HL7 Service: Suppress Patient Updates by HL7 Messages of specified ty…

…pes #4626
dcm4che · Dec 5, 2024 · ae770ac · ae770ac
1 parent 07dea3b
commit ae770ac
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diff --git a/dcm4chee-arc-assembly/src/main/resources/ldap/apacheds/dcm4chee-archive.ldif b/dcm4chee-arc-assembly/src/main/resources/ldap/apacheds/dcm4chee-archive.ldif
@@ -1,11 +1,12 @@
-# Generated by Apache Directory Studio on November 19, 2024, 2:23:52 PM
+# Generated by Apache Directory Studio on December 5, 2024, 3:25:00 PM
 
 # SCHEMA "DCM4CHEE-ARCHIVE"
 dn: cn=dcm4chee-archive, ou=schema
 objectclass: metaSchema
 objectclass: top
 cn: dcm4chee-archive
 m-dependencies: dcm4che
+m-dependencies: system
 m-dependencies: dicom
 
 dn: ou=attributetypes, cn=dcm4chee-archive, ou=schema
@@ -6500,6 +6501,19 @@ m-equality: caseExactMatch
 m-syntax: 1.3.6.1.4.1.1466.115.121.1.15
 m-singleValue: TRUE
 
+dn: m-oid=1.2.40.0.13.1.15.110.3.487, ou=attributetypes, cn=dcm4chee-archive, ou
+ =schema
+objectclass: metaAttributeType
+objectclass: metaTop
+objectclass: top
+m-oid: 1.2.40.0.13.1.15.110.3.487
+m-name: hl7NoPatientUpdateMessageType
+m-description: Patient record will be not be updated by HL7 messages of specifie
+ d Message Type(s) (MessageType^TriggerEvent).
+m-equality: caseExactMatch
+m-substr: caseExactSubstringsMatch
+m-syntax: 1.3.6.1.4.1.1466.115.121.1.15
+
 dn: ou=comparators, cn=dcm4chee-archive, ou=schema
 objectclass: organizationalUnit
 objectclass: top
@@ -6585,6 +6599,7 @@ m-may: hl7ErrorLogFilePattern
 m-may: hl7OutgoingLogFilePattern
 m-may: hl7OutgoingErrorLogFilePattern
 m-may: hl7NoPatientCreateMessageType
+m-may: hl7NoPatientUpdateMessageType
 m-may: hl7UseNullValue
 m-may: hl7ImportReportAdjustIUID
 m-may: hl7PrimaryAssigningAuthorityOfPatientID
@@ -7350,6 +7365,7 @@ m-may: hl7ErrorLogFilePattern
 m-may: hl7OutgoingLogFilePattern
 m-may: hl7OutgoingErrorLogFilePattern
 m-may: hl7NoPatientCreateMessageType
+m-may: hl7NoPatientUpdateMessageType
 m-may: dcmUnzipVendorDataToURI
 m-may: dcmPurgeQueueMessagePollingInterval
 m-may: dcmPurgeQueueMessageFetchSize

