| LINKMED®
Interface Tutorial:
HL7
ADT Segments and
Fields |
Each ADT Message sent is associated with an event type (MSH_9_2).
The EVN segment is not required for HL7 message version 2.3.1 or later.
|
Seq
|
Element Name
|
Req
|
Len
|
Comments
|
|
0
|
Segment ID (EVN) |
R
|
3
|
"EVN" |
|
1
|
Event Type Code |
R
|
3
|
A01, A02, A03, A08, etc... |
|
2
|
Date/Time of Event |
O
|
19
|
YYYYMMDDhhmm[ss] Date and time of event |
|
3
|
Date/Time of Planned Event |
O
|
19
|
YYYYMMDDhhmm[ss] |
|
4
|
Event Reason Code |
O
|
3
|
|
|
5
|
Operator ID |
O
|
5
|
|
|
6
|
EventOccurred |
O
|
26
|
|
|
7
|
EventFacility |
O
|
241
|
6.4 PID-Patient Identification Segment
Since the PID segment
contains permanent identifying and demographic information
about a patient, it is used by the applications as the main
means of communicating this information.
|
Seq
|
Element Name
|
Req
|
Len
|
Comments
|
|
|
0
|
Segment ID (PID) |
R
|
3
|
"PID" | |
|
1
|
Set ID - Patient ID |
O
|
4
|
||
|
2
|
Patient ID (External ID) |
O
|
16
|
||
|
3
|
Patient ID (Internal ID) |
R
|
16
|
Medical Record Number | |
|
4
|
Alternate Patient ID/Tote ID |
O
|
12
|
||
|
5
|
Patient Name |
R
|
48
|
LName^FName^MName | |
|
6
|
Mother's Maiden Name |
O
|
30
|
||
|
7
|
Date of Birth |
O
|
8
|
YYYYMMDD [hhmmss] | |
|
8 |
Sex |
O |
1 |
F – female, M – male, U – unknown |
|
|
9 |
Patient Alias |
O |
48 |
|
|
|
10 |
Race |
O |
1 |
|
|
|
11 |
Patient Address |
O |
106 |
Address1^Address2^ City^State^Zip |
|
|
12 |
County Code |
O |
4 |
|
|
|
13 |
Phone Omber – Home |
O |
40 |
||
|
14 |
Phone Omber – Business |
O |
40 |
||
|
15 |
Language – Patient |
O |
25 |
|
|
|
16 |
Marital Status |
O |
1 |
||
|
17 |
Religion |
O |
3 |
||
|
18 |
Patient Account Omber |
R |
20 |
Account/Visit Number | |
|
19 |
SSN Omber – Patient |
O |
16 |
||
|
20 |
Driver’s License Omber – Patient |
O |
25 |
|
|
|
21 |
Mother’s Identification No RX’s In PO |
O |
20 |
|
|
|
22
|
PatientEthnicGroup |
O
|
20
|
||
|
23
|
PatientBirthPlace |
O
|
60
|
||
|
24
|
MultipleBirthIndicator |
2
|
|||
|
25
|
BirthOrder |
O
|
2
|
||
|
26
|
PatientCitizenship |
O
|
250
|
||
|
27
|
VeteransMilitaryStatus |
O
|
250
|
||
|
28
|
PIDNationality |
O
|
250
|
||
|
29
|
PatientDateTimeofDeath |
O
|
26
|
YYYYMMDDhhmm[ss] | |
|
30
|
PatientDeathIndicator |
O
|
20
|
||
|
31
|
IdentityUnknownIndicator |
O
|
20
|
||
|
32
|
IdentityReliabilityCode |
O
|
20
|
||
|
33
|
LastUpdateDateTime |
O
|
26
|
YYYYMMDDhhmm[ss] | |
|
34
|
LastUpdateFacility |
O
|
241
|
||
|
35
|
SpeciesCode |
O
|
250
|
||
|
36
|
BreedCode |
O
|
250
|
||
|
37
|
Strain |
O
|
80
|
||
|
38
|
ProductionClassCode |
O
|
250
|
||
|
R = Required, CR = Conditionally Required, O = Optional, N = Numeric, AN = Alpha/Omeric, ID = Segment Identification |
|||||
6.6 PV1-Patient Visit Segment
The PV1 segment is used
by Registration/ADT applications. The PV1
segment is used to communicate information on
a visit specific basis. This segment can be used to send
multiple visit statistic records to the same patient account
or single visit records to more than one account. Each site
must determine the use for this segment.
