RQC^I05

RQC/RCI - Request for patient clinical information

Patient Referral
Retained for backwards compatibility only in version 2.4 and later; refer to Chapter 5 section 5.4, "Query Response Message Pairs." The original mode query and the QRD/QRF segments have been replaced.

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§11.9.6
Retained for backwards compatibility only in version 2.4 and later; refer to Chapter 5 section 5.4, "Query Response Message Pairs." The original mode query and the QRD/QRF segments have been replaced.
In this example, Dr. Hippocrates is querying a reference laboratory for the results of all lab work performed on Adam Everyman between the dates of 03/20/94 and 03/22/94 and requests that the data be returned in a record or data element 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|^~\&|HIPPOCRATESMD|EWHIN|HL7_LAB|EWHIN|19940410113142||RQC^I05|HIPPOCRATES7899|P|2.7|||NE|AL
QRD|19940504144501|R|I|HIPPOCRATES7899|||5^RD|PATIENT|RES|ALL
QRF|HL7_LAB^EWHIN|19940320000000|19940322235959
PRD|RP|HIPPOCRATES^HAROLD^^^DR^MD|1001 HEALTHCARE DRIVE^^ANN ARBOR^MI^99999| ^^^HIPPOCRATESMD&EWHIN^^^^^HIPPOCRATES MEDICAL CENTER|HIPPOCRATES7899
CTD|PR|ENTER^ELLEN|1001 HEALTHCARE DRIVE^^ANN ARBOR^MI^99999|^^^HIPPOCRATES&EWHIN^^^^^HIPPOCRATES MEDICAL CENTER
PRD|RT|HL7AB^HEALTH LEVEL LAB||^^^HL7_LAB&EWHIN^^^^^HEALTH LEVEL LABORATORIES
PID|||HL71001111111111^9^M10||EVERYMAN^ADAM^A ||19600309|M||C|2222 HOME STREET^^ANN ARBOR^MI^99999^USA|SPO|(555)555-2004|ENGL|M|M||HL71001111111111EVERYMAN*3-444-555^MI
MSH|^~\&|HL7_LAB|EWHIN|HIPPOCRATESMD|EWHIN|19940411152401||RPI^I05|HL7LAB4250|P|2.7|||ER|ER
MSA|AA|HIPPOCARATES7899
QRD|19940504144501|R|I|HIPPOCRATES7899|||5^RD|PATIENT|RES|ALL
QRF|HL7_LAB^EWHIN|19940320000000|19940322235959
PRD|RP|HIPPOCRATES^HAROLD^^^DR^MD||1001 HEALTHCARE DRIVE^^ANN ARBOR^MI^99999|^^^HIPPOCRATES&EWHIN^^^^^HIPPOCRATES MEDICAL CENTER|HIPPOCRATES7899
CTD|PR|ENTER^ELLEN|1001 HEALTHCARE DRIVE^^ANN ARBOR^MI^99999|^^^HIPPOCRATES&EWHIN^^^^^HIPPOCRATES MEDICAL CENTER
PRD|RT|HL7LAB^HEALTH LEVEL LAB||^^^HL7_LAB&EWHIN^^^^^HEALTH LEVELLABORATORIES
PID|||HL71001111111111^9^M10||EVERYMAN^ADAM^A ||19600309|M||C|2222 HOME STREET^^ANN ARBOR^MI^99999^USA|SPO|(555)555-2004|ENGL|M|M||HL71001111111111EVERYMAN*3-444-555^MI
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