diff --git a/dcm4chee-arc-assembly/src/main/resources/ldap/opendj/12-dcm4chee-archive.ldif b/dcm4chee-arc-assembly/src/main/resources/ldap/opendj/12-dcm4chee-archive.ldif
@@ -2371,6 +2371,11 @@ attributeTypes: ( 1.2.40.0.13.1.15.110.3.486 NAME 'dcmCheckExistFilePath'
   EQUALITY caseExactMatch
   SYNTAX 1.3.6.1.4.1.1466.115.121.1.15
   SINGLE-VALUE )
+attributeTypes: ( 1.2.40.0.13.1.15.110.3.487 NAME 'hl7NoPatientUpdateMessageType'
+  DESC 'Patient record will be not be updated by HL7 messages of specified Message Type(s) (MessageType^TriggerEvent).'
+  EQUALITY caseExactMatch
+  SUBSTR caseExactSubstringsMatch
+  SYNTAX 1.3.6.1.4.1.1466.115.121.1.15 )
 objectClasses: ( 1.2.40.0.13.1.15.110.4.4 NAME 'dcmArchiveDevice'
   DESC 'DICOM Archive Device related information'
   SUP top AUXILIARY
@@ -2532,6 +2537,7 @@ objectClasses: ( 1.2.40.0.13.1.15.110.4.4 NAME 'dcmArchiveDevice'
     hl7OutgoingLogFilePattern $
     hl7OutgoingErrorLogFilePattern $
     hl7NoPatientCreateMessageType $
+    hl7NoPatientUpdateMessageType $
     dcmUnzipVendorDataToURI $
     dcmPurgeQueueMessagePollingInterval $
     dcmPurgeQueueMessageFetchSize $
@@ -2837,6 +2843,7 @@ objectClasses: ( 1.2.40.0.13.1.15.110.4.11 NAME 'dcmArchiveHL7Application'
     hl7OutgoingLogFilePattern $
     hl7OutgoingErrorLogFilePattern $
     hl7NoPatientCreateMessageType $
+    hl7NoPatientUpdateMessageType $
     hl7UseNullValue $
     hl7ImportReportAdjustIUID $
     hl7PrimaryAssigningAuthorityOfPatientID $

diff --git a/dcm4chee-arc-assembly/src/main/resources/ldap/schema/dcm4chee-archive.schema b/dcm4chee-arc-assembly/src/main/resources/ldap/schema/dcm4chee-archive.schema
@@ -2847,6 +2847,12 @@ attributetype ( 1.2.40.0.13.1.15.110.3.486 NAME 'dcmCheckExistFilePath'
   SYNTAX 1.3.6.1.4.1.1466.115.121.1.15
   SINGLE-VALUE )
 
+attributetype ( 1.2.40.0.13.1.15.110.3.487 NAME 'hl7NoPatientUpdateMessageType'
+  DESC 'Patient record will be not be updated by HL7 messages of specified Message Type(s) (MessageType^TriggerEvent).'
+  EQUALITY caseExactMatch
+  SUBSTR caseExactSubstringsMatch
+  SYNTAX 1.3.6.1.4.1.1466.115.121.1.15 )
+
 objectclass ( 1.2.40.0.13.1.15.110.4.4 NAME 'dcmArchiveDevice'
   DESC 'DICOM Archive Device related information'
   SUP top AUXILIARY
@@ -3008,6 +3014,7 @@ objectclass ( 1.2.40.0.13.1.15.110.4.4 NAME 'dcmArchiveDevice'
     hl7OutgoingLogFilePattern $
     hl7OutgoingErrorLogFilePattern $
     hl7NoPatientCreateMessageType $
+    hl7NoPatientUpdateMessageType $
     dcmUnzipVendorDataToURI $
     dcmPurgeQueueMessagePollingInterval $
     dcmPurgeQueueMessageFetchSize $
@@ -3316,6 +3323,7 @@ objectclass ( 1.2.40.0.13.1.15.110.4.11 NAME 'dcmArchiveHL7Application'
     hl7OutgoingLogFilePattern $
     hl7OutgoingErrorLogFilePattern $
     hl7NoPatientCreateMessageType $
+    hl7NoPatientUpdateMessageType $
     hl7UseNullValue $
     hl7ImportReportAdjustIUID $
     hl7PrimaryAssigningAuthorityOfPatientID $

