.)� ISH_MAIN CH: Expensive Drugs (New), see page 56� ISH_MAIN CH: INXML – Electronic Invoice – Container Use (New)� ISH_MAIN CH: Determining Cost Divider for Add. DRG Charges (New)� ISH_MAIN CH: Cost Divider and Base Rate Determination (Enhanced)� ISH_MAIN CH: Print Insurance Verification Request (RNWCHKUDR) (Changed)� ISH_MAIN CH: SR C33 and C34 (Enhanced)� ISH_MAIN CH: SR C55 – Generate DRG Services (Enhanced)� ISH_MAIN CH: SR C56 – Generate Add. DRG Charges (Enhanced)� ISH_MAIN CH: Localizing Diagnoses (Enhanced)� ISH_MAIN CH: Manual Entry of Card Data – AHV Number (Enhanced)� ISH_MAIN CH: Mass Print Program for Billing Documents (RNADIN03) (Enh.)� ISH_MAIN CH: Hospital Medical Statistics (RNW CHMEDSTAT) (New)� ISH_MAIN CH: Hospital Medical Statistics (BfS) – RNWCHMEDSTAT (Changed), see page 56 � ISH_MAIN CH: Maint. Dialog for Ext. Ordering Party (Enhanced)� ISH_MAIN CH: Program RNW CHASEL00 (Enhanced)� ISH_MAIN CH: Invoices Acc. to XML Version 4.4 – Intensive Care Data (New)� ISH_MAIN CH: Invoice Form ERF 4.3 (Enhanced)� ISH_MAIN CH: Report RNWCHSDRG_PROZ (Enhanced)� ISH_MAIN CH: RNWCHINXMLU2 for Subs. Dispatch of MCD Data (New)� ISH_MAIN CH: Import SwissDRG Catalog (RNWCHSDRG_IMP) (Enhanced)� ISH_MAIN CH: Statistics – PRISMA from 2012 (Changed), see page 56� ISH_MAIN CH: Assignment of Contract Scheme (RNWCHKUVZ) (Enhanced) � ISH_MAIN: CH, IT, FR: Copying Ins. Cards in Patient Merging (Enh.), see page 54� ISH_MAIN DE: Changes to Insurance Relationship for PPA Cases (Enhanced) � ISH_MAIN DE: Ext. Physician/Coop. SFA Phys. as per §115b SGB V (New) � ISH_MAIN DE: Customizing Activity for Outpatient §301 Billing (New) .� ISH_MAIN DE: DRG Billing (Flat Rate Agreement, FPV 2012) (Changed) � ISH_MAIN DE: Enhancement to PHI Data Transfer (Changed) � ISH_MAIN DE: Enhancement to Message Control for N7 340 (Enhanced) � ISH_MAIN DE: Enhancement to Check on Diagnostic Certainty Using BAdI (Enhanced) � ISH_MAIN DE: Generation of Additional Charges as per §6(1) KHEntgG (Enhanced)


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� ISH_MAIN DE: Annual Accrual for DRG and PEPP (Changed) � ISH_MAIN DE: PPA Billing: No Case Split for Canceled IP (New) � ISH_MAIN DE: PPA Billing: Field ID Card Type/Gen. (FI3400) (Changed) � ISH_MAIN DE: PPA Billing FI3006 in Q3/2012 (New) � ISH_MAIN DE: PPA: Changes to Sample 10 with Q1/2012 (Changed) � ISH_MAIN DE: Service Entry (Enhanced) � ISH_MAIN DE: Service Master Data (Enhanced) � ISH_MAIN DE: New Sample Func. Modules for Grouping (DRG/PEPP) (Changed) � ISH_MAIN DE: N3078 and N3079 Customizable in Message Control (New) � ISH_MAIN DE: OPS 2012 in Psychiatry: Doc. Support (Enhanced) � ISH_MAIN DE: OPS 2013 in Psychiatry – Doc. Support (Enhanced) � ISH_MAIN DE: Check SPC Combin. for Add. Remun. for Spec. Dates (Enh.) � ISH_MAIN DE: Flat Rate Charges in Psychiatry/Psychosomatics (New) � ISH_MAIN DE: PEPP Billing: Preparation for Option Year 2013 (New) � ISH_MAIN DE: PEPP Functions for BAPI_HCSRVCAT_CHANGEITEM (Enhanced)� ISH_MAIN DE: Nursing Complex Procedures: Doc. Support (Enhanced) � ISH_MAIN DE: Procedure Entry (Enhanced) � ISH_MAIN DE: Procedure Master Data (Enhanced) � ISH_MAIN DE: Posting Back Old Copayment Receivables (Changed) � ISH_MAIN DE: Posting Back Copayment Receivables with Partial Payment(s) � ISH_MAIN DE: Support for Outpatient Billing and §301 Data Transfer (New) � ISH_MAIN DE: Version 7.0 for Data Interchange as per §302 SGB V (New) � ISH_MAIN DE: 8th Addendum to §302 Agreement of 01/01/13 (New) � ISH_MAIN DE: 9th Addendum to §302 Agreement of 01/01/13 (New) � ISH_MAIN DE: 10th Addendum to §301 Agreement of 06/30/2011 (Changed) � ISH_MAIN DE: 11th Amendment to §301 Agreement of 03/31/2012 (New) � ISH_MAIN DE: §301 Outp. Billing Areas – §120 Enhancements (Changed) � ISH_MAIN DE: §301 – New BAdI for Processing SAMU Messages (New) � ISH_MAIN DE: §301 Data Transfer for Outpatient Billing Areas (Enh.) � ISH_MAIN DE: §301 Data Transfer for Outpatient Billing Areas (New) � ISH_MAIN DE: §301 PHI: New Field for PHI Consent in Case Data (Enh.) � ISH_MAIN FR: Service Master Data for Drugs (Enhanced), see page 15� ISH_MAIN SG: EDI Procedure CCPS (Enhanced), see page 60

See also


12

You can find the release notes for SAP ERP 6.0, Industry Extension Healthcare, business functionSAP Patient Management (ISH_MAIN) on the SAP Service Marketplace under the quick link/healthcare-releasenotes Release Notes. To display the release notes for the correspondingsupport packages, choose Release Notes for Support Packages.

ISH_MAIN: SAP Patient Management, Add-on for Mobile, Version 1.0 (New)

The following applies as of SAP enhancement package 7 for SAP ERP 6.0, Industry ExtensionHealthcare (IS-H 617), Support Package 01, business function SAP Patient Management (ISH_MAIN),as well as with the Support Packages listed below:

SAP Patient Management, Add-on for Mobile, Version 1.0 is now available.

The following functions are available when you activate the business function SAP PatientManagement: Enhancements for SAP EMR Unwired (/ISHMOBIL/EMR):

Web facet Planned DischargeYou can use this function to add the Web facet Planned Discharge to the SAP EMR Unwired app.Physicians can use this Web facet to edit a planned discharge for their patients, for example directlyon their mobile device during their hospital rounds. The function has advantages for the followinginvolved parties:

o Physicians, who can enter data directly after consulting with patients and nursing staffo Patients, who are better able to plan subsequent transfers or treatmento The hospital, which is better able to plan bed capacity utilization

The Planned Discharge Web facet currently only supports the iPad variant of the SAP EMRUnwired app.

Accessing DRG grouper data from a Web facetThis function enables Web facets belonging to the SAP EMR Unwired app to access data in SAPPatient Management that is relevant for the DRG grouper. SAP provides an OData interface for thispurpose. The name of the OData service is /ISHMOBIL/DRG_GROUP_DATA_SRV (Data Retrievalfor DRG Grouping).

This interface is currently restricted to the requirements of the 3M DRG grouper in Germany,version 2012.Mobile access to DRG grouper-relevant patient data helps physicians with business decisions.

Before you can use the functions of this Add-On, you must activate the business function SAP PatientManagement: Enhancements for SAP EMR Unwired (/ISHMOBIL/EMR). The application component isISHMOBIL. This enhancement is subject to the same restrictions as the SAP EMR Unwired app.

Directly dependent business functions requiring activation in addition:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), as of Support Package 22SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), as of Support Package 14SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), as of Support Package 06SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 7 (IS-H 607), businessfunction SAP Patient Management (ISH_MAIN), as of Support Package 01

See also

For more information, see http://service.sap.com/instguides SAP Components SAP MobileApplications SAP Business Suite SAPERP SAP Administrator's Guide for SAP PatientManagement, Add-on for Mobile 1.0.


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ISH_MISC1: SAP Patient Management Legal Process Adoption 1 (Changed)

As of SAP enhancement package for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), thebusiness function SAP Patient Management: Legal Process Adoption 1 (ISH_MISC1) provides youwith new and enhanced functions in various components.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) forthis business function, see the following release note:

ISH_MISC1 AT, CH, FR: Fee Recipient – Rank Date-Specific (Changed), see page 14

See also

For more information, see Business Function Sets and Business Functions Healthcare SAPPatient Management SAP Patient Management: Legal Process Adoption 1 in the SAP Library.

For further information on Support Package Release Information for SAP Patient Management andSAP Ambulatory Care Management, see SAP Service Marketplace under the quick link /healthcare-releasenotes.


As of SAP enhancement package for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), thebusiness function SAP Patient Management: Legal Process Adoption 3 (ISH_MISC3) provides newand enhanced functions in a variety of components.

For information about the new features of this business function that are available with SAPenhancement package 7 (IS-H 617), see the following release notes:

ISH_MISC3: Repayment (New), see page 49ISH_MISC3: Partial Payment (New), see page 49ISH_MISC3 CN: Selection of Payment Types for Down Payments (New), see page 50ISH_MISC3 SG: Determination of Procedure Data for CCPS EDI Procedure (New), see page 57

See also

For more information, see the SAP Library under Business Function Sets and Business FunctionsHealthcare SAP Patient Management SAP Patient Management: Legal Process Adoption 3.

For further information on Support Package Release Information for SAP Patient Management andSAP Ambulatory Care Management, see SAP Service Marketplace under the quick link /healthcare-


As of SAP enhancement package for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), thebusiness function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2) provides youwith new and enhanced functions in various components.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) forthis business function, see the following release note:� ISH_CV_FR/MISC2: SR Absence Control (F21) (Enhanced), see page 52� ISH_MISC2 CH: Supplement Tool (Changed).� ISH_MISC2 FR: Tooth Number in Service Entry (New) , see page 53

See also

For more information, see Business Function Sets and Business Functions o Healthcare o SAPPatient Management o SAP Patient Management: Legal Process Adoption 2 in the SAP Library.

For further information on Support Package Release Information for SAP Patient Management andSAP Ambulatory Care Management, see SAP Service Marketplace under the quick link /healthcare-releasenotes.


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releasenotes.


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Basic Data

Hospital Structure

ISH_CV_FR: Defining Rehabilitation Cases (SSR) (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in theSupport Packages listed below, you can now define rehabilitation cases as follows:

Rehabilitation cases are cases whose admitting specialty is marked as SSR in specialty category 7 inthe master data.

Customizing

To mark a specialty as rehabilitation, you must enter the value SSR in column UC (ISH_UNQCD) forspecialty 7 when coding specialties.

Then assign this specialty to the departmental organizational units for rehabilitation in the master data.

For more information, see the Healthcare Implementation Guide under SAP Healthcare – Industry-Specific Components for Hospitals Hospital Basic Data Hospital Structure OrganizationalStructure Code Specialties.


Business Partners

ISH_MISC1 AT, CH, FR: Fee Recipient – Rank Date-Specific (Changed)

As of SAP Enhancement Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function SAP Patient Management Legal Process Adoption 1 (ISH_MISC1), the followingchange is available:

You can manage the fee recipient's rank for specific dates in their master data (NWCH90). The systemstores the rank in the new tables Assign Rank to Fee Recipient (TNWCH94R) (old business partner)and Assignment Rank for Fee Recipient (NFEER) (new business partner).

Please note that once you have imported the patch, you must run the conversion report Migrate FeeRecipient Ranking (RNWCHUTL48) for a table of your own to transfer the existing ranks to the newtable. For more information, see the program documentation.

This change is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management: Legal Process Adoption (ISH_MISC1), Support Package 18SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management: Legal Process Adoption (ISH_MISC1), Support Package 10SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management: Legal Process Adoption (ISH_MISC1), Support Package 02


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Service Master DataISH_MAIN FR: Service Master Data for Drugs (Enhanced)

The following enhancement is available as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN), as well aswith the Support Packages listed below:

You can mark services for drugs with a limited approval period in the service master. To do this, youenter the end date of the approval period in the service master. The new Limited Approval To field isavailable for this purpose on the Classification tab.

In the French country version of SAP Patient Management, you must document drugs with a limitedapproval period that are billed for inpatient cases with a discharge date on or after March 1st, 2012.

To do this, you create a service master with charge type F8 for these services and enter the end dateof the approval period.

This enhancement is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 19SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 11SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 03

For more information about creating the FICHCOMP file for transferring drugs (PMSI MCO), see therelease note ISH_CV_FR: PMSI Model 2012 (Changed).


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Patient Management

General

ISH_CV_FR: PMSI Model 2012 (Changed)

The following changes are available as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management: Country VersionFrance (ISH_CV_FR), as well as with the Support Packages listed below:

With the introduction of PMSI Model 2012, the regulations for the following EDI procedures have beenchanged to bring them in line with current legal regulations:FRRSS: Standardized Discharge Message (PMSI MCO)FRRSP: Standardized Message for Radiotherapy Preparation (PMSI MCO)FRVID: VIDHOSP File for Inpatient and Home TreatmentFRACE: Standardized Outpatient Clinic Invoice Message (RSF-ACE)FRRSF: Standardized Invoice Message RSF (Private Sector)FRUCD: FICHCOMP File for Drugs

All the above EDI procedures automatically determine which message type (in other words, whichmessage structure) is to be used for data reporting according to the discharge or visit date of the case,and fill the message structure with information in accordance with the regulations.

VIDHOSP File

The new VIDHOSP format contains additional information about the admission and amounts for whichthe complementary insurance funds are billed.

In addition, a version number has been added to the VIDHOSP message structure.

FRACE – Standardized Outpatient Clinic Invoice Message (RSF-ACE)

The new RSF-ACE format contains additional information about CMU insurance coverage, FIDESbilling, and NABM services (laboratory services).

The new structure is automatically used for all invoices relating to outpatient visits after March 1st,2012.

Messages are not stored in separate files for the old and new structures.

FRRSF – Standardized Invoice Message RSF (Private Sector)

The new RSF format contains additional information about CMU insurance coverage, FIDES billing,and NABM services.

The new structure is automatically used for all invoices relating to outpatient visits and discharges afterMarch 1st, 2012.

Standardized Discharge Message RSS

Enhancements have been made to the standardized discharge message RSS (which is used in theEDI procedures FRRSS and FRRSP). For cases discharged on or after March 1st, 2012, you can usethe department summary (RUM) to document that the patient was admitted to a clinical observationunit (unité de surveillance continue) from a shock room (unité de réanimation) at an external hospital.


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To enter this information when admitting the patient, you must add an admission reason for transferfrom a shock room to an observation unit to the standard admission reasons, and then enter thisreason with the admission. To create the department summary (RUM), the system maps theadmission reason to an external value for the origin. The external origin code for this purpose is R.

You enter movement reasons in Customizing under SAP Healthcare – Industry-Specific Componentsfor Hospitals Patient Management Movements Define Reasons for Movement.

You maintain the remapping of the admission reason in Customizing under SAP Healthcare –Industry-Specific Components for Hospitals Communication Electronic Data Interchange MapInternal Codes to External Codes.

Take the following rules into account when entering the remapping:Communication standard: ED-FRVersion: 1.0Direction: OTable name: NBEWField: BWGR1Internal value: The value you define for the admission reasonExternal value: R

As of March 1st, 2012, standardized discharge messages (RSS) also have to be created fornewborns, including the following situations:

Stillbirths that did not take place in the hospitalNewborns discharged directly from the delivery room to an external hospitalNewborns that were born on the way to hospital

You must create an inpatient case, specifying the week of pregnancy and weight, for all newbornsincluding stillbirths. The weight is required for children aged under 29 days.

You must also enter death data for stillbirths.

FICHCOMP File

With the introduction of PMSI Model 2012, the following changes have been made to the EDIprocedure for FICHCOMP messages:

FRUCD: FICHCOMP File Data Exchange for Drugs (PMSI MCO)

You can document billing for drugs with limited approval (médicaments avec une authorizationd’utilisation temporaire ATU) for cases discharged on or after March 1st, 2012.

To do this, you must create these drugs as a service with charge type F8 (UCD service) in the in-house service catalog. A new Limited Approval To field is available on the Classification tab page inthe service master. If the drug has a limited approval period, you enter the date to which it is approvedin this field. If the end date of the limited approval is not yet known, enter the date 12/31/9999. If thedrug has a general marketing approval, leave the Limited Approval To field blank.

There have been no changes to the other existing FICHCOMP procedures.

Online Connection to Grouper

As of March 1st, 2011, you must use the new version of the PDG-MCO grouper (V13.11d). Thisversion supports the interface (RUM) version 16 for Models 2011 and 2012.

Once you have installed the current grouper version, you do not need to make any changes to theSAP system.

However, you should make sure that the structure of the "UM.txt" file has been changed (for moreinformation, see the documentation for the PdG MCO grouper).

These changes are available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 19SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 11


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SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 03

ISH_MAIN: Side Panel "Notes/Attachments" for IS-H (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), as well as with the Support Packages listedbelow, you can now connect the side panel Notes/Attachments (BSSP_ISH_ATTACHMENTS_NOTES)to the following transactions in SAP Patient Management (IS-H):NL10 IS-H: Maintain Service EntryNL10N IS-H: Case-Related Service EntryNL11 IS-H: Display Service EntryNL11N IS-H: Case-Related Service DisplayNA30 IS-H: Case BillingNA30N IS-H: Case BillingNMM5 IS-H: Create Case-Rel. Material Req.NMM6 IS-H: Display Case-Rel. Material Req.NP10 IS-H: Call Case OverviewNV2000 IS-H: Clinical Process BuilderNV2001 IS-H: Clinical Process BuilderNV2002 IS-H: Clinical Process BuilderNV2003 IS-H: Clinical Process BuilderNV2004 IS-H: Clinical Process BuilderNV2005 IS-H: Clinical Process BuilderNV2006 IS-H: Clinical Process BuilderNV2007 IS-H: Clinical Process BuilderNV2008 IS-H: Clinical Process Builder

This is only possible if the relevant users are assigned the role SAP_BSSP_ISH_SIDEPANEL (IS-HSide Panel).

If you use the side panel in the Clinical Process Builder (transactions NV2000 – NV2008), the sidepanel is also available in all the transactions that reference this framework:NAPX1 IS-H: Maintain Readmission CaseNAPX2 IS-H: Display Readmission CaseNKVWS1 IS-H: Change PPA Work StationNKVWS2 IS-H: Display PPA Work StationNMMC1 IS-H MM: Maintain Material ConsumptionNMMC2 IS-H MM: Display Material ConsumptionNP01 IS-H: Create Patient Master DataNP02 IS-H: Change Patient Master DataNP03 IS-H: Display Patient Master DataNP11 IS-H: Create Inpatient Admiss. DataNP12 IS-H: Change Inpatient Admiss. DataNP13 IS-H: Display Inpatient Admiss. DataNP36 IS-H: Create Surgery (Case)NP37 IS-H: Create Surgery (Visit)NP38 IS-H: Change SurgeryNP39 IS-H: Display SurgeryNP40 IS-H: Create Outpatient CaseNP41 IS-H: Create Outpatient VisitNP42 IS-H: Change Outpatient VisitNP43 IS-H: Display Outpatient VisitNP44 IS-H: Maintain Treatment CertifsNP45 IS-H: Display Treatment CertifsNP91 IS-H: Create Absence


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NP92 IS-H: Change AbsenceNP93 IS-H: Display AbsenceNP97 IS-H: Create DischargeNP98 IS-H: Change DischargeNP99 IS-H: Display DischargeNREDOMA1 Change Renewable Document ManagementNREDOMA2 Display Renewable Document ManagementNV01 IS-H: Create Inpatient AdmissionNV02 IS-H: Change Inpatient AdmissionNV03 IS-H: Display Inpatient AdmissionNV04 IS-H: Create Quick Inpatient Admiss.NV05 IS-H: Change Quick Inpatient Admiss.NV06 IS-H: Display Quick Inpatient Admiss.NV07 IS-H: Create Emergency Inpat. Adm.NV08 IS-H: Change Emergency Inpat. Adm.NV09 IS-H: Display Emergency Inpat. Adm.NV11 IS-H: Create TransferNV12 IS-H: Change TransferNV13 IS-H: Display TransferNV2000_AMB IS-H: SAP ACM – CompleteNV2000_AMB_BG IS-H: SAP ACM – Workers Comp. VariantNV2000_AMB_KV IS-H: SAP ACM – PPA VariantNV2000_AMB_NA IS-H: SAP ACM – Emergency AdmissionNV2000_AMB_PV IS-H: Private Insured VariantNV2000_EMERGENCY IS-H: Emergency AdmissionNV2001_AMB IS-H: SAP ACM – CompleteNV41 IS-H: Create Outpatient AdmissionNV42 IS-H: Change Outpatient AdmissionNV43 IS-H: Display Outpatient AdmissionNV44 IS-H: Create Quick Outpat. AdmissionNV45 IS-H: Change Quick Outpat. AdmissionNV46 IS-H: Display Quick Outpat. AdmissionNV47 IS-H: Create Emergency AdmissionNV48 IS-H: Change Emergency AdmissionNV49 IS-H: Display Emergency Admission


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You can now use the Notes/Attachments side panel to enter notes and attachments, both for a patientand for a case.

If you are using a patient- and case-related transaction, you can enter, edit, and display notes andattachments for the patient and case.If you are using a transaction that is only patient-related, you can enter, edit, and display notes andattachments for the patient. The CHIPs for notes and attachments for the case are not ready forinput in this scenario.You can edit notes and attachments for a patient in the case overview (transaction NP10). Youcannot edit notes and attachments for individual cases in the case overview.

