HL7 v2.5.1 Specificationsv2.5.1

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RPA: Return patient authorization

This page lists the structures and trigger events RPA defines, taken from the standard. The written commentary that theADT page carries has not been written for RPA.

Recognising RPA messages

RPA announces itself in MSH-9 like this:

MSH-9RPA^I08^RPA_I08
  1. MSH-9.1RPAmessage code: what kind of message this is
  2. MSH-9.2I08trigger event: what happened in the real world: request for treatment authorization information
  3. MSH-9.3RPA_I08message structure: which segments to expect, and in what order

How to use these specifications explains MSH-9 in full, with a worked example.

Message structures

RPA takes 1 structure.

RPA_I08: Request for Treatment Authorization Information

No trigger event in the standard names this structure.

You must always send: MSH, MSA, PRD, PID, PR1. Everything else is optional, or required only inside a group you chose to send.

SegmentNameOPTCardinality
MSHR1..1
SFTO0..*
MSAR1..1
RF1O0..1
AUTHORIZATIONa group of 2 segments, repeated togetherO0..1
AUTin AUTHORIZATIONR1..1
CTDin AUTHORIZATIONO0..1
PROVIDERa group of 2 segments, repeated togetherR1..*
PRDR1..1
CTDO0..*
PIDR1..1
NK1O0..*
GT1O0..*
INSURANCEa group of 3 segments, repeated togetherO0..*
IN1in INSURANCER1..1
IN2in INSURANCEO0..1
IN3in INSURANCEO0..1
ACCO0..1
DG1O0..*
DRGO0..*
AL1O0..*
PROCEDUREa group of 2 segments, repeated togetherR1..*
PR1R1..1
AUTHORIZATIONa group of 2 segments, repeated togetherO0..1
AUTin AUTHORIZATIONR1..1
CTDin AUTHORIZATIONO0..1
OBSERVATIONa group of 3 segments, repeated togetherO0..*
OBRin OBSERVATIONR1..1
NTEin OBSERVATIONO0..*
RESULTSin OBSERVATIONa group of 2 segments, repeated togetherO0..*
OBXin RESULTSR1..1
NTEin RESULTSO0..*
VISITa group of 2 segments, repeated togetherO0..1
PV1in VISITR1..1
PV2in VISITO0..1
NTEO0..*

R inside a group means required of that group. Send the group and you must include that segment; leave the group out and it never appears. This structure has 8 such groups: AUTHORIZATION, PROVIDER, INSURANCE, PROCEDURE, AUTHORIZATION, OBSERVATION, RESULTS, VISIT.

Trigger events

The trigger event is the real-world thing that made the message get sent. RPA defines 0.

EventNameStructure