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.
HL7 Attribute Table - PR1 - Procedures
Base Framework | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Seq# | Data Element | Description | Flags | Implement | Cardinality | Length | C.LEN | Vocabulary | Data Type | |
PR1 | ||||||||||
1 | 00391 | Set ID - PR1 | SHOULD | [1..1] | [1..4] | SI Sequence ID | ||||
2 | 00392 | Procedure Coding Method | W withdrawn Element | SHOULD NOT | ||||||
3 | 00393 | Procedure Code | SHALL | [1..1] | ProcedureCode (CD) | CNE Coded with No Exceptions | ||||
4 | 00394 | Procedure Description | W withdrawn Element | SHOULD NOT | ||||||
5 | 00395 | Procedure Date/Time | SHOULD | [1..1] | DTM Date/Time | |||||
6 | 00396 | Procedure Functional Type | MAY | [0..1] | ex.:ProcedureFunctionalType (CD) | CWE Coded with Exceptions | ||||
7 | 00397 | Procedure Minutes | = Truncation not allowed! | MAY | [0..1] | 4 | NM Numeric | |||
8 | 00398 | Anesthesiologist | W withdrawn Element | SHOULD NOT | ||||||
9 | 00399 | Anesthesia Code | MAY | [0..1] | AnesthesiaCode (CD) | CWE Coded with Exceptions | ||||
10 | 00400 | Anesthesia Minutes | = Truncation not allowed! | MAY | [0..1] | 4 | NM Numeric | |||
11 | 00401 | Surgeon | W withdrawn Element | SHOULD NOT | ||||||
12 | 00402 | Procedure Practitioner | W withdrawn Element | SHOULD NOT | ||||||
13 | 00403 | Consent Code | MAY | [0..1] | ConsentCode (CD) | CWE Coded with Exceptions | ||||
14 | 00404 | Procedure Priority | MAY | [0..1] | [1..2] | repr: ProcedurePriority (CD) | NM Numeric | |||
15 | 00772 | Associated Diagnosis Code | MAY | [0..1] | DiagnosisCode (CD) | CWE Coded with Exceptions | ||||
16 | 01316 | Procedure Code Modifier | MAY | [0..*] | ProcedureCodeModifier (CD) | CNE Coded with No Exceptions | ||||
17 | 01501 | Procedure DRG Type | MAY | [0..1] | repr: ProcedureDrgType (CD) | CWE Coded with Exceptions | ||||
18 | 01502 | Tissue Type Code | MAY | [0..*] | ex.:TissueTypeCode (CD) | CWE Coded with Exceptions | ||||
19 | 01848 | Procedure Identifier | C Condition defined for this element | MAY | [0..1] | EI Entity Identifier | ||||
20 | 01849 | Procedure Action Code | C Condition defined for this element | MAY | [0..1] | [1..1] | univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS) | ID Coded Value for HL7 Defined Tables | ||
21 | 02177 | DRG Procedure Determination Status | MAY | [0..1] | ex.:DRGProcedureDeterminationStatus (CD) | CWE Coded with Exceptions | ||||
22 | 02178 | DRG Procedure Relevance | MAY | [0..1] | repr: DRGProcedureRelevance (CD) | CWE Coded with Exceptions | ||||
23 | 02371 | Treating Organizational Unit | MAY | [0..*] | PL Person Location | |||||
24 | 02372 | Respiratory Within Surgery | MAY | [0..1] | [1..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
25 | 02373 | Parent Procedure ID | MAY | [0..1] | EI Entity Identifier |
The root for the expression is on the segment.
