Вы находитесь на странице: 1из 108

Release Notes

Industry Extension Healthcare 6.0

SAP enhancement package 7 for SAP ERP 6.0

Version 2.0, October 28th, 2015


www.sap.com

Copyright

© 2013 SAP AG. All rights reserved.

SAP, R/3, SAP NetWeaver, Duet, PartnerEdge, ByDesign, SAP


BusinessObjects Explorer, StreamWork, SAP HANA, and other SAP
products and services mentioned herein as well as their respective
logos are trademarks or registered trademarks of SAP AG in Germany
and other countries.

Business Objects and the Business Objects logo, BusinessObjects,


Crystal Reports, Crystal Decisions, Web Intelligence, Xcelsius, and
other Business Objects products and services mentioned herein as
well as their respective logos are trademarks or registered trademarks
of Business Objects Software Ltd. Business Objects is an SAP
company.

Sybase and Adaptive Server, iAnywhere, Sybase 365, SQL


Anywhere, and other Sybase products and services mentioned herein
as well as their respective logos are trademarks or registered
trademarks of Sybase Inc. Sybase is an SAP company.

Crossgate, m@gic EDDY, B2B 360°, and B2B 360° Services are
registered trademarks of Crossgate AG in Germany and other
countries. Crossgate is an SAP company.

All other product and service names mentioned are the trademarks of
their respective companies. Data contained in this document serves
informational purposes only. National product specifications may vary.

These materials are subject to change without notice. These materials


are provided by SAP AG and its affiliated companies ("SAP Group")
for informational purposes only, without representation or warranty of
any kind, and SAP Group shall not be liable for errors or omissions
with respect to the materials. The only warranties for SAP Group
products and services are those that are set forth in the express
warranty statements accompanying such products and services, if
any. Nothing herein should be construed as constituting an additional
warranty.
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
ISH_MISC2: SAP Patient Management Legal Process Adoption 2 (Changed) ....................12
ISH_MISC3: SAP Patient Management Legal Process Adoption 3 (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
ISH_CV_FR: Displaying Ins. Prov.-Specific Price Components (Changed) .........................47

3
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
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

4
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
ISHMED_MAIN: Message Communication Infrastructure - Overview (New) ......................105

5
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

ISHMED_MAIN: Message Communication Infrastructure - Available Connectors (Enhanced


), HL7 Segments (New) ....................................................................................................105
CONNECTIVITY .......................................................................................................................................107
ISHMED_MAIN: Connectivity - Overview (Changed) ........................................................107

6
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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-releasenotes o Release Notes. To display the release
notes for the corresponding support packages, choose Release Notes for Support Packages.

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

7
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.

8
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
„ ISH_MAIN CH: Electronic Insurance Verification (New), see page 58

9
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

„ 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 (RNW CHMEDSTAT) (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 RNW CHASEL00 (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)
„ ISH_MAIN DE: Generation of Additional Charges as per §6(1) KHEntgG (Enhanced)

10
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

„ 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

See also

11
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), as of Support Package 14
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), as of Support Package 06
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 7 (IS-H 607), business
function SAP Patient Management (ISH_MAIN), as of Support Package 01
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.

12
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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_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 Functions o Healthcare o SAP
Patient Management o SAP Patient Management: Legal Process Adoption 2 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.
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-

13
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

releasenotes.

14
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.
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 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

15
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 11
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 03
For more information about creating the FICHCOMP file for transferring drugs (PMSI MCO), see the
release note ISH_CV_FR: PMSI Model 2012 (Changed).

16
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.

17
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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:
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 19
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 11

18
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 03

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
NV2001 IS-H: Clinical Process Builder
NV2002 IS-H: Clinical Process Builder
NV2003 IS-H: Clinical Process Builder
NV2004 IS-H: Clinical Process Builder
NV2005 IS-H: Clinical Process Builder
NV2006 IS-H: Clinical Process Builder
NV2007 IS-H: Clinical Process Builder
NV2008 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
NP91 IS-H: Create Absence

19
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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_EMERGENCY IS-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
NV49 IS-H: Display Emergency Admission

20
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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)
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)

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.

21
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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: Adjustment of NV2000 Subscreens to Maximum Width (Changed)


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:
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
A01 SAP_INS Insurance Relationships

22
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
This change is available with the following Support Packages:
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 02, business function SAP Patient Management (ISH_MAIN)
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)
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business
function SAP Patient Management (ISH_MAIN), Support Package 21
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 21
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 13
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 05

23
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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:
SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 31, business function
SAP Patient Management (ISH_MAIN)
SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support
Package 21, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support
Package 21, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 13, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 5, business function SAP Patient Management (ISH_MAIN)
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.

24
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
The system lists services B, C, and D for selection in the dialog box.

25
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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)


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:
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:
SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 29, business function
SAP Patient Management (ISH_MAIN)
SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support
Package 18, business function SAP Patient Management (ISH_MAIN)

26
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 02, business function SAP Patient Management (ISH_MAIN)
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).

27
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business
function SAP Patient Management (ISH_MAIN), Support Package 23
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 23
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 14
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 08

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.
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)

28
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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)

Effects on Customizing
You must explicitly activate or deactivate the automatic refresh function for the case overview in
Customizing for the institution. You do this using the Refresh Case Overview Automatically field in
Customizing under Basic Settings Maintain Institution-Specific Basic Control.

General Case Processing

ISH_MAIN: Displaying the Public List Block (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 display the Public List Block
indicator in the clinical work station and the case overview. This means it is visible to staff who may
need to provide information to the public but do not work with the public list.
If the Public List Block indicator is selected for a patient, the system does not display this patient in the
public list. Until now, the clinical work station and case overview did not indicate whether the public list
block was selected. As a solution, sample code for user exits and a Business Add-In (BAdI) are
available for displaying the Public List Block indicator as a symbol or text on screens with a patient and
case header, as well as in the Occupancy, Arrivals, and Departures views in the clinical work station.
Enhancement NPATHEAD: IS-H patient header
o You can access the sample code by choosing the enhancement NPATHEAD in
transaction CMOD.
o Sample code allowing you to display the Public List Block indicator in the patient
header has been written for function exit EXIT_SAPLNCHD_005.
Enhancement NCASHEAD: IS-H case header
o You can access the sample code by choosing the enhancement NCASHEAD in
transaction CMOD.
o Sample code allowing you to display the Public List Block indicator in the case
header has been added to function exit EXIT_SAPLNCHD_006.
New column in the clinical work station for Occupancy, Arrivals, and Departures views
The following enhancements have been made to the sample implementation for BAdI
ISH_WP_VW123_COLUMN:
o Class: CL_EXM_IM_ISH_WP_VW123_COLUMN
o Method: IF_EX_ISH_WP_VW123_COLUMN~MODIFY
To display the Public List Block indicator in the lists, you must add it to the column set in the SAP
List Viewer (ALV). To avoid having the column appear in the clinical work station without any content
or purpose, the append structure is not active in the standard delivery.
If you want to activate the new column, you must create an append structure for the following
structures:
o - RNWP_OCCUPANCY_LIST (Occupancy)
o - RNWP_ARRIVAL_LIST (Arrivals)
o - RNWP_DEPARTURE_LIST (Departures)
Use ISH_PFORT_ICON as the data element for the new column. You could name the new column
“ZZ_PFORT_ICON”.
For more information, see the comments in the source code of the sample implementation.
Function for accessing patient master data by hotspot from the new column
You can assign the new column a function whereby the system displays the patient master data for
the case when you click on the column.
You have created a new sample implementation for BAdI ISH_WP_VW123_FUNC.
o Class: CL_EXM_IM_ISH_WP_VW123_FUNC
o Method: IF_EX_ISH_WP_VW123_FUNC~FUNCTION

29
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

These new features 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)

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


The following change to the checks for multiple assignments in case-to-person assignments 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:
Message N1 439 (Assignment with the function & already exists) can now be controlled using function
NFAL for the dialog elements External Physicians and Internal Physicians. If an error occurs, the
system now automatically displays message N1 439 as an error message (type 'E').
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 (ISH_MAIN), Support Package 24
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 15
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 09

30
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Effects on Customizing
A new entry for message N1 439 and function NFAL with the default message type 'E' is now available
in Customizing under SAP Healthcare – Industry-Specific Components for Hospitals Basic Settings
System Parameters Message Control Display Customizable Messages (SAP). If you want to
perform a less strict check for multiple assignments in transaction NV2000, you can specify a different
message type for message N1 439 for function NFAL in Customizing under SAP Healthcare –
Industry-Specific Components for Hospitals Basic Settings System Parameters Message
Control Maintain Messages.
See also
For more information, see SAP Note 1795128.

ISH_MAIN: Entry of Default Case Start and End Dates for Outp. Cases (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) and the Support Packages listed below, you
can now influence the entry of a default case start and end dates when creating an outpatient case or
when changing the case type from inpatient to outpatient.
For this purpose, a new Case From/To list box is available in Customizing under SAP Healthcare –
Industry-Specific Solutions for Hospitals Patient Management Movements Define Movement
Types. You can choose between the following options:
No default: The system does not enter start and end dates.
Quarterly case: The system enters the start and end dates of the quarter.
Sameday case: The start and end dates are the visit date.
The list box is only active for the movement category Outpatient Visit. The default value is "No
Default".
Country version Germany: This function is only possible for non-PPA cases. If the case is a PPA
case, the system enters the period for a PPA case (quarter).

When you select the visit type, the system enters the case start and end dates in accordance
with the Customizing settings. If you change the visit type before saving the new case, the
system changes the case start and end dates in accordance with the Customizing settings.
This field is available for all country versions that define movement types in Customizing under SAP
Healthcare – Industry-Specific Components for Hospitals Patient Management Movements
Define Movement Types.
These new features are available with the following Support Packages:
SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management
(ISH_MAIN), Support Package 33
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business
function SAP Patient Management (ISH_MAIN), Support Package 23
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 23
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 14
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 08
See also
For more information, see SAP Note 1718908.

31
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.

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.

32
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Care Unit Management

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


When assigning beds in building units that are locked in a future period, the system previously
displayed the error message N1 263 (Building unit & is temporarily blocked: & &) and bed assignment
was not possible.
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 new configurable message N1 891 is
available. The system displays message N1 891 (Building unit &1 is locked from &2 to &3) if a
movement begins on a date before the start of the period during which the building unit is locked. The
message is displayed by default as an error message, but you can configure it in message control, for
example as a warning. This means you can make a bed assignment in a building unit that is locked in
a future period.
This new feature is available as of the following Support Packages:
SAP ERP 6.0, Industry Extension Healthcare, Support Package 32, business function SAP Patient
Management (ISH_MAIN)
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business
function SAP Patient Management (ISH_MAIN), Support Package 22
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 22
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 14
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 07

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


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 following enhancements are available for
assigned cases:
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:
1. 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).

33
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

2. 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.
3. 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.
o 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.
o 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).
4. If message N1 436 (type "E") is displayed, choose Assigned Cases to access the list of
assigned cases from the discharge function.
5. 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.
6. 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.
7. 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:
The end date of the case-to-case assignment is 12/31/9999 or the field is blank.
Message N1 436 is configured as "E" (Error).
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
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business
function SAP Patient Management (ISH_MAIN), Support Package 23
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 23
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 14
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 08

34
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Outpatient Clinic Management

ISH_MAIN: Enhancement to BAdI ISH_TIMESLOT_TXT (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 following applies:
To allow you to display a symbol together with a quick info text in the appointment text using an
implementation of the Business Add-In (BAdI) ISH_TIMESLOT_TXT, SAP has added the optional
changing parameter TIMESLOT_ICON to the BAdI method MODIFY_TIMESLOT_TEXT. You can use
this new parameter to display a symbol separately from the actual appointment text. The symbol is
displayed before the appointment text.
Please note: If you also display a symbol, the system abbreviates your appointment text by four
characters for display.
These enhancements are available as of:
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 24
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 15
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 15

35
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Medical/Nursing Documentation
General

ISH_MAIN: New Business Transactions in Status Management (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 now use new business transactions in basic medical documentation status management.
This release note describes the enhancements and new features that are generally available. For
information about enhancements and new features that are only relevant for the country version Italy,
see the release note ISH_CV_IT: New Business Transactions in Basic Medical Documentation Status
Management (Enhanced).
The following business transactions are new:
Change Selected Birth Data
Change Selected Insurance Relationships
Changing Selected Services
These enhancements are available as of:
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 02, business function SAP Patient Management (ISH_MAIN)
New Developments in Detail
Change Selected Birth Data
You can use the business transaction Change Selected Birth Data to prevent changes to birth data.
In the business transaction, the system examines the status of the mother’s case and that of the
child’s case to determine whether changes are allowed.
o If the status of the mother does not allow the business transaction, you cannot make
changes to any of the children's birth data.
o If the status of the mother allows the business transaction, the system checks the
status of the child.
o If the status of the child also allows the business transaction, you can change the birth
data.
However, if the status of the child does not allow the business transaction, you cannot make
changes to this child's birth data.
However, if the status of another child (multiple birth) allows the business transaction, you can
change this child's birth data.
You can use an implementation of Business Add-In (BAdI) ISH_BT_NGEB_MULT_CHECK to restrict
the records for processing in the business transaction Change Selected Birth Data. You can specify
yourself which of the birth records (NGEB) related to a mother’s case are to be relevant for the
business transaction. You can also use the BAdI to specify that the business transaction is not to
include the creation of new birth records.
Changing Selected Insurance Relationships
You can use the business transaction Change Selected Insurance Relationships to prevent changes
to insurance relationships. Changes checked by the system include the following:
o Changes to fields in existing insurance relationships for the case
o Cancellation of an insurance relationship for the case

You cannot override high priority checks (for example, preventing changes after final billing)
by allowing this business transaction.
You can use an implementation of Business Add-In (BAdI) ISH_BT_NCIR_MULT_CHECK to restrict
the records for processing in the business transaction Change Selected Insurance Relationships.
You can specify yourself which case-related insurance relationships (NCIR) for a patient are to be

36
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

relevant for the business transaction. You can also use the BAdI to specify that the business
transaction is not to include the creation of new case-related insurance relationships (or copying of
insurance relationships from proposals).
Change Selected Services
You can use the business transaction Change Selected Services to prevent changes to individual
services, or to all services. You can use an implementation of BAdI ISH_BT_NLEI_MULT_CHECK to
restrict the records for processing in the business transaction Change Selected Services. You can
specify yourself which services are to be relevant for the business transaction. You can also use the
BAdI to specify that the business transaction is not to include the creation of new services.