Availability

IS-H-specific tags are available as of SAP enhancement package 6 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 606), business function SAP Patient Management (ISH_MAIN), SupportPackage 10.

The role SAP_BSSP_ISH_SIDEPANEL and the side panel are available as of SAP Business SuiteFoundation 7.31, Support Package 7 (BS_FND 731 SP7).

See also

For more information, see http://help.sap.com SAP Business Suite SAP Enterprise ResourcePlanning SAP EHP 6 for SAP ERP 6.0 SAP Business Suite – Cross-Application BusinessFunctions Business Functions (SAP Business Suite Foundation 7.31) General BusinessFunctions for SAP Business Suite Side Panel for Business Suite.

ISH_MAIN: Enhancement in the Clinical Work Station (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), a function for entering services for all cases(transaction NL01N) has been added to the function list for the Outpatient Clinic/Service Facility viewtypes in the clinical work station (transaction NWP1). You can select a number of cases and processthem in service entry for all cases.

These enhancements are available as of:SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), SupportPackage 22, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), SupportPackage 14, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 07, business function SAP Patient Management (ISH_MAIN)

ISH_MAIN: CH, IT, FR: Copying Ins. Cards in Patient Merging (Enh.)

The following feature is available as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN), as well aswith the Support Packages listed below:

The reports RNJOIN00 (IS-H: Merge Patients) and RNUPATCMP (IS-H: Find Similar Patients) nowinclude a function for copying insurance card data during patient merging for the country versions CH(Switzerland), FR (France), and IT (Italy). Before you can use this function, you must activate it inCustomizing for the institution in question.


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Until now, card data was only taken into account in patient merging in the country versions DE(Germany), NL (Netherlands), and CN (China). As before, you do not need to make specialCustomizing settings if you want to use the function. In the country versions CH, FR, and IT, patientmerging would previously terminate with an error message.

The new function allows you to activate the function for copying card data in Customizing for specificinstitions in the country versions CH, FR, and IT. You can now merge patients with existing card dataand copy the card data to the active patient.

You can display the new No. Cards column (number of cards) in transaction NP07 for the hit list ofsimilar patients. To do this, you must add this column to the layout for report RNUPATCMP.

There is no change here for the country versions DE, NL, and CN.

Effects on Customizing

You activate the function for merging patient master data with existing card data under SAPHealthcare – Industry-Specific Components for Hospitals Basic Settings System ParametersMaintain Institution-Specific Basic Control.

See also

For more information, see SAP Note 1769129.

ISH_MAIN: Adjustment of NV2000 Subscreens to Maximum Width (Changed)


All the subscreens in the Clinical Process Builder (NV2000 subscreens) that have a table-likestructure, for example using SAP List Viewer (ALV), are now automatically displayed at the maximumpossible screen width.

This applies to the following subscreens, among others:

View Type ID Name

A01 SAP_AT_EAB AT: EDIVKA Admission Reason

A01 SAP_AT_V01 AT: WIKRAF – V01

A01 SAP_DIA Referral Diagnoses

A01 SAP_DIA_A Diagnoses

A01 SAP_DIA_D DRG Diagnoses

A01 SAP_DIA_F Diagnoses for the case

A01 SAP_DRGDIP DRG Diagnoses/Procedures

A01 SAP_FR_PCC FR: Case Classification

A01 SAP_INS Insurance Relationships


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A01 SAP_INS_P Insurance Relationship Proposal Pool

A01 SAP_MAT Material Consumption

A01 SAP_PROC Procedures

A01 SAP_RSF Risk Information

A01 SAP_SRVC Services

This change is available with the following Support Packages:SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), SupportPackage 10, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 02, business function SAP Patient Management (ISH_MAIN)

NV2000 subscreens with a form-like structure are displayed as before.

Patient Master Data

ISH_MAIN: Patient Merge (Enhanced)

The following enhancements are available as of SAP enhancement package 7 for SAP ERP 6.0,Industry Extension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN),as well as with the Support Packages listed below:

A new Client-Wide Merge indicator has been added to the Client Control Parameters (TN00). If youselect this indicator, the system does not run an authorization check at case level during patientmerging.The Business Add-In (BAdI) BAdI: Change Patient Merging (ISH_PATJOIN_CHANGE) supports youin patient merging. You can use method CHANGE to make customer-specific adjustments whilesaving the patient merge.For more information, see Customizing under SAP Healthcare – Industry-Specific Components forHospitals Patient Management Patients BAdI: Change Patient Merging.The new Business Add-In (BAdI) BAdI: Patient Merging – Determine Reference Patient(ISH_PATJOIN_RANKING) supports you when searching for similar patients (report RNUPATCMP).You use method DETERMINE_RANKING to exchange the reference patient from the table withsimilar patients and, if necessary, to decimate or sort the table in a specific way.For more information, see Customizing under SAP Healthcare – Industry-Specific Components forHospitals Patient Management Patients BAdI: Patient Merging – Determine ReferencePatient.The country version Austria contains sample code that is processed during patient merging to adjustthe insurance default values for patients who are used as third-party payers.For more information, see the documentation for sample class ISH_EXM_PATJOIN_CHECK_AT.

These enhancements are available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 31, business functionSAP Patient Management (ISH_MAIN)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), businessfunction SAP Patient Management (ISH_MAIN), Support Package 21SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 21SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 13SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 05


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Outpatient Case

ISH_MAIN: Copying Services when Changing Case Type (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), you can copy services from an inpatientcase to an outpatient case when changing the case type.

This enhancement is available as of:SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 31, business functionSAP Patient Management (ISH_MAIN)SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), SupportPackage 21, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), SupportPackage 21, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), SupportPackage 13, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 5, business function SAP Patient Management (ISH_MAIN)

To use this new function, you must first activate it in Customizing. You do this using the new indicatorCopy Services When Changing Case Type. The indicator is available in the following existingCustomizing activity: SAP Healthcare – Industry-Specific Components for Hospitals PatientManagement Cases Define Case Revision Settings.

A new detail screen is available for maintaining the entries in this Customizing activity.

Once you have activated the function, you can copy services assigned to the admission to the newoutpatient visit when you change the case type.

The system displays the services that can be copied in a dialog box. These are immediate servicesthat were not created by means of service rules or on the basis of treatment categories.

The system does not list i.s.h.med services for copying. This means the user can only selectand copy services from SAP Patient Management (IS-H).

You can select the services you want to copy in the dialog box. The system then creates theseservices for the new visit. This means the system assigns these services a new sequence number butprimarily copies the attributes from the original service.


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Copying Service Attributes

The system copies the attributes of the services, but redetermines some, including the following,based on the new situation:

Meaning Technical Field in Table NLEI

Sequence number of service LNRLS

Sequence number of movement LFDBEW

Requesting OU, departmental ANFOE

Performing OU ERBOE

Requesting OU, nursing ANPOE

Billing indicator ABKRZ

Multiplication factor TARAS

Reason for multiplication factor BEGTX

CO-relevant HCOKZ

The system does not redetermine attributes that were changed manually (for example, organizationalunits). The system copies the attributes that were entered manually to the new services.

The system creates the physicians assigned to a service in the same way for the new service,including all the attributes.

Service-Service Assignments

The system copies existing service-service assignments. This is only possible if both services still existand are copied.

If an assignment is lost due to the selection made by the user, the system displays a warning in adialog box.

Example: Services in an Inpatient Case

Movements Assigned Services

Preadmission visit Service A

Admission Service B

Service C

Service D

Telephone service (extended service)

Service-Service Assignments in an Inpatient Case

Service 1 Service 2

Service A Service B

Service C Telephone service (extended service)

Service B Service C

Service A Service D

The system lists services B, C, and D for selection in the dialog box.


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User Selection

The user makes the following selections:Service B selectedService C not selectedService D not selected

Selection for Copying Service

X Service B

- Service C

- Service D

The system checks the existing service-service assignments and performs the following actions:

Service 1 Service 2 System Behavior

Service A Service B The system creates theassignment again.

Service C Tel. service (extended service) System cancels the assignmentbecause the telephone serviceis canceled.

Service B Service C The system displays a warningand cancels the assignment.

Service A Service D The system displays a warningand cancels the assignment.

ISH_MAIN: Statistics Block (Enhanced)


As of the following Support Packages, you can prevent the system from automatically removing astatistics block once it has been set for a case:

SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 29, business functionSAP Patient Management (ISH_MAIN)SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), SupportPackage 18, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), SupportPackage 18, business function SAP Patient Management (ISH_MAIN)


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SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), SupportPackage 10, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 02, business function SAP Patient Management (ISH_MAIN)

In the standard delivery, the system adjusts the Statistics Block indicator according to the setting forthe Statistics Block indicator in Customizing for the current movement type.

If the Statistics Block indicator is selected for a case and the user enters a movement with amovement type for which the Statistics Block indicator is not selected in Customizing, the systemremoves the Statistics Block indicator for the case and displays message N11 110, Removing"Statistics Block" indicator due to movement type. If you suppress this message in message control,the system no longer automatically removes the Statistics Block indicator in this case. The messagebelongs to function NFAL and its default type is "I".


You can configure message control in Customizing under SAP Healthcare – Industry-SpecificComponents for Hospitals Basic Settings System Parameters Message Control MaintainMessages.

ISH_MAIN: Assigned Cases from Case List/Discharging Companions (Enh.)

The following enhancements are available as of SAP enhancement package 7 for SAP ERP 6.0,Industry Extension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN),as well as with the Support Packages listed below:

Assigned Cases from the Case ListIt was previously only possible to access the list of cases or companions assigned to a case bychoosing Extras Assigned Cases in movement data processing.It is now possible to access the list of assigned cases from the case list. The field list for the case listincludes the new field Case-to-Case Assignments Exist (FFZ). The field is displayed as a hotspot,which you can use to access the list of assigned cases directly from the case list. Before it can beused, the user or system administrator must "show" the new field in layout administration for thecase list or case overview.Discharging Assigned CasesIt was previously only possible to discharge companions using the companion’s case number, butnot directly from the “accompanied” case. Cases that are assigned to each other can now bedischarged together. To do this, proceed as follows:

o Create a discharge for one of the cases that are assigned to each other. This willnormally be the main case (for example, accompanied patient).

o Save the discharge. When you do this, the system may display message NFAL N1436.Note on message NFAL N1 436: This message ensures that the end date of the case-to-case assignment is not later than the discharge date of the cases (or in the case ofan admission, that the admission date is not later than the start date of the case-to-case assignment). If the assignment has the function Newborn or Mother, orCompanion or Accompanied Patient, the default message type is "E" (Error). Yoursystem administrator can define the message type for these functions as "W"(Warning) in message control in Customizing. It is always "W" for all other functions.

o Depending on the Customizing settings for message control and for the functions inquestion, the system can display a warning or an error message when you save thedischarge.

If a warning is displayed, you can save the discharge without having todischarge the assigned case and adjust the date of the case-to-caseassignment. If necessary, you can do this later. This means processing iscomplete for the moment.

If the system displays an error message, it cannot save the discharge until thedate of the case-to-case assignment has been adjusted. This is so that theuser does not forget to discharge the assigned case (for example, thecompanion).


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o If message N1 436 (type "E") is displayed, choose Assigned Cases to access the listof assigned cases from the discharge function.

o In the list of assigned cases, select the case that you want to discharge together withthe main case and choose Discharge. This is only possible if the correspondingfunction of the case-to-case assignment has been marked as Relevant for Dischargeby system administration in Customizing under SAP Healthcare – Industry-SpecificComponents for Hospitals Patient Management Cases Define Functions of aCase-to-Case Assignment.

o Create the discharge for the second case and save.You now return automatically to the detail screen for the case-to-case assignment youselected. The discharge date for the two cases is now displayed as the end date.

o Save again.The system now saves both the case-to-case assignment with the modified end dateand the discharge for the first case.Both cases are now discharged and the case-to-case assignment has been adjustedaccordingly.

You can access the list of assigned cases from each movement for a case by choosing AssignedCases General, or by choosing the new hotspot in the case list.If all the following conditions apply, you cannot discharge the case from the list of assigned casesusing the Discharge function, since in these circumstances, one of the assigned cases is locked:

o The end date of the case-to-case assignment is 12/31/9999 or the field is blank.o Message N1 436 is configured as "E" (Error).o The user did not access processing through the discharge of the main case.

If this situation occurs, the system displays message N1 775 (Function only possible if accessedthrough discharge for assigned case).

If the discharge of the assigned case already exists, the system opens it in processing mode when youchoose Discharge.

These enhancements are available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management(ISH_MAIN), Support Package 33SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), businessfunction SAP Patient Management (ISH_MAIN), Support Package 23SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 23SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 14SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 08

ISH_MAIN: Automatic Refresh in the Case Overview (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), you can have the system refresh the caseoverview when changes are made.

In addition, the data in the list header is updated when performing both a manual and an automaticrefresh.

These enhancements are available as of:SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 32, business functionSAP Patient Management (ISH_MAIN)SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), SupportPackage 22, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), SupportPackage 22, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), SupportPackage 14, business function SAP Patient Management (ISH_MAIN)


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SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 07, business function SAP Patient Management (ISH_MAIN)


You must explicitly activate or deactivate the automatic refresh function for the case overview inCustomizing for the institution. You do this using the Refresh Case Overview Automatically field inCustomizing under Basic Settings Maintain Institution-Specific Basic Control.

General Case Processing

ISH_MAIN: Displaying the Public List Block (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), you can display the Public List Blockindicator in the clinical work station and the case overview. This means it is visible to staff who mayneed to provide information to the public but do not work with the public list.

If the Public List Block indicator is selected for a patient, the system does not display this patient in thepublic list. Until now, the clinical work station and case overview did not indicate whether the public listblock was selected. As a solution, sample code for user exits and a Business Add-In (BAdI) areavailable for displaying the Public List Block indicator as a symbol or text on screens with a patient andcase header, as well as in the Occupancy, Arrivals, and Departures views in the clinical work station.

Enhancement NPATHEAD: IS-H patient headero You can access the sample code by choosing the enhancement NPATHEAD in

transaction CMOD.o Sample code allowing you to display the Public List Block indicator in the patient

header has been written for function exit EXIT_SAPLNCHD_005.Enhancement NCASHEAD: IS-H case header

o You can access the sample code by choosing the enhancement NCASHEAD intransaction CMOD.

o Sample code allowing you to display the Public List Block indicator in the caseheader has been added to function exit EXIT_SAPLNCHD_006.

New column in the clinical work station for Occupancy, Arrivals, and Departures viewsThe following enhancements have been made to the sample implementation for BAdIISH_WP_VW123_COLUMN:

o Class: CL_EXM_IM_ISH_WP_VW123_COLUMNo Method: IF_EX_ISH_WP_VW123_COLUMN~MODIFY

To display the Public List Block indicator in the lists, you must add it to the column set in the SAPList Viewer (ALV). To avoid having the column appear in the clinical work station without any contentor purpose, the append structure is not active in the standard delivery.If you want to activate the new column, you must create an append structure for the followingstructures:

o - RNWP_OCCUPANCY_LIST (Occupancy)o - RNWP_ARRIVAL_LIST (Arrivals)o - RNWP_DEPARTURE_LIST (Departures)

Use ISH_PFORT_ICON as the data element for the new column. You could name the new column“ZZ_PFORT_ICON”.For more information, see the comments in the source code of the sample implementation.Function for accessing patient master data by hotspot from the new columnYou can assign the new column a function whereby the system displays the patient master data forthe case when you click on the column.You have created a new sample implementation for BAdI ISH_WP_VW123_FUNC.

o Class: CL_EXM_IM_ISH_WP_VW123_FUNCo Method: IF_EX_ISH_WP_VW123_FUNC~FUNCTION


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These new features are available as of:SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 32, business functionSAP Patient Management (ISH_MAIN)SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), SupportPackage 22, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), SupportPackage 22, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), SupportPackage 14, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 07, business function SAP Patient Management (ISH_MAIN)

ISH_MAIN: Check Multiple Assignment for Case-Person Assgt (Changed)

The following change to the checks for multiple assignments in case-to-person assignments isavailable as of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H617), business function SAP Patient Management (ISH_MAIN), as well as with the Support Packageslisted below:

Message N1 439 (Assignment with the function & already exists) can now be controlled using functionNFAL for the dialog elements External Physicians and Internal Physicians. If an error occurs, thesystem now automatically displays message N1 439 as an error message (type 'E').

This change is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 24SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 15SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 09


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A new entry for message N1 439 and function NFAL with the default message type 'E' is now availablein Customizing under SAP Healthcare – Industry-Specific Components for Hospitals Basic Settings

System Parameters Message Control Display Customizable Messages (SAP). If you want toperform a less strict check for multiple assignments in transaction NV2000, you can specify a differentmessage type for message N1 439 for function NFAL in Customizing under SAP Healthcare –Industry-Specific Components for Hospitals Basic Settings System Parameters MessageControl Maintain Messages.

See also


ISH_MAIN: Entry of Default Case Start and End Dates for Outp. Cases (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN) and the Support Packages listed below, youcan now influence the entry of a default case start and end dates when creating an outpatient case orwhen changing the case type from inpatient to outpatient.

For this purpose, a new Case From/To list box is available in Customizing under SAP Healthcare –Industry-Specific Solutions for Hospitals Patient Management Movements Define MovementTypes. You can choose between the following options:

No default: The system does not enter start and end dates.Quarterly case: The system enters the start and end dates of the quarter.Sameday case: The start and end dates are the visit date.

The list box is only active for the movement category Outpatient Visit. The default value is "NoDefault".

Country version Germany: This function is only possible for non-PPA cases. If the case is a PPAcase, the system enters the period for a PPA case (quarter).

When you select the visit type, the system enters the case start and end dates in accordancewith the Customizing settings. If you change the visit type before saving the new case, thesystem changes the case start and end dates in accordance with the Customizing settings.

This field is available for all country versions that define movement types in Customizing under SAPHealthcare – Industry-Specific Components for Hospitals Patient Management MovementsDefine Movement Types.

These new features are available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management(ISH_MAIN), Support Package 33SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), businessfunction SAP Patient Management (ISH_MAIN), Support Package 23SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 23SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 14SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 08

See also



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ISH_MAIN: Evaluation by First Visit (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), The reports RNLPFB00, RNPFBC0G,RNLAMB01, RNLFPZ00, and RNASEL01 now have a new parameter, Include First Visit Only.

These enhancements are available as of:SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 32, business functionSAP Patient Management (ISH_MAIN)SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), SupportPackage 22, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), SupportPackage 22, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), SupportPackage 14, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 07, business function SAP Patient Management (ISH_MAIN)

Until now, the standard system did not provide a function to restrict the above reports to the first visit ina case. As a result, the reports listed all the movements in a case that met the selection criteria.

Now, if you select the Include First Visit Only indicator on the relevant selection screens, the systemalso checks for the existence of the first visit. If this visit is before the movement to be displayed, thesystem does not include it in further processing. This reduces the number of hits more significantlythan before.

The Include First Visit Only indicator is only relevant for outpatient visits. The very flexiblereport RNLPFB00 displays the warning message N5 122 ("Include 1st Visit Only" indicator isonly relevant for outpatient visits) if you use the new function in a different manner from thatoriginally intended by SAP.


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Care Unit Management

ISH_MAIN: New Message N1 891 Can Be Configured in Message Control (New)

When assigning beds in building units that are locked in a future period, the system previouslydisplayed the error message N1 263 (Building unit & is temporarily blocked: & &) and bed assignmentwas not possible.

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN) the new configurable message N1 891 isavailable. The system displays message N1 891 (Building unit &1 is locked from &2 to &3) if amovement begins on a date before the start of the period during which the building unit is locked. Themessage is displayed by default as an error message, but you can configure it in message control, forexample as a warning. This means you can make a bed assignment in a building unit that is locked ina future period.

This new feature is available as of the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, Support Package 32, business function SAP PatientManagement (ISH_MAIN)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), businessfunction SAP Patient Management (ISH_MAIN), Support Package 22SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 22SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 14SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 07

ISH_MAIN: Assigned Cases from Case List/Discharging Companions (Enh.)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN) the following enhancements are available forassigned cases:

Assigned Cases from the Case List

It was previously only possible to access the list of cases or companions assigned to a case bychoosing Extras Assigned Cases in movement data processing.

It is now possible to access the list of assigned cases from the case list. The field list for the case listincludes the new field Case-to-Case Assignments Exist (FFZ). The field is displayed as a hotspot,which you can use to access the list of assigned cases directly from the case list. Before it can beused, the user or system administrator must "show" the new field in layout administration for the caselist or case overview.

Discharging Assigned Cases

It was previously only possible to discharge companions using the companion’s case number, but notdirectly from the “accompanied” case. Cases that are assigned to each other can now be dischargedtogether. To do this, proceed as follows:

1. Create a discharge for one of the cases that are assigned to each other. This will normally bethe main case (for example, accompanied patient).


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2. Save the discharge. When you do this, the system may display message NFAL N1 436.Note on message NFAL N1 436: This message ensures that the end date of the case-to-caseassignment is not later than the discharge date of the cases (or in the case of an admission,that the admission date is not later than the start date of the case-to-case assignment). If theassignment has the function Newborn or Mother, or Companion or Accompanied Patient, thedefault message type is "E" (Error). Your system administrator can define the message typefor these functions as "W" (Warning) in message control in Customizing. It is always "W" for allother functions.

3. Depending on the Customizing settings for message control and for the functions in question,the system can display a warning or an error message when you save the discharge.

o If a warning is displayed, you can save the discharge without having to discharge theassigned case and adjust the date of the case-to-case assignment. If necessary, youcan do this later. This means processing is complete for the moment.

o If the system displays an error message, it cannot save the discharge until the date ofthe case-to-case assignment has been adjusted. This is so that the user does notforget to discharge the assigned case (for example, the companion).

