ADT A08

ADT A08: Update an encounter

Overview

Records an update to Encounter information.

Relevant entities

Please click through to the Data Model to explore the presentation of these entities in the web interface.

Updated behaviour

[[Encounter]]

Matched on: [[Encounter.External Encounter ID]] as derived from PV1-19.1

When matched: The [[Encounter Event]] will be handled as indicated below.

When not matched: No action.

[[Encounter Event]]: Admission Event

Matched on: An Encounter can contain zero or one admission [[Encounter Event]]s. If the [[Encounter]] has been matched, then there will be at most one admission [[Encounter Event]], so no other IDs are required for matching.

When matched: The timestamp of the existing admission [[Encounter Event]] will be updated to the admit timestamp provided on this update [[Encounter Event]], if one was provided and which differs.

When not matched: No action.

[[Encounter Event]]: Discharge Event

Matched on: 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.

When matched: The timestamp of the existing discharge [[Encounter Event]] will be updated to the discharge timestamp provided on this update [[Encounter Event]], if one was provided and which differs.

When not matched: No action.

[[Encounter Event]]: Update Event

Matched on: Update [[Encounter Event]]s are not uniquely identifiable.

When matched: N/A

When not matched: The update event [[Encounter Event]] will be added to the [[Encounter]].

Definition

This is identical in format to the ADT A01, except that timestamp of the update [[Encounter Event]] will be taken from EVN-6, and PV1-44 and PV1-45 will be checked only for updates to the timestamp of admission and/or discharge [[Encounter Event]]s, where they exist. This is shown below:

ADT A08

Examples


MSH|^~\&|SendingApp|SendingFacility|HL7API|PKB|20160102101112||ADT^A08|ABC0000000001|P|2.4

PID|||9999999999^^^NHS^NH||Smith^John^Joe^^Mr||19700101|M|||Flat name^1, The Road^London^London^SW1A 1AA^GBR||01234567890^PRN~07123456789^PRS|^NET^^john.smith@company.com~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.