You cannot override high priority checks (for example, preventing the cancellation of a
service after final billing) by allowing this business transaction.
Effects on Customizing
You can configure the new business transactions in Customizing under SAP Healthcare – Industry-
Specific Components for Hospitals Medical/Nursing Documentation Basic Medical
Documentation Status Management Define Status Profiles and you can configure the
corresponding BAdIs under SAP Healthcare – Industry-Specific Components for Hospitals
Medical/Nursing Documentation Basic Medical Documentation Status Management Business
Add-Ins for Basic Medical Documentation Status Management.
See also
If you are using the country version Italy, you should also read the release note ISH_CV_IT: New
Business Transactions in Basic Medical Documentation Status Management (Changed).

ISH_MAIN: Editable Fields in the Diagnosis Overview (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 now change the following fields directly in the diagnosis overview:
Localization of diagnosis
Diagnostic certainty
Category for DRG diagnoses
Blocking indicator for a diagnosis
Multi-case diagnosis indicator (diagnosis reference)
These fields are now available as editable fields in the field list. The previous display fields are still
available.
You can also switch between the Referral Diagnosis and Treatment Diagnosis indicators directly in the
diagnosis overview. You can now switch between the existing fields by clicking on a hotspot.
These enhancements are available as of:
SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 29, business function
SAP Patient Management (ISH_MAIN)
SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 02, business function SAP Patient Management (ISH_MAIN)
Effects on System Administration
If you want to use these new functions, the system administrator or user must copy the new fields into
their screen layout from the field list.

37
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

See also
For more information, see SAP Note 1651016.

ISH_MAIN: Messages in the Diagnosis Overview (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 now navigate directly from a message in the diagnosis overview to the diagnosis that
triggered it. The system supports this function for many of the error messages that can appear in the
diagnosis overview, but not for all; especially not for error messages that do not relate directly to a
specific diagnosis.
To use this function, position the cursor on a message in the message dialog box in the diagnosis
overview and choose the new Diagnosis Reference function. The system then flags the diagnosis that
triggered the message, if possible.
The Diagnosis Reference function is displayed as standard in the message dialog box in the diagnosis
overview. However, in certain circumstances (if there are messages for outpatient PPA billing), the
Outpatient Coding Guidelines function is displayed instead.
These enhancements are available as of:
SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 29, business function
SAP Patient Management (ISH_MAIN)
SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 02, business function SAP Patient Management (ISH_MAIN)
See also
For more information, see SAP Note 1651016.

Basc Medical/Nursing Documentation

ISH_CV_IT: New Business Transactions in Status Management (Enhanced)


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 Italy
(ISH_CV_IT), as well as with the Support Packages listed below:
You can now use new and enhanced business transactions in basic medical documentation status
management.
This release note describes the enhancements and new features that are specific to the country
version Italy. For information about enhancements and new features that are available generally, see
the release note ISH_MAIN: New Business Transactions in Basic Medical Documentation Status
Management (Enhanced).
The following business transaction has been enhanced: Change Selected Case Data
The following business transaction is new: Change Case-Related Patient Data (IT)
The following business transaction contains country-specific features for Italy: Changing Selected
Services

38
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

These enhancements are available as of:


SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 02, business function SAP Patient Management (ISH_MAIN)
Enhancements and New Developments in Detail
Change Selected Case Data (enhancements are only relevant for the country version Italy)
You can now use the business transaction Change Selected Case Data to prevent changes to the
following two fields:
o ISTAT Code of Residence
o ASL Code of Residence
To do this, configure these fields in Customizing under SAP Healthcare – Industry-Specific
Components for Hospitals Medical/Nursing Documentation Basic Medical Documentation
Status Management Maintain Fields for Detailed Definition of Business Transactions.
Changes to Waiting List Information (enhancements are only relevant for the country version Italy)
If the status of a case does not allow the business transaction Change Selected Case Data, the
system prevents changes to waiting list information for any preregistrations connected to the case.
This applies to the Waiting List Type, Admission Date, and Waiting List Priority fields. The system
also prevents the case from being separated from the preregistration items. In addition, the system
prevents the cancellation of these preregistration items and of the entire preregistration.
Change Case-Related Patient Data (only relevant for country version Italy)
You can use the business transaction Change Case-Related Patient Data (IT) to prevent changes to
the case-related patient master data (table NPNTCAS).
Change Selected Services
You can activate the implementation ISH_BT_NLEI_MULT_CHECK_IT for BAdI
ISH_BT_NLEI_MULT_CHECK. The effect of this implementation is that the business transaction only
contains the autopsy services for the case. This means you can use status management to prevent
changes to autopsy services.
Effects on Customizing
You can configure the new and enhanced business transactions in Customizing under: SAP
Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic
Medical Documentation Status Management Define Status Profiles and SAP Healthcare – Industry-
Specific Components for Hospitals Medical/Nursing Documentation Basic Medical
Documentation Status Management Maintain Fields for Detailed Definition of Business
Transactions, and you can configure the corresponding BAdIs under SAP Healthcare – Industry-
Specific Components for Hospitals Medical/Nursing Documentation Basic Medical
Documentation Status Management Business Add-Ins for Basic Medical Documentation Status
Management.
See also
See the release note ISH_MAIN: New Business Transactions in Basic Medical Documentation Status
Management (Changed).

ISH_MAIN AT: Online Scoring Work Station (Enhanced)


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

ISH_MAIN: New Transactions for Basic Med. Doc. Status Management (New)
Until now, only the business transaction "Bill Case" (NABR) was available to control whether or not a
case could be billed using basic medical documentation status management. It is not possible to
distinguish between interim and final billing in transaction NABR.

39
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Two new business transactions, "Interim Bill Case" (NINB) and "Final Bill Case" (NFIB), are now
available in addition to the transaction "Bill Case", allowing you to control how a case is billable in
greater detail. The system still checks the "Bill Case" transaction, and this transaction must be allowed
if a case is to be interim or final billed. If you do not use the two new transactions in the status profile,
the system behavior does not change.
This detailed control of status management still affects mass billing, when a case is automatically
interim billed if final billing is not possible. Here too, the system runs a check according to the new
transactions in status management and prevents interim billing if appropriate.
These new features are also available with the following Support Packages:
SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management
(ISH_MAIN), Support Package 35
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business
function SAP Patient Management (ISH_MAIN), Support Package 26
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 26
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 17
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 11

40
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Patient Accounting
General

ISH_CV_FR: Interim Billing for Rehabilitation Cases (SSR) (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, you can now perform interim billing for rehabilitation cases.
If you have assigned a contract scheme that allows interim billing to an inpatient rehabilitation case,
you can also perform live billing for this case on a specified date, even if the case has not yet been
discharged.

Contract schemes with interim billing must meet with certain criteria if billing is to take place
correctly. For example, there should be no maximum amounts or portions < 100% defined
for contract schemes with interim billing. The system does not check whether the contract
scheme you create can obtain correct results in interim billing. There is also no check to
determine whether subsequent changes to patient, case, or movement data have invalidated
existing interim billing runs.
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 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)

ISH_CV_FR: FIDES – Dir. Billing with Soc. Ins. for Outp. Cases (Enhanced)
The following enhancement isavailable 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:
The French Ministry of Health is switching from billing outpatient services for state hospitals from a
global budget to direct individual billing to the social insurance fund. This billing reform is known in
France by the abbreviation FIDES-ACE (Facturation Individuelle Directe des Etablissements de Santé
des Actes et Consultations Externes). It applies exclusively to outpatient cases in acute care (MCO)
and to sales of drugs from the hospital pharmacy. This means it does not apply to inpatient and day
patient cases in acute care or to cases in rehabilitation (SSR), psychiatry, home care (HAD), and
nursing homes (EHPAD).
The FIDES-ACE reform is currently being piloted and will be rolled out from January 2013.
FIDES-ACE billing is referred to below as "direct billing".
Direct billing is based on a legally defined basic service price, which is multiplied by one or both of the
following coefficients depending on the type of service to determine the price for which the social
insurance fund is to be billed:
Transition coefficient ("coefficient transitoire")
Geographical coefficient ("coefficient géographique")
According to legal regulations, the transition coefficient has been set to 1 for all hospitals in France.
These coefficients can only be taken into account when calculating the price of the portion of a service
for which the state health insurance fund is to be billed. The patient contribution towards the service
must not be affected by these coefficients.
The coefficients are not taken into account in billing cases outside the area of T2A (areas M, C, O, and
N), for example SSR or PSY cases.

41
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

To be more precise, the transition coefficient must be used for the following services:
CCAM services
NGAP services
NABM services (lab services)
Radiology flat rates (FTG, FTN, FTR)
Outpatient flat rates (ATU, FFM, SE)
In addition, the geographical coefficient must be used to calculate the reimbursement basis for state
health insurance funds for the following services:
Outpatient flat rates (ATU, FFM, SE)
Example:
See B2 documentation, appendix 27, case 1
Billing of consultation service CS with a basic price of EUR 23.
The transition coefficient is 1.1. The state health insurance fund covers 70% of the service.
The state health insurance fund reimburses (EUR 23 * 1.1) * 0.7 = EUR 17.71
The amount for the patient or for the complementary insurance fund is: EUR 23 * 0.3 = EUR 6.90
Activating FIDES Billing
If your hospital wants to switch to direct billing from a key date, you must activate these new billing
rules and also make additions to the pricing procedure.
The following new Customizing activity is available for activating FIDES billing: SAP Healthcare –
Industry-Specific Components for Hospitals Patient Accounting Billing Configure Special
Forms of Billing Control Billing Modes.
You can enter the key date from which direct billing is to be active in this activity. As of this date, the
system uses the rules for direct billing, and automatically uses the B2 version June 2005 Addendum D
for the EDI procedure FRB2.
Configuring the Coefficients in the Pricing Procedure
To have the system process the transition coefficient and the geographical coefficient in pricing, you
must define the values of the coefficients in Customizing, as well as define corresponding condition
types and add them to the pricing procedure.
You maintain the values for the transition and geographical coefficient in Customizing under SAP
Healthcare – Industry-Specific Components for Hospitals Patient Accounting Billing Configure
Special Forms of Billing Billing Parameters (Institution- and Time-Dependent).
Then create the following condition types in Customizing under SAP Healthcare – Industry-Specific
Components for Hospitals Patient Accounting Billing Pricing (Using Conditions) Conditions
Define Condition Types:

42
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Transition Coefficient
Define a condition type with the following data:
Condition class A (surcharges or discounts)
Calculation rule G (formula)
Item condition X
Then specify this condition type in your pricing procedure with requirement 120 and calculation
formula 72.
Geographical Coefficient
Define a condition type with the following data:
Condition class A (surcharges or discounts)
Calculation rule G (formula)
Item condition X
Then specify this condition type in your pricing procedure with requirement 121 and calculation
formula 73.

To correct the surcharges correctly, the entries of the conditions for the coefficients must
build on each other; in other words, a subsequent condition (such as the geographical
coefficient) must include the previous surcharge coefficient in its calculations.
In addition, the condition for the deduction of the fixed patient contribution portion of € 18 (formula
139) must follow on from the entries for the two coefficients.
The rounding condition (formula 138) can be positioned before the coefficient surcharges, since the
rounding condition cannot process these surcharges for technical reasons.
Rounding differences resulting from the coefficients are taken into account and cleared when
calculating the surcharges.
Service Entry
In case-related service entry, you can now enter a tooth number for dental services. The tooth number
is displayed in the B2 message in direct billing (June 2005D version).
You enter the number of a tooth in the "Tooth Number" field in case-related service entry.
The BAPIs for entering service data have also been enhanced accordingly.
Addition of Specialties
FIDES direct billing applies to acute care
Until now, acute care was identified by the areas M/C/O (Médecine, Chirurgie, Obstétrique = internal
medicine, surgery, obstetrics), with obstetrics and dentistry grouped under "O". With the introduction of
direct billing, dentistry has been separated from obstetrics and included as a separate area, "N".
To perform billing correctly, you must define a new specialty key for dentistry. To do this, choose SAP
Healthcare – Industry-Specific Components for Hospitals Hospital Basic Data Hospital Structure
Organizational Structure Code Specialties in Customizing and define a new "Dentistry" entry for
specialty category 7. Assign this new entry the unique key N (in field UNQCD).
Then assign the organizational units for dentry in your organizational structure to this specialty key.

You must enter a unique key (if appropriate) for all existing entries for specialty category 7,
regardless of whether or not you have activated FIDES billing.
The following keys are available:
C Surgery
HAD Home care
M Internal medicine

43
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

N Dentistry
O Obstetrics
P Nursing home
SSR (new)
FIDES-ACE: Uniform Coverage Rate for Medical Services and Hospital Flat Rates
If medical services such as CCAM, NGAP, or NABM services are billed together with one of the flat
rates ATU (emergency), FFM (material), or SE (outpatient intervention), the state health insurance
fund covers the same percentage of the CCAM, NGAP, or NBAM services as the flat rates. This
means the system must use the state HI coverage rate that applies to the flat rates for the CCAM,
NGAP, or NABM services during billing.
The state health insurance fund usually covers 70% of CCAM and NGAP services and 60% of NABM
services (lab services). The coverage rate for ATU, FFM, and SE flat rates is 80%. If a CCAM, NGAP,
or NABM service is included in the same invoice as one of the flat rates, the coverage rate for the
state health insurance fund for CCAM, NGAP, and NABM services must also be 80%.
You define coverage rates for services in contract schemes in the system.
To meet these requirements, you must define a separate contract scheme in the system, where the
coverage rates are the same for the flat rates and for CCAM, NGAP, and NABM services.
You can create contract schemes in Customizing under SAP Healthcare – Industry-Specific
Components for Hospitals Patient Accounting Business Partners / Insurance Relationships
SG,CA,CH,FR,IT: Maintain Contract Schemes.
You should also note that you may also need to configure the function for determining the billing type
for new contract schemes.
For more information about determining the billing type, see SAP Healthcare – Industry-Specific
Components for Hospitals Patient Accounting Billing Determine Billing Types in Customizing.
You must assign this contract scheme to the insurance relationship with the state health insurance
fund if you bill flat rates (ATU, SE, or FFM) together with CCAM, NGAP, or NABM services.
You can activate a check in the system that supports you in identifying the above situation and issues
a warning or error message if the contract scheme for the state health insurance fund does not match
the value you specified.
To activate this check, activate the BAdI ISH_INVOICE_CHECK (method INVOICE_CHECK) and
adjust the sample coding to include your contract scheme. When doing this, you can also decide
whether the system is to issue a warning or an error message if the contract scheme is different. If you
choose to display a warning, you can execute test billing but live billing is not possible.
For more information about the standdard check, see the BAdI documentation:
SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting Billing
Business Add-Ins for Billing BAdI: Check Invoice Creation.

