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11.4.1 REF/RRI - patient referral message

The trigger events that use this message definition are described in Sections 11.4.2, "REF/RRI - patient referral XE "Patient referral" (event I12)," through 11.4.5, "REF/RRI - request patient referral status XE "Request patient referral status" (event I15)."

REF     Patient Referral       Chapter
 MSH     Message Header        2
 [RF1]    Referral Information       11
 [
 AUT    Authorization Information      11
 [CTD]   Contact Data         11
 ]
 {
    PRD    Provider Data        11
    [{CTD}]   Contact Data         11
 }
  PID    Patient ID         3
[{NK1}]    Next of Kin         6
[{GT1}]    Guarantor         6
[
  {
     IN1    Insurance         6
     [IN2]   Insurance, Additional info     6
     [IN3]   Insurance, Certification      6
  }
]
 [ACC]    Accident          6
[{DG1}]    Diagnosis Information       6
[{DRG}]    DRG Information        6
[{AL1}]    Allergy          3
[
  {
    PR1    Procedure         6
    [
  AUT   Authorization Information      11
  [CTD]  Contact Data         11
 ]
  }
]
[
  {
    OBR    Observation Request       4
    [{NTE}]   Notes and Comments       2
    [
      {
          OBX  Results          7
         [{NTE}]  Notes and Comments       2
      }
    ]
  }
]
[ 
  PV1    Patient Visit        3
  [PV2]    Patient Visit Additional Info     3
]
[ 
  PV1    Patient Visit        3
  [PV2]    Patient Visit Additional Info     3
]
[{NTE}]    Notes and Comments       2
RRI     Return Referral Information    Chapter
  MSH    Message Header        2
 [MSA]    Message Acknowledgment      3
 [RF1]    Referral Information       11
 [
 AUT    Authorization Information      11
 [CTD]   Contact Data         11
 ]
 {    PRD   Provider Data        11
    [{CTD}]   Contact Data         11
 }
  PID    Patient ID         3
 [ACC]    Accident          6
[{DG1}]    Diagnosis Information       6
[{DRG}]    DRG Information        6
[{AL1}]    Allergy          3
[
  {
    PR1    Procedure         6
    [
  AUT   Authorization Information      11
  [CTD]  Contact Data         11
 ]
  }
]
[
  {
    OBR    Observation Request       4
    [{NTE}]   Notes and Comments       2
    [
      {
         OBX   Results          7
             [{NTE}] Notes and Comments       2
      }
    ]
   }
]
[ 
  PV1    Patient Visit        3
  [PV2]    Patient Visit Additional Info     3
]
[{NTE}]    Notes and Comments       2

Note: The abstract message definitions for both the REF and RRI include the patient visit segments (PV1 and PV2). The PV1 and PV2 segments appear in the REF as an optional grouping to specify the visit or encounter that generated the referral. The PV1 and PV2 should not be used to provide suggested information for a future encounter or visit generated by the referral.

The PV1 and PV2 are also included in the RRI message definition. It should be noted that these segments do not merely mirror the segments in the originating REF message. Rather, they may contain information regarding the visit or encounter that resulted from the referral.

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