15_E_V2

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Industry Extension Healthcare 6.0

SAP enhancement package 7 for SAP ERP 6.0

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TABLE OF CONTENT

INDUSTRY SOLUTION HOSPITAL ... 7

ISH_AMBULATORY: Business Function SAP Ambulatory Care Mgmt (Changed) ... 7

ISH_CV_FR: Business Function SAP Pat Mgmt Country Vers France (Changed) ... 7

ISH_CV_FR: Delivery Class of Tables (Changed) ... 8

ISH_CV_IT: Business Function SAP Pat Mgmt Country Vers Italy (Changed) ... 8

ISH_MAIN: Business Function SAP Patient Management (Changed) ... 9

ISH_MAIN: SAP Patient Management, Add-on for Mobile, Version 1.0 (New) ...11

ISH_MISC1: SAP Patient Management Legal Process Adoption 1 (Changed) ...12

BASIC DATA ...14

Hospital Structure ...14

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

Business Partners ...14

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

Service Master Data...15

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

PATIENT MANAGEMENT ...16

General ...16

ISH_CV_FR: PMSI Model 2012 (Changed) ...16

ISH_MAIN: Side Panel "Notes/Attachments" for IS-H (New) ...18

ISH_MAIN: Enhancement in the Clinical Work Station (Enhanced) ...20

ISH_MAIN: CH, IT, FR: Copying Ins. Cards in Patient Merging (Enh.)...20

ISH_MAIN: Adjustment of NV2000 Subscreens to Maximum Width (Changed) ...21

Patient Master Data ...22

ISH_MAIN: Patient Merge (Enhanced) ...22

Outpatient Case ...23

ISH_MAIN: Copying Services when Changing Case Type (New) ...23

ISH_MAIN: Statistics Block (Enhanced) ...25

ISH_MAIN: Assigned Cases from Case List/Discharging Companions (Enh.) ...26

ISH_MAIN: Automatic Refresh in the Case Overview (Enhanced)...27

General Case Processing ...28

ISH_MAIN: Displaying the Public List Block (New) ...28

ISH_MAIN: Check Multiple Assignment for Case-Person Assgt (Changed) ...29

ISH_MAIN: Entry of Default Case Start and End Dates for Outp. Cases (New) ...30

ISH_MAIN: Evaluation by First Visit (Enhanced) ...31

Care Unit Management ...32

ISH_MAIN: New Message N1 891 Can Be Configured in Message Control (New) ...32

ISH_MAIN: Assigned Cases from Case List/Discharging Companions (Enh.) ...32

Outpatient Clinic Management ...34

ISH_MAIN: Enhancement to BAdI ISH_TIMESLOT_TXT (Enhanced) ...34

MEDICAL/NURSING DOCUMENTATION ...35

General ...35

ISH_MAIN: New Business Transactions in Status Management (Enhanced)...35

ISH_MAIN: Editable Fields in the Diagnosis Overview (Enhanced) ...36

ISH_MAIN: Messages in the Diagnosis Overview (Enhanced) ...37

Basc Medical/Nursing Documentation ...37

ISH_CV_IT: New Business Transactions in Status Management (Enhanced) ...37

ISH_MAIN AT: Online Scoring Work Station (Enhanced) ...38

ISH_MAIN: New Transactions for Basic Med. Doc. Status Management (New) ...38

PATIENT ACCOUNTING...40

General ...40

ISH_CV_FR: Interim Billing for Rehabilitation Cases (SSR) (Changed) ...40

ISH_CV_FR: FIDES – Dir. Billing with Soc. Ins. for Outp. Cases (Enhanced) ...40

ISH_CV_FR: AME Billing Reform (New) ...45

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

INFORMATION SYSTEM ...54

General ...54

ISH_CV_FR/MISC2: Evaluations for Nursing Homes (Enhanced) ...54

ISH_MAIN: CH, IT, FR: Copying Ins. Cards in Patient Merging (Enh.)...54

ISH_MAIN: Evaluation by First Visit (Enhanced) ...55

Government-Mandated Statistics ...55

ISH_MAIN CH: Hospital Medical Statistics (RNWCHMEDSTAT) (New) ...55

ISH_MAIN CH: Expensive Drugs (New)...56

ISH_MAIN CH: Statistics – PRISMA from 2012 (Changed) ...56

ISH_MAIN CH: Invoices Acc. to XML Version 4.4 – Intensive Care Data (New) ...56

ISH_MAIN CH: Hospital Med. Statistics (BfS) – RNWCHMEDSTAT (Changed) ...56

ISH_MAIN CH: Electronic Data Interchange, XML, Version 4.4 (Enhanced) ...56

COMMUNICATION ...57

General ...57

ISH_MISC3 SG: Determining Procedure Data for CCPS EDI Procedure (New) ...57

Communication with Systems Inside the Hospital ...58

ISH_MAIN CH: Electronic Insurance Verification (New) ...58

Communication with Systems outside the Hospital ...58

ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced) ...58

ISH_CV_FR: EDI Procedure FR615 (New) ...59

ISH_CV_FR: Check When Importing the Carte Vitale (Enhanced) ...59

ISH_CV_FR: Carte Vitale – Access in Preregistration (New) ...60

ISH_MAIN SG: EDI Procedure CCPS (Enhanced) ...60

ISH_MAIN AT: EDIVKA/EDILEIST – Payment Advice Note (Enhanced) ...61

