The terms EHR and EMR often get used interchangeably and I believe for all intents and purposes they can be used in a the same context.

However I believe the main difference between the two terminologies is the EHR(electronic health record) is a consolidation of the patients EMRs(electronic medical records) across all platforms and institutions.

The EHR is a complete holistic view of an individual patients medical history from lab results, radiology results, demographics, vitals and so forth.

An electronic health record (EHR),  uses specialized healthcare software in order to collect  information on individual patients.

Each patient has their own digital record that contains the same information doctors traditionally kept using paper.

The advantage of digital record keeping is doctors do not have to keep  track of physically filing all of the patient information.  As a result there are no papers or files that will get lost.

Specialized EMR and EHR software is able to record and track patient demographics as well as vital signs, health history, age, weight, allergies and insurance information to name a few.

One of the goals of EHRs is to be able to integrate with other healthcare IT systems for billing, laboratory information, radiology and other healthcare computer systems.  Integration is not limited to local information systems, but includes information systems in other healthcare institutions located anywhere.

Some of this information sharing is accomplished by utilizing industry wide accepted means of data transmission.  One such standard is called HL7 or Health Language 7.

There is a brief video >>>HERE<<< explaining what HL7 is and a brief blog about “What is HL7?” >>>Here<<<

The post What is an EHR? Electronic Health Record appeared first on Healthcare IT Systems.

(Electronic Medical Record) An electronic health record (EHR), or electronic medical record (EMR), uses specialized healthcare software in order to collect  information on individual patients.

Each patient has their own digital record that contains the same information doctors traditionally kept using paper.

The advantage of digital record keeping is doctors do not have to keep  track of physically filing all of the patient information.  As a result there are no papers or files that will get lost.

Specialized EMR software is able to record and track patient demographics as well as vital signs, health history, age, weight, allergies and insurance information to name a few.

One of the goals of EMRs is to be able to integrate with other healthcare systems for billing, laboratory information, radiology and other healthcare computer systems.  Integration is not limited to local information systems, but includes information systems in other healthcare institutions located anywhere.

Some of this information sharing is accomplished by utilizing industry wide accepted means of data transmission.  One such standard is called HL7 or Health Language 7.

There is a brief video >>>HERE<<< explaining what HL7 is and a brief blog about “What is HL7?” >>>Here<<<

The post What is an EMR? – Electronic Health Record appeared first on Healthcare IT Systems.

ADT messages are extremely common in HL7 processing and are among the most widely used of all message types. They communicate patient demographic and visit information, as well as the reason why the message is beingsent.

ADT messages are typically initiated by the HIS or a registration application,and are used to keep ancillary systems in-sync regarding the state of a patient.

Here are some great HL7 resources that I found on Amazon…great tools!

When a patient’s record is updated, an ADT message is sent. This way, all systems can maintain the patient’s current contact information, insurance, and next of kin, as well as their current patient location and attending doctor.

There are 51 different types of ADT message events that represent real world activities for the patient.

Some of the most commonly used ADT message events are the A01 message when a patient is admitted, the A02 when they’re transferred, and the A03 when they are discharged.

Within the contents of an ADT message you will find patient demographic and visit information.

Here we’re looking at different sample of some of the more common ADT event types.

In the PID segment you can find the patient’s name and contact information. The PV1 segment holds visit information such as the attending physician and the assigned patient location. The IN1 and IN2 segments are where you will find the patient’s primary and secondary insurance information.

Here is a listing of the more common ADT event types.  Click the links for examples of the formatted HL7 messages.

• ADT-A01 – patient admit
• ADT-A02 – patient transfer
• ADT-A03 – patient discharge
• ADT-A04 – patient registration
• ADT-A05 – patient pre-admission
• ADT-A08 – patient information update
• ADT-A11 – cancel patient admit
• ADT-A12 – cancel patient transfer
• ADT-A13 – cancel patient discharge

The post What is a HL7 ADT message? appeared first on Healthcare IT Systems.

<<< ADT A12     ADT A01 >>>

The ADT “cancel discharge” message A13 event is sent when an earlier “discharge patient” message (A03 event) is canceled, either because of erroneous entry or because of a revised decision to not discharge, or end the visit of, the patient.