44
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Generating Dermatology Flat Rates (FSD), Video Capsule Flat Rates (VDE), and SE Flat Rates
(SE)
Billing of dermatology (FSD), video capsule (VDE), and outpatient intervention (SE) flat rates is only
allowed by law if billing certain CCAM services.
The list of CCAM services that allow billing for these flat rates is described on page 14 of the
document "FIDES Cahier des charges" (http://www.sante.gouv.fr/IMG/pdf/FIDES-
Cahier_des_charges_ACE_V0_3.pdf).
The system can support you by generating the FSD flat rate automatically as soon as a corresponding
CCAM has been created.
To use the function for automatic generation of the FSD flat rate, you must activate service rule F16
and maintain the related Customizing tables.

Please note that you must create the FSD flat rate in the service master with the new charge
type "FS" and the VDE flat rate with the new charge type "FV".
For more information about service rule F16, see the following Customizing documentation:
SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting Service Rules
Country-Specific Service Rules Inclusion for Service Pair CCAM (F16).
Billing Fixed Patient Contribution (€ 18) and Flat Rates
When billing the fixed patient contribution of € 18 for an outpatient visit, the exemption also applies to
the flat rate that is billed in addition to the CCAM services. The system supports you by copying the
exemption for the CCAM service automatically to the assigned flat rate service.
The system deducts the patient contribution (currently EUR 18) automatically from the most expensive
CCAM service.
Flat rates are only covered by state health insurance funds if the assigned CCAM service has
insurance verification. If the CCAM service is only refunded under certain conditions according to the
master data, the system only assigns the service to the insurance fund if it has insurance verification.
Coordinated Care Path (PSC)
The patient contribution for a service increases if the coordinated care path is not adhered to. This rule
also applies to FSD and VDE flat rates but not to the following: FTN, FTR, FTG, ATU, SE, and FFM.
You do not need to make any specific settings for service rule F20; it takes account of the above rule
and does n ot generate a PSC patient contribution service for services belonging to charge type FC
(technical flat rates FTN and so on), FB (ATU), FE (SE services), and FF (FFM) if the outpatient visit
takes place outside of the coordinated care path.
For more information about service rule F20, see the following Customizing documentation:
SAP Healthcare – Industry-Specific Components for Hospitals Patient Accounting Service Rules
Country-Specific Service Rules Generate PSC Patient Contribution for Care Path (F20).
CMUC and AMEC complementary insurance covers the increased patient contribution if the
coordinated care path is not adhered to. This means you must define the contract schemes for CMUC
and AMEC insurance in such a way that the PSC patient contribution service is covered.

45
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

FIDES: EDI Data Exchange


Data exchange with social insurance funds currently takes place using the EDI procedure FRB2. The
procedure complies with the rules for communication procedure B2, norm CP, version June 2005,
addendum B.
Direct FIDES-ACE billing uses the communication procedure B2, norm CP, version June 2005,
addendum D. With the switch to direct billing for outpatient visits, the system creates B2 messages
according to the rules and message format for communication procedure B2, version 2005, appendix
D.
Outpatient cases: The system now checks which message format is to be used, according to the visit
date and invoice recipient. If FIDES billing is active, the system creates messages for the EDI
procedure FRB2 according to B2 format 2005, addendum D. The system still creates B2 messages for
outpatient visits made before FIDES billing was activated according to B2 format 2005, addendum B.
Inpatient cases: FIDES billing for inpatient cases is not yet supported.
The switch is made automatically when you activate the billing mode "FIDES". Once you have
activated it, the system creates messages for the B2 procedure with the appropriate message formats.
During file creation (report RNC30101), the system creates separate files for the different message
formats. Messages belonging to the "old" B2 procedure (formatted according to B2, version 2005,
appendix B) are not stored in the same file as the new FIDES messages (B2, version 2005, appendix
D).

Due to the introduction of direct billing, you will need to adjust your settings in the
Customizing table of control settings for B2 dispatch, in particular the setting relating to data
transfer to FI (SAP Healthcare – Industry-Specific Components for Hospitals
Communication Electronic Data Interchange Country Specifics Country Specifics for
France Control Settings for B2 Dispatch).
Number Ranges
As before, specific number ranges are used for the B2 procedure (ZB2_xxxxx).
Radiology flat rates are billed to account for the use of the equipment. These flat rates (FTN, FTR, and
FTG) must be reported in the B2 message in type 3 with the following values for the service
department (type 3, items 41-43) and treatment mode (type 3, items 39-40):
MRI: DMT 753 / MT 19
SCAN: DMT 035 / MT 19
Tomography: DMT 750 / MT 19
The sample implementation of BAdI /ISHFR/ISH_FR_B2 (method
/ISHFR/IF_EX_ISH_FR_B2~CHANGE_B2_DATA) to fill the above fields has been adjusted to
accommodate these additional rules.
This enhancement is available with the following Support Packages:
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), Support
Package 13, 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)

ISH_CV_FR: AME Billing Reform (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, you can use a new form of billing.
With the AME billing reform, new billing rules have been introduced for patients who are insured with
the state health insurance fund (AME).

46
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

The reform applies to patients who also meet the following criteria:
Inpatient stay in acute care (MCO) or home care (HAD)
The insurance provider is marked as the state health insurance fund.
The patient is not an alien.
The discharge took place after December 31st, 2011.
Two new coefficients are used in billing for these cases:
The permanent AME billing coefficient (corresponds to a surcharge of 30%) is used for all GHS and
GHT services.
The AME transition coefficient increases the AME billing coefficient by 2% up to December 2013.
This means state hospitals bill as follows:
20% of the per diem fee (PJ) * length of stay * (permanent AME billing coefficient + AME transition
coefficient) + daily hospital rate (FJ) for discharge day
Private hospitals now bill GHS services as follows:
100% GHS * MCO coefficient * permanent AME billing coefficient + daily hospital rate (FJ) for
discharge day
New Per Diem Fee Service (Grouping Code PJC)
Create a new service (similar to the per diem fee PJ) with the grouping code PJC in the service master
data. Its price is 20% of the daily hospital rate.
Change to Service Rule F10
A new Special Coverage column is available in the Customizing table for the service rule Generate
Per Diem Fee (/ISHFR/TNWFR_F10). You can use this column to have the system generate the new
per diem fee (PJC) for AME cases.
For more information, see the Healthcare Implementation Guide under SAP Healthcare – Industry-
Specific Components for Hospitals Patient Accounting Service Rules Country-Specific
Service Rules Generate Per Diem Fee (F10).
AME Billing Coefficient
The billing coefficient for state health insurance (AME coefficient) comprises a permanent billing
coefficient and an AME transition coefficient.
You specify the total of the two coefficients in the AME Coefficient parameter (AME_FACT) in the
institution-related, country-specific control table (/ISHFR/PARAM).
If the hospital does not bill by per diem fees but instead performs GHS billing, there is no transition
coefficient. In this case, you only specify the permanent AME billing coefficient.
Condition for AME Billing
The AME coefficient is used when the following conditions apply:
The case in question is in inpatient acute treatment (MCO) or home care (HAD).
The insurance relationship for the social insurance fund is marked as "state health insurance"
(NCIR-/ISHFR/IPCAT = AME).
The patient is not an alien.
The discharge took place after December 31st, 2011.
The service has charge type FA (per diem fee), F5 (GHS), or F7 (GHT).
The price of the service has not been changed manually.
To include the new AME billing coefficient in billing, you must define your own condition for it and add
this to the pricing procedure. To do this, proceed as described below.
Define Condition Type
Define a customer-specific condition type with the following data:
Condition class A (surcharges or discounts)
Calculation rule G (formula)
Item condition X
To do this, choose SAP Healthcare – Industry-Specific Components for Hospitals Patient
Accounting Billing Pricing (Using Conditions) Conditions Define Condition Types in

47
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Customizing.
You must also define a customer-specific requirement and calculation formula.
For more information about creating the requirement and the calculation formula, see SAP Healthcare
– Industry-Specific Components for Hospitals Patient Accounting Billing Configure Special
Forms of Billing Notes on Configuring Special Forms of Billing Example 17 in Customizing.
Maintain Pricing Procedure
Then specify this condition type in your pricing procedure with requirement xxx and calculation formula
xxx. ("xxx" stands for the requirement and calculation formula you created.)

This condition must be processed in the pricing procedure after the condition for the GHS
reduction (condition with calculation formula 131 for the discount for stays < low trim point
and readmissions), and that the levels (reference levels from and to) of the condition must be
the same as those of the condition for the GHS reduction.
Define Use of Condition Type
Define the internal usage type 88 for the condition type you have created. This usage type enables the
system to identify the condition type that is used for the AME coefficient, for example so as to display
the coefficient used in the B2 message.
To do this, choose SAP Healthcare – Industry-Specific Components for Hospitals Patient
Accounting Billing Pricing (Using Conditions) Define Usage of Condition Types in
Customizing.
Change GHS Coefficient
Calculation formula 131, which is used to determine the GHS coefficient, now also takes account of
the AME coefficient for cases that meet the criteria for the AME reform.
Electronic Invoice B2
If the AME coefficient is used in pricing, it is indicated accordingly in field GHSCOEFF (type 3, items
65-69) on the B2 invoice.
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 13, 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 05, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_CV_FR: Displaying Ins. Prov.-Specific Price Components (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, the way in which the system displays insurance provider-specific price
components has been changed.
Previously, insurance provider-specific price components (such as the transition coefficient and
geographical coefficient) were always included in the gross/net value, both in the payment distribution
log and in individual payment distribution.
The system now displays the price components for insurance providers in the new Ins. Prov.-Specific
Price Components column in the payment distribution log and in individual payment distribution. This
means these price portions are no longer included in the gross/net values.

You must adjust the layout used for the log and for individual payment distribution. Copy the
new fields Gross Amount Excl. Ins. Prov. Price Portion and Ins. Prov.-Spec. Price Portion

48
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

from the field list to the columns displayed and save your change as the default setting.
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_FR: PDG-MCO Grouper Version 13.11e (Changed)


The following change applies 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), Support Package 01, as well as with the Support Packages listed below:
The messages have changed with the new version of the PDG-MCO grouper 13.11e. This means you
must make adjustments to the following Customizing tables:
IS-H FR: PDG Grouping Codes for France (ISHFR/TNWFRGCD)
IS-H FR: PDG Grouping Codes – Text Table (ISHFR/TNWFRGCDT)
The new PDG grouping codes are included in the relevant BC sets and are available with the Support
Packages for the relevant releases. You do not need to make any changes to the code for the new
version.
You must also make customer-specific adjustments to the UM.txt file, which is required for the
grouper.
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 Country Version France (ISH_CV_FR), Support Package 26
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), Support
Package 17, 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 11, business function SAP Patient Management Country Version France (ISH_CV_FR)

ISH_CV_FR: Reduction by Patient Contribution (Changed)


The following change applies 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), Support Package 01, as well as with the Support Packages listed below:
The condition for the reduction of services by the patient contribution (/ISHFR/COND_EXO_REDU) is
deducted from the most expensive service with exemption A (cumulative amount) or B (individual
amount) if the services were performed on the same day and by the same performing physician.
In addition to the exemptions A and B, the system must also observe the exemption 1 (exemption –
NGAP).
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 Country Version France (ISH_CV_FR), Support Package 26
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), Support
Package 17, 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 11, business function SAP Patient Management Country Version France (ISH_CV_FR)

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


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

49
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

ISH_MAIN AT: Scoring (Enhanced)


This documentation is only relevant for the country version Austria and is not available in English.

ISH_MAIN: Fee-Based Billing – English Language (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), as well as in the Support Packages listed
below, the following enhancement is available:
The fee-based billing function is now also available in English (EN), for example for Singapore. For
technical reasons, all the objects that relate to fee-based billing have been assigned to the new
development package NFBB (Fee-Based Billing), which was previously NWCH (Switzerland).
This enhancement is available with the following Support Package:
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 08, business function SAP Patient Management (ISH_MAIN)

ISH_MISC3: Repayment (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), you can make
repayments to patients in the following cases:
The down payment that a patient has made exceeds the amount payable.
A billing document has been posted and cleared, but is canceled at a later time.
You make repayments using the transaction Case-Related Invoice Processing (transaction code
NA30) on the Incoming Payments tab page.
The repayment function depends on payment types. When you have selected a payment type that
supports repayment, a new Repayable field and a new Repay button appear on the Incoming
Payment tab page,
When the sum of the open items that you have selected is negative, which means that you should
make a repayment, the amount repayable is automatically calculated and displayed in the Repayable
field. You choose the Repay button to post the outgoing payment with the amount repayable.
Effects on Customizing
To configure the repayment for a payment type, select the Repayable checkbox for the payment type
in Customizing under SAP Healthcare – Industry-Specific Components for Hospitals Patient
Accounting Incoming Payments Set Up Payment Types.

ISH_MISC3: Partial Payment (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), you can make
and post partial payments for patients with the following options:
Post partial payments without clearing open items
The open item for which a patient makes a partial payment remains open until the patient pays the
full amount.
Post partial payments and clear open items
The open item for which a patient makes a partial payment is cleared and a new open item is
created for the remaining amount.
The posting options depend on the payment types.
You process partial payments using the Case-Related Invoice Processing transaction (transaction

50
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

code NA30) on the Incoming Payments tab page. When you have selected all or some of the open
items, the amount payable is automatically calculated and displayed in the Payable field. If the
payment type you are using supports partial payments, you can change the amount payable
calculated by the system to the desired partial payment amount.
Effects on Customizing
You enable partial payment and choose a posting option for a payment type in Customizing for SAP
Healthcare – Industry-Specific Components for Hospitals under Patient Accounting Incoming
Payments Set Up Payment Types.

ISH_MISC3 CN: Selection of Payment Types for Down Payments (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), you can select
payment types when making down payments for patients in the Maintain Down Payment transaction
(transaction code NE20).
To select a payment type, choose the Payment Type button, which replaces the Bank Account button.
The available payment types depend on the health insurer that is assigned to the down payment
parameters.
Effects on Customizing
You assign a health insurer for an institution to the down payment parameters as follows: In
Customizing under SAP Healthcare – Industry-Specific Components for Hospitals -> Patient
Accounting -> Copayment / Down Payment -> Configure Down Payment. The document type,
document header text, and bank account that are assigned to the health insurer are automatically
stored with the down payment parameters. You cannot change these settings.
See also
SAP Library for SAP Patient Management on the SAP Help Portal at help.sap.com/erp SAP
Enhancement Package 7 for SAP ERP 6.0 Application Help under Industries in SAP ERP SAP
Healthcare/SAP Ambulatory Care Management/i.s.h.med SAP Patient Management Patient
Accounting Down Payment.

