SEQ |
LEN |
DT |
OPT |
RP/# |
TBL# |
ITEM # |
ELEMENT NAME |
1 |
4 |
NM |
R |
00342 |
Give Sub-ID Counter |
||
2 |
4 |
NM |
O |
00333 |
Dispense Sub-ID |
||
3 |
200 |
TQ |
R |
00221 |
Quantity/Timing |
||
4 |
100 |
CE |
R |
0292 |
00317 |
Give Code |
|
5 |
20 |
NM |
R |
00318 |
Give Amount - Minimum |
||
6 |
20 |
NM |
O |
00319 |
Give Amount - Maximum |
||
7 |
60 |
CE |
R |
00320 |
Give Units |
||
8 |
60 |
CE |
O |
00321 |
Give Dosage Form |
||
9 |
200 |
CE |
O |
Y |
00351 |
Administration Notes |
|
10 |
1 |
ID |
O |
0167 |
00322 |
Substitution Status |
|
11 |
200 |
CM |
O |
00299 |
Dispense-To Location |
||
12 |
1 |
ID |
O |
0136 |
00307 |
Needs Human Review |
|
13 |
200 |
CE |
O |
Y |
00343 |
Pharmacy/Treatment Supplier Special Administration Instructions |
|
14 |
20 |
ST |
C |
00331 |
Give Per (Time Unit) |
||
15 |
6 |
ST |
O |
00332 |
Give Rate Amount |
||
16 |
60 |
CE |
O |
00333 |
Give Rate Units |
||
17 |
20 |
NM |
O |
01126 |
Give Strength |
||
18 |
60 |
CE |
O |
01127 |
Give Strength Units |
||
19 |
20 |
ST |
O |
Y |
01129 |
Substance Lot Number |
|
20 |
26 |
TS |
O |
Y |
01130 |
Substance Expiration Date |
|
21 |
60 |
CE |
O |
Y |
01131 |
Substance Manufacturer Name |
|
22 |
200 |
CE |
O |
Y |
01123 |
Indication |
4.8.12.0 RXG fields definitions
Definition: Use if this RXG segment carries information about a single administration. Starts with 1 for the first scheduled give date/time transmitted by the pharmacy/treatment supplier for this order. Increments by one with each additional scheduled give date/time for this order.
If the RXG segment carries information about multiple administrations, this fields value is zero, since in this case a one-to-one matching with the RAS segment is ambiguous.
Definition: This is the dispense sub-ID to which this give message is related.
Components: <quantity (CQ)> ^ <interval (CM)> ^ <duration> ^ <start date/time (TS)> ^ <end date/time (TS)> ^ <priority (ID)> ^ <condition (ST)> ^ <text (TX)> ^ <conjunction (ID)> ^ <order sequencing>
Definition: This field contains the quantity/timing specification that refers to either a single scheduled give instruction only or to multiple give instructions. In the former case, RXG-1-give sub-ID counter is a positive integer greater than or equal to one (1). In the latter case, RXG-1-give sub-ID counter is zero (0). The quantity will always be 1. This quantity/timing field may differ from the ORC quantity/timing field, which contains the requested quantity/timing of the original order.
Note: The contents of fields 3-8 should be identical to the comparable fields in the RXE (RXE-2 thru 5). |
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field is the identifier of the medical substance ordered to be given to the patient; it is equivalent to OBR-4-universal service ID code in function. See the RXE segment for a complete definition of the RXE-2-give code. If the substance given is a vaccine, CVX codes may be used to code this field (see HL7 table 0292 - Vaccines administered).
Definition: This field contains the ordered amount as encoded by the pharmacy/treatment supplier. In a variable dose order, this is the minimum ordered amount. In a nonvarying dose order, this is the exact amount of the order.
Note: This field is not a duplication of the first component of the quantity/timing field, since in non-pharmacy/treatment orders, that component can be used to specify multiples of an ordered amount. Another way to say this is that, for pharmacy/treatment orders, the quantity component of the quantity/timing field refers to what is to be given out at each service interval; and thus, in terms of the RX order, that first component always defaults to 1. Hence, in the actual execution of the order, the value of 1 in the first component of the quantity/timing field always refers to one administration of the amount specified in this field (the requested Give Amount field). |
Definition: In a variable dose order, this is the maximum ordered amount. In a nonvarying dose order, this field is not used.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the units for the give amount.
