HL7 - REFACTORED

18.8.154 RXD - Pharmacy/Treatment Dispense Segment (4A.4.5)

HL7 Attribute Table - RXD - Pharmacy/Treatment Dispense

Segment (new)
(base framework)
Segment (new)
(w/o profiles)
Segment (new)
(w/ profiles)
Segment (classic)
(w/ profiles)
Segment (classic)
(w/o profiles)
FHIR
Structure Definition
v2.xml
XSD

Base Framework
	Seq#	Data Element	Description	Flags	Implement	Cardinality	Length	C.LEN	Vocabulary	Data Type
RXD
	1	00334	Dispense Sub-ID Counter	= Truncation not allowed!	SHOULD	[1..1]		4		NM Numeric
	2	00335	Dispense/Give Code		SHOULD	[1..1]			univ: VaccinesAdministered (CD)	CWE Coded with Exceptions
	3	00336	Date/Time Dispensed		SHOULD	[1..1]				DTM Date/Time
	4	00337	Actual Dispense Amount		SHOULD	[1..1]				NM Numeric
	5	00338	Actual Dispense Units	C Condition defined for this element	MAY	[0..1]			ActualDispenseUnits (CD)	CWE Coded with Exceptions
	6	00339	Actual Dosage Form		MAY	[0..1]			ActualDosageForm (CD)	CWE Coded with Exceptions
	7	00325	Prescription Number	= Truncation not allowed!	SHOULD	[1..1]		20		ST String Data
	8	00326	Number of Refills Remaining	C Condition defined for this element	MAY	[0..1]				NM Numeric
	9	00340	Dispense Notes	= Truncation not allowed!	MAY	[0..*]		200		ST String Data
	10	00341	Dispensing Provider	B backward compatible use only	SHOULD NOT					XCN Extended Composite ID Number and Name for Persons
	11	00322	Substitution Status		MAY	[0..1]	[1..1]		univ: SubstitutionStatus (CD) hl7VS-substitutionStatus (VS) substitutionStatus (CS)	ID Coded Value for HL7 Defined Tables
	12	00329	Total Daily Dose		MAY	[0..1]				CQ Composite Quantity with Units
	13	01303	Dispense-to Location	W withdrawn Element	SHOULD NOT
	14	00307	Needs Human Review		MAY	[0..1]	[1..1]		univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	15	00330	Special Dispensing Instructions		MAY	[0..*]			SpecialDispensingInstructions (CD)	CWE Coded with Exceptions
	16	01132	Actual Strength		MAY	[0..1]				NM Numeric
	17	01133	Actual Strength Unit		MAY	[0..1]			ActualStrengthUnit (CD)	CWE Coded with Exceptions
	18	01129	Substance Lot Number	= Truncation not allowed!	MAY	[0..*]		20		ST String Data
	19	01130	Substance Expiration Date		MAY	[0..*]				DTM Date/Time
	20	01131	Substance Manufacturer Name		MAY	[0..*]				CWE Coded with Exceptions
	21	01123	Indication		MAY	[0..*]			Indication (CD)	CWE Coded with Exceptions
	22	01220	Dispense Package Size		MAY	[0..1]				NM Numeric
	23	01221	Dispense Package Size Unit		MAY	[0..1]			DispensePackageSizeUnit (CD)	CWE Coded with Exceptions
	24	01222	Dispense Package Method		MAY	[0..1]	[1..2]		univ: DispenseMethod (CD) hl7VS-dispenseMethod (VS) dispenseMethod (CS)	ID Coded Value for HL7 Defined Tables
	25	01476	Supplementary Code		MAY	[0..*]			SupplementaryCode (CD)	CWE Coded with Exceptions
	26	01477	Initiating Location		MAY	[0..1]			InitiatingLocation (CD)	CWE Coded with Exceptions
	27	01478	Packaging/Assembly Location		MAY	[0..1]			Packaging/AssemblyLocation (CD)	CWE Coded with Exceptions
	28	01686	Actual Drug Strength Volume	= Truncation not allowed!	MAY	[0..1]		5		NM Numeric
	29	01687	Actual Drug Strength Volume Units		MAY	[0..1]			ActualDrugStrengthVolumeUnits (CD)	CWE Coded with Exceptions
	30	01688	Dispense to Pharmacy	B backward compatible use only	SHOULD NOT				DispensetoPharmacy (CD)	CWE Coded with Exceptions
	31	01689	Dispense to Pharmacy Address	B backward compatible use only	SHOULD NOT					XAD Extended Address
	32	01690	Pharmacy Order Type		MAY	[0..1]	[1..1]		univ: PharmacyOrderTypes (CD) hl7VS-pharmacyOrderTypes (VS) pharmacyOrderTypes (CS)	ID Coded Value for HL7 Defined Tables
	33	01691	Dispense Type		MAY	[0..1]			repr: DispenseType (CD)	CWE Coded with Exceptions
	34	02311	Pharmacy Phone Number		MAY	[0..*]				XTN Extended Telecommunication Number
	35	03392	Dispense Tag Identifier		MAY	[0..*]				EI Entity Identifier

