Id2.16.840.1.113883.3.1937.777.10.12.156Effective Date2013‑02‑10
Statusactive ActiveVersion Label
NameRPI_I04Display NameRPI^I04 - Request for patient demographic data
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 12 templates
Uses as NameVersion
2.16.840.1.113883.3.1937.777.10.13.30Containmentactive CTD - Contact DataDYNAMIC
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
2.16.840.1.113883.3.1937.777.10.13.101Containmentactive PID - Patient IdentificationDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.106Containmentactive PRD - Provider DataDYNAMIC
2.16.840.1.113883.3.1937.777.10.13.135Containmentactive SFT - Software SegmentDYNAMIC
RelationshipDerived: model RPI_I01 RQP_I04 (DYNAMIC)
ItemDTCardConfDescriptionLabel
hl7v2:MSH
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.73 MSH - Message Header (DYNAMIC)RPI_I04
hl7v2:SFT
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.135 SFT - Software Segment (DYNAMIC)RPI_I04
hl7v2:MSA
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.72 MSA - Message Acknowledgment (DYNAMIC)RPI_I04
hl7v2:RPI_I04.PROVIDER
1 … *RPI_I04
hl7v2:PRD
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.106 PRD - Provider Data (DYNAMIC)RPI_I04
hl7v2:CTD
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.30 CTD - Contact Data (DYNAMIC)RPI_I04
hl7v2:PID
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.101 PID - Patient Identification (DYNAMIC)RPI_I04
hl7v2:NK1
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.76 NK1 - Next of Kin / Associated Parties (DYNAMIC)RPI_I04
hl7v2:RPI_I04.GUARANTOR_INSURANCE
0 … 1RPI_I04
hl7v2:GT1
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.53 GT1 - Guarantor (DYNAMIC)RPI_I04
hl7v2:RPI_I04.INSURANCE
1 … *RPI_I04
hl7v2:IN1
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.56 IN1 - Insurance (DYNAMIC)RPI_I04
hl7v2:IN2
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.57 IN2 - Insurance Additional Information (DYNAMIC)RPI_I04
hl7v2:IN3
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.58 IN3 - Insurance Additional Information, Certification (DYNAMIC)RPI_I04
hl7v2:NTE
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.80 NTE - Notes and Comments (DYNAMIC)RPI_I04