admission.status_changed
Bed flow for an admitted patient waiting in the ED.
Bed flow for an admitted patient waiting in the ED.
| Event type | admission.status_changed |
|---|---|
| Scope | encounter |
| Idempotency key | Stable across retries and derived only from source data: HL7 {sourceId}:{feedKey}:{MSH-7 ms}:{MSH-10}:{eventKey}, FHIR {sourceId}:fhir:{type}/{id}/_history/{version}:{n}. |
| Since | 1.0 |
| HL7 v2 | ADT^A07, ADT^A14, ADT^A27 |
| FHIR R4 | — |
When to send
A bed is requested (A14), assigned or ready, or the pending admission is cancelled (A27).
What it changes
- Sub-status of admitted_waiting_for_bed: bed requested, assigned, ready.
- Boarding time is recorded for analytics.
JSON Schema
admission.status_changed.schema.json
Example
{ "specVersion": "1.0", "id": "demo-epic-bridges:ADT000455:0", "type": "admission.status_changed", "siteCode": "demo-ed", "occurredAt": "2026-09-14T16:20:00-04:00", "source": { "kind": "ehr", "system": "epic", "feed": "adt" }, "encounter": { "externalId": "3000124001", "idSystem": "epic-csn" }, "data": { "status": "bed_requested", "requestedAt": "2026-09-14T16:20:00-04:00", "unit": { "code": "7W", "display": "7 West (Medicine)" }, "admittingService": { "system": "https://edflow.space/fhir/CodeSystem/consult-service", "code": "internal_medicine", "display": "Internal Medicine" } }}