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ADT^A40

HL7 v2 trigger event, Chapter 3 Patient Administration, MPI de-duplication.

Definition

A40 resolves a duplicate by merging the absorbed patient identifier into the surviving identifier; it carries an MRG (Merge Information) segment conveying the old identifier. Its abstract structure is ADT_A39 (surviving PID + absorbed MRG). It is the modern successor to A18 (Merge Patient Information); A41 performs the same operation at the account level.

Origin

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

Example in context

MSH|^~\&|MPI|HOSP01|EHR|CLINIC02|20260518||ADT^A40^ADT_A39|MSG040|P|2.5.1
EVN|A40|20260518
PID|1||MR100400^^^HOSP^MR||DUBOIS^CLAIRE
MRG|MR100401^^^HOSP^MR

  • ADT^A08 — patient update, distinct from a merge.
  • PID-3 — source and target identifiers of the merge.

Last updated: June 20, 2026