AS 4700.1.2.4:2014 pdf – lmplementation of Health Level Seven(HL7) Version 2.4 Part 1.2.4: Patient administration.
(iii) the finance system that for billing purposes a non-admitted service has been provided: and
(iv) hospital EMR that non-admitted service provision has taken place.
(d) Ucage notes The visit start date/time is entered in data element ‘Admit Date/Time’ (see PVI-44). When adding a patient to a PMI. only the A28 (Add person information) trigger event, described in Clause 7,30, should be used.
7.7 A0 Pre-admit a patient
The following applies:
(a) Status Non-mandatory.
(b) Description The A0S trigger event is generated hen it is necessary to notifs that either an admitted or a non-admitted service provision has been booked.
(c) Examples The A05 trigger event notifies—
(i) the theatre system when a patient admission is planned, for the appropriate scheduling of theatres:
(ii) the diagnostic imaging and pathology systems of the planned patient admission. for hooking and performance of services before surgery;
(iii) hospital EMR that a patient has been booked:
(iv) the pharmacy system that a non-admitted service provision is planned: and
(v) maternity bookings pre-admission.
(d) Usage notes The A38 trigger event (see Clause 7.40) is used to cancel erroneous entry of the A05 trigger event.
7. A06 Change a non-admitted patient to an admitted patient
The following applies:
(a) Status Non-mandatory.
(b) Dc’wrlption The A06 trigger event is generated as the result of a patient who is present for a non-admitted service provision being admitted after evaluation of the seriousness of the patient’s condition- for example, a non-admitted patient attends an outpatient clinic, arrests, and is admitted. This trigger event changes a patient’s status from non-admitted to admitted.
(c) Examples The A06 trigger event notifies
(i) the pharmacy system of the patient’s change of status:
(ii) the diagnostic imaging and pathology systems of the patient’s change ot’slatus;
(iii) the finance system of the patient’s change of status; and
(iv) hospital F.MR.
(d) Usage notes The new patient location should appear in data element Assigned Patient Location’ (see PV1-3). while the old patient location (if different) should appear in data element ‘Prior Patient Location’ (see PVI-6). The new patient class should appear in data element ‘Patient Class’ (see PVI-2). The significance of this trigger event depends on the institution and how it implements patient control and statistics. It is not expected to be very useful, as most hospitals record the non- admitted and admitted visits separately for statistics, costing and care planning.
7.9 A07 Change an admitted patient to a non-admitted patient
The following applies:
(a) Stalus Non-mandatory.
(b) Description The A07 trigger event is generated as the result of the status of an admitted patient being changed to non-admitted patient, where the patient is still being seen for the same episode of care.
(c) Example Pathology, diagnostic imaging and pharmacy systcms should be notified that the patient has changed from admitted to non-admitted.
(d) Usage notes The new patient location should appear in data element ‘Assigned Patient Location’ (see PVI-3), while the old patient location (if different) should appear in data element ‘Prior Patient Location’ (see PVI-6). The relevance of this trigger event depends on the institution and how it implements patient control and statistics.
7.10 MIS Upd*tc patient information The following applies:
(a) Status Mandatory,
(b) De.wriplion The A08 trigger event is generated as a result of patient information being changed. This will include all fields that are not specifically identil’icd by some other trigger, for example. A02 trigger event for location modification.
(c) Exampks The A08 trigger event notities—
(i) the finance system of the patient’s address change;
(ii) the pharmacy system of the patient’s name change;
(iii) ;hc pharmacy, pathology and diagnostic imaging systems of the patient’s demographics; and
(iv) hospital EMR of a change to the patient’s demographics.