ADT_A40
3.2.40 ADT/ACK - merge patient - internal ID (event A40)
6 segments
A merge has been done at the internal identifier level. That is, two PID-3-patient ID (internal ID) identifiers have been merged into one.
An A40 event is used to signal a merge of records for a patient that was incorrectly filed under two different internal IDs. The "incorrect source internal ID" identified in the MRG segment (MRG-1-prior patient ID (internal) is to be merged with the required "correct target internal ID" of the same "identifier type code" component identified in the PID segment (PID-3-patient ID (internal ID)). The "incorrect source internal ID" would then logically never be referenced in future transactions. It is noted that some systems may still physically keep this "incorrect identifier" for audit trail purposes or other reasons associated with database index implementation requirements.
Message Structure
6 segments
R RequiredO Optional Choice
MSH
R1EVN
R1PATIENT
R*PID
R1PD1
O1MRG
R1PV1
O1