JURÍDICO PRESUPUESTARIO
A).- Consideraciones generales
General
ISH_MAIN: New Business Transactions in Status Management (Enhanced)
The following enhancement is available as of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN), as well as with the Support Packages listed below:
You can now use new business transactions in basic medical documentation status management.
This release note describes the enhancements and new features that are generally available. For information about enhancements and new features that are only relevant for the country version Italy, see the release note ISH_CV_IT: New Business Transactions in Basic Medical Documentation Status Management (Enhanced).
The following business transactions are new:
Change Selected Birth Data
Change Selected Insurance Relationships Changing Selected Services
These enhancements are available as of:
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support Package 02, business function SAP Patient Management (ISH_MAIN)
New Developments in Detail Change Selected Birth Data
You can use the business transaction Change Selected Birth Data to prevent changes to birth data.
In the business transaction, the system examines the status of the mother’s case and that of the child’s case to determine whether changes are allowed.
o If the status of the mother does not allow the business transaction, you cannot make changes to any of the children's birth data.
o If the status of the mother allows the business transaction, the system checks the status of the child.
o If the status of the child also allows the business transaction, you can change the birth data.
However, if the status of the child does not allow the business transaction, you cannot make changes to this child's birth data.
However, if the status of another child (multiple birth) allows the business transaction, you can change this child's birth data.
You can use an implementation of Business Add-In (BAdI) ISH_BT_NGEB_MULT_CHECK to restrict the records for processing in the business transaction Change Selected Birth Data. You can specify yourself which of the birth records (NGEB) related to a mother’s case are to be relevant for the business transaction. You can also use the BAdI to specify that the business transaction is not to include the creation of new birth records.
Changing Selected Insurance Relationships
You can use the business transaction Change Selected Insurance Relationships to prevent changes to insurance relationships. Changes checked by the system include the following:
o Changes to fields in existing insurance relationships for the case o Cancellation of an insurance relationship for the case
You cannot override high priority checks (for example, preventing changes after final billing) by allowing this business transaction.
You can use an implementation of Business Add-In (BAdI) ISH_BT_NCIR_MULT_CHECK to restrict the records for processing in the business transaction Change Selected Insurance Relationships.
You can specify yourself which case-related insurance relationships (NCIR) for a patient are to be
relevant for the business transaction. You can also use the BAdI to specify that the business transaction is not to include the creation of new case-related insurance relationships (or copying of insurance relationships from proposals).
Change Selected Services
You can use the business transaction Change Selected Services to prevent changes to individual services, or to all services. You can use an implementation of BAdI ISH_BT_NLEI_MULT_CHECK to restrict the records for processing in the business transaction Change Selected Services. You can specify yourself which services are to be relevant for the business transaction. You can also use the BAdI to specify that the business transaction is not to include the creation of new services.
You cannot override high priority checks (for example, preventing the cancellation of a service after final billing) by allowing this business transaction.
Effects on Customizing
You can configure the new business transactions in Customizing under SAP Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic Medical
Documentation Status Management Define Status Profiles and you can configure the corresponding BAdIs under SAP Healthcare – Industry-Specific Components for Hospitals
Medical/Nursing Documentation Basic Medical Documentation Status Management Business Add-Ins for Basic Medical Documentation Status Management.
See also
If you are using the country version Italy, you should also read the release note ISH_CV_IT: New Business Transactions in Basic Medical Documentation Status Management (Changed).
ISH_MAIN: Editable Fields in the Diagnosis Overview (Enhanced)
The following enhancement is available as of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN), as well as with the Support Packages listed below:
You can now change the following fields directly in the diagnosis overview:
Localization of diagnosis Diagnostic certainty
Category for DRG diagnoses Blocking indicator for a diagnosis
Multi-case diagnosis indicator (diagnosis reference)
These fields are now available as editable fields in the field list. The previous display fields are still available.
You can also switch between the Referral Diagnosis and Treatment Diagnosis indicators directly in the diagnosis overview. You can now switch between the existing fields by clicking on a hotspot.
These enhancements are available as of:
SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 29, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support Package 02, business function SAP Patient Management (ISH_MAIN)
Effects on System Administration
If you want to use these new functions, the system administrator or user must copy the new fields into their screen layout from the field list.
See also
For more information, see SAP Note 1651016.
ISH_MAIN: Messages in the Diagnosis Overview (Enhanced)
The following enhancement is available as of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), business function SAP Patient Management (ISH_MAIN), as well as with the Support Packages listed below:
You can now navigate directly from a message in the diagnosis overview to the diagnosis that triggered it. The system supports this function for many of the error messages that can appear in the diagnosis overview, but not for all; especially not for error messages that do not relate directly to a specific diagnosis.