diff --git a/dcm4chee-arc-assembly/src/main/resources/ldap/slapd/dcm4chee-archive.ldif b/dcm4chee-arc-assembly/src/main/resources/ldap/slapd/dcm4chee-archive.ldif
@@ -2370,6 +2370,11 @@ olcAttributeTypes: ( 1.2.40.0.13.1.15.110.3.486 NAME 'dcmCheckExistFilePath'
   EQUALITY caseExactMatch
   SYNTAX 1.3.6.1.4.1.1466.115.121.1.15
   SINGLE-VALUE )
+olcAttributeTypes: ( 1.2.40.0.13.1.15.110.3.487 NAME 'hl7NoPatientUpdateMessageType'
+  DESC 'Patient record will be not be updated by HL7 messages of specified Message Type(s) (MessageType^TriggerEvent).'
+  EQUALITY caseExactMatch
+  SUBSTR caseExactSubstringsMatch
+  SYNTAX 1.3.6.1.4.1.1466.115.121.1.15 )
 olcObjectClasses: ( 1.2.40.0.13.1.15.110.4.4 NAME 'dcmArchiveDevice'
   DESC 'DICOM Archive Device related information'
   SUP top AUXILIARY
@@ -2531,6 +2536,7 @@ olcObjectClasses: ( 1.2.40.0.13.1.15.110.4.4 NAME 'dcmArchiveDevice'
     hl7OutgoingLogFilePattern $
     hl7OutgoingErrorLogFilePattern $
     hl7NoPatientCreateMessageType $
+    hl7NoPatientUpdateMessageType $
     dcmUnzipVendorDataToURI $
     dcmPurgeQueueMessagePollingInterval $
     dcmPurgeQueueMessageFetchSize $
@@ -2836,6 +2842,7 @@ olcObjectClasses: ( 1.2.40.0.13.1.15.110.4.11 NAME 'dcmArchiveHL7Application'
     hl7OutgoingLogFilePattern $
     hl7OutgoingErrorLogFilePattern $
     hl7NoPatientCreateMessageType $
+    hl7NoPatientUpdateMessageType $
     hl7UseNullValue $
     hl7ImportReportAdjustIUID $
     hl7PrimaryAssigningAuthorityOfPatientID $

diff --git a/...chee-arc-conf-json/src/main/java/org/dcm4chee/arc/conf/json/JsonArchiveConfiguration.java b/...chee-arc-conf-json/src/main/java/org/dcm4chee/arc/conf/json/JsonArchiveConfiguration.java
@@ -327,6 +327,7 @@ protected void storeTo(Device device, JsonWriter writer) {
         writer.writeNotNullOrDef("hl7ScheduledStationAETInOrder", arcDev.getHL7ScheduledStationAETInOrder(),
                 null);
         writer.writeNotEmpty("hl7NoPatientCreateMessageType", arcDev.getHL7NoPatientCreateMessageTypes());
+        writer.writeNotEmpty("hl7NoPatientUpdateMessageType", arcDev.getHL7NoPatientUpdateMessageTypes());
         writer.writeNotNullOrDef("dcmAuditUnknownStudyInstanceUID",
                 arcDev.getAuditUnknownStudyInstanceUID(), ArchiveDeviceExtension.AUDIT_UNKNOWN_STUDY_INSTANCE_UID);
         writer.writeNotNullOrDef("dcmAuditUnknownPatientID",
@@ -1973,6 +1974,9 @@ private void loadFrom(ArchiveDeviceExtension arcDev, JsonReader reader, Configur
                 case "hl7NoPatientCreateMessageType":
                     arcDev.setHL7NoPatientCreateMessageTypes(reader.stringArray());
                     break;
+                case "hl7NoPatientUpdateMessageType":
+                    arcDev.setHL7NoPatientUpdateMessageTypes(reader.stringArray());
+                    break;
                 case "dcmAuditUnknownStudyInstanceUID":
                     arcDev.setAuditUnknownStudyInstanceUID(reader.stringValue());
                     break;

