An A06 event is sent when a patient who was present for a non-admitted visit is being admitted after an evaluation of the seriousness of the patients condition. This event changes a patients status from non-admitted to admitted. The new patient location should appear in PV1-3-assigned patient location, while the old patient location (if different) should appear in PV1-6-prior patient location. The new patient class should appear in PV1-2-patient class.
It will be left to implementation negotiation to determine whether disparate systems merely change the patient class, or close and open a new account. The current active account number should appear in PID-18-patient account number; the prior account number can be included optionally in MRG-3-prior patient account number. This arrangement is not intended to be a type of merge, but the MRG segment is used here for MRG-3-prior patient account number.
The fields, included when this message is sent, should be the fields pertinent to communicate this event. When other important fields change it is recommended that the A08 (update patient information) event be used instead.
ADT ADT Message Chapter
MSH Message Header 2
EVN Event Type 3
PID Patient Identification 3
[PD1] Additional Demographics 3
[ MRG ] Merge Information 3
[ { NK1 } ] Next of Kin / Associated Parties 3
PV1 Patient Visit 3
[ PV2 ] Patient Visit - Additional Info. 3
[ { DB1 } ] Disability Information 3
[ DRG ] DRG Information 6[ { OBX } ] Observation/Result 7
[ { AL1 } ] Allergy Information 3
[ { DG1 } ] Diagnosis Information 6
[ DRG ] DRG Information 6
[ { PR1 Procedures 6
[{ROL}] Role 12
}]
[ { GT1 } ] Guarantor Information 6
[
{ IN1 Insurance Information 6
[ IN2 ] Insurance Information - Addit. Info. 6
[ IN3 ] Insurance Information - Cert. 6
}
]
[ ACC ] Accident Information 6
[ UB1 ] Universal Bill Information 6
[ UB2 ] Universal Bill 92 Information 6
ACK General Acknowledgment Chapter
MSH Message Header 2
MSA Message Acknowledgment 2
[ ERR ] Error 2