Professional Documents
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Notes
SAP Patient Management
Release 4.71
February 2003
Version
Release Notes SAP Patient Management Release 4.71
Version 1 (EN) for SAP Service Marketplace, February 2003
Copyright
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Contents
SAP Patient Management Release 4.71
General Information
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Business Partners
DE: Program for IP Master File Comparison Deleted
Notification of End of Maintenance of "Maintain/Display Insurance Provider Group"
Notification of End of Maintenance of "Create RP Employee"
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15
Patient Management
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Inpatient Case
Indicator for Invalid Movement Types After Discharge (New)
EnjoySAP Admission (Changed)
Transfers: Room and Bed Proposal (New)
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Outpatient Case
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Medical/Nursing Documentation
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Services
Service Rule R2 with Service Action (Changed)
Service Rule R13: Long-Term Accommodation Services (New)
SAPscript Long Texts for Case-Related Services (Changed)
Service Actions with Long Text Support (New)
AT: Status Check in Service Entry
AT: Service Rule A15 Max. Values for Groups w/o Ins. Relationships
AT: Service Rules (Changed)
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Insurance Verification
CH: Changes in Insurance Verification (Changed)
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Billing
CH: Invoicing (Changed)
DE: Interim Billing for DRG Services (Changed)
Collective Invoice for Self-Payers (New)
Printing of Dunning Notices with Smart Forms (Changed)
DE: Determination of Share of Costs for Outpatient WC Billing (Changed)
"Charge Factor Value" Indicator in IMG Activity "Determine Catalog Columns" (Changed)
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Master Data
Closet (New)
Extraction Healthcare-Specific Attributes of Material Master (New)
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Material Requisition
Procurement Type and Document Type Determination (New)
Organizational Unit-Related Material Requisition (Enhanced)
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Information System
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Communication
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You have to respect a particular notation when entering the values for From
Release and To Release. Examples of the naming convention from earlier IS-H
Releases are 4.01A/0, 402A, 403A, 461A, 462, 463 and 463B. The name of
current release is 471. For comprehensive information on generating views,
please refer to the online documentation which you accessif the latest
documentation CD has been installedby choosing Help SAP Library. Then
choose SAP Library mySAP Technology Components SAP Web
Application Server Customizing (BC-CUS) Customizing (BC-CUS).
The functions described in country-specific release notes have not been released for
other country versions.
General Information
Important Activities for Release 4.71
Use
Quick Reference
EnjoySAP Admission
As of this release, the new, clearly laid out EnjoySAP Admission (transaction code
NV2000) provides you with all of the functions from the old patient admission
transactions.
To make the use of the EnjoySAP admission more flexible, you can now define your
own presettings for the fields in the various subscreens or your own checks on the
admission data using Business Add-Ins (BAdIs).
As concerns input control for the various fields, as of this release you can also
differentiate admission variants in screen modification. This means that you can
define input types for fields in relation to each admission variant.
As of this release, it is possible for you to switch to another variant from within the
variant you are currently using. All variants now give you direct access to the integral
service entry procedure.
It is now also possible to change the case type from inpatient to outpatient and vice
versa. By implementing a BAdI, you can run your own checks when changing the
case type.
SAP will cease maintenance of the old inpatient and outpatient admission as of the
next release but one.
10
Patients
General practitioners
Suppliers
Hospital employees
On the basis of this knowledge about your customers, you can offer customeroriented services, such as:
Internet Self-Services
The described functions are based on mySAP CRM software. As of Release 4.0, you
are able to maintain healthcare-specific business partner roles and healthcarespecific business partner relationships in CRM Business Partner Management.
Consequently, you can now also use CRM functions for the specific needs of a
hospital. This equally creates the basis for setting up data exchange involving
business partners and business partner relationships with connected systems.