Services

ISH_CV_FR: SR F00: Generate Patient Contribution (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), service rule F00
– Patient Contribution – now also takes NGAP services (charge type F2) into account.
Service rule F00 generates services for the flat-rate patient contribution (services with charge type F0)
if the case includes billable CCAM services (charge type F1) with exemption type A or B (NLEI-
/ISHFR/EXO_CP) and/or NGAP services (charge type F2) with exemption type 1 (NLEI-
/ISHFR/EXO_CP).
If you want to generate the flat-rate patient contribution for NGAP services, define the NGAP services
for which you want to execute service rule F00 in Customizing.
For more information, see the Healthcare Implementation Guide under SAP Healthcare – Industry-
Specific Components for Hospitals Patient Accounting Service Rules Country-Specific
Service Rules Generate Patient Contribution.
The system sets exemtion reasons at service level automatically using service rule F05. For more
information about the enhancements to service rule F05 with regard to NGAP services, see the

51
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

release note ISH_CV_FR: Service Rule F05: Exemption from Patient Contribution (Changed)
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 Country Version France (ISH_CV_FR), Support Package 19
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 11
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 03

ISH_CV_FR: SR F05: Patient Contribution Exemption (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), service rule F05
– Patient Contribution Exemption – now also takes NGAP services (charge type F2) into account.
When you bill NGAP services and the coefficient of these individual or cumulated services reaches or
exceeds a legally stipulated threshold, the patient is either entirely exempted from the patient
contribution or is liable for a flat-rate patient contribution.
If you bill NGAP services together with CCAM services and the price of the cumulated services
exceeds a legally defined amount, the patient is liable for a flat-rate patient contribution.
This threshold currently amounts to a coefficient of 60 or a service price of EUR 120.
Service rule F05 now also sets service-related exemption reasons when the threshold is exceeded for
NGAP services. You must make the following settings to ensure that certain NGAP services are
processed by service rule F05:
Specify in the service master for the relevant NGAP services whether the service is to be taken into
account on its own or cumulated with other NGAP or CCAM services. To do this, enter the
corresponding value in the Patient Contribution Exemption field (/ISHFR/NTPKFR- BEFR_EIGEN)
in the service master data for all relevant NGAP services (charge type F2):
o The value 1 (cumulative amount) must be entered for the Patient Contribution
Exemption indicator (/ISHFR/NTPKFR- BEFR_EIGEN) for NGAP services that have
the grouping code K or KC.
o The value 2 (individual amount) must be entered for the Patient Contribution
Exemption indicator (/ISHFR/NTPKFR- BEFR_EIGEN) for NGAP services that have
the grouping code D, DC, TO, or ORT.
If you make this setting, the coefficients of the NGAP services K and KC are cumulated for
processing. These services are also cumulated with cumulable CCAM services (CCAM services for
which the Patient Contribution Exemption indicator (/ISHFR/NTPKFR- BEFR_EIGEN) is set to 1).
D, DC, TO, and ORT services are only processed individually and the service rule only sets an
exemption reason for an individual service if its coefficient reaches or exceeds the threshold.
Enter the value from which NGAP services are exempted from the patient contribution in the new
Maximum Coefficient column in Customizing under SAP Healthcare – Industry-Specific Components
for Hospitals Patient Accounting Service Rules Country-Specific Service Rules Threshold
for Exemption by Contract Scheme (F05). The threshold currently stipulated is 60.
When you enter a case-related NGAP service, enter coefficients for the NGAP services in the
Coefficient field.
Service rule F05 sets the new exemption reason (1 – NGAP exemption) if services are exempted from
the patient contribution due to NGAP services.
Inpatient Case:
If there are billable NGAP services (charge type F2) with a patient contribution exemption
(/ISHFR/NTPKFR- BEFR_EIGEN) that has a value of 1 (cumulative amount) (but there are no
cumulable CCAM services) and the total of the coefficients (NLEI-/ISHFR/NABM-CO) of the NGAP
services reaches or exceeds the maximum coefficient for NGAP services, the system sets exemption
reason 1 for all services for the case.
If there is a billable NGAP service (charge type F2) with a patient contribution exemption

52
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

(/ISHFR/NTPKFR- BEFR_EIGEN) with the value 2 (single amount) and its coefficient is greater than
or equal to the maximum coefficient, only this one NGAP service is assigned the exemption reason 1
(services are not cumulated).
Outpatient Case:
If there are billable NGAP services (charge type F2) for an outpatient visit that have a patient
contribution exemption (/ISHFR/NTPKFR- BEFR_EIGEN) with a value of 1 (cumulative amount) and
are assigned to the same performing physician, but there are no cumulable CCAM services for this
performing physician and visit, and if the total of the coefficients of the NGAP services (charge type
F2) with the same date and performer is greater than or equal to the maximum coefficient, the system
enters a value of 1 for these services in the visit that have the same performer.
Exception: Anesthesia services (CCAM service with activity 4) that were performed on the same date
are cumulated for processing even if they were performed by a different physician from the NGAP
services.
If there is a billable NGAP service (charge type F2) with a patient contribution exemption
(/ISHFR/NTPKFR- BEFR_EIGEN) with the value 2 (single amount) and its coefficient is greater than
or equal to the maximum coefficient, this NGAP service is assigned the exemption reason 1 (services
are not cumulated).
If a case involves a combination of billable NGAP services (grouping codes K and KC) and CCAM
services, the following rules apply:
Inpatient Case:
The system cumulates the value of the NGAP and CCAM services when determining the threshold. If
the threshold is exceeded, the system also sets exemption reason A for NGAP services.
Outpatient Case:
The system cumulates the value of the NGAP and CCAM services that were performed by the same
person when determining the threshold. If the threshold is exceeded, the system also sets exemption
reason A for NGAP services that belong to the same visit and have the same performer.
Once service rule F05 – Patient Contribution Exemption – has run, service rule F00 – Generate
Patient Contribution – generates the service for the flat-rate patient contribution.
For more information about service rule F05, see the documentation in Customizing under SAP
Healthcare – Industry-Specific Components for Hospitals Patient Accounting Service Rules
Country-Specific Service Rules Threshold for Exemption per Contract Scheme (F05).
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 Country Version France (ISH_CV_FR), Support Package 19
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 11
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 03

ISH_CV_FR/MISC2: SR Absence Control (F21) (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), the following change is
available:
The case classification has been added to service rule F21 for absence control
(/ISHFR/CHECK_SERVICES_F21).
This service rule is only used in the country version for France.
You can use this service rule to generate per diem fees for accommodation (charge type FH) during
absences.

53
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Two new fields, Classification Category and Classification Type, have been added to the Absence
Control Customizing table (/ISHFR/TNWFR_F21). The service rule selects the most specific entry.
If you have specified a classification category, the system selects the appropriate case classification
that is valid at the start of the absence. Changes to case classifications during the absence are not
taken into account. When making the Customizing settings, make sure you define the entries in such a
way that only one case classification is possible per absence.
If you have already maintained data in the Customizing table, you can initialize the new fields using
the report Initialization Report for New Fields in Table /ISHFR/TNWFR_F21 (/ISHFR/RNWFR_UTL01).
The report enters a wildcard (*) for all initial classification categories and types.
This enhancement is 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_MISC2 FR: Tooth Number in Service Entry (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 2 (ISH_MISC2), the following
new feature is available.
A new Tooth Number field is now available for entering dental services.
The BAPIs for entering service data have been enhanced accordingly.
This new feature is available with the following Support Packages:
„ SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), Support
Package 13, 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 04, business function SAP Patient Management: Legal Process Adoption 2 (ISH_MISC2)

Down Payment

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


The following enhancements have been made to the down payment clearing function:
If the posting period is closed and a special period has been opened, the system uses this special
period to post the down payment clearing. If the actual period is closed and a suitable special period
has not been opened, the system uses the current date as the posting date.
If you reverse the invoice and a special period is open, the system uses this period to post the reversal
of the down payment clearing.
These enhancements are also available with the following Support Packages:
SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management
(ISH_MAIN), Support Package 35
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business
function SAP Patient Management (ISH_MAIN), Support Package 26
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 26
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 17

54
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 11
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

55
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.

56
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.

57
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.

58
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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)


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 following enhancements have been made to the EDI procedure
VIDHOSP:
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 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

59
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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:

60
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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)

61
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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)


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

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


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

ISH_MAIN AT: EDIVKA – SEPA Payment Transactions (Enhanced)


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

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


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

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


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

ISH_MAIN AT: Insurance Relationships – VDAS Query (Enhanced)


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

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


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

ISH_MAIN AT: Scoring – AGPR Transfer Status (Enhanced)


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

62
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

ISH_MAIN AT: Scoring – LKF Model 2013 (Changed)


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

ISH_MAIN AT: GINA, Release R12B (Changed)


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

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


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

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


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

ISH_MAIN EDI – Extension of Key for NC301M (New)


Please note the following as of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension
Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN) and in the Support
Packages listed below:
Some EDI communication procedures will allow longer messages in the future due to legal changes.
The key for table NC301M (EDI messages) needs to be extended so that these messages can be
stored on the database. This change to the key requires a time-intensive database conversion of table
NC301M.
SAP Note 1766750 describes how to perform the database conversion before importing the Support
Package, to reduce the downtime required for the upgrade.
This new feature is available with the following Support Packages:
SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management
(ISH_MAIN), Support Package 33
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business
function SAP Patient Management (ISH_MAIN), Support Package 23
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business
function SAP Patient Management (ISH_MAIN), Support Package 23
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business
function SAP Patient Management (ISH_MAIN), Support Package 14
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business
function SAP Patient Management (ISH_MAIN), Support Package 08

Tools

General

ISH_MAIN: Treatment Authorization as Central Check Service (New)


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

63
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

with the Support Packages listed below:


The treatment authorization is now available for use as a central check service in SAP Patient
Management (IS-H) and the Clinical System (i.s.h.med).
The new functions are delivered with the following Support Packages:
SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 30, business function
SAP Patient Management (ISH_MAIN)
SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support
Package 19, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 02, business function SAP Patient Management (ISH_MAIN)
The treatment authorization supports the data protection requirement that a user must only have
access to the data of patients in whose treatment he is directly involved.
The system checks whether a treatment authorization exists when a user access a patient’s data in
the system. If the jurisdiction configured for the user in Customizing matches the patient’s
organizational unit (OU) reference, the treatment authorization is issued dynamically. The subsequent
static authorization check is unaffected by whether or not the system issues a treatment authorization
following the check.
If the required treatment authorization cannot be determined dynamically when a user accesses one
or more patients’ data, the system does not display the data and also prevents it from being
processed. The user receives a message from the system and a symbol indicating that treatment
authorization was not issued is displayed for each patient in the Treatment Authorization column in the
clinical work station. The system still displays the patient’s identification data (for example, patient
number, case number, name, sex, birthdate), for which the user has no treatment authorization. This
has an impact on the views in the clinical work station, for example, (with the exception of surgery
scheduling), the case overview, and the result list of the patient search.
If a temporary request is possible according to the Customizing settings, the user can submit a request
(for example, for emergency treatment) based on the identification data displayed for patients for
whom the system did not determine a treatment authorization dynamically. A treatment authorization
issued in this way is valid temporarily for the duration of the current day.
As a rule, the system does not run a check for treatment authorization when you execute IS-H reports
that have an authorization group. For example, this applies to mass billing (transaction NA01). Users
can also make entries such as admissions, appointments, clinical orders, or movements (with the
exception of discharges and absences) for a patient in the clinical work station, the case overview, and
when calling a corresponding transaction, even if treatment authorization has not been granted.
Effects on Customizing
For more information about configuring treatment authorization, see SAP Healthcare – Industry-
Specific Components for Hospitals Tools Treatment Authorization in Customizing.
We recommend that you read the General Information documentation on the Customizing settings for
the treatment authorization first. You will find this documentation under SAP Healthcare – Industry-
Specific Components for Hospitals Tools Treatment Authorization General Information in
Customizing.
If you want to activate the check for the existence of a treatment authorization with the selection of a
security level in Customizing under SAP Healthcare – Industry-Specific Components for Hospitals ->
Tools -> Treatment Authorization -> General Settings, you should first maintain the following
Customizing activities under:
SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment Authorization
Texts for OU Jurisdictions

64
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment Authorization


OU Constellation Within OU Jurisdictions
SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment Authorization
Assignment of OU Jurisdictions to User Roles
SAP Healthcare – Industry-Specific Components for Hospitals Tools Treatment Authorization
Follow-Up/Request Deadlines for OU Jurisdictions
You also have the option of maintaining deadlines for OU constellations. You can find these in
Customizing under SAP Healthcare – Industry-Specific Components for Hospitals Tools
Treatment Authorization Follow-Up/Request Deadlines for OU Constellations.
Please note that if you choose the security level “Prohibiting ON”, the system prevents all users from
viewing patients' medical data if the required treatment authorization cannot be determined
dynamically because a missing jurisdiction has not been configured.
You can show the Treatment Authorization column in the view types that are supported for the clinical
work station, to display the status and access the treatment authorization request dialog.
To configure user-specific settings by assigning OU jurisdictions to roles, you require the attribute
"NU" of authorization object S_TABU_DIS.
To delegate a treatment authorization, the initiator requires the attribute “01” of authorization object
N_TC_DG.
To access the evaluation report for logs of temporary requests (transaction N1TC_REPORT), the user
requires the entry RN1TC_REPORTING in authorization object N_EINR_REP for the attribute “REPID”.

See also
See also SAP Notes 1624135 und 1643624. SAP Note 1643624 contains further information about
system behavior when using the treatment authorization.

