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License Serial Number Nch Software Code 58
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Karlyn Hemmerling
Dec 2, 2023, 1:30:31 AM12/2/23
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3. Patient Administration
ContentsContentsChapter 01: IntroductionChapter 02: ControlChapter 02a: Control (continued)Chapter 03: Patient AdministrationChapter 04: Order EntryChapter 05: QueryChapter 06: Financial ManagementChapter 07: Observation ReportingChapter 08: Master FilesChapter 09: Medical Records/Information Management (Document Management)Chapter 10: SchedulingChapter 11: Patient ReferralChapter 12: Patient CareChapter 13: Clinical Laboratory AutomationChapter 14: Application ManagementChapter 15: Personnel Management3 . Patient Administration3.1 CHAPTER 3 CONTENTS3.2 PURPOSE3.3 TRIGGER EVENTS AND MESSAGE DEFINITIONS3.3.1 ADT/ACK - Admit/Visit Notification (Event A01)3.3.2 ADT/ACK - Transfer a Patient (Event A02)3.3.3 ADT/ACK - Discharge/End Visit (Event A03)3.3.4 ADT/ACK - Register a Patient (Event A04)3.3.5 ADT/ACK - Pre-Admit a Patient (Event A05)3.3.6 ADT/ACK - Change an Outpatient to an Inpatient (Event A06)3.3.7 ADT/ACK - Change an Inpatient to an Outpatient (Event A07)3.3.8 ADT/ACK - Update Patient Information (Event A08)3.3.9 ADT/ACK - Patient Departing - Tracking (Event A09)3.3.10 ADT/ACK - Patient Arriving - Tracking (Event A10)3.3.11 ADT/ACK - Cancel Admit / Visit Notification (Event A11)3.3.12 ADT/ACK - Cancel Transfer (Event A12)3.3.13 ADT/ACK - Cancel Discharge / End Visit (Event A13)3.3.14 ADT/ACK - Pending Admit (Event A14)3.3.15 ADT/ACK - Pending Transfer (Event A15)3.3.16 ADT/ACK - Pending Discharge (Event A16)3.3.17 ADT/ACK - Swap Patients (Event A17)3.3.18 ADT/ACK - Merge Patient Information (Event A18)3.3.19 QRY/ADR - Patient Query (Event A19)3.3.19.1 A19 usage notes3.3.20 ADT/ACK - Bed Status Update (Event A20)3.3.21 ADT/ACK - Patient Goes on a Leave of Absence (Event A21)3.3.22 ADT/ACK - Patient Returns From a Leave of Absence (Event A22)3.3.23 ADT/ACK - Delete a Patient Record (Event A23)3.3.24 ADT/ACK - Link Patient Information (Event A24)3.3.25 ADT/ACK - Cancel Pending Discharge (Event A25)3.3.26 ADT/ACK - Cancel Pending Transfer (Event A26)3.3.27 ADT/ACK - Cancel Pending Admit (Event A27)3.3.28 ADT/ACK - Add Person or Patient Information (Event A28)3.3.29 ADT/ACK - Delete Person Information (Event A29)3.3.30 ADT/ACK - Merge Person Information (Event A30)3.3.31 ADT/ACK - Update Person Information (Event A31)3.3.32 ADT/ACK - Cancel Patient Arriving - Tracking (Event A32)3.3.33 ADT/ACK - Cancel Patient Departing - Tracking (Event A33)3.3.34 ADT/ACK - Merge Patient Information - Patient ID Only (Event A34)3.3.35 ADT/ACK - Merge Patient Information - Account Number Only (Event A35)3.3.36 ADT/ACK - Merge Patient Information - Patient ID & Account Number (Event A36)3.3.37 ADT/ACK - Unlink Patient Information (Event A37)3.3.38 ADT/ACK - Cancel Pre-Admit (Event A38)3.3.39 ADT/ACK - Merge Person - Patient ID (Event A39)3.3.40 ADT/ACK - Merge Patient - Patient Identifier List (Event A40)3.3.41 ADT/ACK - Merge Account - Patient Account Number (Event A41)3.3.42 ADT/ACK - Merge Visit - Visit Number (Event A42)3.3.43 ADT/ACK - Move Patient Information - Patient Identifier List (Event A43)3.3.44 ADT/ACK - Move Account Information - Patient Account Number (Event A44)3.3.45 ADT/ACK - Move Visit Information - Visit Number (Event A45)3.3.46 ADT/ACK - Change Patient ID (Event A46)3.3.47 ADT/ACK - Change Patient Identifier List (Event A47)3.3.48 ADT/ACK - Change Alternate Patient ID (Event A48)3.3.49 ADT/ACK - Change Patient Account Number (Event A49)3.3.50 ADT/ACK - Change Visit Number (Event A50)3.3.51 ADT/ACK - Change Alternate Visit ID (Event A51)3.3.52 ADT/ACK- Cancel Leave of Absence for a Patient (Event A52)3.3.53 ADT/ACK - Cancel Patient Returns from a Leave of Absence (Event A53)3.3.54 ADT/ACK - Change Attending Doctor (Event A54)3.3.55 ADT/ACK - Cancel Change Attending Doctor (Event A55)3.3.56 Get Person Demographics (QBP) and Response (RSP) (Events Q21 and K21)3.3.57 Find Candidates (QBP) and Response (RSP) (Events Q22 and K22)3.3.58 Get Corresponding Identifiers (QBP) and Response (RSP) (Events Q23 and K23)3.3.59 Allocate Identifiers (QBP) and Response (RSP) (Events Q24 and K24)3.3.60 ADT/ACK - Update Adverse Reaction Information (Event A60)3.3.61 ADT/ACK - Change Consulting Doctor (Event A61)3.3.62 ADT/ACK - Cancel Change Consulting Doctor (Event A62)3.4 MESSAGE SEGMENTS3.4.1 EVN - Event Type Segment3.4.1.0 EVN field definitions3.4.1.1 EVN-1 Event Type Code (ID) 000993.4.1.2 EVN-2 Recorded Date/Time (TS) 001003.4.1.3 EVN-3 Date/Time Planned Event (TS) 001013.4.1.4 EVN-4 Event Reason Code (IS) 001023.4.1.5 EVN-5 Operator ID (XCN) 001033.4.1.6 EVN-6 Event Occurred (TS) 012783.4.1.7 EVN-7 Event Facility (HD) 015343.4.2 PID - Patient Identification Segment3.4.2.0 PID field definitions3.4.2.1 PID-1 Set ID - PID (SI) 001043.4.2.2 PID-2 Patient ID (CX) 001053.4.2.3 PID-3 Patient