Patient Registration [RAD-1]

AdvaPACS implements the Patient Registration [RAD-1] transaction. The source documentation from IHE can be found here.

Supported Versions

AdvaPACS supports HL7 version 2.3.1 and 2.5.1.

Supported Trigger Events

• ADT^A01
• ADT^A04
• ADT^A05
• ADT^A08
• ADT^A11
• ADT^A38

Expected Actions

A01, A04, A05 - will create a new Patient record if a Patient matching the provided Patient ID(s) can not be located. Ignored if there is an existing record.

A11, A38 - will attempt to delete a Patient record if found. The Patient will only be deleted if there are no resources associated with it.

A08 - will update an existing Patient. If no Patient is found by the provided Patient ID(s) then the message will be ignored.

Message Semantics

Required segments for ADT^* messages.

ADT	Description
MSH	Message Header
EVN	Event Type
PID	Patient Identification
PV1	Patient Visit

MSH

SEQ	LEN	DT	OPT	TBL#	ITEM #	ELEMENT NAME	Used by AdvaPACS
1	1	ST	R		00001	Field Separator	✅
2	4	ST	R		00002	Encoding Characters	✅
3	180	HD	R+		00003	Sending Application	✅
4	180	HD	R+		00004	Sending Facility	✅
5	180	HD	R+		00005	Receiving Application	✅
6	180	HD	R+1		00006	Receiving Facility	✅
7	26	TS	R		00007	Date/Time Of Message	✅
8	40	ST	O		00008	Security
9	13	CM	R	0076/0003	00009	Message Type	✅
10	20	ST	R		00010	Message Control ID	✅
11	3	PT	R		00011	Processing ID	✅
12	60	VID	R		00012	Version ID
13	15	NM	O		00013	Sequence Number
14	180	ST	O		00014	Continuation Pointer
15	2	ID	O		00015	Accept Acknowledgment Type	✅
16	2	ID	O		00016	Application Acknowledgment Type	✅
17	3	ID	O		00017	Country Code
18	16	ID	O		00692	Character Set
19	250	CE	O		00693	Principal Language Of Message
20	20	ID	O		01317	Alternate Character Set Handling Scheme

EVN

SEQ	LEN	DT	OPT	TBL#	ITEM #	ELEMENT NAME	Used by AdvaPACS
1	3	ID	O	0003	00099	Event Type Code	✅
2	26	TS	R		00100	Recorded Date/Time	✅
3	26	TS	O		00101	Date/Time Planned Event
4	3	IS	O	0062	00102	Event Reason Code
5	60	XCN	O	0188	00103	Operator ID
6	26	TS	R2		01278	Event Occurred

Field EVN-1 Event Type Code is optional; however, if present, its value shall be equal to the second component of the field MSH-9 Message Type.

PID

All the fields are optional, except those listed below.

SEQ	LEN	DT	OPT	TBL#	ITEM #	ELEMENT NAME	Used by AdvaPACS
1	4	SI	O		00104	Set ID - Patient ID	✅
3	20	CX	R		00106	Patient Identifier List	✅
5	48	XPN	R		00108	Patient Name	✅
7	26	TS	R2		00110	Date/Time of Birth	✅
8	1	IS	R	0001	00111	Sex	✅
13	40	XTN	O			Phone Number - Home	✅
29	26	TS	O		00740	Patient Death Date and Time	✅
30	1	ID	O	0136	00741	Patient Death Indicator	✅

If the Assigning Authorities feature of AdvaPACS is enabled, Patient IDs must include Assigning Authority. The first subcomponent (namespace ID) of Assigning Authority shall be populated. If the second and third subcomponents (universal ID and universal ID type) are also populated, they shall reference the same entity as is referenced in the first subcomponent.

PV1

All the fields are optional, except those listed below.

SEQ	LEN	DT	OPT	TBL#	ITEM #	ELEMENT NAME	Used by AdvaPACS
1	4	SI	O		00131	Set ID - PV1	✅
2	1	IS	R	0004	00132	Patient Class	✅
8	60	XCN	C	0010	00138	Referring Doctor	✅
19	20	CX	C		00149	Visit Number	✅