Physician Order

The Physician Order application component is available within smart UI. You use the physician order to enter free text orders from the physician in the patient profile.

Implementation Considerations

To be able to use the physician order, you must perform the following Customizing activities:

You require a license for the physician order. For more information, see License Keys for i.s.h.med Modules and Functionality.

Assign the appropriate configuration of the patient profile to the user or the user's role. You can find information on this in Customizing under Start of the navigation path SAP Healthcare - Industry-Specific Component Clinical System Next navigation step Smart UI Patient Profile Assign Configuration to Users/Roles End of the navigation path .

Make sure the status profile is available for the physician order. You can find information on this in Customizing under Start of the navigation path SAP Healthcare - Industry-Specific Component Clinical System Next navigation step Smart UI Applications Physician Order Configure Status Profile for Physician Order End of the navigation path .

In order to be able to use the input support function, you create physician order texts in a proposal list. You can find information on this in Customizing under Start of the navigation path SAP Healthcare - Industry-Specific Component Clinical System Next navigation step Smart UI Applications Physician Order Maintain Proposal List for Physician Order End of the navigation path .

Using the institution-wide OU parameter N1PORDTXT you can choose whether you wish to use a web dynpro ABAP input field or a SAPUI5 input field to enter the physician order text in the physician order dialog. As standard the physician order uses a web dynpro field.

If, in transaction SDSH_CONFIG, you flag the option Use Proposal Search on Input Fields, the web dynpro field provides a proposal search with access to the proposal list. If you do not flag this option, the user can call the proposal list via the F4 input help.
If you wish to use the SAPUI5 input field, you must change the value “S” in the OU parameter. As standard the parameter is set to the value “ ” (empty).

To preset the EMR (employee responsible) field in the editing dialog of the physician order, you use the user-related parameter VMA to assign the users to a business partner. For more information, see VMA: Employee Responsible.

You use the authorization objects N_1PORD and B_USERSTAT to control, for each ordering organizational unit in the institution, whether a user may create, change, release, execute and/or cancel a physician order, with his EmR or acting on behalf of a responsible employee.

Integration

You can configure the physician order in the following components:

Patient Record
Display and editing of the physician order via the Physician Orders User Interface Building Block (UIBB)
Smart Chart
Display and editing of the physician order via a corresponding icon on the time axis according to its reference date

You can find information on displaying physician orders in the smart chart under Displaying Event Graphs with Physician Orders Data Source.

You can find information on editing physician orders in the smart chart under Entering and Changing Physician Orders in Event Graphs with Physician Order Data Source.
Clinical Work Station
Display and editing of the physician order via a corresponding icon
You can find further information under Physician Orders for the Patient Profile in Clinical Work Station.

Features

The Physician Orders UIBB provides the following functions:

You use (Create )to call the Edit Physician Order dialog box, see Creating and Editing Physician Orders.
You can use (Fullscreen) to toggle to the fullscreen display for physician orders, see also Fullscreen Display in the Patient Record.
- You can restrict the display of the physician orders with filters, see Use of Filters in the Patient Record.

The following one-click actions are available to you in the Actions column:

(Change)
(Release)
(Cancel)

The Physician Orders UIBB display includes the following information:

Date
In this column the system displays the entry date of the physician order.
Time
In this column the system displays the entry time of the physician order.
Physician Order Text
In this column the system displays the text of the physician order.
Status
In this column the system displays the following status of the physician order.
- Entered: The physician order has been prepared or is still incomplete.
- Released: The physician order is valid and can be executed.
- Executed: The physician order is already completed.
EmR: Ordering employee responsible
Occupational Group: Executing occupational group
Executing Nurs. OU: Executing nursing organizational unit
Executing Dept. OU: Executing departmental organizational unit
Case
Canceled
In this column the system flags canceled physician orders with a cancellation icon. As standard this column is only displayed in fullscreen mode.

IS-H Functions

The following IS-H functions are valid for physician orders:

Case Archiving
This function controls that physician orders are also archived during case archiving.
Case Revision
This function controls that physician orders are also moved to another case or assigned to another patient during case revision.
Case Cancellation
This function takes into account dependent physician orders when canceling an inpatient admission.
Merge Patients
This function takes into account physician orders when merge two patient identities.

Constraints

The physician order is only available within the smart UI component.

More Information

You can connect the physician order to the Workflow Engine. You can find information on this under Workflows for the Physician Order.