HL7V24文档翻译_病人转诊CH11.docVIP

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HL7V24文档翻译_病人转诊CH11.doc

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HL7V24文档翻译_病人转诊CH11

.Patient Referral 病人转诊 Chapter Chair/Editor: Clement J. McDonald, MDRegenstrief Institute and Indiana University School of Medicine Chapter Chair/Editor: Hans BuitendijkShared Medical Systems Chapter Chair/Editor: Gunther SchadowRegenstrief Institute for Health Care Chapter Chair/Editor: Helen StevensMcKessonHBOC Note: No substantive changes were made to this chapter for Version 2.4. CHAPTER 11 CONTENTS 11.1 CHAPTER 11 CONTENTS 11-1 11.2 PURPOSE 11-3 11.2.1 Patient referral and responses 11-3 11.2.1.1 Patient referral 11-4 11.2.1.2 Responding to a patient referral 11-5 11.2.2 Application roles and data process 11-5 11.2.2.1 Application roles 11-5 11.2.2.2 The referring provider application role 11-5 11.2.2.3 The referred-to provider application role 11-6 11.2.2.4 The querying application role 11-6 11.2.2.5 The auxiliary application role 11-7 11.2.2.6 Application roles in a messaging environment 11-7 11.2.3 Glossary 11-8 11.2.3.1 Benefits: 11-8 11.2.3.2 Clinical information: 11-8 11.2.3.3 Dependent: 11-8 11.2.3.4 Eligibility/coverage: 11-8 11.2.3.5 Encounter: 11-8 11.2.3.6 Guarantor: 11-8 11.2.3.7 Healthcare provider: 11-8 11.2.3.8 Payor: 11-8 11.2.3.9 Pre-authorization: 11-8 11.2.3.10 Primary care provider: 11-8 11.2.3.11 Referral: 11-9 11.2.3.12 Referring provider: 11-9 11.2.3.13 Referred-to-provider: 11-9 11.2.3.14 Specialist: 11-9 11.2.3.15 Subscriber: 11-9 11.3 PATIENT INFORMATION REQUEST MESSAGES AND TRIGGER EVENTS 11-9 11.3.1 RQI/RPI - request for insurance information (event I01) 11-9 11.3.2 RQI/RPL - request/receipt of patient selection display list (event I02) 11-10 11.3.3 RQI/RPR - request/receipt of patient selection list (event I03) 11-10 11.3.4 RQP/RPI - request for patient demographic data (event I04) 11-11 11.3.5 RQC/RCI - request for patient clinical information (event I05) 11-12 11.3.6 RQC/RCL - request/receipt of clinical data listing (event I06) 11-12 11.3.7 PIN/ACK - unsolicited insurance information (event I07) 11-13 11.4 PATIENT TREATM