Block 1 of 13
Structure and master data
The organisational and identification foundation every process relies on.
6 covered 0 in progress 0 pending
Covered6
In progress0
No processes in this status.
Pending0
No processes in this status.
06 · Roadmap
Process coverage against i.s.h.med.
A map of the clinical processes RHP already covers, those in progress and those still missing, organised in blocks that follow the patient's journey through the hospital.
Status as of 28 September 2026
Coverage map by block
Each bar shows its block's coverage over the total of in-scope processes.
84% of the 2026 clinical scope covered: 69 of 82 processes. Including work in progress it reaches 88%.
- Covered
- In progress
- Pending
- Outside the product
01 Structure and master data 6 covered 0 in progress 0 pending 02 Admission, episodes and beds 7 covered 0 in progress 0 pending 03 Scheduling 8 covered 0 in progress 0 pending 04 Clinical workplace 6 covered 0 in progress 0 pending 05 Emergency care 4 covered 0 in progress 0 pending 06 Clinical orders and diagnostics 9 covered 0 in progress 0 pending 07 Clinical documentation 10 covered 0 in progress 0 pending 08 Medication and pharmacy 9 covered 0 in progress 0 pending 09 Nursing and care planning 3 covered 2 in progress 2 pending 10 Surgical area 1 covered 0 in progress 6 pending 11 Specialties 0 covered 1 in progress 2 pending 12 Platform and interoperability 6 covered 0 in progress 0 pending
Outside the 2026 plan (IS-H)
13 Financial management 2 covered 2 in progress 5 pendingBlock 2 of 13
Admission, episodes and beds
The patient's administrative and care circuit: episodes, encounters, movements and occupancy.
7 covered 0 in progress 0 pending
Covered7
In progress0
No processes in this status.
Pending0
No processes in this status.
Block 3 of 13
Scheduling
Planning of scheduled activity: schedules, slots and appointments.
8 covered 0 in progress 0 pending
Covered8
In progress0
No processes in this status.
Pending0
No processes in this status.
Block 4 of 13
Clinical workplace
The practitioner's entry points: the equivalent of the i.s.h.med clinical workstation.
6 covered 0 in progress 0 pending
Covered6
In progress0
No processes in this status.
Pending0
No processes in this status.
Block 5 of 13
Emergency care
Emergency circuit: triage, prioritisation and follow-up.
4 covered 0 in progress 0 pending
Covered4
In progress0
No processes in this status.
Pending0
No processes in this status.
Block 6 of 13
Clinical orders and diagnostics
Ordering tests and services, and returning results.
9 covered 0 in progress 0 pending 1 outside the product
Covered9
In progress0
No processes in this status.
Pending0
No processes in this status.
Outside the product1
Delivered by departmental or third-party systems, or by custom development in each project. They do not count as pending.
Block 7 of 13
Clinical documentation
Structured clinical record: the equivalent of i.s.h.med configurable medical documentation.
10 covered 0 in progress 0 pending
Covered10
In progress0
No processes in this status.
Pending0
No processes in this status.
Block 8 of 13
Medication and pharmacy
The complete medication circuit, from prescription to return, with automatic posting to logistics.
9 covered 0 in progress 0 pending 5 outside the product
Medication circuit
Outside the product5
Delivered by departmental or third-party systems, or by custom development in each project. They do not count as pending.
Block 9 of 13
Nursing and care planning
Ward nursing work: charting, assessment and care planning.
3 covered 2 in progress 2 pending
Covered3
In progress2
Pending2
Block 10 of 13
Surgical area
From surgical indication to intraoperative record. Much of the required foundation is already available in RHP.
1 covered 0 in progress 6 pending
Covered1
In progress0
No processes in this status.
Pending6
Block 11 of 13
Specialties
Specialty circuits. Some are usually handled by integrated departmental systems.
0 covered 1 in progress 2 pending 3 outside the product
Covered0
No processes in this status.
In progress1
Pending2
Outside the product3
Delivered by departmental or third-party systems, or by custom development in each project. They do not count as pending.
Block 12 of 13
Platform and interoperability
Cross-cutting services: interoperability, terminologies, security and decision support.
6 covered 0 in progress 0 pending
Covered6
In progress0
No processes in this status.
Pending0
No processes in this status.
Outside the 2026 plan
Block 13 of 13
Financial management
Belongs to IS-H, not i.s.h.med. In progress, but outside the 2026 plan.
2 covered 2 in progress 5 pending
Covered2
In progress2
Pending5
Proposed sequence
Phases to clinical parity
With blocks 1 to 8 and 12 covered, three circuits remain for clinical parity. Care planning goes first because its foundation is already available.
How to read this roadmap
What each status means
-
Covered. Available in the product and in use.
