Transfer Archived Documents

You can create links to patient-related documents which are stored outside of i.s.h.med in an archive.

Using the i.s.h.med archive interface and the RFC, only document management data is created in i.s.h.med, whereas the document itself remains stored outside of the SAP system in the archive. The document management data records where it was saved. The document is displayed using the viewer specifed in customizing for the archive.

Using the transfer of links to archived documents, i.s.h.med can be used as a central document management system, where all information for the patient is merged. Like all other documents of the patient, the archived documents can be selected and directly displayed using the document management function.

Prerequisites

Customizing

The customizing function for the archive must be configured by the archive creator.

i.s.h.med Document Category

At least one document category must be created that requires no dialog or print characteristics (i.e., no application can be entered).

The document category should be defined for medical documents. You should only use the reference level if you are certain that the appropriate assignment data exists.

Check to see if you need to define a new document category for archived documents - after all, the document category determines the status profile of the documents.

Further Requirements in i.s.h.med

At the transfer time, the following information must be available in i.s.h.med so that a document can be created:

Institution: Required entry field
Patient or case: The patient number is a required entry field. If the case number is transferred, the system will use it to determine the patient number. If both fields are filled, the case number has priority.
Documenting OU: The documenting OU is a required entry field. If no documenting OU is entered, the system will preset the OU in the following order of precedence:
- If one or more services are assigned, the system will propose the OU performing the service as the documenting OU. With several services this proposal is only made if the OU performing the service is unique.
- If one or more movements are assigned, the system will propose the departmental OU as the documenting OU. However, the departmental OU must be unique for several movements.
Employee responsible: The employee responsible is a required entry field. You must ensure that the customizing settings determine that the employee must be assigned to the documenting OU.
Document date: The document date and the document time are required entry fields. If no document date is entered, the system will preset the document date with the current system date and the document time with the current system time.

Transfer Procedure

The references to the archived documents are created with the BAPI BAPI_MEDDOC_CREATE_LINK. You can find the documentation for this interface in the SAP system as a method of the Medical Document business object of the Clinical System application component (transaction BAPI).

You can also find this information on the Internet in the SAP Interface Repository (http://ifr.sap.com).

Example: Transferring scanned documents

The i.s.h.med Archive Interface could be used in the following way:

The patient brings old findings to the examination. These documents (or a selection of the documents) should be available to the medical personnel of the hospital online and for this reason, they are scanned in.

The archiving system has a scanner work station that provides the following functionality:

The document is scanned in.
The scanned document is assigned to the patient and - if the corresponding reference levels have been defined - to the case, movement and service. If the archive manages this assignment data in a separate index, the system checks to see if data already exists on the patient. If the patient data is unknown, then the patient data is retrieved from IS-H with the IS-H BAPI and, if necessary, stored in the ArchiveIndex.
Using the SAP ArchiveLink, the document is archived and the archive ID is determined.
With the BAPI_MEDDOC_CREATE_LINK, the document management data and the archive connection data is created in i.s.h.med.

With the implementation of bar code labels or other stickers, you can use this procedure for late entry in order to archive entire medical records and to link them to i.s.h.med.