Admission, discharge, and transfer system

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In health informatics, Admission, discharge, and transfer system (ADT), "The Patient Administration standard defines the requirements and specifications to support the interoperability among clinical and non-clinical systems regarding patient encounters and administrative registries."[1] ADT feeds are event notification systems. ADT feeds may be coordinated by a regional Health information exchange (HIE).

Notifying the primary care physician at the time of admission, using the hospital's HL7 admission, discharge, transfer (ADT) message or feed may reduce hospital readmissions[2].

ADT feeds are well-received by health care providers[3][4].

Additional research is planned.

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References

  1. HL7 Version 3 Standard: Patient Administration (also known as ADT - Admit, Discharge, and Transfer; Encounter Management; Administrative Registries). Available at https://www.hl7.org/implement/standards/product_brief.cfm?product_id=92
  2. Unruh MA, Jung HY, Kaushal R, Vest JR (2017). "Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York". J Am Med Inform Assoc. 24 (e1): e150–e156. doi:10.1093/jamia/ocw139. PMID 28395059.
  3. Wiley KK, Hilts KE, Ancker JS, Unruh MA, Jung HY, Vest JR (2020). "Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange". JAMIA Open. 3 (4): 611–618. doi:10.1093/jamiaopen/ooaa065. PMC 7886547 Check |pmc= value (help). PMID 33623895 Check |pmid= value (help).
  4. Franzosa E, Traylor M, Judon KM, Guerrero Aquino V, Schwartzkopf AL, Boockvar KS; et al. (2021). "Perceptions of event notification following discharge to improve geriatric care: qualitative interviews of care team members from a 2-site cluster randomized trial". J Am Med Inform Assoc. 28 (8): 1728–1735. doi:10.1093/jamia/ocab074. PMC 8324223 Check |pmc= value (help). PMID 33997903 Check |pmid= value (help).