ADT A03: Discharge a patient
Overview
Records a patient discharge.
Relevant entities
Please click through to the Data Model to explore the presentation of these entities in the web interface.
Update behaviour
| Message |
Entity |
Matching Criteria |
Behaviour (Matched) |
Behaviour (Not Matched) |
| A03 |
[[Encounter]] |
[[Encounter.External Encounter ID]] as derived from PV1-19.1 |
The [[Encounter Event]] will be handled as indicated below. |
A new [[Encounter]] will be created with this message. |
| |
[[Encounter Event]] |
An Encounter can contain zero or one discharge [[Encounter Event]]s. If the [[Encounter]] has been matched, then there will be at most one discharge [[Encounter Event]], so no other IDs are required for matching. |
The discharge [[Encounter Event]] is replaced with the information in this message. |
The discharge [[Encounter Event]] is added to the [[Encounter]]. |
Definition
This is identical in format to the ADT^A01, except that PV1-45 is used for the Message timestamp instead of PV1-44, as shown below:
| Segment |
Field |
Component |
Description |
Example |
Data Model |
| PV1 |
|
|
|
|
|
|
PV1-44 |
|
Admit datetime. Timestamp of admission for the entire Encounter. |
|
Ignored by an A03 |
|
[ PV1-45 ] |
|
Discharge datetime. Timestamp of discharge for the entire Encounter. |
|
|
|
|
PV1-45.1 |
Discharge timestamp |
201508011200
|
[[Encounter Event.Timestamp]]
If not provided, MSH-7 will be used.
|
Examples
MSH|^~\&|SendingApp|SendingFacility|HL7API|PKB|20160102101112||ADT^A03|ABC0000000001|P|2.4
PID|||9999999999^^^NHS^NH||Smith^John^Joe^^Mr||19700101|M|||My flat name^1, The Road^London^London^SW1A 1AA^GBR||john.smith@hotmail.com^NET~01234567890^PRN~07123456789^PRS|john.smith@company.com^NET~01234098765^WPN||||||||||||||||N|
PV1|1|I|^^^^^^^^My Ward||||^Jones^Stuart^James^^Dr^|^Smith^William^^^Dr^|^Foster^Terry^^^Mr^||||||||||V00001|||||||||||||||||||||||||201508011000|201508011200
Response
PKB will respond with a standard HL7 acknowledgement. | 