Escolar Documentos
Profissional Documentos
Cultura Documentos
SAP Healthcare
Sales Partner Summit
Feb 27th, 2002
Authorized
SAP Banking Solution activity
Map, sets
Edition 1999 for
Enterprise Management - Managers
Strategic
StrategicEEnterpr
nterprise
ise Business
BusinessIIntelligence
ntelligence&
& Managerial
Managerial Financial
FinancialAccounting
Accounting
Management
Management Data
DataWarehousing
Warehousing Accounting
Accounting
Care Management
- Nurses
Car
CareePlanning
Planning Clinical
ClinicalCare
Care Car
CareeDocumentation
Documentation After
AfterCar
CareeManagement
Management
Support Services
- Maintenance, procurement Hygiene
BioMedical HygieneServices
Services &
&Risk
Risk
BioMedicalTechnology
Technology Management
Transportation
Transportation Cater
Catering
ing&
&Facility
FacilityServices
Services
Management
Business Support
- Acountants, Controllers
Human
HumanResource
Resource Financial
FinancialA
Asset
sset Fixed
FixedAsset
Asset
Procurement
Procurement Equipment
EquipmentMaintenance
Maintenance
Management
Management Management
Management Management
Management
Clinical Documentation
Patients EMR
Structured Medical Documentation
Hospital- and department specific
Freely defineable
Clinical Workplace
For outpatients departments
For functional units
Scheduling
Admission scheduling
Multiappointment
e.g. Preoperative Planning
Waiting List Management
Patient Organizer
Patients history, EMR
Multiappointment Planning
Caseless registry of patients for intended operations/treatments
Optional admission planning
Requesting services for clearing up
Coordinated planning of accompanying visits
Progress check of e.g. preoperative phase
Quick navigation
Personalization
Integrated object viewer
e.g. Acrobat Reader
Surgery
Nursing
Radiology
Patient Transport
Doctors Round
Vital Parameters
Guidelines
Mobile Internet
IS-H*MED Overview and News
H. Bartl, T-Systems; F. Knig,
GSD,
IS-H*MED Selected Modules
Radiology
The Situation
Increasing DICOM Application Entities
Evolving PACS Implementations
Development of DICOM-capable Endoscopes
and Ultrasound Devices
Increasing need for Telemedicine Applications
Report and Image Access (Workplace Solutions)
Clinic wide
General Practicioners
Patients
Report and Image Delivery
Transaction to other provider (hospital)
Delivery to Patient (CD)
Radiology workflow
Clinical Workflow
Prefetching Planning
Pat. Arrival
Single Pat.
Preparation
Work Organizer
ID-Stamping, Labels
Execution
Ex-Docu
Autoroute
Perf.Proc.Step
Deriving Findings
Query/Retrieve Writing Findings
ADT-Management
Service-Request
Appointment planning
Finding
SAP R3
Findings/
Image
mySAP.com Transfer XML, PDF AE
Workplace
Image
Connector
DICOM
Archive
Historical Findings
Images / Cineframes (CD)
...
Other
Patient
User- and/or
Profession-
specific
Worklist
Detailed Application-Controled
Image Viewer Integration
Information
concerning
selected
items of the
worklist
Worklist-Server
Event-based generation of worklist entries in the MSI-Format (Customizing)
Patient Management
Generation of ADT-information in the MSI-Format, for admissions,,
discharges, transfers, etc. in IS-H, IS-H*MED (HCM)
Study Management
Overview of the entire examination flow
PACS-IDs in the Study Document
DICOM Study Status in the Examination Document
Integrated Radiological Image Findings Work Station
Calling the Load Study Servers Including Viewer-Interface Using RIS-
Communication Client (RCC)
Report Management
Transfer of the Report Text and Status to the PACS-Broker in the MSI-Format
Doctors Round
Vital Parameters
Objective
Support of doctors round via online-connected mobile device
All needed patient-related information at his fingertip
Vital parameters
Blood pressure, temperature, pulse, ...
1st step to doctors round support
Presentation in grid or graphics
Entry for one or more patients
Integrated in clinical workplaces for in- and outpatient departments
Grid
Graphics
Vital parameters 08.11.2001
RR Pulse Temp 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
160 160 41
Vital parameters - Kirsten, Gulliver (m/27)
140 140 40 Date 27.09.2001
Toolbar
120 120 39
Time Pulse Temp RR Sys RR Dia ... ... ...
100 100 38 06:00 115 37,6 130 75
12:00 120 38,0
80 Tick
80 patient(s)
37 15:00 135 80
60 60 36
17:00 115 37,6 135 75
18:00 90
40 40
Temperature 40,4 39,6 40,0 ***
Pulse 105 92 80 115 Max 92
Clinical Workplace
Medication
Support the Workflows relating to Drug Therapy
Documentation of Prescribed and Administered Medications
Clinical Workplace
Guidelines
Example
chest trauma
Internet
Intranet (i.e. Concern-Wide Guidelines)
...
Work Organizer
Service Request
Lab Request
Mobile Solutions
Conclusion:
Healthcare Information Systems have to become mobile
Laptop
WAP-Handy
Web-Pad
Using
IS-H*MED with RFC und BAPI
Existing network infrastructure
Extending with
SAP Portal
Wireless LAN Devices
Laptop
T
A
L
K
/D
A
A
T
L
KRS
C
S
T
RR
D
T
DC
DAccesspoint
Computer Computer Computer
Computer
R/3 DB
Laptop
PDA
ITS
R/3 DB
Patient Information
Findings
and
IS-H*MED is mobile!
IS-H*MED @web
@ @
Improved standards and efficiency in communication
Needed Tools
Portal with services offered by the hospital
For patients, for everybody
For external doctors
@
Leistungsstelle im KH
GPs Workplace
@ Book
Services
@
Book Appointment
View Finding
Book appointments
Based on a suggestion
Service Units
Services provided
Add Details
Confirm
Booked Appointments
Patient shows up
First visit: identify and admit the patient
Subsequent visit: register the patient
New or existing case is assigned to the booked services
Render services
Create results report
IS-H*MED Overview and News
H. Bartl, T-Systems; F. Knig,
GSD,
IS-H*MED@web: Access to Findings
Clinicside
Encryption of documents
Publishing documents for external access
Logging the access of external users
No physical transfer of findings
GP side
Access to findings for GPs patients via hospitals portal
Viewing the document, printing the document
Following up the state of the document
GPs Workplace
@ Web Browser:
Request services
View finding
Web Browser:
Web Browser: booked appointments Book appointments
Surgery
Nursing
Radiology
Patient Transport
Doctors Round
Vital Parameters
Guidelines
Mobile Internet
IS-H*MED Overview and News
H. Bartl, T-Systems; F. Knig,
GSD,
IS-H*MED Overview and News
Thank you!