To use this function, position the cursor on a message in the message dialog box in the diagnosis overview and choose the new Diagnosis Reference function. The system then flags the diagnosis that triggered the message, if possible.
The Diagnosis Reference function is displayed as standard in the message dialog box in the diagnosis overview. However, in certain circumstances (if there are messages for outpatient PPA billing), the Outpatient Coding Guidelines function is displayed instead.
These enhancements are available as of:
SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 29, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support Package 02, business function SAP Patient Management (ISH_MAIN)
See also
For more information, see SAP Note 1651016.
Basc Medical/Nursing Documentation
ISH_CV_IT: New Business Transactions in Status Management (Enhanced)
The following changes are available as of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), business function SAP Patient Management: Country Version Italy (ISH_CV_IT), as well as with the Support Packages listed below:
You can now use new and enhanced business transactions in basic medical documentation status management.
This release note describes the enhancements and new features that are specific to the country version Italy. For information about enhancements and new features that are available generally, see the release note ISH_MAIN: New Business Transactions in Basic Medical Documentation Status Management (Enhanced).
The following business transaction has been enhanced: Change Selected Case Data The following business transaction is new: Change Case-Related Patient Data (IT)
The following business transaction contains country-specific features for Italy: Changing Selected Services
These enhancements are available as of:
SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support Package 10, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support Package 02, business function SAP Patient Management (ISH_MAIN)
Enhancements and New Developments in Detail
Change Selected Case Data (enhancements are only relevant for the country version Italy) You can now use the business transaction Change Selected Case Data to prevent changes to the following two fields:
o ISTAT Code of Residence o ASL Code of Residence
To do this, configure these fields in Customizing under SAP Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic Medical Documentation Status Management Maintain Fields for Detailed Definition of Business Transactions.
Changes to Waiting List Information (enhancements are only relevant for the country version Italy) If the status of a case does not allow the business transaction Change Selected Case Data, the system prevents changes to waiting list information for any preregistrations connected to the case.
This applies to the Waiting List Type, Admission Date, and Waiting List Priority fields. The system also prevents the case from being separated from the preregistration items. In addition, the system prevents the cancellation of these preregistration items and of the entire preregistration.
Change Case-Related Patient Data (only relevant for country version Italy)
You can use the business transaction Change Case-Related Patient Data (IT) to prevent changes to the case-related patient master data (table NPNTCAS).
Change Selected Services
You can activate the implementation ISH_BT_NLEI_MULT_CHECK_IT for BAdI
ISH_BT_NLEI_MULT_CHECK. The effect of this implementation is that the business transaction only contains the autopsy services for the case. This means you can use status management to prevent changes to autopsy services.
Effects on Customizing
You can configure the new and enhanced business transactions in Customizing under: SAP
Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic Medical Documentation Status Management Define Status Profiles and SAP Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic Medical
Documentation Status Management Maintain Fields for Detailed Definition of Business Transactions, and you can configure the corresponding BAdIs under SAP Healthcare – Industry-Specific Components for Hospitals Medical/Nursing Documentation Basic Medical
Documentation Status Management Business Add-Ins for Basic Medical Documentation Status Management.
See also
See the release note ISH_MAIN: New Business Transactions in Basic Medical Documentation Status Management (Changed).
ISH_MAIN AT: Online Scoring Work Station (Enhanced)
This release note is only relevant for the country version Austria and is not available in English.
ISH_MAIN: New Transactions for Basic Med. Doc. Status Management (New)
Until now, only the business transaction "Bill Case" (NABR) was available to control whether or not a case could be billed using basic medical documentation status management. It is not possible to distinguish between interim and final billing in transaction NABR.
Two new business transactions, "Interim Bill Case" (NINB) and "Final Bill Case" (NFIB), are now available in addition to the transaction "Bill Case", allowing you to control how a case is billable in greater detail. The system still checks the "Bill Case" transaction, and this transaction must be allowed if a case is to be interim or final billed. If you do not use the two new transactions in the status profile, the system behavior does not change.
This detailed control of status management still affects mass billing, when a case is automatically interim billed if final billing is not possible. Here too, the system runs a check according to the new transactions in status management and prevents interim billing if appropriate.
These new features are also available with the following Support Packages:
SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management (ISH_MAIN), Support Package 35
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business function SAP Patient Management (ISH_MAIN), Support Package 26
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business function SAP Patient Management (ISH_MAIN), Support Package 26
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business function SAP Patient Management (ISH_MAIN), Support Package 17
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function SAP Patient Management (ISH_MAIN), Support Package 11