-
In progress. In development: part of the functionality is already available and is being completed.
-
Pending. Planned. The card shows which RHP resources it will be built on.
-
Outside the product. Delivered by departmental or third-party systems, or custom-built in each project. Shown, but not counted.
How it was prepared
- Inventory of the functionality available in RHP for S/4HANA: data model, services and apps.
- Comparison with the clinical processes covered by i.s.h.med, organised along the patient journey.
- Validation by the RHP product team.
Statuses reflect what was verified as of 28 September 2026. They are indicative and do not constitute a delivery commitment.
Structure and master data
Organisations
Covered
Maintenance of the hospital's organisational structure.
FHIR resources
OrganizationStructure and master data
Locations
Covered
Hierarchical locations (unit, room, bed, operating room) with types, type groups and functions.
FHIR resources
LocationStructure and master data
Healthcare services
Covered
Definition of the healthcare services each organisation provides.
FHIR resources
HealthcareServiceStructure and master data
Practitioners and roles
Covered
Practitioners, roles, qualifications and specialties.
FHIR resources
PractitionerPractitionerRoleStructure and master data
Patients
Covered
Patient record with configurable identifiers, addresses, communication and S/4HANA BP synchronisation.
FHIR resources
PatientStructure and master data
Patient contacts and links
Covered
Patient contacts (with address and phone), links between records and primary care physician.
FHIR resources
PatientAdmission, episodes and beds
Episodes of care
Covered
Management of episodes of care, with app and API.
FHIR resources
EpisodeOfCareAdmission, episodes and beds
Encounters: admission, movements and discharge
Covered
Encounter with admission, movement history, participants, reason and discharge disposition.
FHIR resources
EncounterAdmission, episodes and beds
Hierarchical episode view
Covered
Hierarchical view of the patient's episodes and encounters.
FHIR resources
EpisodeOfCareEncounterAdmission, episodes and beds
Occupancy and bed management
Covered
Hospital occupancy monitor and bed management.
FHIR resources
LocationEncounterAdmission, episodes and beds
Location blocking
Covered
Temporary blocking of beds or locations with a suspension reason.
FHIR resources
LocationAdmission, episodes and beds
Pre-admission and bed reservation
Covered
Pre-admission on a planned encounter and reservation of the assigned bed.
FHIR resources
EncounterLocationAdmission, episodes and beds
Internal patient transfer
Covered
Request and tracking of internal patient transfers.
FHIR resources
EncounterScheduling
Schedules
Covered
Resource schedules, with app and API.
FHIR resources
ScheduleScheduling
Slots
Covered
Generation and lookup of schedule slots, also via API.
FHIR resources
SlotScheduling
Appointments
Covered
Appointment management with configurable types and cancellation reasons.
FHIR resources
AppointmentScheduling
Advanced planning
Covered
Advanced appointment planning app.
FHIR resources
ScheduleSlotAppointmentScheduling
Calendars and variants
Covered
Schedule calendar with variant management.
FHIR resources
ScheduleScheduling
Booking by location hierarchy
Covered
Booking on any level of the location hierarchy.
FHIR resources
AppointmentLocationScheduling
Multiple booking
Covered
Multiple booking that respects the location hierarchy and distinguishes requester from recipient.
FHIR resources
AppointmentScheduling
Outpatient and test waiting list
Covered
Demand pending booking, prioritisation and conversion into an appointment.
FHIR resources
ServiceRequestAppointmentClinical workplace
Practitioner entry point
Covered
Home page for the clinical practitioner.
Clinical workplace
Clinical activity
Covered
View of pending and completed clinical activity.
Clinical workplace
Patient station
Covered
Patient-centred workspace.
Clinical workplace
Patient history in context
Covered
Patient activity in its care context.
Clinical workplace
Patient summary
Covered
Clinical patient summary, also available via API.
Clinical workplace
Role-based task worklists
Covered
Worklists by role and department, with statuses, reasons and performer functions (equivalent to the Patient Organizer).
FHIR resources
TaskEmergency care
ESI triage and encounter priority
Covered
Triage with the ESI scale and priority assigned to the encounter.
FHIR resources
EncounterEmergency care
Nursing list by priority
Covered
The emergency nursing list is sorted by the priority assigned to the encounter.
FHIR resources
EncounterEmergency care
Triage by care setting
Covered
Different triage models per care setting in Nursing Station.
Emergency care
Emergency physician view
Covered
Emergency physician view with priority derived from the encounter and ESI.
FHIR resources
EncounterClinical orders and diagnostics
Clinical orders
Covered
Clinical orders with statuses and categories.
FHIR resources
ServiceRequestClinical orders and diagnostics
Order orchestration
Covered
Grouping and orchestration of related orders.