This message uses the same segments as the “admit patient” (A01) message.

ADT^A13 Sample Message Sent From Hospital Information System:

MSH|^~\&|AccMgr|1|||20050110045504||ADT^A13|599102|P|2.3||| EVN|A01|20050110045502||||| PID|1||10006579^^^1^MRN^1||DUCK^DONALD^D||19241010|M||1|111 DUCK ST^^FOWL^CA^999990000^^M|1|8885551212|8885551212|1|2||40007716^^^AccMgr^VN^1|123121234|||||||||||NO NK1|1|DUCK^HUEY|SO|3583 DUCK RD^^FOWL^CA^999990000|8885552222||Y|||||||||||||| PV1|1|I|PREOP^101^1^1^^^S|3|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|||01||||1|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|2|40007716^^^AccMgr^VN|4|||||||||||||||||||1||G|||20050110045253|||||| GT1|1|8291|DUCK^DONALD^D||111^DUCK ST^^FOWL^CA^999990000|8885551212||19241010|M||1|123121234||||#Cartoon Ducks Inc|111^DUCK ST^^FOWL^CA^999990000|8885551212||PT| DG1|1|I9|71596^OSTEOARTHROS NOS-L/LEG ^I9|OSTEOARTHROS NOS-L/LEG ||A| IN1|1|MEDICARE|3|MEDICARE|||||||Cartoon Ducks Inc|19891001|||4|DUCK^DONALD^D|1|19241010|111^DUCK ST^^FOWL^CA^999990000|||||||||||||||||123121234A||||||PT|M|111 DUCK ST^^FOWL^CA^999990000|||||8291 IN2|1||123121234|Cartoon Ducks Inc|||123121234A|||||||||||||||||||||||||||||||||||||||||||||||||||||||||8885551212 IN1|2|NON-PRIMARY|9|MEDICAL MUTUAL CALIF.|PO BOX 94776^^HOLLYWOOD^CA^441414776||8003621279|PUBSUMB|||Cartoon Ducks Inc||||7|DUCK^DONALD^D|1|19241010|111 DUCK ST^^FOWL^CA^999990000|||||||||||||||||056269770||||||PT|M|111^DUCK ST^^FOWL^CA^999990000|||||8291 IN2|2||123121234|Cartoon Ducks Inc||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||8885551212 IN1|3|SELF PAY|1|SELF PAY|||||||||||5||1

Examples of ADT messages are:

• ADT-A01 – patient admit
• ADT-A02 – patient transfer
• ADT-A03 – patient discharge
• ADT-A04 – patient registration
• ADT-A05 – patient pre-admission
• ADT-A08 – patient information update
• ADT-A11 – cancel patient admit
• ADT-A12 – cancel patient transfer
• ADT-A13 – cancel patient discharge

The post HL7 ADT A13 – Cancel Discharge Sample Message appeared first on Healthcare IT Systems.

<<< ADT A11     ADT A13 >>>

The “cancel transfer” message (A12 event) is intended to reverse an earlier “transfer” message, either because of an erroneous entry or because of a revised decision to not transfer the patient.

This message uses the same segments as the “transfer patient” ADT (A02) message and, for inbound messages, is treated as a second transfer.

ADT^A12 Sample Message Sent From Hospital Information System:

MSH|^~\&|AccMgr|1|||20050110114442||ADT^A12|59910287|P|2.3||| EVN|A02|20050110114442||||| PID|1||10006579^^^1^MRN^1||DUCK^DONALD^D||19241010|M||1|111^DUCK ST^^FOWL^CA^999990000^^M|1|8885551212|8885551212|1|2||40007716^^^AccMgr^VN^1|123121234|||||||||||NO PV1|1|I|IN1^214^1^1^^^S|3||PREOP^101^|37^DISNEY^WALT^^^^^^AccMgr^^^^CI|||01||||1|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|2|40007716^^^AccMgr^VN|4|||||||||||||||||||1||I|||20050110045253||||||

Examples of ADT messages are:

• ADT-A01 – patient admit
• ADT-A02 – patient transfer
• ADT-A03 – patient discharge
• ADT-A04 – patient registration
• ADT-A05 – patient pre-admission
• ADT-A08 – patient information update
• ADT-A11 – cancel patient admit
• ADT-A12 – cancel patient transfer
• ADT-A13 – cancel patient discharge

The post HL7 ADT A12 Sample Message appeared first on Healthcare IT Systems.