4. If message N1 436 (type "E") is displayed, choose Assigned Cases to access the list ofassigned cases from the discharge function.

5. In the list of assigned cases, select the case that you want to discharge together with the maincase and choose Discharge. This is only possible if the corresponding function of the case-to-case assignment has been marked as Relevant for Discharge by system administration inCustomizing under SAP Healthcare – Industry-Specific Components for Hospitals PatientManagement Cases Define Functions of a Case-to-Case Assignment.

6. Create the discharge for the second case and save.You now return automatically to the detail screen for the case-to-case assignment youselected. The discharge date for the two cases is now displayed as the end date.

7. Save again.

The system now saves both the case-to-case assignment with the modified end date and thedischarge for the first case.

Both cases are now discharged and the case-to-case assignment has been adjusted accordingly.

You can access the list of assigned cases from each movement for a case by choosing AssignedCases General, or by choosing the new hotspot in the case list.

If all the following conditions apply, you cannot discharge the case from the list of assigned casesusing the Discharge function, since in these circumstances, one of the assigned cases is locked:

The end date of the case-to-case assignment is 12/31/9999 or the field is blank.Message N1 436 is configured as "E" (Error).The user did not access processing through the discharge of the main case.

If this situation occurs, the system displays message N1 775 (Function only possible if accessedthrough discharge for assigned case).

If the discharge of the assigned case already exists, the system opens it in processing mode when youchoose Discharge.

These enhancements are available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management(ISH_MAIN), Support Package 33SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), businessfunction SAP Patient Management (ISH_MAIN), Support Package 23SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 23SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 14SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 08


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Outpatient Clinic Management

ISH_MAIN: Enhancement to BAdI ISH_TIMESLOT_TXT (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), the following applies:

To allow you to display a symbol together with a quick info text in the appointment text using animplementation of the Business Add-In (BAdI) ISH_TIMESLOT_TXT, SAP has added the optionalchanging parameter TIMESLOT_ICON to the BAdI method MODIFY_TIMESLOT_TEXT. You can usethis new parameter to display a symbol separately from the actual appointment text. The symbol isdisplayed before the appointment text.

Please note: If you also display a symbol, the system abbreviates your appointment text by fourcharacters for display.

These enhancements are available as of:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 24SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 15SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 15


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Medical/Nursing Documentation

General

ISH_MAIN: New Business Transactions in Status Management (Enhanced)


You can now use new business transactions in basic medical documentation status management.This release note describes the enhancements and new features that are generally available. Forinformation about enhancements and new features that are only relevant for the country version Italy,see the release note ISH_CV_IT: New Business Transactions in Basic Medical Documentation StatusManagement (Enhanced).

The following business transactions are new:Change Selected Birth DataChange Selected Insurance RelationshipsChanging Selected Services


New Developments in DetailChange Selected Birth DataYou can use the business transaction Change Selected Birth Data to prevent changes to birth data.In the business transaction, the system examines the status of the mother’s case and that of thechild’s case to determine whether changes are allowed.

o If the status of the mother does not allow the business transaction, you cannot makechanges to any of the children's birth data.

o If the status of the mother allows the business transaction, the system checks thestatus of the child.

o If the status of the child also allows the business transaction, you can change the birthdata.

However, if the status of the child does not allow the business transaction, you cannot makechanges to this child's birth data.However, if the status of another child (multiple birth) allows the business transaction, you canchange this child's birth data.You can use an implementation of Business Add-In (BAdI) ISH_BT_NGEB_MULT_CHECK to restrictthe records for processing in the business transaction Change Selected Birth Data. You can specifyyourself which of the birth records (NGEB) related to a mother’s case are to be relevant for thebusiness transaction. You can also use the BAdI to specify that the business transaction is not toinclude the creation of new birth records.Changing Selected Insurance RelationshipsYou can use the business transaction Change Selected Insurance Relationships to prevent changesto insurance relationships. Changes checked by the system include the following:

o Changes to fields in existing insurance relationships for the caseo Cancellation of an insurance relationship for the case

You cannot override high priority checks (for example, preventing changes after final billing)by allowing this business transaction.

You can use an implementation of Business Add-In (BAdI) ISH_BT_NCIR_MULT_CHECK to restrictthe records for processing in the business transaction Change Selected Insurance Relationships.You can specify yourself which case-related insurance relationships (NCIR) for a patient are to be


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relevant for the business transaction. You can also use the BAdI to specify that the businesstransaction is not to include the creation of new case-related insurance relationships (or copying ofinsurance relationships from proposals).Change Selected ServicesYou can use the business transaction Change Selected Services to prevent changes to individualservices, or to all services. You can use an implementation of BAdI ISH_BT_NLEI_MULT_CHECK torestrict the records for processing in the business transaction Change Selected Services. You canspecify yourself which services are to be relevant for the business transaction. You can also use theBAdI to specify that the business transaction is not to include the creation of new services.

You cannot override high priority checks (for example, preventing the cancellation of aservice after final billing) by allowing this business transaction.


You can configure the new business transactions in Customizing under SAP Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic MedicalDocumentation Status Management Define Status Profiles and you can configure thecorresponding BAdIs under SAP Healthcare – Industry-Specific Components for HospitalsMedical/Nursing Documentation Basic Medical Documentation Status Management BusinessAdd-Ins for Basic Medical Documentation Status Management.

See also

If you are using the country version Italy, you should also read the release note ISH_CV_IT: NewBusiness Transactions in Basic Medical Documentation Status Management (Changed).

ISH_MAIN: Editable Fields in the Diagnosis Overview (Enhanced)


You can now change the following fields directly in the diagnosis overview:Localization of diagnosisDiagnostic certaintyCategory for DRG diagnosesBlocking indicator for a diagnosisMulti-case diagnosis indicator (diagnosis reference)

These fields are now available as editable fields in the field list. The previous display fields are stillavailable.

You can also switch between the Referral Diagnosis and Treatment Diagnosis indicators directly in thediagnosis overview. You can now switch between the existing fields by clicking on a hotspot.


Effects on System Administration

If you want to use these new functions, the system administrator or user must copy the new fields intotheir screen layout from the field list.


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See also


ISH_MAIN: Messages in the Diagnosis Overview (Enhanced)


You can now navigate directly from a message in the diagnosis overview to the diagnosis thattriggered it. The system supports this function for many of the error messages that can appear in thediagnosis overview, but not for all; especially not for error messages that do not relate directly to aspecific diagnosis.

To use this function, position the cursor on a message in the message dialog box in the diagnosisoverview and choose the new Diagnosis Reference function. The system then flags the diagnosis thattriggered the message, if possible.

The Diagnosis Reference function is displayed as standard in the message dialog box in the diagnosisoverview. However, in certain circumstances (if there are messages for outpatient PPA billing), theOutpatient Coding Guidelines function is displayed instead.


See also


Basc Medical/Nursing Documentation

ISH_CV_IT: New Business Transactions in Status Management (Enhanced)

The following changes are available as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management: Country Version Italy(ISH_CV_IT), as well as with the Support Packages listed below:

You can now use new and enhanced business transactions in basic medical documentation statusmanagement.

This release note describes the enhancements and new features that are specific to the countryversion Italy. For information about enhancements and new features that are available generally, seethe release note ISH_MAIN: New Business Transactions in Basic Medical Documentation StatusManagement (Enhanced).

The following business transaction has been enhanced: Change Selected Case DataThe following business transaction is new: Change Case-Related Patient Data (IT)The following business transaction contains country-specific features for Italy: Changing SelectedServices


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Enhancements and New Developments in DetailChange Selected Case Data (enhancements are only relevant for the country version Italy)You can now use the business transaction Change Selected Case Data to prevent changes to thefollowing two fields:

o ISTAT Code of Residenceo ASL Code of Residence

To do this, configure these fields in Customizing under SAP Healthcare – Industry-SpecificComponents for Hospitals Medical/Nursing Documentation Basic Medical DocumentationStatus Management Maintain Fields for Detailed Definition of Business Transactions.Changes to Waiting List Information (enhancements are only relevant for the country version Italy)If the status of a case does not allow the business transaction Change Selected Case Data, thesystem prevents changes to waiting list information for any preregistrations connected to the case.This applies to the Waiting List Type, Admission Date, and Waiting List Priority fields. The systemalso prevents the case from being separated from the preregistration items. In addition, the systemprevents the cancellation of these preregistration items and of the entire preregistration.Change Case-Related Patient Data (only relevant for country version Italy)You can use the business transaction Change Case-Related Patient Data (IT) to prevent changes tothe case-related patient master data (table NPNTCAS).Change Selected ServicesYou can activate the implementation ISH_BT_NLEI_MULT_CHECK_IT for BAdIISH_BT_NLEI_MULT_CHECK. The effect of this implementation is that the business transaction onlycontains the autopsy services for the case. This means you can use status management to preventchanges to autopsy services.


You can configure the new and enhanced business transactions in Customizing under: SAPHealthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation BasicMedical Documentation Status Management Define Status Profiles and SAP Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic MedicalDocumentation Status Management Maintain Fields for Detailed Definition of BusinessTransactions, and you can configure the corresponding BAdIs under SAP Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic MedicalDocumentation Status Management Business Add-Ins for Basic Medical Documentation StatusManagement.

See also

See the release note ISH_MAIN: New Business Transactions in Basic Medical Documentation StatusManagement (Changed).

ISH_MAIN AT: Online Scoring Work Station (Enhanced)

This release note is only relevant for the country version Austria and is not available in English.

ISH_MAIN: New Transactions for Basic Med. Doc. Status Management (New)

Until now, only the business transaction "Bill Case" (NABR) was available to control whether or not acase could be billed using basic medical documentation status management. It is not possible todistinguish between interim and final billing in transaction NABR.


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Two new business transactions, "Interim Bill Case" (NINB) and "Final Bill Case" (NFIB), are nowavailable in addition to the transaction "Bill Case", allowing you to control how a case is billable ingreater detail. The system still checks the "Bill Case" transaction, and this transaction must be allowedif a case is to be interim or final billed. If you do not use the two new transactions in the status profile,the system behavior does not change.

This detailed control of status management still affects mass billing, when a case is automaticallyinterim billed if final billing is not possible. Here too, the system runs a check according to the newtransactions in status management and prevents interim billing if appropriate.

These new features are also available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management(ISH_MAIN), Support Package 35SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), businessfunction SAP Patient Management (ISH_MAIN), Support Package 26SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 26SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 17SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 11


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Patient Accounting

General

ISH_CV_FR: Interim Billing for Rehabilitation Cases (SSR) (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in theSupport Packages listed below, you can now perform interim billing for rehabilitation cases.

If you have assigned a contract scheme that allows interim billing to an inpatient rehabilitation case,you can also perform live billing for this case on a specified date, even if the case has not yet beendischarged.

Contract schemes with interim billing must meet with certain criteria if billing is to take placecorrectly. For example, there should be no maximum amounts or portions < 100% definedfor contract schemes with interim billing. The system does not check whether the contractscheme you create can obtain correct results in interim billing. There is also no check todetermine whether subsequent changes to patient, case, or movement data have invalidatedexisting interim billing runs.


ISH_CV_FR: FIDES – Dir. Billing with Soc. Ins. for Outp. Cases (Enhanced)

The following enhancement isavailable as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management: Country VersionFrance (ISH_CV_FR), as well as with the Support Packages listed below:

The French Ministry of Health is switching from billing outpatient services for state hospitals from aglobal budget to direct individual billing to the social insurance fund. This billing reform is known inFrance by the abbreviation FIDES-ACE (Facturation Individuelle Directe des Etablissements de Santédes Actes et Consultations Externes). It applies exclusively to outpatient cases in acute care (MCO)and to sales of drugs from the hospital pharmacy. This means it does not apply to inpatient and daypatient cases in acute care or to cases in rehabilitation (SSR), psychiatry, home care (HAD), andnursing homes (EHPAD).

The FIDES-ACE reform is currently being piloted and will be rolled out from January 2013.

FIDES-ACE billing is referred to below as "direct billing".

Direct billing is based on a legally defined basic service price, which is multiplied by one or both of thefollowing coefficients depending on the type of service to determine the price for which the socialinsurance fund is to be billed:

Transition coefficient ("coefficient transitoire")Geographical coefficient ("coefficient géographique")According to legal regulations, the transition coefficient has been set to 1 for all hospitals in France.

These coefficients can only be taken into account when calculating the price of the portion of a servicefor which the state health insurance fund is to be billed. The patient contribution towards the servicemust not be affected by these coefficients.

The coefficients are not taken into account in billing cases outside the area of T2A (areas M, C, O, andN), for example SSR or PSY cases.


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To be more precise, the transition coefficient must be used for the following services:CCAM servicesNGAP servicesNABM services (lab services)Radiology flat rates (FTG, FTN, FTR)Outpatient flat rates (ATU, FFM, SE)

In addition, the geographical coefficient must be used to calculate the reimbursement basis for statehealth insurance funds for the following services:

Outpatient flat rates (ATU, FFM, SE)

Example:

See B2 documentation, appendix 27, case 1

Billing of consultation service CS with a basic price of EUR 23.

The transition coefficient is 1.1. The state health insurance fund covers 70% of the service.

The state health insurance fund reimburses (EUR 23 * 1.1) * 0.7 = EUR 17.71

The amount for the patient or for the complementary insurance fund is: EUR 23 * 0.3 = EUR 6.90

Activating FIDES Billing

If your hospital wants to switch to direct billing from a key date, you must activate these new billingrules and also make additions to the pricing procedure.

The following new Customizing activity is available for activating FIDES billing: SAP Healthcare –Industry-Specific Components for Hospitals Patient Accounting Billing Configure SpecialForms of Billing Control Billing Modes.

You can enter the key date from which direct billing is to be active in this activity. As of this date, thesystem uses the rules for direct billing, and automatically uses the B2 version June 2005 Addendum Dfor the EDI procedure FRB2.

Configuring the Coefficients in the Pricing Procedure

To have the system process the transition coefficient and the geographical coefficient in pricing, youmust define the values of the coefficients in Customizing, as well as define corresponding conditiontypes and add them to the pricing procedure.

You maintain the values for the transition and geographical coefficient in Customizing under SAPHealthcare – Industry-Specific Components for Hospitals Patient Accounting Billing ConfigureSpecial Forms of Billing Billing Parameters (Institution- and Time-Dependent).

Then create the following condition types in Customizing under SAP Healthcare – Industry-SpecificComponents for Hospitals Patient Accounting Billing Pricing (Using Conditions) Conditions

Define Condition Types:


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Transition Coefficient

Define a condition type with the following data:Condition class A (surcharges or discounts)Calculation rule G (formula)Item condition X

Then specify this condition type in your pricing procedure with requirement 120 and calculationformula 72.

Geographical Coefficient

Define a condition type with the following data:Condition class A (surcharges or discounts)Calculation rule G (formula)Item condition X

Then specify this condition type in your pricing procedure with requirement 121 and calculationformula 73.

To correct the surcharges correctly, the entries of the conditions for the coefficients mustbuild on each other; in other words, a subsequent condition (such as the geographicalcoefficient) must include the previous surcharge coefficient in its calculations.

In addition, the condition for the deduction of the fixed patient contribution portion of € 18 (formula139) must follow on from the entries for the two coefficients.

The rounding condition (formula 138) can be positioned before the coefficient surcharges, since therounding condition cannot process these surcharges for technical reasons.

Rounding differences resulting from the coefficients are taken into account and cleared whencalculating the surcharges.

Service Entry

In case-related service entry, you can now enter a tooth number for dental services. The tooth numberis displayed in the B2 message in direct billing (June 2005D version).

You enter the number of a tooth in the "Tooth Number" field in case-related service entry.

The BAPIs for entering service data have also been enhanced accordingly.

Addition of Specialties

FIDES direct billing applies to acute care

Until now, acute care was identified by the areas M/C/O (Médecine, Chirurgie, Obstétrique = internalmedicine, surgery, obstetrics), with obstetrics and dentistry grouped under "O". With the introduction ofdirect billing, dentistry has been separated from obstetrics and included as a separate area, "N".

To perform billing correctly, you must define a new specialty key for dentistry. To do this, choose SAPHealthcare – Industry-Specific Components for Hospitals Hospital Basic Data Hospital Structure

Organizational Structure Code Specialties in Customizing and define a new "Dentistry" entry forspecialty category 7. Assign this new entry the unique key N (in field UNQCD).

Then assign the organizational units for dentry in your organizational structure to this specialty key.

You must enter a unique key (if appropriate) for all existing entries for specialty category 7,regardless of whether or not you have activated FIDES billing.

The following keys are available:C SurgeryHAD Home careM Internal medicine


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N DentistryO ObstetricsP Nursing homeSSR (new)

FIDES-ACE: Uniform Coverage Rate for Medical Services and Hospital Flat Rates

If medical services such as CCAM, NGAP, or NABM services are billed together with one of the flatrates ATU (emergency), FFM (material), or SE (outpatient intervention), the state health insurancefund covers the same percentage of the CCAM, NGAP, or NBAM services as the flat rates. Thismeans the system must use the state HI coverage rate that applies to the flat rates for the CCAM,NGAP, or NABM services during billing.

The state health insurance fund usually covers 70% of CCAM and NGAP services and 60% of NABMservices (lab services). The coverage rate for ATU, FFM, and SE flat rates is 80%. If a CCAM, NGAP,or NABM service is included in the same invoice as one of the flat rates, the coverage rate for thestate health insurance fund for CCAM, NGAP, and NABM services must also be 80%.

You define coverage rates for services in contract schemes in the system.

To meet these requirements, you must define a separate contract scheme in the system, where thecoverage rates are the same for the flat rates and for CCAM, NGAP, and NABM services.

You can create contract schemes in Customizing under SAP Healthcare – Industry-SpecificComponents for Hospitals Patient Accounting Business Partners / Insurance RelationshipsSG,CA,CH,FR,IT: Maintain Contract Schemes.

You should also note that you may also need to configure the function for determining the billing typefor new contract schemes.

For more information about determining the billing type, see SAP Healthcare – Industry-SpecificComponents for Hospitals Patient Accounting Billing Determine Billing Types in Customizing.

You must assign this contract scheme to the insurance relationship with the state health insurancefund if you bill flat rates (ATU, SE, or FFM) together with CCAM, NGAP, or NABM services.

You can activate a check in the system that supports you in identifying the above situation and issuesa warning or error message if the contract scheme for the state health insurance fund does not matchthe value you specified.

To activate this check, activate the BAdI ISH_INVOICE_CHECK (method INVOICE_CHECK) andadjust the sample coding to include your contract scheme. When doing this, you can also decidewhether the system is to issue a warning or an error message if the contract scheme is different. If youchoose to display a warning, you can execute test billing but live billing is not possible.

For more information about the standdard check, see the BAdI documentation:

SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting BillingBusiness Add-Ins for Billing BAdI: Check Invoice Creation.


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Generating Dermatology Flat Rates (FSD), Video Capsule Flat Rates (VDE), and SE Flat Rates(SE)

Billing of dermatology (FSD), video capsule (VDE), and outpatient intervention (SE) flat rates is onlyallowed by law if billing certain CCAM services.

The list of CCAM services that allow billing for these flat rates is described on page 14 of thedocument "FIDES Cahier des charges" (http://www.sante.gouv.fr/IMG/pdf/FIDES-Cahier_des_charges_ACE_V0_3.pdf).

The system can support you by generating the FSD flat rate automatically as soon as a correspondingCCAM has been created.

To use the function for automatic generation of the FSD flat rate, you must activate service rule F16and maintain the related Customizing tables.

Please note that you must create the FSD flat rate in the service master with the new chargetype "FS" and the VDE flat rate with the new charge type "FV".

For more information about service rule F16, see the following Customizing documentation:

SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting Service RulesCountry-Specific Service Rules Inclusion for Service Pair CCAM (F16).

Billing Fixed Patient Contribution (€ 18) and Flat Rates

When billing the fixed patient contribution of € 18 for an outpatient visit, the exemption also applies tothe flat rate that is billed in addition to the CCAM services. The system supports you by copying theexemption for the CCAM service automatically to the assigned flat rate service.

The system deducts the patient contribution (currently EUR 18) automatically from the most expensiveCCAM service.

Flat rates are only covered by state health insurance funds if the assigned CCAM service hasinsurance verification. If the CCAM service is only refunded under certain conditions according to themaster data, the system only assigns the service to the insurance fund if it has insurance verification.

Coordinated Care Path (PSC)

The patient contribution for a service increases if the coordinated care path is not adhered to. This rulealso applies to FSD and VDE flat rates but not to the following: FTN, FTR, FTG, ATU, SE, and FFM.

You do not need to make any specific settings for service rule F20; it takes account of the above ruleand does n ot generate a PSC patient contribution service for services belonging to charge type FC(technical flat rates FTN and so on), FB (ATU), FE (SE services), and FF (FFM) if the outpatient visittakes place outside of the coordinated care path.

For more information about service rule F20, see the following Customizing documentation:

SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting Service RulesCountry-Specific Service Rules Generate PSC Patient Contribution for Care Path (F20).

CMUC and AMEC complementary insurance covers the increased patient contribution if thecoordinated care path is not adhered to. This means you must define the contract schemes for CMUCand AMEC insurance in such a way that the PSC patient contribution service is covered.


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FIDES: EDI Data Exchange

Data exchange with social insurance funds currently takes place using the EDI procedure FRB2. Theprocedure complies with the rules for communication procedure B2, norm CP, version June 2005,addendum B.

Direct FIDES-ACE billing uses the communication procedure B2, norm CP, version June 2005,addendum D. With the switch to direct billing for outpatient visits, the system creates B2 messagesaccording to the rules and message format for communication procedure B2, version 2005, appendixD.

Outpatient cases: The system now checks which message format is to be used, according to the visitdate and invoice recipient. If FIDES billing is active, the system creates messages for the EDIprocedure FRB2 according to B2 format 2005, addendum D. The system still creates B2 messages foroutpatient visits made before FIDES billing was activated according to B2 format 2005, addendum B.