	Seq#	Data Element	Description	Flags	Implement	Cardinality	Length	C.LEN	Vocabulary	Data Type
RXD
	1	00334	Dispense Sub-ID Counter	= Truncation not allowed!	SHALL	[1..1]		4		NM Numeric
	2	00335	Dispense/Give Code		SHALL	[1..1]			univ: VaccinesAdministered (CD)	CWE Coded with Exceptions
	3	00336	Date/Time Dispensed		SHALL	[1..1]				DTM Date/Time
	4	00337	Actual Dispense Amount		SHALL	[1..1]				NM Numeric
	5	00338	Actual Dispense Units	C Condition defined for this element	MAY	[0..1]			ActualDispenseUnits (CD)	CWE Coded with Exceptions
	6	00339	Actual Dosage Form		MAY	[0..1]			ActualDosageForm (CD)	CWE Coded with Exceptions
	7	00325	Prescription Number	= Truncation not allowed!	SHALL	[1..1]		20		ST String Data
	8	00326	Number of Refills Remaining	C Condition defined for this element	MAY	[0..1]				NM Numeric
	9	00340	Dispense Notes	= Truncation not allowed!	MAY	[0..*]		200		ST String Data
	10	00341	Dispensing Provider	B backward compatible use only	SHOULD NOT					XCN Extended Composite ID Number and Name for Persons
	11	00322	Substitution Status		MAY	[0..1]	[1..1]		univ: SubstitutionStatus (CD) hl7VS-substitutionStatus (VS) substitutionStatus (CS)	ID Coded Value for HL7 Defined Tables
	12	00329	Total Daily Dose		MAY	[0..1]				CQ Composite Quantity with Units
	13	01303	Dispense-to Location	W withdrawn Element	SHOULD NOT
	14	00307	Needs Human Review		MAY	[0..1]	[1..1]		univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables
	15	00330	Special Dispensing Instructions		MAY	[0..*]			SpecialDispensingInstructions (CD)	CWE Coded with Exceptions
	16	01132	Actual Strength		MAY	[0..1]				NM Numeric
	17	01133	Actual Strength Unit		MAY	[0..1]			ActualStrengthUnit (CD)	CWE Coded with Exceptions
	18	01129	Substance Lot Number	= Truncation not allowed!	MAY	[0..*]		20		ST String Data
	19	01130	Substance Expiration Date		MAY	[0..*]				DTM Date/Time
	20	01131	Substance Manufacturer Name		MAY	[0..*]				CWE Coded with Exceptions
	21	01123	Indication		MAY	[0..*]			Indication (CD)	CWE Coded with Exceptions
	22	01220	Dispense Package Size		MAY	[0..1]				NM Numeric
	23	01221	Dispense Package Size Unit		MAY	[0..1]			DispensePackageSizeUnit (CD)	CWE Coded with Exceptions
	24	01222	Dispense Package Method		MAY	[0..1]	[1..2]		univ: DispenseMethod (CD) hl7VS-dispenseMethod (VS) dispenseMethod (CS)	ID Coded Value for HL7 Defined Tables
	25	01476	Supplementary Code		MAY	[0..*]			SupplementaryCode (CD)	CWE Coded with Exceptions
	26	01477	Initiating Location		MAY	[0..1]			InitiatingLocation (CD)	CWE Coded with Exceptions
	27	01478	Packaging/Assembly Location		MAY	[0..1]			Packaging/AssemblyLocation (CD)	CWE Coded with Exceptions
	28	01686	Actual Drug Strength Volume	= Truncation not allowed!	MAY	[0..1]		5		NM Numeric
	29	01687	Actual Drug Strength Volume Units		MAY	[0..1]			ActualDrugStrengthVolumeUnits (CD)	CWE Coded with Exceptions
	30	01688	Dispense to Pharmacy	B backward compatible use only	SHOULD NOT				DispensetoPharmacy (CD)	CWE Coded with Exceptions
	31	01689	Dispense to Pharmacy Address	B backward compatible use only	SHOULD NOT					XAD Extended Address
	32	01690	Pharmacy Order Type		MAY	[0..1]	[1..1]		univ: PharmacyOrderTypes (CD) hl7VS-pharmacyOrderTypes (VS) pharmacyOrderTypes (CS)	ID Coded Value for HL7 Defined Tables
	33	01691	Dispense Type		MAY	[0..1]			repr: DispenseType (CD) hl7VS-dispenseType (VS) dispenseType (CS)	CWE Coded with Exceptions
	34	02311	Pharmacy Phone Number		MAY	[0..*]				XTN Extended Telecommunication Number
	35	03392	Dispense Tag Identifier		MAY	[0..*]				EI Entity Identifier

