ADT^A06
ADT/ACK - Change an outpatient to an inpatient
Patient Administration
An A06 event is sent when a patient who was present for a non-admitted visit is being admitted after an evaluation of the seriousness of the patient's condition. This event changes a patient's status from non-admitted to admitted. 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. The new patient class should appear in PV1-2 - Patient Class.
It will be left 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 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, but the MRG segment is used here for MRG-3 - Prior Patient Account Number.
Message Types
Message Type
Trigger Structure
Return Structure
Event Flow
TriggerA06
SendADT_A06
ReceiveACK
Worked Examples
Change an outpatient to an inpatient - event A06
HL7 v2
MSH|^~\&|REGADT|MCM|IFENG||200301110025||ADT^A06^ADT_A06|000001|P|2.5.1|||
EVN|A06|20030110025||01||200301102300
PID|||191919^^^GOOD HEALTH HOSPITAL^MR^FAC1~11111^^^USSSA^SS|253763|MASSIE^JAMES^A||19560129|M|||2222 HOME STREET^^ISHPEMING^MI^49849^""^||555-555-2004|555-555-2004||S|C|10199925^^^GOOD HEALTH HOSPITAL^AN|371-66-9256||
NK1|1|MASSIE^ELLEN|SPOUSE|2222 HOME STREET^^ISHPEMING^MI^49849^""^|555) 555 2004|555-555-5001~555-555-5001|EC1^FIRST EMERGENCY CONTACT
NK1|2|MASSIE^MARYLOU|MOTHER|300 ZOBERLEIN^^ISHPEMING^MI^49849^""^|555) 555 2004|555-555-5001~555-555-5001|EC2^SECOND EMERGENCY CONTACT
NK1|3
NK1|4|||6666 WORKER LOOP^^ISHPEMING^MI^49849^""^||(900)545-1200|EM^EMPLOYER|19940605||PROGRAMMER|||WORK IS FUN, INC.
PV1||I|6N^1234^A^GOOD HEALTH HOSPITAL||||0100^ANDERSON,CARL|0148^ATTEND^AARON^A||SUR|||||||0148^ANDERSON,CARL|S|1400|A|||||||||||||||||||GOOD HEALTH HOSPITAL|||||199501102300|
OBX||ST|1010.1^BODY WEIGHT||62|kg|||||F
OBX||ST|1010.1^HEIGHT||190|cm|||||F
DG1|1|19||BIOPSY||00
GT1|1||EVERYMAN^ADAM^A||2222 HOME STREET^^ISHPEMING^MI^49849^""^|444-33 3333|555-555-2004||||SE^SELF|444-33 3333||||AUTO CLINIC|2222 HOME STREET^^ISHPEMING^MI^49849^""|555-555-2004
IN1|0|0|UA1|UARE INSURED, INC.|8888 INSURERS CIRCLE^^ISHPEMING^M149849^""^||555-555-3015|90||||||50 OK
IN1|2|""|""Patient Adam A. Everyman was later converted to an inpatient on January 10th, 1999 at 2300 to recover from the operation. The change from outpatient to inpatient was recorded on the MCM system on January 11, 1999 at 0020. He was assigned to room 1234, bed A on unit 6N. When Patient Adam A. Everyman was converted to an inpatient on January 10th, 1999 at 2300, his hospital service changed to SUR. His attending doctor and admitting doctors changed to Dr. Carl Anderson. As a result of the conversion, his account number changed from 10199923 to 10199925