PRD - Provider Data Segment

This segment will be employed as part of a patient referral message and its related transactions. The PRD segment contains data specifically focused on a referral, and it is inter-enterprise in nature. The justification for this new segment comes from the fact that we are dealing with referrals that are external to the facilities that received them. Therefore, using a segment such as the current PV1 would be inadequate for all the return information that may be required by the receiving facility or application. In addition, the PV1 does not always provide information sufficient to enable the external facility to make a complete identification of the referring entity. The information contained in the PRD segment will include the referring provider, the referred-to provider, the referred-to location or service, and the referring provider clinic address.

HL7 Attribute Table - PRD - Provider Data Segment

Seq#	Data Element Name	DataType	Usage	Vocabulary	Cardinality	Item #	Length	C.LEN	Flags
PRD
1	Provider Role	CWE	R	0286(S) Provider Role(Suggested)	[1..*]	01155
2	Provider Name	XPN	O		[0..*]	01156
3	Provider Address	XAD	O		[0..*]	01157
4	Provider Location	PL	O		[0..1]	01158
5	Provider Communication Information	XTN	O		[0..*]	01159
6	Preferred Method of Contact	CWE	O	0185(R) Preferred Method of Contact(Required)	[0..1]	00684
7	Provider Identifiers	PLN	O	0338(S) Practitioner ID Number Type(Suggested)	[0..*]	01162
8	Effective Start Date of Provider Role	DTM	O		[0..1]	01163
9	Effective End Date of Provider Role	DTM	O		[0..*]	01164
10	Provider Organization Name and Identifier	XON	O		[0..1]	02256
11	Provider Organization Address	XAD	O		[0..*]	02257
12	Provider Organization Location Information	PL	O		[0..*]	02258
13	Provider Organization Communication Information	XTN	O		[0..*]	02259
14	Provider Organization Method of Contact	CWE	O	0185(R) Preferred Method of Contact(Required)	[0..1]	02260

PRD-1: Provider Role (CWE) 01155

Definition: This field contains the contact role that defines the relationship of the person or organization described in this segment to the patient being referred. When a referral is inter-enterprise in nature, there are several important relationships that must be identified. For example, the proper identification of both the referring and the referred-to provider is critical for proper processing of a referral. In addition, some enterprises may want information regarding a consulting provider or the identity of the person who actually prepared the referral. This contact role may also expand to represent affiliated persons to whom information regarding this referral must be forwarded or copied. Refer to User-defined Table 0286 - Provider Role for suggested values.

PRD-2: Provider Name (XPN) 01156

Definition: This field contains the name of the provider identified in this segment. Generally, this field will describe a physician associated with the referral. However, it is not limited to physicians. If the provider is an organization then PRD-10 – Provider Organization Name and Identifier will be used. This field may contain the name of any valid healthcare provider associated with this referral. If this Provider Name is a physician's name, you may refer to PRD-7-Provider identifiers for the physician identifier.

PRD-3: Provider Address (XAD) 01157

Definition: This field contains the mailing address of the provider identified in this segment. One of the key components to completing the "circle of care" and provider/institution bonding is the issuance of follow-up correspondence to the referring provider.

PRD-4: Provider Location (PL) 01158

Definition: This field contains the location of the provider as needed when a provider that may be external to a given enterprise must be referenced. For example, if this provider represented the referred-to physician, the PRD-4-Provider location should identify the clinic of the physician or provider to whom this referral has been sent. An application and facility identifier carried in the facility field specifies the identification of the provider's location. The application ID and facility ID would be used in the same manner as their corresponding fields in the MSH segment (MSH-3-Sending application, MSH-5-Receiving application, MSH-4-Sending facility, MSH-6-Receiving facility). That is, the facility field will contain an application identifier and facility identifier which describe the location of this provider. However, it should be noted that they may describe a different location because the provider location being referenced in this field may not be the location from which the message originated, which is being described by the MSH.

PRD-5: Provider Communication Information (XTN) 01159

Definition: This field contains information, such as the phone number or electronic mail address, used to communicate with the provider or organization.

PRD-6: Preferred Method of Contact (CWE) 00684

Definition: This field contains the preferred method to use when communicating with the provider. Refer to User-defined Table 0185 - Preferred Method of Contact in Chapter 2C, "Code Tables", for suggested values.

PRD-7: Provider Identifiers (PLN) 01162

Definition: This repeating field contains the provider's unique identifiers such as UPIN, Medicare and Medicaid numbers. Refer to User-defined Table 0338 - Practitioner ID Number Type (in Chapter 2C, "Code Tables") for suggested values.

PRD-8: Effective Start Date of Provider Role (DTM) 01163

Definition: This field contains the date that the role of the provider effectively began. For example, this date may represent the date on which a physician was assigned as a patient's primary care provider.

PRD-9: Effective End Date of Provider Role (DTM) 01164

Definition: This field contains the date that the role of the provider effectively ended. For example, this date may represent the date that a physician was removed as a patient's primary care provider.

PRD-10: Provider Organization Name and Identifier (XON) 02256

Definition: This field contains the name of the provider where the provider is an organization.

PRD-11: Provider Organization Address (XAD) 02257

Definition: This field contains the address of the provider if it is an organization.

PRD-12: Provider Organization Location Information (PL) 02258

Definition: This field contains the location details of the provider if it is an organization.

PRD-13: Provider Organization Communication Information (XTN) 02259

Definition: This field contains information, such as the phone number or electronic mail address, used to communicate with the provider if it is an organization.

PRD-14: Provider Organization Method of Contact (CWE) 02260

Definition: This field contains the preferred method to use when communicating with the provider if provider is an organization. Refer to User-defined Table 0185 - Preferred Method of Contact in Chapter 2C, "Code Tables", for suggested values.