Base Framework											Base Standard Profile
	Seq#	Data Element	Description	Flags	Implement	Cardinality	Length	C.LEN	Vocabulary	Data Type	Implement	Vocabulary
RXD
	1	00334	Dispense Sub-ID Counter	= Truncation not allowed!	SHOULD	[1..1]		4		NM Numeric	SHALL
	2	00335	Dispense/Give Code		SHOULD	[1..1]			univ: VaccinesAdministered (CD)	CWE Coded with Exceptions	SHALL
	3	00336	Date/Time Dispensed		SHOULD	[1..1]				DTM Date/Time	SHALL
	4	00337	Actual Dispense Amount		SHOULD	[1..1]				NM Numeric	SHALL
	5	00338	Actual Dispense Units	C Condition defined for this element	MAY	[0..1]			ActualDispenseUnits (CD)	CWE Coded with Exceptions	MAY
	6	00339	Actual Dosage Form		MAY	[0..1]			ActualDosageForm (CD)	CWE Coded with Exceptions	MAY
	7	00325	Prescription Number	= Truncation not allowed!	SHOULD	[1..1]		20		ST String Data	SHALL
	8	00326	Number of Refills Remaining	C Condition defined for this element	MAY	[0..1]				NM Numeric	MAY
	9	00340	Dispense Notes	= Truncation not allowed!	MAY	[0..*]		200		ST String Data	MAY
	10	00341	Dispensing Provider	B backward compatible use only	SHOULD NOT					XCN Extended Composite ID Number and Name for Persons	SHOULD NOT
	11	00322	Substitution Status		MAY	[0..1]	[1..1]		univ: SubstitutionStatus (CD) hl7VS-substitutionStatus (VS) substitutionStatus (CS)	ID Coded Value for HL7 Defined Tables	MAY
	12	00329	Total Daily Dose		MAY	[0..1]				CQ Composite Quantity with Units	MAY
	13	01303	Dispense-to Location	W withdrawn Element	SHOULD NOT						SHOULD NOT
	14	00307	Needs Human Review		MAY	[0..1]	[1..1]		univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)	ID Coded Value for HL7 Defined Tables	MAY
	15	00330	Special Dispensing Instructions		MAY	[0..*]			SpecialDispensingInstructions (CD)	CWE Coded with Exceptions	MAY
	16	01132	Actual Strength		MAY	[0..1]				NM Numeric	MAY
	17	01133	Actual Strength Unit		MAY	[0..1]			ActualStrengthUnit (CD)	CWE Coded with Exceptions	MAY
	18	01129	Substance Lot Number	= Truncation not allowed!	MAY	[0..*]		20		ST String Data	MAY
	19	01130	Substance Expiration Date		MAY	[0..*]				DTM Date/Time	MAY
	20	01131	Substance Manufacturer Name		MAY	[0..*]				CWE Coded with Exceptions	MAY
	21	01123	Indication		MAY	[0..*]			Indication (CD)	CWE Coded with Exceptions	MAY
	22	01220	Dispense Package Size		MAY	[0..1]				NM Numeric	MAY
	23	01221	Dispense Package Size Unit		MAY	[0..1]			DispensePackageSizeUnit (CD)	CWE Coded with Exceptions	MAY