diff --git a/...e-arc-conf-json/src/main/java/org/dcm4chee/arc/conf/json/JsonArchiveHL7Configuration.java b/...e-arc-conf-json/src/main/java/org/dcm4chee/arc/conf/json/JsonArchiveHL7Configuration.java
@@ -76,6 +76,7 @@ public void storeTo(HL7Application hl7App, Device device, JsonWriter writer) {
         writer.writeNotNullOrDef("hl7ScheduledProtocolCodeInOrder", ext.getHL7ScheduledProtocolCodeInOrder(), null);
         writer.writeNotNullOrDef("hl7ScheduledStationAETInOrder", ext.getHL7ScheduledStationAETInOrder(), null);
         writer.writeNotEmpty("hl7NoPatientCreateMessageType", ext.getHL7NoPatientCreateMessageTypes());
+        writer.writeNotEmpty("hl7NoPatientUpdateMessageType", ext.getHL7NoPatientUpdateMessageTypes());
         writer.writeNotNull("hl7UseNullValue", ext.getHL7UseNullValue());
         writer.writeNotNullOrDef("hl7PrimaryAssigningAuthorityOfPatientID",
                 ext.getHL7PrimaryAssigningAuthorityOfPatientID(), null);
@@ -171,6 +172,9 @@ private void loadFrom(ArchiveHL7ApplicationExtension ext, JsonReader reader, Con
                 case "hl7NoPatientCreateMessageType":
                     ext.setHL7NoPatientCreateMessageTypes(reader.stringArray());
                     break;
+                case "hl7NoPatientUpdateMessageType":
+                    ext.setHL7NoPatientUpdateMessageTypes(reader.stringArray());
+                    break;
                 case "hl7UseNullValue":
                     ext.setHL7UseNullValue(reader.booleanValue());
                     break;

diff --git a/...chee-arc-conf-ldap/src/main/java/org/dcm4chee/arc/conf/ldap/LdapArchiveConfiguration.java b/...chee-arc-conf-ldap/src/main/java/org/dcm4chee/arc/conf/ldap/LdapArchiveConfiguration.java
@@ -416,6 +416,8 @@ protected void storeTo(ConfigurationChanges.ModifiedObject ldapObj, Device devic
                 ext.getHL7ScheduledStationAETInOrder(), null);
         LdapUtils.storeNotEmpty(ldapObj, attrs, "hl7NoPatientCreateMessageType",
                 ext.getHL7NoPatientCreateMessageTypes());
+        LdapUtils.storeNotEmpty(ldapObj, attrs, "hl7NoPatientUpdateMessageType",
+                ext.getHL7NoPatientUpdateMessageTypes());
         LdapUtils.storeNotNullOrDef(ldapObj, attrs, "dcmAuditUnknownStudyInstanceUID",
                 ext.getAuditUnknownStudyInstanceUID(), ArchiveDeviceExtension.AUDIT_UNKNOWN_STUDY_INSTANCE_UID);
         LdapUtils.storeNotNullOrDef(ldapObj, attrs, "dcmAuditUnknownPatientID",
@@ -812,6 +814,7 @@ protected void loadFrom(Device device, Attributes attrs) throws NamingException
         ext.setHL7ScheduledStationAETInOrder(LdapUtils.enumValue(ScheduledStationAETInOrder.class,
                 attrs.get("hl7ScheduledStationAETInOrder"), null));
         ext.setHL7NoPatientCreateMessageTypes(LdapUtils.stringArray(attrs.get("hl7NoPatientCreateMessageType")));
+        ext.setHL7NoPatientUpdateMessageTypes(LdapUtils.stringArray(attrs.get("hl7NoPatientUpdateMessageType")));
         ext.setAuditUnknownStudyInstanceUID(LdapUtils.stringValue(
                 attrs.get("dcmAuditUnknownStudyInstanceUID"), ArchiveDeviceExtension.AUDIT_UNKNOWN_STUDY_INSTANCE_UID));
         ext.setAuditUnknownPatientID(LdapUtils.stringValue(
@@ -1370,6 +1373,8 @@ protected void storeDiffs(ConfigurationChanges.ModifiedObject ldapObj, Device pr
                 aa.getHL7ScheduledStationAETInOrder(), bb.getHL7ScheduledStationAETInOrder(), null);
         LdapUtils.storeDiff(ldapObj, mods, "hl7NoPatientCreateMessageType",
                 aa.getHL7NoPatientCreateMessageTypes(), bb.getHL7NoPatientCreateMessageTypes());
+        LdapUtils.storeDiff(ldapObj, mods, "hl7NoPatientUpdateMessageType",
+                aa.getHL7NoPatientUpdateMessageTypes(), bb.getHL7NoPatientUpdateMessageTypes());
         LdapUtils.storeDiffObject(ldapObj, mods, "dcmAuditUnknownStudyInstanceUID",
                 aa.getAuditUnknownStudyInstanceUID(), bb.getAuditUnknownStudyInstanceUID(),
                 ArchiveDeviceExtension.AUDIT_UNKNOWN_STUDY_INSTANCE_UID);

