encounter.disposition_decided
A decision to discharge, admit, observe or transfer.
A decision to discharge, admit, observe or transfer.
| Event type | encounter.disposition_decided |
|---|---|
| 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^A01, ADT^A08, ADT^A03, ADT^A06 |
| FHIR R4 | — |
When to send
The ED disposition is recorded (A08 site field, A06, or the disposition activity).
What it changes
- discharge → preparing_discharge; admit or observation → admitted_waiting_for_bed; deceased → the deceased pause.
JSON Schema
encounter.disposition_decided.schema.json
Example
{ "specVersion": "1.0", "id": "demo-epic-bridges:ADT000350:0", "type": "encounter.disposition_decided", "siteCode": "demo-ed", "occurredAt": "2026-09-14T13:02:40-04:00", "source": { "kind": "ehr", "system": "epic", "feed": "adt" }, "encounter": { "externalId": "3000123456", "idSystem": "epic-csn" }, "data": { "decision": "discharge", "decidedAt": "2026-09-14T13:02:40-04:00", "practitioner": { "externalId": "P10442", "idSystem": "epic-ser", "givenName": "Alicia", "familyName": "Moreno", "credentials": "MD" } }}