RQI: Request patient information
This page lists the structures and trigger events RQI defines, taken from the standard. The written commentary that theADT page carries has not been written for RQI.
Recognising RQI messages
RQI announces itself in MSH-9 like this:
RQI^I01^RQI_I01- MSH-9.1
RQImessage code: what kind of message this is - MSH-9.2
I01trigger event: what happened in the real world: request for insurance information - MSH-9.3
RQI_I01message 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
RQI takes 1 structure.
RQI_I01: Request for Insurance Information
4 different trigger events send this structure:
- I01Request for Insurance Information
- I02Request/Receipt of Patient Selection Display List
- I03Request/Receipt of Patient Selection List
- I07Unsolicited Insurance Information
The segments below are the same for all 4. HL7 varies the meaning, not the shape: there is no separate RQI_I02 layout. What changes is MSH-9, which tells the receiver which of the 4 happened and therefore what to do with the message.
You must always send: MSH, PRD, PID. Everything else is optional, or required only inside a group you chose to send.
| Segment | Name | OPT | Cardinality |
|---|---|---|---|
| MSH | R | 1..1 | |
| SFT | O | 0..* | |
| PROVIDER | a group of 2 segments, repeated together | R | 1..* |
| PRD | R | 1..1 | |
| CTD | O | 0..* | |
| PID | R | 1..1 | |
| NK1 | O | 0..* | |
| GUARANTOR_INSURANCE | a group of 2 segments, repeated together | O | 0..1 |
| GT1in GUARANTOR_INSURANCE | O | 0..* | |
| INSURANCEin GUARANTOR_INSURANCE | a group of 3 segments, repeated together | R | 1..* |
| IN1in INSURANCE | R | 1..1 | |
| IN2in INSURANCE | O | 0..1 | |
| IN3in INSURANCE | O | 0..1 | |
| NTE | O | 0..* |
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 3 such groups: PROVIDER, GUARANTOR_INSURANCE, INSURANCE.
Trigger events
The trigger event is the real-world thing that made the message get sent. RQI defines 4.
| Event | Name | Structure |
|---|---|---|
| I01 | Request for Insurance Information | RQI_I01 |
| I02 | Request/Receipt of Patient Selection Display List | RQI_I01 |
| I03 | Request/Receipt of Patient Selection List | RQI_I01 |
| I07 | Unsolicited Insurance Information | RQI_I01 |