ADT_A28

3.2.28 ADT/ACK - add person information (event A28)

21 segments

The purpose of this and the three following messages is to allow sites with multiple systems and respective master patient databases to communicate activity related to a person regardless of whether that person is currently a patient on each system. Each system has an interest in the database activity of the others in order to maintain data integrity across an institution. Though they are defined within the ADT message set, these messages differ in that they are not patient-specific. To a certain registry, the person may be a person of interest, a potential future patient, or a potential guarantor. For example, these events can be used to maintain an MPI (master patient index), a cancer registry, members of a managed care plan, an HIV database, etc.

These events should not replace the use of the A01 (admit/visit notification, A03 (discharge/end visit), A04 (register a patient), A08 (update patient information), etc., events. They are not intended to be used for notification of real-time Patient Administration events. Visit information may be included but is not required. These events are primarily for demographic data, but optional historical non-demographic data may be sent as well.

Message Structure

21 segments
R RequiredO Optional Choice
MSH
R1
EVN
R1
PID
R1
PD1
O1
NK1
O*
PV1
R1
PV2
O1
DB1
O*
OBX
O*
AL1
O*
DG1
O*
DRG
O1
PROCEDURE
O*
PR1
R1
ROL
O*
GT1
O*
INSURANCE
O*
IN1
R1
IN2
O1
IN3
O1
ACC
O1
UB1
O1
UB2
O1