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 SAP Patient Management: Legal Process Adoption

 

Technical Data

Technical Name of Business Function

ISH_MISC1

Type of Business Function

Industry Business Function

Available As Of

SAP ERP 6.0 Enhancement Package 4

Technical Usage

Hospital

ECC Application Component

SAP Patient Management (IS-H)

Directly Dependent Business Function Requiring Activation in Addition

SAP Patient Management (ISH_MAIN)

You can use this business function to implement enhancements in SAP Patient Management that include process improvements based on legal changes. The new functions in SAP Patient Management include improved user interaction and enhanced functions for material requisitions, coding, and billing processes, which improve the productivity of the application.

The Enterprise Services in SAP Patient Management support integration with clinical systems and other hospital systems (such as laboratories and departments). The integration of SAP functions in existing user interfaces prevents errors during manual entry and processing, and adds flexibility when transferring and configuring business processes to help the user.

Prerequisites

Before you can use this business function, you must also activate the business function SAP Patient Management (ISH_MAIN).

You have installed the following components as of the version mentioned:

Type of Component

Component

Is Needed Only for the Following Features

IS-H

IS-H 604
System Behavior when Activating Business Function

If you activate the Business Function SAP Patient Management: Legal Process Adoption (technical key: ISH_MISC1), this does not result in significant changes to the system behavior for the business user. You should note the following exceptions:

Exceptions

  • Clinical Work Station: change selection: If you activate the Business Function, the Change Selection function can be accessed directly using the Change Selection in the pushbutton toolbar of the clinical work station for a view which is currently active. You can find more information in the release note ISH_MISC1: Innovations in Clinical Work Station (New) for enhancement package 4.

  • Delivery data: If you activate the business function, two additional fields are available in the delivery data for assessing the vitality of newborns. This means you can repeat the initial assessment at certain intervals (for example, after 5 and 10 minutes). You can find more information in the release note ISH_MISC1: Add. Fields for Assessing Vitality in Delivery Data (New) for enhancement package 4.

  • Birthdate: If you activate the business function, the system presets the date and time of birth when processing delivery data for the first newborn with the delivery date and time of the mother. You can find more information in the release note ISH_MISC1: Delivery Date Entered by Default as Birthdate of Newborn (New) for enhancement package 4.

  • Procedures - default values from movement: If you activate the business function, you can use the Copy Movement Data function in procedure data maintenance to copy the data, time, and organizational units from a movement to the selected procedures as default values. You can find more information in the release note ISH_MISC1: Procedures - Default Values from Movement (New) for enhancement package 4.

  • Material proposal list: Previously, it was only possible to maintain the material proposal list with the Customizing activity Define Material Proposal. If you activate this business function, you can adjust the material proposal list using the Maintain Material Requisition transactions (NMM1 und NMM5). To do so, choose the Maintain Material Proposal pushbutton on the Material Proposal tab page. You can find more information in the release note ISH_MISC1: Maintain Material Proposal List (New) for enhancement package 4.

  • Individual payment distribution: A new pushbutton for payment distribution is available in Patient Accounting, transaction NA30, for the countries that use this function. You can find more information in the release note ISH_MISC1: Individual Payment Distribution (New) for enhancement package 4.

Changes for System Administration

  • Procedure coding using external module: If you activate this business function, the system then only uses Business Add-In (BAdI) ISHMED_PROC_ENCODING; while the SAP enhancement NPRV0001 with component EXIT_SAPLN042_001 still exists, the system no longer uses or supports it. Check whether you need to transfer the enhancements in EXIT_SAPLN042_001 (which you can process using transaction CMOD) to the BAdI ISHMED_PROC_ENCODING or whether the BAdI already contains them. You can find more information in the release note ISH_MISC1: Coding Procedures Using External Module (New) for enhancement package 4.

  • Output authorization for specific organizational units (OUs) in reports: Maintain the new authorization object (N_REP_OE) and assign it to your users before you activate the business function. You must maintain at least one generic ("*") entry for the OU and report to retain the existing functions without restrictions. The authorization check applies to the new function Output Authorization for Specific OUs in Reports. For more information, see the release note ISH_MISC1: Output Authorization for Specific OUs in Reports (New).

