Suppose you have a table patient
previously created as
CREATE TABLE patient( patientid int, col1 int );
and a row inserted as
INSERT INTO patient VALUES(1,5);
Firstly create a sequence starting +1 iterated from the max value of ID and make it default
for your column
CREATE SEQUENCE mySeq START WITH 2;
ALTER TABLE patient ALTER COLUMN patientid SET DEFAULT nextval('mySeq');
and convert your column to a primary key
ALTER TABLE patient ALTER COLUMN patientid SET NOT NULL;
ALTER TABLE patient ADD CONSTRAINT uk_patientid UNIQUE (patientid);
whenever you insert new rows such as
INSERT INTO patient(col1) VALUES(10);
INSERT INTO patient(col1) VALUES(15);
you'll observe that you sucessfully made your column as an identity column
SELECT * FROM patient
patientid col1
--------- ----
1 5
2 10
3 15