ISH_MAIN AT: EDIVKA – Displaying the Error Message (Enhanced)...61

ISH_MAIN AT: EDIVKA – SEPA Payment Transactions (Enhanced) ...61

ISH_MAIN AT: EDI Message Formatting Program – Case Restriction (Enh.) ...61

ISH_MAIN AT: P321/ELDAL – 10th Addendum to Data Exchange (Enh.) ...61

ISH_MAIN AT: Insurance Relationships – VDAS Query (Enhanced) ...61

ISH_MAIN AT: GIN Query – Address Data Included (Changed) ...61

ISH_MAIN AT: Scoring – AGPR Transfer Status (Enhanced)...61

ISH_MAIN AT: Scoring – LKF Model 2013 (Changed) ...62

ISH_MAIN AT: GINA, Release R12B (Changed) ...62

ISH_MAIN AT: Ins. Verif., Calculating Previous Treatment Days (Changed) ...62

ISH_MAIN AT: EDIVKA – Include Comments in Dispatch (Enhanced) ...62

ISH_MAIN EDI – Extension of Key for NC301M (New) ...62

TOOLS ...62

General ...62

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

CLINICAL SYSTEM ...65

ISHMED_MAIN: Business Function Clinical System (Changed) ...65

ISHMED_MISC01: Business Function Clinical System MISC01 ...65

ISHMED_SCD: Clin. Syst. Situation Based Clinical Documentation (Changed) ...67

ISH_CV_FR: PDG-MCO Grouper Version 13.11e (Changed) ...48

ISH_CV_FR: Reduction by Patient Contribution (Changed) ...48

ISH_MAIN AT: Changes for Interim/Final Billed Cases (Changed) ...48

ISH_MAIN AT: Scoring (Enhanced) ...49

ISH_MAIN: Fee-Based Billing – English Language (Enhanced) ...49

ISH_MISC3: Repayment (New) ...49

ISH_MISC3: Partial Payment (New) ...49

ISH_MISC3 CN: Selection of Payment Types for Down Payments (New) ...50

Services ...50

ISH_CV_FR: SR F00: Generate Patient Contribution (Changed) ...50

ISH_CV_FR: SR F05: Patient Contribution Exemption (Changed) ...51

ISH_CV_FR/MISC2: SR Absence Control (F21) (Enhanced) ...52

ISH_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 ...69

Patient Groups ...69

ISHMED_MISC01: Patient Groups in Smart UI (New) ...69

ISHMED_MISC01: Patient Groups - Selection Dialog (New) ...70

ISHMED_MISC01: Patient Groups - Views and Displays (New) ...71

ISHMED_MISC01: Patient Groups - Filters (New) ...71

ISHMED_MISC01: Patient Groups - Graphical Plan (New) ...72

Patient Pofile...72

ISHMED_MISC01: Patient Profile in Smart UI (New) ...72

ISHMED_MISC01: Patient Header - Displayed Data (Enhanced) ...74

ISHMED_MISC01: Patient Record - Create/Process Objects (Enhanced) ...74

ISHMED_MISC01: Patient Record - Smart Chart (New) ...77

Task Management ...80

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

Applications ...80

ISHMED_MISC01: Service Ordering - Overview (New)...80

ISHMED_MISC01: Service Ordering - Setup Functions (New) ...82

ISHMED_MISC01: Service Ordering - Integration in Task Management (New) ...84

Interfaces for Mobile Applications ...86

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

GENERAL DUTIES ...88

Event Management ...88

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

EXTENDED BASIC DATA ...89

Clinical Work Station ...89

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

CLINICAL DOCUMENTATION ...90

Clinical Progress Documentation ...90

ISHMED_MAIN: i.s.h.med Progress Documentation (New) ...90

ISHMED_MAIN: Progress Notes - Discontinued Functions (Changed) ...92

Documents ...92

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

Image and Findings Documentation CWD – i.s.h.med ...92

ISHMED_MAIN: Image and Findings Documentation (New) ...92

Image Integration i.s.h.med - IMAGIC ...94

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

CLINICAL ORDER ...96

General ...96

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

SURGERY SYSTEM ...97

General ...97

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

RADIOLOGIE ...98

General ...98

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

MEDICATION ...99

Medication Master Data ...99

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

Medication Order ...99

ISHMED_MISC01: Medication - Order in Smart UI (New) ...99

ISHMED_MAIN: Medication - Order (Enhanced) ...100

ISHMED_MAIN: Medication - Order (Changed) ...103

MESSAGE COMMUNICATION INFRASTRUCTURE ...105

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ISHMED_MAIN: Message Communication Infrastructure - Available Connectors (Enhanced ), HL7 Segments (New) ...105 CONNECTIVITY ...107 ISHMED_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 been available since SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604). For more information, see the release note ISH_CV_FR: Business Function SAP Pat Mgmt

