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Provisional Emergency Admission
This page replaces the former "Rapid / Temp A&E Admission" article. The feature was renamed to Provisional Emergency Admission to align with standard clinical and HL7/NHS terminology for admissions where registration is incomplete at the time of admission.
A Provisional Emergency Admission allows emergency staff to get a patient into the system immediately, even when full demographic details (NIC, address, full name, date of birth) are not yet available. The admission is saved with a PROVISIONAL_EMERGENCY flag (RAPID_TEMP_AE internally), which signals to all other staff that the patient record is incomplete and needs to be followed up.
The patient's Registration Source is recorded as Walk-in (they physically arrived at the facility). The flag is at the encounter level — it describes the state of the registration, not the identity of the patient.
Use Provisional Emergency Admission when:
- A patient arrives at the Emergency / A&E department and needs to be admitted immediately
- Full patient identification is not available (e.g. unconscious patient, unaccompanied minor, unknown person)
- Staff need a BHT number and a system record created without delay
- Complete demographic details will be filled in once the patient is stabilised or identified
Do not use this as a routine shortcut to skip entering known patient details.
Path: Main Menu → Inward → Admit a Patient
- Open the admission form as normal.
- Enter whatever patient details are available (even a partial name is fine; leave the rest blank).
- Click the amber "Provisional Emergency Admit" button — this is separate from the primary green Admit button.
- A confirmation dialog opens: "Confirm Provisional Emergency Admission".
- Click "Confirm — Provisional Emergency Admit" to proceed.
The following fields are not required and are skipped automatically:
| Skipped field | Notes |
|---|---|
| Room selection | Assign a room later via Room Change |
| Payment method | Set later when editing admission details |
| Referring consultant | Fill in when editing admission details |
| Medical officer | Fill in when editing admission details |
| Referral details | Fill in when editing admission details |
| Guardian details | Fill in later |
| Patient demographics | Blank Name / Address are filled with placeholder values ("Unidentified Patient" / "Unknown") |
A BHT number is generated and the admission is created immediately.
Once the patient is identified and demographics are available, open the Admission Profile. A prominent amber warning banner is shown:
Provisional Emergency Admission — patient demographics may be incomplete. Please add the patient data, or change to the correct patient if this is a duplicate record.
The banner offers four action buttons:
| Button | What it does |
|---|---|
| Add Patient Data | Opens the Patient Edit page so you can fill in NIC, full name, address, date of birth, and contact details |
| Edit Admission Details | Opens the Admission Edit page to add consultant, medical officer, payment method, room, and referral details |
| Change Patient | Reassigns this BHT to a different (existing) patient record — use this if the temporary patient turns out to be a duplicate (see below) |
| Mark as Verified | Clears the Provisional Emergency flag once all details have been confirmed; the warning banner disappears and the admission is marked as a standard admission |
- Click Add Patient Data → fill in all available demographic details → save.
- Click Edit Admission Details → add consultant, medical officer, payment method, and room → save.
- Verify the information is correct.
- Click Mark as Verified → the amber banner disappears.
If, after creating a provisional registration, you find the patient already exists in the system:
- Click Change Patient in the warning banner.
- The system goes directly to the Change Patient page with this admission pre-selected — you do not need to search for the admission again.
- Search for the correct existing patient, select them, and confirm the change.
- After confirming, you are returned directly to the Admission Profile for the updated admission.
- Retire the temporary patient record using the standard patient management tools.
- Click Mark as Verified to close the banner.
See Inpatient — Change Patient for Admission for full details.
- The "Provisional Emergency Admit" button is shown in the panel header (amber, with a truck-medical icon), separate from the primary Admit button.
- An amber warning banner is displayed at the top of the page.
- Four action buttons are available: Add Patient Data, Edit Admission Details, Change Patient, Mark as Verified.
- A "Provisional Emergency" amber badge is shown in the patient summary panel header.
- A "Provisional Emergency" amber badge (truck-medical icon) appears next to the patient name in the search results table, making these admissions easy to identify at a glance.
- Staff can scan the list to find all pending provisional admissions and track follow-up completion.
- The patient's Registration Source badge shows "Walk-in" (they physically arrived at the facility).
- No special patient-level flag is set — the incomplete-demographics state is tracked at the encounter level only.
- The
encounterRegistrationFlagfield onpatientencounterstoresRAPID_TEMP_AEfor these admissions (internal enum name; the user-visible label is "Provisional Emergency"). - The enum class is
com.divudi.core.data.inward.EncounterRegistrationFlag. - No configuration key is required — the feature is always available.
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patient.registrationSourceis set toWALK_INfor patients created via this workflow. - Placeholder text for blank Name and Address is configurable via:
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Inward Admission - Rapid Temp A&E Placeholder Name(default: "Unidentified Patient") -
Inward Admission - Rapid Temp A&E Placeholder Address(default: "Unknown")
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