Inpatient cases: FIDES billing for inpatient cases is not yet supported.

The switch is made automatically when you activate the billing mode "FIDES". Once you haveactivated it, the system creates messages for the B2 procedure with the appropriate message formats.

During file creation (report RNC30101), the system creates separate files for the different messageformats. Messages belonging to the "old" B2 procedure (formatted according to B2, version 2005,appendix B) are not stored in the same file as the new FIDES messages (B2, version 2005, appendixD).

Due to the introduction of direct billing, you will need to adjust your settings in theCustomizing table of control settings for B2 dispatch, in particular the setting relating to datatransfer to FI (SAP Healthcare – Industry-Specific Components for HospitalsCommunication Electronic Data Interchange Country Specifics Country Specifics forFrance Control Settings for B2 Dispatch).

Number Ranges

As before, specific number ranges are used for the B2 procedure (ZB2_xxxxx).

Radiology flat rates are billed to account for the use of the equipment. These flat rates (FTN, FTR, andFTG) must be reported in the B2 message in type 3 with the following values for the servicedepartment (type 3, items 41-43) and treatment mode (type 3, items 39-40):

MRI: DMT 753 / MT 19SCAN: DMT 035 / MT 19Tomography: DMT 750 / MT 19

The sample implementation of BAdI /ISHFR/ISH_FR_B2 (method/ISHFR/IF_EX_ISH_FR_B2~CHANGE_B2_DATA) to fill the above fields has been adjusted toaccommodate these additional rules.

This enhancement is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), SupportPackage 13, business function SAP Patient Management Country Version France (ISH_CV_FR)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), SupportPackage 04, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_CV_FR: AME Billing Reform (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in theSupport Packages listed below, you can use a new form of billing.

With the AME billing reform, new billing rules have been introduced for patients who are insured withthe state health insurance fund (AME).


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The reform applies to patients who also meet the following criteria:Inpatient stay in acute care (MCO) or home care (HAD)The insurance provider is marked as the state health insurance fund.The patient is not an alien.The discharge took place after December 31st, 2011.

Two new coefficients are used in billing for these cases:The permanent AME billing coefficient (corresponds to a surcharge of 30%) is used for all GHS andGHT services.The AME transition coefficient increases the AME billing coefficient by 2% up to December 2013.

This means state hospitals bill as follows:20% of the per diem fee (PJ) * length of stay * (permanent AME billing coefficient + AME transitioncoefficient) + daily hospital rate (FJ) for discharge dayPrivate hospitals now bill GHS services as follows:100% GHS * MCO coefficient * permanent AME billing coefficient + daily hospital rate (FJ) fordischarge day

New Per Diem Fee Service (Grouping Code PJC)

Create a new service (similar to the per diem fee PJ) with the grouping code PJC in the service masterdata. Its price is 20% of the daily hospital rate.

Change to Service Rule F10

A new Special Coverage column is available in the Customizing table for the service rule GeneratePer Diem Fee (/ISHFR/TNWFR_F10). You can use this column to have the system generate the newper diem fee (PJC) for AME cases.

For more information, see the Healthcare Implementation Guide under SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting Service Rules Country-SpecificService Rules Generate Per Diem Fee (F10).

AME Billing Coefficient

The billing coefficient for state health insurance (AME coefficient) comprises a permanent billingcoefficient and an AME transition coefficient.

You specify the total of the two coefficients in the AME Coefficient parameter (AME_FACT) in theinstitution-related, country-specific control table (/ISHFR/PARAM).

If the hospital does not bill by per diem fees but instead performs GHS billing, there is no transitioncoefficient. In this case, you only specify the permanent AME billing coefficient.

Condition for AME Billing

The AME coefficient is used when the following conditions apply:The case in question is in inpatient acute treatment (MCO) or home care (HAD).The insurance relationship for the social insurance fund is marked as "state health insurance"(NCIR-/ISHFR/IPCAT = AME).The patient is not an alien.The discharge took place after December 31st, 2011.The service has charge type FA (per diem fee), F5 (GHS), or F7 (GHT).The price of the service has not been changed manually.

To include the new AME billing coefficient in billing, you must define your own condition for it and addthis to the pricing procedure. To do this, proceed as described below.

Define Condition Type

Define a customer-specific condition type with the following data:Condition class A (surcharges or discounts)Calculation rule G (formula)Item condition X

To do this, choose SAP Healthcare – Industry-Specific Components for Hospitals PatientAccounting Billing Pricing (Using Conditions) Conditions Define Condition Types in


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Customizing.

You must also define a customer-specific requirement and calculation formula.

For more information about creating the requirement and the calculation formula, see SAP Healthcare– Industry-Specific Components for Hospitals Patient Accounting Billing Configure SpecialForms of Billing Notes on Configuring Special Forms of Billing Example 17 in Customizing.

Maintain Pricing Procedure

Then specify this condition type in your pricing procedure with requirement xxx and calculation formulaxxx. ("xxx" stands for the requirement and calculation formula you created.)

This condition must be processed in the pricing procedure after the condition for the GHSreduction (condition with calculation formula 131 for the discount for stays < low trim pointand readmissions), and that the levels (reference levels from and to) of the condition must bethe same as those of the condition for the GHS reduction.

Define Use of Condition Type

Define the internal usage type 88 for the condition type you have created. This usage type enables thesystem to identify the condition type that is used for the AME coefficient, for example so as to displaythe coefficient used in the B2 message.

To do this, choose SAP Healthcare – Industry-Specific Components for Hospitals PatientAccounting Billing Pricing (Using Conditions) Define Usage of Condition Types inCustomizing.

Change GHS Coefficient

Calculation formula 131, which is used to determine the GHS coefficient, now also takes account ofthe AME coefficient for cases that meet the criteria for the AME reform.

Electronic Invoice B2

If the AME coefficient is used in pricing, it is indicated accordingly in field GHSCOEFF (type 3, items65-69) on the B2 invoice.


ISH_CV_FR: Displaying Ins. Prov.-Specific Price Components (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in theSupport Packages listed below, the way in which the system displays insurance provider-specific pricecomponents has been changed.

Previously, insurance provider-specific price components (such as the transition coefficient andgeographical coefficient) were always included in the gross/net value, both in the payment distributionlog and in individual payment distribution.

The system now displays the price components for insurance providers in the new Ins. Prov.-SpecificPrice Components column in the payment distribution log and in individual payment distribution. Thismeans these price portions are no longer included in the gross/net values.

You must adjust the layout used for the log and for individual payment distribution. Copy thenew fields Gross Amount Excl. Ins. Prov. Price Portion and Ins. Prov.-Spec. Price Portion


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from the field list to the columns displayed and save your change as the default setting.


ISH_CV_FR: PDG-MCO Grouper Version 13.11e (Changed)

The following change applies as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management: Country VersionFrance (ISH_CV_FR), Support Package 01, as well as with the Support Packages listed below:

The messages have changed with the new version of the PDG-MCO grouper 13.11e. This means youmust make adjustments to the following Customizing tables:

IS-H FR: PDG Grouping Codes for France (ISHFR/TNWFRGCD)IS-H FR: PDG Grouping Codes – Text Table (ISHFR/TNWFRGCDT)

The new PDG grouping codes are included in the relevant BC sets and are available with the SupportPackages for the relevant releases. You do not need to make any changes to the code for the newversion.

You must also make customer-specific adjustments to the UM.txt file, which is required for thegrouper.

This change is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 26SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), SupportPackage 17, business function SAP Patient Management Country Version France (ISH_CV_FR)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), SupportPackage 11, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_CV_FR: Reduction by Patient Contribution (Changed)

The following change applies as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management: Country VersionFrance (ISH_CV_FR), Support Package 01, as well as with the Support Packages listed below:

The condition for the reduction of services by the patient contribution (/ISHFR/COND_EXO_REDU) isdeducted from the most expensive service with exemption A (cumulative amount) or B (individualamount) if the services were performed on the same day and by the same performing physician.

In addition to the exemptions A and B, the system must also observe the exemption 1 (exemption –NGAP).

This change is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 26SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), SupportPackage 17, business function SAP Patient Management Country Version France (ISH_CV_FR)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), SupportPackage 11, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_MAIN AT: Changes for Interim/Final Billed Cases (Changed)



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ISH_MAIN AT: Scoring (Enhanced)

This documentation is only relevant for the country version Austria and is not available in English.

ISH_MAIN: Fee-Based Billing – English Language (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), as well as in the Support Packages listedbelow, the following enhancement is available:

The fee-based billing function is now also available in English (EN), for example for Singapore. Fortechnical reasons, all the objects that relate to fee-based billing have been assigned to the newdevelopment package NFBB (Fee-Based Billing), which was previously NWCH (Switzerland).

This enhancement is available with the following Support Package:

SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 08, business function SAP Patient Management (ISH_MAIN)

ISH_MISC3: Repayment (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Legal Process Adoption 3 (ISH_MISC3), you can makerepayments to patients in the following cases:

The down payment that a patient has made exceeds the amount payable.A billing document has been posted and cleared, but is canceled at a later time.You make repayments using the transaction Case-Related Invoice Processing (transaction codeNA30) on the Incoming Payments tab page.

The repayment function depends on payment types. When you have selected a payment type thatsupports repayment, a new Repayable field and a new Repay button appear on the IncomingPayment tab page,

When the sum of the open items that you have selected is negative, which means that you shouldmake a repayment, the amount repayable is automatically calculated and displayed in the Repayablefield. You choose the Repay button to post the outgoing payment with the amount repayable.


To configure the repayment for a payment type, select the Repayable checkbox for the payment typein Customizing under SAP Healthcare – Industry-Specific Components for Hospitals PatientAccounting Incoming Payments Set Up Payment Types.

ISH_MISC3: Partial Payment (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Legal Process Adoption 3 (ISH_MISC3), you can makeand post partial payments for patients with the following options:

Post partial payments without clearing open itemsThe open item for which a patient makes a partial payment remains open until the patient pays thefull amount.Post partial payments and clear open itemsThe open item for which a patient makes a partial payment is cleared and a new open item iscreated for the remaining amount.

The posting options depend on the payment types.

You process partial payments using the Case-Related Invoice Processing transaction (transaction


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code NA30) on the Incoming Payments tab page. When you have selected all or some of the openitems, the amount payable is automatically calculated and displayed in the Payable field. If thepayment type you are using supports partial payments, you can change the amount payablecalculated by the system to the desired partial payment amount.


You enable partial payment and choose a posting option for a payment type in Customizing for SAPHealthcare – Industry-Specific Components for Hospitals under Patient Accounting IncomingPayments Set Up Payment Types.

ISH_MISC3 CN: Selection of Payment Types for Down Payments (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Legal Process Adoption 3 (ISH_MISC3), you can selectpayment types when making down payments for patients in the Maintain Down Payment transaction(transaction code NE20).

To select a payment type, choose the Payment Type button, which replaces the Bank Account button.The available payment types depend on the health insurer that is assigned to the down paymentparameters.


You assign a health insurer for an institution to the down payment parameters as follows: InCustomizing under SAP Healthcare – Industry-Specific Components for Hospitals -> PatientAccounting -> Copayment / Down Payment -> Configure Down Payment. The document type,document header text, and bank account that are assigned to the health insurer are automaticallystored with the down payment parameters. You cannot change these settings.

See also

SAP Library for SAP Patient Management on the SAP Help Portal at help.sap.com/erp SAPEnhancement Package 7 for SAP ERP 6.0 Application Help under Industries in SAP ERP SAPHealthcare/SAP Ambulatory Care Management/i.s.h.med SAP Patient Management PatientAccounting Down Payment.

Services

ISH_CV_FR: SR F00: Generate Patient Contribution (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), service rule F00– Patient Contribution – now also takes NGAP services (charge type F2) into account.

Service rule F00 generates services for the flat-rate patient contribution (services with charge type F0)if the case includes billable CCAM services (charge type F1) with exemption type A or B (NLEI-/ISHFR/EXO_CP) and/or NGAP services (charge type F2) with exemption type 1 (NLEI-/ISHFR/EXO_CP).

If you want to generate the flat-rate patient contribution for NGAP services, define the NGAP servicesfor which you want to execute service rule F00 in Customizing.

For more information, see the Healthcare Implementation Guide under SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting Service Rules Country-SpecificService Rules Generate Patient Contribution.

The system sets exemtion reasons at service level automatically using service rule F05. For moreinformation about the enhancements to service rule F05 with regard to NGAP services, see the


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release note ISH_CV_FR: Service Rule F05: Exemption from Patient Contribution (Changed)

This change is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 19SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 11SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 03

ISH_CV_FR: SR F05: Patient Contribution Exemption (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), service rule F05– Patient Contribution Exemption – now also takes NGAP services (charge type F2) into account.

When you bill NGAP services and the coefficient of these individual or cumulated services reaches orexceeds a legally stipulated threshold, the patient is either entirely exempted from the patientcontribution or is liable for a flat-rate patient contribution.

If you bill NGAP services together with CCAM services and the price of the cumulated servicesexceeds a legally defined amount, the patient is liable for a flat-rate patient contribution.

This threshold currently amounts to a coefficient of 60 or a service price of EUR 120.

Service rule F05 now also sets service-related exemption reasons when the threshold is exceeded forNGAP services. You must make the following settings to ensure that certain NGAP services areprocessed by service rule F05:

Specify in the service master for the relevant NGAP services whether the service is to be taken intoaccount on its own or cumulated with other NGAP or CCAM services. To do this, enter thecorresponding value in the Patient Contribution Exemption field (/ISHFR/NTPKFR- BEFR_EIGEN)in the service master data for all relevant NGAP services (charge type F2):

o The value 1 (cumulative amount) must be entered for the Patient ContributionExemption indicator (/ISHFR/NTPKFR- BEFR_EIGEN) for NGAP services that havethe grouping code K or KC.

o The value 2 (individual amount) must be entered for the Patient ContributionExemption indicator (/ISHFR/NTPKFR- BEFR_EIGEN) for NGAP services that havethe grouping code D, DC, TO, or ORT.

If you make this setting, the coefficients of the NGAP services K and KC are cumulated forprocessing. These services are also cumulated with cumulable CCAM services (CCAM services forwhich the Patient Contribution Exemption indicator (/ISHFR/NTPKFR- BEFR_EIGEN) is set to 1).D, DC, TO, and ORT services are only processed individually and the service rule only sets anexemption reason for an individual service if its coefficient reaches or exceeds the threshold.Enter the value from which NGAP services are exempted from the patient contribution in the newMaximum Coefficient column in Customizing under SAP Healthcare – Industry-Specific Componentsfor Hospitals Patient Accounting Service Rules Country-Specific Service Rules Thresholdfor Exemption by Contract Scheme (F05). The threshold currently stipulated is 60.When you enter a case-related NGAP service, enter coefficients for the NGAP services in theCoefficient field.

Service rule F05 sets the new exemption reason (1 – NGAP exemption) if services are exempted fromthe patient contribution due to NGAP services.

Inpatient Case:

If there are billable NGAP services (charge type F2) with a patient contribution exemption(/ISHFR/NTPKFR- BEFR_EIGEN) that has a value of 1 (cumulative amount) (but there are nocumulable CCAM services) and the total of the coefficients (NLEI-/ISHFR/NABM-CO) of the NGAPservices reaches or exceeds the maximum coefficient for NGAP services, the system sets exemptionreason 1 for all services for the case.

If there is a billable NGAP service (charge type F2) with a patient contribution exemption


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(/ISHFR/NTPKFR- BEFR_EIGEN) with the value 2 (single amount) and its coefficient is greater thanor equal to the maximum coefficient, only this one NGAP service is assigned the exemption reason 1(services are not cumulated).

Outpatient Case:

If there are billable NGAP services (charge type F2) for an outpatient visit that have a patientcontribution exemption (/ISHFR/NTPKFR- BEFR_EIGEN) with a value of 1 (cumulative amount) andare assigned to the same performing physician, but there are no cumulable CCAM services for thisperforming physician and visit, and if the total of the coefficients of the NGAP services (charge typeF2) with the same date and performer is greater than or equal to the maximum coefficient, the systementers a value of 1 for these services in the visit that have the same performer.

Exception: Anesthesia services (CCAM service with activity 4) that were performed on the same dateare cumulated for processing even if they were performed by a different physician from the NGAPservices.

If there is a billable NGAP service (charge type F2) with a patient contribution exemption(/ISHFR/NTPKFR- BEFR_EIGEN) with the value 2 (single amount) and its coefficient is greater thanor equal to the maximum coefficient, this NGAP service is assigned the exemption reason 1 (servicesare not cumulated).

If a case involves a combination of billable NGAP services (grouping codes K and KC) and CCAMservices, the following rules apply:

Inpatient Case:

The system cumulates the value of the NGAP and CCAM services when determining the threshold. Ifthe threshold is exceeded, the system also sets exemption reason A for NGAP services.

Outpatient Case:

The system cumulates the value of the NGAP and CCAM services that were performed by the sameperson when determining the threshold. If the threshold is exceeded, the system also sets exemptionreason A for NGAP services that belong to the same visit and have the same performer.

Once service rule F05 – Patient Contribution Exemption – has run, service rule F00 – GeneratePatient Contribution – generates the service for the flat-rate patient contribution.

For more information about service rule F05, see the documentation in Customizing under SAPHealthcare – Industry-Specific Components for Hospitals Patient Accounting Service RulesCountry-Specific Service Rules Threshold for Exemption per Contract Scheme (F05).

This change is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 19SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 11SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 03

ISH_CV_FR/MISC2: SR Absence Control (F21) (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management Country Version France (ISH_CV_FR) and businessfunction SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2), the following change isavailable:

The case classification has been added to service rule F21 for absence control(/ISHFR/CHECK_SERVICES_F21).

This service rule is only used in the country version for France.

You can use this service rule to generate per diem fees for accommodation (charge type FH) duringabsences.


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Two new fields, Classification Category and Classification Type, have been added to the AbsenceControl Customizing table (/ISHFR/TNWFR_F21). The service rule selects the most specific entry.

If you have specified a classification category, the system selects the appropriate case classificationthat is valid at the start of the absence. Changes to case classifications during the absence are nottaken into account. When making the Customizing settings, make sure you define the entries in such away that only one case classification is possible per absence.

If you have already maintained data in the Customizing table, you can initialize the new fields usingthe report Initialization Report for New Fields in Table /ISHFR/TNWFR_F21 (/ISHFR/RNWFR_UTL01).The report enters a wildcard (*) for all initial classification categories and types.

This enhancement is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), SupportPackage 10, business function SAP Patient Management Country Version France (ISH_CV_FR)and business function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), SupportPackage 02, business function SAP Patient Management Country Version France (ISH_CV_FR)and business function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2)

Down Payment

ISH_MAIN: Down Payment Clearing – Posting to Open Special Period (Enh.)

The following enhancements have been made to the down payment clearing function:

If the posting period is closed and a special period has been opened, the system uses this specialperiod to post the down payment clearing. If the actual period is closed and a suitable special periodhas not been opened, the system uses the current date as the posting date.

If you reverse the invoice and a special period is open, the system uses this period to post the reversalof the down payment clearing.

These enhancements are also available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management(ISH_MAIN), Support Package 35SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), businessfunction SAP Patient Management (ISH_MAIN), Support Package 26SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 26SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 17

ISH_MISC2 FR: Tooth Number in Service Entry (New)

As of SAP Enhancement Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function SAP Patient Management Legal Process Adoption 2 (ISH_MISC2), the followingnew feature is available.

A new Tooth Number field is now available for entering dental services.

The BAPIs for entering service data have been enhanced accordingly.

This new feature is available with the following Support Packages:� SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), Support

Package 13, business function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2)� SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), Support

Package 04, business function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2)


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SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 11

Information System

General

ISH_CV_FR/MISC2: Evaluations for Nursing Homes (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR) and businessfunction SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2), as well as in the SupportPackages listed below, the changes listed are available for the following two evaluations for nursinghome cases (EHPAD):

Number of Days per Absence Type in Selection Period (EHPAD) (/ISHFR/RNWFR_DAY_ABSENCE)This statistics report determines the number of days for each absence type and patient in theselection period for nursing home cases (EHPAD).Number of Days per Level of Care in Selection Period (EHPAD) (/ISHFR/RNWFR_DAY_NURSLEV)This statistics report determines the number of days for each level of care and patient and thenursing allowance for nursing home cases (EHPAD).You can now list the APA portion as a net or gross amount.

You can choose between the standard layout and an ALV grid display in both evaluations.

You can also access these reports from the menu as follows: Report Tree Patient ManagementInpatient Case General Case Processing.

For more information, see the report documentation.

These enhancements are available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), SupportPackage 10, business function SAP Patient Management Country Version France (ISH_CV_FR)and business function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), SupportPackage 02, business function SAP Patient Management Country Version France (ISH_CV_FR)and business function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2)

ISH_MAIN: CH, IT, FR: Copying Ins. Cards in Patient Merging (Enh.)

The following feature is available as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN), as well aswith the Support Packages listed below:

The reports RNJOIN00 (IS-H: Merge Patients) and RNUPATCMP (IS-H: Find Similar Patients) nowinclude a function for copying insurance card data during patient merging for the country versions CH(Switzerland), FR (France), and IT (Italy). Before you can use this function, you must activate it inCustomizing for the institution in question.


Until now, card data was only taken into account in patient merging in the country versions DE(Germany), NL (Netherlands), and CN (China). As before, you do not need to make specialCustomizing settings if you want to use the function. In the country versions CH, FR, and IT, patient


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merging would previously terminate with an error message.

The new function allows you to activate the function for copying card data in Customizing for specificinstitions in the country versions CH, FR, and IT. You can now merge patients with existing card dataand copy the card data to the active patient.

You can display the new No. Cards column (number of cards) in transaction NP07 for the hit list ofsimilar patients. To do this, you must add this column to the layout for report RNUPATCMP.

