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), the surgery 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 SAP ERP 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 - to monitor the progress of surgical activity in real-time. You can quickly adjust the present OR schedule to satisfy current business requirements.
Surgery scheduling is based on the OR plan created for the surgery day and uses the i.s.h.med planning grid to present data and accommodate interaction. For this purpose, the planning grid has been enhanced with many features, for example to display the current status or the chronological deviation of a surgery from the originally released plan.
As already announced in the release notes for Release 6.05, the introduction of surgery scheduling means a shortened maintenance phase for the surgery progress monitor. In accordance with this announcement, with the general availability of SAP ERP 6.0 Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), the surgery progress monitor is no longer maintained by the manufacturer.
Effects on System Administration
Surgery scheduling is fully integrated into SAP GUI and i.s.h.med. With the changeover from the surgery progress monitor to surgery scheduling, you no longer have to perform additional installation activities, such as as frontend controls on the client, which were necessary for the surgery progress monitor.
Effects on Customizing
Customizing for surgery scheduling must be performed.
This change is available with SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support Package 04.
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 following changes to the reconciliation tool (N1RECON) are available:
You can use the reconciliation tool to manually change the relationships between objects of the following types:
o Radiological service o Study document
o MPPS (Modality Performed Procedure Step)
A correct assignment between these objects is required for the correct images to be opened for the radiological services.
You can import the MPPS data into the database as follows:
o MMPS of a modality
o Message from PACS (Study Content Notification) o Active query to the PACS by the user (Query Patient) Effects on Existing Data
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 above mentioned import routes).
The system displays the status of the image availability in the field "IMAGES_AVAILABLE".
Effects on Customizing
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 PACS can 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 indicator shows whether the system expects MPPS and MPPS with status COMPLETED from this modality.
The following selection options are available:
No MPPS MPPS expected MPPS complete
As the system administrator, you can configure criteria for automatic reconciliation in the Business Add-In (BAdI) ISHMED_RAD_MPPS_AUTOFIND. The study instance UID (0020,000D) and the patient ID (0010,0020) are used in the default implementation.
You can use the BAdI ISHMED_RAD_MPPS_IMAGES to configure criteria to display the image availability.
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 are available:
Modification of medication master data by external programs
In order to change the data of the drug master, you can use the following functions which can be called by external programs.
Set purpose indicators for one or more drugs
Add, change and delete general parameters for one or more drugs Assign one or more drugs to a fill source
A drug can be identified here using one of the following functions:
Find drug using external catalog key Find drug using material number Find drug using general parameters
The functions are provided together as RFC functions in the function module (N1ME_PHL_RFC) in the system.
Reset activation of drugs
The Reset Activation function is now available in the drug master. You can use this function to reset activated drugs to their initial status "inactive". This means that much of the information which is locked 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 are available in smart UI.
New development Orders UIBB
The Orders User Interface Building Block (UIBB) is available to you in the standard delivery in the patient profile on the Overview page. The Orders UIBB offers you the following new functions:
Edit Day's Events
You 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 data
o Navigation to the events of the previous or following day
o 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
o Suspend, resume and end an order with immediate effect or from a planned day or a specific event in the future
o Confirm an order, or continue for the next day
o Change the planned dose or the planned time for existing planned events o Schedule additional events of a selected day
o Cancel planned events of a selected day
Note: As soon as a user has started the documentation of one or more administration events, the Edit and Delete actions are no longer available for these administration events.
Detail processing of an individual order
The Change function calls the order details dialog for processing an individual order.
Create one or more orders
The Create function enables you to select one or more drugs with the option of subsequent stack processing in the order dialog.
New development Applications UIBB
The Applications UIBB is also available in the patient profile. The following function calls for medication are available to you for the Applications UIBB:
Edit one or more orders
The Edit Medication function opens the familiar order dialog with the following options:
o Stack processing of several orders o Create new orders
o All order detail dialog functions
o 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 event
The Medication: Create Emergency Event function offers you the selection of a drug using the drug search. You subsequently access the administration dialog for documenting the emergency
administration.
Effects on System Administration
The technical requirements for smart UI also apply for the use of the new developments for the medication 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 are available:
Note: You can also use the following enhancements via the NetWeaver Business Client (NWBC).
Enhancements to the chart
Process orders from the chart
The medication graph in the chart now offers the following functions:
o Edit Orders o Suspend Orders o Resume Orders o End Orders
The system uses the dialogs for entering the date and confirmation which are also available in the clinical work station.
