Object documentationTab at Item Level

 

Depending on the order types in use, the clinical order can contain tab pages for the order items. These item level tab pages are used to enter information on the order items.

Note Note

In the order type, the system administrator defines which tab pages should be available to you when creating a clinical order, their descriptions, and the content (area) of each tab page.

Furthermore system administration can use the Business Add-In (BAdI) Control Dialogs for Header Components to define, whether the system should display header components in expanded or collapsed form. If you already selected an item, e.g. call from a view type, when the clinical order was called, the system will display the selected item in expanded form and will not evaluate the parameter. Otherwise the system will only evaluate the parameter. Note that an implementation of this BAdI overrides the user parameter N1CORD_POS as well as the standard logic for displaying appointment, template, appointments or movements.

System administration can use the BAdI Preset New Order Items to customer-specifically preset the following information in new order items

  • Order Filler

  • Preregistration Indicator

  • Case

Note that it is not possible to preset the item status, as this is set by the initial status according to the status profile when an item is created.

See Customer-Specific Enhancements for the Clinical Order

End of the note.

The system can flag the item component tab pages of a clinical order with LEDs (icons) as follows:

  • Green LED: Indicates that all entry fields required for a status change are filled

  • Red LED: Indicates that not all entry fields required for a status change are filled

Note Note

The system will only display these indicators if the system administrator has activated them either using the system parameter N1COICON or using the user parameter of the same name.

See Set Up Functions for the Clinical Order

End of the note.

Structure

In general, the following content can be available on tab pages for entering information:

Admission/Outpatient Visit

The Admission Data area provides fields for entering the admission data or visit data for the order items.

These entries are used to support the organization of planned admitting care units/outpatient clinics: The Preregistrations View Type shows the care unit/outpatient clinic all patients whose admission is planned, for example for the next day, when querying by admission date.

If you enter the planned admission date, the system will not create an admission, i.e. it does not create a case. Nevertheless, the system displays patients that you have preregistered for an admission in the arrivals list of IS-H care unit management.

The system sets the Private Patient indicator using the treatment category, if the entered treatment category is assigned to a case classification which indicates private patients in the implementation guide.

Referral/Transfer

The Referral/Transfer area provides the fields for entering the referral or transfer information on the order item of the clinical order.

Note Note

If you enter the Business Partner value and a physician as the initiator in the Order area of the order header and the Referral/Transfer area is available, the system will copy this physician as the family physician and the referring physician in the Referral/Transfer area of the item level tab page.

End of the note.
Transport Order

The Transport Order area provides the fields for entering a transport order for the order item of the clinical order.

If you create an initial transport, the system will preset the Pick Up From field with the initiating organizational unit (OU), the Bring To field with the treatment OU.

If, in connection with the Pick Up From and Bring To fields, you enter rooms, the input help for the room information contains the rooms primarily and secondarily assigned to the organizational units. Siehe Zuordnung von Organisationseinheiten und baul. Einheiten pflegen

The system administrator can use the OU parameter N1FDOEFA to define that this Transport Service OU should be preset.

If you have already assigned an appointment for the order item, you can no longer change the attributes of the transport order in the clinical order. You must make the changes in transport order management.

Note Note

When allocating an appointment for a clinical order with the Transport Orders application component the system will also create a transport order with an appointment reference for provisional patients.

End of the note.

See also Patient Transport Service.

Services

The Services area provides the fields for entering the services which should be ordered or preregistered in the order item of the clinical order.

Note Note

Unlike the service request, a service is not obligatory in the clinical order. This means that you can also create a clinical order without a service.

End of the note.

The Date and Time fields of the appointment, with which the service is connected, are ready for input, if the service in the same row is plannable and planning is intended due to the Appointment Allocation indicator, as well as all other checks.

If both fields are ready for input, their behavior is as follows:

  • If you enter an appointment (date and/or time), then this only applies to this service. As a result the system creates a separate appointment for each entry of this type made, even if the date and time is identical.