diff --git a/...e-arc-conf-ldap/src/main/java/org/dcm4chee/arc/conf/ldap/LdapArchiveHL7Configuration.java b/...e-arc-conf-ldap/src/main/java/org/dcm4chee/arc/conf/ldap/LdapArchiveHL7Configuration.java
@@ -91,6 +91,7 @@ public void storeTo(ConfigurationChanges.ModifiedObject ldapObj, HL7Application
         LdapUtils.storeNotNullOrDef(ldapObj, attrs, "hl7ScheduledStationAETInOrder",
                 ext.getHL7ScheduledStationAETInOrder(), null);
         LdapUtils.storeNotEmpty(ldapObj, attrs, "hl7NoPatientCreateMessageType", ext.getHL7NoPatientCreateMessageTypes());
+        LdapUtils.storeNotEmpty(ldapObj, attrs, "hl7NoPatientUpdateMessageType", ext.getHL7NoPatientUpdateMessageTypes());
         LdapUtils.storeNotNullOrDef(ldapObj, attrs, "hl7UseNullValue", ext.getHL7UseNullValue(), null);
         LdapUtils.storeNotNullOrDef(ldapObj, attrs, "hl7PrimaryAssigningAuthorityOfPatientID",
                 ext.getHL7PrimaryAssigningAuthorityOfPatientID(), null);
@@ -168,6 +169,7 @@ public void loadFrom(HL7Application hl7App, Attributes attrs)
         ext.setHL7ScheduledStationAETInOrder(LdapUtils.enumValue(ScheduledStationAETInOrder.class,
                 attrs.get("hl7ScheduledStationAETInOrder"), null));
         ext.setHL7NoPatientCreateMessageTypes(LdapUtils.stringArray(attrs.get("hl7NoPatientCreateMessageType")));
+        ext.setHL7NoPatientUpdateMessageTypes(LdapUtils.stringArray(attrs.get("hl7NoPatientUpdateMessageType")));
         ext.setHL7UseNullValue(LdapUtils.booleanValue(attrs.get("hl7UseNullValue"), null));
         ext.setHL7PrimaryAssigningAuthorityOfPatientID(LdapArchiveConfiguration.toIssuer(
                 LdapUtils.stringValue(attrs.get("hl7PrimaryAssigningAuthorityOfPatientID"), null)));
@@ -262,6 +264,8 @@ public void storeDiffs(ConfigurationChanges.ModifiedObject ldapObj, HL7Applicati
                 aa.getHL7ScheduledStationAETInOrder(), bb.getHL7ScheduledStationAETInOrder(), null);
         LdapUtils.storeDiff(ldapObj, mods, "hl7NoPatientCreateMessageType",
                 aa.getHL7NoPatientCreateMessageTypes(), bb.getHL7NoPatientCreateMessageTypes());
+        LdapUtils.storeDiff(ldapObj, mods, "hl7NoPatientUpdateMessageType",
+                aa.getHL7NoPatientUpdateMessageTypes(), bb.getHL7NoPatientUpdateMessageTypes());
         LdapUtils.storeDiffObject(ldapObj, mods, "hl7UseNullValue",
                 aa.getHL7UseNullValue(), bb.getHL7UseNullValue(), null);
         LdapUtils.storeDiffObject(ldapObj, mods, "hl7PrimaryAssigningAuthorityOfPatientID",