65
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Clinical System

ISHMED_MAIN: Business Function Clinical System (Changed)


Since SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), the
business function Clinical System (ISHMED_MAIN) has provided new and enhanced functions in
various components of i.s.h.med. For more information about this, see the release notes for
ISHMED_MAIN: Business Function Clinical System.
For information about the new features for this business function with SAP Enhancement Package 5
for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), see the release notes for ISHMED_MAIN:
Business Function Clinical System (Changed).
For information about the new features for this business function with SAP Enhancement Package 6
for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), see the release notes for ISHMED_MAIN:
Business Function Clinical System (Changed).
For information about the new features available for this business function with SAP Enhancement
Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the following release
notes:
For SmartUI:
ISHMED_MAIN: i.s.h.med Mobile Medication (New)
For general utilities:
ISHMED_MAIN: Event Management - Customizing (Enhanced)
For enhanced basic data
ISHMED_MISC01: CWS - Calendar Function in View Types (Enhanced)
for Clinical Documentation:
ISHMED_MAIN: Clinical Order - Synchronization Check (Changed)
ISHMED_MAIN: i.s.h.med Progress Documentation (New)
ISHMED_MAIN: Progress Notes - Discontinued Functions (Changed)
ISHMED_MAIN: PMD Mass Generation (New)
Image and Findings Documentation CWD – i.s.h.med
For the surgery system:
ISHMED_MAIN: Surgery System - Surgery Scheduling Replaces Surgery Progress Monitor
(Changed)
Error! Reference source not found.
For medication:
ISHMED_MAIN:Medication - Master Data (Enhanced)
ISHMED_MAIN: Medication - Order (Enhanced)
ISHMED_MAIN: Medication - Order (Changed)
For connectivity:
ISHMED_MAIN: Connectivity - Overview (Changed)
For the message communication infrastructure:
ISHMED_MAIN: Message Communication Infrastructure - Overview (New)
ISHMED_MAIN: Message Communication Infrastructure - Available Connectors (Enhanced ), HL7
Segments (New)

ISHMED_MISC01: Business Function Clinical System MISC01


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

66
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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


For information about the new features available for this business function with SAP enhancement
package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), see the following release
notes:
For patient groups
ISHMED_MISC01: Patient Groups in Smart UI (New)
ISHMED_MISC01: Patient Groups - Selection Dialog (New)

67
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

ISHMED_MISC01: Patient Groups - Views and Displays (New)


ISHMED_MISC01: Patient Groups - Filters (New)
ISHMED_MISC01: Patient Groups - Graphical Plan (New)
For the patient profile:
ISHMED_MISC01: Patient Profile in Smart UI (New)
For the patient header:
ISHMED_MISC01: Patient Header - Displayed Data (Enhanced)
For the patient record:
ISHMED_MISC01: Patient Record - Create/Process Objects (Enhanced)
ISHMED_MISC01: Patient Record - Smart Chart (New)
For Task Management:
ISHMED_MISC01: Task Management in Smart UI (New)
For Service Ordering:
ISHMED_MISC01: Service Ordering - Overview (New)
ISHMED_MISC01: Service Ordering - Setup Functions (New)
ISHMED_MISC01: Service Ordering - Integration in Task Management (New)
For medication:
ISHMED_MISC01: Medication - Order in Smart UI (New)

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


Since SAP Enhancement Package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), the
business function Clinical System Situation Based Clinical Documentation (ISHMED_SCD) has
provided new and enhanced functions in various components of i.s.h.med. You can find more
information about this in the ISHMED_SCD: BF Clinical System Situation Based Clinical
Documentation release note.
For information about the new features for this business function with SAP Enhancement Package 6
for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the BF Clinical System Situation
Based Clinical Documentation release note.
For information about the new features available for this business function with SAP Enhancement
Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the following release
notes:
For clinical documentation:
ISHMED_SCD: Imagic - i.s.h.med Image Integration (New)
ISHMED_EDP: BF Clin. System Enhanced Documentation Processes
Since SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), the
business function Clinical System Enhanced Documentation Processes (ISHMED_EDP) has provided
new and enhanced functions in various components of i.s.h.med. For more information about this, see
the release notes for ISHMED_EDP: BF Enhanced Documentation Processes.
For information about the new features available for this business function with SAP enhancement
package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), see the release note
ISHMED_EDP: BF Enhanced Documentation Processes.
For information about the new features available for this business function with SAP enhancement
package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), see the following release
notes:
For radiology:
ISHMED_EDP: Radiology - MPPS and Reconciliation (Changed)

68
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

69
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Smart UI

Patient Groups

ISHMED_MISC01: Patient Groups in Smart UI (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), the Patient Groups
component is available under Smart UI within SAP NetWeaver Business Client.
The patient groups provide physicians with quick and easy access to the central information on their
patients via a special graphical format.
The following functions are available in the patient groups:
A selection dialog supports you in the personalized determination of a group of patients whose
central information you wish to view. For information about this, see the release notes on the
selection dialog.
You can choose between various views and displays for the presentation of the patient
information. For more information about this, see the release notes on the views and displays.
A graphical plan offers you an overview of organizational units and building units including their
occupancy. For information about this, see the release notes on the graphical plan.
You can use filters to filter the determined patients according to various criteria, such as for
example, surgery appointment tomorrow. For information about this, see the release notes on
filtering.
From the patient groups you can open the patient profile of a patient. For information about this,
see the release notes on the patient profile.
Effects on System Administration
In order to be able to use patient groups you must copy the role
SAP_ISHMED_PATBOARD_PHYSICIAN into the customer namespace. If you change the menu of
the role, do not remove the following necessary technical entries:
OBN Navigation
OBN Navigation Web Dynpro
Assign the copied role to the SAP users.
Use the user-related parameter EIN to assign the IS-H institution to the SAP users and the user-
related parameter N1_PROFESSION_GROUP to assign the value DOCT.
You can preset the fields Dept. OU and Trtmt / Nurs. OU with standard values in the selection dialog.
To do this you assign the following user-related parameters to the SAP users:
N1_WDORGFA_DEFAULT - ISHMED: Standard for departmental org. unit
N1_WDORGPF_DEFAULT - ISHMED: Standard for trtmt / nurs. org. unit
Effects on Customizing
You can find information on the configuration of the patient groups in Customizing under SAP
Healthcare - Industry-Specific Component Clinical System -> Smart UI -> Patient Groups.
You can edit the filters for patient groups in Customizing under SAP Healthcare - Industry-Specific
Component Clinical System -> Smart UI -> Patient Groups -> Configure Filters.
In order to define additional filters, implement the following enhancements under SAP Healthcare -
Industry-Specific Component Clinical System -> Smart UI -> Patient Groups -> Business Add-Ins for
Patient Groups:
BAdI: Enhancement of Filter Selection in Patient Groups
BAdI: Enhancement of Filter Icons in Patient Groups
Technical Requirements

70
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

If you want to use the patient groups, you should should have the following:
NetWeaver Business Client 4.0 for Desktop (or higher)
Microsoft Internet Explorer 6 (or higher)
Microsoft Silverlight Version 4 (or higher)
SAP GUI for Windows 7.30 (or higher)
For more detailed information, see SAP Note 1782982.
See also
You can find further information on the patient groups in the following release notes:
ISHMED_MISC01: Patient Groups - Selection Dialog (New)
ISHMED_MISC01: Patient Groups - Views and Displays (New)
ISHMED_MISC01: Patient Groups - Filters (New)
ISHMED_MISC01: Patient Groups - Graphical Plan (New)
ISHMED_MISC01: Task Management in Smart UI (New)
ISHMED_MISC01: Patient Profile in Smart UI (New)

ISHMED_MISC01: Patient Groups - Selection Dialog (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01) the Patient Groups
provide a selection dialog for the simple and quick determination of patients.
The selection dialog supports you in the personalized determination of the patients for a patient group.
You can choose a variant from a drop-down list, which you first define using the following selection
criteria:
Department
Treatment / Nursing Organizational Unit
Date
Days Back (or discharged patients)
In addition to the selection criteria for determining a patient group, you can also specify the following
criteria to be excluded:
Department
Treatment / Nursing Organizational Unit
Effects on System Administration
You can preset the fields Dept. OU and Trtmt / Nurs. OU with standard values in the selection dialog.
To do this you assign the following user-related parameters to the SAP users:
EIN - IS-H: Institution
N1_WDORGFA_DEFAULT - ISHMED: Standard for departmental org. unit
N1_WDORGPF_DEFAULT - ISHMED: Standard for trtmt / nurs. org. unit

71
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

ISHMED_MISC01: Patient Groups - Views and Displays (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01) various views and
displays of patient information are available in the patient groups.
You can use the following functions to configure the patient information view to meet your
requirements:
Card View
If you choose the card view, the system displays the patients' names and key information (for
example, birthdate, sex, allergies, risk factors) on patient cards. You can choose five different
sizes of patient cards in this view.
Note that the card size determines the amount of information displayed.
List View
You can use the list view as an alternative to the card view. In this view, the system displays the
patients with an array of information in tabular form.
Room View
In the room view, the system graphically displays the building units (for example, rooms and
beds) with the assigned patients for each selected treatment/nursing organizational unit (for
example, care units). Patients that do not have an assignment are displayed separately.
Department View
In the department view, for each selected departmental organizational unit (for example, surgery)
the system graphically displays the lower-level treatment/nursing organizational units (for
example, care units) with their building unit (for example, rooms and beds) and the assigned
patients.
Patients that do not have an assignment are displayed separately.

ISHMED_MISC01: Patient Groups - Filters (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), you can use filters in
the patient groups.
You can use filters to filter the determined patient groups according to various criteria. When you
select a filter, the system displays the patients who satisfy the criterion of the selected filter. For
example, you can use the following filters in the patient groups:
Surgery Tomorrow (there is a clinical order of the type Surgery planned for tomorrow)
Today's Labs (there is a lab document created today)
Planned Discharge (there is a planned discharge)
You can color highlight the patients that match a filter in the complete list of determined patients and
hide the patients that do not match the filter. If a filter matches a patient starting from the current date,
the system displays the icon of the filter on the patient card (limited number) or in the corresponding
column of the list view.
If you use Task Management, which requires a license, the Tasks Available filter shows a list of tasks
for the physician occupational group that are pending for each patient. You can find further information
about this, in the release notes on task management.
You can change the name and order of the filters in Customizing, and also suppress the display of
filters. You can also define your own filters and up to 5 additional filter icons, for example, according to
the customer-specific columns which exist in the clinical work station.

72
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Effects on Customizing
You can edit the filters for patient groups in Customizing under SAP Healthcare - Industry-Specific
Component Clinical System -> Smart UI -> Patient Groups -> Edit Filters for Patient Groups.
If you want to implement additional filters, implement the following enhancements under SAP
Healthcare - Industry-Specific Component Clinical System -> Smart UI -> Business Add-Ins for Patient
Groups:
BAdI: Enhancement of Filter Selection in Patient Groups
BAdI: Enhancement of Filter Icons in Patient Groups

ISHMED_MISC01: Patient Groups - Graphical Plan (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01) a graphical plan is
avaliable in the patient groups.
The graphical plan provides a schematic overview of the organizational units and building units
according to the organizational assignment of the determined patient. The system displays the
patients without assignments separately within the graphical plan.
In the list view and card view, the system displays the graphical plan next to the listed patients. It
displays the organizational assignment to the organizational units and building unit for a selected
patient.
In the department view and the room view the graphical plan forms the basis for the display of the
determined patients. The system displays all patients with their assignment to the organizational unit
and building unit.
When displaying a care unit which contains beds, the system also displays the degree of occupancy
based on the number of occupied beds.
If a bed is occupied by multiple persons, the system displays the number of patients on the bed icon.
You can find the name and case number of the occupying patients in the tooltip of a bed icon.

Patient Pofile

ISHMED_MISC01: Patient Profile in Smart UI (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), the Patient Profile is
available under Smart UI within the SAP NetWeaver Business Client.
The patient profile provides an intuitive user interface that you can use to view and edit the medical
documentation about the treatment progress of a patient.
The patient profile contains the following components:
Patient Header
The patient header contains the central data used to identify the patient and the most important
medical data. For information about this, see the release notes on the patient header.
Patient Record
The patient record shows you the central patient-related or case-related information. For information
about this, see the release notes on the patient record.
Task Management
This licensed component displays the tasks pending for the user's relevant occupational group as
well as the tasks of all occupational groups in a tree structure. You can call the tasks directly from
the list for processing. For information about this, see the release notes on task management.
Applications

73
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

This component provides you with quick links to various functions, such as editing documents,
ordering services, making progress entries and maintaining diagnoses. The system only shows you
the quick links to applications that require a license if you have the respective license.
Applications Hit List
The Applications Hitlist provides you with up to 10 quick links to the most frequently selected
applications.
You can access the patient profile from the SAP NetWeaver Business Client from the patient groups.
For information about this, see the release notes on the patient groups.
You can also open the patient profile for patients with the case and transaction from the SAP
NetWeaver Business Client by choosing Clinical Work Station (occupancy, arrivals, departures) from
the SAP GUI.
Effects on System Administration
Copy the role SAP_ISHMED_PATBOARD_PHYSICIAN to the customer namespace and assign the
copied role to the SAP users.
Use the user-related parameter N1_PROFESSION_GROUP to assign the physician occupational
group to the users with the value DOCT.
Assign the institution to the users using the EIN user-related parameter.
Effects on Customizing
You can find information on the configuration of the patient profile in Customizing under SAP
Healthcare - Industry-Specific Component Clinical System -> Smart UI -> Patient Profile.
Activities
In order to use the patient profile, make the Customizing settings under Industry-Specific Component
Clinical System -> smart UI -> Patient Profile -> Assign Configuration to Users/Roles.
You can optionally maintain the following Customizing settings:
Industry-Specific Component Clinical System -> smart UI -> Patient Profile -> Manage Configuration
of Applications in the Patient Profile
Industry-Specific Component Clinical System -> smart UI -> Patient Profile -> Edit Configuration of
Patient Profile
To use the patient profile from the Clinical Work Station, include the button Open Patient Profile with
the function code N1IPC1 from the function selection for the following view types:
Occupancy
Arrivals
Departures
Technical Requirements
If you want to use the patient profile, you should should have the following:
NetWeaver Business Client 4.0 for Desktop or higher
Microsoft Internet Explorer 6 or higher
Microsoft Silverlight Version 4 or higher
SAP GUI for Windows 7.30 or higher
For more information, see SAP Note 1782982.
See also
See also the following release notes:
ISHMED_MISC01: Patient Header - Displayed Data (Enhanced)
ISHMED_MISC01: Patient Record - Create/Process Objects (Enhanced)
ISHMED_MISC01: Task Management in Smart UI (New)
ISHMED_MISC01: Patient Groups in Smart UI (New)

74
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

ISHMED_MISC01: Patient Header - Displayed Data (Enhanced)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), two versions of the
patient header are available:
A reworked version of the existing patient header, which is used in the patient profile
A new, compact patient header, which is used in the new applications as part of Smart UI.

Changes in the Existing Patient Header


The patient header is used in the patient profile.
Information relating to risk factors and allergies is no longer entered using icons, but in text form (for
example, risk factors (3), risk factors not known, allergy documentation missing).
The patient header has been enhanced with the possibility to display an icon to indicate visits.
A country-specific version of the patient header is available for Austria, in which the indicator for the
overrun of the average length of stay or high trim point is not displayed.
The icon for the "re-admission" status of the movement is displayed if the patient is admitted within the
last 24 hours and not - as previously - within the last 30 hours.