Seq. | Referenced Elements | Introduction | Invariant | Comment |
---|---|---|---|---|
1 | PR1-19/20 | This field is required in all implementations employing Update Diagnosis/Procedures (P12) messages. | MSH[9].[2].equals('P12').not or (PR1[20].hasValue() and PR1[21].hasValue()) |
Seq# | Data Element | Description | Flags | Implement | Cardinality | Length | C.LEN | Vocabulary | Data Type | |
---|---|---|---|---|---|---|---|---|---|---|
PR1 | ||||||||||
1 | 00391 | Set ID - PR1 | SHALL | [1..1] | [1..4] | SI Sequence ID | ||||
2 | 00392 | Procedure Coding Method | W withdrawn Element | SHOULD NOT | ||||||
3 | 00393 | Procedure Code | SHALL | [1..1] | ProcedureCode (CD) | CNE Coded with No Exceptions | ||||
4 | 00394 | Procedure Description | W withdrawn Element | SHOULD NOT | ||||||
5 | 00395 | Procedure Date/Time | SHALL | [1..1] | DTM Date/Time | |||||
6 | 00396 | Procedure Functional Type | MAY | [0..1] | ex.:ProcedureFunctionalType (CD) hl7VS-procedureFunctionalType (VS) procedureFunctionalType (CS) | CWE Coded with Exceptions | ||||
7 | 00397 | Procedure Minutes | = Truncation not allowed! | MAY | [0..1] | 4 | NM Numeric | |||
8 | 00398 | Anesthesiologist | W withdrawn Element | SHOULD NOT | ||||||
9 | 00399 | Anesthesia Code | MAY | [0..1] | AnesthesiaCode (CD) | CWE Coded with Exceptions | ||||
10 | 00400 | Anesthesia Minutes | = Truncation not allowed! | MAY | [0..1] | 4 | NM Numeric | |||
11 | 00401 | Surgeon | W withdrawn Element | SHOULD NOT | ||||||
12 | 00402 | Procedure Practitioner | W withdrawn Element | SHOULD NOT | ||||||
13 | 00403 | Consent Code | MAY | [0..1] | ConsentCode (CD) | CWE Coded with Exceptions | ||||
14 | 00404 | Procedure Priority | MAY | [0..1] | [1..2] | repr: ProcedurePriority (CD) hl7VS-procedurePriority (VS) procedurePriority (CS) | NM Numeric | |||
15 | 00772 | Associated Diagnosis Code | MAY | [0..1] | DiagnosisCode (CD) | CWE Coded with Exceptions | ||||
16 | 01316 | Procedure Code Modifier | MAY | [0..*] | ProcedureCodeModifier (CD) | CNE Coded with No Exceptions | ||||
17 | 01501 | Procedure DRG Type | MAY | [0..1] | repr: ProcedureDrgType (CD) hl7VS-procedureDrgType (VS) procedureDrgType (CS) | CWE Coded with Exceptions | ||||
18 | 01502 | Tissue Type Code | MAY | [0..*] | ex.:TissueTypeCode (CD) hl7VS-tissueTypeCode (VS) tissueType (CS) | CWE Coded with Exceptions | ||||
19 | 01848 | Procedure Identifier | C Condition defined for this element | MAY | [0..1] | EI Entity Identifier | ||||
20 | 01849 | Procedure Action Code | C Condition defined for this element | MAY | [0..1] | [1..1] | univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS) | ID Coded Value for HL7 Defined Tables | ||
21 | 02177 | DRG Procedure Determination Status | MAY | [0..1] | ex.:DRGProcedureDeterminationStatus (CD) hl7VS-drgProcedureDeterminationStatus (VS) drgProcedureDeterminationStatus (CS) | CWE Coded with Exceptions | ||||
22 | 02178 | DRG Procedure Relevance | MAY | [0..1] | repr: DRGProcedureRelevance (CD) hl7VS-drgProcedureRelevance (VS) drgProcedureRelevance (CS) | CWE Coded with Exceptions | ||||
23 | 02371 | Treating Organizational Unit | MAY | [0..*] | PL Person Location | |||||
24 | 02372 | Respiratory Within Surgery | MAY | [0..1] | [1..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
25 | 02373 | Parent Procedure ID | MAY | [0..1] | EI Entity Identifier |
Base Framework | Base Standard Profile | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Seq# | Data Element | Description | Flags | Implement | Cardinality | Length | C.LEN | Vocabulary | Data Type | Implement | Vocabulary | |
PR1 | ||||||||||||
