Id2.16.840.1.113883.3.1937.777.10.12.161Effective Date2013‑02‑10
Statusactive ActiveVersion Label
NameRQI_I01Display NameRQI^I01 - Request for insurance 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 11 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
2.16.840.1.113883.3.1937.777.10.13.73Containmentactive 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 RQI_I01 (DYNAMIC)
ItemDTCardConfDescriptionLabel
hl7v2:MSH
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.73 MSH - Message Header (DYNAMIC)RQI_I01
hl7v2:SFT
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.135 SFT - Software Segment (DYNAMIC)RQI_I01
hl7v2:RQI_I01.PROVIDER
1 … *RQI_I01
hl7v2:PRD
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.106 PRD - Provider Data (DYNAMIC)RQI_I01
hl7v2:CTD
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.30 CTD - Contact Data (DYNAMIC)RQI_I01
hl7v2:PID
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.101 PID - Patient Identification (DYNAMIC)RQI_I01
hl7v2:NK1
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.76 NK1 - Next of Kin / Associated Parties (DYNAMIC)RQI_I01
hl7v2:RQI_I01.GUARANTOR_INSURANCE
0 … 1RQI_I01
hl7v2:GT1
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.53 GT1 - Guarantor (DYNAMIC)RQI_I01
hl7v2:RQI_I01.INSURANCE
1 … *RQI_I01
hl7v2:IN1
1 … 1RContains 2.16.840.1.113883.3.1937.777.10.13.56 IN1 - Insurance (DYNAMIC)RQI_I01
hl7v2:IN2
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.57 IN2 - Insurance Additional Information (DYNAMIC)RQI_I01
hl7v2:IN3
0 … 1Contains 2.16.840.1.113883.3.1937.777.10.13.58 IN3 - Insurance Additional Information, Certification (DYNAMIC)RQI_I01
hl7v2:NTE
0 … *Contains 2.16.840.1.113883.3.1937.777.10.13.80 NTE - Notes and Comments (DYNAMIC)RQI_I01