New Compact Patient Header


For the new applications as part of Smart UI (for example, Service Ordering), a compact patient
header is available that optimizes the use of space.
To make for quick and clearly presented information, the compact patient header is restricted to the
display of the essential data for identifying the patient and the patient's key medical data. Thus, apart
from the case number (if it exists) and the care unit, it does not contain any other case-related
information, like the case type, admission data and movement status.
In contrast to the patient header of the patient profile, the compact patient header does not display the
case-related information (case number and care unit) in a color-differentiated display row, but between
patient information and information relating to risk factors and allergies.

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


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), new functions for
creating and processing objects (for example, documents, services) are available in the patient record.

75
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Note that as of this enhancement package the patient record is called from the patient profile into
which the patient record has been integrated.
You can perform actions in relation to existing objects (for example, change, cancel) as one-click
actions. The patient record provides an icon directly with each object in order to perform the required
action. By clicking the icon you call the action for the respective object. Alternatively, you can perform
this action using the context menu.
To create objects, each User Interface Building Block (UIBB) provides a corresponding icon in the title
bar.
For creating and processing objects, the patient record provides the functions and dialogs that are
also available in i.s.h.med outside of the patient record. Note that, as part of smartUI, new
applications, which can also be used from the patient record, have been developed for a number of
object types.
Corresponding actions are possible for object types supported in the standard configuration
N1PREC_CONFIG_DEFAULT of the patient record.

Parameterized Medical Documents (PMD)


The following actions are available:
Create
Change
Release
Create Version
Cancel
For documents, you can use the functions previously available in i.s.h.med (for example, in the patient
organizer) in the patient record.

Examinations
The following actions are available:
Create
Change
Cancel
You can display examinations in i.s.h.med both with the existing component Clinical Order in SAP GUI
and with the new component Service Ordering as part of smartUI. The system displays the clinical
orders in the UIBB Examinations of the patient record.
The Change actions calls the component with which the object was created.
The Create function only calls the new component Service Ordering in the patient record.

Diagnoses
The following actions are available:
Create
Change
For diagnoses, you can use the functions previously available in i.s.h.med (for example, in the patient
organizer) in the patient record.

Vital Signs
For vital signs, you can use the functions previously available in i.s.h.med (for example, in the patient
organizer) in the patient record.

Lab Values
The Create action is available for lab values. You can use this action to create a request for the lab.

76
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Medication Orders
The following actions are available:
Create
Change
Cancel
For the Change action, you can use the detail dialog that is new within Medication. For the other
actions, you can use the functions previously available in Medication.

Progress Documentation
The following actions are available:
Create
Cancel
As of this release the component i.s.h.med progress documentation is available for processing
progress entries. Note that you can only use this component in the patient record for entering,
displaying and canceling progress entries. If you previously entered outpatient, inpatient and nursing
progress notes in the system, you must migrate this data. You can find information on this in the
release notes for i.s.h.med progress documentation.

Medical Services
The following actions are available:
Create
Change
Release
Cancel
To enter and process medical services, you can define one of the following four possibilities in
Customizing:
Service Entry
Subsequent Service Entry
Medical Service Processing (you can enter a configuration here)
Services + Diagnoses Fast Entry (only available in the country version Austria)

Nursing Services
The following actions are available:
Create
Change
Release
Cancel
For nursing services, you can use the functions previously available in i.s.h.med (for example, in the
patient organizer) in the patient record.

77
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Administrative Services
The following actions are available:
Create
Change
Release
Cancel
For administrative services, you use the Maintain Services function (transaction code NL10) from SAP
Patient Management, as previously in i.s.h.med.

Chart
You can display the new chart developed for Smart UI in a UIBB of the patient record.

Effects on Existing Data


For inpatient progress notes, nursing notes and outpatient notes, you need to perform a migration to
convert these into the new format (progress entries) and display them in the UIBB Progress Report.

Effects on Customizing
You can activate and deactivate the actions available for an object type in the UIBB configuration. All
actions are activated in the standard configuration N1PREC_CONFIG_DEFAULT.
Actions, which are deactivated, do not appear as icons or menu options in the context menu in the
associated UIBB of the patient record.
See also
For more information about the applications (for example, Patient Profile, Service Ordering, Progress
Documentation and Medication) that can be integrated with the patient record as of enhancement
package 7, see the release notes for the respective application.

ISHMED_MISC01: Patient Record - Smart Chart (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), Smart Chart provides
a new patient chart developed as part of Smart UI.
Smart Chart provides a graphical overview of vital signs, progress entries, documents and physician
orders for a patient. You can edit the data directly from this overview and also enter new data in the
overview.
Smart Chart enables flexible chronological navigation. A preview area provides an overview of the
complete set of existing data.

Graphs in Smart Chart


You can define the set of available graphs and their arrangement in the Smart Chart using chart
layouts that are defined in Customizing. You assign one or more graphs to a chart layout. In turn, chart
elements are assigned to the graphs. A chart element describes how the same kind of data, such as
body temperature, is to be displayed in a graph.
Events and values for the patient are displayed in different graphs.
Display of events such as progress entries, documents, or physician orders in event graphs.
Display of vital signs in line graphs or group graphs
Whilst you can only assign one chart element to line graphs, several chart elements can be assigned
to group graphs. Group graphs are used to display several types of vital signs (for example, blood
pressure and pulse). In this way, you can also combine specified vital signs within a group graph (for

78
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

example, rectal and axillary body temperature measurements).


Please note:
The Charting component in the Ward documentation work station is still available for displaying the
nursing and medication graphs.
You can use chart layouts, which you created in the Charting component, in Smart Chart also.
However, medication graphs and nursing graphs are not displayed here.

Events
When you position the mouse pointer on an event, the system displays detailed information about this
event in the graph. Clicking the event calls the associated editing function:
Progress Entries
Clicking the event takes you to the progress documentation.
Physician Orders
Clicking the event takes you to the physician orders.
Documents
Clicking the event takes you to the relevant document. If the document is not read-only, you can edit
it.
Please note:
The system identifies closely spaced events. A click displays detailed information in an additional
window. Alternatively, you can expand condensed areas by zooming into the application.

Vital Signs
Smart Chart displays the vital signs in a line graph. When you position the mouse pointer on a value,
the system displays detailed information about this value.
Please note:
The system identifies closely spaced values. A click displays detailed information in an additional
window. Alternatively, you can expand condensed areas by zooming into the application.
An icon shows if values are located outside of the visible area on the Y axis. When you click this icon,
the previously hidden values are displayed.
Vital signs that are not in the normal range are identified specifically as a warning. If there are several
warnings for a value, only the most serious is displayed as an icon. However, the detailed information
for this value lists all existing warnings. If there are several warnings for a condensed area, only the
most serious is displayed as an icon. However, the detailed information for this condensed area lists
all existing warnings.
In case of line graphs, the normal value ranges are highlighted in the background. Where group
graphs are used to display multiple vital signs (for example, blood pressure and pulse), the system
does not display the normal value range in the background in order to avoid confusion. However, you
can temporarily display the normal value range for one of the chart elements in the background by
positioning the mouse pointer on the associated Y axis. The system hides all of the other chart
elements.

Navigation Area
The navigation area is located under the graphs. The entire period over which the navigation area
extends matches the case/period selection in the patient profile. For cases that are not yet complete,
you can add a desired number of days to this period in Customizing.
The period focus is displayed in the navigation area. You use the period focus to define the timeframe
that is displayed by the graphs. You can flexibly adjust the period focus using the following actions:
A click in the navigation area outside of the period focus applies the time window.
A double-click in the period focus extends the period focus to the entire period. Another double-click
restores the period focus.

79
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Zooming with the mouse wheel lets you extend both the content area of the Y axis and that of the X
axis within the graphs, depending on whether you are situated on the Y axis or X axis or the graph
contents.
With pushbuttons in the function bar you can set the period focus to one day, one week, one month,
or reset it to its initial state. A further pushbutton lets you navigate to the current day. If today's date
is not in the current time selection, the pushbutton is inactive.
Horizontal bars represent the length of each case. Double-clicking on such a bar automatically sets
the displayed period to the respective case period.
A reduced preview of the vital signs and events in the navigation area provides an overview of all
existing data.

Personalization
In Customizing, you can define a chart layout for the system and/or each organizational unit (OU),
which you can use as the standard layout. The system uses this layout whenever Smart Chart is
called for a patient for the first time.
You can, however, also define your personal standard layout for each User Interface Building Block
(UIBB).
In the Smart Chart, you can personalize each chart layout with regard to the sequence of the graphs
and their display options, such as showing labels for the measurements.
The function bar provides pushbuttons for saving and resetting layouts. The next time you call Smart
Chart for a specific patient, the system displays the layout as you left it the last time (hence
"personalization").

License
A license is required for Smart Chart. You should contact your sales partner for this.

Effects on System Administration


The following requirements need to be met so you can use Smart Chart:
NetWeaver Business Client 4.0 is installed on the PC work stations of your institution.
Microsoft Internet Explorer 6 or higher is installed on the PC work stations of your institution.
Microsoft Silverlight Version 4.0 or higher is installed on the PC work stations of your institution. For
details about the system prerequisites for Microsoft Silverlight, see
http://www.microsoft.com/getsilverlight/locale/en-us/html/installation-win-SL4.html

Effects on Customizing
For information about configuring Smart Chart, see Customizing under SAP Healthcare - Industry-
Specific Component Clinical System -> Smart UI -> Patient Profile -> Patient Record-> Smart Chart.
Note that the Customizing activities for configuring Smart Chart are to a large extent identical to the
functions for configuring the Charting component.
Execute the following activities:
Activate Smart Chart and define the standard layout.
Define chart layouts and create the structure of a chart in Smart Chart.
Define additional colors for configuring the chart display in Smart Chart.
If required, define different standard layouts for different organizational units.
You can use chart layouts, which you created in the Charting component, in Smart Chart.

80
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Task Management

ISHMED_MISC01: Task Management in Smart UI (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), you can use Task
Management for the administration of tasks in service communication under Smart UI.
Task Management receives upcoming tasks from a task provider (domain) and displays them in the
components in which the user can view tasks.
As of this release you can use service ordering as a domain in task management, in order to display
upcoming tasks for each patient in the Patient Profile and the Patient Groups when ordering services.
In the Patient Groups the filter Tasks Exist is available for this. The filter selects all patients with
upcoming tasks for the occupational group of the user.
In the Patient Profile there is a function for displaying upcoming tasks with the assignment to the
occupational group. The user can use a displayed task to branch to the function which is available in
the system for processing the task.
You can also implement your own domains using the BAdI ISHMED_IPC_TASK_CONTROLLER.
If you wish to use Task Management, you require the "i.s.h.med Task Management" license.
Effects on Customizing
Information on the configuration of Task Management in Service Ordering can be found in the release
notes on service ordering.
For information about the BAdI ISHMED_IPC_TASK_CONTROLLER, see Customizing under SAP
Healthcare - Industry-Specific Component Clinical System -> Smart UI -> Task Management ->
Business Add-Ins for Task Management.
See also
Also see the following release notes:
ISHMED_MISC01: Service Ordering - Overview (New)
ISHMED_MISC01: Patient Profile in Smart UI (New)
ISHMED_MISC01: Patient Groups in Smart UI (New)

Applications

ISHMED_MISC01: Service Ordering - Overview (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), service ordering is
available:
Service Ordering uses an easily usable user interface (Smart UI) that lets users order services simply
and quickly.
Service ordering is based on the technical concept of the clinical order. The clinical order is also still
available to you. You can use the clinical order in the SAP GUI and service ordering in parallel. You
can edit services which you have requested using service ordering in the clinical order. You can also
call clinical orders from service ordering for processing. Order templates which were created for the
clinical order are also available in service ordering under certain circumstances.
When saving the service selection the system divides the requested services into single orders with
one order item each.
You can call service ordering from the following work environments:

81
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

You can order new services from the Applications UIBB


In the patient record you have an overview of all existing case-related orders for the patient and can
start a new service ordering
Service ordering, in connection with task management, is available in the task list in the patient
profile.

Special Features of Service Ordering


You can use service ordering to quickly and simply create one or more services to be ordered:
1. Choose an order fill from the order filler group.
2. Choosing one or more services from the service range of the order filler.
3. If necessary, choose an additional order filler and then, again, one or more services.
4. Or: Choose a service from a personal list; Here you will find services which you use frequently
or have saved here for other reasons.
5. Save the order. Service ordering offers you two ways of saving an order:
o Create Order: You can use this function to optionally enter additional information in a
detail view (for example, a comment or localization) and then save the order.
o Save Order: You can use this function to directly save the order, without having to fill in
additional information or status-related required entry fields.
You can use order templates in service ordering. Note that you can only reuse order templates defined
in the SAP GUI that contain at least one service and only one item.
One-Click actions are available in the form of icons in the corresponding UIBB for the patient record
for the processing of ordered services.
Note: You can also create an appointment template for an order of service ordering. You must then
plan appointments using the service facility.
You cannot flag services which you have created during service ordering as preregistrations.

Service Ordering and Task Management


The new task list of the patient profile provides the occupational group responsible with the service
ordering orders as outstanding tasks. The user can process this service ordering via the
corresponding task.
You can also process several ordered services from the task list in one step, for example, you can
confirm the service orders.
A new internal status profile is provided as the basis for creating the task list. You assign a customer-
specific status (user status) to each internal status in this status profile. The internal status is for
generating tasks for the task list.
For more information about Task Management, see the release notes for Task Management.
Effects on Existing Data
If you process several orders, including clinical orders, in one step via the task list, the system displays
the clinical orders in an HTML display. You cannot process these from service ordering.
You can also process orders, which were created in service ordering, in the SAP GUI. Call the orders
using, for example, the patient organizer or the Clinical Orders view type in the clinical work station.
Note: You cannot add further items to a service ordering order. Furthermore you cannot cancel order
items if the order is called from the clinical work station. At least one service must remain in the order
items.
Effects on Data Transfer
Use the report Clinical Orders: Assign Internal Status (RN1_CORD_ISTATUS_ASSIGN) to assign an

82
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

internal status to existing clinical orders. You must do this after assigning a user status (external
status) to an internal status in the transaction Status Profile: Assignment of Tasks and Internal Status
(transaction N1COS). Note that you need to re-run this program after each change.
Effects on Customizing
To a great extent, you can continue to use the Customizing of the clinical order in the SAP GUI, except
for a few peculiarities. For more information about this, see the release notes regarding the
configuration functions.

