ADT A05
ADT A05: Pre-Admit a patient
Overview
Records an expected future admission of a patient. Additionally, an appointment will be created in the patient's calendar.
Relevant entities
Encounter information is used to populate [[Encounter]] and [[Encounter Event]] entities
Encounter information is also used to create an [[Appointment]]
Please click through to the Data Model to explore the presentation of these entities in the web interface.
Definition
This is identical in format to the ADT A01, except that an [[Appointment]] entity will also be populated. In addition, since this message is typically used for future events, PV2-8 and EVN-3 will also be considered when determining both the event timestamp and the appointment start time. This is shown below.
Segment | Field | Opt | RP/# | Component | Description | Example | Data Model | Data Model |
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MSH |
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| Message header. This conforms to PKB's standard definition. |
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PID |
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| Patient identification. This conforms to PKB's standard definition. |
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[ EVN ] |
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| EVN-3 | O |
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| Timestamp of planned event |
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| EVN-3.1 | Timestamp | 201508011200 | [[Encounter Event.Timestamp]] | [[Appointment.Start Timestamp]] |
PV1 |
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| Patient visit information. |
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| PV1-2 | O |
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| Patient class |
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| 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]] | [[Appointment.Subject]] |
| PV1-3 | O |
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| PV1-3.9 | Free text description of the location. | My Ward | [[Encounter Event->Location.Description]] | [[Appointment.Location]] |
| PV1-7 | O |
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| Attending doctor. |
| [[Encounter Event->External Participant.Name]] [[Encounter Event->External Participant.Role]] will be set to ATTENDER. |
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| PV1-7.2 | Family name | Jones |
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| PV1-7.3 | Given name | Stuart |
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| PV1-7.4 | Middle names | James |
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| PV1-7.6 | Prefix | Dr |
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| PV1-8 | O |
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| Referring doctor. |
| [[Encounter Event->External Participant.Name]] [[Encounter Event->External Participant.Role]] will be set to REFERRER. |
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| PV1-8.2 | Family name | Smith |
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| PV1-8.3 | Given name | William |
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| PV1-8.4 | Middle names |
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| PV1-8.6 | Prefix | Dr |
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| PV1-9 | O |
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| Consulting doctor. |
| [[Encounter Event->External Participant.Name]] [[Encounter Event->External Participant.Role]] will be set to CONSULTANT. |
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| PV1-9.2 | Family name | Foster |
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| PV1-9.3 | Given name | Terry |
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| PV1-9.4 | Middle names |
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| PV1-9.6 | Prefix | Mr |
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| PV1-10 | O |
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| Hospital service. See our information on code sets for more details. |
| [[Encounter Event.Specialty]] |
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| PV1-10.1 | Hospital service code |
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| PV1-19 | R |
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| Visit ID. This is used by PKB to uniquely identify an Encounter. |
| [[Encounter.External Encounter ID]] |
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| PV1-19.1 | Visit ID | V00001 |
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| PV1-44 | O |
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| Admit datetime. Timestamp of admission for the entire Encounter. |
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| PV1-44.1 | Admit timestamp | 201508011200 | [[Encounter Event.Timestamp]] If PV1-44 also not provided, MSH-7 will be used. | [[Appointment.Start Timestamp]] If PV1-44 also not provided, MSH-7 will be used. |
| PV1-45 |
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| Discharge datetime. Timestamp of discharge for the entire Encounter. |
| Ignored by an A05 |
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[ PV2 ] |
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| PV2-8 | O |
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| Expected admit date/time |
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| PV2-8.1 | Timestamp | 201508011200 | [[Encounter Event.Timestamp]] | [[Appointment.Start Timestamp]] |
[ ZSC ] |
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| The purpose of this custom segment is to allow you to specify attributes of the auto-generated [[Appointment]] which would otherwise be set from the SCH segment for SIU messages. |
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| ZSC-8 | O |
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| Appointment type. See our notes on code sets for more information on our handling of coded data. |
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| ZSC-8.1 | Appointment type code | T01 |
| [[Appointment.Type.Code]] |
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| ZSC-8.3 | Appointment type coding system | INT |
| [[Appointment.Type.Coding System]] |
The appointment will not have an end time recorded. | [[Appointment.End Timestamp]] |
Examples
MSH|^~\&|SendingApp|SendingFacility|HL7API|PKB|20160102101112||ADT^A05|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.