Note: These units can be a "compound quantity"; i.e., the units may contain the word "per." For example, micrograms per KG (micg/kg) is an acceptable value, which means that the units are micrograms per KG (of body weight). |
A table of standard units that contains compound units is needed. Until such a table is agreed on, a user-defined table is needed for each site.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: The dosage form indicates the manner in which the medication is aggregated for dispensing, e.g., tablets, capsules, suppositories. In some cases, this information is implied by the give code in RXG-4-give code. Use this field when the give code does not specify the dosage form.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains notes to the person administering the medication (may include the ordering providers original notes, as well as any notes from the formulary or the pharmacy or treatment supplier). If coded, a user defined table must be used. If free text, place a null in the first component and the text in the second, e.g., |^this is a free text administration note|.
Definition: Refer to HL7 table 0167 - Substitution status for valid values.
Note: The next two fields are equivalent to the corresponding fields of the RXE segment. They are included (optionally) in the RXG so that it may "stand alone" as a "give" instruction segment. |
Components: <point of care (ST)> & <room (IS)> & <bed (IS)> & <facility (HD)> & <location status (ID)> & <patient location type (IS)> & <building (IS)> & <floor (IS)> ^ <street address (ST)> & <other designation (ST)> & <city (ST)> & <state or province (ST)> & <zip or postal code (ST)> & <country (ID)> & <address type (ID)> & <other geographic designation (ST)>
Definition: The first component contains the inpatient or outpatient location where the drug or treatment was dispensed (if applicable). The default (null) value is the current census location for the patient. Site specific table. This component has the same form as PV1-3-assigned patient location.
The second component can be used to specify an address. This could be used to fill mail orders to a patient or provider.
Definition: Refer to HL7 table 0136 - Yes/no indicator for valid values. The values have the following meaning for this field:
Value |
Description |
Y |
Yes - Indicates that a warning is present. The application receiving the dispense order needs to warn the person dispensing/administering the drug or treatment to pay attention to the text in RXG-13-pharmacy/treatment supplier special administration instructions. |
N |
No - Indicates no warning is present. This is the equivalent default (null) value. |
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains pharmacy/treatment supplier-generated special instructions to the provider administering the order.
Definition: This field contains the time unit to use to calculate the rate at which the pharmaceutical is to be administered.
Format:
S<integer> |
= |
<integer> seconds |
M<integer> |
= |
<integer> minutes |
H<integer> |
= |
<integer> hours |
D<integer> |
= |
<integer> days |
W<integer> |
= |
<integer> weeks |
L<integer> |
= |
<integer> months |
T<integer> |
= |
at the interval and amount stated until a total of <integer> "DOSAGE" is accumulated. Units would be assumed to be the same as in the QUANTITY field. |
INDEF |
= |
do indefinitely - also the default |
This is the same as the format specified for the DURATION component of the quantity/timing field, excluding the "X" specification.
Required when relevant (e.g., certain IVs). For example, if the "give amount/units" were 300 ml and the "give per" time unit were H1 (equivalent to one hour), the rate is 300ml/hr.
Definition: This field contains the amount (number) of substance to be administered.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the units for RXG-15-give rate amount. May be composite. The ratio of the RXG-15-give rate amount and RXG-16-give rate units fields define the actual rate of administration. Thus, if Give Rate Amount = 100 and Give Rate Units = ml/hr, the requested rate of administration is 100 ml/hr.
Definition: Use when RXG-4-give code does not specify the strength. This is the numeric part of the strength, used in combination with RXG-18-give strength unit.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: Use when RXG-4-give code does not specify the strength. This is the unit of the strength, used in combination with RXG-17-give strength.
Note: These units can be a "compound quantity"; i.e., the units may express a quantity per unit of time. For example, micrograms per hour (ug/h) is an acceptable value. These compound units are contained in the ISO+ table. See Chapter 7 for full definition of ISO+ units. |
Definition: This field contains the lot number of the medical substance administered.
Note: The lot number is the number printed on the label attached to the container holding the substance and on the packaging which houses the container. If the substance is a vaccine, for example, and a diluent is required, a lot number may appear on the vial containing the diluent; however, any such identifier associated with a diluent is not the identifier of interest. The substance lot number should be reported, not that of the diluent. |
Definition: This field contains the expiration date of the medical substance administered.
Note: Vaccine expiration date does not always have a "day" component; therefore, such a date may be transmitted as YYYYMM. |
.
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the manufacturer of the medical substance administered.
Note: For vaccines, code system MVX may be used to code this field (see Section 4.10, "VACCINE ADMINISTRATION DATA"). This field may be used if the manufacturer of the substance is not identified by the code used in RXA-5-administered code. |
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
Definition: This field contains the identifier of the condition or problem for which the drug/treatment was prescribed. May repeat if multiple indications are relevant.