ISHMED_MISC01: Service Ordering - Setup Functions (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), set-up functions for
service ordering are available in Customizing.
You can find the set-up functions which result from the servoce ordering in the implementation under
Industry-Specific Component Clinical System -> Smart UI -> Applications -> Service Ordering.
Many set-up functions are used both for service ordering as well as for the clinical order. A list of these
IMG activities in the IMG activity General Information for Service Ordering under Industry-Specific
Component Clinical System -> Smart UI -> Applications -> Service Ordering.

Maintain Tasks for Status Profile (new)


In this new IMG activity (transaction code N1COS), you use the new internal status profile. Here you
assign an internal status to each user status that you assign to an order of service ordering. The
system uses the internal status for task management. The Confirm Order function is also based on the
internal status.

Configure Order Filler Groups (new)


You can use order filler groups to combine the order fillers for an order in groups. This enables the
structured selection of the order fillers when creating orders.

Set Up Order Types for Clinical Order (adjusted)


You create order types for service ordering in Customizing for the clinical order in the transaction "Set
Up Order Types for Clinical Order". When setting up the order types, note the following special
features for service ordering:
Order Fillers/Initiators
Organizational units are the order fillers and initiators of an order in service ordering.
Selection List
The selection list for order types is not used in service ordering.
Structuring
As in the clinical order component, you define the information for an order in service ordering using
components in the order type. Elements of the "tab page" type are not used in service ordering. You
have to separately define the layout for organizing the components of an order type.
Service ordering does not use header components.
The compact patient header (see the release notes for the patient header) is set as standard for
displaying the patient's details.
You can create order types as standard order types for surgeries, general service facilities and.
radiology. If a selected service is not assigned to an order type, service ordering
automatically uses the corresponding standard order type for the order.
The following components are available as standard components for service ordering:
o Comments: CL_ISHMED_COMP_COMMENT
o Item Question: CL_ISHMED_COMP_CPOS_QUESTION

83
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

o Item Data: CL_ISHMED_COMP_CPOS_SHORT


o General Medical Data: CL_ISHMED_COMP_MED_DATA
o Order Data: CL_ISHMED_COMP_ORDER
o Radiology: CL_ISHMED_COMP_RADIOLOGY
o Services: CL_ISHMED_COMP_SERVICES
o Surgical Procedure Indicator: CL_ISHMED_COMP_SURGERY_CHAR
o Surgery Team: CL_ISHMED_COMP_SURGERY_TEAM
o Transport Order: CL_ISHMED_COMP_TRANS_ORDER
o Transport Type: CL_ISHMED_COMP_TRANS_TYPE
You can define the layout for the organization of the components in an order type using the floorplan
manager (see documentation on the Floorplan Manager in the SAP Library). Customer-specific
components are implemented by you, as the user, as User Interface Building Blocks (UIBB).
Screen Modification
Here you define the status-dependent required field check. Here you determine whether fields of
an order must contain entries when a specific order status (for example, "confirmed") is reached.
Task Definition
The task list shows the user outstanding tasks for a patient that can be processed immediately.
These include orders. You can define the task definition specifically for the different order types.
Here you can determine, in relation to the order type, which tasks are displayed in the task list
(for example, "Confirm Order"). The tasks can be restricted to specific roles (for example,
physician). You can also assign your own names to tasks.
Order Templates
You can also use order templates in service ordering (as in the clinical order in SAP GUI). For
these order templates to be available in service ordering, they need to contain at least one
service. In service ordering, the system does not take into account the presettings for fields that
are not available in service ordering (for example, the order status).
Methods, Connectivity
The entries for methods for the different status transitions and the entries for connectivity
continue to function as in the clinical order in SAP GUI. For more information, see the
documentation for the IMG activity for setting up order types for the clinical order.
Other
You cannot use a clinical order as a preregistration in service ordering.

Business Add-Ins (BAdIs) for Service Ordering


The following BAdIs are available in service ordering and in the existing clinical order in SAP GUI:
o Create Component Instance: N1_CREATE_COMPONENT
o Control Appointment Templates: N_APP_CONSTR_CHG
o Generation Cyclical Services: ISHMED_CORD_CYCLE
o Clinical Order Dialog - Check Entries: N1_CORDER_CHECK

The following BAdIs are new and are used within service ordering.
o Clinical Order Dialog – Intercept User Commands: ISHMED_CORD_UCOMM_WD
o Preset New Order Items: ISHMED_CORD_PALOC_WD
o Task Processing: ISHMED_CORD_TASKS_WD

Authorizations
The existing authorization object N_1CORDER is available for service ordering as for the existing
clinical order in SAP GUI.
Effects on Customizing
If you use the existing clinical order in SAP GUI and the new service ordering as part of smart UI, you
must create the components for clinical order for smart UI and SAP GUI separately as web dynpros.
You also need to implement the following BAdIs, which call for actions in the user interface, for service
ordering:
Clinical Order Dialog – Intercept User Commands:

84
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

o In the user interface (UI) of the existing clinical order in SAP GUI, implement the BAdI
N1_CORDER_USER_COMM for this.
o In the UI for service ordering, implement the BAdI ISHMED_CORD_UCOMM_WD for this.
Preset New Order Items:
o In the user interface (UI) of the existing clinical order in SAP GUI, implement the BAdI
N1_CORDER_PREALLOC for this.
o In the UI for service ordering, implement the BAdI ISHMED_CORD_PALOC_WD for this.
This BAdI also replaces the BAdI ISHMED_CORD_FPBO for processing logics before the
initial display of the clinical order.

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


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), you can integrate
Service Ordering in the new Task Management. The joint use of service ordering with task
management makes it easier for the user to process the various steps associated with the work
routine for a service ordering order.
The system shows the users tasks for the processing of an order in a task list. Users can process the
associated ordered service by means of the respective task. If the processing of the order also means
a change of status, the task list in the patient profile is automatically updated when the changes are
saved.
The task list is part of the patient profile. It displays tasks that are pending for a patient within service
ordering. The display is grouped according to work steps or status (for example, Confirm Order). Here
you can also process several orders in one step (for example, confirm). Within a group, the system
lists the orders individually.
The tasks are assigned to users in relation to occupational groups. This means, for example, that only
nursing staff see the "Complete Order" task in the task list, while physicians see the "Confirm Order"
task.
The system adds a task for processing an order to the task list as soon as there are orders with a
specific predefined internal status for a patient.
The system can display tasks for orders that have the following internal statuses:

Internal Status Internal Task Name


Preregistered Complete Order
Pending Confirmation Confirm Order
Confirmed Check Order
To Be Revised Revise Order

Please note:
To order a service, you can use the functions from the Applications User Interface Building Block
(UIBB) in the patient profile. You can also order the service from the patient record from the
Examinations UIBB.
The "Revise Order" task is intended for the recipient of the order, the service facility. It is not therefore
displayed in the task list in the patient profile of the care unit.
The task list also displays clinical orders that were created in the SAP GUI and are based on the
status concept. You can process these clinical orders directly in the individual processing function in
the SAP GUI. If you call up orders of a grouping for collective processing, the system displays these
SAP GUI clinical orders in an HTML view.

Processing of Tasks for Orders

85
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Users can call the tasks for an order for processing. They access the processing function for the order.
The system displays tasks irrespective of the internal status of an order. The assignment of internal
statuses to a user task is done in Customizing. If you change the status of an order, this is
automatically reflected in the task list, for example, a new task is displayed for this order. The old order
is considered to be ended and is no longer displayed by the system.
To simplify the processing of the tasks, one-click actions are provided within service ordering. These
are used to easily change the status of an order. For example, if you call up several orders of service
ordering in parallel for confirmation using the "Confirm Order" task, you can confirm all displayed
service ordering orders with one click. Furthermore, one-click actions for setting the "For Confirmation"
and "Confirmed" statuses exist for the processing of individual orders.

86
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Effects on Existing Data


Tasks for service ordering orders and clinical orders are based on the internal statuses that are
assigned to an order.
A status profile, which can be configured customer-specifically, is assigned to all orders. For orders to
be taken into account in task management, you have to assign internal statuses to different user
statuses (external statuses). You make this assignment in Customizing in the IMG activity Maintain
Tasks for Status Profile (transaction code N1COS), or directly in the definition of the order type. The
system automatically assigns these defined internal statuses to newly created orders.
To assign internal statuses also to clinical orders that were entered in the SAP GUI, you have to run
the program RN1_CORD_ISTATUS_ASSIGN. This program assigns an appropriate internal status to
all orders that do not contain an internal status. Note that you must also run this program after every
change to the assignment of internal to external status in the IMG activity Maintain Tasks for Status
Profile (transaction code N1COS).
Effects on Customizing
In the IMG activity Maintain Tasks for Status Profile (transaction code N1COS), you can activate tasks
and assign them to an occupational group in relation to the status profile. You can also specify the
task names in this step. Furthermore, you can assign the internal statuses to user statuses (external
statuses) here.
In the IMG activity Set Up Order Types for Clinical Orders, you can then override the settings for the
tasks (activate task, assign task name, assignment to an occupational group) in relation to a specific
order type. For instance, if you define an order type for the entry of simple standard orders, for which
users only require one task (for example, "Confirm Order"), activate only this one task in the order
type.
See also
For more information about task management, see the release notes for task management.

Interfaces for Mobile Applications

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


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System (ISHMED_MAIN), you can use i.s.h.med Mobile Medication in
combination with i.s.h.med Medication.
You require the licenses "i.s.h.med Mobile Medication" and "i.s.h.med Medication".
If you have configured and use i.s.h.med Medication, i.s.h.med Mobile Medication is available to you in
a leading mobile application on a mobile device.
In i.s.h.med Mobile Medication, you can use the following functions for each patient:
Display Current Drug Therapy
Display Medication History
Display Medication Order Details

87
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Activities
If you use the mobile application SAP® EMR Unwired, you can integrate i.s.h.med Mobile Medication
as a Web facet. For information about the technical prerequisites for the use of SAP® EMR Unwired
and embedding Web facets, see the Internet pages of SAP AG.
If you want to use i.s.h.med Mobile Medication in a different mobile application, you need to implement
integration via an interface that is defined on the basis of the SAP EMR Unwired specification.
Effects on Customizing
If you want to use i.s.h.med Mobile Medication, you must have performed Customizing for i.s.h.med
Medication.

88
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

General Duties

Event Management

ISHMED_MAIN: Event Management - Customizing (Enhanced)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
Business Function Clinical System (ISHMED_MAIN), two new activities are provided in Customizing
for Event Management. These activities let you configure event triggering for a workflow interface in
combination with i.s.h.med events.
With the Customizing activity Assign i.s.h.med Event to BO Event you can assign i.s.h.med events to
corresponding Business Object events, such as "MedicalDocument" (ID: BUS1400).
With the Customizing activity Adjust Event Parameters to Call a BO Event, you can implement a BAdI
(enhancement spot ES_ISHMED_EVMG) to adjust the event parameters for triggering a Business
Object event.
The following events have been defined for the Business Object "MedicalDocument":
CREATED Document Created
DELETED Document Deleted
DELINDREM Deletion Indicator Removed
DELINDSET Deletion Indicator Set
DISPLAYED Document Displayed
PRINTED Document Printed
RELEASED Document Released
SENT Document Sent
STATSET Status Set
UPDATED Document Changed
VERSCREATE Version Created

Effects on Customizing
The new IMG activities are located in Customizing under:
SAP Healthcare - Industry-Specific Component Clinical System -> Cross-Application Settings ->
Event Management -> Workflow Interface -> Assign i.s.h.med Event to BO Event.
SAP Healthcare - Industry-Specific Component Clinical System -> Cross-Application Settings ->
Event Management -> Workflow Interface -> Adjust Event Parameters to Call a BO Event.
See also
SAP Note 1749410

89
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Extended Basic Data

Clinical Work Station

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


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System Functional Extensions 6 (ISHMED_MISC01), the following changes
are available:
The Calendar function is available in the function variant in the following view types in the clinical
work station:
o Occupancy
o Arrivals
o Departures
o Coding Analyses
You can use this function to select a date by means of calendar navigation.
o The Calendar function is also available to select dates in the Medication Events/ Nursing
Services view type. Here you can also select an entire week or month. The selected date
always relates to all date entries from the selection variant.
o All of the view types mentioned above also provide the Previous Day and Next Day functions
to scroll forward and back one day in relation to the selection.
Effects on Existing Data
If you want to use the new function, add it to the relevant function variants.
See also
SAP Note 1659317

90
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Clinical Documentation

Clinical Progress Documentation

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


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
Business Function Clinical System (ISHMED_MAIN) the i.s.h.med Progress Documentation is
available.
If you wish to use the i.s.h.med progress documentation, you will need the "i.s.h.med Progress
Documentation" license.
The following functions are available in the i.s.h.med progress documentation:
Occupational group-related entry and display of progress entries for outpatients and inpatients
Entry of progress entry as free text or using text modules
Show or hide attributes for existing progress entries
Show or hide context data for entering a new progress entry
Occupational group-related colored highlighting of progress entries
Cancellation of existing progress entries
Display of canceled progress entries
Selection of various time periods and filtering of existing progress entries according to various
criteria

You can use authorization object N_1PDS to authorize users to cancel their own progress entries.
The i.s.h.med Progress Documentation replaces the functions, which were previously available in
i.s.h.med for entering, editing and displaying progress notes in the outpatient and inpatient area in the
following components:
Clinical Work Station
Patient Organizer
Documentation Work Station
Clinical Overview
Charting
Nursing Process Documentation

The i.s.h.med Progress Documentation is also available in the following components:


Patient Profile
Patient Record
SmartChart
Effects on System Administration
If a user may cancel his own progress entries, you must assign the user the authorization object
N_1PDS with the activity "85".
If you wish to enter progress entries with a reference to the occupational group, you must assign one
of the following occupational groups to each user via the user-related parameter
N1_PROFESSION_GROUP:
ADMN Administration
DOCT Physician
NURS Nursing staff
OTHE Other
PHYS Physiotherapy
Effects on Existing Data

91
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

If you previously used the i.s.h.med functions for entering, editing and displaying progress notes, you
must execute the report RN1PDS_MIGRATION to transfer the existing progress notes into the
i.s.h.med progress documentation. You can find information on the execution of the data migration in
the documentation for this report.
You should be aware of the following important note:
After you have executed this report the functions for entering, editing and displaying progress notes
which were available in i.s.h.med before the i.s.h.med progress documentation are no longer
available. If you wish to continue to use these functions, the system will automatically direct you to the
i.s.h.med progress documentation.
Effects on Customizing
You can find information on the configuration of i.s.h.med progress documentation in Customizing
under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->
Progress Documentation.
You can integrate the following pushbuttons into the function variants of the views of the clinical work
station and the nursing plan:
N1PDS1 Create Progress Entry
N1PDS2 Display Progress Report

