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 business function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2), as well as in the Support Packages listed below, the changes listed are available for the following two evaluations for nursing home 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 the selection 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 the nursing 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 Management Inpatient 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), Support Package 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), Support Package 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, Industry Extension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN), as well as with the Support Packages listed below:

The reports RNJOIN00 (IS-H: Merge Patients) and RNUPATCMP (IS-H: Find Similar Patients) now include 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 in Customizing for the institution in question.

These enhancements are available as of:

SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support Package 24, business function SAP Patient Management (ISH_MAIN)

SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support Package 15, business function SAP Patient Management (ISH_MAIN)

SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support Package 09, business function SAP Patient Management (ISH_MAIN)

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 special

Customizing settings if you want to use the function. In the country versions CH, FR, and IT, patient

merging would previously terminate with an error message.

The new function allows you to activate the function for copying card data in Customizing for specific institions in the country versions CH, FR, and IT. You can now merge patients with existing card data and 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 of similar 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 SAP Healthcare – Industry-Specific Components for Hospitals Basic Settings System Parameters Maintain Institution-Specific Basic Control.

See also

For more information, see SAP Note 1769129.

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 function SAP Patient Management (ISH_MAIN)

SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support Package 22, business function SAP Patient Management (ISH_MAIN)

SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support Package 22, business function SAP Patient Management (ISH_MAIN)

SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support Package 14, business function SAP Patient Management (ISH_MAIN)

SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support Package 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 in a 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 system also checks for the existence of the first visit. If this visit is before the movement to be displayed, the system does not include it in further processing. This reduces the number of hits more significantly than before.

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

ISH_MAIN CH: Expensive Drugs (New)

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

ISH_MAIN CH: Statistics – PRISMA from 2012 (Changed)

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

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

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

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

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

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

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

Communication

General

ISH_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 SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support Package 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 data including the following for each procedure carried out:

Surgeon responsible Anesthetist responsible Amounts for surgery services Amounts for anesthesiology services Amounts for implants

Amounts 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 described below.

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

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 system determines the amounts.

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

Electronic Data Interchange Country Specifics Country Specifics for Singapore Business Add-Ins for CCPS Communication BAdI for Determining Amounts for Procedures (CCPS Data Transfer).

Determining physicians responsible

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

If you do not create a custom implementation, the system determines these physicians. It does this using either the assignment of physicians to the surgery movement or the assignments of physicians to 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 to enable you to determine physicians for each procedure when handling surgery movements with more than one procedure. The value help lists alll the procedures that are assigned to the same movement as the selected service. If you assign services with physician assignments to a procedure using the SP Code field, the system attempts to determine a surgeon or anesthetist from the physician assignments for these services.

For more information and examples of how physicians are determined, see the documentation for this BAdI under SAP Healthcare – Industry-Specific Components for Hospitals Communication

Electronic Data Interchange Country Specifics Country Specifics for Singapore Business Add-Ins for CCPS Communication BAdI for Determining Physicians for Procedures (CCPS Data

Transfer).

Communication with Systems Inside the Hospital

ISH_MAIN CH: Electronic Insurance Verification (New)

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

Communication with Systems outside the Hospital

ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced)

Until now, the system only took account of unbilled cases for healthy newborns and patients in EDI communication if the SI billing indicator Coverage Percentage Rate Open or Confirmation of Coverage Open was selected.

From now on, these cases are also taken into account in the VIDHOSP communication procedure FRVID if the social insurance billing indicator Coverage by SI is selected. However, cases for which the social insurance billing indicator is not selected or where the indicator has the value No

Coverage, are still not included in the VIDHOSP communication procedure.

The system also processes the Reimbursement Rate (RRATE) field for the messages for the unbilled cases described above.

The service rules must also be processed for unbilled cases to ensure that the VIDHOSP message is filled correctly, in particular with regard to exemptions and coverage portions. For this reason, the report executes all the service rules configured in Customizing for event NLRG20 (service check before EDI communication). Please note that in this callup point – as is the case for all events that can involve mass processing – the service rules only perform an action if you have selected "Actions Without 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 Check Procedure.

This enhancement is available with the following Support Packages:

SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function 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 the Support Packages listed below, the new EDI communication procedure FR615, which creates the files according to the current regulations issued by the insurance funds, is available to support electronic data 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 case categories for which the system is to send the invoice in the 615M procedure in the Customizing activity Control Settings for 615M Dispatch, which you can access in Customizing under SAP Healthcare – Industry-Specific Components for Hospitals Communication Electronic Data Interchange Country Specifics Country Specifics for France Invoice Transfer 615M Control Settings 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 an invoice 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 Customizing Step-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), business function SAP Patient Management Country Version France (ISH_CV_FR), Support Package 18 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business function SAP Patient Management Country Version France (ISH_CV_FR), Support Package 10 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function 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 the Support 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 you failed to insert it in the card reader or did not insert it properly). This meant that the system was unable to copy medical data from the Carte Vitale.

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

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

This enhancement is available with the following Support Packages:

SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business function SAP Patient Management Country Version France (ISH_CV_FR), Support Package 22 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), Support Package 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), Support Package 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 Extension Healthcare (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 a preregistration in the Clinical Work Station (transaction NWP1).

Please note that this is only possible if the correct Customizing settings have been made in the Institution-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), business function SAP Patient Management Country Version France (ISH_CV_FR), Support Package 24 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), Support Package 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), Support Package 09, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_MAIN SG: EDI Procedure CCPS (Enhanced)

The following enhancement is 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:

The CCPS Medinet 1.2 Standard is only available for hospitals in Singapore for which the limited required fields that have been added since version 1.1 are sufficient. The system does not

automatically 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 Class Country of Residence

Assisting Local Doctor SMC No Date of Birth of Payer (for Medisave)

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

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

This enhancement is available with the following Support Package:

SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function SAP Patient Management (ISH_MAIN), Support Package 10

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