There is no change here for the country versions DE, NL, and CN.


You activate the function for merging patient master data with existing card data under SAPHealthcare – Industry-Specific Components for Hospitals Basic Settings System ParametersMaintain Institution-Specific Basic Control.

See also


ISH_MAIN: Evaluation by First Visit (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN), The reports RNLPFB00, RNPFBC0G,RNLAMB01, RNLFPZ00, and RNASEL01 now have a new parameter, Include First Visit Only.


Until now, the standard system did not provide a function to restrict the above reports to the first visit ina case. As a result, the reports listed all the movements in a case that met the selection criteria.

Now, if you select the Include First Visit Only indicator on the relevant selection screens, the systemalso checks for the existence of the first visit. If this visit is before the movement to be displayed, thesystem does not include it in further processing. This reduces the number of hits more significantlythan before.

Please note that the Include First Visit Only indicator is only relevant for outpatient visits. The veryflexible report RNLPFB00 displays the warning message N5 122 ("Include 1st Visit Only" indicator isonly relevant for outpatient visits) if you use the new function in a different manner from that originallyintended by SAP.

Government-Mandated Statistics

ISH_MAIN CH: Hospital Medical Statistics (RNWCHMEDSTAT) (New)

This release note is only relevant for the country version Switzerland and is not available in English.


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ISH_MAIN CH: Expensive Drugs (New)


ISH_MAIN CH: Statistics – PRISMA from 2012 (Changed)


ISH_MAIN CH: Invoices Acc. to XML Version 4.4 – Intensive Care Data (New)


ISH_MAIN CH: Hospital Med. Statistics (BfS) – RNWCHMEDSTAT (Changed)


ISH_MAIN CH: Electronic Data Interchange, XML, Version 4.4 (Enhanced)



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Communication

GeneralISH_MISC3 SG: Determining Procedure Data for CCPS EDI Procedure (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Legal Process Adoption 3 (ISH_MISC3), and SAPenhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 10, business function SAP Patient Management: Legal Process Adoption 3 (ISH_MISC3),the following new feature is available:

When transferring procedure data for the CCPS EDI procedure, the system must transfer dataincluding the following for each procedure carried out:

Surgeon responsibleAnesthetist responsibleAmounts for surgery servicesAmounts for anesthesiology servicesAmounts for implantsAmounts for facility fee

This data is transferred in segments RFF and BIL of the group segment UG3.

This determination function is now available in the standard system with the functions describedbelow.

Please note that if you want to use these new functions, the following business functions must beactive:

SAP Patient Management Rearchitecture BP/OM (ISH_BP_OM)SAP Patient Management: Legal Process Adoption 3 (ISH_MISC3)

Determination of amounts

You can use the new Business Add-In (BAdI) ISH_CCPS_OP_AMOUNTS to configure how the systemdetermines the amounts.

If you do not create a custom implementation, the system determines these amounts. It calculates thetotal amounts for corresponding services in a surgery movement and distributes these among theprocedures for this movement. For more detailed information and examples, see the documentationfor this BAdI under SAP Healthcare – Industry-Specific Components for Hospitals Communication

Electronic Data Interchange Country Specifics Country Specifics for Singapore BusinessAdd-Ins for CCPS Communication BAdI for Determining Amounts for Procedures (CCPS DataTransfer).

Determining physicians responsible

You can use the new Business Add-In (BAdI) ISH_CCPS_OP_PHYSCIANS to configure how thesystem determines the physicians responsible.


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If you do not create a custom implementation, the system determines these physicians. It does thisusing either the assignment of physicians to the surgery movement or the assignments of physiciansto services that are assigned to the surgery movement.

The detail screen in service entry has a new SP Code field on the External Communication tab toenable you to determine physicians for each procedure when handling surgery movements with morethan one procedure. The value help lists alll the procedures that are assigned to the same movementas the selected service. If you assign services with physician assignments to a procedure using the SPCode field, the system attempts to determine a surgeon or anesthetist from the physician assignmentsfor these services.

For more information and examples of how physicians are determined, see the documentation for thisBAdI under SAP Healthcare – Industry-Specific Components for Hospitals CommunicationElectronic Data Interchange Country Specifics Country Specifics for Singapore Business Add-Ins for CCPS Communication BAdI for Determining Physicians for Procedures (CCPS DataTransfer).

Communication with Systems Inside the Hospital

ISH_MAIN CH: Electronic Insurance Verification (New)


Communication with Systems outside the Hospital

ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in theSupport Packages listed below, the following enhancements have been made to the EDI procedureVIDHOSP:

Until now, the system only took account of unbilled cases for healthy newborns and patients in EDIcommunication if the SI billing indicator Coverage Percentage Rate Open or Confirmation ofCoverage Open was selected.From now on, these cases are also taken into account in the VIDHOSP communication procedureFRVID if the social insurance billing indicator Coverage by SI is selected. However, cases for whichthe social insurance billing indicator is not selected or where the indicator has the value NoCoverage, are still not included in the VIDHOSP communication procedure.The system also processes the Reimbursement Rate (RRATE) field for the messages for the unbilledcases described above.The service rules must also be processed for unbilled cases to ensure that the VIDHOSP message isfilled correctly, in particular with regard to exemptions and coverage portions. For this reason, thereport executes all the service rules configured in Customizing for event NLRG20 (service checkbefore EDI communication). Please note that in this callup point – as is the case for all events thatcan involve mass processing – the service rules only perform an action if you have selected "ActionsWithout Confirmation and in Batch Input" for the service actions.

For more information, see the Healthcare Implementation Guide under SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting Service Rules Maintain CheckProcedure.

This enhancement is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 18SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 10


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SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 02

ISH_CV_FR: EDI Procedure FR615 (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in theSupport Packages listed below, the new EDI communication procedure FR615, which creates the filesaccording to the current regulations issued by the insurance funds, is available to support electronicdata interchange with complementary insurance funds.

You select the cases or invoices for which data reporting is to take place using report/ISHFR/RN_615M_ORDER_CREATE.

The messages and file are created as usual by means of the EDI Workbench.

You can specify the insurance providers (insurance provider types and categories) and casecategories for which the system is to send the invoice in the 615M procedure in the Customizingactivity Control Settings for 615M Dispatch, which you can access in Customizing under SAPHealthcare – Industry-Specific Components for Hospitals Communication Electronic DataInterchange Country Specifics Country Specifics for France Invoice Transfer 615M ControlSettings for 615M Dispatch. You also specify here whether or not data transfer is to take place to FI.

You can change the 615M data before dispatch and override the indicator that determines whether aninvoice is dispatched by 615M or whether it is FI-relevant using the new Business Add-In (BAdI)/ISHFR/ISH_FR_615M.

For more information, see the Healthcare Implementation Guide under SAP Healthcare – Industry-Specific Components for Hospitals Communication Electronic Data Interchange CustomizingStep-by-Step FR: Procedure for FR615M Customizing, or the documentation for report/ISHFR/RN_615M_ORDER_CREATE.

These new features are available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 18SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 10SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 02

ISH_CV_FR: Check When Importing the Carte Vitale (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in theSupport Packages listed below, the system behavior when importing the Carte Vitale has changed.

Until now, the system did not notify you if the CPS card was not read successfully (for example, if youfailed to insert it in the card reader or did not insert it properly). This meant that the system was unableto copy medical data from the Carte Vitale.

The configurable message /ISHFR/NFR 523 is now available and can be displayed if the CPS cardis not read successfully.

The message is configured as a warning by default; once it has been issued, the system imports theCarte Vitale as usual (which means the medical data cannot be imported). If you configure themessage as an error (function code NPAT), the system terminates the process when the message isissued.

This enhancement is available with the following Support Packages:


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SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 22SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), SupportPackage 14, business function SAP Patient Management Country Version France (ISH_CV_FR)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), SupportPackage 07, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_CV_FR: Carte Vitale – Access in Preregistration (New)

A new function is available as of SAP enhancement package 7 for SAP ERP 6.0, Industry ExtensionHealthcare (IS-H 617), business function SAP Patient Management: Country Version France(ISH_CV_FR), as well as with the Support Packages listed below.

You can now import the data from the French health insurance card (Carte Vitale) when entering apreregistration in the Clinical Work Station (transaction NWP1).

Please note that this is only possible if the correct Customizing settings have been made in theInstitution-Specific Control Parameters table (TN00E).

This new function is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management Country Version France (ISH_CV_FR), Support Package 24SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), SupportPackage 15, business function SAP Patient Management Country Version France (ISH_CV_FR)SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), SupportPackage 09, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_MAIN SG: EDI Procedure CCPS (Enhanced)


The CCPS Medinet 1.2 Standard is only available for hospitals in Singapore for which the limitedrequired fields that have been added since version 1.1 are sufficient. The system does notautomatically enter values in all the fields added; some can be filled by means of customer BAdIs.

The following new fields are filled in the SAP standard delivery:Discharge Ward ClassCountry of ResidenceAssisting Local Doctor SMC NoDate of Birth of Payer (for Medisave)


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You can activate version 1.2 by making the relevant assignments to agreements with data collectionpoints in the Implementation Guide. This allows a flexible schedule when implementing a new Medinetversion in the hospital.

Please note that SAP delivers Medinet 1.2 as a template and cannot accept liability for any issuesresulting from the use of version 1.2, nor is SAP committed in any way to continuing development ofthe tool.

This enhancement is available with the following Support Package:SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 10

ISH_MAIN AT: EDIVKA/EDILEIST – Payment Advice Note (Enhanced)


ISH_MAIN AT: EDIVKA – Displaying the Error Message (Enhanced)


ISH_MAIN AT: EDIVKA – SEPA Payment Transactions (Enhanced)


ISH_MAIN AT: EDI Message Formatting Program – Case Restriction (Enh.)


ISH_MAIN AT: P321/ELDAL – 10th Addendum to Data Exchange (Enh.)


ISH_MAIN AT: Insurance Relationships – VDAS Query (Enhanced)


ISH_MAIN AT: GIN Query – Address Data Included (Changed)


ISH_MAIN AT: Scoring – AGPR Transfer Status (Enhanced)



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ISH_MAIN AT: Scoring – LKF Model 2013 (Changed)


ISH_MAIN AT: GINA, Release R12B (Changed)


ISH_MAIN AT: Ins. Verif., Calculating Previous Treatment Days (Changed)


ISH_MAIN AT: EDIVKA – Include Comments in Dispatch (Enhanced)


ISH_MAIN EDI – Extension of Key for NC301M (New)

Please note the following as of SAP enhancement package 7 for SAP ERP 6.0, Industry ExtensionHealthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN) and in the SupportPackages listed below:

Some EDI communication procedures will allow longer messages in the future due to legal changes.The key for table NC301M (EDI messages) needs to be extended so that these messages can bestored on the database. This change to the key requires a time-intensive database conversion of tableNC301M.

SAP Note 1766750 describes how to perform the database conversion before importing the SupportPackage, to reduce the downtime required for the upgrade.

This new feature is available with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management(ISH_MAIN), Support Package 33SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), businessfunction SAP Patient Management (ISH_MAIN), Support Package 23SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), businessfunction SAP Patient Management (ISH_MAIN), Support Package 23SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), businessfunction SAP Patient Management (ISH_MAIN), Support Package 14SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), businessfunction SAP Patient Management (ISH_MAIN), Support Package 08

Tools

General

ISH_MAIN: Treatment Authorization as Central Check Service (New)

The following feature is available as of SAP enhancement package 7 for SAP ERP 6.0, IndustryExtension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN), as well as


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with the Support Packages listed below:

The treatment authorization is now available for use as a central check service in SAP PatientManagement (IS-H) and the Clinical System (i.s.h.med).

The new functions are delivered with the following Support Packages:SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 30, business functionSAP Patient Management (ISH_MAIN)SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), SupportPackage 19, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), SupportPackage 18, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), SupportPackage 10, business function SAP Patient Management (ISH_MAIN)SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), SupportPackage 02, business function SAP Patient Management (ISH_MAIN)

The treatment authorization supports the data protection requirement that a user must only haveaccess to the data of patients in whose treatment he is directly involved.

The system checks whether a treatment authorization exists when a user access a patient’s data inthe system. If the jurisdiction configured for the user in Customizing matches the patient’sorganizational unit (OU) reference, the treatment authorization is issued dynamically. The subsequentstatic authorization check is unaffected by whether or not the system issues a treatment authorizationfollowing the check.

If the required treatment authorization cannot be determined dynamically when a user accesses oneor more patients’ data, the system does not display the data and also prevents it from beingprocessed. The user receives a message from the system and a symbol indicating that treatmentauthorization was not issued is displayed for each patient in the Treatment Authorization column in theclinical work station. The system still displays the patient’s identification data (for example, patientnumber, case number, name, sex, birthdate), for which the user has no treatment authorization. Thishas an impact on the views in the clinical work station, for example, (with the exception of surgeryscheduling), the case overview, and the result list of the patient search.

If a temporary request is possible according to the Customizing settings, the user can submit a request(for example, for emergency treatment) based on the identification data displayed for patients forwhom the system did not determine a treatment authorization dynamically. A treatment authorizationissued in this way is valid temporarily for the duration of the current day.

As a rule, the system does not run a check for treatment authorization when you execute IS-H reportsthat have an authorization group. For example, this applies to mass billing (transaction NA01). Userscan also make entries such as admissions, appointments, clinical orders, or movements (with theexception of discharges and absences) for a patient in the clinical work station, the case overview, andwhen calling a corresponding transaction, even if treatment authorization has not been granted.


For more information about configuring treatment authorization, see SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment Authorization in Customizing.

We recommend that you read the General Information documentation on the Customizing settings forthe treatment authorization first. You will find this documentation under SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment Authorization General Information inCustomizing.

If you want to activate the check for the existence of a treatment authorization with the selection of asecurity level in Customizing under SAP Healthcare – Industry-Specific Components for Hospitals ->Tools -> Treatment Authorization -> General Settings, you should first maintain the followingCustomizing activities under:

SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment AuthorizationTexts for OU Jurisdictions


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SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment AuthorizationOU Constellation Within OU Jurisdictions

SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment AuthorizationAssignment of OU Jurisdictions to User Roles

SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment AuthorizationFollow-Up/Request Deadlines for OU Jurisdictions

You also have the option of maintaining deadlines for OU constellations. You can find these inCustomizing under SAP Healthcare – Industry-Specific Components for Hospitals ToolsTreatment Authorization Follow-Up/Request Deadlines for OU Constellations.

Please note that if you choose the security level “Prohibiting ON”, the system prevents all users fromviewing patients' medical data if the required treatment authorization cannot be determineddynamically because a missing jurisdiction has not been configured.

You can show the Treatment Authorization column in the view types that are supported for the clinicalwork station, to display the status and access the treatment authorization request dialog.

To configure user-specific settings by assigning OU jurisdictions to roles, you require the attribute"NU" of authorization object S_TABU_DIS.

To delegate a treatment authorization, the initiator requires the attribute “01” of authorization objectN_TC_DG.

To access the evaluation report for logs of temporary requests (transaction N1TC_REPORT), the userrequires the entry RN1TC_REPORTING in authorization object N_EINR_REP for the attribute “REPID”.

See also

See also SAP Notes 1624135 und 1643624. SAP Note 1643624 contains further information aboutsystem behavior when using the treatment authorization.


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Clinical System

ISHMED_MAIN: Business Function Clinical System (Changed)

Since SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), thebusiness function Clinical System (ISHMED_MAIN) has provided new and enhanced functions invarious components of i.s.h.med. For more information about this, see the release notes forISHMED_MAIN: Business Function Clinical System.

For information about the new features for this business function with SAP Enhancement Package 5for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), see the release notes for ISHMED_MAIN:Business Function Clinical System (Changed).

For information about the new features for this business function with SAP Enhancement Package 6for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), see the release notes for ISHMED_MAIN:Business Function Clinical System (Changed).

For information about the new features available for this business function with SAP EnhancementPackage 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the following releasenotes:

For SmartUI:ISHMED_MAIN: i.s.h.med Mobile Medication (New)

For general utilities:ISHMED_MAIN: Event Management - Customizing (Enhanced)

For enhanced basic dataISHMED_MISC01: CWS - Calendar Function in View Types (Enhanced)

for Clinical Documentation:ISHMED_MAIN: Clinical Order - Synchronization Check (Changed)ISHMED_MAIN: i.s.h.med Progress Documentation (New)ISHMED_MAIN: Progress Notes - Discontinued Functions (Changed)ISHMED_MAIN: PMD Mass Generation (New)Image and Findings Documentation CWD – i.s.h.med

For the surgery system:ISHMED_MAIN: Surgery System - Surgery Scheduling Replaces Surgery Progress Monitor(Changed)Error! Reference source not found.

For medication:ISHMED_MAIN:Medication - Master Data (Enhanced)ISHMED_MAIN: Medication - Order (Enhanced)ISHMED_MAIN: Medication - Order (Changed)

For connectivity:ISHMED_MAIN: Connectivity - Overview (Changed)

For the message communication infrastructure:ISHMED_MAIN: Message Communication Infrastructure - Overview (New)ISHMED_MAIN: Message Communication Infrastructure - Available Connectors (Enhanced ), HL7Segments (New)

ISHMED_MISC01: Business Function Clinical System MISC01

Since SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), thebusiness function Clinical System Functional Extensions 6 (ISHMED_MISC0) has provided new andenhanced functions in various components of i.s.h.med. For more information, see the


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ISHMED_MISC01: Business Function Clinical System Functional Extensions 6 release note.

For information about the new features available for this business function with SAP enhancementpackage 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), see the following releasenotes:

For patient groupsISHMED_MISC01: Patient Groups in Smart UI (New)ISHMED_MISC01: Patient Groups - Selection Dialog (New)


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ISHMED_MISC01: Patient Groups - Views and Displays (New)ISHMED_MISC01: Patient Groups - Filters (New)ISHMED_MISC01: Patient Groups - Graphical Plan (New)

For the patient profile:ISHMED_MISC01: Patient Profile in Smart UI (New)

For the patient header:ISHMED_MISC01: Patient Header - Displayed Data (Enhanced)

For the patient record:ISHMED_MISC01: Patient Record - Create/Process Objects (Enhanced)ISHMED_MISC01: Patient Record - Smart Chart (New)

For Task Management:ISHMED_MISC01: Task Management in Smart UI (New)

For Service Ordering:ISHMED_MISC01: Service Ordering - Overview (New)ISHMED_MISC01: Service Ordering - Setup Functions (New)ISHMED_MISC01: Service Ordering - Integration in Task Management (New)

For medication:ISHMED_MISC01: Medication - Order in Smart UI (New)

ISHMED_SCD: Clin. Syst. Situation Based Clinical Documentation (Changed)

Since SAP Enhancement Package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), thebusiness function Clinical System Situation Based Clinical Documentation (ISHMED_SCD) hasprovided new and enhanced functions in various components of i.s.h.med. You can find moreinformation about this in the ISHMED_SCD: BF Clinical System Situation Based ClinicalDocumentation release note.

For information about the new features for this business function with SAP Enhancement Package 6for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the BF Clinical System SituationBased Clinical Documentation release note.

For information about the new features available for this business function with SAP EnhancementPackage 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the following releasenotes:

For clinical documentation:ISHMED_SCD: Imagic - i.s.h.med Image Integration (New)

ISHMED_EDP: BF Clin. System Enhanced Documentation Processes

Since SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), thebusiness function Clinical System Enhanced Documentation Processes (ISHMED_EDP) has providednew and enhanced functions in various components of i.s.h.med. For more information about this, seethe release notes for ISHMED_EDP: BF Enhanced Documentation Processes.

For information about the new features available for this business function with SAP enhancementpackage 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), see the release noteISHMED_EDP: BF Enhanced Documentation Processes.

For information about the new features available for this business function with SAP enhancementpackage 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the following releasenotes:

For radiology:ISHMED_EDP: Radiology - MPPS and Reconciliation (Changed)


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Smart UI

Patient Groups

ISHMED_MISC01: Patient Groups in Smart UI (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), the Patient Groupscomponent is available under Smart UI within SAP NetWeaver Business Client.

The patient groups provide physicians with quick and easy access to the central information on theirpatients via a special graphical format.

The following functions are available in the patient groups:A selection dialog supports you in the personalized determination of a group of patients whosecentral information you wish to view. For information about this, see the release notes on theselection dialog.You can choose between various views and displays for the presentation of the patientinformation. For more information about this, see the release notes on the views and displays.A graphical plan offers you an overview of organizational units and building units including theiroccupancy. For information about this, see the release notes on the graphical plan.You can use filters to filter the determined patients according to various criteria, such as forexample, surgery appointment tomorrow. For information about this, see the release notes onfiltering.From the patient groups you can open the patient profile of a patient. For information about this,see the release notes on the patient profile.


In order to be able to use patient groups you must copy the roleSAP_ISHMED_PATBOARD_PHYSICIAN into the customer namespace. If you change the menu ofthe role, do not remove the following necessary technical entries:

OBN NavigationOBN Navigation Web Dynpro

Assign the copied role to the SAP users.

Use the user-related parameter EIN to assign the IS-H institution to the SAP users and the user-related parameter N1_PROFESSION_GROUP to assign the value DOCT.

You can preset the fields Dept. OU and Trtmt / Nurs. OU with standard values in the selection dialog.To do this you assign the following user-related parameters to the SAP users:

N1_WDORGFA_DEFAULT - ISHMED: Standard for departmental org. unitN1_WDORGPF_DEFAULT - ISHMED: Standard for trtmt / nurs. org. unit


You can find information on the configuration of the patient groups in Customizing under SAPHealthcare - Industry-Specific Component Clinical System -> Smart UI -> Patient Groups.

You can edit the filters for patient groups in Customizing under SAP Healthcare - Industry-SpecificComponent Clinical System -> Smart UI -> Patient Groups -> Configure Filters.