Country Version France (New) for SAP enhancement package 4.

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

ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced), see page 58 ISH_CV_FR: EDI Procedure FR615 (New), see page 59

ISH_CV_FR/MISC2: Evaluations for Nursing Homes (Enhanced), see page 54 ISH_CV_FR: PMSI Model 2012 (Changed), see page 16

ISH_CV_FR: SR F00: Generate Patient Contribution (Changed), see page 50 ISH_CV_FR: SR F05: Patient Contribution Exemption (Changed), see page 51 ISH_CV_FR: Defining Rehabilitation Cases (SSR) (Enhanced), see page 14 ISH_CV_FR: Interim Billing for Rehabilitation Cases (SSR) (Changed), see page 40 ISH_CV_FR: FIDES – Dir. Billing with Soc. Ins. for Outp. Cases (Enhanced), see page 40 ISH_CV_FR: AME Billing Reform (New), see page 45

ISH_CV_FR: Displaying Ins. Prov.-Specific Price Components (Changed), see page 47 ISH_CV_FR: Delivery Class of Tables (Changed), see page 8

ISH_CV_FR: Check When Importing the Carte Vitale (Enhanced), see page 59 ISH_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 Care Management (ISH_AMBULATORY) provides new and enhanced functions in various components of SAP Ambulatory Care Management.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) for this 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 Service

Marketplace under the quick link /healthcare-releasenoteso Release Notes. To display the release

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ISH_CV_FR: PDG-MCO grouper version 13.11e (Changed), see page 48 ISH_CV_FR: Reduction by Patient Contribution (Changed), see page 48 ISH_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 Service Marketplace at http://service.sap.com/healthcare-releasenotes under Release Notes. To display the release 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 the Support 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 you to 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), 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_IT: Business Function SAP Pat Mgmt Country Vers Italy (Changed)

The business function SAP Patient Management Country Version Italy (ISH_CV_IT) has been available since SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603). For more information, see the release note ISH_CV_IT: Business Function SAP Pat Mgmt

Country Version Italy (New) for SAP enhancement package 4.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) for this 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 Service Marketplace at http://service.sap.com/healthcare-releasenotes under Release Notes. To display the release 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 various

components of SAP Patient Management have been available with the business function SAP Patient

Management (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) for this 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

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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 (RNWCHMEDSTAT) (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 RNWCHASEL00 (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)

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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

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You can find the release notes for SAP ERP 6.0, Industry Extension Healthcare, business function

SAP Patient Management (ISH_MAIN) on the SAP Service Marketplace under the quick link /healthcare-releasenotes Release Notes. To display the release notes for the corresponding

support 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 Extension

Healthcare (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 Patient Management: Enhancements for SAP EMR Unwired (/ISHMOBIL/EMR):

Web facet Planned Discharge

You 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 directly on their mobile device during their hospital rounds. The function has advantages for the following involved parties:

o Physicians, who can enter data directly after consulting with patients and nursing staff o Patients, who are better able to plan subsequent transfers or treatment

o 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 EMR

Unwired app.

