Since custo diagnostic 4.0, custo diagnostic supports a Tenant System. The Tenant is a logical unit under which or for whom the in custo diagnostic logged in user works. In a hospital e.g. a department can be a Tenant. In opposite to the multi-database system (each custo diagnostic user has his own patient demographics database), the Tenant System always has only one patient demographics database in which all patients of all tenants are stored. This is better than the multi-database system in that the patient only has to be included in custo diagnostic once and not in every single diag patient master database.
Note: Since custo diagnostic 4.6.x a multi-database system is not longer supported.

Enable Tenant System

The Tenant System is automatically enabled if the License Option "Mehrmandantensystem" is activated.

Creating a Tenant

A Tenant must be created in the user menu of the custo manager:

Start with User "Supervisor" 1, Client Administration 2, New Client 3, write the Name 4 and confirm with 5+6



Assign a User to a Tenant:

1 Select  Client Administration in the User Page, 2 Select Client and 3 available the User and Click "Save and End"


Selected Tenant and the User in 4 Steps

1 Select "Supervisor" and than the User Page, 2 double click of the new User and 3 available the Tenant in the Log-in Dialogue

The result Display of the user with the Tenant:

Only if the current client is the default client will this ad fail.


How does the Tenant System work?

A tenant is a logical summary of multiple users. This summary is evaluation-related.
Evaluation-related means:
Each user belonging to the same tenant can "see" the evaluation that a user created for this tenant. Users who do not belong to these tenants can not see these evaluations. However, the patients are global, all users of all tenants can see all patient data and work with them. Orders imported in an HL7 system are assigned to a tenant during import (default Ident is "MSH-6"), so only users belonging to these tenants can see and execute these orders. After logging in to custo diagnostic, the user has access to all patients in the entire system, but only sees the evaluations (in the patient's evaluation list) that were created under the tenant for which the user was assigned. Evaluations of the patient that have been created with users of other tenants are not visible in the evaluation list. If the setting "CSC -> Database\Client\EnableMultipleClientRelationshipView" is activated (this is deactivated by default), then the user sees all evaluations of the patient of all tenants to whom he has access (or is assigned to). This is the 1-to-n illustration of the evaluations and can optionally be activated. The functionality behind this setting can be used for users who have to work for multiple tenants (to report some evaluations, eg. in a hospital with multiple departments). For the User "Supervisor" this restriction does not apply, this continues to see all evaluations of all patients. Each newly created evaluation in the database is stored with an internal identifier for the respective current tenant, thus defining the "tenant affiliation" of the evaluation. Only the users who have been configured for this tenant can see this evaluation.

Tenant System specific Settings

The following Setting are available for the tenant system:

CSC SettingDescriptionDefault
Datenbank\Client\EnableMultipleClientRelationshipView

Specify which evaluations the current user can see. Either only the Evaluations of the currently selected Tenant or the Evaluations of all Tenants on which the User has access.

false

Example:

Setting is "false"

Now only the Evaluations of the selected Tenant are shown.


Setting is "true" 

Now all the Evaluations of all Tenants where the User has access are shown. Its doesnt matter which Tenant is selected at this Time.