Identifier List (CX) 001063.4.2.4 PID-4 Alternate Patient ID - PID (CX) 001073.4.2.5 PID-5 Patient Name (XPN) 001083.4.2.6 PID-6 Mother's Maiden Name (XPN) 001093.4.2.7 PID-7 Date/Time of Birth (TS) 001103.4.2.8 PID-8 Administrative Sex (IS) 001113.4.2.9 PID-9 Patient Alias (XPN) 001123.4.2.10 PID-10 Race (CE) 001133.4.2.11 PID-11 Patient Address (XAD) 001143.4.2.12 PID-12 County Code (IS) 001153.4.2.13 PID-13 Phone Number - Home (XTN) 001163.4.2.14 PID-14 Phone Number - Business (XTN) 001173.4.2.15 PID-15 Primary Language (CE) 001183.4.2.16 PID-16 Marital Status (CE) 001193.4.2.17 PID-17 Religion (CE) 001203.4.2.18 PID-18 Patient Account Number (CX) 001213.4.2.19 PID-19 SSN Number - Patient (ST) 001223.4.2.20 PID-20 Driver's License Number - Patient (DLN) 001233.4.2.21 PID-21 Mother's Identifier (CX) 001243.4.2.22 PID-22 Ethnic Group (CE) 001253.4.2.23 PID-23 Birth Place (ST) 001263.4.2.24 PID-24 Multiple Birth Indicator (ID) 001273.4.2.25 PID-25 Birth Order (NM) 001283.4.2.26 PID-26 Citizenship (CE) 001293.4.2.27 PID-27 Veterans Military Status (CE) 001303.4.2.28 PID-28 Nationality (CE) 007393.4.2.29 PID-29 Patient Death Date and Time (TS) 007403.4.2.30 PID-30 Patient Death Indicator (ID) 007413.4.2.31 PID-31 Identity Unknown Indicator (ID) 015353.4.2.32 PID-32 Identity Reliability Code (IS) 015363.4.2.33 PID-33 Last Update Date/Time (TS) 015373.4.2.34 PID-34 Last Update Facility (HD) 015383.4.2.35 PID-35 Species Code (CE) 015393.4.2.36 PID-36 Breed Code (CE) 015403.4.2.37 PID-37 Strain (ST) 015413.4.2.38 PID-38 Production Class Code (CE) 015423.4.2.39 PID-39 Tribal Citizenship (CWE) 018403.4.3 PV1 - Patient Visit Segment3.4.3.0 PV1 field definitions3.4.3.1 PV1-1 Set ID - PV1 (SI) 001313.4.3.2 PV1-2 Patient Class (IS) 001323.4.3.3 PV1-3 Assigned Patient Location (PL) 001333.4.3.4 PV1-4 Admission Type (IS) 001343.4.3.5 PV1-5 Preadmit Number (CX) 001353.4.3.6 PV1-6 Prior Patient Location (PL) 001363.4.3.7 PV1-7 Attending Doctor (XCN) 001373.4.3.8 PV1-8 Referring Doctor (XCN) 001383.4.3.9 PV1-9 Consulting Doctor (XCN) 001393.4.3.10 PV1-10 Hospital Service (IS) 001403.4.3.11 PV1-11 Temporary Location (PL) 001413.4.3.12 PV1-12 Preadmit Test Indicator (IS) 001423.4.3.13 PV1-13 Re-Admission Indicator (IS) 001433.4.3.14 PV1-14 Admit Source (IS) 001443.4.3.15 PV1-15 Ambulatory Status (IS) 001453.4.3.16 PV1-16 VIP Indicator (IS) 001463.4.3.17 PV1-17 Admitting Doctor (XCN) 001473.4.3.18 PV1-18 Patient Type (IS) 001483.4.3.19 PV1-19 Visit Number (CX) 001493.4.3.20 PV1-20 Financial Class (FC) 001503.4.3.21 PV1-21 Charge Price Indicator (IS) 001513.4.3.22 PV1-22 Courtesy Code (IS) 001523.4.3.23 PV1-23 Credit Rating (IS) 001533.4.3.24 PV1-24 Contract Code (IS) 001543.4.3.25 PV1-25 Contract Effective Date (DT) 001553.4.3.26 PV1-26 Contract Amount (NM) 001563.4.3.27 PV1-27 Contract Period (NM) 001573.4.3.28 PV1-28 Interest Code (IS) 001583.4.3.29 PV1-29 Transfer to Bad Debt Code (IS) 001593.4.3.30 PV1-30 Transfer to Bad Debt Date (DT) 001603.4.3.31 PV1-31 Bad Debt Agency Code (IS) 001613.4.3.32 PV1-32 Bad Debt Transfer Amount (NM) 001623.4.3.33 PV1-33 Bad Debt Recovery Amount (NM) 001633.4.3.34 PV1-34 Delete Account Indicator (IS) 001643.4.3.35 PV1-35 Delete Account Date (DT) 001653.4.3.36 PV1-36 Discharge Disposition (IS) 001663.4.3.37 PV1-37 Discharged to Location (DLD) 001673.4.3.38 PV1-38 Diet Type (CE) 001683.4.3.39 PV1-39 Servicing Facility (IS) 001693.4.3.40 PV1-40 Bed Status (IS) 001703.4.3.41 PV1-41 Account Status (IS) 001713.4.3.42 PV1-42 Pending Location (PL) 001723.4.3.43 PV1-43 Prior Temporary Location (PL) 001733.4.3.44 PV1-44 Admit Date/Time (TS) 001743.4.3.45 PV1-45 Discharge Date/Time (TS) 001753.4.3.46 PV1-46 Current Patient Balance (NM) 001763.4.3.47 PV1-47 Total Charges (NM) 001773.4.3.48 PV1-48 Total Adjustments (NM) 001783.4.3.49 PV1-49 Total Payments (NM) 001793.4.3.50 PV1-50 Alternate Visit ID (CX) 001803.4.3.51 PV1-51 Visit Indicator (IS) 012263.4.3.52 PV1-52 Other Healthcare Provider (XCN) 012743.4.4 PV2 - Patient Visit - Additional Information Segment3.4.4.0 PV2 field definitions3.4.4.1 PV2-1 Prior Pending Location (PL) 001813.4.4.2 PV2-2 Accommodation Code (CE) 001823.4.4.3 PV2-3 Admit Reason (CE) 001833.4.4.4 PV2-4 Transfer Reason (CE) 001843.4.4.5 PV2-5 Patient Valuables (ST) 001853.4.4.6 PV2-6 Patient Valuables Location (ST) 001863.4.4.7 PV2-7 Visit User Code (IS) 001873.4.4.8 PV2-8 Expected Admit Date/Time (TS) 001883.4.4.9 PV2-9 Expected Discharge Date/Time (TS) 001893.4.4.10 PV2-10 Estimated Length of Inpatient Stay (NM) 007113.4.4.11 PV2-11 Actual Length of Inpatient Stay (NM) 007123.4.4.12 PV2-12 Visit Description (ST) 007133.4.4.13 PV2-13 Referral Source Code (XCN) 007143.4.4.14 PV2-14 Previous Service Date (DT) 007153.4.4.15 PV2-15 Employment Illness Related Indicator (ID) 007163.4.4.16 PV2-16 Purge Status Code (IS) 007173.4.4.17 PV2-17 Purge Status Date (DT) 007183.4.4.18 PV2-18 Special Program Code (IS) 007193.4.4.19 PV2-19 Retention Indicator (ID) 007203.4.4.20 PV2-20 Expected Number of Insurance Plans (NM) 007213.4.4.21 