RQC^I05

RQC/RCI - Request for patient clinical information

Patient Referral
This event is used to request clinical information for a specific patient. Generally, this transaction occurs between one provider and another (typically a laboratory or radiology, etc.). However, it may also be very useful for a payor-to-provider request for clinical observation information to be used in considering a request for treatment authorization.

Message Types

Message Type

RQCView message type

Trigger Structure

RQC_I05View message structure

Return Structure

RCI_I05View return structure

Event Flow

TriggerI05
SendRQC_I05
ReceiveRCI_I05

Worked Examples

RQC Inquiry Message Using an I05 Event With an Immediate Response

Open in Parser§11.7.6
In this example, Dr. Blake is querying a reference laboratory for the results of all lab work performed on Cary Joe Brown between the dates of 03/20/94 and 03/22/94 and requests that the data be returned in a record or data elemented format. The message request contains all of the patient identification, as well as the provider identification necessary for the responding facility to qualify the request.
HL7 v2
MSH|^~\&|BLAKEMD|EWHIN|EHS_LAB|EWHIN|19940410113142||RQC^I05|BLAKEM7899|P|2.5|||NE|AL
QRD|19940504144501|R|I|BLAKEM7899|||5^RD|PATIENT|RES|ALL
QRF|EHS_LAB^EWHIN|19940320000000|19940322235959
PRD|RP|BLAKE^BEVERLY^^^DR^MD|N.12828NEWPORT HIGHWAY^^MEAD^WA^99021|^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER|BLAKEM7899
CTD|PR|JONES^BUCK|N. 12828 NEWPORT HIGHWAY^^MEAD^WA^99021|^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER
PRD|RT|EMPLAB^EMPIRE LAB||^^^EHS_LAB&EWHIN^^^^^EIMPIRE LABORATORIES
PID|||1234567891^1^M10||BROWN^CARY^JOE||19600309|M||C|N.12345SOME STREET^^MEAD^WA^ 99021^USA|SPO|(509)466-6801|(509)466-0396|ENGL|M|M||402941703|BROWN*CJ4298^WA
MSH|^~\&|EHS_LAB|EWHIN|BLAKEMD|EWHIN|19940411152401||RPI^I05|EHSLAB4250|P|2.5|||ER|ER
MSA|AA|BLAKEM7899
QRD|19940504144501|R|I|BLAKEM7899|||5^RD|PATIENT|RES|ALL
QRF|EHS_LAB^EWHIN|19940320000000|19940322235959
PRD|RP|BLAKE^BEVERLY^^^DR^MD|N. 12828 NEWPORT HIGHWAY^^MEAD^WA^99021|^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER|BLAKEM7899
CTD|PR|JONES^BUCK|N. 12828 NEWPORT HIGHWAY^^MEAD^WA^99021|^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER
PRD|RT|EMPLAB^EMPIRE LAB||^^^EHS_LAB&EWHIN^^^^^EIMPIRE LABORATORIES
PID|||1234567891^1^M10||BROWN^CARY^JOE||19600309|M||C|N. 12345 SOME STREET^^MEAD^WA^ 99021^USA|SPO|(509)466-6801|(509)466-0396|ENGL|M|M||402941703|BROWN*CJ4298^WA
OBR|1||1045813^LAB|L1505.003^COMPLETE BLOOD COUNT (D)|||19940320104700|""|1^EA|||| |19940320112400||CARMI||||||19940320104955|||F
OBX|1|ST|L1550.000^HEMOGLOBIN, AUTO HEME||11.6|g/dl|12.0-16.0|L|||F
OBX|2|ST|L1551.003^HEMATOCRIT (D)||36.4|%|36-45||||F
OBX|3|ST|L1552.000^RBC, AUTO HEME||3.94|mil/ul|4.1-5.1|L|||F
OBX|4|ST|L1553.000^MCV, AUTO HEME||92.4|fl|80-100||||F
OBX|5|ST|L1554.000^MCH, AUTO HEME||29.3|pg|26-34||||F
OBX|6|ST|L1555.000^MCHC, AUTO HEME||31.8|g/dl|31-37||||F
OBX|7|ST|L1557.000^RBC DISTRIBUTION WIDTH||15.3|%|0-14.8|H|||F
OBX|8|ST|L1558.003^PLATELET COUNT (D)||279|th/ul|140-440||||F
OBX|9|ST|L1559.000^WBC, AUTO HEME||7.9|th/ul|4.5-11.0||||F
OBX|10|ST|L1561.100^NEUTROPHILS, % AUTO||73.8|%|||||F