In order to define additional filters, implement the following enhancements under SAP Healthcare -Industry-Specific Component Clinical System -> Smart UI -> Patient Groups -> Business Add-Ins forPatient Groups:

BAdI: Enhancement of Filter Selection in Patient GroupsBAdI: Enhancement of Filter Icons in Patient Groups

Technical Requirements


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If you want to use the patient groups, you should should have the following:NetWeaver Business Client 4.0 for Desktop (or higher)Microsoft Internet Explorer 6 (or higher)Microsoft Silverlight Version 4 (or higher)SAP GUI for Windows 7.30 (or higher)

For more detailed information, see SAP Note 1782982.

See also

You can find further information on the patient groups in the following release notes:ISHMED_MISC01: Patient Groups - Selection Dialog (New)ISHMED_MISC01: Patient Groups - Views and Displays (New)ISHMED_MISC01: Patient Groups - Filters (New)ISHMED_MISC01: Patient Groups - Graphical Plan (New)ISHMED_MISC01: Task Management in Smart UI (New)ISHMED_MISC01: Patient Profile in Smart UI (New)

ISHMED_MISC01: Patient Groups - Selection Dialog (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01) the Patient Groupsprovide a selection dialog for the simple and quick determination of patients.

The selection dialog supports you in the personalized determination of the patients for a patient group.You can choose a variant from a drop-down list, which you first define using the following selectioncriteria:

DepartmentTreatment / Nursing Organizational UnitDateDays Back (or discharged patients)

In addition to the selection criteria for determining a patient group, you can also specify the followingcriteria to be excluded:

DepartmentTreatment / Nursing Organizational Unit


You can preset the fields Dept. OU and Trtmt / Nurs. OU with standard values in the selection dialog.To do this you assign the following user-related parameters to the SAP users:

EIN - IS-H: InstitutionN1_WDORGFA_DEFAULT - ISHMED: Standard for departmental org. unitN1_WDORGPF_DEFAULT - ISHMED: Standard for trtmt / nurs. org. unit


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ISHMED_MISC01: Patient Groups - Views and Displays (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01) various views anddisplays of patient information are available in the patient groups.

You can use the following functions to configure the patient information view to meet yourrequirements:

Card ViewIf you choose the card view, the system displays the patients' names and key information (forexample, birthdate, sex, allergies, risk factors) on patient cards. You can choose five differentsizes of patient cards in this view.Note that the card size determines the amount of information displayed.

List ViewYou can use the list view as an alternative to the card view. In this view, the system displays thepatients with an array of information in tabular form.

Room ViewIn the room view, the system graphically displays the building units (for example, rooms andbeds) with the assigned patients for each selected treatment/nursing organizational unit (forexample, care units). Patients that do not have an assignment are displayed separately.

Department ViewIn the department view, for each selected departmental organizational unit (for example, surgery)the system graphically displays the lower-level treatment/nursing organizational units (forexample, care units) with their building unit (for example, rooms and beds) and the assignedpatients.Patients that do not have an assignment are displayed separately.

ISHMED_MISC01: Patient Groups - Filters (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), you can use filters inthe patient groups.

You can use filters to filter the determined patient groups according to various criteria. When youselect a filter, the system displays the patients who satisfy the criterion of the selected filter. Forexample, you can use the following filters in the patient groups:

Surgery Tomorrow (there is a clinical order of the type Surgery planned for tomorrow)Today's Labs (there is a lab document created today)Planned Discharge (there is a planned discharge)

You can color highlight the patients that match a filter in the complete list of determined patients andhide the patients that do not match the filter. If a filter matches a patient starting from the current date,the system displays the icon of the filter on the patient card (limited number) or in the correspondingcolumn of the list view.

If you use Task Management, which requires a license, the Tasks Available filter shows a list of tasksfor the physician occupational group that are pending for each patient. You can find further informationabout this, in the release notes on task management.

You can change the name and order of the filters in Customizing, and also suppress the display offilters. You can also define your own filters and up to 5 additional filter icons, for example, according tothe customer-specific columns which exist in the clinical work station.


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You can edit the filters for patient groups in Customizing under SAP Healthcare - Industry-SpecificComponent Clinical System -> Smart UI -> Patient Groups -> Edit Filters for Patient Groups.

If you want to implement additional filters, implement the following enhancements under SAPHealthcare - Industry-Specific Component Clinical System -> Smart UI -> Business Add-Ins for PatientGroups:

BAdI: Enhancement of Filter Selection in Patient GroupsBAdI: Enhancement of Filter Icons in Patient Groups

ISHMED_MISC01: Patient Groups - Graphical Plan (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01) a graphical plan isavaliable in the patient groups.

The graphical plan provides a schematic overview of the organizational units and building unitsaccording to the organizational assignment of the determined patient. The system displays thepatients without assignments separately within the graphical plan.

In the list view and card view, the system displays the graphical plan next to the listed patients. Itdisplays the organizational assignment to the organizational units and building unit for a selectedpatient.

In the department view and the room view the graphical plan forms the basis for the display of thedetermined patients. The system displays all patients with their assignment to the organizational unitand building unit.

When displaying a care unit which contains beds, the system also displays the degree of occupancybased on the number of occupied beds.

If a bed is occupied by multiple persons, the system displays the number of patients on the bed icon.You can find the name and case number of the occupying patients in the tooltip of a bed icon.

Patient Pofile

ISHMED_MISC01: Patient Profile in Smart UI (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), the Patient Profile isavailable under Smart UI within the SAP NetWeaver Business Client.

The patient profile provides an intuitive user interface that you can use to view and edit the medicaldocumentation about the treatment progress of a patient.

The patient profile contains the following components:Patient HeaderThe patient header contains the central data used to identify the patient and the most importantmedical data. For information about this, see the release notes on the patient header.Patient RecordThe patient record shows you the central patient-related or case-related information. For informationabout this, see the release notes on the patient record.Task ManagementThis licensed component displays the tasks pending for the user's relevant occupational group aswell as the tasks of all occupational groups in a tree structure. You can call the tasks directly fromthe list for processing. For information about this, see the release notes on task management.Applications


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This component provides you with quick links to various functions, such as editing documents,ordering services, making progress entries and maintaining diagnoses. The system only shows youthe quick links to applications that require a license if you have the respective license.Applications Hit ListThe Applications Hitlist provides you with up to 10 quick links to the most frequently selectedapplications.

You can access the patient profile from the SAP NetWeaver Business Client from the patient groups.For information about this, see the release notes on the patient groups.

You can also open the patient profile for patients with the case and transaction from the SAPNetWeaver Business Client by choosing Clinical Work Station (occupancy, arrivals, departures) fromthe SAP GUI.


Copy the role SAP_ISHMED_PATBOARD_PHYSICIAN to the customer namespace and assign thecopied role to the SAP users.

Use the user-related parameter N1_PROFESSION_GROUP to assign the physician occupationalgroup to the users with the value DOCT.

Assign the institution to the users using the EIN user-related parameter.


You can find information on the configuration of the patient profile in Customizing under SAPHealthcare - Industry-Specific Component Clinical System -> Smart UI -> Patient Profile.

Activities

In order to use the patient profile, make the Customizing settings under Industry-Specific ComponentClinical System -> smart UI -> Patient Profile -> Assign Configuration to Users/Roles.

You can optionally maintain the following Customizing settings:Industry-Specific Component Clinical System -> smart UI -> Patient Profile -> Manage Configurationof Applications in the Patient ProfileIndustry-Specific Component Clinical System -> smart UI -> Patient Profile -> Edit Configuration ofPatient Profile

To use the patient profile from the Clinical Work Station, include the button Open Patient Profile withthe function code N1IPC1 from the function selection for the following view types:

OccupancyArrivalsDepartures

Technical Requirements

If you want to use the patient profile, you should should have the following:NetWeaver Business Client 4.0 for Desktop or higherMicrosoft Internet Explorer 6 or higher Microsoft Silverlight Version 4 or higher SAP GUI for Windows 7.30 or higher


See also

See also the following release notes:ISHMED_MISC01: Patient Header - Displayed Data (Enhanced)ISHMED_MISC01: Patient Record - Create/Process Objects (Enhanced)ISHMED_MISC01: Task Management in Smart UI (New)ISHMED_MISC01: Patient Groups in Smart UI (New)


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ISHMED_MISC01: Patient Header - Displayed Data (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), two versions of thepatient header are available:

A reworked version of the existing patient header, which is used in the patient profileA new, compact patient header, which is used in the new applications as part of Smart UI.

Changes in the Existing Patient Header

The patient header is used in the patient profile.

Information relating to risk factors and allergies is no longer entered using icons, but in text form (forexample, risk factors (3), risk factors not known, allergy documentation missing).

The patient header has been enhanced with the possibility to display an icon to indicate visits.

A country-specific version of the patient header is available for Austria, in which the indicator for theoverrun of the average length of stay or high trim point is not displayed.

The icon for the "re-admission" status of the movement is displayed if the patient is admitted within thelast 24 hours and not - as previously - within the last 30 hours.

New Compact Patient Header

For the new applications as part of Smart UI (for example, Service Ordering), a compact patientheader is available that optimizes the use of space.

To make for quick and clearly presented information, the compact patient header is restricted to thedisplay of the essential data for identifying the patient and the patient's key medical data. Thus, apartfrom the case number (if it exists) and the care unit, it does not contain any other case-relatedinformation, like the case type, admission data and movement status.

In contrast to the patient header of the patient profile, the compact patient header does not display thecase-related information (case number and care unit) in a color-differentiated display row, but betweenpatient information and information relating to risk factors and allergies.

ISHMED_MISC01: Patient Record - Create/Process Objects (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), new functions forcreating and processing objects (for example, documents, services) are available in the patient record.


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Note that as of this enhancement package the patient record is called from the patient profile intowhich the patient record has been integrated.

You can perform actions in relation to existing objects (for example, change, cancel) as one-clickactions. The patient record provides an icon directly with each object in order to perform the requiredaction. By clicking the icon you call the action for the respective object. Alternatively, you can performthis action using the context menu.

To create objects, each User Interface Building Block (UIBB) provides a corresponding icon in the titlebar.

For creating and processing objects, the patient record provides the functions and dialogs that arealso available in i.s.h.med outside of the patient record. Note that, as part of smartUI, newapplications, which can also be used from the patient record, have been developed for a number ofobject types.

Corresponding actions are possible for object types supported in the standard configurationN1PREC_CONFIG_DEFAULT of the patient record.

Parameterized Medical Documents (PMD)

The following actions are available:CreateChangeReleaseCreate VersionCancel

For documents, you can use the functions previously available in i.s.h.med (for example, in the patientorganizer) in the patient record.

Examinations

The following actions are available:CreateChangeCancel

You can display examinations in i.s.h.med both with the existing component Clinical Order in SAP GUIand with the new component Service Ordering as part of smartUI. The system displays the clinicalorders in the UIBB Examinations of the patient record.

The Change actions calls the component with which the object was created.The Create function only calls the new component Service Ordering in the patient record.

Diagnoses

The following actions are available:CreateChange

For diagnoses, you can use the functions previously available in i.s.h.med (for example, in the patientorganizer) in the patient record.

Vital Signs

For vital signs, you can use the functions previously available in i.s.h.med (for example, in the patientorganizer) in the patient record.

Lab Values

The Create action is available for lab values. You can use this action to create a request for the lab.


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Medication Orders

The following actions are available:CreateChangeCancel

For the Change action, you can use the detail dialog that is new within Medication. For the otheractions, you can use the functions previously available in Medication.

Progress Documentation

The following actions are available:CreateCancel

As of this release the component i.s.h.med progress documentation is available for processingprogress entries. Note that you can only use this component in the patient record for entering,displaying and canceling progress entries. If you previously entered outpatient, inpatient and nursingprogress notes in the system, you must migrate this data. You can find information on this in therelease notes for i.s.h.med progress documentation.

Medical Services

The following actions are available:CreateChangeReleaseCancel

To enter and process medical services, you can define one of the following four possibilities inCustomizing:

Service EntrySubsequent Service EntryMedical Service Processing (you can enter a configuration here)Services + Diagnoses Fast Entry (only available in the country version Austria)

Nursing Services


For nursing services, you can use the functions previously available in i.s.h.med (for example, in thepatient organizer) in the patient record.


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Administrative Services


For administrative services, you use the Maintain Services function (transaction code NL10) from SAPPatient Management, as previously in i.s.h.med.

Chart

You can display the new chart developed for Smart UI in a UIBB of the patient record.

Effects on Existing Data

For inpatient progress notes, nursing notes and outpatient notes, you need to perform a migration toconvert these into the new format (progress entries) and display them in the UIBB Progress Report.


You can activate and deactivate the actions available for an object type in the UIBB configuration. Allactions are activated in the standard configuration N1PREC_CONFIG_DEFAULT.

Actions, which are deactivated, do not appear as icons or menu options in the context menu in theassociated UIBB of the patient record.

See also

For more information about the applications (for example, Patient Profile, Service Ordering, ProgressDocumentation and Medication) that can be integrated with the patient record as of enhancementpackage 7, see the release notes for the respective application.

ISHMED_MISC01: Patient Record - Smart Chart (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), Smart Chart providesa new patient chart developed as part of Smart UI.

Smart Chart provides a graphical overview of vital signs, progress entries, documents and physicianorders for a patient. You can edit the data directly from this overview and also enter new data in theoverview.

Smart Chart enables flexible chronological navigation. A preview area provides an overview of thecomplete set of existing data.

Graphs in Smart Chart

You can define the set of available graphs and their arrangement in the Smart Chart using chartlayouts that are defined in Customizing. You assign one or more graphs to a chart layout. In turn, chartelements are assigned to the graphs. A chart element describes how the same kind of data, such asbody temperature, is to be displayed in a graph.

Events and values for the patient are displayed in different graphs.Display of events such as progress entries, documents, or physician orders in event graphs.Display of vital signs in line graphs or group graphsWhilst you can only assign one chart element to line graphs, several chart elements can be assignedto group graphs. Group graphs are used to display several types of vital signs (for example, bloodpressure and pulse). In this way, you can also combine specified vital signs within a group graph (for


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example, rectal and axillary body temperature measurements).

Please note:

The Charting component in the Ward documentation work station is still available for displaying thenursing and medication graphs.You can use chart layouts, which you created in the Charting component, in Smart Chart also.However, medication graphs and nursing graphs are not displayed here.

Events

When you position the mouse pointer on an event, the system displays detailed information about thisevent in the graph. Clicking the event calls the associated editing function:

Progress EntriesClicking the event takes you to the progress documentation.Physician OrdersClicking the event takes you to the physician orders.DocumentsClicking the event takes you to the relevant document. If the document is not read-only, you can editit.

Please note:

The system identifies closely spaced events. A click displays detailed information in an additionalwindow. Alternatively, you can expand condensed areas by zooming into the application.

Vital Signs

Smart Chart displays the vital signs in a line graph. When you position the mouse pointer on a value,the system displays detailed information about this value.

Please note:

The system identifies closely spaced values. A click displays detailed information in an additionalwindow. Alternatively, you can expand condensed areas by zooming into the application.

An icon shows if values are located outside of the visible area on the Y axis. When you click this icon,the previously hidden values are displayed.

Vital signs that are not in the normal range are identified specifically as a warning. If there are severalwarnings for a value, only the most serious is displayed as an icon. However, the detailed informationfor this value lists all existing warnings. If there are several warnings for a condensed area, only themost serious is displayed as an icon. However, the detailed information for this condensed area listsall existing warnings.

In case of line graphs, the normal value ranges are highlighted in the background. Where groupgraphs are used to display multiple vital signs (for example, blood pressure and pulse), the systemdoes not display the normal value range in the background in order to avoid confusion. However, youcan temporarily display the normal value range for one of the chart elements in the background bypositioning the mouse pointer on the associated Y axis. The system hides all of the other chartelements.

Navigation Area

The navigation area is located under the graphs. The entire period over which the navigation areaextends matches the case/period selection in the patient profile. For cases that are not yet complete,you can add a desired number of days to this period in Customizing.

The period focus is displayed in the navigation area. You use the period focus to define the timeframethat is displayed by the graphs. You can flexibly adjust the period focus using the following actions:

A click in the navigation area outside of the period focus applies the time window.A double-click in the period focus extends the period focus to the entire period. Another double-clickrestores the period focus.


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Zooming with the mouse wheel lets you extend both the content area of the Y axis and that of the Xaxis within the graphs, depending on whether you are situated on the Y axis or X axis or the graphcontents.With pushbuttons in the function bar you can set the period focus to one day, one week, one month,or reset it to its initial state. A further pushbutton lets you navigate to the current day. If today's dateis not in the current time selection, the pushbutton is inactive.Horizontal bars represent the length of each case. Double-clicking on such a bar automatically setsthe displayed period to the respective case period.

A reduced preview of the vital signs and events in the navigation area provides an overview of allexisting data.

Personalization

In Customizing, you can define a chart layout for the system and/or each organizational unit (OU),which you can use as the standard layout. The system uses this layout whenever Smart Chart iscalled for a patient for the first time.

You can, however, also define your personal standard layout for each User Interface Building Block(UIBB).

In the Smart Chart, you can personalize each chart layout with regard to the sequence of the graphsand their display options, such as showing labels for the measurements.

The function bar provides pushbuttons for saving and resetting layouts. The next time you call SmartChart for a specific patient, the system displays the layout as you left it the last time (hence"personalization").

License

A license is required for Smart Chart. You should contact your sales partner for this.


The following requirements need to be met so you can use Smart Chart:NetWeaver Business Client 4.0 is installed on the PC work stations of your institution.Microsoft Internet Explorer 6 or higher is installed on the PC work stations of your institution.Microsoft Silverlight Version 4.0 or higher is installed on the PC work stations of your institution. Fordetails about the system prerequisites for Microsoft Silverlight, seehttp://www.microsoft.com/getsilverlight/locale/en-us/html/installation-win-SL4.html


For information about configuring Smart Chart, see Customizing under SAP Healthcare - Industry-Specific Component Clinical System -> Smart UI -> Patient Profile -> Patient Record-> Smart Chart.

Note that the Customizing activities for configuring Smart Chart are to a large extent identical to thefunctions for configuring the Charting component.

Execute the following activities:Activate Smart Chart and define the standard layout.Define chart layouts and create the structure of a chart in Smart Chart.Define additional colors for configuring the chart display in Smart Chart.If required, define different standard layouts for different organizational units.

You can use chart layouts, which you created in the Charting component, in Smart Chart.


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Task Management

ISHMED_MISC01: Task Management in Smart UI (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), you can use TaskManagement for the administration of tasks in service communication under Smart UI.

Task Management receives upcoming tasks from a task provider (domain) and displays them in thecomponents in which the user can view tasks.

As of this release you can use service ordering as a domain in task management, in order to displayupcoming tasks for each patient in the Patient Profile and the Patient Groups when ordering services.

In the Patient Groups the filter Tasks Exist is available for this. The filter selects all patients withupcoming tasks for the occupational group of the user.

In the Patient Profile there is a function for displaying upcoming tasks with the assignment to theoccupational group. The user can use a displayed task to branch to the function which is available inthe system for processing the task.

You can also implement your own domains using the BAdI ISHMED_IPC_TASK_CONTROLLER.

If you wish to use Task Management, you require the "i.s.h.med Task Management" license.


Information on the configuration of Task Management in Service Ordering can be found in the releasenotes on service ordering.

For information about the BAdI ISHMED_IPC_TASK_CONTROLLER, see Customizing under SAPHealthcare - Industry-Specific Component Clinical System -> Smart UI -> Task Management ->Business Add-Ins for Task Management.

See also

Also see the following release notes:

ISHMED_MISC01: Service Ordering - Overview (New)

ISHMED_MISC01: Patient Profile in Smart UI (New)

ISHMED_MISC01: Patient Groups in Smart UI (New)

Applications

ISHMED_MISC01: Service Ordering - Overview (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), service ordering isavailable:

Service Ordering uses an easily usable user interface (Smart UI) that lets users order services simplyand quickly.

Service ordering is based on the technical concept of the clinical order. The clinical order is also stillavailable to you. You can use the clinical order in the SAP GUI and service ordering in parallel. Youcan edit services which you have requested using service ordering in the clinical order. You can alsocall clinical orders from service ordering for processing. Order templates which were created for theclinical order are also available in service ordering under certain circumstances.

When saving the service selection the system divides the requested services into single orders withone order item each.

You can call service ordering from the following work environments:


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You can order new services from the Applications UIBBIn the patient record you have an overview of all existing case-related orders for the patient and canstart a new service orderingService ordering, in connection with task management, is available in the task list in the patientprofile.

Special Features of Service Ordering

You can use service ordering to quickly and simply create one or more services to be ordered:

1. Choose an order fill from the order filler group.

2. Choosing one or more services from the service range of the order filler.

3. If necessary, choose an additional order filler and then, again, one or more services.

4. Or: Choose a service from a personal list; Here you will find services which you use frequentlyor have saved here for other reasons.

5. Save the order. Service ordering offers you two ways of saving an order:

o Create Order: You can use this function to optionally enter additional information in adetail view (for example, a comment or localization) and then save the order.

o Save Order: You can use this function to directly save the order, without having to fill inadditional information or status-related required entry fields.

You can use order templates in service ordering. Note that you can only reuse order templates definedin the SAP GUI that contain at least one service and only one item.

One-Click actions are available in the form of icons in the corresponding UIBB for the patient recordfor the processing of ordered services.

Note: You can also create an appointment template for an order of service ordering. You must thenplan appointments using the service facility.

You cannot flag services which you have created during service ordering as preregistrations.

Service Ordering and Task Management

The new task list of the patient profile provides the occupational group responsible with the serviceordering orders as outstanding tasks. The user can process this service ordering via thecorresponding task.

You can also process several ordered services from the task list in one step, for example, you canconfirm the service orders.

A new internal status profile is provided as the basis for creating the task list. You assign a customer-specific status (user status) to each internal status in this status profile. The internal status is forgenerating tasks for the task list.