PV2-21 Visit Publicity Code (IS) 007223.4.4.22 PV2-22 Visit Protection Indicator (ID) 007233.4.4.23 PV2-23 Clinic Organization Name (XON) 007243.4.4.24 PV2-24 Patient Status Code (IS) 007253.4.4.25 PV2-25 Visit Priority Code (IS) 007263.4.4.26 PV2-26 Previous Treatment Date (DT) 007273.4.4.27 PV2-27 Expected Discharge Disposition (IS) 007283.4.4.28 PV2-28 Signature on File Date (DT) 007293.4.4.29 PV2-29 First Similar Illness Date (DT) 007303.4.4.30 PV2-30 Patient Charge Adjustment Code (CE) 007313.4.4.31 PV2-31 Recurring Service Code (IS) 007323.4.4.32 PV2-32 Billing Media Code (ID) 007333.4.4.33 PV2-33 Expected Surgery Date and Time (TS) 007343.4.4.34 PV2-34 Military Partnership Code (ID) 007353.4.4.35 PV2-35 Military Non-Availability Code (ID) 007363.4.4.36 PV2-36 Newborn Baby Indicator (ID) 007373.4.4.37 PV2-37 Baby Detained Indicator (ID) 007383.4.4.38 PV2-38 Mode of Arrival Code (CE) 015433.4.4.39 PV2-39 Recreational Drug Use Code (CE) 015443.4.4.40 PV2-40 Admission Level of Care Code (CE) 015453.4.4.41 PV2-41 Precaution Code (CE) 015463.4.4.42 PV2-42 Patient Condition Code (CE) 015473.4.4.43 PV2-43 Living Will Code (IS) 007593.4.4.44 PV2-44 Organ Donor Code (IS) 007603.4.4.45 PV2-45 Advance Directive Code (CE) 015483.4.4.46 PV2-46 Patient Status Effective Date (DT) 015493.4.4.47 PV2-47 Expected LOA Return Date/Time (TS) 015503.4.4.48 PV2-48 Expected Preadmission Testing Date/Time (TS) 018413.4.4.49 PV2-49 Notify Clergy Code (IS) 018423.4.5 NK1 - Next of Kin / Associated Parties Segment3.4.5.0 NK1 field definitions3.4.5.1 NK1-1 Set ID - NK1 (SI) 001903.4.5.2 NK1-2 Name (XPN) 001913.4.5.3 NK1-3 Relationship (CE) 001923.4.5.4 NK1-4 Address (XAD) 001933.4.5.5 NK1-5 Phone Number (XTN) 001943.4.5.6 NK1-6 Business Phone Number (XTN) 001953.4.5.7 NK1-7 Contact Role (CE) 001963.4.5.8 NK1-8 Start Date (DT) 001973.4.5.9 NK1-9 End Date (DT) 001983.4.5.10 NK1-10 Next of Kin / Associated Parties Job Title (ST) 001993.4.5.11 NK1-11 Next of Kin / Associated Parties Job Code/Class (JCC) 002003.4.5.12 NK1-12 Next of Kin / Associated Parties Employee Number (CX) 002013.4.5.13 NK1-13 Organization Name - NK1 (XON) 002023.4.5.14 NK1-14 Marital Status (CE) 001193.4.5.15 NK1-15 Administrative Sex (IS) 001113.4.5.16 NK1-16 Date/Time of Birth (TS) 001103.4.5.17 NK1-17 Living Dependency (IS) 007553.4.5.18 NK1-18 Ambulatory Status (IS) 001453.4.5.19 NK1-19 Citizenship (CE) 001293.4.5.20 NK1-20 Primary Language (CE) 001183.4.5.21 NK1-21 Living Arrangement (IS) 007423.4.5.22 NK1-22 Publicity Code (CE) 007433.4.5.23 NK1-23 Protection Indicator (ID) 007443.4.5.24 NK1-24 Student Indicator (IS) 007453.4.5.25 NK1-25 Religion (CE) 001203.4.5.26 NK1-26 Mother's Maiden Name (XPN) 001093.4.5.27 NK1-27 Nationality (CE) 007393.4.5.28 NK1-28 Ethnic Group (CE) 001253.4.5.29 NK1-29 Contact Reason (CE) 007473.4.5.30 NK1-30 Contact Person's Name (XPN) 007483.4.5.31 NK1-31 Contact Person's Telephone Number (XTN) 007493.4.5.32 NK1-32 Contact Person's Address (XAD) 007503.4.5.33 NK1-33 Next of Kin/Associated Party's Identifiers (CX) 007513.4.5.34 NK1-34 Job Status (IS) 007523.4.5.35 NK1-35 Race (CE) 001133.4.5.36 NK1-36 Handicap (IS) 007533.4.5.37 NK1-37 Contact Person Social Security Number (ST) 007543.4.5.38 NK1-38 Next-of-Kin Birth Place (ST) 019053.4.5.39 NK1-39 VIP Indicator (IS) 001463.4.6 AL1 - Patient Allergy Information Segment3.4.6.0 AL1 field definitions3.4.6.1 AL1-1 Set ID - AL1 (SI) 002033.4.6.2 AL1-2 Allergen Type Code (CE) 002043.4.6.3 AL1-3 Allergen Code/Mnemonic/Description (CE) 002053.4.6.4 AL1-4 Allergy Severity Code (CE) 002063.4.6.5 AL1-5 Allergy Reaction Code (ST) 002073.4.6.6 AL1-6 Identification Date (DT) 002083.4.7 IAM - Patient Adverse Reaction Information Segment - Unique Identifier3.4.7.0 IAM field definitions3.4.7.1 IAM-1 Set ID - IAM (SI) 016123.4.7.2 IAM-2 Allergen Type Code (CE) 002043.4.7.3 IAM-3 Allergen Code/Mnemonic/Description (CE) 002053.4.7.4 IAM-4 Allergy Severity Code (CE) 002063.4.7.5 IAM-5 Allergy Reaction Code (ST) 002073.4.7.6 IAM-6 Allergy Action Code (CNE) 015513.4.7.7 IAM-7 Allergy Unique Identifier (EI) 015523.4.7.8 IAM-8 Action Reason (ST) 015533.4.7.9 IAM-9 Sensitivity to Causative Agent Code (CE) 015543.4.7.10 IAM-10 Allergen Group Code/Mnemonic/Description (CE) 015553.4.7.11 IAM-11 Onset Date (DT) 015563.4.7.12 IAM-12 Onset Date Text (ST) 015573.4.7.13 IAM-13 Reported Date/Time (TS) 015583.4.7.14 IAM-14 Reported by (XPN) 014593.4.7.15 IAM-15 Relationship to Patient Code (CE) 015603.4.7.16 IAM-16 Alert Device Code (CE) 015613.4.7.17 IAM-17 Allergy Clinical Status Code (CE) 015623.4.7.18 IAM-18 Statused by Person (XCN) 015633.4.7.19 IAM-19 Statused by Organization (XON) 015643.4.7.20 IAM-20 Statused at Date/Time (TS) 015653.4.8 NPU - Bed Status Update Segment3.4.8.0 NPU field definitions3.4.8.1 NPU-1 Bed Location (PL) 002093.4.8.2 NPU-2 Bed Status (IS) 001703.4.9 MRG - Merge Patient Information Segment3.4.9.0 MRG field definitions3.4.9.1 MRG-1 Prior Patient Identifier List (CX) 002113.4.9.2 MRG-2 Prior Alternate Patient ID (CX) 002123.4.9.3 