In addition to the business partner roles contained in the CRM 4.0 standard
shipment, the following hospital-specific business partner roles with corresponding
attributes for data management are available to you:
Patient
Physician
HMO member
(HMO = Health Maintenance Organization, usually used only in USA. A
healthcare providing organization that provides and finances the medical and
hospital care of its members).
Doctor's practice
Hospital
11
In addition to the business partner relationships contained in the CRM 4.0 standard
shipment, the following hospital-specific business partner relationships with
corresponding attributes for data management are available to you:
12
Basic Data
General Information
Business Partners
DE: Program for IP Master File Comparison Deleted
Use
This release note is relevant for the country version Germany only. Documentation is
not available in English.
13
Hide field
Protect field
The system will also take these selection variant attributes into account in the
selection dialog boxes of the individual view types.
The Hide Until Field indicator and Deactivate GPA (Preset Using Set/Get
Parameter) indicator are not taken into account in the current release.
Copying Views
If you copy views, the name of the new work environment or the new view will be
copied into the description of the variant, to simplify maintenance. This means you
can differentiate between the new variants and the original variants.
Field Catalog Enhancement
In the field catalogs for the Occupancy, Arrivals and Departures view types, the
following additional fields are now available:
VIP indicator
Admission date
14
The DRG key figures for a case are also available in the field catalog of the Coding
Analyses view type.
The DRG key figures are only available in the field catalogs of the vie w types, if
DRG billing is performed according to option model 2003. You can find more
information on this in the release note DE: DRG Billing According to Option Model
2003 (New) (not available in English).
15
Patient Management
General Information
New Admission
You select the appointment in the appointment overview of the initial screen and
then create the visit.
When the patient arrives for his inpatient admission appointment, you create an
admission for the scheduled appointment. You do this in the new admission by
selecting the inpatient admission appointment and then creating the admission.
With all these possibilities, the preregistration is then linked to the case which you
selected in the admission. The appointment is linked to the visit or admission
movement. From this point onwards, the system assumes that appointment was
kept.
16
If you accidentally selected the wrong appointment, you should cancel the created
visit or admission. As of this release, the system will no longer automatically cancel
the preregistration and the appointment. You can now recreate the original status of
the preregistration from before the creation of the visit or admission.
This can be important if you require reporting or the evaluation of waiting list entries.
You will only receive evaluations, for example, over the period of time between the
preregistration and the completion of the surgery/treatment, if a patient is
represented by the same waiting list entry during the entire planning phase.
Process from a User's Point of View:
IS-H*MED only: When you cancel a visit in IS-H*MED, the system will produce a list
of all objects which are connected to this object. This includes visit appointments,
services, and the preregistration. If the appointment and preregistration are not
selected, they will remain active once the visit has been canceled.
The following also applies to SAP Patient Management (IS-H):
If the visits or the inpatient admission to be canceled are the only link to the case, the
preregistration will become caseless once the visit or admission has been canceled.
This means that you can assign the preregistration to a different case at a later date.
See also
You should also refer to the release note Detach Preregistration from Case (New)
(see p. 17).
17
As a consequence, the transaction NV2000 will replace the previous functions for
inpatient and outpatient admission. SAP recommends that you use the transaction
NV2000 instead of the above mentioned old functions as soon as possible.
Outlook: As of the next release of SAP Patient Management, the functional scope of
the transaction NV2000, with which you can only execute the EnjoySAP Admission
in this release, will be enhanced by the functions Create, Change and Display
Surgeries, Transfers, Discharges, Absences and Patient Master Data.
Standard Form
If you click on the Standard Form pushbutton, the system prints the
appointments on the preset standard form.
18
Choose Form...
If you click on the Choose Form... pushbutton, you can select the desired form
from the list returned by the system.
Admission appointment
Surgery/treatment appointment
The system automatically saves the preregistration and all planned appointments
when you execute the print function.
Effects on Customizing
To be able to print appointments on a form, you must have defined one or more
forms for the events APPINS and APPUPD in Work Organizer Management.