FHIR resources
RequestOrchestrationClinical orders and diagnostics
Order templates
Covered
Reusable order templates.
FHIR resources
PlanDefinitionActivityDefinitionClinical orders and diagnostics
Observations and results
Covered
Observations with definitions, methods and interpretation.
FHIR resources
ObservationObservationDefinitionClinical orders and diagnostics
Diagnostic reports
Covered
Reports from diagnostic services.
FHIR resources
DiagnosticReportClinical orders and diagnostics
Clinical Reporting Hub
Covered
Single point of access to clinical reports.
Clinical orders and diagnostics
Specimens
Covered
Specimen management with type, collection and processing method, and condition.
FHIR resources
SpecimenClinical orders and diagnostics
Clinical pathways
Covered
Clinical pathways defined with PlanDefinition and applied to the patient.
FHIR resources
PlanDefinitionClinical orders and diagnostics
Consultations
Covered
Consultations as a clinical order with the consultant's response.
FHIR resources
ServiceRequestClinical orders and diagnostics
RIS/PACS and HL7 v2 integration
Outside the product
Integrations with departmental systems (HL7 v2, RIS/PACS) are custom-built in each project on top of the FHIR connector and REST API. They are not part of the product.
Clinical documentation
Diagnoses
Covered
Conditions with category, stage and diagnosis type catalogues.
FHIR resources
ConditionClinical documentation
Procedures
Covered
Procedures with category, reason, outcome and follow-up codes.
FHIR resources
ProcedureClinical documentation
Clinical impression
Covered
Clinical impressions with category and change pattern.
FHIR resources
ClinicalImpressionClinical documentation
Clinical documents
Covered
Management of clinical documents and their attachments.
FHIR resources
DocumentReferenceBinaryClinical documentation
Document definitions
Covered
Definition of document types and structures.
Clinical documentation
Questionnaires with signature
Covered
Configurable questionnaires, responses and integrated electronic signature.
FHIR resources
QuestionnaireQuestionnaireResponseClinical documentation
Consents
Covered
Consents with actors, provisions and categories, linkable to questionnaire responses.
FHIR resources
ConsentClinical documentation
Findings and groups
Covered
Findings catalogue, private grouping and import.
Clinical documentation
Structured reports
Covered
Composite reports such as the discharge summary and clinical letters.
FHIR resources
CompositionClinical documentation
Injury report
Covered
Injury report with clinical data and body diagram, filed as a clinical document of the patient.
FHIR resources
DocumentReferenceMedication and pharmacy
Medical prescription
Covered
Prescription with structured dosage and ViDAL alerts.
FHIR resources
MedicationRequestMedication and pharmacy
Pharmacist validation
Covered
Validation on prescription statuses and status reasons.
FHIR resources
MedicationRequestMedication and pharmacy
Pick and fill
Covered
Preparation of unit-dose carts from supply rules, with automations between prescription, dispensing and administration, and consumption posted to logistics.
Medication and pharmacy
Dispensing
Covered
Dispensing with supply rules and supply locations.
FHIR resources
MedicationDispenseMedication and pharmacy
Administration
Covered
Recording of administration on the ward.
FHIR resources
MedicationAdministrationMedication and pharmacy
Returns
Covered
If a dose is not administered or is cancelled, the automation reverses consumption and dispensing.
FHIR resources
MedicationAdministrationMedicationDispenseMedication and pharmacy
Infusions and IV admixtures
Covered
Prescription, dispensing and administration of continuous and intermittent infusions and IV admixtures, with pause and resume.
FHIR resources
MedicationRequestMedicationAdministrationMedication and pharmacy
Home medication reconciliation
Covered
Recording and reconciliation of the patient's usual medication.
FHIR resources
MedicationStatementMedication and pharmacy
Consumption against S/4 logistics
Covered
Posting of medication and material consumption to S/4HANA logistics.
Medication and pharmacy
Automated cabinets
Outside the product
Integration with automated dispensing cabinets. In i.s.h.med installations this is handled by the vendor's system.
Medication and pharmacy
Cytostatics
Outside the product
Preparation of cytostatics. Usually covered by the oncology pharmacy system.
Medication and pharmacy
Outpatients
Outside the product
Dispensing to outpatients. Usually in the pharmacy management system.
Medication and pharmacy
Narcotics
Outside the product
Control and traceability of narcotics. Usually in the pharmacy management system.
Medication and pharmacy
Ward stock replenishment
Outside the product
Replenishment of ward stock. It is an S/4HANA logistics process, not part of the clinical circuit.
Nursing and care planning
Nursing Station
Covered
Shift board and care workspace for nursing teams.
