The Patient Administration Management Integration Profile establishes the continuity and integrity of patient data, and additional information such as related persons (primary caregiver, guarantor, next of kin. It coordinates the exchange of patient registration and update information among systems that need to be able to provide current information regarding a patient's encounter status and location. This profile supports ambulatory and acute care use cases including patient identity feed, admission and discharge, and transfer and encounter management, as well as explicit and precise error reporting and application acknowledgment.