For further information about this, refer to the IS-H Implementation Guide under SAP
Healthcare Industry-Specific Components for Hospitals Tools Work
Organizer Management.
Case List: Add User Field for Cases using BAdI (New)
Use
The Business Add-In (BAdI) IS-H: Add Case Level User Field to Case List
(ISH_CASELIST_CASEFLD) lets you add your own field to each case on the case
list. You can also use this BAdI to add a title for this field in the case list heading. The
field and title of the field are both 30 characters in length.
To add the case field, you have to implement your field in the BAdI method
ISH_CASELIST_CASEFLD~GET_CASE_FIELD. The system calls this method for
each case on the case list. The system passes patient, case and movement data to
the BAdI method. This makes it possible to derive the case field title based on data
of the patient, the case itself, and all movements of the case list.
You can use the following data in the BAdI method
ISH_CASELIST_CASEFLD~GET_CASE_FIELD:
Patient data
Case data
To add the title for your field to the case list heading, you have to implement the BAdI
method ISH_CASELIST_CASEFLD~GET_CASE_FIELD_TITLE. The system passes
the data for the patient, all cases in the list, and all movements in the case list to the
BAdI method. This makes it possible to derive the case field title based on the data
of the patient and all of the cases and movements displayed on the case list.
You can use the following data in the BAdI method
ISH_CASELIST_CASEFLD~GET_CASE_FIELD_TITLE:
Patient data
See also
For more information, refer to:
19
Case List: Add User Field for Movements Using BAdI (New)
Use
The Business Add-In (BAdI) IS-H: Add Movement User Field to Case List
(ISH_CASELIST_MVMTFLD) lets you add your own field to each movement on the
case list. You can also use this BAdI to add a title for this field in the case list
heading. The field and title of the field are both 30 characters in length.
To add the movement field to the case list, you have to implement your field in the
BAdI method ISH_CASELIST_MVMTFLD~GET_MVMT_FIELD. The system calls
this method for each movement in the case list. The system passes patient, case,
and movement data to the BAdI method. This makes it possible to derive the field for
each movement on the case list based on the data of the patient, the case itself, and
the movements of the case.
You can use the following data in the BAdI method
ISH_CASELIST_MVMTFLD~GET_MVMT_FIELD:
Patient data
Case data
Movement data (for each movement on the case list as the system calls the BAdI
once for each movement in the case)
To add the title for your field to the case list heading, you have to implement the BAdI
method ISH_CASELIST_CASEFLD~GET_CASE_FIELD_TITLE. The system passes
the data for the patient, all cases, and all movements in the case list to the BAdI
method. This makes it possible to derive the movement field title based on the data
of the patient and all of the cases and movements displayed on the case list.
You can use the following data in the BAdI method
ISH_CASELIST_MVMTFLD~GET_MVMT_FIELD_TITLE:
Patient data
See also
For more information, refer to
20
Patient's employer
You can suppress this field from the screen using screen modification. For
information about this, refer to the section entitled Maintain Screen Modification in
the IS-H Implementation Guide.
21
For presetting and checking the individual screens of the BAdIs BAdI: Enjoy
AdmissionPreset All Subscreens and BAdI: Enjoy AdmissionCheck Data of
Individual Subscreens, a sample implementation is provided as a template for your
own implementations.
See also
For further information about the detailed use of the BAdIs, refer to the
documentation for the methods and interfaces of the respective BAdIs.
Inpatient Case
22
Other Variant
The Other Variant... function lets you choose another variant for processing the
current movement on the data screen.
Service Entry
Besides service forms, the entire service entry procedure is now available to you
in EnjoySAP Admission. You access this procedure, irrespective of the set
variant, by clicking the Services pushbutton, or by choosing Extras More
Extras Services.
Meaning
The system does not transfer proposal into the room and
bed assignment data of the transfer.
