Admin: OHC identity seed

2026-07-04T23:08:37Z

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{{Doc header
|type=playbook
|domain=hmis
|title=Outpatient registration
|order=1
}}

Register a walk-in or scheduled outpatient at the hospital front desk. This playbook combines the [[Flows/Create a patient|create patient]] flow with HMIS-specific edge cases your registration team will hit in production.

== Flows involved ==

{| class="wikitable"
|-
! Order
! Flow
! Purpose
|-
| 1
| [[Flows/Create a patient
| Create a patient]]
|-
| 2
| Patient search & merge ''(coming soon)''
| Suspected duplicate before creating
|-
| 3
| Start OP encounter ''(coming soon)''
| Open today's visit after registration
|}

== Happy path ==

# Reception searches by phone or national ID.
# No match → '''Register new patient''' → complete demographics per facility questionnaire.
# Print OPD slip / token if enabled.
# Route patient to triage or consulting room encounter queue.

This matches the core [[Flows/Create a patient|create patient]] flow without additional configuration.

== Edge cases ==

=== Suspected duplicate ===

'''Symptom:''' Duplicate warning after entering name, DOB, and phone.

'''Action:'''

# Open the suggested match side-by-side.
# If same person → '''use existing record'''; do not create a second patient.
# If homonym → document override reason (when your facility requires it) and proceed.
# If unsure → escalate to registration supervisor; HMIS audit log retains the decision.

=== Unknown identity (emergency) ===

'''Symptom:''' Patient cannot provide name or ID (trauma, unconscious).

'''Action:'''

# Create a temporary record using your facility's '''unknown patient''' naming convention (e.g. <code>Unknown Male ED-042</code>).
# Assign emergency MRN; photograph identifying marks when possible.
# After identification, merge into a full demographic record ''(merge flow coming soon)''.

Requires <code>emergency_registration</code> permission on most HMIS deployments.

=== Phone-only intake ===

'''Symptom:''' Camp or rural OPD collects phone first; other fields arrive later.

'''Action:'''

# Register with phone + minimal demographics allowed by questionnaire.
# Flag record as '''incomplete demographics'''.
# Front desk completes remaining fields before billing or discharge workflows.

=== National health ID (ABDM / ABHA) ===

'''Symptom:''' Patient presents ABHA address or QR.

'''Action:'''

# Search by ABHA first.
# If found → link existing Care patient to ABHA identifier.
# If not found → create patient, then run '''ABDM link''' step post-registration ''(flow coming soon)''.

== Roles ==

{| class="wikitable"
|-
! Role
! Can
|-
| Registration clerk
| Search, create, update demographics
|-
| Registration supervisor
| Override duplicate warnings, merge records
|-
| Clinician
| Read demographics; cannot delete identifiers
|}

{{Related}}

Playbooks/HMIS/Playbooks/Outpatient registration - Revision history

Admin: OHC identity seed