Update Patient Demographic Record Workflow

Overview

This transaction allows the Point-of-Service (PoS) systems to update a patient record in the client registry. The following sequence diagram shows the steps involved.

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
Standards*		ADT^A08 - IHE ITI-8 Transactions
Assumptions and Prerequisites		The Point-of-Service 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 Patient to be updated is assumed to already exist in the Client Registry.
Actors		PoS - The point of care 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

The following is a description of the interaction steps.

#	Interaction	Data	Transaction Options
1	Update patient	The format of the message is specified by the ITI-8 IHE PIX v2 transaction and takes the form of an HL7v2.3.1 A08 message. The message may include both identifiers and demographic attributes for the patient to be updated.	PIF ITI-8 transaction ADT^A08 Patient Identity Feed IHE ITI-8 Transactions
2	Update patient	The message from the Point-of-Service system is passed directly through to the CR by the IL.	PIF ITI-8 transaction ADT^A08 Patient Identity Feed IHE ITI-8 Transactions
3	Acknowledge patient updated	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
4	Acknowledge patient updated	The message from the CR is passed directly through to the PoS by the IL.	PIF ITI-8 transactions HL7 ACK Patient Identity Feed IHE ITI-8 Transactions