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Medication Order: Sliding Dose (New) ( RELNISHMED_603_ME_070 )

Medication Order: Sliding Dose (New) ( RELNISHMED_603_ME_070 )

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Medication Order: Sliding Dose (New)

Use

As of SAP ECC Industry Extension Healthcare 6.0, Enhancement Package 3 the option of defining a sliding dose is available in the medication order dialog.

For this, in the order dialog use the new tab page Sliding Dose By selecting the button Sliding Dose in the compressed order dialog you set the following steps:

  • input mode activation of the various cycle sequences in the sliding dose grid
  • The fields Dose Strength and Unit are set to not ready for input by the system. You can subsequently define any dose deviations in the order process in the sliding dosage grid.
  • The system replaces the cycle which may exist with the cycle defined in the system parameter N1MEDSLID (when generating the events or activating the order).

In the sliding dose grid the following columns are provided:

  • Dose
The system uses the dose as a basic unit for defining the dose for the order. As was previously customary the system uses the quantity defined in the cycle as a multiplier. This enables you to define deviating administration sequences (e.g. 1-2-1).
  • Unit for the dose
The system automatically presets the unit for the dose from the drug master. Alternatively if you have made the appropriate change in the compressed order dialog you can also see the strength here.
  • Cycle
Note that the cycle cannot be changed in the grid.
  • Duration
It is possible to enter integral values for the duration.
  • Unit for the duration
The system presets "Day" as a fixed unit for the duration.
  • Start date
The system presets the start date with the first entry from the beginning of the order. In subsequent entries the system determines the value using the end date of the preceding entry.
  • Start time
The system presets the start time using the start time from the beginning of the order.
  • End date
The end date results from the start date and the duration of the entry.
  • End time
The system calculates the end time from the start time of the entry plus the number of days and subtracting one second (in order to avoid overlaps in the cycle definitions).

This information enables you to cover the following instances:

  • Deviating treatment sequences: e.g. 3 times a day for 1 week, twice a day for 1 week, etc..
  • Interruptions in the treatment sequence: e.g. 3 times a day for 1 week, then 2 weeks break, then twice a day for 1 week, etc..
  • Deviations running parallel: e.g. 1 tablet in the morning for 1 week and concurrently 1 tablet in the evening on every second day for 1 week
  • Any combination of the instances shown above

The order duration results from calculating the treatment durations that you defined for the sliding dos.

You should note that the use of sliding dos with infusions, dilutions and nutritional solutions depends on you defining "Intermittent" as infusion type. With compounds sliding dose is only available with drugs ordered per individual dose.

The data entered in the grid can be changed up to the activation of the order or up to the generation of the events. The system continues to respect an indicator such as Immediate Dose and/or PRN Medication which may be set.

You cannot extend an order with a sliding dose, as the cycles assigned also have a limited validity period. In this case copy the order or alternatively create a new order which continues the previously valid treatment sequence.

Quantity modulation

Alternative to the use of sliding doses for defining deviating treatment sequences over a course of time there is also the option of a quantity discrepancy occurring for part of a day.

Essentially you could also use a sliding dosage for this. Alternatively, however, you can use the simpler option of defining a quantity modulation.

Exampl

You define the cycle 1-1-1 (= three times a day). You define 1 tablet as an individual dose. However, you want to plan the (deviating) administration of 2 tablets at noon. Before you now adjust the cycle or define a sliding dose, you can also use the new Quantity Modulation function.

You can also use a button in the compressed order dialog. This button calls a dialog displaying the cycle times and the quantities defined for them. You can very simply change the 1-1-1 sequence of quantities shown in the example to 1-2-1 by this means.

You should note that you can only reasonably use quantity modulation for concurrent treatment sequences. Therefore quantity modulation cannot be used for scenarios such as the following:

  • in the case of a cycle already defining a deviating treatment sequence (e.g. today 3 times a day, tomorrow twice a day, etc.) use the sliding dose, whereby here concurrent use of quantity modulation and sliding dose is not possible.
  • for continuous orders with flow rates (infusions, dilutions and nutritional solutions)
  • Compounds created according to the complete order
  • orders defining only one time per day (once a day)

The use of the dose 0 is also impossible within quantity modulation, as it changes the treatment frequency defined by the cycle.

Defining or changing quantity modulation also is only possible up to activating the order or generating the events.

Effects on Existing Data

Effects on Data Transfer

Effects on System Administration

Define the system parameter N1MESLID for defining the cycle to be used for the sliding dose.

Effects on Customizing

You can also use sliding dose in order templates. By this means, generally valid treatment sequences which require a sliding dose can also be provided in the form of order templates.

Further Information

In order to enhance the layout list in the grid control and to change the presetting logic for new rows in the grid, the Business Add-In (BAdI) N1_CREATE_SCREEN is available.






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