Enter Surgery-Related Procedures (SAP Library

Enter Surgery-Related Procedures

Use

You can store the medical documentation on the procedures performed within an outpatient visit (surgery). You can store each procedure in the coded form defined in a procedures catalog. For more information about entering surgery-related procedures, see Entering Procedures for Surgeries.

Note

If you want to prevent the entry of procedures outside of an inpatient stay, make the relevant settings in message control in Customizing for SAP Patient Management. This IMG activity is located in the section entitled Maintain Messages in the IS-H Implementation Guide.

· Function: NICP

· Application area: N3

· Message: 299

· Default message type: W

· Message type: <Your Choice>

· Message text: Procedure & occurs outside of the inpatient stay

For information about the assignments linking procedures and services, see Assign Procedures and Services.

You can also enter medical procedures independently of surgeries. For further information about this, see Entering Procedures for Cases.

The Business Add-In (BAdI) ISH_PROCEDURE_PROPOS lets you default the values in certain fields when creating a procedure without modifying the source code. For more information about this, see the documentation for the BAdI. For more information about customer-specific enhancement possibilities in SAP Patient Management, see Customer-Specific Modification and Enhancement Possibilities.

Activities

Enter Procedure Code (Surgical Procedure Code)

You can enter the codes of the procedures on the Procedures tab page of the Change Surgery: Surgical Data/Services screen.

Alternatively, you can enter the procedures on the Proced. + Services or Proced. + Diagnoses tab pages. For more information about this, see:

Assignment of Procedures and Services

Assignment of Procedures and Diagnoses

Specify the code of a surgical procedure in the Sg.Pr.Code field.

Note

The code relates to the catalog you defined as a procedures catalog in the activity Define Catalog Types in Customizing for SAP Patient Management. One such catalog is ICPM.

If you do not know the surgical procedure code, you can determine it using the value help. The system searches in the defined procedures catalog.

When you enter the surgery-related procedures, the system automatically generates the services assigned to the procedures in Customizing for SAP Patient Management. If the service in question is a service group, for which the Expand Immediately option is flagged in the service master record, the service group is immediately expanded and the dependent services are also assigned to the procedure.

Note

For more information about the assignment of procedures to services in Customizing for SAP Patient Management, see the section entitled Assign Surgical Procedure Codes to Services in the IS-H Implementation Guide.

You cannot assign services to case-related procedures.

Main Surgical Procedure

You are required to flag one of the procedures you enter for a surgery as the main surgical procedure. To do this, flag the MC (main code) checkbox. Only in exceptional circumstances may you flag more than one procedure as the main surgical procedure. In this regard, please see the F1 help.

Number of Surgeries

For main surgical procedures, you can specify the number of operative interventions that were carried out within the surgery in the No.o/Sg. field. This specification is used for documentation purposes. It is evaluated and displayed by the surgery statistics for the department.

Identification Number and Localization

The SAP enhancement NPRV0001 enables you to connect an external surgical procedure coding program. If you implement this enhancement, the surgical procedure code and, if required, the localization and an external identification number can be determined. The determination of the localization and identification number depends on the program used, and may be missing. The corresponding fields Ident. and Lc are only active if you are using IS-H*MED.

For more information about this, refer to the enhancement documentation.

Comment Field with Link to Long Text Editor

You can enter a long text comprising up to 50 characters in the Comment field. You access long text processing by choosing This graphic is explained in the accompanying text .

Note

The long text stored in SAPscript is not available to you on forms or in batch input.

DRG Fields

The DRG fields are available to you if the surgical procedures catalog and DRG catalog defined in Customizing are identical. For more information about DRG processing, see Diagnosis Related Groups.

If, for the purposes of testing, you have specified a surgical procedures catalog that is different to the DRG surgical procedures catalog, the system suppresses the DRG-relevant fields from surgical data processing. In such cases, processing is only possible in the actual DRG transaction.

If the surgical procedures catalog and DRG surgical procedures catalog specified in Customizing are identical, you can display or set the following DRG-relevant indicators in this function:

– PNo.: Sequence in which a DRG-relevant procedure is entered

– DPC: Category of a DRG procedure (principal, secondary); only one principal procedure code is permitted for each case

– Rel. is set if the procedure was used for DRG determination This indicator is usually set by an external DRG coding and grouping system.