Nursing and care planning
Vital signs
Covered
Structured recording of vital signs.
FHIR resources
ObservationNursing and care planning
Assessments and risk scales
Covered
Nursing assessments and risk scales (Braden, Norton, falls…) on configurable questionnaires.
FHIR resources
QuestionnaireQuestionnaireResponseNursing and care planning
Care plan
In progress
Care plan with activities, addressed problems, involved practitioners and notes. In progress: the working app and NANDA/NIC/NOC nursing terminology.
FHIR resources
CarePlanProposed phase
Phase 1 · Care planning
Nursing and care planning
Care goals
In progress
Care goals linked to the patient's care plan.
FHIR resources
GoalProposed phase
Phase 1 · Care planning
Nursing and care planning
Clinical chart
Pending
Timeline view of vitals, fluid balance and administrations, built on the clinical data RHP already records.
Will be built on
ObservationMedicationAdministrationProposed phase
Phase 1 · Care planning
Nursing and care planning
Diets
Pending
Ordering and tracking of diets, integrated in the clinical order circuit.
Will be built on
ServiceRequestProposed phase
Phase 1 · Care planning
Surgical area
Material consumption
Covered
Consumption against S/4HANA logistics is already live and also applies to surgical material.
Surgical area
Surgical request and waiting list
Pending
Surgery request, inclusion in the waiting list and prioritisation.
Will be built on
ServiceRequestProposed phase
Phase 2 · Surgical area
Surgical area
Session scheduling
Pending
Scheduling of sessions and surgical lists per operating room.
Will be built on
ScheduleSlotAppointmentProposed phase
Phase 2 · Surgical area
Surgical area
Intraoperative record
Pending
Recording of surgical times, team and procedure performed.
Will be built on
ProcedureCareTeamProposed phase
Phase 2 · Surgical area
Surgical area
Surgical checklist
Pending
Surgical safety checklist.
Will be built on
QuestionnaireResponseProposed phase
Phase 2 · Surgical area
Surgical area
Anaesthesia
Pending
Pre-anaesthesia consultation and intraoperative anaesthesia record.
Will be built on
ObservationMedicationAdministrationProposed phase
Phase 2 · Surgical area
Surgical area
Implants and traceability
Pending
Implant traceability per patient.
Will be built on
DeviceProposed phase
Phase 2 · Surgical area
Specialties
Obstetrics and partograph
In progress
Labour record and partograph. In progress on structured questionnaires and observations.
FHIR resources
QuestionnaireResponseObservationProposed phase
Phase 3 · Specialties
Specialties
Oncology and boards
Pending
Oncology documentation and tumour boards on structured documentation.
Will be built on
QuestionnaireCareTeamProposed phase
Phase 3 · Specialties
Specialties
ICU / PDMS
Outside the product
In i.s.h.med installations the ICU is usually covered by an integrated PDMS.
Specialties
Haemotherapy
Outside the product
Usually covered by the blood bank system.
Specialties
Dialysis
Outside the product
Usually covered by a dedicated dialysis system.
Specialties
Dental
Pending
Dentistry circuit with dental chart and treatment plan. No equivalent in i.s.h.med.
Proposed phase
Phase 3 · Specialties
Platform and interoperability
FHIR REST API
Covered
FHIR REST API and OData v4 APIs per resource.
Platform and interoperability
Terminologies
Covered
CodeSystem, ValueSet, concept import and standard catalogues.
FHIR resources
CodeSystemValueSetPlatform and interoperability
Clinical decision support
Covered
Decision support alerts, extensible in each installation.
Platform and interoperability
Flags and allergies
Covered
Patient flags and allergies and intolerances.
FHIR resources
FlagAllergyIntolerancePlatform and interoperability
Data replication
Covered
Data replication to other systems.
Platform and interoperability
Audit and emergency access
Covered
Logging of record access and justified emergency access.
Financial management
Coverages and insurers
Covered
Coverages with classes, co-payments and exceptions.
FHIR resources
CoverageFinancial management
Revenue centres
Covered
Revenue centre catalogue.
Financial management
Claims and billing
In progress
Claims and billing catalogues (types, subtypes, payees, modifiers…). In progress: claims management.
Financial management
Charge and tariff definitions
In progress
Definition of charges and tariffs for care activity.
FHIR resources
ChargeItemDefinitionFinancial management
Pre-billing and billing
Pending
Charge generation and billing per episode.
Financial management
DRG grouper
Pending
Classification of episodes by diagnosis-related groups (DRG).
Financial management
Payments and reconciliation
Pending
Payment recording and reconciliation.
Financial management
Estimates
Pending
Preparation and follow-up of patient treatment estimates.
Financial management
Professional fees
Pending
Calculation and settlement of professional fees by activity.