ADT_A03
ADT^A03 Acknowledgment Choreography
ADT^A03
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.
Acknowledgment Rules(5)
| Mode | MSH-15 | MSH-16 | Immediate ACK | Application ACK |
|---|---|---|---|---|
| Original | blank | blank | - | ^^ |
| Enhanced | NE | NE | - | - |
| Enhanced | AL,SU,ER | NE | ^^ | - |
| Enhanced | NE | AL,SU,ER | - | ^^ |
| Enhanced | AL,SU,ER | AL,SU,ER | ^^ | ^^ |
Legend
blank - Field is empty/not valuedNE - Never (no acknowledgment)AL - AlwaysSU - Success onlyER - Error/reject only