ADT^A04
ADT/ACK - Register a patient
Patient Administration
An A04 event signals that the patient has arrived or checked in as a one-time, or recurring outpatient, and is not assigned to a bed. One example might be its use to signal the beginning of a visit to the Emergency Room. Note that some systems refer to these events as outpatient registrations or emergency admissions. PV1-44-admit date time is used for the visit start date/time.
ADT ADT Message Chapter
Message Types
Message Type
Trigger Structure
Return Structure
Event Flow
TriggerA04
SendADT_A01
ReceiveACK
Worked Examples
3.4.3 Admit/visit notification - event A04 (nonadmitted patient)
HL7 v2
MSH|^~\&|REGADT|MCM|IFENG||199112311501||ADT^A04|000001|P|2.3|||
EVN|A04|199601101500|199601101400|01||199601101410
PID|||191919^^^GENHOSP|253763|MASSIE^JAMES^A||19560129|M|||171
ZOBERLEIN^^ISHPEMING^MI^49849^""^||(900)485-5344|
(900)485-5344||S|C|10199925|371-66-9256||
OBX||ST|1010.1^BODY WEIGHT||62|kg
OBX||ST|1010.1^HEIGHT||190|cm
NK1|1|MASSIE^ELLEN|SPOUSE|171 ZOBERLEIN^^ISHPEMING^MI^49849^""^|
(900)485-5344|(900)545-1234~(900)545-1200|EC1^FIRST EMERGENCY CONTACT
NK1|2|MASSIE^MARYLOU|MOTHER|300 ZOBERLEIN^^ISHPEMING^MI^49849^""^|
(900)485-5344|(900)545-1234~(900)545-1200|EC2^SECOND EMERGENCY CONTACT
NK1|3
NK1|4|||123 INDUSTRY WAY^^ISHPEMING^MI^49849^""^||(900)545-1200|EM^EMPLOYER|19940605||PROGRAMMER|||ACME SOFTWARE COMPANY
PV1||O|O/R||||0148^ADDISON,JAMES|0148^ADDISON,JAMES|0148^ADDISON,JAMES|AMB||||||||0148^ADDISON,JAMES|S|1400|A|||||||||||||||||GENHOSP|||||199501101410|
PV2||||||||199601101400||||||||||||||||||||||||||199601101400
DG1|1|19||BIOPSY||00|
GT1|1||MASSIE^JAMES^""^""^""^""^||171 ZOBERLEIN^^ISHPEMING^MI^49849^""^|
(900)485-5344|(900)485-5344||||SELF|371-66-925||||MOOSES AUTO
CLINIC|171 ZOBERLEIN^^ISHPEMING^MI^49849^""|(900)485-5344|
IN1|0|0|BC1|BLUE CROSS|171 ZOBERLEIN^^ISHPEMING^M149849^""^||
(900)485-5344|90||||||50 OK|
IN1|2|""|""Patient James A. Massie arrived at location O/R for surgery on January 10th, 1996 at 1410 for ambulatory surgery which was scheduled for January 10, 1996 at 1400. The visit event was recorded into the MCM system on January 10, 1996 at 1500. It was sent to the interface engine (IFENG) at 1501.