'_'
In addition to this user-related parameter, this release give you the possibility to
control the proposed values in relation to movement type. You control this using an
indicator in the Room/Bed Prop. field in the IMG activity Define Movement Types (the
field is only active with movement category 3 (transfer).
The following dependencies exist between the user parameter and this indicator:
NOV
Change*
Behavior
blank
set
yes
no proposal
blank
set
no
proposal**
blank
not set
yes
not cleared
blank
not set
no
cleared
'X'
set
--
no proposal, nothing
cleared
'X'
not set
--
no proposal, nothing
cleared
23
The proposed values are based on the transfer type in the transactions Create
Transfer (NV11) and Change Transfer (NV12) and on the settings you made in the
IMG activity Define Movement Types.
The proposed values relate to the following fields in the transactions mentioned
above:
Room
Room Identifier
Bed
Bed Identifier
Nursing organizational unit (OU) and the four hierarchy fields for the nursing OU.
Effects on Customizing
In the IMG activity Define Movement Types, stipulate for which transfer types the
room and bed assignment should be active.
For more information about this, see Patient Management Movements Define
Movement Types in the IS-H Implementation Guide.
Outpatient Case
EnjoySAP Admission (Changed)
see p. 22.
interface documentation
method documentation
24
Patient.GetCaseList
For a specified institution and patient number, this BAPI returns a list of all the
cases for the patient in question. The canceled cases can also be displayed by
setting the appropriate indicator. The admitting and discharging organizational
units together with the date and time of admission and discharge have been
added to the case data.
Patientcase.GetPatCaseList
This BAPI provides the same functionality as the above mentioned BAPI for the
patient. However, the case number is also passed to the interface as a selection
option. The patient is determined in relation to this case number, and the
corresponding cases are output in a list.
Patientcase.GetDetail
For a specified case number and institution, this BAPI returns all of the data for
the given case along with the relevant text fields.
Patientcase.GetMovementList
For a specified institution and case number, this BAPI returns a list of all of the
movements for the case in question.
Furthermore, all BAPIs return tables in which any problems encountered are listed as
messages.
See also
For further information about authorizations and functionality, refer to the
documentation for the BAPIs.
25
Effects on Customizing
In the IS-H Implementation Guide, you access the maintenance of the input types by
choosing SAP Healthcare Industry-Specific Components for Hospitals Basic
Settings Screen Control Maintain Screen Modification. Two new columns have
been added to the table:
26
This BAdI replaces the SAP enhancement NR160003; it lets you modify the entry in
the daily schedule and also supply a long text that the system outputs as the quick
info for the entry.
For further information, see under SAP Healthcare Industry-Specific Components
for Hospitals Patient Management Scheduling Scheduling of Visit
Appointments BAdI: Change Appointment (or Time Slot) Text in Appointment
Overview in the IS-H Implementation Guide.
NAPP_ERR_POPUP_TOP
Appointment dialog: Upper position of the error dialog box
NAPP_ERR_POPUP_LEFT
Appointment dialog: Left position of the error dialog box
NATSL_ERR_POPUP_TOP
Appointment list: Upper position of the error dialog box
NATSL_ERR_POPUP_LEFT
Appointment list: Left position of the error dialog box
27
Moreover, as concerns the definition of planning objects and their time slots, the list
of planning objects for a treatment organizational unit is output using the SAP List
Viewer (ALV). You can now maintain the planning object data and the time slot data
in this list by means of hotspot functions.
28
Medical/Nursing Documentation
Basic Medical/Nursing Documentation
Field Catalog
The column selection for the view type "Coding Analyses" has been enhanced as
follows:
29
See also
For more information, refer to the release notes entitled DE: DRG Billing According
to Option Model 2003 and DE: Billing of Flat Rates per Case According to KFPV (not
available in English).
30
See also
For further information about authorizations and functionality, refer to the
documentation for the BAPI.
Case data
Patient data
Movement data
Procedure data
Diagnosis data
DRG data
The system calls the BAdI when the Check and Save functions are executed.
