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These IDs are processed as a string - not as an numeric value. This means - a patient "0001234" is not the same as patient "1234".  

Creating and Updating Patient / Visit

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information

custo diagnostic accepts by default the following message types (further message types can be defined)

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In case a patient/visit already exists in custo diagnostic, it is updated by default by each ADT message.  (see "Null Value").

Discharge Patient / Visit

When receiving a discharge message (A03) - open observation requests (orders) are deleted.  

PV1-45 is used to set the discharge date of the patient.   ##bitte prüfen - ich glaube es wird nicht der zeitstempel der nachricht/des events verwnedet, sonddern eben pv1-45)

Tenant System

Tenant Systems can be configured in different ways to separate observation and/or patients/visits. 

The tenant system must be defined, by default the tenant information is expected in MSH-6 by custo diagnostic, and will be send back in MSH-4.

This must be a biunique definition, meaning one specific code for MSH-6 should point to one specific tenant and vice versa. In case several facilities should be part of one tenant in custo diagnostic, we strictly recommend to solve this on the HIS side.

Sample:

This means, an By default, we send back the tenant code in MSH-4.

Order Data Logic

custo diagnostic receives orders and show them as a worklist to the users. One order is (by default) identified by the Placer Number, and may contain serveral observation requests, identified by Alternate Order ID. 

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