|
Seq
|
Element Name
|
Req
|
Len
|
Comments
|
|
0
|
Segment ID (PV1) |
R
|
3
|
“PV1” |
|
1
|
Set ID – Patient Visit |
O
|
4
|
|
|
2
|
Patient Class |
O
|
1
|
I – inpatient, O – outpatient, P – pre-admit, E – emergency |
|
3
|
Assigned Patient Location |
O
|
12
|
Location^Room^Bed |
|
7
|
Attending Doctor |
R
|
60
|
Doctor mnemonic^Doctor name |
|
8
|
Referring Doctor |
O
|
45
|
Doctor mnemonic^Doctor name |
|
9
|
Consulting Doctor |
O
|
60
|
|
|
10
|
Hospital Service |
O
|
10
|
|
|
11
|
Temporary Location |
O
|
10
|
|
|
12
|
Pre-Admit Test Indicator |
O
|
2
|
|
|
13
|
Re-Admission Indicator |
O
|
2
|
|
|
14
|
Admit Source |
O
|
10
|
|
|
15
|
Ambulatory Status |
O
|
2
|
|
|
16
|
VIP Indicator |
O
|
1
|
Y or N |
|
17
|
Admitting Doctor |
O
|
60
|
Doctor mnemonic^Doctor name |
|
18
|
Patient Type |
O
|
3
|
IN= Inpatient OU=OutPatient |
|
19
|
Visit Number |
O
|
4
|
|
|
20
|
Financial Class |
O
|
10
|
|
|
21
|
Charge Price Indicator |
O
|
2
|
|
|
22
|
Courtesy Code |
O
|
2
|
|
|
23
|
Credit Rating |
O
|
2
|
|
|
24
|
Contract Code |
O
|
2
|
|
|
25
|
Contract Effective Date |
O
|
8
|
|
|
26
|
Contract Amount |
O
|
12
|
|
|
27
|
Contract Period |
O
|
3
|
|
|
28
|
Interest Code |
O
|
2
|
|
|
29
|
Transfer to Bad Debt Code |
O
|
1
|
|
|
30
|
Transfer to Bad Debt Date |
O
|
8
|
|
|
31
|
Bad Debt Agency Code |
O
|
10
|
|
|
32
|
Bad Debt Transfer Amount |
O
|
12
|
|
|
33
|
Bad Debt Recovery Amount |
O
|
12
|
|
|
34
|
Delete Account Indicator |
O
|
1
|
|
|
35
|
Delete Account Date |
O
|
8
|
|
|
36
|
Discharge Disposition |
O
|
10
|
|
|
37
|
Discharge To Location |
O
|
2
|
|
|
38
|
Diet Type |
O
|
2
|
|
|
39
|
Servicing Facility |
O
|
10
|
|
|
40
|
Bed Status |
O
|
1
|
|
|
41
|
Account Status |
O
|
3
|
|
|
42
|
Pending Location |
O
|
12
|
|
|
43
|
Prior Temporary Location |
O
|
12
|
|
|
44
|
Admit Date/Time |
R
|
12
|
YYYYMMDDhhmm[ss] |
|
45
|
Discharge Date/Time |
CR
|
12
|
YYYYMMDDhhmm[ss] |
|
46
|
Current Patient Balance |
O
|
12
|
|
|
47
|
Total Charges |
O
|
12
|
|
|
48
|
Total Adjustments |
O
|
12
|
|
|
49
|
Total Payments |
O
|
12
|
|
|
50
|
Alternate Visit ID |
O
|
16
|
|
|
51
|
VisitIndicator |
O
|
1
|
|
|
52
|
OtherHealthcareProvider |
O
|
250
|
|
|
R = Required, CR =
Conditionally Required, O = Optional, N = Omeric,
AN = Alpha/Omeric, ID = Segment Identification
|
||||
