HL7V24文档翻译_病人转诊CH11.docx

Health Level Seven, Health Level Seven, Version 2.4 ? 2000. All rights reserved. PAGE 1 Final Standard. November 2000. 2Health 2 Health Level Seven, Version 2.4 ? 2000. All rights reserved. November 2000. Final Standard. 11. Patient Referral 病人转诊 Chapter Chair/Editor: Chapter Chair/Editor: Chapter Chair/Editor: Chapter Chair/Editor: Clement J. McDonald, MD Regenstrief Institute and Indiana University School of Medicine Hans Buitendijk Shared Medical Systems Gunther Schadow Regenstrief Institute for Health Care Note: No Note: No substantive changes were made to this chapter for Version 2.4. 11.1 CHAPTER 11 CONTENTS CHAPTER 11 CONTENTS 11-1 PURPOSE. 11-4 PATIENT REFERRAL AND RESPONSES 11-5 Patient referral. 11-6 Responding to a patient referral 11-7 APPLICATION ROLES AND DATA PROCESS 11-7 Application roles 11-7 The referring provider application role 11-8 The referred-to provider application role 11-8 The querying application role 11-9 The auxiliary application role 11-10 Application roles in a messaging environment 11-11 GLOSSARY 11-11 Benefits: 11-11 Clinical information: 11-11 Dependent: 11-12 Eligibility/coverage: 11-12 Encounter: 11-12 Guarantor: 11-12 Healthcare provider: 11-12 11.2.3.8 Payor: 11-12 Pre-authorization: 11-12 Primary care provider: 11-12 Referral: 11-12 Chapter 11: Referral Referring provider: 11-12 Referred-to-provider: 11-13 Specialist: 11-13 Subscriber: 11-13 PATIENT INFORMATION REQUEST MESSAGES AND TRIGGER EVENTS 11-14 RQI/RPI - REQUEST FOR INSURANCE INFORMATION (EVENT I01) 11-15 RQI/RPL - REQUEST/RECEIPT OF PATIENT SELECTION DISPLAY LIST(EVENT I02) 11-16 RQI/RPR - REQUEST/RECEIPT OF PATIENT SELECTION LIST (EVENT I03) 11-17 RQP/RPI - REQUEST FOR PATIENT DEMOGRAPHIC DATA (EVENT I04) 11-18 RQC/RCI - REQUEST FOR PATIENT CLINICAL INFORMATION (EVENT I05) 11-19 RQC/RCL - REQUEST/RECEIPT OF CLINICAL DATA LISTING(EVENT I06) 11-21 PIN/ACK - UNSOLICITED INSURANCE INFORMATION (EVENT I07) 11-22 PATIENT TREATMENT AUTHORIZATION REQUESTS 11-23 11.4.