1 | 00391 | Set ID - PR1 | SHOULD | [1..1] | [1..4] | SI Sequence ID | SHALL | |||||
2 | 00392 | Procedure Coding Method | W withdrawn Element | SHOULD NOT | SHOULD NOT | |||||||
3 | 00393 | Procedure Code | SHALL | [1..1] | ProcedureCode (CD) | CNE Coded with No Exceptions | SHALL | |||||
4 | 00394 | Procedure Description | W withdrawn Element | SHOULD NOT | SHOULD NOT | |||||||
5 | 00395 | Procedure Date/Time | SHOULD | [1..1] | DTM Date/Time | SHALL | ||||||
6 | 00396 | Procedure Functional Type | MAY | [0..1] | ex.:ProcedureFunctionalType (CD) | CWE Coded with Exceptions | MAY | hl7VS-procedureFunctionalType (VS) procedureFunctionalType (CS) | ||||
7 | 00397 | Procedure Minutes | = Truncation not allowed! | MAY | [0..1] | 4 | NM Numeric | MAY | ||||
8 | 00398 | Anesthesiologist | W withdrawn Element | SHOULD NOT | SHOULD NOT | |||||||
9 | 00399 | Anesthesia Code | MAY | [0..1] | AnesthesiaCode (CD) | CWE Coded with Exceptions | MAY | |||||
10 | 00400 | Anesthesia Minutes | = Truncation not allowed! | MAY | [0..1] | 4 | NM Numeric | MAY | ||||
11 | 00401 | Surgeon | W withdrawn Element | SHOULD NOT | SHOULD NOT | |||||||
12 | 00402 | Procedure Practitioner | W withdrawn Element | SHOULD NOT | SHOULD NOT | |||||||
13 | 00403 | Consent Code | MAY | [0..1] | ConsentCode (CD) | CWE Coded with Exceptions | MAY | |||||
14 | 00404 | Procedure Priority | MAY | [0..1] | [1..2] | repr: ProcedurePriority (CD) | NM Numeric | MAY | hl7VS-procedurePriority (VS) procedurePriority (CS) | |||
15 | 00772 | Associated Diagnosis Code | MAY | [0..1] | DiagnosisCode (CD) | CWE Coded with Exceptions | MAY | |||||
16 | 01316 | Procedure Code Modifier | MAY | [0..*] | ProcedureCodeModifier (CD) | CNE Coded with No Exceptions | MAY | |||||
17 | 01501 | Procedure DRG Type | MAY | [0..1] | repr: ProcedureDrgType (CD) | CWE Coded with Exceptions | MAY | hl7VS-procedureDrgType (VS) procedureDrgType (CS) | ||||
18 | 01502 | Tissue Type Code | MAY | [0..*] | ex.:TissueTypeCode (CD) | CWE Coded with Exceptions | MAY | hl7VS-tissueTypeCode (VS) tissueType (CS) | ||||
19 | 01848 | Procedure Identifier | C Condition defined for this element | MAY | [0..1] | EI Entity Identifier | MAY | |||||
20 | 01849 | Procedure Action Code | C Condition defined for this element | MAY | [0..1] | [1..1] | univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS) | ID Coded Value for HL7 Defined Tables | MAY | |||
21 | 02177 | DRG Procedure Determination Status | MAY | [0..1] | ex.:DRGProcedureDeterminationStatus (CD) | CWE Coded with Exceptions | MAY | hl7VS-drgProcedureDeterminationStatus (VS) drgProcedureDeterminationStatus (CS) | ||||
22 | 02178 | DRG Procedure Relevance | MAY | [0..1] | repr: DRGProcedureRelevance (CD) | CWE Coded with Exceptions | MAY | hl7VS-drgProcedureRelevance (VS) drgProcedureRelevance (CS) | ||||
23 | 02371 | Treating Organizational Unit | MAY | [0..*] | PL Person Location | MAY | ||||||
24 | 02372 | Respiratory Within Surgery | MAY | [0..1] | [1..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | MAY | ||||
25 | 02373 | Parent Procedure ID | MAY | [0..1] | EI Entity Identifier | MAY |
Base Framework | Base Standard Profile | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Seq# | Data Element | Description | Flags | Optionality | Repetition | Length | C.LEN | Table | Data Type | Optionality | Table | |
PR1 | ||||||||||||
1 | 00391 | Set ID - PR1 | O | [1..4] | SI Sequence ID |
R | ||||||
2 | 00392 | Procedure Coding Method | W | |||||||||
3 | 00393 | Procedure Code | R | CNE Coded with No Exceptions |
(0088) | |||||||
4 | 00394 | Procedure Description | W | |||||||||
5 | 00395 | Procedure Date/Time | O | DTM Date/Time |
