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18.4.6 ADT/ACK - Pre-Admit a Patient (Event A05) (3.3.5)

An A05 event is sent when a patient undergoes the pre-admission process. During this process, episode-related data is collected in preparation for a patient's visit or stay in a healthcare facility. For example, a pre-admit may be performed prior to inpatient or outpatient surgery so that lab tests can be performed prior to the surgery. This event can also be used to pre-register a non-admitted patient.

The ROL segment has been deprecated and retained for backwards compatiblity purposes only as of v 2.9. The reader is referred to the PRT segment instead.

The PRT - Participation Segment is used in this message to communicate providers not specified elsewhere. Person level providers with an ongoing relationship are reported in the PRT segment following the PID/PD1 segments. Visit level 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 provider, 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 15 for the definition of the PRT segment.

Segment Cardinality Implement Status
ADT^A05^ADT_A05
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]  
OH1

Person Employment Status

  
OH2

Past or Present Job

  
OH3

Usual Work

 [0..1]  
OH4

Combat Zone Work

  
ARV

Access Restriction

   B
ROL

Role

   B
PRT

Participation Information

  
NEXT_OF_KIN  
NK1

Next of Kin / Associated Parties

 [1..1] SHALL
OH2

Past or Present Job

  
OH3

Usual Work

 [0..1]  
PV1

Patient Visit

 [1..1] SHALL
PV2

Patient Visit - Additional Information

 [0..1]  
ARV

Access Restriction

   B
ROL

Role

   B
PRT

Participation Information

  
DB1

Disability

  
OBSERVATION  
OBX

Observation/Result

 [1..1] SHALL
PRT

Participation Information

  
AL1

Patient Allergy Information

  
IAM

Patient Adverse Reaction Information

  
DG1

Diagnosis

  
DRG

Diagnosis Related Group

 [0..1]  
PROCEDURE  
PR1

Procedures

 [1..1] SHALL
ROL

Role

   B
PRT

Participation Information

  
GT1

Guarantor

  
INSURANCE  
IN1

Insurance

 [1..1] SHALL
IN2

Insurance Additional Information

 [0..1]  
IN3

Insurance Additional Information, Certification

  
ROL

Role

   B
PRT

Participation Information

  
AUTHORIZATION  
AUT

Authorization Information

 [1..1] SHALL
PRT

Participation Information

  
REFERRAL  
RF1

Referral Information

 [1..1] SHALL
PRT

Participation Information

  
ACC

Accident

 [0..1]  
UB1

Uniform Billing Data 1

 [0..1]  
UB2

Uniform Billing Data 2

 [0..1]  

 

ADT_A05

MSH-15 MSH-16 Immediate ACK Application Ack
Blank Blank - ADT^A05^ADT_A05
Blank Blank - ADT^A14^ADT_A05
Blank Blank - ADT^A31^ADT_A05
Blank Blank - ADT^A28^ADT_A05
NE NE - -
NE NE - -
NE NE - -
NE NE - -
AL, SU, ER NE ACK^A14^ACK -
AL, SU, ER NE ACK^A28^ACK -
AL, SU, ER NE ACK^A05^ACK -
AL, SU, ER NE ACK^A31^ACK -
NE AL, SU, ER - ACK^A28^ACK
NE AL, SU, ER - ACK^A31^ACK
NE AL, SU, ER - ACK^A05^ACK
NE AL, SU, ER - ACK^A14^ACK
AL, SU, ER AL, SU, ER ACK^A14^ACK ACK^A14^ACK
AL, SU, ER AL, SU, ER ACK^A28^ACK ACK^A28^ACK
AL, SU, ER AL, SU, ER ACK^A05^ACK ACK^A05^ACK
AL, SU, ER AL, SU, ER ACK^A31^ACK ACK^A31^ACK
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