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determine WebPAS message type;

In MSH segment check the 9th field, this is meant to contain

<message type (ID)> ^ <trigger event (ID)>

(see https://www.hl7.org/documentcenter/public_temp_B5A64101-1C23-BA17-0C953B25BD420909/wg/conf/HL7MSH.htm)

our PAS is a knob and has it like this instead:

Message	Description	Message Type
A01	Admit a Patient	ADT^A01^ADT_A01
A02	Transfer a Patient	ADT^A02^ADT_A02
A03	Discharge a Patient	ADT^A03^ADT_A03
A05	Pre-admit a Patient	ADT^A05^ADT_A01
A08	Update patient Information	ADT^A08^ADT_A01
A11	Cancel Admit	ADT^A11^ADT_A09
A12	Cancel Transfer	ADT^A12^ADT_A12
A13	Cancel Discharge	ADT^A13^ADT_A01
A14	Pending Pre-Admission	ADT^A14^ADT_A01
A21	On Leave	ADT^A21^ADT_A02
A22	Return from Leave	ADT^A22^ADT_A02
A27	Cancel Pending Pre-Admission	ADT^A27^ADT_A02
A28	Add Person Information	ADT^A28^ADT_A28
A31	Update person Information	ADT^A31^ADT_A01 OR ADT^Axx^ADT_01 when using alternate “A” message
A34	Merge Person Information (Patient ID Only)	ADT^A34^ADT_A30
A44	Change U/R for a Visit	ADT^A44^ADT_A43
M02	Practitioner Message	MFN^M02^MFN_M02
S12	Notification of New Appointment Booking	SIU^S12^SIU_S12
S14	Notification of Appointment Modification	SIU^S14^SIU_S12
S15	Notification of Appointment Cancellation	SIU^S15^SIU_S12

Just check the first two fields.  The second appears to indicate the event that raised the message, for example admitting someone in PAS (admission event = A01) may send out:

preadmit message ADT^A05^ADT_A01
then update patient info ADT^A31^ADT_A01
then admission message ADT^A01^ADT_A01

The ADT events we mostly care about:

A01 Admit / visit notification
A02 Transfer a patient
A03 Discharge/end visit
A04 Registration (e.g. ED visit where not admitted)
A05 Pre-admit a patient
A08 Update patient information
A18 Merge patient information
A19 QRY/ADR - Patient query
A31 Update person information
A34 Merge patient information - patient I

full list

The ED Whiteboard thing

Ok, here is the ED whiteboard* overview:

(* calling it a whiteboard is kind of misleading, it's just called that because it replaces a real whiteboard that people draw on with those nice smelling pens I covertly sniff while in meetings.  It's probably better described as a ward & patient overview screen)

There are a heap of boxes. Each box represents a bed. These are laid out the same as the ED ward (i.e. this is basically a map of the ED).  These run on two 47 inch touchscreen monitors in the ward.

You are thrilled I am sure.

Reasons for having a map view rather than a big ol' table/grid:

• Can see wards status (e.g. occupancy) at a glance
• Easy to locate empty beds or areas that normally shouldn't be filled (overflow areas)
• Groups a patient's data together rather than smearing it across the page in a giant table 
• It's in the requirements :/

The big list of patients is all the folks who have been through triage and are in the PAS.  You smush your greasy finger against one of these patients and then smush it against one of the empty boxes.  This moves the patient!  Touchscreens huh, truly we are living in the future.

When the patient is in a room (or 'location', cause they aren't all rooms; some are chairs, some are just empty spots in the corridor (I am actually not joking)) you can see some more data about that patient:

It sure looks like a mess doesn't it.  It all is Very Important Information that I can't be bothered 'splaining right now.  Additionally, if you then smush your finger against a patient twice it will open a pop-up window:

Because doctors like to order things and have data their own way, the same data from the above is accessible through the clinical portal (concerto) in a grid:

Because I hate grids I made it not really look like a grid and instead look like a stack of sausages because I do like sausages.

Reasons for having a grid:

• Access the data through portal - cramming a map view on a desktop screen is madness
• You can order it however you want, e.g. show most urgent triage value at top

Click columns to sort the grid, or do advanced sorting which is still just clicking columns, but more than one column

And in a travesty of design you can also open the filters which should totally be attached to the column headers but aren't because I like to reinvent the wheel and confuse the users and also partly because I ran out of time