ADT_A06
ADT^A06 Acknowledgment Choreography
ADT^A06
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 field 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. The MRG segment is used here only for MRG-3 - Prior Patient Account Number. PV1-19 - Visit Number may also be changed during this event.
Acknowledgment Rules(10)
| 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 | ^^ | ^^ |
| 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