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PRB - Problem Detail Segment

NOTE: This segment will be taken over by the Orders and Observations Work Group.

The problem detail segment contains the data necessary to add, update, correct, and delete the problems of a given individual.

HL7 Attribute Table - PRB - Problem Detail Segment
Seq# Data Element Name DataType Usage Vocabulary Cardinality Item # Length C.LEN Flags
PRB
1 Action Code ID R
0206(R) Segment Action Code(Required)
[1..1] 00816 [2..2]
2 Action Date/Time DTM R
[1..1] 00817
3 Problem ID CWE R
[1..1] 00838
4 Problem Instance ID EI R
[1..1] 00839
5 Episode of Care ID EI O
[0..1] 00820
6 Problem List Priority NM O
[0..1] 00841
7 Problem Established Date/Time DTM O
[0..1] 00842
8 Anticipated Problem Resolution Date/Time DTM O
[0..1] 00843
9 Actual Problem Resolution Date/Time DTM O
[0..1] 00844
10 Problem Classification CWE O
[0..1] 00845
11 Problem Management Discipline CWE O
[0..*] 00846
12 Problem Persistence CWE O
[0..1] 00847
13 Problem Confirmation Status CWE O
[0..1] 00848
14 Problem Life Cycle Status CWE O
[0..1] 00849
15 Problem Life Cycle Status Date/Time DTM O
[0..1] 00850
16 Problem Date of Onset DTM O
[0..1] 00851
17 Problem Onset Text ST O
[0..1] 00852 80 #
18 Problem Ranking CWE O
[0..1] 00853
19 Certainty of Problem CWE O
[0..1] 00854
20 Probability of Problem NM O
[0..1] 00855 4 #
21 Individual Awareness of Problem CWE O
[0..1] 00856
22 Problem Prognosis CWE O
[0..1] 00857
23 Individual Awareness of Prognosis CWE O
[0..1] 00858
24 Family/Significant Other Awareness of Problem/Prognosis ST O
[0..1] 00859 200 #
25 Security/Sensitivity CWE O
[0..1] 00823
26 Problem Severity CWE O
0836 Problem Severity
[0..1] 02234
27 Problem Perspective CWE O
0838 Problem Perspective
[0..1] 02235
28 Mood Code CNE C
0725(R) Mood Codes(Required)
[0..1] 02237

The business and/or application must assume the responsibility for maintaining knowledge about data ownership, versioning, and/or audit trail control (for purposes of data integrity). It is also their responsibility to represent the appropriate version of that data.

PRB-1: Action Code (ID) 00816

Definition: This field contains the intent of the message. Refer to HL7 Table 0287 – Problem/Goal Action Code in Chapter 2C, Code Tables, for valid values.

PRB-2: Action Date/Time (DTM) 00817

Definition: This field contains the date/time that the operation represented by the action code was performed.

PRB-3: Problem ID (CWE) 00838

Definition: This field identifies the problem. This is the identifier from an institution's master list of problems.

PRB-4: Problem Instance ID (EI) 00839

Definition: This field contains the identifier assigned by an initiating system to an instance of a problem.

Note: It is required that this value remain unique over time. This instance ID identifies a specific instance for a specific patient and is unique across all patients. See entity ID data type description in Chapter 2.


PRB-5: Episode of Care ID (EI) 00820

Definition: This field uniquely identifies the episode of care to which this problem applies. (See note under "Ongoing issues.")

Note: It is required that this field be unique over time.


PRB-6: Problem List Priority (NM) 00841

Definition: This field prioritizes this problem on a list that is maintained for the individual.

PRB-7: Problem Established Date/Time (DTM) 00842

Definition: This field contains the date/time when the corresponding problem was initially identified by the caregiver.

PRB-8: Anticipated Problem Resolution Date/Time (DTM) 00843

Definition: This field contains the estimated date/time for resolving the stated problem.

