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4.8.10 RXD - pharmacy/treatment dispense segment

Figure 4-17. RXD attributes

SEQ

LEN

DT

OPT

RP/#

TBL#

ITEM #

ELEMENT NAME

1

4

NM

R



00334

Dispense Sub-ID Counter

2

100

CE

R


0292

00335

Dispense/Give Code

3

26

TS

R



00336

Date/Time Dispensed

4

20

NM

R



00337

Actual Dispense Amount

5

60

CE

C



00338

Actual Dispense Units

6

60

CE

O



00339

Actual Dosage Form

7

20

NM

R



00325

Prescription Number

8

20

NM

C



00326

Number of Refills Remaining

9

200

CE

O

Y


00340

Dispense Notes

10

200

XCN

O



00341

Dispensing Provider

11

1

ID

O


0167

00322

Substitution Status

12

10

NM

O



00329

Total Daily Dose

13

200

CM

C



00299

Dispense-to Location

14

1

ID

O


0136

00307

Needs Human Review

15

200

CE

O

Y


00330

Pharmacy/Treatment Supplier Special Dispensing Instructions

16

20

NM

O



01132

Actual Strength

17

60

CE

O



01133

Actual Strength Unit

18

20

ST

O

Y


01129

Substance Lot Number

19

26

TS

O

Y


01130

Substance Expiration Date

20

60

CE

O

Y


01131

Substance Manufacturer Name

21

200

CE

O

Y


01123

Indication

22

20

NM

O



01220

Dispense Package Size

23

60

CE

O



01221

Dispense Package Size Unit

24

2

ID

O


0321

01222

Dispense Package Method

4.8.10.0 RXD field definitions

4.8.10.1 Dispense sub-ID counter (NM) 00334

Definition: This field starts with 1 the first time that medication is dispensed for this order. Increments by one with each additional issuance of medication.

4.8.10.2 Dispense/give code (CE) 00335

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 identifies the medical substance ordered to be given to the patient; it is equivalent to OBR-4-universal service ID code. See the RXE segment for a complete definition of the RXE-2-give code. If the substance dispensed is a vaccine, CVX codes may be used to code this field (see HL7 table 0292 - Vaccines administered).

Note: The contents of RXD-2-dispense/give code should be identical to the comparable field in the RXE (RXE-2-give code). The RDS message refers ONLY to the dispensing of the drug or treatment by the pharmacy or treatment supplier.

4.8.10.3 Date/time dispensed (TS) 00336

Definition: This field indicates when the pharmaceutical is dispensed from the pharmacy or treatment supplier. Use the time-stamp format.

4.8.10.4 Actual dispense amount (NM) 00337

Definition: This field contains the amount dispensed.

4.8.10.5 Actual dispense units (CE) 00338

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 dispensed. Site-defined table. As with Give units, this field is required if the units are not implied by the actual dispense code. If present, it overrides units implied by the actual dispense code. This must be in simple units that reflect the actual quantity of the substance dispensed. It does not include compound units.

4.8.10.6 Actual dosage form (CE) 00339

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 dispense/give code in RXD-2-dispense/give code. Use this field when the give code and the dispense code do not specify the dosage form.

4.8.10.7 Prescription number (NM) 00325

Definition: This field is equivalent in uniqueness to the pharmacy/treatment supplier filler order number. At some sites, this may be the pharmacy/treatment supplier (internal) sequential form. At other sites, this may be an external number.

4.8.10.8 Number of refills remaining (NM) 00326

Definition: This field is conditional because it is required when a prescription is dispensed to an outpatient. It is not relevant to inpatient treatment orders.

4.8.10.9 Dispense notes (ST) 00340

Definition: This field contains free text notes to the person dispensing the medication (may include the ordering provider’s original notes, as well as any notes from the formulary or the pharmacy or treatment supplier). This may contain free text describing a custom IV, mixture, or salve.

4.8.10.10 Dispensing provider (XCN) 00341

Components: <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID )> ^ <identifier type code (IS)> ^ <assigning facility (HD)>

Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)

Subcomponents of assigning facility: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)

Definition: This field contains the provider ID of the person dispensing the pharmaceutical.

4.8.10.11 Substitution status (ID) 00322

Definition: Refer to HL7 table 0167 - Substitution status for suggested values.

4.8.10.12 Total daily dose (NM) 00329

Definition: This field contains the total daily dose being dispensed as expressed in terms of the actual dispense units.

Note: The next two fields are equivalent to the corresponding fields of the RXE segment. They are included (optionally) in the RXD so that it may "stand alone" as a dispense result instruction segment.

4.8.10.13 Dispense-to location (CM) 00299

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 (which is of PL data type with the component delimiters demoted to subcomponents) 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.

4.8.10.14 Needs human review (ID) 00307

Definition: Refer to HL7 table 0136 - Yes/no indicator for valid values. The values have the following meaning for this field:

Table 0136 - Yes/no indicator

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 RXD-15-Pharmacy/treatment supplier special dispensing instructions.

N

No - Indicates no warning is present. This is the equivalent default (null) value.

4.8.10.15 Pharmacy/treatment supplier special dispensing instructions (CE) 00330

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 or treatment supplier-generated special instructions to the provider dispensing/administering the order.

4.8.10.16 Actual strength (NM) 01132

Definition: Use when RXD-2-dispense/give code does not specify the strength. This is the numeric part of the strength, used in combination with RXD-17-actual strength unit.

4.8.10.17 Actual strength unit (CE) 01133

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 RXD-2-dispense/give code does not specify the strength. This is the unit of the strength, used in combination with RXD-16-actual 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.

4.8.10.18 Substance lot number (ST) 01129

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.

4.8.10.19 Substance expiration date (TS) 01130

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^L.

4.8.10.20 Substance manufacturer (CE) 01131

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.

4.8.10.21 Indication (CE) 01123

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.

4.8.10.22 Dispense package size (NM) 01220

Definition: This field contains the size of package to be dispensed. Units are transmitted in RXE-29-dispense package size unit.

4.8.10.23 Dispense package size unit (CE) 01221

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 in which RXE-28-dispense package size is denominated.

4.8.10.24 Dispense method (ID) 01222

Definition: This field contains the method by which treatment is dispensed. Refer to HL7 table 0321 - Dispense method for valid values.

Table 0321 - Dispense method

Value

Description

TR

Traditional

UD

Unit Dose

F

Floor Stock

AD

Automatic Dispensing

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