ADT^A03
ADT/ACK - Discharge/end visit
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 extended care or home health system that the patient has been discharged and that the new extended care or home health admission assessment can be scheduled; 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
Discharge patient - event A03
HL7 v2
MSH|^~\&|REGADT|GOOD HEALTH HOSPITAL|IFENG||200701121005||ADT^A03^ADT_A03|000001|P|2.8||||
EVN|A03|200701121005||01||200701121000
PID|||191919^^^GOOD HEALTH HOSPITAL^MR~11111^^^USSSA^SS|253763|EVERYMAN^ADAM^A||19560129|M|||2222 HOME STREET^^ISHPEMING^MI^49849^""^||555-555-2004|555-555-2004||S|C|10199925^^^GOOD HEALTH HOSPITAL^AN|444-33-3333|||||||||
PV1||I|6N||||0100^ATTEND^AARON^A|0148^ATTEND^AARON^A||SUR|||||||0148^ATTEND^AARON^A|S|1400|A||||||||||||||||SNF|ISH^GREEN ACRES RETIREMENT HOME||GOOD HEALTH HOSPITAL|||||200701102300|200791121005When Adam A. Everyman's condition became more stable, he returned to 6N for another day (transfer not shown) and then was discharged to the Green Acres Retirement Home.