PRB-9: Actual Problem Resolution Date/Time (DTM) 00844

Definition: This field contains the date/time that the problem was actually resolved.

PRB-10: Problem Classification (CWE) 00845

Definition: This field indicates the kind of problem. This field can be used to categorize problems so that they may be managed and viewed independently within different applications (e.g., admission, final, post-operative, pre-operative, outpatient, discharge, etc.).

PRB-11: Problem Management Discipline (CWE) 00846

Definition: This field indicates the category of caregiver with responsibility for managing this specific problem (e.g., care team, nursing, medicine, respiratory therapy, occupational therapy, dietary, etc.). This is a repeating field to allow identification of all disciplines that may have the responsibility for this problem.

PRB-12: Problem Persistence (CWE) 00847

Definition: This field contains the perseverance of a problem (e.g., acute, chronic, etc.).

PRB-13: Problem Confirmation Status (CWE) 00848

Definition: This field contains the verification status of a problem (e.g., confirmed, differential, provisional, rule-out, etc.).

PRB-14: Problem Life Cycle Status (CWE) 00849

Definition: This field contains the current status of the problem at this particular date/time (e.g., active, active-improving, active-stable, active-worsening, inactive, resolved, etc.).

PRB-15: Problem Life Cycle Status Date/Time (DTM) 00850

Definition: This field indicates the effective date/time of the current problem life cycle status.

PRB-16: Problem Date of Onset (DTM) 00851

Definition: This field contains the date/time when the problem began.

PRB-17: Problem Onset Text (ST) 00852

Definition: This field allows for a textual representation of the time when the problem began.

PRB-18: Problem Ranking (CWE) 00853

Definition: This field contains a user-defined prioritization of a problem (e.g., numeric ranking, or the use of words such as "primary," "secondary," etc.).

PRB-19: Certainty of Problem (CWE) 00854

Definition: This field contains a qualitative representation of the certainty of a problem (e.g., HI - high, LO - low, ME - medium, etc.).

PRB-20: Probability of Problem (NM) 00855

Definition: This field contains a quantitative or numeric representation of the certainty that the problem exists for this patient. This field has a valid range of 0 to 1. For example, a healthcare provider may be 75% (.75) sure that the problem has been correctly identified.

Note: We have provided for two different representations of the certainty of the problem due to varying representations in applications.


PRB-21: Individual Awareness of Problem (CWE) 00856

Definition: This field contains the individual's comprehension of the problem (e.g., full, marginal, partial, etc.).

PRB-22: Problem Prognosis (CWE) 00857

Definition: This field contains the prognosis for the individual's problem (e.g., good, poor, etc.).

PRB-23: Individual Awareness of Prognosis (CWE) 00858

Definition: This field contains the individual's comprehension of the prognosis for the problem (e.g., full, marginal, partial, etc.).

PRB-24: Family/Significant Other Awareness of Problem/Prognosis (ST) 00859

Definition: This field indicates the individual's family or significant other's comprehension of the actual problem/prognosis.

PRB-25: Security/Sensitivity (CWE) 00823

Definition: This field contains information about the level of security and/or sensitivity surrounding the problem (e.g., highly sensitive, not sensitive, sensitive, etc.).

PRB-26: Problem Severity (CWE) 02234

Definition: This field indicates the severity of the Problem. Refer to User-defined Table 0836- Problem Severity in Chapter 2C, Code Tables, for suggested values.

PRB-27: Problem Perspective (CWE) 02235

Definition: This field indicates from whose perspective this problem was identified. Refer to User-defined Table 0838 - Problem Perspective in Chapter 2C, Code Tables, for suggested values.

PRB-28: Mood Code (CNE) 02237

Definition: This field indicates the Mood of the Problem. It allows expression of the context of the problem.

Note: As Mood Code changes the meaning of the segment it must only be used in new messages as of v2.6.


Refer to HL7 Table 0725 - Mood Codes in Chapter 2C, Code Tables, for allowed values.