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8.6.3 PRA - practitioner detail segment

The PRA segment adds detailed medical practitioner information to the personnel identified by the STF segment. A PRA segment may optionally follow an STF segment. A PRA segment must always have been preceded by a corresponding STF segment. The PRA segment may also be used for staff who work in healthcare who are not practitioners, but need to be certified, e.g., "medical records staff."

Figure 8-6. PRA attributes

SEQ

LEN

DT

OPT

RP/#

TBL#

ITEM#

ELEMENT NAME

1

20

ST

R



00685

Primary Key Value - PRA

2

60

CE

O

Y


00686

Practitioner Group

3

3

IS

O

Y

0186

00687

Practitioner Category

4

1

ID

O


0187

00688

Provider Billing

5

100

CM

O

Y

0337

00689

Specialty

6

100

CM

O

Y

0338

00690

Practitioner ID Numbers

7

200

CM

O

Y


00691

Privileges

8

8

DT

O



01235

Date Entered Practice

8.6.3.0 PRA field definitions

8.6.3.1 Primary key value - PRA (ST) 00685

Definition: This field must match MFE-4-primary key value, to identify which entry is being referenced.

8.6.3.2 Practitioner group (CE) 00686

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 name and/or code of a group of practitioner to which this practitioner belongs.

8.6.3.3 Practitioner category (IS) 00687

Definition: This field contains the category of practitioner. Refer to user-defined table 0186 - Practitioner category whose values may include codes for staff physician, courtesy physician, resident, physician assistant, physical therapist, psychiatrist, psychologist, pharmacist, registered nurse, licensed practical nurse, licensed vocational nurse, nurse practitioner, etc.

8.6.3.4 Provider billing (ID) 00688

Definition: This field indicates how provider services are billed. Refer to HL7 table 0187 - Provider billing for valid values.

Table 0187 - Provider billing

Value

Description

P

Provider does own billing

I

Institution bills for provider

8.6.3.5 Specialty (CM) 00689

Components: <specialty name (ST)> ^ <governing board (ST)> ^ <eligible or certified (IS)> ^ <date of certification (DT)>

Definition: This repeating field is made up of multiple components to record the practitioner’s specialties. The multiple components of each specialty are: (1) specialty name or abbreviation, identifies provider’s specialty, (2) name of specialty governing board, (3) Certification Status, (4) certified date contains the date of certification, if certified.

Table - 0337 - Certification Status

Value

Description

E

Eligible

C

Certified

8.6.3.6 Practitioner ID numbers (CM) 00690

Components: <ID number (ST)> ^ <type of ID number (IS)> ^ <state/other qualifying info (ST)> ^ <expiration date>

Definition: This repeating field contains this practitioner’s license numbers and other ID numbers. This is a field made up of the following components: (1) the ID number, and (2) the type of number, and optionally (3) the state or province in which it is valid, if relevant, or other qualifying information. It is recommended that state qualifications use the abbreviations from the postal service of the country. The practitioner ID number type (component 2) is a user-defined table (table 0338).

User-defined Table 0338 - Practitioner ID number type

Value

Description

UPIN

University Physician Id. No.

SL

State License Number

MCD

Medicaid Number

GL

General Ledger Number

CY

County Number

TAX

Tax ID Number

DEA

Drug Enforcement Agency No.

MCR

Medicare Number

L&I

Labor and Industries Number

QA

QA Number

TRL

Training License Number

8.6.3.7 Privileges (CM) 00691

Components: <privilege (CE)> ^ <privilege class (CE)> ^ <expiration date (DT)> ^ <activation date (DT)>

Subcomponents for privilege: < identifier (ID)> & <text (ST)> & <name of coding system (ST)> & <alternate identifier (ID)> & <text (ST)> & <name of alternate coding system(ST)>

Subcomponents for privilege class: < identifier (ID)> & <text (ST)> & <name of coding system (ST)> & <alternate identifier (ID)> & <text (ST)> & <name of alternate coding system(ST)>

Definition: This field contains the institutional privileges which this provider may exercise. Depends upon institutional needs. For example, admit, transfer, discharge, place orders, verify orders, review results, etc. Can also be used for privileges other than patient services. This is a repeating field, with each privilege made up of the following components: (1) privilege; (2) privilege class; (3) privilege expiration date, if any; and (4) privilege activation date, if any. Note that the privilege and privilege class components are CE data types, and thus they are encoded with the subcomponent delimiter (&) rather than the component delimiter (^).

8.6.3.8 Date entered practice (DT) 01235

Definition: This field contains the date the practitioner began practicing at the present institution (e.g., at hospital, at physician organization, at managed care network).

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