Accessing DRG grouper data from a Web facet

This function enables Web facets belonging to the SAP EMR Unwired app to access data in SAP Patient Management that is relevant for the DRG grouper. SAP provides an OData interface for this purpose. The name of the OData service is /ISHMOBIL/DRG_GROUP_DATA_SRV (Data Retrieval

for 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 Patient

Management: Enhancements for SAP EMR Unwired (/ISHMOBIL/EMR). The application component is

ISHMOBIL. 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), business function SAP Patient Management (ISH_MAIN), as of Support Package 22

See also

For more information, see http://service.sap.com/instguides SAP Components SAP Mobile

Applications SAP Business Suite SAPERP SAP Administrator's Guide for SAP Patient Management, 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), the business function SAP Patient Management: Legal Process Adoption 1 (ISH_MISC1) provides you with new and enhanced functions in various components.

For more information about the new features available in SAP enhancement package 7 (IS-H 617) for this 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 SAP

Patient Management SAP Patient Management: Legal Process Adoption 1 in the SAP Library.

For further information on Support Package Release Information for SAP Patient Management and

SAP Ambulatory Care Management, see SAP Service Marketplace under the quick link /healthcare-releasenotes.

ISH_MISC3: SAP Patient Management Legal Process Adoption 3 (Changed)

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

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

ISH_MISC3: Repayment (New), see page 49 ISH_MISC3: Partial Payment (New), see page 49

ISH_MISC3 CN: Selection of Payment Types for Down Payments (New), see page 50

ISH_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 Functions

Healthcare SAP Patient Management SAP Patient Management: Legal Process Adoption 3.

SAP Ambulatory Care Management, see SAP Service Marketplace under the quick link

/healthcare-ISH_MISC2: SAP Patient Management Legal Process Adoption 2 (Changed)

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

For more information about the new features available in SAP enhancement package 7 (IS-H 617) for this 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 Functionso Healthcare o SAP

Patient Managemento SAP Patient Management: Legal Process Adoption 2 in the SAP Library.

SAP Ambulatory Care Management, see SAP Service Marketplace under the quick link /healthcare-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 the Support 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 in the master data.

Customizing

To mark a specialty as rehabilitation, you must enter the value SSR in column UC (ISH_UNQCD) for specialty 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 Organizational Structure Code Specialties.

SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), Support Package 12, 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 04, business function SAP Patient Management Country Version France (ISH_CV_FR)

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 following change is available:

You can manage the fee recipient's rank for specific dates in their master data (NWCH90). The system stores 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 Fee

Recipient Ranking (RNWCHUTL48) for a table of your own to transfer the existing ranks to the new

table. 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), business function SAP Patient Management: Legal Process Adoption (ISH_MISC1), Support Package 18 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business function SAP Patient Management: Legal Process Adoption (ISH_MISC1), Support Package 10 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function SAP Patient Management: Legal Process Adoption (ISH_MISC1), Support Package 02

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Service Master Data

ISH_MAIN FR: Service Master Data for Drugs (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:

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

In the French country version of SAP Patient Management, you must document drugs with a limited approval 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 date of 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), business function SAP Patient Management (ISH_MAIN), Support Package 19

For more information about creating the FICHCOMP file for transferring drugs (PMSI MCO), see the release 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, 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:

With the introduction of PMSI Model 2012, the regulations for the following EDI procedures have been changed 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 Treatment

FRACE: 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, which message 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 which the 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, FIDES billing, 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 after March 1st, 2012.

Standardized Discharge Message RSS

Enhancements have been made to the standardized discharge message RSS (which is used in the EDI procedures FRRSS and FRRSP). For cases discharged on or after March 1st, 2012, you can use the department summary (RUM) to document that the patient was admitted to a clinical observation unit (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 transfer from a shock room to an observation unit to the standard admission reasons, and then enter this reason with the admission. To create the department summary (RUM), the system maps the admission 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 Components

for 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 Map Internal Codes to External Codes.