R | |||||||
6 | 00396 | Procedure Functional Type | O | CWE Coded with Exceptions |
(0230) | |||||||
7 | 00397 | Procedure Minutes | O | 4= | NM Numeric |
|||||||
8 | 00398 | Anesthesiologist | W | |||||||||
9 | 00399 | Anesthesia Code | O | CWE Coded with Exceptions |
(0019) | |||||||
10 | 00400 | Anesthesia Minutes | O | 4= | NM Numeric |
|||||||
11 | 00401 | Surgeon | W | |||||||||
12 | 00402 | Procedure Practitioner | W | |||||||||
13 | 00403 | Consent Code | O | CWE Coded with Exceptions |
(0059) | |||||||
14 | 00404 | Procedure Priority | O | [1..2] | NM Numeric |
(0418) | ||||||
15 | 00772 | Associated Diagnosis Code | O | CWE Coded with Exceptions |
(0051) | |||||||
16 | 01316 | Procedure Code Modifier | O | Y | CNE Coded with No Exceptions |
(0340) | ||||||
17 | 01501 | Procedure DRG Type | O | CWE Coded with Exceptions |
(0416) | |||||||
18 | 01502 | Tissue Type Code | O | Y | CWE Coded with Exceptions |
(0417) | ||||||
19 | 01848 | Procedure Identifier | C Condition defined for this element |
O | EI Entity Identifier |
|||||||
20 | 01849 | Procedure Action Code | C Condition defined for this element |
O | [1..1] | ID Coded Value for HL7 Defined Tables |
(0206) | |||||
21 | 02177 | DRG Procedure Determination Status | O | CWE Coded with Exceptions |
(0761) | |||||||
22 | 02178 | DRG Procedure Relevance | O | CWE Coded with Exceptions |
(0763) | |||||||
23 | 02371 | Treating Organizational Unit | O | Y | PL Person Location |
|||||||
24 | 02372 | Respiratory Within Surgery | O | [1..1] | ID Coded Value for HL7 Defined Tables |
(0136) | ||||||
25 | 02373 | Parent Procedure ID | O | EI Entity Identifier |
Seq# | Data Element | Description | Optionality | Repetition | Length | C.LEN | Table | Data Type | |
---|---|---|---|---|---|---|---|---|---|
PR1 | |||||||||
1 | 00391 | Set ID - PR1 | R | [1..4] | SI Sequence ID |
||||
2 | 00392 | Procedure Coding Method | W | ||||||
3 | 00393 | Procedure Code | R | (0088) | CNE Coded with No Exceptions |
||||
4 | 00394 | Procedure Description | W | ||||||
5 | 00395 | Procedure Date/Time | R | DTM Date/Time |
|||||
6 | 00396 | Procedure Functional Type | O | (0230) | CWE Coded with Exceptions |
||||
7 | 00397 | Procedure Minutes | O | 4= | NM Numeric |
||||
8 | 00398 | Anesthesiologist | W | ||||||
9 | 00399 | Anesthesia Code | O | (0019) | CWE Coded with Exceptions |
||||
10 | 00400 | Anesthesia Minutes | O | 4= | NM Numeric |
||||
11 | 00401 | Surgeon | W | ||||||
12 | 00402 | Procedure Practitioner | W | ||||||
13 | 00403 | Consent Code | O | (0059) | CWE Coded with Exceptions |
||||
14 | 00404 | Procedure Priority | O | [1..2] | (0418) | NM Numeric |
|||
15 | 00772 | Associated Diagnosis Code | O | (0051) | CWE Coded with Exceptions |
||||
16 | 01316 | Procedure Code Modifier | O | Y | (0340) | CNE Coded with No Exceptions |
|||
17 | 01501 | Procedure DRG Type | O | (0416) | CWE Coded with Exceptions |
||||
18 | 01502 | Tissue Type Code | O | Y | (0417) | CWE Coded with Exceptions |
|||
19 | 01848 | Procedure Identifier | C | EI Entity Identifier |
|||||
20 | 01849 | Procedure Action Code | C | [1..1] | (0206) | ID Coded Value for HL7 Defined Tables |
|||
21 | 02177 | DRG Procedure Determination Status | O | (0761) | CWE Coded with Exceptions |
||||
22 | 02178 | DRG Procedure Relevance | O | (0763) | CWE Coded with Exceptions |
||||
23 | 02371 | Treating Organizational Unit | O | Y | PL Person Location |
||||
24 | 02372 | Respiratory Within Surgery | O | [1..1] | (0136) | ID Coded Value for HL7 Defined Tables |
|||
25 | 02373 | Parent Procedure ID | O | EI Entity Identifier |
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.
