Segment Element Recommendation

This section presents a subset of segment elements (and sub-elements) that Vocera ADT interface engine will use if data is present. Refer to the HL7 Messaging Standard Version 2.7.1 from ANSI for specific details around HL7 message implementation guidelines including element definition as well as format.

Check the box beside the each element provided. If information is provided in an element other than the one listed, fill in the segment and field in a blank element column.

Table 1. ADT event information
Information Needed	Element	Element
Field Separator	MSH-1
Encoding Characters	MSH-2
Sending Application	MSH-3
Sending Facility	MSH-4
Date/Time of Message	MSH-7
Message Type	MSH-9.1
Message Type (Event)	MSH-9.2
Message Control ID	MSH-10
Processing ID	MSH-11
Version ID	MSH-12
Event Type Code	EVN-1
Recorded Date/Time	EVN-2
Date/Time Planned Event	EVN-3
Event Reason Code – Identifier	EVN-4.1
Event Occurred	EVN-6
Event Facility – Namespace ID	EVN-7.1

Table 2. Unique patient identifier – Mark all fields provided in feed and choose a unique Patient Identifier
Element Name	Element	Unique
Patient Identifier List – ID Number	PID-3.1
Alternate Patient ID	PID-4
Patient ID	PID-2
Patient Account Number – ID Number	PID-18.1
SSN Number – Patient	PID-19

Table 3. Patient information
Information Needed	Element	Element
Patient Name – Family Name	PID-5.1
Patient Name – Given Name	PID-5.2
Patient Name – Second and Further Given Names	PID-5.3
Patient Name – Suffix (e.g., JR or III)	PID-5.4
Date/Time of Birth	PID-7
Administrative Sex	PID-8
Race	PID-10
Patient Street Address	PID-11.1
Patient Street Address	PID-11.2
Patient City	PID-11.3
Patient State or Province	PID-11.4
Patient Zip or Postal Code	PID-11.5
Patient Country	PID-11.6
Home Phone	PID-13
Business Phone	PID-14
Marital Status	PID-16

Table 4. Unique visit identifier – Mark all fields provided in feed and choose a unique Patient Visit Identifier
Information Needed	Element	Unique
Visit Number	PV1-19
Alternate Visit ID	PV1-50
Patient Account Number – ID Number	PID-18.1

Table 5. Patient visit information
Information Needed	Element	Element
Assigned Patient Location – Point of Care	PV1-3.1
Assigned Patient Location – Room	PV1-3.2
Assigned Patient Location – Bed	PV1-3.3
Assigned Patient Location - Facility	PV1-3.4
Admission Type	PV1-4
Pre-Admit Number	PV1-5
Prior Patient Location	PV1-6
Attending Doctor – Person Identifier	PV1-7.1
Attending Doctor – Family Name	PV1-7.2.1
Attending Doctor – Given Name	PV1-7.3
Referring Doctor – Person Identifier	PV1-8.1
Referring Doctor – Family Name	PV1-8.2.1
Referring Doctor – Given Name	PV1-8.3
Consulting Doctor – Person Identifier	PV1-9.1
Consulting Doctor – Family Name	PV1-9.2.1
Consulting Doctor – Given Name	PV1-9.3
Re-Admission Indicator	PV1-13
Admit Source	PV1-14
Admitting Doctor – Person Identifier	PV1-17.1
Admitting Doctor – Family Name	PV1-17.2.1
Admitting Doctor – Given Name	PV1-17.3
Patient Type	PV1-18
Visit Number	PV1-19
Financial Class	PV1-20
Discharge Disposition	PV1-36
Discharge To Location	PV1-37
Admit Date/Time	PV1-44
Discharge Date/Time	PV1-45
Alternate Visit ID	PV1-50
Visit Indicator	PV1-51
Admit Reason	PV2-3
Transfer Reason	PV2-4
Expected Admit Date/Time	PV2-8
Expected Discharge Date/Time	PV2-9
Estimated Length of Inpatient Stay	PV2-10
Actual Length of Inpatient Stay	PV2-11
Expected Discharge Disposition	PV2-27

Table 6. Diagnosis information (optional)
Information Needed	Element	Element
Set ID – DG1	DG1-1
Diagnosis Coding Method	DG1-2
Diagnosis Code – DG1	DG1-3
Diagnosis Description	DG1-4
Diagnosis Date/Time	DG1-5
Diagnosis Type	DG1-6
Major Diagnostic Category	DG1-7
Diagnostic Related Group	DG1-8

Table 7. Diagnosis related group (optional)
Information Needed	Element	Element
Diagnostic Related Group	DG1-1

Table 8. Treatment team (required)
Information Needed	Element	Element
Role Instance ID (EI)	ROL-1
Action Code (ID)	ROL-2
Role-ROL (CE)	ROL-3
Role Person (XCN)	ROL-4
Role Begin Date/Time (TS)	ROL-5
Role End Date/Time (TS)	ROL-6
Role Duration (CE)	ROL-7
Role Action Reason (CE)	ROL-8
Provider Type (CE)	ROL-9
Organization Unit Type (CE)	ROL-10
Office/Home Address/Birthplace (XAD)	ROL-11
Phone (XTN)	ROL-12