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ISH_TNDIA - Set Parameters for Diagnosis Documentation
General Material Data Vendor Master (General Section)This documentation is copyright by SAP AG.
In this Customizing activity, you can make time-dependent settings for the diagnosis documentation parameters for each institution. These parameters are required for each institution.
You can use these parameters to specify separate methods of diagnosis documentations for inpatient and outpatient cases.
You define how diagnoses are to be managed by specifying a form of documentation. The following forms of documentation are available:
- Inpatient cases
- Case-related per department stay and per outpatient visit
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The diagnoses pertaining to an inpatient case can be managed per stay in a
department. If a case has two stays in a department, the diagnoses for each stay can be entered and displayed separately.
For outpatient visits and surgery for the inpatient case, the diagnoses can be managed per visit or surgical procedure.
The diagnoses entered for each stay in a department, for each outpatient visit, and for each surgical procedure are displayed in a case-related diagnosis overview.
Hospitals in Germany normally use this form of documentation for inpatient cases.
- Case-related per department
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The diagnoses pertaining to an inpatient case can be entered on a departmental basis. If an explicit
assignment to a department is not made when the diagnoses are entered, the system assigns the diagnoses to the department to which the case was last assigned.
Diagnoses entered for outpatient visits or surgical procedures are also managed on a departmental basis. If this is the department of the inpatient case, the diagnoses are managed under this department.
The diagnoses entered for the various departments involved in the case are displayed in a case-related diagnosis overview.
- For the complete case
- The diagnoses for an inpatient case cannot be assigned to a department. They are always entered and displayed for the entire stay of the case. The diagnoses are assigned internally to the department to which the case was last assigned. This department is displayed on the detail screen of a diagnosis in the diagnosis processing function.
- Outpatient cases
- Case-related per outpatient visit or per surgery
-
The diagnoses pertaining to an outpatient case can be entered per visit or per surgical procedure.
The diagnoses entered for each outpatient visit and for each surgical procedure are displayed in a case-related diagnosis overview.
- Case-related per department
-
The diagnoses pertaining to an outpatient case can be entered on a departmental basis. If an explicit
assignment to a visit or surgical procedure is not made when the diagnoses are entered, the system assigns them to the last visit and consequently to the last department.
If an outpatient visit is managed for several departments, the diagnoses entered for the various departments in the case are displayed in a diagnosis overview.
- For the complete case
- The diagnoses of an outpatient case are entered and presented for the complete case. When entered, the diagnoses are assigned internally to the last visit and consequently the last department. This department is displayed on the detail screen of a diagnosis in the diagnosis processing function.
Changing the Form of Documentation
It is always possible to change the form of documentation. Create a new set of parameters for the new form of documentation. The form of documentation that applies on the admission date is always relevant for a case.
Catalogs
- You specify the ID of the basic/in-house catalog used to code diagnoses in the Basic Catalog field.
The catalog specified here will be used if a diagnosis coding catalog is not explicity entered for a diagnosis code specified in the diagnosis entry function.
This parameter generally contains the ID key of the ICD catalog stored in the system.
- You specify the diagnosis catalog to be used to code diagnoses for government-mandated statistics in the Statistics Catalog field.
This parameter generally contains the ID key of the ICD catalog stored in the system.
- You specify the catalog to be used for entering referral diagnoses in the Ref.Diagn.Cat.
parameter. The system uses the catalog specified here if you do not specify a catalog explicitly for a referral diagnosis in the diagnosis entry function.
This parameter generally contains the ID key of the ICD catalog stored in the system.
The admission date is relevant as standard when determining the inpatient diagnosis catalogs and the Separate for DRG indicator. However, you can also define the discharge date as relevant in the Customizing activity Specify Discharge Date as Reference for Catalog Determination. This Customizing activity is relevant for the country versions Italy and Singapore only.
Diagnosis Classes
You can maintain the following diagnosis classes in the IS-H system:
- Admission diagnoses
- Discharge/treatment certificate diagnoses
- Surgery diagnoses
- Cause of death
- Department main diagnoses
- Hospital main diagnoses
If you do not want to document all the possible diagnosis classes, you can select the No Classification As indicator for those you would like to suppress. If you do this, the indicator for the diagnosis class in question does not appear on the data and list screens in diagnosis processing, nor is it available for evaluations.
Diagnosis Check
Here, you can specify which diagnosis classes are to be checked. The following diagnosis classes are available for checking:
- Discharge diagnosis
- Hospital main diagnosis
You can select one or both diagnosis classes.
The system checks these parameters in the following contexts:
- Billing
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The function is only relevant for the country versions Germany and Austria.
When you perform billing for an insurance provider for whom you have selected the Fin. Bill. Diagnosis indicator in the insurance provider master, the system checks whether the diagnosis classes you selected in Customizing are present for each case.
- IS-H: Collective Print Admission/Discharge Notifications (RNPRIAU0)
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If you select the Diagnosis Required parameter on the selection screen
for collective printing, the system checks whether the diagnosis classes you selected exist for each
case when printing discharge notifications. The system only prints a discharge notification if the selected diagnosis classes exist for the case.
The check will only be successful if the selected diagnosis classes are relevant for statistics.
- If you select the Diagnosis Required parameter on the selection screen for case selection, the system checks whether the diagnosis classes you selected exist for the current case when creating the case selection. If the selected diagnosis classes exist for the current case, the system includes the case in the case selection.
General Material Data BAL_S_LOG - Application Log: Log header data
This documentation is copyright by SAP AG.
Length: 9139 Date: 20240426 Time: 225530 sap01-206 ( 137 ms )