  • Interface IF_ISH_OBJECT_TYPES deleted: If you activate the business function SAP Patient Management: Legal Process Adoption (technical key: ISH_MISC1) or the business function Clinical System (ISHMED_MAIN) in the Clinical System i.s.h.med, the interface IF_ISH_OBJECT_TYPES, in which the type constants of the classes in IS-H and i.s.h.med were defined up to now, is no longer used. You have to correct all places in your programs in which the old object types are used. For more information, see the release note ISH_MISC1, ISHMED_MAIN: Interface IF_ISH_OBJECT_TYPES (Deleted) for enhancement package 4.

Changes to Country Versions

  • Country version Germany: outpatient copayment: posting repayments: If you have activated this business function, you can post repayments in the Outpatient Copayment subscreen in transaction NV2000. A new Repayment checkbox in the Payment group box is available for this purpose. For more information, see the release note ISH_MISC1 DE: Posting Repayments in Outpatient Copayment (New) for the country version Germany and enhancement package 4.

  • Country version Austria: data exchange communication procedure P321/ELDAL: If you activate this business function, the system behavior changes as follows:

    • EDI system control: You can make user-specific entries for the scoring parameters. In this case, these replace the previous scoring user parameters.

    • EDI worklist: The system now also makes entries in the Departmental Assignment and Nursing Assignment fields. You can now also prevent manual changes to the message status using an authorization check.

    • P321 - import file: If a file contains messages for an institution that does not exist in the system, the system cancels processing and assigns the entire file the status "Incorrect" (external error).

    • All EDI procedures: The system now lists the path and name of the file created in the log of the message file creation program (RNC30101).

    • P321 - import insurance verifications for inpatient cases: Based on the coverage confirmation from the social insurance fund, the system generates an insurance verification automatically if it does not yet exist for the case. This is done on the basis of the preapproved insurance and default values. If there are several suitable open insurance verifications, the system reduces this to one.

    For more information, see the release notes ISH_MISC1 AT: Data Exchange Comm. Procedure P321/ELDAL (New) for the country version Austria and enhancement package 4 and ISH_MISC1 AT: File Import Program for IV for Inpatient Cases (New) for the country version Austria and enhancement package 4.

  • Country version Austria: address - checks on postal code / city: If you activate this business function, new checks are run on the Postal Code and City fields during address entry if you choose the country AT. When you enter a postal code, the system determines or checks the city accordingly. For more information, see the release note ISH_MISC1 AT: Address - Checks on Postal Code / City (New) for the country version Austria and enhancement package 4.

  • Country version Austria: statistics of inpatient cases: If you activate this business function, the program for evaluating inpatient cases refers to some new IS-H tables, which you must maintain. For more information, see the release note ISH_MISC1 AT: Statistics of Inpatient Cases (New) for the country version Austria and enhancement package 4.

  • Country version Austria: RN1FKLA0 - "Movements - Classifications": If you activate this business function, this program is no longer available. For more information, see the release note ISH_MISC1 AT: RN1FKLA0 - "Movements - Classification" (Deleted) for the country version Austria and enhancement package 4.

  • Country version Switzerland: Organizational Management - division: If you activate this business function, the organizational units and building units in Organizational Management are represented by object types. A new infotype ID 6076 Assignment of OU -> Division is available for organizational units in the country version Switzerland. For more information, see the release note ISH_MISC1 CH: Organizational Management - Division (New) for the country version Switzerland and enhancement package 4.

Features

Enhancements in SAP Patient Management (Selected Examples)

  • Advance assignment (for example, birthdate)

  • Additional consistency checks (for example, required fields in the Clinical Process Builder)

  • Additional authorization checks (for example, OU authorization in reports)

  • Extended search helps (for example, Medical Record Management)

  • Additional information (for example, secondary views in the clinical work station)

  • New fields (for example, service master)

For more information about the functions available with the business function SAP Patient Management: Legal Process Adoption (ISH_MISC1), see the corresponding release notes.

Target group: All SAP Patient Management customers

Enterprise Services for SAP Patient Management

SAP delivers two Enterprise Service Bundles:

a) Patient Administration

This bundle contains Enterprise Services to support patient identification and simplify healthcare providers' administration processes. It contains Enterprise Services for the business objects Patient and Patient Encounter.

b) Patient Accounting and Medical Services Performed

This bundle contains Enterprise Services to support the processes for documenting medical services, patient accounting, and payment processing.

For more information about Enterprise Services, see Start of the navigation path SAP Healthcare/SAP Ambulatory Care Management/i.s.h.med Next navigation step SAP Patient Management Next navigation step Communication Next navigation step Enterprise Services in SAP Patient Management End of the navigation path and the corresponding release notes.