ADT_A07
3.2.7 ADT/ACK - change an inpatient to an outpatient (event A07)
23 segments
An A07 event is sent when a patient who was admitted changes his/her status to "no longer admitted" but is still being seen for this episode of care. This event changes a patient from an "admitted" to a "non-admitted" status. 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.
We leave it 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 field 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. The MRG segment is only used here for MRG-3-prior patient account number. PV1-19-visit number can also be changed during this event.
Message Structure
23 segments
R RequiredO Optional Choice
MSH
R1EVN
R1PID
R1PD1
O1MRG
O1NK1
O*PV1
R1PV2
O1DB1
O*DRG
O1OBX
O*AL1
O*DG1
O*DRG
O1PROCEDURE
O*PR1
R1ROL
O*GT1
O*INSURANCE
O*IN1
R1IN2
O1IN3
O1ACC
O1UB1
O1UB2
O1