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Medical Service Entry (New)

Use

As of SAP ECC Industry Extension Healthcare 6.0 a new way of entering medical services is available. This new Medical Service Entry contains all functions required for processing medical services and in the future will replace the Service Entry and Subsequent Service Entry functions in i.s.h.med.

Note, that you use this function to enter performed or released medical services that you use the common service processing functions for, such as perform, replace, release, cancel, etc.

As part of SAP ECC Industry Extension Healthcare 6.0 you can use this function in SAP Ambulatory Care Management or as an implementation of Business Add-In (BAdI) N1_WP_LSTAMB in the Outpatient Clinic/Service Facility view type in the clinical work station in i.s.h.med.

To use the function in the Outpatient Clinic/Service Facility view type, you have to transfer the sample code from BAdI N1_WP_LSTAMB into the implementation of this BAdI and equip it with customer-specific data.

Components

You can use functions to switch on and off all interface components - apart from the entry table - of the new service entry in i.s.h.med. You can find these functions in the function bar of the entry table or in the application toolbar if you call the service entry directly from the clinical work station.

Entry Table

This component displays all medical services which have already been saved for this documenting case. In addition, the system also displays services of the patient which have not yet been assigned to a case (unperformed services from a clinical order).

Using filter criteria, you can restrict this amount of services even further, e.g. all services of the case, all services of current visit etc. You can also define new filters using layout maintenance functions.

You can also enter new services if there is a suitable case and a suitable visit in the context of the function. If you wish to switch the case of the patient or the visit when documenting the services in order to document further services, the relevant functions are available in the service entry.

The functions for processing a service are available in a function bar above the entry table. If you use the medical service entry as part of SAP Ambulatory Care Management, you can equip the function bar with a function variant so that only the functions are offered to the end user that he/she actually needs. The definition of the function variant takes place in the clinical work station.

Information for Services

You can display details for services. These are primarily documents for this service, the status history, administrative services to the medical service etc.

You can override this display with the BAdI N1_MEDSRV_INFO. This BAdI is equipped with a country version-dependent filter and thus permits international subsidiaries to make their own implementations. You can find more detailed information in the documentation for BAdI N1_MEDSRV_INFO.

Hit List

The service hit list appears after selection of the New Services function. In the hit list, the system displays all performable services of a service facility which are assigned using the range of services of an outpatient clinic or service facility. To optimize entry, the hit list is displayed as integrated. This enables you to enter new services and change existing services at the same time. A multiple selection is possible in the hit list. You can also transfer services to the entry table with a double-click.

In addition to the hit list, favorites are also available. These are services that you have defined as favorites as part of base item definition.

Effects on Existing Data

Taking services from requests into account (N1BA)

Note, that the new service entry does not display services which come from requests (N1BA). The system only takes into account services without a request and services from clinical orders.

Presetting of requesting departmental and nursing organizational unit

Presetting the requesting organizational units (OUs) of a service takes place according to the organizational unit-related settings in the parameters N1ANPOEL and N1ANFOEL.

Previously the Manually Changed indicator was always set by the system. This indicator prevented this presetting from being changed by service rules. The system does not set the Manually Changed indicator when presetting the requesting OUs anymore. This means the service rules can override this presetting again. Only when the user manually enters the requesting nursing or departmental OU does the system set the Manually Changed indicator meaning the subsequent processes cannot change these OUs. To provide a clearer overview, the relevant indicators have been entered in the column set of the entry table.

Effects on Data Transfer

Effects on System Administration

Effects on Customizing

Settings

You can define the following settings for calling the medical service entry:

  • Properties: You define, for example, whether the integrated hit list is displayed immediately or whether detailed information for services is displayed immediately. You also define the layout and the function variant.
  • Presettings: You can preset the requesting nursing, departmental and the performing OU. Furthermore you can define whether the system time or the visit time is entered.
  • Hit list: You can make the settings for the hit list. You can also transfer the services you mainly use to the favorites by drag and drop. Note, that it only makes sense to define favorites if the performing OU is also preset, since only then are the services defined according to the range of services.

Saving Settings in SAP Ambulatory Care Management

You can save these settings as a base item as part of SAP Ambulatory Care Management. A service entry task thus has a setting above the base item which can always be activated when the task is called. In this way you can create a "Service Entry in Central Outpatient Clinic" task. If you activate this task the system automatically presets the performing organizational unit.

You can find more information in the Base Items (Enhanced)release note.

Saving settings in direct call from the Outpatient Clinic/Service Facility view type.

If you call the service entry directly from the Outpatient Clinic/Service Facility view type in the clinical work station, you can also define a presetting.

Define the settings for the medical service entry call in the Implementation Guide under Industry-Specific Component Clinical System -> Service Management -> Services -> Maintain Settings for Service Entry (transaction N1COMPCON) .

Select the value " " (blank character) as the object type and SAP_MEDSRV as the component. You can create your own character string as ID but should note that the key has to be in the customer namespace (&lt;&gt; S*).

You can find more detailed documentation about the fields and their effects on the application in the implementation guide under " Maintain Settings for the Service Entry".

If you now wish to use a configuration in your service entry, proceed as follows:

You create a new pushbutton in a function variant of the Outpatient Clinic/Service Facility view type and give it a corresponding function code. You then implement the BAdI N1_WP_LSTAMB and copy the sample code of this BADI into your implementation (IF_EX_N1_WP_LSTAMB~EXIT_FUNCTION). The example implementation is contained in the 'ZMEDSRV_CHANGE' function code. You only have to replace the SAP_MEDSRV_000000000000000000001 configuration used in it with the identification of your configuration and the service entry with your individual configuration is ready for use.

Further Information






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