You have to activate the BAdI.
See also
You'll find further information about the BAdI in the IS-H Implementation Guide under
SAP Healthcare Industry-Specific Components for Hospitals Medical/Nursing
Documentation Business Add-Ins for Medical/Nursing Documentation BAdI:
Check Medical Documentation in NPDRG2.
You'll find information about activating a BAdI in the SAP Library under SAP Web
Application Server ABAP Workbench Changing the SAP Standards
Business Add-Ins.
The table NLOP has already been superseded by the following tables:
The data in the table NICP2 was already remapped to the table NICP in SAP Patient
Management Release 4.62. The table NICP contains case-related procedures,
surgery-related procedures and DRG-relevant procedures.
31
The tables mentioned above will be deleted with the next release.
For this reason, these tables must no longer be used in programs or reports as of the
next release. If needs be, modify customer-specific programs/reports.
32
Patient Accounting
General Information
33
Services
Rule types: for the rule type R2, the indicator A (IS-H: Indicator that Rule Type
Supports Actions) is now set.
Callup Points (unchanged): for the callup points, the indicator A (IS-H: Indicator
that Rule Type Supports Actions) is set.
In the IMG activity, you can modify the institution-related data to satisfy your
individual requirements by choosing Callup Points Institution-Specific Check
Procedure Service Actions.
34
The service rule takes into account the 30-day rule as follows:
If a patient is accommodated in long-term accommodation and in an acute
care facility within the same month, the service rule creates a long-term
accommodation services for each day spent in long-term accommodation.
The same applies if the patient is discharged before the end of the month.
If the patient spends a whole or several month(s) in long-term
accommodation, the service rule creates the following services:
For months with 30 days (e.g. April, June), the system creates a long-term
accommodation service for each day in the month.
For months with 31 days (e.g. January, March), the system creates a longterm accommodation service for each of the first 30 days in the month. The
system doesn't create a long-term accommodation service for the 31st day.
For February, the system creates a long-term accommodation service for
each day and at the last day in February, rounds the number of days up to
30: in leap years (February has 29 days), the system sets the quantity of the
long-term accommodation service for February 29 to "2". If the year is not a
leap year, the system sets the quantity to "3".
The service rule obeys the following rules in relation to transfers and
movements:
The service rule does not create a long-term accommodation service on the
last day of the movement. For transfers, the midnight census logic applies: if
the transfer takes place before midnight, the service rule does not create a
long-term accommodation service but a service defined by the movement.
The service rule does not create a long-term accommodation service on the
discharge day.
The service rule creates long-term accommodation services during absences
and outpatient visits.
For transfers within long-term accommodation, the service rule only creates
a new long-term accommodation service if the transfer causes the treatment
category to change.
Transfers can be performed between acute care and long-term
accommodation. If this happens part way through a month, the 30-day rule
does not apply.
You can activate the service rule for the following callup points:
35
Effects on Customizing
In the IMG activity Define Long-Term Accommodation Services, specify the
immediate service you wish to use as the long-term accommodation service.
For more information about this, see Patient Accounting Service Rules Define
Long-Term Accommodation Services in the IS-H Implementation Guide.
For each treatment category you use in the long-term accommodation area, add a
long-term accommodation service in the IMG activity Assign Services to Treatment
Categories.
For more information about this, see Patient Accounting Treatment Categories
Assign Services to Treatment Categories in the IS-H Implementation Guide.
Activate the service rule R13 for the desired callup points in the IMG activity Define
Rule Types and Maintain Check Procedure.
For more information about this, see Patient Accounting Service Rules Define
Rule Types and Maintain Check Procedure in the IS-H Implementation Guide.