You can integrate the following column into the layout variants of the views of the clinical work station:
Progress Document
If you use the documentation work station, you must create, for your task templates, a new progress
entry base item of the PDS type and assign this to your task templates.
If you use the clinical overview in the documentation work station, you must insert the Progress
Documentation info block into your configuration.
If you have defined your own aspects with progress notes in the patient organizer, you must insert the
Progress Documentation view following migration.
Note that any adaptations you may have implemented with the BAdI BADI_ISHMED_VD_PRINT for
printing nursing progress notes are not executed by the system in the progress documentation.
Activities
If you wish to use the i.s.h.med progress documentation, you must execute the following customizing
activity under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical
Documentation --> Progress Documentation:
Set Up Number Ranges for Progress Notes

You can optionally execute the following customizing activity under SAP Healthcare - Industry-Specific
Component Clinical System --> Clinical Documentation --> Progress Documentation:
Manage Categories
Maintain Text Background Color for Occupational Groups
Maintain Time Period Selection

92
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

If you wish to adapt the output of data in the printout, you can implement the following BAdI in
Customizing under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical
Documentation --> Progress Documentation --> Business Add-Ins for Progress Documentation:
BAdI: Adapt Printout of Progress Documentation

ISHMED_MAIN: Progress Notes - Discontinued Functions (Changed)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function SAP Patient Management (ISH_MAIN) we hereby announce the imminent end of
maintenance of the functions for entering and displaying outpatient, nursing and inpatient progress
notes in i.s.h.med. These functions have been completely revised and are now available to you in the
new i.s.h.med progress documentation.
In i.s.h.med maintenance of the following components will end with the next release:
Outpatient Note
Outpatient Clinic Folder
Nursing Progress Note
Nursing Notes
Nursing Progress Report
Inpatient Progress Note
Inpatient Progress Report
Effects on System Administration
If you had previously entered outpatient, nursing and inpatient progress notes in i.s.h.med, you must
convert your system to i.s.h.med progress documentation before the next release and migrate the
existing data. You can find information on this in the release notes for i.s.h.med progress
documentation.
See also
You should also refer to the following release note: ISHMED_MAIN: i.s.h.med Progress
Documentation (New)

Documents

ISHMED_MAIN: PMD Mass Generation (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
business function Clinical System (ISHMED_MAIN), the function for generating parameterizable
medical documents (PMD) is provided (transaction code: N1PMD_MGEN).
From the list of all PMDs, you can select the PMDs to be generated at institution, document category
and individual version level. PMDs that cannot be generated appear as inactive in the list.
The selected PMDs are generated in a background job. In the detail view, the function with the traffic
light icon indicates the background processing status. Clicking the traffic light icon calls the job history
and displays details about the processing.

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

ISHMED_MAIN: Image and Findings Documentation (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
Business Function Clinical System (ISHMED_MAIN) i.s.h.med offers Image and Findings

93
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Documentation CWD - i.s.h.med (Findings Documentation) for the connection of Clinic WinData
(CWD) from E&L GmbH within the product portfolio.
You will need an "i.s.h.med Findings Documentation with Clinic WinData" license.
The findings documentation offers a standardized message exchange via communication processes
between the i.s.h.med and Clinic WinData systems for the following data:
Patient data (from i.s.h.med to CWD)
Order and service data (from i.s.h.med to CWD)
Diagnoses (from CWD to i.s.h.med)
Procedures (from CWD to i.s.h.med)
Services (from CWD to i.s.h.med)
Diagnoses (from CWD to i.s.h.med)
Findings letters (from CWD to i.s.h.med)

The findings documentation provides you with an additional Business Add-In for connecting a viewer.
You can use the example implementation in the BAdI for caling SIEMENS MagicWeb as a template for
your own implementation.
You can integrate the findings documentation into the following view types of the clinical work station:
Outpatient Clinic/Service Facility
Occupancy view
Effects on Customizing
You can find information on the configuration of findings documentation in Customizing under SAP
Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation --> Image and
Findings Documentation CWD - i.s.h.med.
When you have configured the findings documentation, you can integrate the Display CWD pusbutton
into the following view types of the clinical work station:
Outpatient Clinic/Service Facility
Occupancy view
You can also integrate the Edit CWD pushbutton into the Outpatient Clinic/Service Facility view type of
the clinical work station.
Activities
If you wish to use the findings documentation, you must execute the following customizing activities
under SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->
Image and Findings Documentation CWD - i.s.h.med:
Configure RFC Destination
Create Logical System for HCM
Clinical Order: Set Up Order Types
Import/Install Document Categories
Import/Activate Communication Processes
Implement Customer Exit RNCSND01
Implement Customer Exit N1LQ0002
BAdI: Implement N1_CANCEL
BAdI: Implement ISH_PREREG_CHANGE
BAdI: Implement N1_PERFORM_SRV_SAVE
You can also carry out the following activities in Customizing:
SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->
Image and Findings Documentation CWD - i.s.h.med --> Case Revision - Create Index on Database
SAP Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation -->
Image and Findings Documentation CWD - i.s.h.med --> Business Add-Ins for Findings
Documentation --> BAdI: Call PACS Viewer
See also
SAP notes 1753258, 1753261

94
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Image Integration i.s.h.med - IMAGIC

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


As of SAP Enhancement Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
Business Function Clinical System Situation Based Clinical Documentation (ISHMED_SCD), you can
use an interface in i.s.h.med to connect the image system ims med (ims) from Imagic Bildverarbeitung
AG as part of the product portfolio.
To use the Imagic - i.s.h.med image integration, you need the license "i.s.h.med Connection of Imagic
IMS for Image Acquisition".
After implementing the interface, you can use the functions of the Imagic - i.s.h.med image integration
in Parameterized Medical Documents (PMD) and in the clinical work station.
The Imagic - i.s.h.med image integration is available in the following view types of the clinical work
station:
Arrivals
Occupancy
Departures
Documents
Outpatient clinic/service facility
Surgeries
In the clinical work station, you integrate the "Study Status" column to display the following processing
status of an image study into a layout variant:
Red: At least one image study without images exists
Yellow: At least one image study with images exists which has not been released
Green: All existing image studies have been released
In addition, you can incorporate the following 3 buttons for calling the image system into a function
variant in the views:
Create Image Study
Display Image Study
Change Image Study
The Parameterizable Medical Documentation provides the documentation element
IMAGE_INTEGRATION to transfer findings-relevant images of an image study acquired in ims as
preview images into a document. In addition, you can make the following functions available within a
document:
Assign Image Study
Undo Image Study
Display Image Study
Create Image Study
Change Image Study
Display Information on Study
Note that only Imagic - Version 11, Q2 with at least Patch 2 or higher is supported.
Effects on Existing Data
If you previously used the Add-On for image integration, you can replace this with the Imagic -
i.s.h.med image integration. The system supports the parallel use of both versions. However, access
to the same image studies must be prevented.
Effects on Customizing
For information about setting up the Imagic - i.s.h.med interface, see Customizing under SAP
Healthcare - Industry-Specific Component Clinical System --> Clinical Documentation --> Image
Integration Imagic - i.s.h.med.

95
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

After you have set up the Imagic - i.s.h.med interface, incorporate the buttons into the function variant
and the column for displaying the processing status into the layout variant in the respective view of the
clinical work station.
If you want to use the Imagic - i.s.h.med image integration in a parameterized medical document, the
documentation element IMAGE_INTEGRATION of the type Link is available to accommodate
integration into a document type.
The system checks - using the authorization object N_1IMSTUDY - for each institution whether a user
is permitted to create, change or display an image study for an employee responsible and a
documenting organizational unit. The authorization object also makes it possible to control whether a
user is allowed to unlock an image study that has already been released.
The Imagic - i.s.h.med image integration supports IS-H case revision and patient merge. The changed
data is not, however, transferred to the ims image system. You can implement an ADT interface in
order to actively transfer the corresponding data.
See also
SAP Notes 1625042, 1627533

96
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Clinical Order

General

ISHMED_MAIN: Clinical Order - Synchronization Check (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 modifications are available:
In transaction Set Up Order Types for Clinical Order (N1COT) the check concerning whether the
systems have been synchronized has been deactivated for the transport request. This check is only
relevant for customers who use Release 4.72 and wish to migrate the order types to a SAP ERP 6.0
system.
Effects on Customizing
In customizing, you can access the new OU parameter N1ENABSYNC. The parameter is deactivated
as standard.
If you wish to migrate from i.s.h.med 4.72 to SAP ERP 6.0, add parameter N1ENABSYNC to the
transaction Change View "OU-Related Customizing": Overview (N1SQ) and activate it for all
institutions of the client.
See also
SAP Note 1780758

97
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Surgery System

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.

98
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.

99
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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

100
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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

101
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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.

102
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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

103
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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 Industry-Specific Component Clinical System -> Cross-Application 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.

104
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

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)

105
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Message Communication Infrastructure

ISHMED_MAIN: Message Communication Infrastructure - Overview (New)


As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
Business Function Clinical System (ISHMED_MAIN) the message communication infrastructure is
available in the basis module.
THe message communication infrastructure supports the implementation of communication processes
with external products in i.s.h.med. The message communication infrastructure provides a standard
implementation model for this.
The message communication infrastructure consists of the configurator, cockpit and monitor
components. These components offer you functions for the configuration, formatting and monitoring of
incoming and outgoing message flows.
You can use the configurator to set up a communication process for a defined communication
scenario.
You use the cockpit to receive an overview of all communication processes. The system displays how
many messages it should process for a communication process, how many messages it has
successfully processed and how many it was not possible to process.
You use the monitor to receive information on individual messages of a communication process. The
system displays additional details, for example, the processing status, the start of processing and the
end of processing of a message.
Effects on Customizing
In Customizing under SAP Healthcare - Industry-Specific Component Clinical System -> Message
Communication Infrastructure -> Business Add-Ins for Message Monitor Business Add-Ins (BAdIs) for
enhancing the functions and columns of the message monitor are available.
In Customizing under SAP Healthcare - Industry-Specific Component Clinical System -> Message
Communication Infrastructure -> Business Add-In Runtime Environment a BAdI is available for
adaptations before the execution of the communication process.
The implementation of the BAdI is optional.
See also
SAP Note Number 1770803

ISHMED_MAIN: Message Communication Infrastructure - Available Connectors (Enhanced ), HL7 Segments


(New)
As of SAP Enhancement Package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617),
Support Package 01, Business Function Clinical System (ISHMED_MAIN), 2 new connectors and 13
predefined HL7 segments are available in the message communication infrastructure.
Connectors:
EDI connector (connecting MCI to EDI events)
HL7 via HTTP connector (implementation HL7 via HTTP specification of HAPI project)

106
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

HL7 Segments:
DG1 (CL_ISHMED_MCI_HL7_SEG_DG1_26)
MSA (CL_ISHMED_MCI_HL7_SEG_MSA_26)
MSH (CL_ISHMED_MCI_HL7_SEG_MSH_26)
NTE (CL_ISHMED_MCI_HL7_SEG_NTE_26)
OBR (CL_ISHMED_MCI_HL7_SEG_OBR_26)
OBX (CL_ISHMED_MCI_HL7_SEG_OBX_26)
ORC (CL_ISHMED_MCI_HL7_SEG_ORC_26)
PID (CL_ISHMED_MCI_HL7_SEG_PID_26)
PR1 (CL_ISHMED_MCI_HL7_SEG_PR1_26)
PV1 (CL_ISHMED_MCI_HL7_SEG_PV1_26)
ROL (CL_ISHMED_MCI_HL7_SEG_ROL_26)
SFT (CL_ISHMED_MCI_HL7_SEG_SFT_26)
TXA (CL_ISHMED_MCI_HL7_SEG_TXA_26)
See also
SAP Note Number 1853457

107
RELEASE NOTES FOR INDUSTRY EXTENSION HEALTHCARE SAP EHP 7 FOR SAP ERP 6.0

Connectivity

ISHMED_MAIN: Connectivity - Overview (Changed)


In SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), business
function Clinical System (ISHMED_MAIN) i.s.h.med Connectivity is also available as an interface
module for the dispatch of documents. As previously, this module ist subject to license.
The Connectivity Outbound order component, which transfers a clinical order from i.s.h.med as the
HIS to the dispatch logic of internal subsystems, has been removed from the i.s.h.med connectivity
license and is now available with the i.s.h.med basis license.
Changes in i.s.h.med connectivity Module
With Release 6.0 EHP 7 i.s.h.med connectivity provides the standard communication process "MDM
Document Dipatch Profile A" for dispatching i.s.h.med document categories. Using this HL7
message type, depending on configuration, you can dispatch created documents during their
creation, update or release and set a status, the deletion indicator or transmit the creation of a new
document version from the HIS.
The communication process is subject to the implementation model of the i.s.h.med message
communication infrastructure, which is available to you as of SAP enhancement package 7 for SAP
ERP 6.0, Industry Extension Healthcare (IS-H 617), business function Clinical System
(ISHMED_MAIN) for the configuration of communication processes and the logging of incoming and
outgoing message flows.
Changes Concerning the Connectivity Outbound Order Component
As of Release 6.0 EHP7 you will no longer require a license for the i.s.h.med connectivity module to
use the Connectivity Outbound order component. This means that you can use the i.s.h.med basis
license and the newly provided Message Communication Infrastructure provided in Release 6.0
EHP7 to prepare the dispatch of clinical orders to internal subsystem interfaces.
You should note that the formatting of the corresponding messages (e.g. HL7 ORM) is necessary for
the dispatch itself.
Effects on System Administration
The transmission of patient-related information to external systems is usually subject to regulations
concerning communication and data protection. These regulations must be determined during the
organization of the communication scenario and supported by suitable system-tecnical components
(e.g. connectors which execute the communication with the actual networking system). This system-
technical components are not part of the i.s.h.med connectivity module.
Effects on Customizing
In Customizing under SAP Healthcare - Industry-Specific Component Clinical System -> Connectivity -
> Import/Activate Communication Processes the activity for importing and activating the standard
communication processes is available.
See also
SAP Note 1770772
You can find further information in:
the system documentation on the communication process using transaction N1MCI_CONFIG
the release notes for the message communication infrastructure I-
0005_ReleaseInfo_Nachrichtenverarbeiter_Überblick_01

108