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18.4.24 ADT/ACK - Change Attending Doctor (Event A54) (3.3.54)

An A54 event is issued as a result of a change in the attending doctor responsible for the treatment of a patient.

When other important fields change, it is recommended that the A08 (update patient information) event be used in addition.

The new attending doctor of the patient should appear in the PV1-7 - Attending Doctor. For example, an A54 event can be used to notify the billing system that doctors' fees should be billed to the new doctor starting from the timestamp in the message.

The ROL - Role Segment was used in this message to communicate providers not specified elsewhere. As of v2.9, this has been deprecated in preference to the PRT segment as a more robust and flexible method of conveying participation. Hereafter, instructions for the PRT segment should apply, using the PRT segment. Person level providers with an ongoing relationship are reported in the PRT segment following the PID/PD1 segments. Providers corresponding to the PV1 data are reported in the PRT segment following the PV1/PV2 segments. Providers related to a specific procedure are reported in the PRT segment following the PR1 segment. Providers related to a specific insurance are reported in the PRT segment following the IN1/IN2/IN3 segments.

To communicate the begin and end date of the attending, referring, or admitting doctor, use the PRT-11 - Begin Date/Time and the PRT-12 - End Date/time in the PRT segment, with the applicable PRT-4 - Role of Participation. Refer to Chapter 7 for the definition of the PRT segment. Use "UP" in PRT-2 - Action Code.

Segment Cardinality Implement Status
ADT^A54^ADT_A54
MSH

Message Header

 [1..1] SHALL
ARV

Access Restriction

  
UAC

User Authentication Credential Segment

 [0..1]  
EVN

Event Type

 [1..1] SHALL
PID

Patient Identification

 [1..1] SHALL
PD1

Patient Additional Demographic

 [0..1]  
ROL

Role

   B
PRT

Participation Information

  
PV1

Patient Visit

 [1..1] SHALL
PV2

Patient Visit - Additional Information

 [0..1]  
ROL

Role

   B
PRT

Participation Information

  

 

ADT_A54

MSH-15 MSH-16 Immediate ACK Application Ack
Blank Blank - ADT^A55^ADT_A54
Blank Blank - ADT^A54^ADT_A54
NE NE - -
NE NE - -
AL, SU, ER NE ACK^A55^ACK -
AL, SU, ER NE ACK^A54^ACK -
NE AL, SU, ER - ACK^A55^ACK
NE AL, SU, ER - ACK^A54^ACK
AL, SU, ER AL, SU, ER ACK^A55^ACK ACK^A55^ACK
AL, SU, ER AL, SU, ER ACK^A54^ACK ACK^A54^ACK
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