Attention: PR1-2 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Definition: This field contains a unique identifier assigned to the procedure. Refer to Externally-defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values. This field is a CNE data type for compatibility with clinical and ancillary systems.
Attention: PR1-4 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
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 in Chapter 2C, Code Tables, for suggested values.
Definition: This field indicates the length of time in whole minutes that the procedure took to complete. The duration starts with the point in time in PR1-5.
Attention: PR1-8 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Definition: This field contains a unique identifier of the anesthesia used during the procedure. Refer to User-defined Table 0019 - Anesthesia Code in Chapter 2C, Code Tables, for suggested values.
Definition: This field contains the length of time in minutes that the anesthesia was administered.
Attention: PR1-11 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
Attention: PR1-12 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.
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 in Chapter 2C, Code Tables, for suggested values.
Definition: This field contains a number that identifies the significance or priority of the procedure code. Refer to HL7 Table 0418 - Procedure Priority in Chapter 2C, Code Tables, for valid values.
Note: As of v 2.7, the data type has been changed to numeric. The meaning of the values remain the same as those in HL7 Table 0418 - Procedure Priority, The value 0 conveys that this procedure is not included in the ranking. The value 1 means that this is the primary procedure. Values 2-99 convey ranked secondary procedures.
Definition: This field contains the diagnosis that is the primary reason this procedure was performed, e.g., in the US, Medicare wants to know for which diagnosis this procedure is submitted for inclusion on CMS 1500 form. Refer to User-defined Table 0051 - Diagnosis Code in Chapter 2C, Code Tables, for suggested values.
Definition: This field contains the procedure code modifier to the procedure code reported in field 3, when applicable. Procedure code modifiers are defined by regulatory agencies such as CMS and the AMA. Multiple modifiers may be reported. Refer to Externally-defined Table 0340 - Procedure Code Modifier in Chapter 2C, Code Tables, for suggested values.
Definition: This field indicates a procedure's priority ranking relative to its DRG. Refer to User-defined Table 0416 - Procedure DRG Type in Chapter 2C, Code Tables, for suggested values.
Definition: Code representing type of tissue removed from a patient during this procedure. Refer to User-defined Table 0417 - Tissue Type Code in Chapter 2C, Code Tables, for suggested values.
This field contains a value that uniquely identifies a single procedure for an encounter. It is unique across all segments and messages for an encounter. This field is required in all implementations employing Update Diagnosis/Procedures (P12) messages.
This field defines the action to be taken for this procedure. Refer to HL7 Table 0206 - Segment Action Code in Chapter 2C, Code Tables, for valid values. This field is required for the Update Diagnosis/Procedures (P12) message. In all other events it is optional.
Definition: This field contains the status of the use of this particular procedure for the DRG determination. Refer to User-defined Table 0761 - DRG Procedure Determination Status in Chapter 2C, Code Tables, for suggested values.
Definition: This field contains the relevance of this particular procedure for the DRG determination. Refer to User-defined Table 0763 - DRG Procedure Relevance in Chapter 2C, code Tables, for suggested values.
Definition: This field contains information about the organizational unit that has performed the procedure.
Definition: This field indicates whether or not a respiratory procedure has occurred during a surgery. This field is optional and only needs to be valued for respiratory procedures. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code TableS, for valid values.
Definitions: This field contains a procedure ID which points to the procedure group (e.g., complete surgery) in which this instance belongs.