  • If you delete an appointment, the system behaves in the same way as when you delete the appointment displayed in the order item. The system displays a dialog box where you can decide whether you really wish to delete the appointment. If you confirm this, the system cancels the appointment.

    If the removed appointment is identical to the appointment which the system displays in the order item, the next valid appointment or an empty appointment field is displayed (if the deleted appointment was the last of the item).

  • If you change an appointment, the system behaves in the same way as when you delete an appointment.

    Note Note

    In the case of surgery items, the desired date and appointment are never ready for input in the service component, as all services of surgeries must have the same appointment and the item can therefore only be planned using the planning tools or the clinical work station.

    End of the note.

The selected services from the order types selection list are already preset. You can enhance these.

Note Note

If the localization in the service master of a service is flagged as obligatory on the Other tab page, the system checks whether a localization was entered for this service when it is entered.

End of the note.

The following functions are also available as pushbuttons:

  • Create New Row (Create New Row)

  • Insert Row (Insert Row)

  • Delete Row (Delete Row)

  • Duplicate Row (Duplicate Row)

  • Layout (Layout) (select, change, save, manage)

  • Create / Change Appointment (Create / Change Appointment)

    If you select this function, the system calls the appointment editor, as with the order item, for one or more selected services, as follows:

    • If no appointment exists, the system calls the appointment editor in create mode (Create Appointment function).

    • If an appointment exists, the system calls the appointment editor in change mode (Change Appointment function).

      Note the following:

      • If you do not select a service, or none of the selected services are plannable, the system displays an error message.

      • If you have selected at least one service, the system connects the appointment which you are planning using the appointment editor, with the selected services. Prerequisite is that all selected services are plannable. If this is not the case for at least one service, the system will display an error message and cancels processing.

      • If on or more of the selected services already has one or more appointment, the system behaves in the same way as the Appointment Entry function of the clinical work station. This means that the system connects all services with the new appointment. If existing appointments without services remain, the system will cancel these without a dialog box. The same applies if there are already appointments for services of an item and you plan a new appointment for the entire item. In this case the system cancels the appointments of the individual services.

      • If you select exactly one service with an appointment, the system will not plan a new appointment, but changes the existing appointment.

      • If none of the selected services has an appointment, all services receive the new joint appointment.

    Note Note

    After planning, the system may update the appointment field of the order item.

    End of the note.

  • Cycle (Cycle)

    At item level of the clinical order, choose the Cycle (Cycle) function in the drop-down menu. As soon as you have selected the Cycle characteristic in the drop-down menu, the following tab pages are available:

    • Ordered Services tab page

    • Individual Services tab page

      Note Note

      This function is available to you if you have activated the business function Clinical System Situation-Based Clinical Documentation (ISHMED_SCD).

      End of the note.

      Note Note

      If you make changes in the cyclically ordered services, these are only transferred into the newly generated services, but not take into account in the existing services.

      End of the note.

    The Ordered Services tab page displays all services which are ordered within a clinical order. The following functions are also available as pushbuttons:

    • Cycle (Cycle)

      If you have not yet defined a cycle, you can use this function to select a cycle. If you have already determined a cycle, you can use this function to access cycle definition to change the cycle. Furthermore you can cancel the cycle in the cycle definition Cancel Cycle (Cancel Cycle). Note that when you cancel a cycle, the system also cancel the cyclically ordered service.

    • End Cycle (End Cycle)

      You can end a cycle with this function. If you select this function, no further individual services are generated in the future for the ordered service. The system sets the end date to the system date. The system also cancels all plannable services. Note that it is only possible to end a cyclically ordered service if at least one cyclical individual service has already been performed.

    • Generate (Generate)

      You can use this function to multiply an ordered cyclical service (= ordered service with a cycle) according to the cycle definition. Note that the system can only generate once for a time area (time area = system time at time of generation + generation horizon).

    On the Individual Services tab page the system displays the services which result due to the cycle and should also be performed by the service performer.

