The PR1 segment contains information relative to various types of procedures that can be performed on a patient. The PR1 segment can be used to send procedure information, for example: Surgical, Nuclear Medicine, X-ray with contrast, etc. The PR1 segment is used to send multiple procedures, for example, for medical records encoding or for billing systems.
Figure 6-4. PR1 attributes
SEQ |
LEN |
DT |
OPT |
RP/# |
TBL# |
ITEM# |
ELEMENT NAME |
1 |
4 |
SI |
R |
00391 |
Set ID - PR1 |
||
2 |
2 |
IS |
(B) R |
0089 |
00392 |
Procedure Coding Method |
|
3 |
80 |
CE |
R |
0088 |
00393 |
Procedure Code |
|
4 |
40 |
ST |
B |
00394 |
Procedure Description |
||
5 |
26 |
TS |
R |
00395 |
Procedure Date/Time |
||
6 |
2 |
IS |
R |
0230 |
00396 |
Procedure Functional Type |
|
7 |
4 |
NM |
O |
00397 |
Procedure Minutes |
||
8 |
120 |
XCN |
B |
Y |
0010 |
00398 |
Anesthesiologist |
9 |
2 |
IS |
O |
0019 |
00399 |
Anesthesia Code |
|
10 |
4 |
NM |
O |
00400 |
Anesthesia Minutes |
||
11 |
120 |
XCN |
B |
Y |
0010 |
00401 |
Surgeon |
12 |
230 |
XCN |
B |
Y |
0010 |
00402 |
Procedure Practitioner |
13 |
60 |
CE |
O |
0059 |
00403 |
Consent Code |
|
14 |
2 |
NM |
O |
00404 |
Procedure Priority |
||
15 |
80 |
CE |
O |
00772 |
Associated Diagnosis Code |
6.4.4.0 PR1 field definitions
Definition: This field contains the number that identifies this transaction. For the first occurrence of the segment the sequence number shall be 1, for the second occurrence it shall be 2, etc.
Definition: This field has been retained for backward compatibility only. Use the components of PR1-3-procedure code instead of this field.
When used for backward compatibility, PR1-2-procedure coding method contains the methodology used to assign a code to the procedure (CPT4, for example). If more than one coding method is needed for a single procedure, this field and the associated values in PR1-3-procedure code and PR1-4-procedure description may repeat. In this instance, the three fields (PR1-2 through 4) are directly associated with one another. Refer to user-defined table 0089 - Procedure coding method for suggested values.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: Use this field instead of PR1-2-procedure coding method and PR1-4-procedure description. Those two fields have been retained for backward compatibility only. This field contains a unique identifier assigned to the procedure. Refer to user-defined table 0088 - Procedure code for suggested values. This field is a CE data type for compatibility with clinical and ancillary systems.
Definition: This field has been retained for backward compatibility only. Use the components of PR1-3-procedure code instead of this field. The field contains a text description that describes the procedure.
Definition: This field contains the date/time that the procedure was performed.
Definition: This field contains the optional code that further defines the type of procedure. Refer to user-defined table 0230 - Procedure functional type for suggested values.
User-defined Table 0230 - Procedure functional type
Value |
Description |
A |
Anesthesia |
P |
Procedure for treatment (therapeutic, including operations) |
I |
Invasive procedure not classified elsewhere (e.g., IV, catheter, etc.) |
D |
Diagnostic procedure |
Definition: This field indicates the length of time in whole minutes that the procedure took to complete.
Components: <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>
Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Definition: HL7 has introduced the ROL - Role segment to report a wide range of practitioner roles related to a single procedure. This segment is described in Chapter 12. When using trigger events introduced in HL7 Version 2.3, it is recommended that the ROL - Role segment be used to report all practitioner roles related to the procedure.
