ADT_A09
ADT^A09 Acknowledgment Choreography
ADT^A09
The A09 and A10 - patient arriving-tracking events are used when there is a change in a patient's physical location (inpatient or outpatient) and when this is NOT a change in the official census bed location, as in the case of an outpatient setting. There are three situations that qualify as non-census location changes: (a) patient tracking, (b) the patient is in transit between locations for some time, (c) a notification of temporary location change.
Patient tracking: This can be used when the nursing application sends a "transfer" before the Patient Administration (or official census) system issues an A02 (transfer a patient) event. If the patient has left for a non-temporary location and is not in transit, then the PV1-3 - Assigned Patient Location must contain the new patient location, while PV1-6 - Prior Patient Location must contain the old patient location.
Acknowledgment Rules(15)
| 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 | ^^ | ^^ |
| 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