Previous Page TOC Index Next Page

6.4.4 PR1 - procedures segment

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

6.4.4.1 Set ID - PR1 (SI) 00391

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.

6.4.4.2 Procedure coding method (IS) 00392

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.

6.4.4.3 Procedure code (CE) 00393

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.

6.4.4.4 Procedure description (ST) 00394

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.

6.4.4.5 Procedure date/time (TS) 00395

Definition: This field contains the date/time that the procedure was performed.

6.4.4.6 Procedure functional type (IS) 00396

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

6.4.4.7 Procedure minutes (NM) 00397

Definition: This field indicates the length of time in whole minutes that the procedure took to complete.

6.4.4.8 Anesthesiologist (XCN) 00398

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.

6.4.4.9 Anesthesia code (IS) 00399

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.

6.4.4.10 Anesthesia minutes (NM) 00400

Definition: This field contains the length of time in minutes that the anesthesia was administered.

6.4.4.11 Surgeon (XCN) 00401

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.

6.4.4.12 Procedure practitioner (XCN) 00402

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

6.4.4.13 Consent code (CE) 00403

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.

6.4.4.14 Procedure priority (NM) 00404

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

6.4.4.15 Associated diagnosis code (CE) 00772

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.

Previous Page TOC Index Next Page