Create Patient Demographic Record Workflow

Overview

This transaction allows a Point-of-Service (PoS) system to store a patient's demographics in the Client Registry. The following sequence diagram below shows the steps that occur during this transaction.

Workflow Maturity	Mature	Workflow is defined and ARB approved Workflow is supported by mature standards One or more OpenHIE implementations of this workflow exist in one or more countries
Standard(s) *		ADT^A01, ADT^A04, ADT^A05 - PIF IHE ITI-8 Transactions
Assumptions and Prerequisites		The Point-of-Service (PoS) system is a trusted application known by the HIE and it is registered with the interoperability layer to be able to send and receive data securely (Common message security workflow). The workflow will result in a positive acknowledgement message when the patient is successfully created in the Client Registry or if the patient already exists in the Client Registry. The workflow will not register a duplicate patent if the patient already exists in the Client Registry.
Actors		PoS - The point-of-service system that captures patient identifiers, is responsible for sending the identifiers to the HIE. IL - Mediates the transactions between the PoS system and the Client Registry. CR - Manages patient demographics and identifier details.

Interaction Description

#	Interaction	Data	Transaction Options
1	Register Patient (Demographics)	The message may include both identifiers and demographic attributes for the patient to be registered. The format of the message is specified by the ITI-8 IHE PIX v2 transaction and takes the form of an HL7v2.3.1 A01 (Admission of an in-patient into a facility), A04 (Registration of an outpatient for a visit of the facility), or A05 (registration of patient information ahead of actual admission) message depending on whether the message is the result of admitting and in-patient into a facility, registering an outpatient, or pre-admission of an in-patient.	PIF ITI-8 transactions ADT^A01, ADT^A04, ADT^A05 Patient Identity Feed IHE ITI-8 Transaction OR Patient Identity Feed IHE ITI-104 Transactions - FHIR Alternative Transactions
2	Register Patient (Demographics)	The message from the PoS is passed directly through to the CR by the IL.	PIF ITI-8 transactions ADT^A01, ADT^A04, ADT^A05 Patient Identity Feed IHE ITI-8 Transactions OR Patient Identity Feed IHE ITI-104 Transactions - FHIR Alternative Transactions
3	Acknowledge patient is in the CR	The response message is an HL7 ACK. See ITI TF-2x: C.2.3, "Acknowledgment Modes" for definition and discussion of the ACK message.	PIF ITI-8 transactions HL7 ACK Patient Identity Feed IHE ITI-8 Transactions OR Patient Identity Feed IHE ITI-104 Transactions - FHIR Alternative Transactions
4	Acknowledge patient is in the CR	The message from the CR is passed directly through to the Point-of-Service by the IL.	PIF ITI-8 transactions HL7 ACK Patient Identity Feed IHE ITI-8 Transactions OR Patient Identity Feed IHE ITI-104 Transactions - FHIR Alternative Transactions