For more information about Task Management, see the release notes for Task Management.


If you process several orders, including clinical orders, in one step via the task list, the system displaysthe clinical orders in an HTML display. You cannot process these from service ordering.

You can also process orders, which were created in service ordering, in the SAP GUI. Call the ordersusing, for example, the patient organizer or the Clinical Orders view type in the clinical work station.

Note: You cannot add further items to a service ordering order. Furthermore you cannot cancel orderitems if the order is called from the clinical work station. At least one service must remain in the orderitems.

Effects on Data Transfer

Use the report Clinical Orders: Assign Internal Status (RN1_CORD_ISTATUS_ASSIGN) to assign an


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internal status to existing clinical orders. You must do this after assigning a user status (externalstatus) to an internal status in the transaction Status Profile: Assignment of Tasks and Internal Status(transaction N1COS). Note that you need to re-run this program after each change.


To a great extent, you can continue to use the Customizing of the clinical order in the SAP GUI, exceptfor a few peculiarities. For more information about this, see the release notes regarding theconfiguration functions.

ISHMED_MISC01: Service Ordering - Setup Functions (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), set-up functions forservice ordering are available in Customizing.

You can find the set-up functions which result from the servoce ordering in the implementation underIndustry-Specific Component Clinical System -> Smart UI -> Applications -> Service Ordering.

Many set-up functions are used both for service ordering as well as for the clinical order. A list of theseIMG activities in the IMG activity General Information for Service Ordering under Industry-SpecificComponent Clinical System -> Smart UI -> Applications -> Service Ordering.

Maintain Tasks for Status Profile (new)

In this new IMG activity (transaction code N1COS), you use the new internal status profile. Here youassign an internal status to each user status that you assign to an order of service ordering. Thesystem uses the internal status for task management. The Confirm Order function is also based on theinternal status.

Configure Order Filler Groups (new)

You can use order filler groups to combine the order fillers for an order in groups. This enables thestructured selection of the order fillers when creating orders.

Set Up Order Types for Clinical Order (adjusted)

You create order types for service ordering in Customizing for the clinical order in the transaction "SetUp Order Types for Clinical Order". When setting up the order types, note the following specialfeatures for service ordering:

Order Fillers/InitiatorsOrganizational units are the order fillers and initiators of an order in service ordering.Selection ListThe selection list for order types is not used in service ordering.StructuringAs in the clinical order component, you define the information for an order in service ordering usingcomponents in the order type. Elements of the "tab page" type are not used in service ordering. Youhave to separately define the layout for organizing the components of an order type.

Service ordering does not use header components.The compact patient header (see the release notes for the patient header) is set as standard fordisplaying the patient's details.

You can create order types as standard order types for surgeries, general service facilities and.radiology. If a selected service is not assigned to an order type, service ordering

automatically uses the corresponding standard order type for the order.

The following components are available as standard components for service ordering:o Comments: CL_ISHMED_COMP_COMMENTo Item Question: CL_ISHMED_COMP_CPOS_QUESTION


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o Item Data: CL_ISHMED_COMP_CPOS_SHORTo General Medical Data: CL_ISHMED_COMP_MED_DATAo Order Data: CL_ISHMED_COMP_ORDERo Radiology: CL_ISHMED_COMP_RADIOLOGYo Services: CL_ISHMED_COMP_SERVICESo Surgical Procedure Indicator: CL_ISHMED_COMP_SURGERY_CHARo Surgery Team: CL_ISHMED_COMP_SURGERY_TEAMo Transport Order: CL_ISHMED_COMP_TRANS_ORDERo Transport Type: CL_ISHMED_COMP_TRANS_TYPE

You can define the layout for the organization of the components in an order type using the floorplanmanager (see documentation on the Floorplan Manager in the SAP Library). Customer-specificcomponents are implemented by you, as the user, as User Interface Building Blocks (UIBB).

Screen ModificationHere you define the status-dependent required field check. Here you determine whether fields ofan order must contain entries when a specific order status (for example, "confirmed") is reached.

Task DefinitionThe task list shows the user outstanding tasks for a patient that can be processed immediately.These include orders. You can define the task definition specifically for the different order types.Here you can determine, in relation to the order type, which tasks are displayed in the task list(for example, "Confirm Order"). The tasks can be restricted to specific roles (for example,physician). You can also assign your own names to tasks.

Order TemplatesYou can also use order templates in service ordering (as in the clinical order in SAP GUI). Forthese order templates to be available in service ordering, they need to contain at least oneservice. In service ordering, the system does not take into account the presettings for fields thatare not available in service ordering (for example, the order status).

Methods, ConnectivityThe entries for methods for the different status transitions and the entries for connectivitycontinue to function as in the clinical order in SAP GUI. For more information, see thedocumentation for the IMG activity for setting up order types for the clinical order.

OtherYou cannot use a clinical order as a preregistration in service ordering.

Business Add-Ins (BAdIs) for Service Ordering

The following BAdIs are available in service ordering and in the existing clinical order in SAP GUI:o Create Component Instance: N1_CREATE_COMPONENTo Control Appointment Templates: N_APP_CONSTR_CHGo Generation Cyclical Services: ISHMED_CORD_CYCLEo Clinical Order Dialog - Check Entries: N1_CORDER_CHECK

The following BAdIs are new and are used within service ordering.o Clinical Order Dialog – Intercept User Commands: ISHMED_CORD_UCOMM_WDo Preset New Order Items: ISHMED_CORD_PALOC_WDo Task Processing: ISHMED_CORD_TASKS_WD

Authorizations

The existing authorization object N_1CORDER is available for service ordering as for the existingclinical order in SAP GUI.


If you use the existing clinical order in SAP GUI and the new service ordering as part of smart UI, youmust create the components for clinical order for smart UI and SAP GUI separately as web dynpros.You also need to implement the following BAdIs, which call for actions in the user interface, for serviceordering:

Clinical Order Dialog – Intercept User Commands:


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o In the user interface (UI) of the existing clinical order in SAP GUI, implement the BAdIN1_CORDER_USER_COMM for this.

o In the UI for service ordering, implement the BAdI ISHMED_CORD_UCOMM_WD for this.Preset New Order Items:

o In the user interface (UI) of the existing clinical order in SAP GUI, implement the BAdIN1_CORDER_PREALLOC for this.

o In the UI for service ordering, implement the BAdI ISHMED_CORD_PALOC_WD for this.This BAdI also replaces the BAdI ISHMED_CORD_FPBO for processing logics before theinitial display of the clinical order.

ISHMED_MISC01: Service Ordering - Integration in Task Management (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), you can integrateService Ordering in the new Task Management. The joint use of service ordering with taskmanagement makes it easier for the user to process the various steps associated with the workroutine for a service ordering order.

The system shows the users tasks for the processing of an order in a task list. Users can process theassociated ordered service by means of the respective task. If the processing of the order also meansa change of status, the task list in the patient profile is automatically updated when the changes aresaved.

The task list is part of the patient profile. It displays tasks that are pending for a patient within serviceordering. The display is grouped according to work steps or status (for example, Confirm Order). Hereyou can also process several orders in one step (for example, confirm). Within a group, the systemlists the orders individually.

The tasks are assigned to users in relation to occupational groups. This means, for example, that onlynursing staff see the "Complete Order" task in the task list, while physicians see the "Confirm Order"task.

The system adds a task for processing an order to the task list as soon as there are orders with aspecific predefined internal status for a patient.

The system can display tasks for orders that have the following internal statuses:

Internal Status Internal Task Name

Preregistered Complete Order

Pending Confirmation Confirm Order

Confirmed Check Order

To Be Revised Revise Order

Please note:

To order a service, you can use the functions from the Applications User Interface Building Block(UIBB) in the patient profile. You can also order the service from the patient record from theExaminations UIBB.

The "Revise Order" task is intended for the recipient of the order, the service facility. It is not thereforedisplayed in the task list in the patient profile of the care unit.

The task list also displays clinical orders that were created in the SAP GUI and are based on thestatus concept. You can process these clinical orders directly in the individual processing function inthe SAP GUI. If you call up orders of a grouping for collective processing, the system displays theseSAP GUI clinical orders in an HTML view.

Processing of Tasks for Orders


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Users can call the tasks for an order for processing. They access the processing function for the order.

The system displays tasks irrespective of the internal status of an order. The assignment of internalstatuses to a user task is done in Customizing. If you change the status of an order, this isautomatically reflected in the task list, for example, a new task is displayed for this order. The old orderis considered to be ended and is no longer displayed by the system.

To simplify the processing of the tasks, one-click actions are provided within service ordering. Theseare used to easily change the status of an order. For example, if you call up several orders of serviceordering in parallel for confirmation using the "Confirm Order" task, you can confirm all displayedservice ordering orders with one click. Furthermore, one-click actions for setting the "For Confirmation"and "Confirmed" statuses exist for the processing of individual orders.


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Tasks for service ordering orders and clinical orders are based on the internal statuses that areassigned to an order.

A status profile, which can be configured customer-specifically, is assigned to all orders. For orders tobe taken into account in task management, you have to assign internal statuses to different userstatuses (external statuses). You make this assignment in Customizing in the IMG activity MaintainTasks for Status Profile (transaction code N1COS), or directly in the definition of the order type. Thesystem automatically assigns these defined internal statuses to newly created orders.

To assign internal statuses also to clinical orders that were entered in the SAP GUI, you have to runthe program RN1_CORD_ISTATUS_ASSIGN. This program assigns an appropriate internal status toall orders that do not contain an internal status. Note that you must also run this program after everychange to the assignment of internal to external status in the IMG activity Maintain Tasks for StatusProfile (transaction code N1COS).


In the IMG activity Maintain Tasks for Status Profile (transaction code N1COS), you can activate tasksand assign them to an occupational group in relation to the status profile. You can also specify thetask names in this step. Furthermore, you can assign the internal statuses to user statuses (externalstatuses) here.

In the IMG activity Set Up Order Types for Clinical Orders, you can then override the settings for thetasks (activate task, assign task name, assignment to an occupational group) in relation to a specificorder type. For instance, if you define an order type for the entry of simple standard orders, for whichusers only require one task (for example, "Confirm Order"), activate only this one task in the ordertype.

See also

For more information about task management, see the release notes for task management.

Interfaces for Mobile Applications

ISHMED_MAIN: i.s.h.med Mobile Medication (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System (ISHMED_MAIN), you can use i.s.h.med Mobile Medication incombination with i.s.h.med Medication.

You require the licenses "i.s.h.med Mobile Medication" and "i.s.h.med Medication".

If you have configured and use i.s.h.med Medication, i.s.h.med Mobile Medication is available to you ina leading mobile application on a mobile device.

In i.s.h.med Mobile Medication, you can use the following functions for each patient:Display Current Drug TherapyDisplay Medication HistoryDisplay Medication Order Details


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Activities

If you use the mobile application SAP® EMR Unwired, you can integrate i.s.h.med Mobile Medicationas a Web facet. For information about the technical prerequisites for the use of SAP® EMR Unwiredand embedding Web facets, see the Internet pages of SAP AG.

If you want to use i.s.h.med Mobile Medication in a different mobile application, you need to implementintegration via an interface that is defined on the basis of the SAP EMR Unwired specification.


If you want to use i.s.h.med Mobile Medication, you must have performed Customizing for i.s.h.medMedication.


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General Duties

Event Management

ISHMED_MAIN: Event Management - Customizing (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function Clinical System (ISHMED_MAIN), two new activities are provided in Customizingfor Event Management. These activities let you configure event triggering for a workflow interface incombination with i.s.h.med events.

With the Customizing activity Assign i.s.h.med Event to BO Event you can assign i.s.h.med events tocorresponding Business Object events, such as "MedicalDocument" (ID: BUS1400).

With the Customizing activity Adjust Event Parameters to Call a BO Event, you can implement a BAdI(enhancement spot ES_ISHMED_EVMG) to adjust the event parameters for triggering a BusinessObject event.

The following events have been defined for the Business Object "MedicalDocument":

CREATED Document Created

DELETED Document Deleted

DELINDREM Deletion Indicator Removed

DELINDSET Deletion Indicator Set

DISPLAYED Document Displayed

PRINTED Document Printed

RELEASED Document Released

SENT Document Sent

STATSET Status Set

UPDATED Document Changed

VERSCREATE Version Created


The new IMG activities are located in Customizing under:SAP Healthcare - Industry-Specific Component Clinical System -> Cross-Application Settings ->Event Management -> Workflow Interface -> Assign i.s.h.med Event to BO Event.SAP Healthcare - Industry-Specific Component Clinical System -> Cross-Application Settings ->Event Management -> Workflow Interface -> Adjust Event Parameters to Call a BO Event.

See also

SAP Note 1749410


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Extended Basic Data

Clinical Work Station

ISHMED_MISC01: CWS - Calendar Function in View Types (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions 6 (ISHMED_MISC01), the following changesare available:

The Calendar function is available in the function variant in the following view types in the clinicalwork station:

o Occupancyo Arrivalso Departureso Coding Analyses

You can use this function to select a date by means of calendar navigation.o The Calendar function is also available to select dates in the Medication Events/ Nursing

Services view type. Here you can also select an entire week or month. The selected datealways relates to all date entries from the selection variant.

o All of the view types mentioned above also provide the Previous Day and Next Day functionsto scroll forward and back one day in relation to the selection.


If you want to use the new function, add it to the relevant function variants.

See also

SAP Note 1659317


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Clinical Documentation

Clinical Progress Documentation

ISHMED_MAIN: i.s.h.med Progress Documentation (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function Clinical System (ISHMED_MAIN) the i.s.h.med Progress Documentation isavailable.

If you wish to use the i.s.h.med progress documentation, you will need the "i.s.h.med ProgressDocumentation" license.

The following functions are available in the i.s.h.med progress documentation:Occupational group-related entry and display of progress entries for outpatients and inpatientsEntry of progress entry as free text or using text modulesShow or hide attributes for existing progress entriesShow or hide context data for entering a new progress entryOccupational group-related colored highlighting of progress entriesCancellation of existing progress entriesDisplay of canceled progress entriesSelection of various time periods and filtering of existing progress entries according to variouscriteria

You can use authorization object N_1PDS to authorize users to cancel their own progress entries.

The i.s.h.med Progress Documentation replaces the functions, which were previously available ini.s.h.med for entering, editing and displaying progress notes in the outpatient and inpatient area in thefollowing components:

Clinical Work StationPatient OrganizerDocumentation Work StationClinical OverviewChartingNursing Process Documentation

The i.s.h.med Progress Documentation is also available in the following components:Patient ProfilePatient RecordSmartChart


If a user may cancel his own progress entries, you must assign the user the authorization objectN_1PDS with the activity "85".

If you wish to enter progress entries with a reference to the occupational group, you must assign oneof the following occupational groups to each user via the user-related parameterN1_PROFESSION_GROUP:

ADMN AdministrationDOCT PhysicianNURS Nursing staffOTHE OtherPHYS Physiotherapy



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If you previously used the i.s.h.med functions for entering, editing and displaying progress notes, youmust execute the report RN1PDS_MIGRATION to transfer the existing progress notes into thei.s.h.med progress documentation. You can find information on the execution of the data migration inthe documentation for this report.

You should be aware of the following important note:

After you have executed this report the functions for entering, editing and displaying progress noteswhich were available in i.s.h.med before the i.s.h.med progress documentation are no longeravailable. If you wish to continue to use these functions, the system will automatically direct you to thei.s.h.med progress documentation.


You can find information on the configuration of i.s.h.med progress documentation in Customizingunder SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->Progress Documentation.

You can integrate the following pushbuttons into the function variants of the views of the clinical workstation and the nursing plan:

N1PDS1 Create Progress EntryN1PDS2 Display Progress Report

You can integrate the following column into the layout variants of the views of the clinical work station:Progress Document

If you use the documentation work station, you must create, for your task templates, a new progressentry base item of the PDS type and assign this to your task templates.

If you use the clinical overview in the documentation work station, you must insert the ProgressDocumentation info block into your configuration.

If you have defined your own aspects with progress notes in the patient organizer, you must insert theProgress Documentation view following migration.

Note that any adaptations you may have implemented with the BAdI BADI_ISHMED_VD_PRINT forprinting nursing progress notes are not executed by the system in the progress documentation.

Activities

If you wish to use the i.s.h.med progress documentation, you must execute the following customizingactivity under SAP Healthcare - Industry-Specific Component Clinical System --> ClinicalDocumentation --> Progress Documentation:

Set Up Number Ranges for Progress Notes

You can optionally execute the following customizing activity under SAP Healthcare - Industry-SpecificComponent Clinical System --> Clinical Documentation --> Progress Documentation:

Manage CategoriesMaintain Text Background Color for Occupational GroupsMaintain Time Period Selection


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If you wish to adapt the output of data in the printout, you can implement the following BAdI inCustomizing under SAP Healthcare - Industry-Specific Component Clinical System --> ClinicalDocumentation --> Progress Documentation --> Business Add-Ins for Progress Documentation:

BAdI: Adapt Printout of Progress Documentation

ISHMED_MAIN: Progress Notes - Discontinued Functions (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function SAP Patient Management (ISH_MAIN) we hereby announce the imminent end ofmaintenance of the functions for entering and displaying outpatient, nursing and inpatient progressnotes in i.s.h.med. These functions have been completely revised and are now available to you in thenew i.s.h.med progress documentation.

In i.s.h.med maintenance of the following components will end with the next release:Outpatient NoteOutpatient Clinic FolderNursing Progress NoteNursing NotesNursing Progress ReportInpatient Progress NoteInpatient Progress Report


If you had previously entered outpatient, nursing and inpatient progress notes in i.s.h.med, you mustconvert your system to i.s.h.med progress documentation before the next release and migrate theexisting data. You can find information on this in the release notes for i.s.h.med progressdocumentation.

See also

You should also refer to the following release note: ISHMED_MAIN: i.s.h.med ProgressDocumentation (New)

Documents

ISHMED_MAIN: PMD Mass Generation (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System (ISHMED_MAIN), the function for generating parameterizablemedical documents (PMD) is provided (transaction code: N1PMD_MGEN).

From the list of all PMDs, you can select the PMDs to be generated at institution, document categoryand individual version level. PMDs that cannot be generated appear as inactive in the list.

The selected PMDs are generated in a background job. In the detail view, the function with the trafficlight icon indicates the background processing status. Clicking the traffic light icon calls the job historyand displays details about the processing.

Image and Findings Documentation CWD – i.s.h.med

ISHMED_MAIN: Image and Findings Documentation (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function Clinical System (ISHMED_MAIN) i.s.h.med offers Image and Findings


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Documentation CWD - i.s.h.med (Findings Documentation) for the connection of Clinic WinData(CWD) from E&L GmbH within the product portfolio.

You will need an "i.s.h.med Findings Documentation with Clinic WinData" license.

The findings documentation offers a standardized message exchange via communication processesbetween the i.s.h.med and Clinic WinData systems for the following data:

Patient data (from i.s.h.med to CWD)Order and service data (from i.s.h.med to CWD)Diagnoses (from CWD to i.s.h.med)Procedures (from CWD to i.s.h.med)Services (from CWD to i.s.h.med)Diagnoses (from CWD to i.s.h.med)Findings letters (from CWD to i.s.h.med)

The findings documentation provides you with an additional Business Add-In for connecting a viewer.You can use the example implementation in the BAdI for caling SIEMENS MagicWeb as a template foryour own implementation.

You can integrate the findings documentation into the following view types of the clinical work station:Outpatient Clinic/Service FacilityOccupancy view


You can find information on the configuration of findings documentation in Customizing under SAPHealthcare - Industry-Specific Component Clinical System --> Clinical Documentation --> Image andFindings Documentation CWD - i.s.h.med.

When you have configured the findings documentation, you can integrate the Display CWD pusbuttoninto the following view types of the clinical work station:

Outpatient Clinic/Service FacilityOccupancy view

You can also integrate the Edit CWD pushbutton into the Outpatient Clinic/Service Facility view type ofthe clinical work station.

Activities

If you wish to use the findings documentation, you must execute the following customizing activitiesunder SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->Image and Findings Documentation CWD - i.s.h.med:

Configure RFC DestinationCreate Logical System for HCMClinical Order: Set Up Order TypesImport/Install Document CategoriesImport/Activate Communication ProcessesImplement Customer Exit RNCSND01Implement Customer Exit N1LQ0002BAdI: Implement N1_CANCELBAdI: Implement ISH_PREREG_CHANGEBAdI: Implement N1_PERFORM_SRV_SAVE

You can also carry out the following activities in Customizing:SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->Image and Findings Documentation CWD - i.s.h.med --> Case Revision - Create Index on DatabaseSAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->Image and Findings Documentation CWD - i.s.h.med --> Business Add-Ins for FindingsDocumentation --> BAdI: Call PACS Viewer

See also

SAP notes 1753258, 1753261


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Image Integration i.s.h.med - IMAGIC

ISHMED_SCD: Imagic - i.s.h.med Image Integration (New)

As of SAP Enhancement Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function Clinical System Situation Based Clinical Documentation (ISHMED_SCD), you canuse an interface in i.s.h.med to connect the image system ims med (ims) from Imagic BildverarbeitungAG as part of the product portfolio.

To use the Imagic - i.s.h.med image integration, you need the license "i.s.h.med Connection of ImagicIMS for Image Acquisition".

After implementing the interface, you can use the functions of the Imagic - i.s.h.med image integrationin Parameterized Medical Documents (PMD) and in the clinical work station.

