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Admission, Discharge, and Transfer (ADT) messages are used to convey information about the state of patient encounters and are used to trigger events, such as notifications to clinicians in the patient's circle of care.

Listed below are the ADT message types that Orion Health solution processes. Other ADT message types are not supported. The table indicates which health domains process each ADT message type. It also indicates which message types are not supported by the data processor that is deployed in your Orion Health solution.

Currently, Amadeus does not support A37 messages.

If you use A40, A45, A50 or A60 messages, please check with the Orion Health project team that the functionality meets your requirements.


  Health domain processes this ADT event
  Not supported by CDS
ß  Not supported by CDR


EventName
Demographics
Encounters
Diagnoses
Allergies
Procedures
Relationships
Insurance

A01

Admit/visit notification 

A02

Transfer a patient




A03

Discharge/end visit



A04

Register a patient

A05

Pre-admit a patient

A06

Change an outpatient to an inpatient

A07

Change an inpatient to an outpatient

A08

Update patient information

A11

Cancel admit/visit notification



A12

Cancel transfer




A13

Cancel discharge/end visit

A28

Add patient information






A31

Update patient information




A38

Cancel pre-admit




A40

Merge patient identifier list





A45

Move visit information



A50

Change visit number



A60 ß

Update allergy information







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