MRG-3 Prior Patient Account Number (CX) 002133.4.9.4 MRG-4 Prior Patient ID (CX) 002143.4.9.5 MRG-5 Prior Visit Number (CX) 012793.4.9.6 MRG-6 Prior Alternate Visit ID (CX) 012803.4.9.7 MRG-7 Prior Patient Name (XPN) 012813.4.10 PD1 - Patient Additional Demographic Segment3.4.10.0 PD1 field definitions3.4.10.1 PD1-1 Living Dependency (IS) 007553.4.10.2 PD1-2 Living Arrangement (IS) 007423.4.10.3 PD1-3 Patient Primary Facility (XON) 007563.4.10.4 PD1-4 Patient Primary Care Provider Name & ID No. (XCN) 007573.4.10.5 PD1-5 Student Indicator (IS) 007453.4.10.6 PD1-6 Handicap (IS) 007533.4.10.7 PD1-7 Living Will Code (IS) 007593.4.10.8 PD1-8 Organ Donor Code (IS) 007603.4.10.9 PD1-9 Separate Bill (ID) 007613.4.10.10 PD1-10 Duplicate Patient (CX) 007623.4.10.11 PD1-11 Publicity Code (CE) 007433.4.10.12 PD1-12 Protection Indicator (ID) 007443.4.10.13 PD1-13 Protection Indicator Effective Date (DT) 015663.4.10.14 PD1-14 Place of Worship (XON) 015673.4.10.15 PD1-15 Advance Directive Code (CE) 015683.4.10.16 PD1-16 Immunization Registry Status (IS) 015693.4.10.17 PD1-17 Immunization Registry Status Effective Date (DT) 015703.4.10.18 PD1-18 Publicity Code Effective Date (DT) 015713.4.10.19 PD1-19 Military Branch (IS) 015723.4.10.20 PD1-20 Military Rank/Grade (IS) 004863.4.10.21 PD1-21 Military Status (IS) 015733.4.11 DB1 - Disability Segment3.4.11.0 DB1 field definitions3.4.11.1 DB1-1 Set ID - DB1 (SI) 012833.4.11.2 DB1-2 Disabled Person Code (IS) 012843.4.11.3 DB1-3 Disabled Person Identifier (CX) 012853.4.11.4 DB1-4 Disability Indicator (ID) 012863.4.11.5 DB1-5 Disability Start Date (DT) 012873.4.11.6 DB1-6 Disability End Date (DT) 012883.4.11.7 DB1-7 Disability Return to Work Date (DT) 012893.4.11.8 DB1-8 Disability Unable to Work Date (DT) 012903.4.12 PDA - Patient Death and Autopsy Segment3.4.12.0 PDA field definitions3.4.12.1 PDA-1 Death Cause Code (CE) 015743.4.12.2 PDA-2 Death Location (PL) 105753.4.12.3 PDA-3 Death Certified Indicator (ID) 015763.4.12.4 PDA-4 Death Certificate Signed Date/Time (TS) 015773.4.12.5 PDA-5 Death Certified by (XCN) 015783.4.12.6 PDA-6 Autopsy Indicator (ID) 015793.4.12.7 PDA-7 Autopsy Start and End Date/Time (DR) 015803.4.12.8 PDA-8 Autopsy Performed by (XCN) 015813.4.12.9 PDA-9 Coroner Indicator (ID) 015823.5 EXAMPLE TRANSACTIONS3.5.1 Admit/visit notification - event A01 (admitted patient)3.5.2 Pre-admit notification - event A05 (nonadmitted patient)3.5.3 Register a patient - event A04 (nonadmitted patient)3.5.4 Change an outpatient to an inpatient - event A063.5.5 Transfer patient - event A02 (first example)3.5.6 Cancel transfer - event A123.5.7 Transfer patient - event A02 (second example)3.5.8 Discharge patient - event A033.5.9 Update adverse reaction info - unique identifier is provided - event A60 (where unique identifier is provided)3.5.10 Update adverse reaction info - allergen code provides unique identifier - event A60 (where the allergen code provides unique identifier)3.6 IMPLEMENTATION NOTES3.6.1 Swapping a patient3.6.2 Merging patient/person information3.6.2.1 Definitions: Merge, move, and change identifier events3.6.2.1.1 Hierarchy of Identifiers3.6.2.1.2 Merge3.6.2.1.3 Move3.6.2.1.4 Change identifier3.6.2.1.5 Source and target identifiers3.6.2.1.6 Tightly coupled relationship3.6.2.1.7 Ordered pairwise relationship3.6.2.1.8 Identifier type / assigning authority relationship3.6.2.1.9 Global merge and move message construct versus repeating segment message constructs3.6.2.1.10 Identifier renumbering3.6.2.1.11 Superior identifier reporting3.6.2.2 Trigger events3.6.2.2.1 A40 - merge patient - patient identifier list3.6.2.2.2 A40 - merge patient - patient identifier list (repeating segment)3.6.2.2.3 A41 - merge account - patient account number (global)3.6.2.2.4 A41 - merge account - patient account number (repeating segment)3.6.2.2.5 A42 - Merge visit - visit number3.6.2.2.6 A43 - move patient information - patient identifier list3.6.2.2.7 A44 - move account information - patient account number3.6.2.2.8 A45 - move visit information - visit number (repeating segment)3.6.2.2.9 A45 - move visit information - visit number (repeating segment)3.6.2.2.10 A47 - change patient identifier list3.6.2.2.11 A49 - change patient account number3.6.2.2.12 A50 - change visit number 3.6.2.2.13 A51 - change alternate visit ID3.6.2.2.14 Example using multiple messages3.6.2.2.15 Example using multiple messages3.6.3 Patient record links3.6.4 MPI Integration - an introduction3.6.4.0 3.6.4.1 Definitions - what is an MPI?3.6.4.2 HL7 and CORBAmed PIDS3.6.4.3 MPI QUERY for person lookup and identification3.6.4.4 Client system assigns identifier, person exists on MPI only3.6.4.5 Client system assigns identifier, person exists on both systems3.6.4.6 Client system assigns identifier, person exists on neither system3.6.4.7 MPI assigns identifier, person exists on MPI3.6.4.8 MPI assigns identifier, person exists on both systems3.6.4.9 MPI assigns identifier, person exists on neither system3.6.5 Usage notes: Non-human PID patient identification3.7 REFERENCED ORGANIZATIONS AND DOCUMENTS3 . Patient Administration