The Imagic - i.s.h.med image integration is available in the following view types of the clinical workstation:

ArrivalsOccupancyDeparturesDocumentsOutpatient clinic/service facilitySurgeries

In the clinical work station, you integrate the "Study Status" column to display the following processingstatus of an image study into a layout variant:

Red: At least one image study without images existsYellow: At least one image study with images exists which has not been releasedGreen: All existing image studies have been released

In addition, you can incorporate the following 3 buttons for calling the image system into a functionvariant in the views:

Create Image StudyDisplay Image StudyChange Image Study

The Parameterizable Medical Documentation provides the documentation elementIMAGE_INTEGRATION to transfer findings-relevant images of an image study acquired in ims aspreview images into a document. In addition, you can make the following functions available within adocument:

Assign Image StudyUndo Image StudyDisplay Image StudyCreate Image StudyChange Image StudyDisplay Information on Study

Note that only Imagic - Version 11, Q2 with at least Patch 2 or higher is supported.


If you previously used the Add-On for image integration, you can replace this with the Imagic -i.s.h.med image integration. The system supports the parallel use of both versions. However, accessto the same image studies must be prevented.


For information about setting up the Imagic - i.s.h.med interface, see Customizing under SAPHealthcare - Industry-Specific Component Clinical System --> Clinical Documentation --> ImageIntegration Imagic - i.s.h.med.


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After you have set up the Imagic - i.s.h.med interface, incorporate the buttons into the function variantand the column for displaying the processing status into the layout variant in the respective view of theclinical work station.

If you want to use the Imagic - i.s.h.med image integration in a parameterized medical document, thedocumentation element IMAGE_INTEGRATION of the type Link is available to accommodateintegration into a document type.

The system checks - using the authorization object N_1IMSTUDY - for each institution whether a useris permitted to create, change or display an image study for an employee responsible and adocumenting organizational unit. The authorization object also makes it possible to control whether auser is allowed to unlock an image study that has already been released.

The Imagic - i.s.h.med image integration supports IS-H case revision and patient merge. The changeddata is not, however, transferred to the ims image system. You can implement an ADT interface inorder to actively transfer the corresponding data.

See also

SAP Notes 1625042, 1627533


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Clinical Order

General

ISHMED_MAIN: Clinical Order - Synchronization Check (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System (ISHMED_MAIN) the following modifications are available:

In transaction Set Up Order Types for Clinical Order (N1COT) the check concerning whether thesystems have been synchronized has been deactivated for the transport request. This check is onlyrelevant for customers who use Release 4.72 and wish to migrate the order types to a SAP ERP 6.0system.


In customizing, you can access the new OU parameter N1ENABSYNC. The parameter is deactivatedas standard.

If you wish to migrate from i.s.h.med 4.72 to SAP ERP 6.0, add parameter N1ENABSYNC to thetransaction Change View "OU-Related Customizing": Overview (N1SQ) and activate it for allinstitutions of the client.

See also

SAP Note 1780758


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Surgery System

General

ISHMED_MAIN: Surgery System - Surgery Scheduling Replaces Surgery Progress Monitor (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), thesurgery progress monitor is replaced by the Surgery Scheduling view type in the clinical work station.Surgery Scheduling is included in the standard scope of i.s.h.med and released generally as of SAPERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605).

Surgery scheduling provides a work environment for the planner that enables you - in that role - tomonitor the progress of surgical activity in real-time. You can quickly adjust the present OR scheduleto satisfy current business requirements.

Surgery scheduling is based on the OR plan created for the surgery day and uses the i.s.h.medplanning grid to present data and accommodate interaction. For this purpose, the planning grid hasbeen enhanced with many features, for example to display the current status or the chronologicaldeviation of a surgery from the originally released plan.

As already announced in the release notes for Release 6.05, the introduction of surgery schedulingmeans a shortened maintenance phase for the surgery progress monitor. In accordance with thisannouncement, with the general availability of SAP ERP 6.0 Industry Extension Healthcare, SAPenhancement package 6 (IS-H 606), the surgery progress monitor is no longer maintained by themanufacturer.


Surgery scheduling is fully integrated into SAP GUI and i.s.h.med. With the changeover from thesurgery progress monitor to surgery scheduling, you no longer have to perform additional installationactivities, such as as frontend controls on the client, which were necessary for the surgery progressmonitor.


Customizing for surgery scheduling must be performed.

This change is available with SAP enhancement package 6 for SAP ERP 6.0, Industry ExtensionHealthcare (IS-H 606), Support Package 04.


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Radiologie

General

ISHMED_EDP: Radiology - MPPS and Reconciliation (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Enhanced Documentation Processes (ISHMED_EDP), the followingchanges to the reconciliation tool (N1RECON) are available:

You can use the reconciliation tool to manually change the relationships between objects of thefollowing types:

o Radiological serviceo Study documento MPPS (Modality Performed Procedure Step)

A correct assignment between these objects is required for the correct images to be opened forthe radiological services.

You can import the MPPS data into the database as follows:o MMPS of a modalityo Message from PACS (Study Content Notification)o Active query to the PACS by the user (Query Patient)


The system saves the MPPS data in the database (table N1MPPS) and the related tables N1MPPS*.The following fields have been added to the table N1MPPS:

The system displays the original of the MPPS data in the field "SOURCE" (according to the abovementioned import routes).The system displays the status of the image availability in the field "IMAGES_AVAILABLE".


New configuration options are provided in Customizing for controlling the display of image availability:

Set the new indicator SCN under SAP Healthcare - Industry Specific Component Clinical System ->Radiology -> Maintain PACS Assignments. With this indicator, the system shows whether the PACScan send an SCN.

Set the new indicator for each modality in the column "MPPS" under SAP Healthcare - Industry-Specific Component Clinical System -> Radiology -> Define Resources (AE Title). This indicatorshows whether the system expects MPPS and MPPS with status COMPLETED from this modality.The following selection options are available:

No MPPSMPPS expectedMPPS complete

As the system administrator, you can configure criteria for automatic reconciliation in the BusinessAdd-In (BAdI) ISHMED_RAD_MPPS_AUTOFIND. The study instance UID (0020,000D) and thepatient ID (0010,0020) are used in the default implementation.

You can use the BAdI ISHMED_RAD_MPPS_IMAGES to configure criteria to display the imageavailability.


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MEDICATION

Medication Master Data

ISHMED_MAIN:Medication - Master Data (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function Clinical System (ISHMED_MAIN) the following functional enhancements areavailable:

Modification of medication master data by external programsIn order to change the data of the drug master, you can use the following functions which can becalled by external programs.Set purpose indicators for one or more drugsAdd, change and delete general parameters for one or more drugsAssign one or more drugs to a fill sourceA drug can be identified here using one of the following functions:Find drug using external catalog keyFind drug using material numberFind drug using general parameters

The functions are provided together as RFC functions in the function module (N1ME_PHL_RFC) in thesystem.

Reset activation of drugs

The Reset Activation function is now available in the drug master. You can use this function to resetactivated drugs to their initial status "inactive". This means that much of the information which islocked for activated drugs, can be edited once again.

Note: You cannot reset the activation for drugs which you have already used in orders or templates.In this case, the system will issue a corresponding error message.

Medication Order

ISHMED_MISC01: Medication - Order in Smart UI (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),business function Clinical System Functional Extensions (ISHMED_MISC01) new developments areavailable in smart UI.

New development Orders UIBB

The Orders User Interface Building Block (UIBB) is available to you in the standard delivery in thepatient profile on the Overview page. The Orders UIBB offers you the following new functions:

Edit Day's EventsYou can use the Edit Day's Events function to edit the administration events of a day and suspend,resume, end and confirm orders. The following functions are available:

o Display of basic order datao Navigation to the events of the previous or following dayo Display of existing events including the current status; an indicator displays deviations

between the planned and actual data of events which have already been administered


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o Suspend, resume and end an order with immediate effect or from a planned day or aspecific event in the future

o Confirm an order, or continue for the next dayo Change the planned dose or the planned time for existing planned eventso Schedule additional events of a selected dayo Cancel planned events of a selected day

Note: As soon as a user has started the documentation of one or more administration events, the Editand Delete actions are no longer available for these administration events.

Detail processing of an individual orderThe Change function calls the order details dialog for processing an individual order.Create one or more ordersThe Create function enables you to select one or more drugs with the option of subsequent stackprocessing in the order dialog.

New development Applications UIBB

The Applications UIBB is also available in the patient profile. The following function calls formedication are available to you for the Applications UIBB:

Edit one or more ordersThe Edit Medication function opens the familiar order dialog with the following options:

o Stack processing of several orderso Create new orderso All order detail dialog functionso All functions of the Edit Day's Events dialog box, split into individual functions of the chart,

the function variant and the Event tab.Create an emergency eventThe Medication: Create Emergency Event function offers you the selection of a drug using the drugsearch. You subsequently access the administration dialog for documenting the emergencyadministration.


The technical requirements for smart UI also apply for the use of the new developments for themedication order:

NetWeaver Business Client 4.0 for Desktop (or higher)Microsoft Internet Explorer 6 (or higher)Microsoft Silverlight Version 4 (or higher)SAP GUI for Windows 7.30 (or higher)

For more detailed information, see SAP Note 1782982.

See also

ISHMED_MAIN: Medication – Order (Enhanced)

ISHMED_MAIN: Medication – Order (Changed)

ISHMED_MAIN: Medication - Order (Enhanced)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function Clinical System (ISHMED_MAIN) the following functional enhancements areavailable:

Note: You can also use the following enhancements via the NetWeaver Business Client (NWBC).

Enhancements to the chart


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Process orders from the chartThe medication graph in the chart now offers the following functions:

o Edit Orderso Suspend Orderso Resume Orderso End Orders

The system uses the dialogs for entering the date and confirmation which are also available in theclinical work station.

Note: Unlike in the clinical work station, the system only saves changes when saving temporarily orsaving the entire order dialog or the task in the documentation work station.

Manual sorting and colored highlighting of orders

You can use the Manual Sorting function to flag orders for display in the chart (colored highlighting)and sort these.

The following options are available in a dialog box:o The system displays a list of all orders in the selection period of the charto You can sort the orders using Drag&Drop, arrow keys or by selecting column headero You can optionally assign a color for each order for the display of the order bars in the chart

To configure the Manual Sorting function you proceed as follows:

1. Add the function to the function variant of the order dialog.

2. Configure the chart colors for the medication in i.s.h.med customizing under SAP Healthcare -Industry-Specific Component Clinical System -> Chart -> Define Additional Colors using theOrder Color type.

Sorting Orders by PredecessorYou can sort orders by predecessors.

Enhancements in the Order and Administration Dialog

The following enhancements are now available for the medication order and administration:Enhancements in the Order Dialog

o The Event tab page now includes the Quick Administration function, which enables thedocumentation of a selected administration event at the system time.

o The Event tab page in the order also contains the columns Actual Date and Actual Time.They contain the documented adminstration time. The time at which the administration timewas changed, displayed in the Date and Time columns, can be different, for example,because order details have subsequently been added.

o You can call the order processing function from the chart and the order list in the orderdialog. The system opens the detail dialog for processing a single order with all its detailinformation.

o The Drug Info column with the hotspot for calling information on the corresponding drug isalso available for the ingredients of a mixed drug in the list of ingredients on the Ingredienttab page in the enhanced view of the order.

o You can configure your own function variant for the specific control in the order dialog.o You configure the function for tasks in the documentation work station using a base item. In

the stand-alone dialog you use the user-specific presettings for this.Enhancements in the Order Detail DialogThe following order detail dialog functions are available for order processing:

o Enhanced Overview of Order DataThe system displays an enhanced overview of the most important order data. The followingtab pages are available in the order detail dialog for this purpose:

Order tab page: Here the system displays the basic data of the order, for example,the drug, the dose, the cycle, the period of validity and the status.Event tab page: Here you can find and edit information on the events.


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Additional Information tab page: Here you can store and view comments, a reasonfor usage and other additional information in the Additional Information group frame.Administrative Data tab page: Here the system displays, for example, the order typeand the employee responsible in the Administrative Data group frame.

o Simplified Order Entry for Infusions and Sliding DosesSimplified order entry via cycle selection is available for infusions and sliding doses etc.The cycle selection for sliding doses, single administrations or continual infusions activates thecorresponding additional entry fields and tab pages. You can therefore enter the administrationduration or flow rate directly on the same tab page.o Integrated Change Function for Orders

The following change functions for orders are integrated into the dialog: Dose change Drug change Change of administration route

You can also make the changes to the purpose, the status, the order duration, etc. availableindividually using the function variant of the order detail dialog.

Enhancements in Administration DialogThe following functions are now available in the administration dialog for the documentation ofadministrations:

o Display of Previous AdministrationIn the administration dialog the system now displays the date of the previous administrationfor each administration. You can display the complete details of this last administration in aseparate dialog box using the corresponding pushbutton.

o Colored Highlighting of Currently Opened RowThe system also uses the user parameter (N1ME_ORDGRI_OPENROW) in theadministration dialog. This means that you can also highlight the currently opened line here.

Additional Enhancements in the Medication Ordero Copy Earlier Orders into Current Case

You can use the Copy Earlier Orders function to copy previous orders of a patient into thecurrent case. When selecting an earlier order, you have the following options:

A tree structure offers you an overview consisting of cases, groups of purposes andthe corresponding orders.

You can select orders and use the copy function to copy them into the current caseas a new order.

When converting to another purpose, the system offers you a selection ofcorresponding drug proposals in an alternative search dialog.

You use the Confirm function to transfer the selection of new orders into the orderdialog. There you can further process, save and activate the order.

To configure the function add it to, for example, the function variant of the order dialog or aview.

o Use of Special Requests in Order TemplatesIn order templates you can also use special requests, i.e. drugs which are not on the in-house list.Example: Chemotherapy drugs are not on the in-house list, as they do not belong to thedrugs which are routinely available. However, you can still use order templates for mappingchemotherapy profiles, which must then also contain the special requests inserted in thetherapy plan.

o Regrouping Search Results for Searching for AlternativesThe search for alternative drugs, which displays alternative drugs when a drug is changed orthe change functions are used in an order, now groups these search results into twodifferent groups:The Aut idem group contains drugs in which the following properties are identical with thedrug to be replaced:

Agent Agent Equivalent Ratio Agent: Equivalent Dosage Form


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Administration Route

When an alternative drug is transferred into a subsequent order, the system automaticallycalculates a dose proposal for this drug, based on the earlier dose.In the Aut idem (enhanced) group the system also displays drugs which have the sameagent or agent equivalent, but the other parameters of the drug to be replaced are different.This is necessary as there is often no drug which satisfies all conditions.When an alternative drug is transferred into a subsequent order, the system will notcalculate a dose proposal for drugs from the Aut idem (enhanced) group, but will proposethe standard dose. The system cannot determine the dose proposals, as the different agentratios, dosage forms, and administration routes may necessitate different doses.


In order to be able to use the new interactions in the chart, you must install the new version of thechart (version 6-05-028).

You can find information on this under http://service.ishmed.com -> Charting Component.


For single infusions you must manually define a separate cycle. Execute the following steps for thispurpose:

1. Under Industry-Specific Component Clinical System -> Cross-Application Settings -> Cycles -> Configure Cycles define a cycle with the same parameters as for continuous infusions.

2. Specify a sensible name, for example SINGLE-IV.

3. You then store the cycle name, for example under Industry-Specific Component ClinicalSystem -> Global Settings -> System Parameters -> Define Institution as Time-Independent,for the system parameter (N1MEFRE1) for an institution.

See also

ISHMED_MISC01: Medication - Order in Smart UI (New)

ISHMED_MAIN: Medication – Order (Changed)

ISHMED_MAIN: Medication - Order (Changed)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function Clinical System (ISHMED_MAIN) the following changes are available:

Changes in the Medication Order

The following changes to functionality are available for the medcation order:Alignment of End Order and Suspend Order dialog boxesThe dialog boxes of the End Order and Suspend Order functions now display the same orderinformation. In both boxes the system displays the description of the order as well as the start andend time of the order.Drug alternatives when transferring from anamnesis medicationWhen transferring from an anamnesis medication the first alternative drug is no longerautomatically pre-selected. The system only automatically selects this drug as a proposal if theanamnesis drug is also available on the in-house list.General lock of check condition from activation of an orderIn order processing you can no longer change the check condition or the checkbox for theobligatory check of the condition in an activated order. Previously both fields were only locked if theyalready contained entries at the time that the order was activated.Change of order text for mixed drugThe order text for a mixed drug contains all ingredients. If the available length of the order text is notsufficient, the system will shorten the names of all drugs proportionately, instead of only displayingthe first ingredient(s) as before.


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Changes in Medication Administration

The following changes to functionality are available for medcation administration:Inclusion of valid orders for emergency eventsThe Emergency Event function now takes into account the validity of an order. When you call thefunction while an order which has already ended or has not yet begun is selected, the systemautomatically opens the drug search. After selecting the drug the system enables the documentationof the emergency administration in the administration dialog. As previously, in this case the systemcreates an emergency event at the current system time with a separate immediately valid order.

See also

ISHMED_MISC01:Order in Smart UI (New)

ISHMED_MAIN: Order (Enhanced)


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Message Communication Infrastructure

ISHMED_MAIN: Message Communication Infrastructure - Overview (New)

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Business Function Clinical System (ISHMED_MAIN) the message communication infrastructure isavailable in the basis module.

THe message communication infrastructure supports the implementation of communication processeswith external products in i.s.h.med. The message communication infrastructure provides a standardimplementation model for this.

The message communication infrastructure consists of the configurator, cockpit and monitorcomponents. These components offer you functions for the configuration, formatting and monitoring ofincoming and outgoing message flows.

You can use the configurator to set up a communication process for a defined communicationscenario.

You use the cockpit to receive an overview of all communication processes. The system displays howmany messages it should process for a communication process, how many messages it hassuccessfully processed and how many it was not possible to process.

You use the monitor to receive information on individual messages of a communication process. Thesystem displays additional details, for example, the processing status, the start of processing and theend of processing of a message.


In Customizing under SAP Healthcare - Industry-Specific Component Clinical System -> MessageCommunication Infrastructure -> Business Add-Ins for Message Monitor Business Add-Ins (BAdIs) forenhancing the functions and columns of the message monitor are available.

In Customizing under SAP Healthcare - Industry-Specific Component Clinical System -> MessageCommunication Infrastructure -> Business Add-In Runtime Environment a BAdI is available foradaptations before the execution of the communication process.

The implementation of the BAdI is optional.

See also

SAP Note Number 1770803

ISHMED_MAIN: Message Communication Infrastructure - Available Connectors (Enhanced ), HL7 Segments(New)

As of SAP Enhancement Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),Support Package 01, Business Function Clinical System (ISHMED_MAIN), 2 new connectors and 13predefined HL7 segments are available in the message communication infrastructure.

Connectors:

EDI connector (connecting MCI to EDI events)

HL7 via HTTP connector (implementation HL7 via HTTP specification of HAPI project)


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HL7 Segments:

DG1 (CL_ISHMED_MCI_HL7_SEG_DG1_26)

MSA (CL_ISHMED_MCI_HL7_SEG_MSA_26)

MSH (CL_ISHMED_MCI_HL7_SEG_MSH_26)

NTE (CL_ISHMED_MCI_HL7_SEG_NTE_26)

OBR (CL_ISHMED_MCI_HL7_SEG_OBR_26)

OBX (CL_ISHMED_MCI_HL7_SEG_OBX_26)

ORC (CL_ISHMED_MCI_HL7_SEG_ORC_26)

PID (CL_ISHMED_MCI_HL7_SEG_PID_26)

PR1 (CL_ISHMED_MCI_HL7_SEG_PR1_26)

PV1 (CL_ISHMED_MCI_HL7_SEG_PV1_26)

ROL (CL_ISHMED_MCI_HL7_SEG_ROL_26)

SFT (CL_ISHMED_MCI_HL7_SEG_SFT_26)

TXA (CL_ISHMED_MCI_HL7_SEG_TXA_26)

See also

SAP Note Number 1853457


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Connectivity

ISHMED_MAIN: Connectivity - Overview (Changed)

In SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), businessfunction Clinical System (ISHMED_MAIN) i.s.h.med Connectivity is also available as an interfacemodule for the dispatch of documents. As previously, this module ist subject to license.

The Connectivity Outbound order component, which transfers a clinical order from i.s.h.med as theHIS to the dispatch logic of internal subsystems, has been removed from the i.s.h.med connectivitylicense and is now available with the i.s.h.med basis license.

Changes in i.s.h.med connectivity ModuleWith Release 6.0 EHP 7 i.s.h.med connectivity provides the standard communication process "MDMDocument Dipatch Profile A" for dispatching i.s.h.med document categories. Using this HL7message type, depending on configuration, you can dispatch created documents during theircreation, update or release and set a status, the deletion indicator or transmit the creation of a newdocument version from the HIS.The communication process is subject to the implementation model of the i.s.h.med messagecommunication infrastructure, which is available to you as of SAP enhancement package 7 for SAPERP 6.0, Industry Extension Healthcare (IS-H 617), business function Clinical System(ISHMED_MAIN) for the configuration of communication processes and the logging of incoming andoutgoing message flows.Changes Concerning the Connectivity Outbound Order ComponentAs of Release 6.0 EHP7 you will no longer require a license for the i.s.h.med connectivity module touse the Connectivity Outbound order component. This means that you can use the i.s.h.med basislicense and the newly provided Message Communication Infrastructure provided in Release 6.0EHP7 to prepare the dispatch of clinical orders to internal subsystem interfaces.You should note that the formatting of the corresponding messages (e.g. HL7 ORM) is necessary forthe dispatch itself.


The transmission of patient-related information to external systems is usually subject to regulationsconcerning communication and data protection. These regulations must be determined during theorganization of the communication scenario and supported by suitable system-tecnical components(e.g. connectors which execute the communication with the actual networking system). This system-technical components are not part of the i.s.h.med connectivity module.


In Customizing under SAP Healthcare - Industry-Specific Component Clinical System -> Connectivity -> Import/Activate Communication Processes the activity for importing and activating the standardcommunication processes is available.

See also

SAP Note 1770772

You can find further information in:the system documentation on the communication process using transaction N1MCI_CONFIGthe release notes for the message communication infrastructure I-0005_ReleaseInfo_Nachrichtenverarbeiter_Überblick_01