Hi Robert,

Thanks for your reply. The system we currently have works well and is
based on the great work you and your team did on the Care2x East
African version. The problem is that the EA version has become
somewhat disconnected from the main project and also has bugs that
have been fixed in the "main line". The work I am doing at the moment
is an attempt to follow up on our previous discussions at Med-e-Tel
etc on unifying the code base. To achieve this, functionality we have
in the EA version must be brought in, and central to that is the ERP
integration. It should be said that this ERP integration is entirely
optional and is switched on and off by a configuration switch so those
not wanting it don't have to use it. Also there is nothing stopping
people from integrating any other ERP and our work should considerably
help them in doing that. The code changes are not very intrusive.

As far as billing an item goes the ERP doesn't care what the item is,
just that an item is there that needs billing. What the ERP needs is a
unique code that defines the item prescribed to the patient so that it
can be matched up with the correct price list and the correct costing.
Without this unique code I am not sure how any invoicing/costing can
happen though I am open to persuasion if there is a way to do it. Your
example of an outsourced CT-scan (where the patient pays the hospital
doing the scan directly) would be solved by having a unique code
shared with the ERP for an item that is not to be billed. That's all
the ERP cares about. However it would be flexible enough to have a
CT-scan code for the scan being done at the prescribing hospital.

Yes there are workflow issues and my experience is that each hospital
has its own unique work flow issues. A "one size fits all" solution
will never happen. Where the implementer earns their money is moulding
these workflows and the software together to form a system that works
for that hospital. However without the software as a base this becomes
impossible.

The reason I am sending these messages to the list is to try and
create discussion around this so that we can get the best result
possible. It is also a requirement that those hospitals currently
using care2x in one form or another should be able to easily
transition to the new version.

Thanks
tim

On 23 July 2014 08:25, Robert Meggle <robert.meg...@care2x.org> wrote:
> Am Dienstag, den 22.07.2014, 16:26 +0100 schrieb t...@weberpafrica.com:
>
> Thanks Robert, any chance you can find some time to look at my other
> recent queries?
>
> I will. :) The issue here is that we might have to change care2x its
> workflow a bit.
>
> There is an "overlap" between medical processing and financial processing.
> Out of the perspective of an HIS (or MRS) I do see here processing what has
> to be filled with measurements for later reporting and analysis - out of the
> ERP part it representing values describing values on an invoice.
> For the East African version there was a so called "front side billing"
> implemented. It picked out the values of such services and linked it to an
> price list, result was an invoice to the OPD patient. On care2x 2.7 if
> ecombill is been used all these values has to be re-entered again (by an
> user role called "billing officer").
>
> There are some different workflows what has to be checked out. As well as
> the processing that the patient will be transferred to another hospital and
> the (e.g.) CT-Scan will be done there, just results will be entered to
> care2x. Out of care2x perspective: No problem at all. Out of ERP/Billing
> perspective we do have quite another case. Maybe?
>
> I will make some ideas how that can be done.
>
> Robert
>
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