Take the following rules into account when entering the remapping: Communication standard: ED-FR

Version: 1.0 Direction: O Table name: NBEW Field: BWGR1

Internal value: The value you define for the admission reason External value: R

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

Stillbirths that did not take place in the hospital

Newborns discharged directly from the delivery room to an external hospital Newborns that were born on the way to hospital

You must create an inpatient case, specifying the week of pregnancy and weight, for all newborns including 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 EDI procedure for FICHCOMP messages:

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

You can document billing for drugs with limited approval (médicaments avec une authorization d’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 in the service master. If the drug has a limited approval period, you enter the date to which it is approved in this field. If the end date of the limited approval is not yet known, enter the date 12/31/9999. If the drug 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). This version 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 the SAP system.

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

These changes are available with the following Support Packages:

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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 listed below, 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 Entry

NL10N IS-H: Case-Related Service Entry

NL11 IS-H: Display Service Entry

NL11N IS-H: Case-Related Service Display

NA30 IS-H: Case Billing

NA30N IS-H: Case Billing

NMM5 IS-H: Create Case-Rel. Material Req.

NMM6 IS-H: Display Case-Rel. Material Req.

NP10 IS-H: Call Case Overview

NV2000 IS-H: Clinical Process Builder

This is only possible if the relevant users are assigned the role SAP_BSSP_ISH_SIDEPANEL (IS-H

Side Panel).

If you use the side panel in the Clinical Process Builder (transactions NV2000 – NV2008), the side panel is also available in all the transactions that reference this framework:

NAPX1 IS-H: Maintain Readmission Case

NAPX2 IS-H: Display Readmission Case

NKVWS1 IS-H: Change PPA Work Station

NKVWS2 IS-H: Display PPA Work Station

NMMC1 IS-H MM: Maintain Material Consumption

NMMC2 IS-H MM: Display Material Consumption

NP01 IS-H: Create Patient Master Data

NP02 IS-H: Change Patient Master Data

NP03 IS-H: Display Patient Master Data

NP11 IS-H: Create Inpatient Admiss. Data

NP12 IS-H: Change Inpatient Admiss. Data NP13 IS-H: Display Inpatient Admiss. Data

NP36 IS-H: Create Surgery (Case)

NP37 IS-H: Create Surgery (Visit)

NP38 IS-H: Change Surgery

NP39 IS-H: Display Surgery

NP40 IS-H: Create Outpatient Case

NP41 IS-H: Create Outpatient Visit

NP42 IS-H: Change Outpatient Visit

NP43 IS-H: Display Outpatient Visit

NP44 IS-H: Maintain Treatment Certifs

NP45 IS-H: Display Treatment Certifs

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NP92 IS-H: Change Absence

NP93 IS-H: Display Absence

NP97 IS-H: Create Discharge

NP98 IS-H: Change Discharge

NP99 IS-H: Display Discharge

NREDOMA1 Change Renewable Document Management

NREDOMA2 Display Renewable Document Management

NV01 IS-H: Create Inpatient Admission

NV02 IS-H: Change Inpatient Admission

NV03 IS-H: Display Inpatient Admission

NV04 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 Transfer

NV12 IS-H: Change Transfer

NV13 IS-H: Display Transfer

NV2000_AMB IS-H: SAP ACM – Complete

NV2000_AMB_BG IS-H: SAP ACM – Workers Comp. Variant

NV2000_AMB_KV IS-H: SAP ACM – PPA Variant

NV2000_AMB_NA IS-H: SAP ACM – Emergency Admission

NV2000_AMB_PV IS-H: Private Insured Variant

NV2000_EMERGENCYIS-H: Emergency Admission

NV2001_AMB IS-H: SAP ACM – Complete

NV41 IS-H: Create Outpatient Admission

NV42 IS-H: Change Outpatient Admission

NV43 IS-H: Display Outpatient Admission

NV44 IS-H: Create Quick Outpat. Admission

NV45 IS-H: Change Quick Outpat. Admission

NV46 IS-H: Display Quick Outpat. Admission

NV47 IS-H: Create Emergency Admission

NV48 IS-H: Change Emergency Admission

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

If you are using a patient- and case-related transaction, you can enter, edit, and display notes and attachments for the patient and case.

