Entering clinical orders with preregistered items in the clinical work station:

You can enter requests for admissions and surgeries or treatments, etc. as clinical orders with preregistered items (Preregistration indicator). These requests can come from organizational units in the hospital and also from external sources such as general practitioners. You can reduce preregistration entry to a purely administrative activity performed by a registry or call center.

The clinical order with preregistered order items contains all information necessary for managing the patient in a waiting list and for appointment planning. Patient identification is not necessary for a clinical order with preregistered order items, which means that you can enter a patient with provisional patient master data.

See SAP Standard Views for Preregistrations and Waiting Lists

Making Appointments for Preregistered Order Items in Clinical Work Station:

Preregistration entry can follow a professional clarification which decides whether the patient can be admitted/undergo surgery/receive treatment or whether the request can be denied. If the decision is positive, the patient is added to a waiting list in accordance with the clinical priority of the request.

This could be the procedure for long-term appointment scheduling.

For short-term or medium-term appointments, the user can also create a provisional outpatient appointment, an inpatient admission appointment or both for the patient following on from preregistration entry. The user documents the rejection or addition to the waiting list, in the clinical order.

See SAP Standard Views for Preregistrations and Waiting Lists

Waiting Lists:

The hospital can manage multiple waiting lists that are defined in relation to the different surgery and treatment scenarios. Numerous options for tailoring the layout of the different waiting lists are available to you.

See SAP Standard Views for Preregistrations and Waiting Lists

Temporary Absences:

If the patient is not available for admission or surgery/treatment during a given period, the hospital can enter temporary absences from the waiting list for preregistered patients.

The patient remains on the waiting list, but is not considered for the scheduling of an admission or surgery appointment for the duration of his or her absence.

Appointment Planning:

A planning facility of the hospital, for example at departmental level, schedules admissions and surgery or treatment appointments within a given time frame. There is also a selection of views available for this, on the clinical work station: The various waiting lists form the initial basis for this planning.

Admission

You create an admission for the patient when he or she comes in for the scheduled admission or for his or her first scheduled visit. The admitting facility is informed via the Preregistrations view type and appointments planned for the patient by an overview.

The documentation of the inpatient stay, surgery or treatment is not different to that of a patient who was admitted without a waiting list. An inpatient stay ends with the patient being discharged.

Deleting a Waiting List Entry

The removal of the patient from the waiting list is dependent on the organizational form and can always be done manually, as well as automatically and semi-automatically using Business Add-Ins (BAdIs). A patient can be automatically or semi-automatically removed from the waiting list at the following times: