ADT A28 - Create Patient Record
If I'm reading the documentation correctly there is no difference at the PKB end between this and A31 (Update Patient Record) from the PKB perspective. If there is an existing record it will be updated and if not one will be created. The update seems to involve the replacement of any existing data so would require the full record to be sent each time.
Message Specification
Segment | Field | Component | Notes | UKRDC DB Location |
---|---|---|---|---|
MSH | See MSH Page | |||
PID | See PID Page | |||
AL1 | Allergy | N/A | ||
DG1 | ||||
DG1-3 | Diagnosis | |||
DG1-3.1 | Diagnosis Code | diagnosis.diagnosiscode | ||
DG1-3.2 | Diagnosis Text | diagnosis.diagnosisdesc | ||
DG1-3.3 | Diagnosis Coding Standard | diagnosis.diagnosiscodestd | ||
DG1-3.4 | Diagnosis Alternate Code | N/A | ||
DG1-3.5 | Diagnosis Alternate Text | N/A | ||
DG1-3.6 | Diagnosis Alternate Coding Standard | N/A | ||
DG1-5 | Diagnosis Timestamp | |||
DG1-5.1 | Diagnosis Timestamp | diagnosis.identificationtime | ||
DG1-6 | Diagnosing Clinician | N/A | ||
ZRX | Medication | |||
ZRX-1 | Quantity / Timing | |||
ZRX-1.2 | Repeat Pattern | medication.frequency | ||
ZRX-1.4 | Start Timestamp | medication.fromtime | ||
ZRX-1.5 | End Timestamp | medication.totime | ||
ZRX-2 | Product | |||
ZRX-2.1 | Medication code | ??? | ||
ZRX-2.2 | Medication Text | medication.drugproductgeneric | ||
ZRX-2.3 | Medication Coding System | ??? | ||
ZRX-2.4 | Medication Alternate Code | N/A | ||
ZRX-2.5 | Medication Alternate Text | N/A | ||
ZRX-2.6 | Medication Alternate Coding System | N/A | ||
ZRX-3 | Dose Quantity | |||
ZRX-3.1 | Dose Quantity | medication.dosequantity | ||
ZRX-5 | Units | |||
ZRX-5.1 | Unit Code | medication.dosequantitycode | ||
ZRX-5.2 | Unit Text | medication.dosequantitydesc | ||
ZRX-5.3 | Unit Coding System | medication.dosequantitycodestd | ||
ZRX-5.4 | Unit Alterate Code | N/A | ||
ZRX-5.5 | Unit Alternate Text | N/A | ||
ZRX-5.6 | Unit Alternate Coding System | N/A | ||
ZRX-7 | Instructions | N/A | ||
ZRX-13 | Source Information | N/A |