If you are using a transaction that is only patient-related, you can enter, edit, and display notes and attachments for the patient. The CHIPs for notes and attachments for the case are not ready for input in this scenario.

You can edit notes and attachments for a patient in the case overview (transaction NP10). You cannot 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, Industry Extension Healthcare (IS-H 606), business function SAP Patient Management (ISH_MAIN), Support Package 10.

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

See also

For more information, see http://help.sap.com SAP Business Suite SAP Enterprise Resource

Planning SAP EHP 6 for SAP ERP 6.0 SAP Business Suite – Cross-Application Business Functions Business Functions (SAP Business Suite Foundation 7.31) General Business Functions 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 view types in the clinical work station (transaction NWP1). You can select a number of cases and process them 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), Support Package 22, 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, 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.

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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 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: Adjustment of NV2000 Subscreens to Maximum Width (Changed)

All the subscreens in the Clinical Process Builder (NV2000 subscreens) that have a table-like

structure, for example using SAP List Viewer (ALV), are now automatically displayed at the maximum possible 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

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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

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 you select this indicator, the system does not run an authorization check at case level during patient merging.

The Business Add-In (BAdI) BAdI: Change Patient Merging (ISH_PATJOIN_CHANGE) supports you in patient merging. You can use method CHANGE to make customer-specific adjustments while saving the patient merge.

For more information, see Customizing under SAP Healthcare – Industry-Specific Components for

Hospitals 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 with similar 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 for

Hospitals Patient Management Patients BAdI: Patient Merging – Determine Reference Patient.

The country version Austria contains sample code that is processed during patient merging to adjust the 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 function

SAP Patient Management (ISH_MAIN)

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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 inpatient case to an outpatient case when changing the case type.

This enhancement is available as of:

To use this new function, you must first activate it in Customizing. You do this using the new indicator

Copy Services When Changing Case Type. The indicator is available in the following existing

Customizing activity: SAP Healthcare – Industry-Specific Components for Hospitals Patient

Management 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 new outpatient visit when you change the case type.

The system displays the services that can be copied in a dialog box. These are immediate services that 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 select and 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 these services for the new visit. This means the system assigns these services a new sequence number but primarily 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, organizational units). 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 exist and are copied.

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

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User Selection

The user makes the following selections: Service B selected

Service C not selected Service 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 the

assignment again.

Service C Tel. service (extended service) System cancels the assignment

because the telephone service is canceled.

Service B Service C The system displays a warning

and cancels the assignment.

Service A Service D The system displays a warning

and cancels the assignment.

ISH_MAIN: Statistics Block (Enhanced)

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

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In the standard delivery, the system adjusts the Statistics Block indicator according to the setting for the 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 a movement type for which the Statistics Block indicator is not selected in Customizing, the system removes 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 message belongs to function NFAL and its default type is "I".

Effects on Customizing

You can configure message control in Customizing under SAP Healthcare – Industry-Specific

Components for Hospitals Basic Settings System Parameters Message Control Maintain Messages.

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 List

It was previously only possible to access the list of cases or companions assigned to a case by

choosing 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 list includes 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 be used, the user or system administrator must "show" the new field in layout administration for the case list or case overview.

Discharging Assigned Cases

It was previously only possible to discharge companions using the companion’s case number, but not directly from the “accompanied” case. Cases that are assigned to each other can now be discharged together. To do this, proceed as follows:

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

o 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-case assignment 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 the assignment has the function Newborn or Mother, or

Companion or Accompanied Patient, the default message type is "E" (Error). Your

system 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 in

question, the system can display a warning or an error message when you save the discharge.

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

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

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

o In the list of assigned cases, select the case that you want to discharge together with the main case 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 in Customizing under SAP Healthcare – Industry-Specific

Components for Hospitals Patient Management Cases Define Functions of a Case-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 you selected. 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 date and the discharge 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 Assigned

Cases 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 cases using 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 accessed

through discharge for assigned case).

If the discharge of the assigned case already exists, the system opens it in processing mode when you choose 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 33

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 case overview when changes are made.

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