ADT^A03
ADT/ACK - Discharge/end visit
Patient Administration
An A03 event signals the end of a patient's stay in a healthcare facility. It signals that the patient's status has changed to "discharged" and that a discharge date has been recorded. The patient is no longer in the facility. The patient's location prior to discharge should be entered in PV1-3 - Assigned Patient Location.
An A03 event can be sent to notify: the pharmacy that the patient's stay has ended and that entitlement to drugs has changed accordingly; the nursing system that the patient has been discharged and that the care plan can be completed; the finance system that the patient billing period has ended; and/or the clinical repository that discharge has taken place for the EMR.
Message Types
Message Type
Trigger Structure
Return Structure
Event Flow
TriggerA03
SendADT_A03
ReceiveACK
Worked Examples
3.5.8 Discharge patient - event A03
HL7 v2
MSH|^~\&|REGADT|MCM|IFENG||199901121005||ADT^A03|000001|P|2.4|||
EVN|A03|199901121005||01||199901121000
PID|||191919^^^GENHOS^MR~371-66-9256^^^USSSA^SS|253763|MASSIE^JAMES^A||19560129|M|||171 ZOBERLEIN^^ISHPEMING^MI^49849^""^||(900)485-5344|(900)485-5344||S|C|10199925^^^GENHOS^AN|371-66-9256|||||||||
PV1||I|6N||||0100^ANDERSON,CARL|0148^ADDISON,JAMES||SUR|||||||0148^ANDERSON,CARL|S|1400|A||||||||||||||||SNF|ISH^ISHPEMING NURSING HOME||GENHOS|||||199901102300|199991121005When James A. Massie's condition became more stable, he returned to 6N for another day (transfer not shown) and then was discharged to the Ishpeming Nursing Home.