<<< ADT A08     ADT A12 >>>

For inpatients, the “cancel admission” message ADT (A11 event) is sent when an earlier “admission” message (A01 event) is canceled, either because of an erroneous entry or because of a revised decision to not admit the patient.

For outpatients/ER patients, the message is sent when an earlier “register outpatient” message (A04 event) is canceled for similar reasons. If the patient has orders on file, the patient will be discharged by the application. If no orders are on file, the patient’s record will be deleted.

This message uses the same segments as the “discharge patient” (A03) message.

HL7 ADT^A11 Sample Message Sent From Hospital Information System:

MSH|^~\&|AccMgr|1|||20050112154645||ADT^A11|59912415|P|2.3||| EVN|A03|20050112154642||||| PID|1||10006579^^^1^MRN^1||DUCK^DONALD^D||19241010|M||1|111^DUCK ST^^FOWL^CA^999990000^^M|1|8885551212|8885551212|1|2||40007716^^^AccMgr^VN^1|123121234|||||||||||NO PV1|1|I|IN1^214^1^1^^^S|3||IN1^214^1|37^DISNEY^WALT^^^^^^AccMgr^^^^CI|||01||||1|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|2|40007716^^^AccMgr^VN|4||||||||||||||||1|||1||P|||20050110045253|20050112152000|3115.89|3115.89|||

Examples of ADT messages are:

• ADT-A01 – patient admit
• ADT-A02 – patient transfer
• ADT-A03 – patient discharge
• ADT-A04 – patient registration
• ADT-A05 – patient pre-admission
• ADT-A08 – patient information update
• ADT-A11 – cancel patient admit
• ADT-A12 – cancel patient transfer
• ADT-A13 – cancel patient discharge

The post HL7 ADT – Cancel Admission (A11) Sample Message appeared first on Healthcare IT Systems.

<<< ADT A05     ADT A11 >>>

This message (A08 event) is used when any patient information has changed but when no other ADT event has

Sample HL7 Message ADT A08

occurred. For example, visit information updates.

This message uses the same segments as the “admit patient” (A01) message.

ADT A08 Sample Message Sent From Hospital Information System:

MSH|^~\&|AccMgr|1|||20050110045504||ADT^A08|599102|P|2.3||| EVN|A01|20050110045502||||| PID|1||10006579^^^1^MRN^1||DUCK^DONALD^D||19241010|M||1|111 DUCK ST^^FOWL^CA^999990000^^M|1|8885551212|8885551212|1|2||40007716^^^AccMgr^VN^1|123121234|||||||||||NO NK1|1|DUCK^HUEY|SO|3583 DUCK RD^^FOWL^CA^999990000|8885552222||Y|||||||||||||| PV1|1|I|PREOP^101^1^1^^^S|3|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|||01||||1|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|2|40007716^^^AccMgr^VN|4|||||||||||||||||||1||G|||20050110045253|||||| GT1|1|8291|DUCK^DONALD^D||111^DUCK ST^^FOWL^CA^999990000|8885551212||19241010|M||1|123121234||||#Cartoon Ducks Inc|111^DUCK ST^^FOWL^CA^999990000|8885551212||PT| DG1|1|I9|71596^OSTEOARTHROS NOS-L/LEG ^I9|OSTEOARTHROS NOS-L/LEG ||A| IN1|1|MEDICARE|3|MEDICARE|||||||Cartoon Ducks Inc|19891001|||4|DUCK^DONALD^D|1|19241010|111^DUCK ST^^FOWL^CA^999990000|||||||||||||||||123121234A||||||PT|M|111 DUCK ST^^FOWL^CA^999990000|||||8291 IN2|1||123121234|Cartoon Ducks Inc|||123121234A|||||||||||||||||||||||||||||||||||||||||||||||||||||||||8885551212 IN1|2|NON-PRIMARY|9|MEDICAL MUTUAL CALIF.|PO BOX 94776^^HOLLYWOOD^CA^441414776||8003621279|PUBSUMB|||Cartoon Ducks Inc||||7|DUCK^DONALD^D|1|19241010|111 DUCK ST^^FOWL^CA^999990000|||||||||||||||||056269770||||||PT|M|111^DUCK ST^^FOWL^CA^999990000|||||8291 IN2|2||123121234|Cartoon Ducks Inc||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||8885551212 IN1|3|SELF PAY|1|SELF PAY|||||||||||5||1

