ediverse Explore the platform

Spotlight PEPPOL BIS Billing 3.0 The EU e-invoicing mandate is here — France Sept 2026, Belgium Jan 2026, Germany 2025.

ADT^A04

HL7 v2 trigger event, Chapter 3 Patient Administration, ambulatory care.

Definition

A04 opens an encounter for an outpatient (emergency, clinic, day case), with a patient class (PV1-2) such as O or E rather than I. It shares the ADT_A01 abstract structure with A01 and A05; A05 (Pre-admit) is its pre-admission variant, sent ahead of the actual arrival.

Origin

Defined in HL7 v2.5.1, Chapter 3 "Patient Administration", published by HL7 International.

Example in context

MSH|^~\&|HIS|HOSP01|EHR|CLINIC02|20260518||ADT^A04^ADT_A01|MSG004|P|2.5.1
EVN|A04|20260518
PID|1||MR1001^^^HOSP^MR||DUBOIS^CLAIRE
PV1|1|O|EMERGENCY^^|...

  • ADT^A01 — inpatient admit, same ADT_A01 structure.
  • PV1 — PV1-2 class distinguishes I, O and E.

Last updated: June 20, 2026