    Note Note

    Note that in generated cyclical services the times calculated by the cycle are displayed in the fields Desired Date/Desired Time.

    End of the note.

    Manually Add Cyclical Individual Services (Manually Add Cyclical Individual Services)

    When you call this function an individual service is displayed for the ordered cyclical service. Note that if several cyclically ordered services exist, you must determine which service an individual service should be inserted for. Note that the system can only generate once for a time area (time area = system time at time of generation + generation horizon).

  • Display All Services (Display All Services) or Display Plannable Services (Display Plannable Services)

    You can use this pushbutton to choose to display all services or only plannable services. A medical service is considered to be plannable service if:

    • the service has status Unconfirmed Requested (UA), Confirmed Requested (BA) and is not connected to an appointment.

    • the service has status Unconfirmed Requested (UA), Confirmed Requested (BA), Scheduled (DI) and is connected to an appointment.

      Note Note

      With the OU parameter N1COSRVSH you can control whether all services or only plannable services should be displayed in the clinical order. See Organizational Unit-Related Parameters for Clinical Orders

      End of the note.

  • Sort Services (Sort Services)

    The following sort criteria are possible:

    • Chronological: The system sorts using the service time.

    • By ordered service: Sorting is according to ordered service.

    Note that the system displays the canceled and replaced services at the end of the sort list, regardless of the sort order defined. You can use the OU parameter N1COSRVSO to control how the services should be sorted. See Organizational Unit-Related Parameters for Clinical Orders

  • Create Visit Visit (Create Visit)

    If you select a service in the service component and choose Create Visit Visit (Create Visit), you can create a visit for exactly this service (with or without an appointment) using the Clinical Process Builder (transaction NV2000).

    Note the following system behavior:

    • If an appointment already exists, the system assumes that all other services which are connected with the appointment, also belong to this visit.

    • If you call this function with more than one selected service, calling is only possible if none of the services have an appointment (in this case the system connects all services with the visit to be created) or all services have the same appointment.

    • If you do not select a service and choose this pushbutton, the system displays an error message.

    • It is not possible to call a planning tool, since this is also possible from the order item and, as a rule, all services of an order item are listed for scheduling.

    • The desired date is always the same for all services of an item, as this is connected with the order item. It is still contained in the column selection, so that you can simply compare it with the appointment and movement data.

Note the following special features:

  • In the collective mode of the clinical order, the desired date and appointment are not ready for input in the service component.

  • When you copy a service in the service component (Duplicate Row (Duplicate Row)) the system does not copy appointments.

  • For technical reasons it is necessary for the system to check all services of an item when planning an appointment for one or more services. This can lead to you not being able to plan an appointment for a service, because, when calling the planning tool, the system determined that a required entry for another service has not been filled.

  • Services of a surgery item must always be connected with the same appointment and the same movement. It is not therefore possible to change appointment and movement data in the service component for surgery items.

  • If errors occur which concern the appointment displayed in the item, the system navigates to the appointment field of the order item, otherwise to the appointment field of the service component.

Surgery Indicator

The Surgery Indicator area provides the fields for entering the indicators for a surgery (e.g. Anesthetist Required) for the order items of the clinical order.

Surgery Team

The Surgery Team area provides the fields for entering the surgery team for the order items of the clinical order.

You can also enter, for example, the operating surgeon in the preregistered order items, if this is already known in advance.

Radiological Patient Data/Possible Contraindications

The Radiology area provides the fields for entering the contraindications and radiological patient data required for radiological examinations.

The risk factors for a patient and the service master data determine the behavior of the input dialog box for radiological examinations.

Note Note

When a specific status change occurs for the order item, a method is activated in the system, which creates the radiology documents (EXAM and STUDY document). This status change for the creation of the radiological documents is determined by system administration.

End of the note.
Transport Type

The Transport Type area provides the field for entering the transport type for the order items of the clinical order.

Order Item

The Order Item area provides the fields for entering the order item row of a clinical order.