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Message type

Pathway (problem-oriented)

Communicates a problem-oriented clinical pathway for a patient. The PTH segment carries pathway details with nested problem, goal, and order groups. Care pathway management systems consume this.

40segments
17required
8groups
v2.9HL7 version
ppp-pcb.py
# Zato
from zato.hl7v2 import HL7Message

# An incoming message ..
raw = 'MSH|^~\&|SENDER|FAC|RCV|DEST|20260701||' \
      'PPP^PCB^PPP_PCB|MSG001|P|2.9\r' \
      'PID|1||MRN-10045||SMITH^JOHN||19850315|M\r' \
      'PV1|1|I|MED^201^A'

# .. parsed into a Python object ..
msg = HL7Message.parse(raw)

# .. whose fields we can now access.
name = msg.pid.patient_name
dob = msg.pid.date_time_of_birth
patient_class = msg.pv1.patient_class
location = msg.pv1.assigned_patient_location

Build and parse PPP^PCB messages in Python

How to construct, send, receive, and extract fields from real-world PPP^PCB messages.

1

Parse an incoming PPP^PCB message

Demonstrates receiving and extracting key fields from a pathway (problem-oriented) transaction

# Zato
from zato.hl7v2 import HL7Message

# An incoming message ..
raw = 'MSH|^~\&|SENDER|FAC|RCV|DEST|20260701||' \
      'PPP^PCB^PPP_PCB|MSG001|P|2.9\r' \
      'PID|1||MRN-10045||SMITH^JOHN||19850315|M\r' \
      'PV1|1|I|MED^201^A'

# .. parsed into a Python object ..
msg = HL7Message.parse(raw)

# .. whose fields we can now access.
name = msg.pid.patient_name
dob = msg.pid.date_time_of_birth
patient_class = msg.pv1.patient_class
location = msg.pv1.assigned_patient_location

Learn by building

Step-by-step guides for working with HL7 v2 in Zato.

Frequently asked questions

Use the HL7v2 message parser to extract the typed structure. The parsed message gives you direct access to every segment and field by name.

from zato.hl7v2 import HL7Message

raw = 'MSH|^~\&|SENDER|FACILITY|RECEIVER|DEST|20260401120000||PPP^PCB^PPP_PCB|MSG00001|P|2.9\rPID|1||MRN-10045||JOHNSON^SARAH^M||19880612|F|||100 Oak Lane^^Portland^OR^97201'
msg = HL7Message.parse(raw)

name = msg.pid.patient_name
dob = msg.pid.date_time_of_birth

Beyond the mandatory MSH header, the required segments are: PID, PRD, PV1, PTH, ROL, PRT, PRB, ROL. Optional segments provide additional detail when available.

Zato connects to any system that speaks HL7v2 over MLLP or FHIR over REST. This includes Epic, Cerner, Meditech, Allscripts, and other EHR platforms.

Yes, Zato has built-in MLLP support for sending and receiving HL7v2 messages. MLLP channels handle the framing protocol automatically.

Zato supports HL7 v2.9, which is backward compatible with earlier versions including v2.3, v2.5, and v2.7. Standard segments and datatypes are available as typed Python classes.

Yes. Zato handles both HL7v2 and FHIR natively, so you can parse v2 messages and build FHIR resources with IG-specific extensions in the same service. Typed Python classes are available for both protocols, including extensions from US Core, UK Core, Da Vinci, and other Implementation Guides.

PPP^PCB segment composition

Segments that make up the PPP^PCB message, in order. Groups are shown with their child segments.

#SegmentUsageRepeatsDescriptionGroup
1MSHRequiredNoMessage header-
2ARVOptionalYesAccess restriction-
3SFTOptionalYesSoftware segment-
4UACOptionalNoUser authentication credential-
5PIDRequiredNoPatient identification-
6PRDRequiredNoProvider dataPROVIDER
7CTDOptionalYesContact dataPROVIDER
8PV1RequiredNoPatient visitPATIENT_VISIT
9PV2OptionalNoPatient visit - additional infoPATIENT_VISIT
10PTHRequiredNoPathwayPATHWAY
11NTEOptionalYesNotes and commentsPATHWAY
12VAROptionalYesVariancePATHWAY
13ROLRequiredNoRolePATHWAY
14PRTRequiredNoParticipation informationPATHWAY
15VAROptionalYesVariancePATHWAY
16PRBRequiredNoProblem detailPATHWAY
17NTEOptionalYesNotes and commentsPATHWAY
18VAROptionalYesVariancePATHWAY
19ROLRequiredNoRolePROBLEM_PARTICIPATION
20PRTRequiredNoParticipation informationPROBLEM_PARTICIPATION
21VAROptionalYesVariancePROBLEM_PARTICIPATION
22OBXRequiredNoObservation resultPROBLEM_OBSERVATION
23PRTOptionalYesParticipation informationPROBLEM_OBSERVATION
24NTEOptionalYesNotes and commentsPROBLEM_OBSERVATION
25GOLRequiredNoGoal detailGOAL
26NTEOptionalYesNotes and commentsGOAL
27VAROptionalYesVarianceGOAL
28ROLRequiredNoRoleGOAL
29PRTRequiredNoParticipation informationGOAL
30VAROptionalYesVarianceGOAL
31OBXRequiredNoObservation resultGOAL
32PRTOptionalYesParticipation informationGOAL
33NTEOptionalYesNotes and commentsGOAL
34ORCRequiredNoCommon orderORDER
35NTEOptionalYesNotes and commentsORDER
36VAROptionalYesVarianceORDER
37OBXRequiredNoObservation resultORDER_OBSERVATION
38PRTOptionalYesParticipation informationORDER_OBSERVATION
39NTEOptionalYesNotes and commentsORDER_OBSERVATION
40VAROptionalYesVarianceORDER_OBSERVATION

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Open source In Python