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


SegmentFieldComponentNotesUKRDC DB Location
MSH

See MSH Page
PID

See PID Page
AL1

AllergyN/A
DG1




DG1-3
Diagnosis


DG1-3.1Diagnosis Codediagnosis.diagnosiscode


DG1-3.2Diagnosis Textdiagnosis.diagnosisdesc


DG1-3.3Diagnosis Coding Standarddiagnosis.diagnosiscodestd


DG1-3.4Diagnosis Alternate CodeN/A


DG1-3.5Diagnosis Alternate TextN/A


DG1-3.6Diagnosis Alternate Coding StandardN/A

DG1-5
Diagnosis Timestamp


DG1-5.1Diagnosis Timestampdiagnosis.identificationtime

DG1-6
Diagnosing ClinicianN/A
ZRX

Medication

ZRX-1
Quantity / Timing


ZRX-1.2Repeat Patternmedication.frequency


ZRX-1.4Start Timestampmedication.fromtime


ZRX-1.5End Timestampmedication.totime

ZRX-2
Product


ZRX-2.1Medication code???


ZRX-2.2Medication Textmedication.drugproductgeneric


ZRX-2.3Medication Coding System???


ZRX-2.4Medication Alternate CodeN/A


ZRX-2.5Medication Alternate TextN/A


ZRX-2.6Medication Alternate Coding SystemN/A

ZRX-3
Dose Quantity


ZRX-3.1Dose Quantitymedication.dosequantity

ZRX-5
Units


ZRX-5.1Unit Codemedication.dosequantitycode


ZRX-5.2Unit Textmedication.dosequantitydesc


ZRX-5.3Unit Coding Systemmedication.dosequantitycodestd


ZRX-5.4Unit Alterate CodeN/A


ZRX-5.5Unit Alternate TextN/A


ZRX-5.6Unit Alternate Coding SystemN/A

ZRX-7
InstructionsN/A

ZRX-13
Source InformationN/A