license serial number nch software code 58
Download Zip https://tlniurl.com/2wHtp8
eebf2c3492
ContentsContentsChapter 01: IntroductionChapter 02: ControlChapter 02a: Control (continued)Chapter 03: Patient AdministrationChapter 04: Order EntryChapter 05: QueryChapter 06: Financial ManagementChapter 07: Observation ReportingChapter 08: Master FilesChapter 09: Medical Records/Information Management (Document Management)Chapter 10: SchedulingChapter 11: Patient ReferralChapter 12: Patient CareChapter 13: Clinical Laboratory AutomationChapter 14: Application ManagementChapter 15: Personnel Management3 . Patient Administration3.1 CHAPTER 3 CONTENTS3.2 PURPOSE3.3 TRIGGER EVENTS AND MESSAGE DEFINITIONS3.3.1 ADT/ACK - Admit/Visit Notification (Event A01)3.3.2 ADT/ACK - Transfer a Patient (Event A02)3.3.3 ADT/ACK - Discharge/End Visit (Event A03)3.3.4 ADT/ACK - Register a Patient (Event A04)3.3.5 ADT/ACK - Pre-Admit a Patient (Event A05)3.3.6 ADT/ACK - Change an Outpatient to an Inpatient (Event A06)3.3.7 ADT/ACK - Change an Inpatient to an Outpatient (Event A07)3.3.8 ADT/ACK - Update Patient Information (Event A08)3.3.9 ADT/ACK - Patient Departing - Tracking (Event A09)3.3.10 ADT/ACK - Patient Arriving - Tracking (Event A10)3.3.11 ADT/ACK - Cancel Admit / Visit Notification (Event A11)3.3.12 ADT/ACK - Cancel Transfer (Event A12)3.3.13 ADT/ACK - Cancel Discharge / End Visit (Event A13)3.3.14 ADT/ACK - Pending Admit (Event A14)3.3.15 ADT/ACK - Pending Transfer (Event A15)3.3.16 ADT/ACK - Pending Discharge (Event A16)3.3.17 ADT/ACK - Swap Patients (Event A17)3.3.18 ADT/ACK - Merge Patient Information (Event A18)3.3.19 QRY/ADR - Patient Query (Event A19)3.3.19.1 A19 usage notes3.3.20 ADT/ACK - Bed Status Update (Event A20)3.3.21 ADT/ACK - Patient Goes on a Leave of Absence (Event A21)3.3.22 ADT/ACK - Patient Returns From a Leave of Absence (Event A22)3.3.23 ADT/ACK - Delete a Patient Record (Event A23)3.3.24 ADT/ACK - Link Patient Information (Event A24)3.3.25 ADT/ACK - Cancel Pending Discharge (Event A25)3.3.26 ADT/ACK - Cancel Pending Transfer (Event A26)3.3.27 ADT/ACK - Cancel Pending Admit (Event A27)3.3.28 ADT/ACK - Add Person or Patient Information (Event A28)3.3.29 ADT/ACK - Delete Person Information (Event A29)3.3.30 ADT/ACK - Merge Person Information (Event A30)3.3.31 ADT/ACK - Update Person Information (Event A31)3.3.32 ADT/ACK - Cancel Patient Arriving - Tracking (Event A32)3.3.33 ADT/ACK - Cancel Patient Departing - Tracking (Event A33)3.3.34 ADT/ACK - Merge Patient Information - Patient ID Only (Event A34)3.3.35 ADT/ACK - Merge Patient Information - Account Number Only (Event A35)3.3.36 ADT/ACK - Merge Patient Information - Patient ID & Account Number (Event A36)3.3.37 ADT/ACK - Unlink Patient Information (Event A37)3.3.38 ADT/ACK - Cancel Pre-Admit (Event A38)3.3.39 ADT/ACK - Merge Person - Patient ID (Event A39)3.3.40 ADT/ACK - Merge Patient - Patient Identifier List (Event A40)3.3.41 ADT/ACK - Merge Account - Patient Account Number (Event A41)3.3.42 ADT/ACK - Merge Visit - Visit Number (Event A42)3.3.43 ADT/ACK - Move Patient Information - Patient Identifier List (Event A43)3.3.44 ADT/ACK - Move Account Information - Patient Account Number (Event A44)3.3.45 ADT/ACK - Move Visit Information - Visit Number (Event A45)3.3.46 ADT/ACK - Change Patient ID (Event A46)3.3.47 ADT/ACK - Change Patient Identifier List (Event A47)3.3.48 ADT/ACK - Change Alternate Patient ID (Event A48)3.3.49 ADT/ACK - Change Patient Account Number (Event A49)3.3.50 ADT/ACK - Change Visit Number (Event A50)3.3.51 ADT/ACK - Change Alternate Visit ID (Event A51)3.3.52 ADT/ACK- Cancel Leave of Absence for a Patient (Event A52)3.3.53 ADT/ACK - Cancel Patient Returns from a Leave of Absence (Event A53)3.3.54 ADT/ACK - Change Attending Doctor (Event A54)3.3.55 ADT/ACK - Cancel Change Attending Doctor (Event A55)3.3.56 Get Person Demographics (QBP) and Response (RSP) (Events Q21 and K21)3.3.57 Find Candidates (QBP) and Response (RSP) (Events Q22 and K22)3.3.58 Get Corresponding Identifiers (QBP) and Response (RSP) (Events Q23 and K23)3.3.59 Allocate Identifiers (QBP) and Response (RSP) (Events Q24 and K24)3.3.60 ADT/ACK - Update Adverse Reaction Information (Event A60)3.3.61 ADT/ACK - Change Consulting Doctor (Event A61)3.3.62 ADT/ACK - Cancel Change Consulting Doctor (Event A62)3.4 MESSAGE SEGMENTS3.4.1 EVN - Event Type Segment3.4.1.0 EVN field definitions3.4.1.1 EVN-1 Event Type Code (ID) 000993.4.1.2 EVN-2 Recorded Date/Time (TS) 001003.4.1.3 EVN-3 Date/Time Planned Event (TS) 001013.4.1.4 EVN-4 Event Reason Code (IS) 001023.4.1.5 EVN-5 Operator ID (XCN) 001033.4.1.6 EVN-6 Event Occurred (TS) 012783.4.1.7 EVN-7 Event Facility (HD) 015343.4.2 PID - Patient Identification Segment3.4.2.0 PID field definitions3.4.2.1 PID-1 Set ID - PID (SI) 001043.4.2.2 PID-2 Patient ID (CX) 001053.4.2.3 PID-3 Patient Identifier List (CX) 001063.4.2.4 PID-4 Alternate Patient ID - PID (CX) 001073.4.2.5 PID-5 Patient Name (XPN) 001083.4.2.6 