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.

HL7 Attribute Table - PR1 - Procedures Segment

Seq#	Data Element Name	DataType	Usage	Vocabulary	Cardinality	Item #	Length	C.LEN	Flags
PR1
1	Set ID - PR1	SI	R		[1..1]	00391	[1..4]
2	Procedure Coding Method		W		[0..1]	00392
3	Procedure Code	CNE	R		[1..1]	00393
4	Procedure Description		W		[0..1]	00394
5	Procedure Date/Time	DTM	R		[1..1]	00395
6	Procedure Functional Type	CWE	O	0230 Procedure Functional Type	[0..1]	00396
7	Procedure Minutes	NM	O		[0..1]	00397		4	#
8	Anesthesiologist		W		[0..1]	00398
9	Anesthesia Code	CWE	O	0019 Anesthesia Code	[0..1]	00399
10	Anesthesia Minutes	NM	O		[0..1]	00400		4	#
11	Surgeon		W		[0..1]	00401
12	Procedure Practitioner		W		[0..1]	00402
13	Consent Code	CWE	O	0059 Consent Code	[0..1]	00403
14	Procedure Priority	NM	O	0418(S) Procedure Priority(Suggested)	[0..1]	00404	[1..2]
15	Associated Diagnosis Code	CWE	O	0051 Diagnosis Code	[0..1]	00772
16	Procedure Code Modifier	CNE	O		[0..*]	01316
17	Procedure DRG Type	CWE	O	0416(S) Procedure DRG Type(Suggested)	[0..1]	01501
18	Tissue Type Code	CWE	O	0417 Tissue Type Code	[0..*]	01502
19	Procedure Identifier	EI	C		[0..1]	01848
20	Procedure Action Code	ID	C	0206(R) Segment Action Code(Required)	[0..1]	01849	[1..1]
21	DRG Procedure Determination Status	CWE	O	0761 DRG Procedure Determination Status	[0..1]	02177
22	DRG Procedure Relevance	CWE	O	0763(S) DRG Procedure Relevance(Suggested)	[0..1]	02178
23	Treating Organizational Unit	PL	O		[0..*]	02371
24	Respiratory Within Surgery	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	02372	[1..1]
25	Parent Procedure ID	EI	O		[0..1]	02373

PR1-1: 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.

PR1-2: Procedure Coding Method () 00392

Attention: PR1-2 was deprecated as of v 2.3 and the detail was withdrawn and removed from the standard as of v 2.6.

PR1-3: Procedure Code (CNE) 00393

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.

PR1-4: Procedure Description () 00394

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.

PR1-5: Procedure Date/Time (DTM) 00395

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

PR1-6: Procedure Functional Type (CWE) 00396

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.

PR1-7: Procedure Minutes (NM) 00397

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.

PR1-8: Anesthesiologist () 00398

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.

PR1-9: Anesthesia Code (CWE) 00399

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.

PR1-10: Anesthesia Minutes (NM) 00400

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

PR1-11: Surgeon () 00401

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.

PR1-12: Procedure Practitioner () 00402

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.

PR1-13: Consent Code (CWE) 00403

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.

PR1-14: Procedure Priority (NM) 00404

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.

PR1-15: Associated Diagnosis Code (CWE) 00772

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.

PR1-16: Procedure Code Modifier (CNE) 01316

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.

PR1-17: Procedure DRG Type (CWE) 01501

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.

PR1-18: Tissue Type Code (CWE) 01502

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.

PR1-19: Procedure Identifier (EI) 01848

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.

PR1-20: Procedure Action Code (ID) 01849

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.

PR1-21: DRG Procedure Determination Status (CWE) 02177

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.

PR1-22: DRG Procedure Relevance (CWE) 02178

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.

PR1-23: Treating Organizational Unit (PL) 02371

Definition: This field contains information about the organizational unit that has performed the procedure.

PR1-24: Respiratory Within Surgery (ID) 02372

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.

PR1-25: Parent Procedure ID (EI) 02373

Definitions: This field contains a procedure ID which points to the procedure group (e.g., complete surgery) in which this instance belongs.