HL7 - REFACTORED

18.4.152 RQA/RPA - Request Patient Authorization Message (Event I08) (11.4.1)

All trigger events in this group use the following message definition.

Message
ACK Choreography
FHIR Structure Definition
v2.xml XSD
ER7 Example
XML Example

Segment	Cardinality	Implement	Status
RQA^I08-I11^RQA_I08
MSH Message Header	[1..1]	SHALL
ARV Access Restriction			v2.9
SFT Software Segment
UAC User Authentication Credential Segment	[0..1]
RF1 Referral Information	[0..1]
AUTHORIZATION	[0..1]
AUT Authorization Information	[1..1]	SHALL
CTD Contact Data	[0..1]
PROVIDER	[1..*]	SHALL
PRD Provider Data	[1..1]	SHALL
CTD Contact Data
PID Patient Identification	[1..1]	SHALL
NK1 Next of Kin / Associated Parties
GUARANTOR_INSURANCE	[0..1]
GT1 Guarantor
INSURANCE	[1..*]	SHALL
IN1 Insurance	[1..1]	SHALL
IN2 Insurance Additional Information	[0..1]
IN3 Insurance Additional Information, Certification	[0..1]
ACC Accident	[0..1]
DG1 Diagnosis
DRG Diagnosis Related Group
AL1 Patient Allergy Information
PROCEDURE
PR1 Procedures	[1..1]	SHALL
AUTHORIZATION	[0..1]
AUT Authorization Information	[1..1]	SHALL
CTD Contact Data	[0..1]
OBSERVATION
OBR Observation Request	[1..1]	SHALL
PRT Participation Information
NTE Notes and Comments
RESULTS
OBX Observation/Result	[1..1]	SHALL
PRT Participation Information
NTE Notes and Comments
VISIT	[0..1]
PV1 Patient Visit	[1..1]	SHALL
PV2 Patient Visit - Additional Information	[0..1]
NTE Notes and Comments

RQA_I08

MSH-15	MSH-16	Immediate ACK	Application Ack
Blank	Blank	-	RPA^I08-I11^RPA_I08
NE	AL	-	RPA^I08-I11^RPA_I08
AL, SU, ER	AL	ACK^I08-I11^ACK	RPA^I08-I11^RPA_I08

We need some ER7 examples...

We need some XML examples...

Message
ACK Choreography
FHIR Structure Definition
v2.xml XSD
ER7 Example
XML Example

Segment	Cardinality	Implement	Status
RPA^I08-I11^RPA_I08
MSH Message Header	[1..1]	SHALL
ARV Access Restriction			v2.9
SFT Software Segment
UAC User Authentication Credential Segment	[0..1]
MSA Message Acknowledgment	[1..1]	SHALL
RF1 Referral Information	[0..1]
AUTHORIZATION	[0..1]
AUT Authorization Information	[1..1]	SHALL
CTD Contact Data	[0..1]
PROVIDER	[1..*]	SHALL
PRD Provider Data	[1..1]	SHALL
CTD Contact Data
PID Patient Identification	[1..1]	SHALL
NK1 Next of Kin / Associated Parties
GT1 Guarantor
INSURANCE
IN1 Insurance	[1..1]	SHALL
IN2 Insurance Additional Information	[0..1]
IN3 Insurance Additional Information, Certification	[0..1]
ACC Accident	[0..1]
DG1 Diagnosis
DRG Diagnosis Related Group
AL1 Patient Allergy Information
PROCEDURE	[1..*]	SHALL
PR1 Procedures	[1..1]	SHALL
AUTHORIZATION	[0..1]
AUT Authorization Information	[1..1]	SHALL
CTD Contact Data	[0..1]
OBSERVATION
OBR Observation Request	[1..1]	SHALL
PRT Participation Information
NTE Notes and Comments
RESULTS
OBX Observation/Result	[1..1]	SHALL
PRT Participation Information
NTE Notes and Comments
VISIT	[0..1]
PV1 Patient Visit	[1..1]	SHALL
PV2 Patient Visit - Additional Information	[0..1]
NTE Notes and Comments

RPA_I08

MSH-15	MSH-16	Immediate ACK	Application Ack
Blank	Blank	-	-
NE	NE	-	-
AL, SU, ER	NE	ACK^I08-I11^ACK	-

We need some ER7 examples...

We need some XML examples...

Note: The abstract message definitions for both the RPA and RQA include the patient visit segments (PV1 and PV2). The PV1 and PV2 segments appear in the RPA and RQA as an optional grouping to specify the visit or encounter that generated the referral authorization request. The PV1 and PV2 should not be used to provide suggested information for a future encounter or visit generated by the referral authorization request.

The trigger events that use this message definition are described in sections 11.4.2, "RQA/RPA - Request for Treatment Authorization Information (Event I08)," through 11.4.5, "RQA/RPA - Request for Cancellation of an Authorization (Event I11)."