However, in order to maintain backward compatibility, the practitioner roles existing in HL7 Version 2.2 (PR1-8-anesthesiologist, PR1-11-surgeon, and PR1-12-procedure practitioner) should also be populated in the PR1 segment as per the HL7 2.2 specifications. You may additionally report the practitioner information in the ROL - role segment (See Chapter 12, Section 12.3.3, "ROL - role segment").
When this field is used for backward compatibility, the XCN data type applies. It contains the anesthesiologist who administered the anesthesia. Use values in user-defined table 0010 - Physician ID for first component. Multiple names and identifiers for the same person should be sent in this field, not multiple anesthesiologists. The legal name is assumed to be in the first repetition. When the legal name is not sent, a repeat delimiter must be sent first for the first repetition. The components for this data type are described in Chapter 2.
Definition: This field contains a unique identifier of the anesthesia used during the procedure. Refer to user-defined table 0019 - Anesthesia code for suggested values.
Definition: This field contains the length of time in minutes that the anesthesia was administered.
Components: <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>
Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Definition: HL7 has introduced the ROL - Role segment to report a wide range of practitioner roles related to a single procedure. This segment is described in Chapter 12. When using trigger events introduced in HL7 Version 2.3, it is recommended that the ROL - Role segment be used to report all practitioner roles related to the procedure.
However, in order to maintain backward compatibility, the practitioner roles existing in HL7 Version 2.2 (PR1-8-anesthesiologist, PR1-11-surgeon, and PR1-12-procedure practitioner) should also be populated in the PR1 segment as per the HL7 2.2 specifications. You may additionally report the practitioner information in the ROL - role segment (See Chapter 12, Section 12.3.3, "ROL - role segment")..
When this field is being used for backward compatibility, the XCN data type applies. It contains the surgeon who performed the procedure. Use the values in user-defined table 0010 - Physician ID for the first component. Multiple names and identifiers for the same person should be sent in this field, not multiple surgeons. The legal name is assumed to be in the first repetition. When the legal name is not sent, a repeat delimiter must be sent first for the first repetition. The components for this data type are described in Chapter 2.
Components: <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>
Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Definition: HL7 has introduced the ROL - Role segment to report a wide range of practitioner roles related to a single procedure. This segment is described in Chapter 12. When using trigger events introduced in HL7 Version 2.3, it is recommended that the ROL - Role segment be used to report all practitioner roles related to the procedure.
However, in order to maintain backward compatibility, the practitioner roles existing in HL7 Version 2.2 (PR1-8-anesthesiologist, PR1-11-surgeon, and PR1-12-procedure practitioner) should also be populated in the PR1 segment as per the HL7 2.2 specifications. You may additionally report the practitioner information in the ROL - role segment (See Chapter 12, Section 12.3.3, "ROL - role segment")..
This field contains the different types of practitioners associated with this procedure. The ID and name components follow the standard rules defined for a composite name (XCN) field. The last component, identifier type code, indicates which type of procedure practitioner is shown. When the identifier type component is unvalued, it is assumed that the practitioner identified is a resident. Use values in user-defined table 0010 - Physician ID for the first component. Refer to user-defined table 0133 - Procedure practitioner identifier code type for suggested values for the identifier type code component. The components of this data type are described in Chapter 2.
User-defined Table 0133 - Procedure practitioner identifier code type
Value |
Description |
AN |
Anesthesiologist |
PR |
Procedure MD (surgeon) |
RD |
Radiologist |
RS |
Resident |
NP |
Nurse Practitioner |
CM |
Certified Nurse Midwife |
SN |
Scrub Nurse |
PS |
Primary Surgeon |
AS |
Assistant Surgeon |
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the type of consent that was obtained for permission to treat the patient. Refer to user-defined table 0059 - Consent code for suggested values.
Definition: This field contains a number that identifies the significance or priority of the procedure code.
0 the admitting procedure
1 the primary procedure
2 and higher for ranked secondary procedures
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the diagnosis which is the primary reason this procedure was performed, e.g., Medicare wants to know for which diagnosis is this procedure to put on HCFA 1500 form.