ADT A03

ADT A03: Discharge a patient

Overview

Records a patient discharge.

Relevant entities

Encounter information is used to populate [[Encounter]] and [[Encounter Event]] entities

Please click through to the Data Model to explore the presentation of these entities in the web interface.

[[Encounter]]

Matched on: [[Encounter.External Encounter ID]] as derived from PV1-19.1

When matched: The [[Encounter Event]] will be handled as indicated below.

When not matched: A new [[Encounter]] will be created with this message.

[[Encounter Event]]

Matched on: An Encounter can contain zero or one discharge [[Encounter Event]]s. If the [[Encounter]] has been matched, then there will be at most one discharge [[Encounter Event]], so no other IDs are required for matching.

When matched: The discharge [[Encounter Event]] is replaced with the information in this message.

When not matched: The discharge [[Encounter Event]] is added to the [[Encounter]].

Definition

This is identical in format to the ADT A01, except that PV1-45 is used for the Message timestamp instead of PV1-44, as shown below:

Segment	Field	Opt	RP/#	Component	Description	Example	Data Model

Segment	Field	Opt	Component	Description	Example	Data Model
MSH				Message header. This conforms to PKB's standard definition.
PID				Patient identification. This conforms to PKB's standard definition.
PV1				Patient visit information.
	PV1-2	O		Patient class
			PV1-2.1	Patient class. Allowed values are defined in Code Set PKBCS04. If a blank or unknown value is provided the class will default to OTHER.	I	[[Encounter Event.Class]]
	PV1-3	O
			PV1-3.9	Free text description of the location.	My Ward	[[Encounter Event->Location.Description]]
	PV1-7	O		Attending doctor. If provided, at least the family name must be given.		[[Encounter Event->External Participant.Name]] [[Encounter Event->External Participant.Role]] will be set to ATTENDER.
			PV1-7.2	Family name	Jones
			PV1-7.3	Given name	Stuart
			PV1-7.4	Middle names	James
			PV1-7.6	Prefix	Dr
	PV1-8	O		Referring doctor. If provided, at least the family name must be given.		[[Encounter Event->External Participant.Name]] [[Encounter Event->External Participant.Role]] will be set to REFERRER.
			PV1-8.2	Family name	Smith
			PV1-8.3	Given name	William
			PV1-8.4	Middle names
			PV1-8.6	Prefix	Dr
	PV1-9	O		Consulting doctor. If provided, at least the family name must be given.		[[Encounter Event->External Participant.Name]] [[Encounter Event->External Participant.Role]] will be set to CONSULTANT.
			PV1-9.2	Family name	Foster
			PV1-9.3	Given name	Terry
			PV1-9.4	Middle names
			PV1-9.6	Prefix	Mr
	PV1-10	O		Hospital service. See our information on code sets for more details.		[[Encounter Event.Specialty]]
			PV1-10.1	Hospital service code
	PV1-19	R		Visit ID. This is used by PKB to uniquely identify an Encounter.		[[Encounter.External Encounter ID]]
			PV1-19.1	Visit ID	V00001
	PV1-44			Admit datetime. Timestamp of admission for the entire Encounter.		Ignored by an A03
	PV1-45	O		Discharge datetime. Timestamp of discharge for the entire Encounter.		[[Encounter Event.Timestamp]] If not provided, MSH-7 will be used.
			PV1-45.1	Discharge timestamp	201508011200

Examples

MSH|^~\&|SendingApp|SendingFacility|HL7API|PKB|20160102101112||ADT^A03|ABC0000000001|P|2.4
PID|||9999999999^^^NHS^NH||Smith^John^Joe^^Mr||19700101|M|||Flat name^1, The Road^London^London^SW1A 1AA^GBR||01234567890^PRN~07123456789^PRS|^NET^^john.smith@company.com~01234098765^WPN||||||||||||||||N|
PV1|1|I|^^^^^^^^My Ward||||^Jones^Stuart^James^^Dr^|^Smith^William^^^Dr^|^Foster^Terry^^^Mr^||||||||||V00001|||||||||||||||||||||||||201508011000|201508011200

Response

PKB will respond with a standard HL7 acknowledgement.