Id2.16.840.1.113883.3.1937.777.10.12.154Effective Date2013‑02‑10
Statusactive ActiveVersion Label
NameRPA_I08Display NameRPA^I08 - Request for treatment authorization information
ContextPathname /
ClassificationHL7 V2/V3 Message Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 23 templates
Uses as NameVersion
2.16.840.1.113883.3.1937.777.10.13.2Containmentactive ACC - AccidentDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.9Containmentactive AL1 - Patient Allergy InformationDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.12Containmentactive AUT - Authorization InformationDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.30Containmentactive CTD - Contact DataDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.33Containmentactive DG1 - DiagnosisDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.34Containmentactive DRG - Diagnosis Related GroupDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.53Containmentactive GT1 - GuarantorDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.56Containmentactive IN1 - InsuranceDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.57Containmentactive IN2 - Insurance Additional InformationDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.58Containmentactive IN3 - Insurance Additional Information, CertificationDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.72Containmentactive MSA - Message AcknowledgmentDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.73Containmentactive MSH - Message HeaderDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.76Containmentactive NK1 - Next of Kin / Associated PartiesDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.80Containmentactive NTE - Notes and CommentsDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.81Containmentactive OBR - Observation RequestDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.82Containmentactive OBX - Observation/ResultDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.101Containmentactive PID - Patient IdentificationDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.102Containmentactive PR1 - ProceduresDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.106Containmentactive PRD - Provider DataDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.109Containmentactive PV1 - Patient VisitDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.110Containmentactive PV2 - Patient Visit - Additional InformationDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.120Containmentactive RF1 - Referral InformationDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.135Containmentactive SFT - Software SegmentDYNAMIC
RelationshipDerived: model RPA_I08 (DYNAMIC)
ItemDTCardConfDescriptionLabel
hl7v2:MSH
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.73 MSH - Message Header (DYNAMIC)RPA_I08
hl7v2:SFT
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.135 SFT - Software Segment (DYNAMIC)RPA_I08
hl7v2:MSA
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.72 MSA - Message Acknowledgment (DYNAMIC)RPA_I08
hl7v2:RF1
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.120 RF1 - Referral Information (DYNAMIC)RPA_I08
hl7v2:RPA_I08.AUTHORIZATION_2
0 … 1RPA_I08
hl7v2:AUT
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.12 AUT - Authorization Information (DYNAMIC)RPA_I08
hl7v2:CTD
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.30 CTD - Contact Data (DYNAMIC)RPA_I08
hl7v2:RPA_I08.PROVIDER
1 … *RPA_I08
hl7v2:PRD
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.106 PRD - Provider Data (DYNAMIC)RPA_I08
hl7v2:CTD
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.30 CTD - Contact Data (DYNAMIC)RPA_I08
hl7v2:PID
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.101 PID - Patient Identification (DYNAMIC)RPA_I08
hl7v2:NK1
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.76 NK1 - Next of Kin / Associated Parties (DYNAMIC)RPA_I08
hl7v2:GT1
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.53 GT1 - Guarantor (DYNAMIC)RPA_I08
hl7v2:RPA_I08.INSURANCE
0 … *RPA_I08
hl7v2:IN1
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.56 IN1 - Insurance (DYNAMIC)RPA_I08
hl7v2:IN2
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.57 IN2 - Insurance Additional Information (DYNAMIC)RPA_I08
hl7v2:IN3
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.58 IN3 - Insurance Additional Information, Certification (DYNAMIC)RPA_I08
hl7v2:ACC
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.2 ACC - Accident (DYNAMIC)RPA_I08
hl7v2:DG1
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.33 DG1 - Diagnosis (DYNAMIC)RPA_I08
hl7v2:DRG
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.34 DRG - Diagnosis Related Group (DYNAMIC)RPA_I08
hl7v2:AL1
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.9 AL1 - Patient Allergy Information (DYNAMIC)RPA_I08
hl7v2:RPA_I08.PROCEDURE
1 … *RPA_I08
hl7v2:PR1
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.102 PR1 - Procedures (DYNAMIC)RPA_I08
hl7v2:RPA_I08.AUTHORIZATION_2
0 … 1RPA_I08
hl7v2:AUT
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.12 AUT - Authorization Information (DYNAMIC)RPA_I08
hl7v2:CTD
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.30 CTD - Contact Data (DYNAMIC)RPA_I08
hl7v2:RPA_I08.OBSERVATION
0 … *RPA_I08
hl7v2:OBR
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.81 OBR - Observation Request (DYNAMIC)RPA_I08
hl7v2:NTE
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.80 NTE - Notes and Comments (DYNAMIC)RPA_I08
hl7v2:RPA_I08.RESULTS
0 … *RPA_I08
hl7v2:OBX
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.82 OBX - Observation/Result (DYNAMIC)RPA_I08
hl7v2:NTE
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.80 NTE - Notes and Comments (DYNAMIC)RPA_I08
hl7v2:RPA_I08.VISIT
0 … 1RPA_I08
hl7v2:PV1
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.109 PV1 - Patient Visit (DYNAMIC)RPA_I08
hl7v2:PV2
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.110 PV2 - Patient Visit - Additional Information (DYNAMIC)RPA_I08
hl7v2:NTE
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.80 NTE - Notes and Comments (DYNAMIC)RPA_I08