SAP ABAP IMG Activity ISH_TNDIA (Set Parameters for Diagnosis Documentation)
Hierarchy
☛ BBPCRM (Software Component) BBPCRM
   ⤷ CRM (Application Component) Customer Relationship Management
     ⤷ CRM_APPLICATION (Package) All CRM Components Without Special Structure Packages
       ⤷ NBAS (Package) Appl. development Hospital System master data, catalogs
IMG Activity
ID ISH_TNDIA Set Parameters for Diagnosis Documentation  
Transaction Code S_KK4_74000267   IMG Activity: ISH_TNDIA 
Created on 19990816    
Customizing Attributes ISH_TNDIA   Set Parameters for Diagnosis Documentation 
Customizing Activity ISH_TNDIA   Set Parameters for Diagnosis Documentation 
Document
Document Class SIMG   Hypertext: Object Class - Class to which a document belongs.
Document Name ISH_TNDIA    

Use

In this IMG activity, you maintain the parameters required for documenting diagnoses in each institution. These settings are time-dependent. It is essential to create a parameter record for each institution.

Using these parameters, you can set up a separate type of diagnosis documentation for inpatient and outpatient cases.

By specifying a form of documentation, you stipulate the manner in which diagnoses are managed. The following forms of documentation are supported in the IS-H System:

  • Inpatient case
    • Case-related per inpatient stay and per outpatient visit
      • You can manage the diagnoses pertaining to an inpatient case per stay in a department. This means that if a case has two stays in a department, the diagnoses for each stay can be entered and displayed separately.
      For outpatient visits and surgeries of the inpatient case, the diagnoses can be managed per visit or surgery.
      The system displays the diagnoses entered for each stay in a department, for each outpatient visit and for each surgery in a case-related diagnosis overview. This is the form of documentation normally used in the inpatient area in Germany.
    • Case-related per department
      • You can enter the diagnoses pertaining to an inpatient case on a departmental basis. If an explicit assignment to a case 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 surgeries are also managed on a departmental basis. If this is the department of the inpatient case, then the diagnoses are managed under this department.
      The system displays the diagnoses entered for the various departments of the case in a case-related diagnosis overview.
    • For the complete case
      • The diagnoses pertaining to an inpatient case cannot be assigned to a department. They are always entered and presented for the complete stay of the case. The diagnoses are assigned internally to the department to which the case was last assigned when they are entered. The system displays this department in the detail screen of a diagnosis in the diagnosis processing function.
  • Outpatient case
    • Case-related per outpatient visit and per surgery
      • The diagnoses pertaining to a case can be entered per visit or per surgery.
      The diagnoses entered for each outpatient visit and for each surgery are displayed in a case-related diagnosis overview.
    • Case-related per department
      • You can enter the diagnoses pertaining to an outpatient case on a departmental basis. If an explicit assignment to a visit or a surgery 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 case is managed for several departments, the diagnoses entered for the various departments of 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 to the last department. This department is displayed in the detail screen of a diagnosis in the diagnosis processing function.

Changing the Form of Documentation

It is possible to change the existing form of documentation at any time. Create a new parameter record for the new form of documentation. The form of documentation specified at patient admission is always the relevant form for the duration of a case.

Catalogs

  • In the Basic Catalog field you specify the basic/in-house catalog used for coding diagnoses.
    If you do not explicitly specify a diagnosis coding catalog when entering a diagnosis code in the diagnosis entry function, the system uses the catalog you have specified in this parameter.
    This parameter usually contains the ID key of the ICD catalog stored in the system.
  • In the Statistics Catalog field you specify the ID key of the diagnosis coding catalog to be used for coding diagnoses for legally-mandated statistics.
    This parameter usually contains the ID key of the ICD catalog stored in the system.
  • You stipulate the catalog to be used for entering referral diagnoses in the Ref.Diagn.Cat. field. If a catalog is not entered for the referral diagnosis when a diagnosis code is specified in the diagnosis entry function, the catalog stipulated here is used.

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 only relevant for the country versions Italy and Singapore.

Diagnosis Classes

The following diagnosis classes can be managed in the IS-H System:

  • Admission diagnoses
  • Discharge diagnosis/treatment certificate diagnoses
  • Surgery diagnoses
  • Cause of death
  • Department main diagnoses
  • Hospital main diagnoses

If you do not wish to document all the documentation classes available you can set the indicator for those classes you do not require in the "No Classification as" group box. The indicator for the respective diagnosis will not be output in the data and list screens and will also not be available for evaluations.

Diagnosis Check

Here you can stipulate for which diagnosis class(es) the system is to check. The following diagnosis classes are available for this check:

  • Discharge diagnosis
  • Hospital main diagnosis

The system checks these parameters in the following areas:

  • Billing

    The function is only relevant for the country versions Germany and Austria.
    When billing in relation to an insurance provider in whose master record the Fin. Bill. Diagnosis indicator is set, the system checks that the diagnosis of the class you selected in Customizing has been entered for each case.

  • IS-H: Collective Print of Admission/Discharge Notifications (RNPRIAU0)

    If you flagged the Diagnosis Required option on the selection screen of this program, when printing discharge notifications the system checks for each case in turn whether the diagnosis of the class you selected has been entered. It only prints a discharge notification if a diagnosis of the selected class exists for a case.
    The check can only run successfully if the selected diagnosis classes are relevant for statistical reporting.

  • IS-H: Case Selection (RNASEL00/ RNASEL04)

    If you flagged the Diagnosis Required option on the selection screen of the case selection program(s), when creating the case selection, the system checks for each case in turn whether the diagnosis of the class you selected has been entered. If a diagnosis of the selected class exists, the system includes the case in the case selection.

Example

Requirements

Standard settings

Recommendation

Activities

Further notes

Business Attributes
ASAP Roadmap ID 203   Establish Master Data 
Mandatory / Optional 1   Mandatory activity 
Critical / Non-Critical 2   Non-critical 
Country-Dependency A   Valid for all countries 
Assigned Application Components
Documentation Object Class Documentation Object Name Current line number Application Component Application Component Name
SIMG ISH_TNDIA 0 I010004218 Basic Medical/Nursing Documentation 
Maintenance Objects
Maintenance object type C   Customizing Object 
Assigned objects
Customizing Object Object Type Transaction Code Sub-object Do not Summarize Skip Subset Dialog Box Description for multiple selections
TNDIA S - Table (with text table) SM30 0000000000 Maintain Parameters for Diagnosis Documentation 
History
Last changed by/on SAP  19990816 
SAP Release Created in