PID-6 Mother's Maiden Name (XPN) 001093.4.2.7 PID-7 Date/Time of Birth (TS) 001103.4.2.8 PID-8 Administrative Sex (IS) 001113.4.2.9 PID-9 Patient Alias (XPN) 001123.4.2.10 PID-10 Race (CE) 001133.4.2.11 PID-11 Patient Address (XAD) 001143.4.2.12 PID-12 County Code (IS) 001153.4.2.13 PID-13 Phone Number - Home (XTN) 001163.4.2.14 PID-14 Phone Number - Business (XTN) 001173.4.2.15 PID-15 Primary Language (CE) 001183.4.2.16 PID-16 Marital Status (CE) 001193.4.2.17 PID-17 Religion (CE) 001203.4.2.18 PID-18 Patient Account Number (CX) 001213.4.2.19 PID-19 SSN Number - Patient (ST) 001223.4.2.20 PID-20 Driver's License Number - Patient (DLN) 001233.4.2.21 PID-21 Mother's Identifier (CX) 001243.4.2.22 PID-22 Ethnic Group (CE) 001253.4.2.23 PID-23 Birth Place (ST) 001263.4.2.24 PID-24 Multiple Birth Indicator (ID) 001273.4.2.25 PID-25 Birth Order (NM) 001283.4.2.26 PID-26 Citizenship (CE) 001293.4.2.27 PID-27 Veterans Military Status (CE) 001303.4.2.28 PID-28 Nationality (CE) 007393.4.2.29 PID-29 Patient Death Date and Time (TS) 007403.4.2.30 PID-30 Patient Death Indicator (ID) 007413.4.2.31 PID-31 Identity Unknown Indicator (ID) 015353.4.2.32 PID-32 Identity Reliability Code (IS) 015363.4.2.33 PID-33 Last Update Date/Time (TS) 015373.4.2.34 PID-34 Last Update Facility (HD) 015383.4.2.35 PID-35 Species Code (CE) 015393.4.2.36 PID-36 Breed Code (CE) 015403.4.2.37 PID-37 Strain (ST) 015413.4.2.38 PID-38 Production Class Code (CE) 015423.4.2.39 PID-39 Tribal Citizenship (CWE) 018403.4.3 PV1 - Patient Visit Segment3.4.3.0 PV1 field definitions3.4.3.1 PV1-1 Set ID - PV1 (SI) 001313.4.3.2 PV1-2 Patient Class (IS) 001323.4.3.3 PV1-3 Assigned Patient Location (PL) 001333.4.3.4 PV1-4 Admission Type (IS) 001343.4.3.5 PV1-5 Preadmit Number (CX) 001353.4.3.6 PV1-6 Prior Patient Location (PL) 001363.4.3.7 PV1-7 Attending Doctor (XCN) 001373.4.3.8 PV1-8 Referring Doctor (XCN) 001383.4.3.9 PV1-9 Consulting Doctor (XCN) 001393.4.3.10 PV1-10 Hospital Service (IS) 001403.4.3.11 PV1-11 Temporary Location (PL) 001413.4.3.12 PV1-12 Preadmit Test Indicator (IS) 001423.4.3.13 PV1-13 Re-Admission Indicator (IS) 001433.4.3.14 PV1-14 Admit Source (IS) 001443.4.3.15 PV1-15 Ambulatory Status (IS) 001453.4.3.16 PV1-16 VIP Indicator (IS) 001463.4.3.17 PV1-17 Admitting Doctor (XCN) 001473.4.3.18 PV1-18 Patient Type (IS) 001483.4.3.19 PV1-19 Visit Number (CX) 001493.4.3.20 PV1-20 Financial Class (FC) 001503.4.3.21 PV1-21 Charge Price Indicator (IS) 001513.4.3.22 PV1-22 Courtesy Code (IS) 001523.4.3.23 PV1-23 Credit Rating (IS) 001533.4.3.24 PV1-24 Contract Code (IS) 001543.4.3.25 PV1-25 Contract Effective Date (DT) 001553.4.3.26 PV1-26 Contract Amount (NM) 001563.4.3.27 PV1-27 Contract Period (NM) 001573.4.3.28 PV1-28 Interest Code (IS) 001583.4.3.29 PV1-29 Transfer to Bad Debt Code (IS) 001593.4.3.30 PV1-30 Transfer to Bad Debt Date (DT) 001603.4.3.31 PV1-31 Bad Debt Agency Code (IS) 001613.4.3.32 PV1-32 Bad Debt Transfer Amount (NM) 001623.4.3.33 PV1-33 Bad Debt Recovery Amount (NM) 001633.4.3.34 PV1-34 Delete Account Indicator (IS) 001643.4.3.35 PV1-35 Delete Account Date (DT) 001653.4.3.36 PV1-36 Discharge Disposition (IS) 001663.4.3.37 PV1-37 Discharged to Location (DLD) 001673.4.3.38 PV1-38 Diet Type (CE) 001683.4.3.39 PV1-39 Servicing Facility (IS) 001693.4.3.40 PV1-40 Bed Status (IS) 001703.4.3.41 PV1-41 Account Status (IS) 001713.4.3.42 PV1-42 Pending Location (PL) 001723.4.3.43 PV1-43 Prior Temporary Location (PL) 001733.4.3.44 PV1-44 Admit Date/Time (TS) 001743.4.3.45 PV1-45 Discharge Date/Time (TS) 001753.4.3.46 PV1-46 Current Patient Balance (NM) 001763.4.3.47 PV1-47 Total Charges (NM) 001773.4.3.48 PV1-48 Total Adjustments (NM) 001783.4.3.49 PV1-49 Total Payments (NM) 001793.4.3.50 PV1-50 Alternate Visit ID (CX) 001803.4.3.51 PV1-51 Visit Indicator (IS) 012263.4.3.52 PV1-52 Other Healthcare Provider (XCN) 012743.4.4 PV2 - Patient Visit - Additional Information Segment3.4.4.0 PV2 field definitions3.4.4.1 PV2-1 Prior Pending Location (PL) 001813.4.4.2 PV2-2 Accommodation Code (CE) 001823.4.4.3 PV2-3 Admit Reason (CE) 001833.4.4.4 PV2-4 Transfer Reason (CE) 001843.4.4.5 PV2-5 Patient Valuables (ST) 001853.4.4.6 PV2-6 Patient Valuables Location (ST) 001863.4.4.7 PV2-7 Visit User Code (IS) 001873.4.4.8 PV2-8 Expected Admit Date/Time (TS) 001883.4.4.9 PV2-9 Expected Discharge Date/Time (TS) 001893.4.4.10 PV2-10 Estimated Length of Inpatient Stay (NM) 007113.4.4.11 PV2-11 Actual Length of Inpatient Stay (NM) 007123.4.4.12 PV2-12 Visit Description (ST) 007133.4.4.13 PV2-13 Referral Source Code (XCN) 007143.4.4.14 PV2-14 Previous Service Date (DT) 007153.4.4.15 PV2-15 Employment Illness Related Indicator (ID) 007163.4.4.16 PV2-16 Purge Status Code (IS) 007173.4.4.17 PV2-17 Purge Status Date (DT) 007183.4.4.18 PV2-18 Special Program Code (IS) 007193.4.4.19 PV2-19 Retention Indicator (ID) 007203.4.4.20 PV2-20 Expected Number of Insurance Plans (NM) 007213.4.4.21 PV2-21 Visit Publicity Code (IS) 007223.4.4.22 PV2-22 Visit Protection Indicator (ID) 007233.4.4.23 PV2-23 Clinic