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 is available.
If you wish to use the i.s.h.med progress documentation, you will need the "i.s.h.med Progress Documentation" 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 inpatients Entry of progress entry as free text or using text modules
Show or hide attributes for existing progress entries
Show or hide context data for entering a new progress entry Occupational group-related colored highlighting of progress entries Cancellation of existing progress entries
Display of canceled progress entries
Selection of various time periods and filtering of existing progress entries according to various criteria
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 in i.s.h.med for entering, editing and displaying progress notes in the outpatient and inpatient area in the following components:
Clinical Work Station Patient Organizer
Documentation Work Station Clinical Overview
Charting
Nursing Process Documentation
The i.s.h.med Progress Documentation is also available in the following components:
Patient Profile Patient Record SmartChart
Effects on System Administration
If a user may cancel his own progress entries, you must assign the user the authorization object N_1PDS with the activity "85".
If you wish to enter progress entries with a reference to the occupational group, you must assign one of the following occupational groups to each user via the user-related parameter
N1_PROFESSION_GROUP:
ADMN Administration DOCT Physician NURS Nursing staff OTHE Other
PHYS Physiotherapy Effects on Existing Data
If you previously used the i.s.h.med functions for entering, editing and displaying progress notes, you must execute the report RN1PDS_MIGRATION to transfer the existing progress notes into the i.s.h.med progress documentation. You can find information on the execution of the data migration in the 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 notes which were available in i.s.h.med before the i.s.h.med progress documentation are no longer
available. If you wish to continue to use these functions, the system will automatically direct you to the i.s.h.med progress documentation.
Effects on Customizing
You can find information on the configuration of i.s.h.med progress documentation in Customizing under 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 work station and the nursing plan:
N1PDS1 Create Progress Entry N1PDS2 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 progress entry 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 Progress Documentation info block into your configuration.
If you have defined your own aspects with progress notes in the patient organizer, you must insert the Progress Documentation view following migration.
Note that any adaptations you may have implemented with the BAdI BADI_ISHMED_VD_PRINT for printing 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 customizing activity under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical
Documentation --> Progress Documentation:
Set Up Number Ranges for Progress Notes
You can optionally execute the following customizing activity under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation --> Progress Documentation:
Manage Categories
Maintain Text Background Color for Occupational Groups Maintain Time Period Selection
If you wish to adapt the output of data in the printout, you can implement the following BAdI in Customizing under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation --> 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 of maintenance of the functions for entering and displaying outpatient, nursing and inpatient progress notes in i.s.h.med. These functions have been completely revised and are now available to you in the new i.s.h.med progress documentation.
In i.s.h.med maintenance of the following components will end with the next release:
Outpatient Note
Outpatient Clinic Folder Nursing Progress Note Nursing Notes
Nursing Progress Report Inpatient Progress Note Inpatient Progress Report Effects on System Administration
If you had previously entered outpatient, nursing and inpatient progress notes in i.s.h.med, you must convert your system to i.s.h.med progress documentation before the next release and migrate the existing data. You can find information on this in the release notes for i.s.h.med progress
documentation.
See also
You should also refer to the following release note: ISHMED_MAIN: i.s.h.med Progress Documentation (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 parameterizable medical 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 category and 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 traffic light icon indicates the background processing status. Clicking the traffic light icon calls the job history and 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
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 processes between 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 for your own implementation.
You can integrate the findings documentation into the following view types of the clinical work station:
Outpatient Clinic/Service Facility Occupancy view
Effects on Customizing
You can find information on the configuration of findings documentation in Customizing under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation --> Image and Findings Documentation CWD - i.s.h.med.
When you have configured the findings documentation, you can integrate the Display CWD pusbutton into the following view types of the clinical work station:
Outpatient Clinic/Service Facility Occupancy view
You can also integrate the Edit CWD pushbutton into the Outpatient Clinic/Service Facility view type of the clinical work station.
Activities
If you wish to use the findings documentation, you must execute the following customizing activities under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->
Image and Findings Documentation CWD - i.s.h.med:
Configure RFC Destination Create Logical System for HCM Clinical Order: Set Up Order Types Import/Install Document Categories
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 Database SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->
Image and Findings Documentation CWD - i.s.h.med --> Business Add-Ins for Findings Documentation --> BAdI: Call PACS Viewer
See also
SAP notes 1753258, 1753261
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 can use an interface in i.s.h.med to connect the image system ims med (ims) from Imagic Bildverarbeitung AG 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 Imagic IMS for Image Acquisition".
After implementing the interface, you can use the functions of the Imagic - i.s.h.med image integration in 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 work station:
In the clinical work station, you integrate the "Study Status" column to display the following processing status of an image study into a layout variant:
Red: At least one image study without images exists
Yellow: At least one image study with images exists which has not been released Green: All existing image studies have been released
In addition, you can incorporate the following 3 buttons for calling the image system into a function variant in the views:
Create Image Study Display Image Study Change Image Study
The Parameterizable Medical Documentation provides the documentation element
IMAGE_INTEGRATION to transfer findings-relevant images of an image study acquired in ims as preview images into a document. In addition, you can make the following functions available within a document:
Note that only Imagic - Version 11, Q2 with at least Patch 2 or higher is supported.
Effects on Existing Data
If you previously used the AddOn 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, access to the same image studies must be prevented.
Effects on Customizing
For information about setting up the Imagic - i.s.h.med interface, see Customizing under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation --> Image Integration Imagic - i.s.h.med.
After you have set up the Imagic - i.s.h.med interface, incorporate the buttons into the function variant and the column for displaying the processing status into the layout variant in the respective view of the clinical work station.
If you want to use the Imagic - i.s.h.med image integration in a parameterized medical document, the documentation element IMAGE_INTEGRATION of the type Link is available to accommodate integration into a document type.
The system checks - using the authorization object N_1IMSTUDY - for each institution whether a user is permitted to create, change or display an image study for an employee responsible and a
documenting organizational unit. The authorization object also makes it possible to control whether a user 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 changed data is not, however, transferred to the ims image system. You can implement an ADT interface in order to actively transfer the corresponding data.
See also
SAP Notes 1625042, 1627533