Other examples of ADT messages are:

• ADT-A01 – patient admit
• ADT-A02 – patient transfer
• ADT-A03 – patient discharge
• ADT-A04 – patient registration
• ADT-A05 – patient pre-admission
• ADT-A08 – patient information update
• ADT-A11 – cancel patient admit
• ADT-A12 – cancel patient transfer
• ADT-A13 – cancel patient discharge

The post HL7 ADT A08 – Update Patient Information Sample Message appeared first on Healthcare IT Systems.

<<< ADT A04     ADT A08 >>>

A “pre-admission” message (A05 event) is sent to notify the interface of a patient pre-admission process.

Sample HL7 Message ADT A05

This message can also be used to pre-register an outpatient or emergency room patient.

Note: Users may be able to configure their system to process, or not process (ignore), this message type; in either case an “application accept” acknowledgement will be returned to the sender.

This message uses the same segments as the “admit patient” (A01) message.

HL7 ADT Sample Message Sent From Hospital Information System:

MSH|^~\&|AccMgr|1|||20050110045504||ADT^A05|599102|P|2.3||| EVN|A01|20050110045502||||| PID|1||10006579^^^1^MRN^1||DUCK^DONALD^D||19241010|M||1|111 DUCK ST^^FOWL^CA^999990000^^M|1|8885551212|8885551212|1|2||40007716^^^AccMgr^VN^1|123121234|||||||||||NO NK1|1|DUCK^HUEY|SO|3583 DUCK RD^^FOWL^CA^999990000|8885552222||Y|||||||||||||| PV1|1|I|PREOP^101^1^1^^^S|3|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|||01||||1|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|2|40007716^^^AccMgr^VN|4|||||||||||||||||||1||G|||20050110045253|||||| GT1|1|8291|DUCK^DONALD^D||111^DUCK ST^^FOWL^CA^999990000|8885551212||19241010|M||1|123121234||||#Cartoon Ducks Inc|111^DUCK ST^^FOWL^CA^999990000|8885551212||PT| DG1|1|I9|71596^OSTEOARTHROS NOS-L/LEG ^I9|OSTEOARTHROS NOS-L/LEG ||A| IN1|1|MEDICARE|3|MEDICARE|||||||Cartoon Ducks Inc|19891001|||4|DUCK^DONALD^D|1|19241010|111^DUCK ST^^FOWL^CA^999990000|||||||||||||||||123121234A||||||PT|M|111 DUCK ST^^FOWL^CA^999990000|||||8291 IN2|1||123121234|Cartoon Ducks Inc|||123121234A|||||||||||||||||||||||||||||||||||||||||||||||||||||||||8885551212 IN1|2|NON-PRIMARY|9|MEDICAL MUTUAL CALIF.|PO BOX 94776^^HOLLYWOOD^CA^441414776||8003621279|PUBSUMB|||Cartoon Ducks Inc||||7|DUCK^DONALD^D|1|19241010|111 DUCK ST^^FOWL^CA^999990000|||||||||||||||||056269770||||||PT|M|111^DUCK ST^^FOWL^CA^999990000|||||8291 IN2|2||123121234|Cartoon Ducks Inc||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||8885551212 IN1|3|SELF PAY|1|SELF PAY|||||||||||5||1

Examples of ADT messages are:

• ADT-A01 – patient admit
• ADT-A02 – patient transfer
• ADT-A03 – patient discharge
• ADT-A04 – patient registration
• ADT-A05 – patient pre-admission
• ADT-A08 – patient information update
• ADT-A11 – cancel patient admit
• ADT-A12 – cancel patient transfer
• ADT-A13 – cancel patient discharge

The post HL7 ADT – Pre-admit a Patient (A05) Sample Message appeared first on Healthcare IT Systems.

