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4.8.3 RXR - pharmacy/treatment route segment

The Pharmacy/Treatment Route segment contains the alternative combination of route, site, administration device, and administration method that are prescribed. The pharmacy, treatment staff and/or nursing staff has a choice between the routes based on either their professional judgment or administration instructions provided by the physician.

Figure 4-14. RXR attributes

SEQ

LEN

DT

OPT

RP/#

TBL#

ITEM #

ELEMENT NAME

1

60

CE

R


0162

00309

Route

2

60

CE

O


0163

00310

Site

3

60

CE

O


0164

00311

Administration Device

4

60

CE

O


0165

00312

Administration Method

4.8.3.0 RXR field definitions

4.8.3.1 Route (CE) 00309

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 route of administration.

Some current "route codes," such as some of the NDC-derived codes include the site already. In such cases, the entire code can be included in this field as a "locally defined code" for the CE data type. Refer to HL7 table 0162 - Route of administration for valid values.

Table 0162 - Route of administration

Value

Description

Value

Description

AP

Apply Externally

MM

Mucous Membrane

B

Buccal

NS

Nasal

DT

Dental

NG

Nasogastric

EP

Epidural

NP

Nasal Prongs*

ET

Endotrachial Tube*

NT

Nasotrachial Tube

GTT

Gastrostomy Tube

OP

Ophthalmic

GU

GU Irrigant

OT

Otic

IMR

Immerse (Soak) Body Part

OTH

Other/Miscellaneous

IA

Intra-arterial

PF

Perfusion

IB

Intrabursal

PO

Oral

IC

Intracardiac

PR

Rectal

ICV

Intracervical (uterus)

RM

Rebreather Mask*

ID

Intradermal

SD

Soaked Dressing

IH

Inhalation

SC

Subcutaneous

IHA

Intrahepatic Artery

SL

Sublingual

IM

Intramuscular

TP

Topical

IN

Intranasal

TRA

Tracheostomy*

IO

Intraocular

TD

Transdermal

IP

Intraperitoneal

TL

Translingual

IS

Intrasynovial

UR

Urethral

IT

Intrathecal

VG

Vaginal

IU

Intrauterine

VM

Ventimask

IV

Intravenous

WND

Wound

MTH

Mouth/Throat



*used primarily for respiratory therapy and anesthesia delivery

4.8.3.2 Administrative site (CE) 00310

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 site of the administration route. Refer to HL7 table 0163 - Administrative site for valid values.

As a CE data type, this field may be extended to cover a wide variety of body site codes (e.g., when SNOMED is used as the table source).

4.8.3.3 Administrative device (CE) 00311

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 mechanical device used to aid in the administration of the drug or other treatment. Common examples are IV-sets of different types. Refer to HL7 table 0164 - Administration device for valid entries.

Table 0164 - Administration device

Value

Description

Value

Description

AP

Applicator

IVS

IV Soluset

BT

Buretrol

MI

Metered Inhaler

HL

Heparin Lock

NEB

Nebulizer

IPPB

IPPB

PCA

PCA Pump

IVP

IV Pump



4.8.3.4 Administration method (CE) 00312

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: administration method identifies the specific method requested for the administration of the drug or treatment to the patient. Refer to HL7 table 0165 - Administration method for valid values.

Table 0165 - Administration method

Value

Description

Value

Description

CH

Chew

NB

Nebulized

DI

Dissolve

PT

Pain

DU

Dust

PF

Perfuse

IF

Infiltrate

SH

Shampoo

IS

Insert

SO

Soak

IR

Irrigate

WA

Wash

IVPB

IV Piggyback

WI

Wipe

IVP

IV Push



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