NotifyADT (Discharge)
This page holds the links to the FHIR® Bundle used for NotifyADT (Discharge) and to the corresponding message examples.
The NotifyADT (Discharge) is a POST message that uses the FHIR Davinci Unsolicited Notification Discharge bundle to alert customers when patient is discharged from a care event. Surescripts maps the following HL7v2.5.1 ADT message types as Discharge notifications.
- A03 – Discharge/End Visit
- A07 – Change an Inpatient to an Outpatient
- A09 – Patient Departing - Tracking
NotifyADT (Discharge) Sample Explained
When an ADT is received for an enrolled patient, the NotifyADT (Discharge) notification sent to monitoring organizations by Surescripts consists of the following resources.
| FHIR Resource Hierarchy | Cardinality/Description | |
|---|---|---|
| Bundle | Patient found will be a Da Vinci Unsolicited Discharge Bundle with a single Patient resource. | |
| Message Header | The Message Header Resource identifies the necessary details for transaction routing and auditing of the patient Discharge notifications. | |
| Patient | Each Discharge will have a single Patient (subject of the encounter). Patient resource will include the receiving system’s Patient ID and Assigning Authority provided when the system enrolled the patient for notifications. | |
| Organization | Multiple Organizations may be included in each Discharge. The Organization resource can be referenced by other resources. At least one Organization resource will represent Surescripts as the Intermediate sender for the Discharge notification. | |
| Encounter | An Encounter resource will describe the patient event including linking resources for the patient, location, diagnoisis, practicitioner, etc. | |
| Provenance | Each Discharge will have only a single Provenance resource. The Provenance identifies when the event occurred and the author of the patient event. | |
| Location | Multiple Location Resources may be received. Locations will describe where the patient event occurred (Treating Facility); the discharge to location when provided; and may also include additional location details such as bed, floor, etc. | |
| Practitioner | Multiple practioners may be included in each admit. A resource identifying practioners involved in the event. Practioners can include primary care provider, attending practioner, admitting practioner, consulting practioner, etc. | |
| Condition | Each Discharge may have multiple Condition resources. The Condition resource will describe the diagnose(s), if available, when the patient is discharged. |