36
ss_tdobject = 'NLEI'
ss_tdid = '0001'
ss_tdname = <EINRI><FALNR><LNRLS><ID>
" <ID> = '01' for multiplication factor reason
" = '02' for comment
SS_KZTXT = <short text>
" NLEI-BEGTX for multiplication factor reason
" NLEI-REMRK for comment
ss_lgtxt = ' '
ss_langu = <language>
" NLEI-BEGKZ for multiplication factor reason
" NLEI-REMKZ for comment
You can tell whether a SAPscript text exists or not from the related language
indicator (NLEI-BEGKZ or NLEI-REMKZ). If the corresponding field is empty, there is
not text.
AT: Service Rule A15 Max. Values for Groups w/o Ins. Relationships
Use
This release note is relevant for the country version Austria only. Documentation is
not available in English.
Insurance Verification
CH: Changes in Insurance Verification (Changed)
Use
This release note is relevant for the country version Switzerland only. Documentation
is not available in English.
37
Billing
38
39
See also
For further information, refer to the documentation for the reports:
Master Data
Closet (New)
Use
SAP Patient Management Release 4.71 lets you depict closets to be used with the
OU-related material requisition function.
A closet is usually divided into storage locations with shelves and bins that you can
use as "addresses" for a rational replenishment process.
This is taken into account as follows in the OU-related material requisition function:
In previous releases, the system took the order quantity and order unit from the
default values when a material was entered. If the material wasn't on the default list,
the system took the quantity and unit from the catalog, as standard.
40
With this release, the system first checks if the material you're entering is contained
in a closet assigned to the requesting organizational unit. If this is the case, the
system takes the order quantity and order unit from here and transfers these values
into the material requisition. The system also transfers the address of the storage
location into the Goods Recipient field. In this way, the storage location address of a
material is available, for example, for output on a goods issue/goods receipt slip.
Effects on Customizing
Make the relevant settings for the closets in the IMG activity Define Closet.
Material Requisition
Procurement Type and Document Type Determination (New)
Use
SAP Patient Management Release 4.71 makes available to you the IMG activity
Determine Procurement Types and Document Types. This IMG activity lets you
determine how a material, which is requested using the material requisition function,
is procured for a specific institution.
In previous releases, the material type of the material to be requested determined
whether a material requisition was created from SAP Patient Management as a
reservation or a purchase requisition in Materials Management. Reservations were
created for materials kept in stock and purchase requisitions for materials not kept in
stock.
The new IMG activity enables this decision to be made more flexibly on the basis of
the following parameters:
Institution
Requesting organizational unit
Material
Issuing point
If you wish even greater flexibility in controlling the procurement type and document
type, this release makes available to you the Business Add-In (BAdI) IS-H MM:
Procurement Type/Document Type Determination (ISH_MM_DOCTYPE).
Effects on Existing Data
The Doc.Type PReq parameter to be set in the basic settings for Materials
Management in SAP Patient Management is obsolete. You now have to set this
parameter using the new document type determination.
After upgrading to the new release, you don't have to perform any activities on
account of the new functionality. An XPRA applies the Customizing settings so that
the material requisition functions as in previous releases.
41
42
Information System
Business Information Warehouse Interface
43
Communication
Communication with Systems Outside the Hospital
You can still access the outbound and inbound worklists using the transaction
codes NEDIOUT and NEDIIN respectively.
See also
For detailed information about the functions, refer to the documentation for the EDI
Worklist.
external error: the system sets this file status when it rejects a file.
ok, completed: the system sets this file status when it has uploaded a file.
If the system rejects a file more than once, a separate file management record is
kept for each rejection. The system renames rejected files in the file system to avoid
collisions with corrected files received at a later date. You'll find the renamed files in
the file overview.
Effects on Existing Data
During the release upgrade, the XPRA RNXPRA471_1 automatically checks all EDI
inbound file management records of the current and previous years for incorrect
error status specifications and corrects these, if needs be.
See also
You'll find more information in the SAP note 540729, which provided you with this
functionality in advance of the current release.
44
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Tools
General Information
46