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HL7 V2 | TRIGGER EVENT A01

ADT^A01: Admit/visit notification

Sent when a patient is admitted, usually as an inpatient, or when a visit starts. It opens an encounter: PID carries the patient, PV1 the visit (patient class, location, attending doctor), and many feeds add NK1, DG1, AL1 and IN1.

Message type
ADT · ADT message
Trigger event
A01
Message structure
ADT_A01 · per HL7's current table 0354; older versions sometimes paired events differently
In MSH-9
ADT^A01^ADT_A01
Response
ACK · General acknowledgment message

Segments in ADT_A01 and their FHIR resources

The segments of the ADT_A01 structure as listed in the HL7 v2-to-FHIR Implementation Guide, with the FHIR resources each one maps to. Square brackets mean optional and braces mean the segment can repeat. Indented segments belong to the group above them; “required” means required whenever that group is present.

SegmentNameRequiredFHIR resources
MSHMessage HeaderYesBundle MessageHeader Provenance
[{ ARV }]Access RestrictionsNo · repeats—
[{ SFT }]Software SegmentNo · repeatsProvenance
[ UAC ]User Authentication CredentialNo—
EVNEvent TypeYesProvenance
PIDPatient IdentificationYesPatient Account Provenance
[ PD1 ]Additional DemographicsNoPatient Observation
[{ OH1 }]Employment StatusNo · repeats—
[{ OH2 }]Past or Present JobNo · repeats—
[ OH3 ]Usual WorkNo—
[{ OH4 }]Combat Zone WorkNo · repeats—
[{ ARV }]Access RestrictionsNo · repeats—
[{ ROL }]RoleNo · repeatsPatient CareTeam
[{ PRT }]ParticipationNo · repeatsPatient CareTeam
NEXT_OF_KIN groupNo · repeats
NK1Next of Kin / Associated PartiesNo · repeatsRelatedPerson Patient
[{ OH2 }]Past or Present JobNo · repeats—
[ OH3 ]Usual WorkNo—
PV1Patient VisitYesEncounter Basic Patient Coverage
[ PV2 ]Patient Visit - Additional Info.NoEncounter
[{ ARV }]Access RestrictionsNo · repeats—
[{ ROL }]RoleNo · repeatsEncounter
[{ PRT }]ParticipationNo · repeats—
[{ DB1 }]Disability InformationNo · repeats—
OBSERVATION groupNo · repeats
OBXObservation/ResultNo · repeatsObservation
[{ PRT }]ParticipationNo · repeats—
[{ AL1 }]Allergy InformationNo · repeatsAllergyIntolerance
[{ IAM }]Patient Advers Reaction InformationNo · repeats—
[{ DG1 }]Diagnosis InformationNo · repeatsCondition Encounter EpisodeOfCare
[ DRG ]Diagnosis Related GroupNo—
PROCEDURE groupNo · repeats
PR1ProceduresYesProcedure
[{ ROL }]RoleNo · repeats—
[{ PRT }]ParticipationNo · repeats—
[{ GT1 }]GuarantorNo · repeats—
INSURANCE groupNo · repeats
IN1InsuranceYesCoverage
[ IN2 ]Insurance Additional Info.No—
[{ IN3 }]Insurance Additional Info - Cert.No · repeatsCareTeam
[{ ROL }]RoleNo · repeats—
[{ PRT }]ParticipationNo · repeats—
AUTHORIZATION groupNo · repeats
AUTAuthorization RecordNo · repeats—
[{ PRT }]ParticipationNo · repeats—
REFERRAL groupNo · repeats
RF1Referral InformationNo · repeats—
[{ PRT }]ParticipationNo · repeats—
[ ACC ]Accident InformationNo—
[ UB1 ]Universal Bill InformationNo—
[ UB2 ]Universal Bill 92 InformationNo—
[ PDA ]Patient Death and AutopsyNo—

Other events with the ADT_A01 structure

Source: HL7 Terminology (THO) 7.4.0 and the HL7 v2-to-FHIR Implementation Guide 1.0.0, published by HL7 International under CC0. Check your trading partner's specification for the values they actually send.