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), the business function Clinical System (ISHMED_MAIN) has provided new and enhanced functions in various components of i.s.h.med. For more information about this, see the release notes for ISHMED_MAIN: Business Function Clinical System.

For information about the new features for this business function with SAP Enhancement Package 5 for 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 6 for 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 Enhancement Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the following release notes:

For SmartUI:

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

ISHMED_MAIN: Event Management - Customizing (Enhanced) For enhanced basic data

ISHMED_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)

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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 ), HL7 Segments (New)

ISHMED_MISC01: Business Function Clinical System MISC01

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

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

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

For patient groups

ISHMED_MISC01: Patient Groups in Smart UI (New) 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) 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), the business function Clinical System Situation Based Clinical Documentation (ISHMED_SCD) has provided new and enhanced functions in various components of i.s.h.med. You can find more information about this in the ISHMED_SCD: BF Clinical System Situation Based Clinical Documentation release note.

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

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), the business function Clinical System Enhanced Documentation Processes (ISHMED_EDP) has provided new and enhanced functions in various components of i.s.h.med. For more information about this, see the release notes for ISHMED_EDP: BF Enhanced Documentation Processes.

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

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

For radiology:

ISHMED_EDP: Radiology - MPPS and Reconciliation (Changed)

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 Groups component 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 their patients 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 whose central information you wish to view. For information about this, see the release notes on the selection dialog.

You can choose between various views and displays for the presentation of the patient information. 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 their occupancy. 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 for example, surgery appointment tomorrow. For information about this, see the release notes on filtering.

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.

Effects on System Administration

In order to be able to use patient groups you must copy the role

SAP_ISHMED_PATBOARD_PHYSICIAN into the customer namespace. If you change the menu of the role, do not remove the following necessary technical entries:

OBN Navigation

OBN Navigation Web Dynpro

Assign the copied role to the SAP users.

Use the 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. unit N1_WDORGPF_DEFAULT - ISHMED: Standard for trtmt / nurs. org. unit Effects on Customizing

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

You can edit the filters for patient groups in Customizing under SAP Healthcare - Industry-Specific Component 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 for Patient Groups:

BAdI: Enhancement of Filter Selection in Patient Groups BAdI: Enhancement of Filter Icons in Patient Groups Technical Requirements

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 Groups provide 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 selection criteria:

Department

Treatment / Nursing Organizational Unit Date

Days Back (or discharged patients)

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

Department

Treatment / Nursing Organizational Unit Effects on System Administration

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: Institution

N1_WDORGFA_DEFAULT - ISHMED: Standard for departmental org. unit N1_WDORGPF_DEFAULT - ISHMED: Standard for trtmt / nurs. org. unit

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 and displays of patient information are available in the patient groups.

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

Card View

If you choose the card view, the system displays the patients' names and key information (for example, birthdate, sex, allergies, risk factors) on patient cards. You can choose five different sizes of patient cards in this view.

Note that the card size determines the amount of information displayed.

List View

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

Room View

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

Department View

In the department view, for each selected departmental organizational unit (for example, surgery) the system graphically displays the lower-level treatment/nursing organizational units (for

example, care units) with their building unit (for example, rooms and beds) and the assigned patients.

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 in the patient groups.

You can use filters to filter the determined patient groups according to various criteria. When you select a filter, the system displays the patients who satisfy the criterion of the selected filter. For example, 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 and hide 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 corresponding column of the list view.

If you use Task Management, which requires a license, the Tasks Available filter shows a list of tasks for the physician occupational group that are pending for each patient. You can find further information about 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 of filters. You can also define your own filters and up to 5 additional filter icons, for example, according to the customer-specific columns which exist in the clinical work station.

Effects on Customizing

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

If you want to implement additional filters, implement the following enhancements under SAP

Healthcare - Industry-Specific Component Clinical System -> Smart UI -> Business Add-Ins for Patient Groups:

BAdI: Enhancement of Filter Selection in Patient Groups BAdI: 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 is avaliable in the patient groups.

The graphical plan provides a schematic overview of the organizational units and building units according to the organizational assignment of the determined patient. The system displays the patients 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. It displays the organizational assignment to the organizational units and building unit for a selected patient.

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

When displaying a care unit which contains beds, the system also displays the degree of occupancy based 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 is available 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 medical documentation about the treatment progress of a patient.

The patient profile contains the following components:

Patient Header

The patient header contains the central data used to identify the patient and the most important medical data. For information about this, see the release notes on the patient header.

Patient Record

The patient record shows you the central patient-related or case-related information. For information about this, see the release notes on the patient record.

Task Management

This licensed component displays the tasks pending for the user's relevant occupational group as well as the tasks of all occupational groups in a tree structure. You can call the tasks directly from the list for processing. For information about this, see the release notes on task management.

Applications

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 you the quick links to applications that require a license if you have the respective license.

Applications Hit List

The Applications Hitlist provides you with up to 10 quick links to the most frequently selected applications.

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 SAP

NetWeaver Business Client by choosing Clinical Work Station (occupancy, arrivals, departures) from the SAP GUI.

Effects on System Administration

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

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

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

Effects on Customizing

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

Activities

In order to use the patient profile, make the Customizing settings under Industry-Specific Component Clinical 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 Configuration of Applications in the Patient Profile

Industry-Specific Component Clinical System -> smart UI -> Patient Profile -> Edit Configuration of Patient Profile

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

Occupancy Arrivals Departures

Technical Requirements

If you want to use the patient profile, 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 information, see SAP Note 1782982.

See also