ADT^A04
ADT/ACK - Register a patient
An A04 event signals that the patient has arrived or checked in as a one-time, or recurring outpatient, and is not assigned to a bed. One example might be its use to signal the beginning of a visit to the Emergency Room (= Casualty, etc.).
Note: Some systems refer to these events as outpatient registrations or emergency admissions. PV1-44 - Admit Date/Time is used for the visit start date/time.
Message Types
Message Type
Trigger Structure
Return Structure
Event Flow
TriggerA04
SendADT_A01
ReceiveACK
ACK choreographyADT_A01
Worked Examples
Register a patient - event A04 (nonadmitted patient)
HL7 v2
MSH|^~\&|REGADT|GOOD HEALTH HOSPITAL|GHH LAB||200712311501||ADT^A04^ADT_A01|000001|P|2.8||||
EVN|A04|200701101500|200701101400|01||200701101410
PID|||191919^^^GOOD HEALTH HOSPITAL^MR^GOOD HEALTH HOSPITAL^^^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|371-66-9256||
NK1|1|NUCLEAR^NELDA|SPOUSE|6666 HOME STREET^^ISHPEMING^MI^49849^""^|555-555-5001|555-555-5001~555-555-5001|EC1^FIRST EMERGENCY CONTACT
NK1|2|MUM^MARTHA|MOTHER|4444 HOME STREET^^ISHPEMING^MI^49849^""^|555-555 2006|555-555-2006~555-555-2006|EC2^SECOND EMERGENCY CONTACT
NK1|3
NK1|4|||6666 WORKER LOOP^^ISHPEMING^MI^49849^""^||(900)545-1200|EM^EMPLOYER|19940605||PROGRAMMER|||WORK IS FUN, INC.
PV1||O|O/R||||0148^ATTEND^AARON^A|0148^ATTEND^AARON^A|0148^ATTEND^AARON^A|AMB|||||||0148^ATTEND^AARON^A|S|1400|A|||||||||||||||||||GOOD HEALTH HOSPITAL|||||199501101410|
PV2||||||||200701101400||||||||||||||||||||||||||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^""^|444-33 3333|555-555-2004||||SE^SELF|444-33 3333||||AUTO CLINIC|2222 HOME STREET^^ISHPEMING^MI^49849^""|555-555-2004|
IN1|0|0|UA1|UARE INSURED, INC.|8888 INSURERS CIRCLE^^ISHPEMING^M149849^""^||555-555-3015|90||||||50 OK|
IN1|2|""|""Patient Adam A. Everyman arrived at location O/R for surgery on January 10th, 2007 at 1410 for ambulatory surgery which was scheduled for January 10, 2007 at 1400. The visit event was recorded into the Good Health Hospital system on January 10, 2007 at 1500. It was sent to the interface engine (IFENG) at 1501.