<<< ADT A02     ADT A04 >>>

A “discharge patient” or “end visit” message (A03 event) should be sent when an inpatient’s stay in the healthcare facility is ended, or an outpatient or emergency room visit is ended.

It signals that the patient’s status has changed to “discharged”, that a discharge date/time has been assigned, and that the patient no longer requires services normally provided through the pharmacy database.

HL7 ADT^A03 Sample Message Sent From Hospital Information System:

MSH|^~\&|AccMgr|1|||20050112154645||ADT^A03|59912415|P|2.3||| EVN|A03|20050112154642||||| PID|1||10006579^^^1^MRN^1||DUCK^DONALD^D||19241010|M||1|111^DUCK ST^^FOWL^CA^999990000^^M|1|8885551212|8885551212|1|2||40007716^^^AccMgr^VN^1|123121234|||||||||||NO PV1|1|I|IN1^214^1^1^^^S|3||IN1^214^1|37^DISNEY^WALT^^^^^^AccMgr^^^^CI|||01||||1|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|2|40007716^^^AccMgr^VN|4||||||||||||||||1|||1||P|||20050110045253|20050112152000|3115.89|3115.89|||

Examples of ADT messages are:

• ADT-A01 – patient admit
• ADT-A02 – patient transfer
• ADT-A03 – patient discharge
• ADT-A04 – patient registration
• ADT-A05 – patient pre-admission
• ADT-A08 – patient information update
• ADT-A11 – cancel patient admit
• ADT-A12 – cancel patient transfer
• ADT-A13 – cancel patient discharge

The post HL7 ADT A03 Message Example appeared first on Healthcare IT Systems.

 <<< ADT A01     ADT A03 >>>

An HL7 ADT^A02 event is issued as a result of the patient changing his or her assigned physical location.

The fields included when this message is sent should be the fields pertinent to communicate this event. When other important fields change it is recommended that the A08 (update patient information) event be used instead.

If the transfer function of your ADT system allows demographics to change at the same time as the transfer, we recommend (but do not require) sending two messages (an A02 followed by an A08).

This A02 event can be used with admitted and non-admitted patients.

The new patient location should appear in PV1-3-assigned patient location while the old patient location should appear in PV1-6-prior patient location.

For example, an A02 event can be used to notify: laboratory, radiology, pathology that the patient has changed location and test results should be redirected; pharmacy that drugs should be redirected for the patient; dietary that the meals should be delivered to a different location; the clinical repository that a transfer has taken place for the EMR.

If the patient is going to a temporary location (such as the O/R, XRAY, LIMBO, the HALLWAY) it is recommended that the A09 (patient departing tracking) and A10 (patient arriving tracking) events be used instead of A02.

It is recommended that A02 be used only for a real change in the census bed in the ADT system.

Sample HL7 ADT^A02 Patient Transfer Message

MSH|^~\&|AccMgr|1|||20050110114442||ADT^A02|59910287|P|2.3||| EVN|A02|20050110114442||||| PID|1||10006579^^^1^MRN^1||DUCK^DONALD^D||19241010|M||1|111^DUCK ST^^FOWL^CA^999990000^^M|1|8885551212|8885551212|1|2||40007716^^^AccMgr^VN^1|123121234|||||||||||NO PV1|1|I|IN1^214^1^1^^^S|3||PREOP^101^|37^DISNEY^WALT^^^^^^AccMgr^^^^CI|||01||||1|||37^DISNEY^WALT^^^^^^AccMgr^^^^CI|2|40007716^^^AccMgr^VN|4|||||||||||||||||||1||I|||20050110045253||||||

Other examples of ADT messages are:

• ADT-A01 – patient admit
• ADT-A02 – patient transfer
• ADT-A03 – patient discharge
• ADT-A04 – patient registration
• ADT-A05 – patient pre-admission
• ADT-A08 – patient information update
• ADT-A11 – cancel patient admit
• ADT-A12 – cancel patient transfer
• ADT-A13 – cancel patient discharge

The post HL7 ADT A02 Message Patient Transfer Example appeared first on Healthcare IT Systems.