Note: Unlike in the clinical work station, the system only saves changes when saving temporarily or saving 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 chart
o You can sort the orders using Drag&Drop, arrow keys or by selecting column header o 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 the Order Color type.
Sorting Orders by Predecessor You 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 the documentation 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 time was 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 order dialog. The system opens the detail dialog for processing a single order with all its detail information.
o The Drug Info column with the hotspot for calling information on the corresponding drug is also available for the ingredients of a mixed drug in the list of ingredients on the Ingredient tab 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 Dialog
The following order detail dialog functions are available for order processing:
o Enhanced Overview of Order Data
The system displays an enhanced overview of the most important order data. The following tab 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.
Additional Information tab page: Here you can store and view comments, a reason for usage and other additional information in the Additional Information group frame.
Administrative Data tab page: Here the system displays, for example, the order type and the employee responsible in the Administrative Data group frame.
o Simplified Order Entry for Infusions and Sliding Doses
Simplified 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 the corresponding additional entry fields and tab pages. You can therefore enter the administration duration 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. available individually using the function variant of the order detail dialog.
Enhancements in Administration Dialog
The following functions are now available in the administration dialog for the documentation of administrations:
o Display of Previous Administration
In the administration dialog the system now displays the date of the previous administration for each administration. You can display the complete details of this last administration in a separate dialog box using the corresponding pushbutton.
o Colored Highlighting of Currently Opened Row
The system also uses the user parameter (N1ME_ORDGRI_OPENROW) in the
administration dialog. This means that you can also highlight the currently opened line here.
Additional Enhancements in the Medication Order o Copy Earlier Orders into Current Case
You can use the Copy Earlier Orders function to copy previous orders of a patient into the current case. When selecting an earlier order, you have the following options:
A tree structure offers you an overview consisting of cases, groups of purposes and the corresponding orders.
You can select orders and use the copy function to copy them into the current case as a new order.
When converting to another purpose, the system offers you a selection of corresponding drug proposals in an alternative search dialog.
You use the Confirm function to transfer the selection of new orders into the order dialog. 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 a view.
o Use of Special Requests in Order Templates
In 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 the drugs which are routinely available. However, you can still use order templates for mapping chemotherapy profiles, which must then also contain the special requests inserted in the therapy plan.
o Regrouping Search Results for Searching for Alternatives
The search for alternative drugs, which displays alternative drugs when a drug is changed or the change functions are used in an order, now groups these search results into two
different groups:
The Aut idem group contains drugs in which the following properties are identical with the drug to be replaced:
Agent
Agent Equivalent Ratio Agent: Equivalent Dosage Form
Administration Route
When an alternative drug is transferred into a subsequent order, the system automatically calculates 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 same agent 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 not calculate a dose proposal for drugs from the Aut idem (enhanced) group, but will propose the standard dose. The system cannot determine the dose proposals, as the different agent ratios, dosage forms, and administration routes may necessitate different doses.
Effects on System Administration
In order to be able to use the new interactions in the chart, you must install the new version of the chart (version 6-05-028).
You can find information on this under http://service.ishmed.com -> Charting Component.
Effects on Customizing
For single infusions you must manually define a separate cycle. Execute the following steps for this purpose:
1. Under IndustrySpecific Component Clinical System > CrossApplication 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 Clinical System -> 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 boxes
The dialog boxes of the End Order and Suspend Order functions now display the same order information. In both boxes the system displays the description of the order as well as the start and end time of the order.
Drug alternatives when transferring from anamnesis medication
When transferring from an anamnesis medication the first alternative drug is no longer
automatically pre-selected. The system only automatically selects this drug as a proposal if the anamnesis drug is also available on the in-house list.
General lock of check condition from activation of an order
In order processing you can no longer change the check condition or the checkbox for the
obligatory check of the condition in an activated order. Previously both fields were only locked if they already contained entries at the time that the order was activated.
Change of order text for mixed drug
The order text for a mixed drug contains all ingredients. If the available length of the order text is not sufficient, the system will shorten the names of all drugs proportionately, instead of only displaying the first ingredient(s) as before.
Changes in Medication Administration
The following changes to functionality are available for medcation administration:
Inclusion of valid orders for emergency events
The Emergency Event function now takes into account the validity of an order. When you call the function while an order which has already ended or has not yet begun is selected, the system automatically opens the drug search. After selecting the drug the system enables the documentation of the emergency administration in the administration dialog. As previously, in this case the system creates 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)