diff --git a/dcm4chee-arc-conf/src/main/java/org/dcm4chee/arc/conf/ArchiveDeviceExtension.java b/dcm4chee-arc-conf/src/main/java/org/dcm4chee/arc/conf/ArchiveDeviceExtension.java
@@ -384,6 +384,7 @@ public class ArchiveDeviceExtension extends DeviceExtension {
     private final List<MWLIdleTimeout> mwlIdleTimeoutList = new ArrayList<>();
     private final List<MWLImport> mwlImportList = new ArrayList<>();
     private final LinkedHashSet<String> hl7NoPatientCreateMessageTypes = new LinkedHashSet<>();
+    private final LinkedHashSet<String> hl7NoPatientUpdateMessageTypes = new LinkedHashSet<>();
     private final Map<String,String> xRoadProperties = new HashMap<>();
     private final Map<String,String> impaxReportProperties = new HashMap<>();
     private final Map<String, String> importReportTemplateParams = new HashMap<>();
@@ -1808,6 +1809,19 @@ public boolean isHL7NoPatientCreateMessageType(String messageType) {
         return hl7NoPatientCreateMessageTypes.contains(messageType);
     }
 
+    public String[] getHL7NoPatientUpdateMessageTypes() {
+        return hl7NoPatientUpdateMessageTypes.toArray(new String[0]);
+    }
+
+    public void setHL7NoPatientUpdateMessageTypes(String... messageTypes) {
+        hl7NoPatientUpdateMessageTypes.clear();
+        hl7NoPatientUpdateMessageTypes.addAll(Arrays.asList(messageTypes));
+    }
+
+    public boolean isHL7NoPatientUpdateMessageType(String messageType) {
+        return hl7NoPatientUpdateMessageTypes.contains(messageType);
+    }
+
     public Map<String, String> getXRoadProperties() {
         return xRoadProperties;
     }
@@ -3896,6 +3910,8 @@ public void reconfigure(DeviceExtension from) {
         hl7OrderSPSStatuses.putAll(arcdev.hl7OrderSPSStatuses);
         hl7NoPatientCreateMessageTypes.clear();
         hl7NoPatientCreateMessageTypes.addAll(arcdev.hl7NoPatientCreateMessageTypes);
+        hl7NoPatientUpdateMessageTypes.clear();
+        hl7NoPatientUpdateMessageTypes.addAll(arcdev.hl7NoPatientUpdateMessageTypes);
         compressionRules.clear();
         compressionRules.addAll(arcdev.compressionRules);
         studyRetentionPolicies.clear();

diff --git a/dcm4chee-arc-conf/src/main/java/org/dcm4chee/arc/conf/ArchiveHL7ApplicationExtension.java b/dcm4chee-arc-conf/src/main/java/org/dcm4chee/arc/conf/ArchiveHL7ApplicationExtension.java
@@ -93,6 +93,7 @@ public class ArchiveHL7ApplicationExtension extends HL7ApplicationExtension{
     private final ArrayList<HL7StudyRetentionPolicy> hl7StudyRetentionPolicies = new ArrayList<>();
     private final EnumMap<SPSStatus,HL7OrderSPSStatus> hl7OrderSPSStatuses = new EnumMap<>(SPSStatus.class);
     private final LinkedHashSet<String> hl7NoPatientCreateMessageTypes = new LinkedHashSet<>();
+    private final LinkedHashSet<String> hl7NoPatientUpdateMessageTypes = new LinkedHashSet<>();
     private final Map<String, String> importReportTemplateParams = new HashMap<>();
 
     public ArchiveDeviceExtension getArchiveDeviceExtension() {
@@ -153,6 +154,8 @@ public void reconfigure(HL7ApplicationExtension src) {
         hl7OrderSPSStatuses.putAll(arcapp.hl7OrderSPSStatuses);
         hl7NoPatientCreateMessageTypes.clear();
         hl7NoPatientCreateMessageTypes.addAll(arcapp.hl7NoPatientCreateMessageTypes);
+        hl7NoPatientUpdateMessageTypes.clear();
+        hl7NoPatientUpdateMessageTypes.addAll(arcapp.hl7NoPatientUpdateMessageTypes);
         importReportTemplateParams.clear();
         importReportTemplateParams.putAll(arcapp.importReportTemplateParams);
     }
@@ -287,6 +290,21 @@ public boolean isHL7NoPatientCreateMessageType(String messageType) {
             : hl7NoPatientCreateMessageTypes.contains(messageType);
     }
 