OBX|11|ST|L1561.510^LYMPHOCYTES, % AUTO||16.6|%|||||F
OBX|12|ST|L1562.010^MONOCYTES, % AUTO||7.3|%|||||F
OBX|13|ST|L1563.010^EOSINOPHILS, % AUTO||1.7|%|||||F
OBX|14|ST|L1564.010^BASOPHILS, % AUTO||0.7|%|||||F
OBX|15|ST|L1565.010^NEUTROPHILS, ABS AUTO||5.8|th/ul|1.8-7.7||||F
OBX|16|ST|L1566.010^LYMPHOCYTES, ABS AUTO||1.3|th/ul|1.0-4.8||||F
OBX|17|ST|L1567.010^MONOYCYTES, ABS AUTO||0.6|th/ul|0.1-0.8||||F
OBX|18|ST|L1568.010^EOSINOPHILS, ABS AUTO||0.1|th/ul|0-0.7||||F
OBX|19|ST|L1569.000^BASOPHILS, ABS AUTO||0.1|th/ul|0-0.2||||F
OBX|20|ST|L2110.003^PROTHROMBIN TIME (D)||30.7|sec|11.1-14.0|HH|||F
NTE|1|L|COAGULATION CRITICAL VALUES CALLED TO VICKIE QUASCHNICK~AT 1130 BY VON~Therapeutic Ranges(oral anticoagulant):~Most clinical situations:  16.1 - 21.1 sec -~  (1.3 - 1.7 times the mean of the normal range)~Mech heart valve, recurrent embolism:  18.6 - 23.6 sec -~  (1.5 - 1.9 times the mean of the normal range)
OBX|21|ST|L2110.500^INR||5.95||||||F
NTE|1|L|Therapeutic Range (oral anticoagulant):~  Most clinical situations:  2.0 - 3.0~  Mech heart valve, recurrent embolism:  3.0 - 4.0
OBX|22|ST|L3110.003^SODIUM (D)||141|mmol/l|135-146||||F
OBX|23|ST|L3111.003^POTASSIUM (D)||3.8|mmol/l|3.5-5.1||||F
OBX|24|ST|L3112.003^CHLORIDE (D)||111|mmol/l|98-108|H|||F
OBX|25|ST|L3113.003^CO2 (TOTAL) (D)||23.7|mmol/l|23-30||||F
OBX|26|ST|L3114.000^ANION GAP||6||7-17|L|||F
OBX|27|ST|L3120.003^CREATININE (D)||1.4|mg/dl|0.5-1.2|H|||F
OBX|28|ST|L3121.003^UREA NITROGEN (D)||24|mg/dl|7-25||||F
OBX|29|ST|L3123.003^GLUCOSE (D)||123|mg/dl|65-115|H|||F
OBX|30|ST|L3126.003^CALCIUM (D)||8.7|mg/dl|8.4-10.2||||F
OBR|2||1045825^LAB|L2560.000^BLOOD GAS, ARTERIAL (R)|||19940320105800|""| 1^EA|||||19940320105800||CARMI||||||19940320105844|||F
OBX|1|ST|L2565.000^PH, ARTERIAL BLD GAS (R)||7.46||7.35-7.45|H|||F
OBX|2|ST|L2566.000^PCO2, ARTERIAL BLOOD GAS||28|mm/Hg|35-45|LL|||F
NTE|1|L|BLOOD GAS ANALYSIS CRITICAL VALUE(S) CALLED TO~DR. CARLSON.
OBX|3|ST|L2567.000^PO2, ARTERIAL BLOOD GAS||83|mm/Hg|80-100||||F
OBX|4|ST|L2568.000^O2 SAT, ART BLD GAS (R)||96|%|95-99||||F
OBX|5|ST|L2569.000^BASE EX, ARTERIAL BLD GAS||-2.1|mEq/l|-2.0-2.0|L|||F
OBX|6|ST|L2570.000^HCO3, ARTERIAL BLD GAS||19.4|mEq/l|22-26|L|||F
OBX|7|ST|L2571.000^PATIENT TEMP, ABG||96.2|deg F|||||F
OBX|8|ST|L2572.000^MODE, ABG||ROOM AIR||||||F
OBR|3||1045812^LAB|L2310.003^URINALYSISD)|||19940320121800|""|1^EA|||||19940320121800||CARMI||||||19940320104953|||F
OBX|1|ST|L2320.303^SPECIFIC GRAVITY, UR (D)||1.015||1.002-1.030||||F
OBX|2|ST|L2320.403^PH, UR (D)||7.0||5.0-7.5||||F
OBX|3|ST|L2320.503^PROTEIN, QUAL, UR (D)||NEG|mg/dl|||||F
OBX|4|ST|L2320.703^GLUCOSE, QUAL, UR (D)||0|mg/dl|0-30||||F
OBX|5|ST|L2320.803^KETONES, UR (D)||NEG|mg/dl|||||F
OBX|6|ST|L2320.903^OCCULT BLOOD, UR (D)||SMALL|||A|||F
OBX|7|ST|L2321.003^BILIRUBIN, UR (D)||NEG||||||F
OBX|8|ST|L2321.100^LEUKOCYTES, UR||MOD|||A|||F
OBX|9|ST|L2321.200^NITRITES, UR||NEG||||||F
OBX|10|ST|L2321.300^UROBILINOGEN, UR||NEG||||||F
OBX|11|ST|L2342.000^MICRO SPUN VOLUME, UR||8|ml|8-8||||F
OBX|12|ST|L2350.003^RBC, UR (D)||5-10|/hpf|||||F
OBX|13|ST|L2350.100^WBC, UR||>100|/hpf|||||F
OBX|14|ST|L2350.200^EPITHELIAL CELLS, UR||2+||||||F
OBX|15|ST|L2350.300^BACTERIA, UR||2+|||A|||F