ADT^A05

ADT/ACK - Pre-admit a patient

An A05 event is sent when a patient undergoes the pre-admission process. During this process, episode-related data is collected in preparation for a patient's visit or stay in a healthcare facility. For example, a pre-admit may be performed prior to inpatient or outpatient surgery so that lab tests can be performed prior to the surgery. This event can also be used to pre-register a non-admitted patient.

The ROL - Role Segment is used in this message to communicate providers not specified elsewhere. Person level providers with an ongoing relationship are reported in the ROL segment following the PID/PD1 segments. Visit level providers (corresponding to the PV1 data) are reported in the ROL segment following the PV1/PV2 segments. Providers related to a specific procedure are reported in the ROL segment following the PR1 segment. Providers related to a specific insurance are reported in the ROL segment following the IN1/IN2/IN3 segments. To communicate the begin- and end-date of the provider, use the ROL-5 - Role Begin Date/Time and the ROL-6 - Role End Date/Time in the ROL segment, with the applicable ROL-3 - Role Code. Refer to Chapter 15 for the definition of the ROL segment.

Message Types

Message Type

ADTView message type

Trigger Structure

ADT_A05View message structure

Return Structure

ACKView return structure

Event Flow

TriggerA05
SendADT_A05
ReceiveACK

Worked Examples

Pre-admit notification - event A05 (nonadmitted patient)

Open in Parser§3.5.2
HL7 v2
MSH|^~\&|REGADT|GOOD HEALTH HOSPITAL|GHH LAB||200701061000||ADT^A05^ADT_A05|000001|P|2.8||||
EVN|A05|200701061000|200701101400|01||200701061000
PID|1|| PATID1234^^^GOOD HEALTH HOSPITAL^MR^GOOD HEALTH HOSPITAL~123456789^^^USSSA^SS|253763|EVERYMAN^ADAM^A||19560129|M|||2222 HOME STREET^^ISHPEMING^MI^49849^""^||(555) 555-2004|(555)555-2004||S|C|99999^^^GOOD HEALTH HOSPITAL^AN|444-33-3333||
NK1|1|NUCLEAR^NELDA^W|SPO^SPOUSE|6666 HOME STREET ^^ISHPEMING^MI^49849^""^|555-555-5001|555-555-5001555-555-5001|EC^EMERGENCY CONTACT
NK1|2|MUM^MARTHA^M|MOTHER|4444 HOME STREET ^^ISHPEMING^MI^49849^""^|555-555-2006|555-555-2006~555-555-2006|EC^EMERGENCY CONTACT
NK1|3
NK1|4|||6666 WORKER LOOP^^ISHPEMING^MI^49849|555-555-3003|EM^EMPLOYER|19940605||PROGRAMMER|||WORK IS FUN, INC.
PV1||O|||||0148^ATTEND^AARON^A|0148^SENDER^SAM||AMB|||||||0148^ATTEND^AARON^A|S|1400|A|||||||||||||||||||GOOD HEALTH HOSPITAL||||||
PV2||||||||200301101400||||||||||||||||||||||||||200301101400
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^""^|(555) 555-2004|555 555-2004||||SE^SELF|444-33 3333||||	|2222 HOME STREET^^ISHPEMING^MI^49849^""|555-555-2004 |||||||||||||||||||||||||||||||||AUTO CLINIC
IN1|1|0|UA1|UARE INSURED, INC.|8888 INSURERS CIRCLE^^ISHPEMING^M1^49849^^||555-555-3015|90||||||50 OK
IN1|2|""|""
Patient Adam A. Everyman was pre-admitted on January 6th, 2007 for ambulatory surgery, which is scheduled for January 10, 2007 at 1400. As part of the pre-admission process, he specified two emergency contacts as well as employer, insurance, and guarantor information. He also was measured and weighed. Note that the REGADT system supports the entry of four NK1 type records: first, second, and third emergency contacts and employer information. A third emergency contact was not provided for Adam A. Everyman. However, an NK1 record must be sent to support "snapshot" mode of update. The REGADT system also supports entry of two insurance plans, one guarantor, and one diagnosis.