Organization Name (XON) 007243.4.4.24 PV2-24 Patient Status Code (IS) 007253.4.4.25 PV2-25 Visit Priority Code (IS) 007263.4.4.26 PV2-26 Previous Treatment Date (DT) 007273.4.4.27 PV2-27 Expected Discharge Disposition (IS) 007283.4.4.28 PV2-28 Signature on File Date (DT) 007293.4.4.29 PV2-29 First Similar Illness Date (DT) 007303.4.4.30 PV2-30 Patient Charge Adjustment Code (CE) 007313.4.4.31 PV2-31 Recurring Service Code (IS) 007323.4.4.32 PV2-32 Billing Media Code (ID) 007333.4.4.33 PV2-33 Expected Surgery Date and Time (TS) 007343.4.4.34 PV2-34 Military Partnership Code (ID) 007353.4.4.35 PV2-35 Military Non-Availability Code (ID) 007363.4.4.36 PV2-36 Newborn Baby Indicator (ID) 007373.4.4.37 PV2-37 Baby Detained Indicator (ID) 007383.4.4.38 PV2-38 Mode of Arrival Code (CE) 015433.4.4.39 PV2-39 Recreational Drug Use Code (CE) 015443.4.4.40 PV2-40 Admission Level of Care Code (CE) 015453.4.4.41 PV2-41 Precaution Code (CE) 015463.4.4.42 PV2-42 Patient Condition Code (CE) 015473.4.4.43 PV2-43 Living Will Code (IS) 007593.4.4.44 PV2-44 Organ Donor Code (IS) 007603.4.4.45 PV2-45 Advance Directive Code (CE) 015483.4.4.46 PV2-46 Patient Status Effective Date (DT) 015493.4.4.47 PV2-47 Expected LOA Return Date/Time (TS) 015503.4.4.48 PV2-48 Expected Preadmission Testing Date/Time (TS) 018413.4.4.49 PV2-49 Notify Clergy Code (IS) 018423.4.5 NK1 - Next of Kin / Associated Parties Segment3.4.5.0 NK1 field definitions3.4.5.1 NK1-1 Set ID - NK1 (SI) 001903.4.5.2 NK1-2 Name (XPN) 001913.4.5.3 NK1-3 Relationship (CE) 001923.4.5.4 NK1-4 Address (XAD) 001933.4.5.5 NK1-5 Phone Number (XTN) 001943.4.5.6 NK1-6 Business Phone Number (XTN) 001953.4.5.7 NK1-7 Contact Role (CE) 001963.4.5.8 NK1-8 Start Date (DT) 001973.4.5.9 NK1-9 End Date (DT) 001983.4.5.10 NK1-10 Next of Kin / Associated Parties Job Title (ST) 001993.4.5.11 NK1-11 Next of Kin / Associated Parties Job Code/Class (JCC) 002003.4.5.12 NK1-12 Next of Kin / Associated Parties Employee Number (CX) 002013.4.5.13 NK1-13 Organization Name - NK1 (XON) 002023.4.5.14 NK1-14 Marital Status (CE) 001193.4.5.15 NK1-15 Administrative Sex (IS) 001113.4.5.16 NK1-16 Date/Time of Birth (TS) 001103.4.5.17 NK1-17 Living Dependency (IS) 007553.4.5.18 NK1-18 Ambulatory Status (IS) 001453.4.5.19 NK1-19 Citizenship (CE) 001293.4.5.20 NK1-20 Primary Language (CE) 001183.4.5.21 NK1-21 Living Arrangement (IS) 007423.4.5.22 NK1-22 Publicity Code (CE) 007433.4.5.23 NK1-23 Protection Indicator (ID) 007443.4.5.24 NK1-24 Student Indicator (IS) 007453.4.5.25 NK1-25 Religion (CE) 001203.4.5.26 NK1-26 Mother's Maiden Name (XPN) 001093.4.5.27 NK1-27 Nationality (CE) 007393.4.5.28 NK1-28 Ethnic Group (CE) 001253.4.5.29 NK1-29 Contact Reason (CE) 007473.4.5.30 NK1-30 Contact Person's Name (XPN) 007483.4.5.31 NK1-31 Contact Person's Telephone Number (XTN) 007493.4.5.32 NK1-32 Contact Person's Address (XAD) 007503.4.5.33 NK1-33 Next of Kin/Associated Party's Identifiers (CX) 007513.4.5.34 NK1-34 Job Status (IS) 007523.4.5.35 NK1-35 Race (CE) 001133.4.5.36 NK1-36 Handicap (IS) 007533.4.5.37 NK1-37 Contact Person Social Security Number (ST) 007543.4.5.38 NK1-38 Next-of-Kin Birth Place (ST) 019053.4.5.39 NK1-39 VIP Indicator (IS) 001463.4.6 AL1 - Patient Allergy Information Segment3.4.6.0 AL1 field definitions3.4.6.1 AL1-1 Set ID - AL1 (SI) 002033.4.6.2 AL1-2 Allergen Type Code (CE) 002043.4.6.3 AL1-3 Allergen Code/Mnemonic/Description (CE) 002053.4.6.4 AL1-4 Allergy Severity Code (CE) 002063.4.6.5 AL1-5 Allergy Reaction Code (ST) 002073.4.6.6 AL1-6 Identification Date (DT) 002083.4.7 IAM - Patient Adverse Reaction Information Segment - Unique Identifier3.4.7.0 IAM field definitions3.4.7.1 IAM-1 Set ID - IAM (SI) 016123.4.7.2 IAM-2 Allergen Type Code (CE) 002043.4.7.3 IAM-3 Allergen Code/Mnemonic/Description (CE) 002053.4.7.4 IAM-4 Allergy Severity Code (CE) 002063.4.7.5 IAM-5 Allergy Reaction Code (ST) 002073.4.7.6 IAM-6 Allergy Action Code (CNE) 015513.4.7.7 IAM-7 Allergy Unique Identifier (EI) 015523.4.7.8 IAM-8 Action Reason (ST) 015533.4.7.9 IAM-9 Sensitivity to Causative Agent Code (CE) 015543.4.7.10 IAM-10 Allergen Group Code/Mnemonic/Description (CE) 015553.4.7.11 IAM-11 Onset Date (DT) 015563.4.7.12 IAM-12 Onset Date Text (ST) 015573.4.7.13 IAM-13 Reported Date/Time (TS) 015583.4.7.14 IAM-14 Reported by (XPN) 014593.4.7.15 IAM-15 Relationship to Patient Code (CE) 015603.4.7.16 IAM-16 Alert Device Code (CE) 015613.4.7.17 IAM-17 Allergy Clinical Status Code (CE) 015623.4.7.18 IAM-18 Statused by Person (XCN) 015633.4.7.19 IAM-19 Statused by Organization (XON) 015643.4.7.20 IAM-20 Statused at Date/Time (TS) 015653.4.8 NPU - Bed Status Update Segment3.4.8.0 NPU field definitions3.4.8.1 NPU-1 Bed Location (PL) 002093.4.8.2 NPU-2 Bed Status (IS) 001703.4.9 MRG - Merge Patient Information Segment3.4.9.0 MRG field definitions3.4.9.1 MRG-1 Prior Patient Identifier List (CX) 002113.4.9.2 MRG-2 Prior Alternate Patient ID (CX) 002123.4.9.3 MRG-3 Prior Patient Account Number (CX) 002133.4.9.4 MRG-4 Prior Patient ID (CX) 002143.4.9.5 MRG-5 Prior Visit Number (CX) 012793.4.9.6 MRG-6 Prior Alternate Visit ID (CX) 012803.4.9.7 MRG-7 Prior Patient Name (XPN) 012813.4.10 PD1 - Patient Additional Demographic Segment3.4.10.0 PD1 field definitions3.4.10.1 PD1-1 Living Dependency (IS) 007553.4.10.2 PD1-2 Living Arrangement (IS) 007423.4.10.3 PD1-3 Patient Primary Facility (XON) 007563.4.10.4 PD1-4 Patient Primary Care Provider Name & ID No. (XCN) 007573.4.10.5 PD1-5 Student Indicator (IS) 007453.4.10.6 PD1-6 Handicap (IS) 007533.4.10.7 PD1-7 Living Will Code (IS) 007593.4.10.8 PD1-8 Organ Donor Code (IS) 007603.4.10.9 PD1-9 Separate Bill (ID) 007613.4.10.10 PD1-10 Duplicate Patient (CX) 007623.4.10.11 PD1-11 Publicity Code (CE) 007433.4.10.12 PD1-12 Protection Indicator (ID) 007443.4.10.13 PD1-13 Protection Indicator Effective Date (DT) 015663.4.10.14 PD1-14 Place of Worship (XON) 015673.4.10.15 PD1-15 Advance Directive Code (CE) 015683.4.10.16 PD1-16 Immunization Registry Status (IS) 015693.4.10.17 PD1-17 Immunization Registry Status Effective Date (DT) 015703.4.10.18 PD1-18 Publicity Code Effective Date (DT) 015713.4.10.19 PD1-19 Military Branch (IS) 015723.4.10.20 PD1-20 Military Rank/Grade (IS) 004863.4.10.21 PD1-21 Military Status (IS) 015733.4.11 DB1 - Disability Segment3.4.11.0 DB1 field definitions3.4.11.1 DB1-1 Set ID - DB1 (SI) 012833.4.11.2 DB1-2 Disabled Person Code (IS) 012843.4.11.3 DB1-3 Disabled Person Identifier (CX) 012853.4.11.4 DB1-4 Disability Indicator (ID) 012863.4.11.5 DB1-5 Disability Start Date (DT) 012873.4.11.6 DB1-6 Disability End Date (DT) 012883.4.11.7 DB1-7 Disability Return to Work Date (DT) 012893.4.11.8 DB1-8 Disability Unable to Work Date (DT) 012903.4.12 PDA - Patient Death and Autopsy Segment3.4.12.0 PDA field definitions3.4.12.1 PDA-1 Death Cause Code (CE) 015743.4.12.2 PDA-2 Death Location (PL) 105753.4.12.3 PDA-3 Death Certified Indicator (ID) 015763.4.12.4 PDA-4 Death Certificate Signed Date/Time (TS) 015773.4.12.5 PDA-5 Death Certified by (XCN) 015783.4.12.6 PDA-6 Autopsy Indicator (ID) 015793.4.12.7 PDA-7 Autopsy Start and End Date/Time (DR) 015803.4.12.8 PDA-8 Autopsy Performed by (XCN) 015813.4.12.9 PDA-9 Coroner Indicator (ID) 015823.5 EXAMPLE TRANSACTIONS3.5.1 Admit/visit notification - event A01 (admitted patient)3.5.2 Pre-admit notification - event A05 (nonadmitted patient)3.5.3 Register a patient - event A04 (nonadmitted patient)3.5.4 Change an outpatient to an inpatient - event A063.5.5 Transfer patient - event A02 (first example)3.5.6 Cancel transfer - event A123.5.7 Transfer patient - event A02 (second example)3.5.8 Discharge patient - event A033.5.9 Update adverse reaction info - unique identifier is provided - event A60 (where unique identifier is provided)3.5.10 Update adverse reaction info - allergen code provides unique identifier - event A60 (where the allergen code provides unique identifier)3.6 IMPLEMENTATION NOTES3.6.1 Swapping a patient3.6.2 Merging patient/person information3.6.2.1 Definitions: Merge, move, and change identifier events3.6.2.1.1 Hierarchy of Identifiers3.6.2.1.2 Merge3.6.2.1.3 Move3.6.2.1.4 Change identifier3.6.2.1.5 Source and target identifiers3.6.2.1.6 Tightly coupled relationship3.6.2.1.7 Ordered pairwise relationship3.6.2.1.8 Identifier type / assigning authority relationship3.6.2.1.9 Global merge and move message construct versus repeating segment message constructs3.6.2.1.10 Identifier renumbering3.6.2.1.11 Superior identifier reporting3.6.2.2 Trigger events3.6.2.2.1 A40 - merge patient - patient identifier list3.6.2.2.2 A40 - merge patient - patient identifier list (repeating segment)3.6.2.2.3 A41 - merge account - patient account number (global)3.6.2.2.4 A41 - merge account - patient account number (repeating segment)3.6.2.2.5 A42 - Merge visit - visit number3.6.2.2.6 A43 - move patient information - patient identifier list3.6.2.2.7 A44 - move account information - patient account number3.6.2.2.8 A45 - move visit information - visit number (repeating segment)3.6.2.2.9 A45 - move visit information - visit number (repeating segment)3.6.2.2.10 A47 - change patient identifier list3.6.2.2.11 A49 - change patient account number3.6.2.2.12 A50 - change visit number 3.6.2.2.13 A51 - change alternate visit ID3.6.2.2.14 Example using multiple messages3.6.2.2.15 Example using multiple messages3.6.3 Patient record links3.6.4 MPI Integration - an introduction3.6.4.0 3.6.4.1 Definitions - what is an MPI?3.6.4.2 HL7 and CORBAmed PIDS3.6.4.3 MPI QUERY for person lookup and identification3.6.4.4 Client system assigns identifier, person exists on MPI only3.6.4.5 Client system assigns identifier, person exists on both systems3.6.4.6 Client system assigns identifier, person exists on neither system3.6.4.7 MPI assigns identifier, person exists on MPI3.6.4.8 MPI assigns identifier, person exists on both systems3.6.4.9 MPI assigns identifier, person exists on neither system3.6.5 Usage notes: Non-human PID patient identification3.7 REFERENCED ORGANIZATIONS AND DOCUMENTS3 . Patient Administration
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