+    public String[] getHL7NoPatientUpdateMessageTypes() {
+        return hl7NoPatientUpdateMessageTypes.toArray(new String[0]);
+    }
+
+    public void setHL7NoPatientUpdateMessageTypes(String... messageTypes) {
+        hl7NoPatientUpdateMessageTypes.clear();
+        hl7NoPatientUpdateMessageTypes.addAll(Arrays.asList(messageTypes));
+    }
+
+    public boolean isHL7NoPatientUpdateMessageType(String messageType) {
+        return hl7NoPatientUpdateMessageTypes.isEmpty()
+                ? getArchiveDeviceExtension().isHL7NoPatientUpdateMessageType(messageType)
+                : hl7NoPatientUpdateMessageTypes.contains(messageType);
+    }
+
     public Boolean getHL7UseNullValue() {
         return hl7UseNullValue;
     }

diff --git a/dcm4chee-arc-patient/src/main/java/org/dcm4chee/arc/patient/PatientMgtContext.java b/dcm4chee-arc-patient/src/main/java/org/dcm4chee/arc/patient/PatientMgtContext.java
@@ -78,6 +78,8 @@ public interface PatientMgtContext {
 
     boolean isNoPatientCreate();
 
+    boolean isNoPatientUpdate();
+
     Collection<IDWithIssuer> getPatientIDs();
 
     Attributes getAttributes();

diff --git a/dcm4chee-arc-patient/src/main/java/org/dcm4chee/arc/patient/impl/PatientMgtContextImpl.java b/dcm4chee-arc-patient/src/main/java/org/dcm4chee/arc/patient/impl/PatientMgtContextImpl.java
@@ -174,6 +174,16 @@ public boolean isNoPatientCreate() {
         return arcHL7App != null && arcHL7App.isHL7NoPatientCreateMessageType(msg.msh().getMessageType());
     }
 
+    @Override
+    public boolean isNoPatientUpdate() {
+        if (hl7app == null)
+            return false;
+
+        ArchiveHL7ApplicationExtension arcHL7App =
+                hl7app.getHL7ApplicationExtension(ArchiveHL7ApplicationExtension.class);
+        return arcHL7App != null && arcHL7App.isHL7NoPatientUpdateMessageType(msg.msh().getMessageType());
+    }
+
     @Override
     public Collection<IDWithIssuer> getPatientIDs() {
         return patientIDs;

diff --git a/dcm4chee-arc-patient/src/main/java/org/dcm4chee/arc/patient/impl/PatientServiceEJB.java b/dcm4chee-arc-patient/src/main/java/org/dcm4chee/arc/patient/impl/PatientServiceEJB.java
@@ -141,6 +141,10 @@ public Patient updatePatient(PatientMgtContext ctx)
             }
             return createPatient(ctx);
         }
+        if (ctx.isNoPatientUpdate()) {
+            logSuppressPatientUpdate(ctx);
+            return pat;
+        }
         updatePatient(pat, ctx);
         return pat;
     }
@@ -149,6 +153,10 @@ private void logSuppressPatientCreate(PatientMgtContext ctx) {
         LOG.info("{}: Suppress creation of Patient[id={}] by {}", ctx, ctx.getPatientIDs(), ctx.getUnparsedHL7Message().msh());
     }
 
+    private void logSuppressPatientUpdate(PatientMgtContext ctx) {
+        LOG.info("{}: Suppress update of Patient[id={}] by {}", ctx, ctx.getPatientIDs(), ctx.getUnparsedHL7Message().msh());
+    }
+
     public Patient findPatient(Collection<IDWithIssuer> pids) {
         Collection<Patient> list = findPatients(pids);
         if (list.isEmpty())