	24	01222	Dispense Package Method		MAY	[0..1]	[1..2]		univ: DispenseMethod (CD) hl7VS-dispenseMethod (VS) dispenseMethod (CS)	ID Coded Value for HL7 Defined Tables	MAY
	25	01476	Supplementary Code		MAY	[0..*]			SupplementaryCode (CD)	CWE Coded with Exceptions	MAY
	26	01477	Initiating Location		MAY	[0..1]			InitiatingLocation (CD)	CWE Coded with Exceptions	MAY
	27	01478	Packaging/Assembly Location		MAY	[0..1]			Packaging/AssemblyLocation (CD)	CWE Coded with Exceptions	MAY
	28	01686	Actual Drug Strength Volume	= Truncation not allowed!	MAY	[0..1]		5		NM Numeric	MAY
	29	01687	Actual Drug Strength Volume Units		MAY	[0..1]			ActualDrugStrengthVolumeUnits (CD)	CWE Coded with Exceptions	MAY
	30	01688	Dispense to Pharmacy	B backward compatible use only	SHOULD NOT				DispensetoPharmacy (CD)	CWE Coded with Exceptions	SHOULD NOT
	31	01689	Dispense to Pharmacy Address	B backward compatible use only	SHOULD NOT					XAD Extended Address	SHOULD NOT
	32	01690	Pharmacy Order Type		MAY	[0..1]	[1..1]		univ: PharmacyOrderTypes (CD) hl7VS-pharmacyOrderTypes (VS) pharmacyOrderTypes (CS)	ID Coded Value for HL7 Defined Tables	MAY
	33	01691	Dispense Type		MAY	[0..1]			repr: DispenseType (CD)	CWE Coded with Exceptions	MAY	hl7VS-dispenseType (VS) dispenseType (CS)
	34	02311	Pharmacy Phone Number		MAY	[0..*]				XTN Extended Telecommunication Number	MAY
	35	03392	Dispense Tag Identifier		MAY	[0..*]				EI Entity Identifier	MAY

Base Framework											Base Standard Profile
	Seq#	Data Element	Description	Flags	Optionality	Repetition	Length	C.LEN	Table	Data Type	Optionality	Table
RXD
	1	00334	Dispense Sub-ID Counter		O			4=		NM Numeric	R
	2	00335	Dispense/Give Code		O				(0292)	CWE Coded with Exceptions	R
	3	00336	Date/Time Dispensed		O					DTM Date/Time	R
	4	00337	Actual Dispense Amount		O					NM Numeric	R
	5	00338	Actual Dispense Units	C Condition defined for this element	O					CWE Coded with Exceptions		(0704)
	6	00339	Actual Dosage Form		O					CWE Coded with Exceptions		(0705)
	7	00325	Prescription Number		O			20=		ST String Data	R
	8	00326	Number of Refills Remaining	C Condition defined for this element	O					NM Numeric
	9	00340	Dispense Notes		O	Y		200=		ST String Data
	10	00341	Dispensing Provider		B	Y				XCN Extended Composite ID Number and Name for Persons
	11	00322	Substitution Status		O		[1..1]			ID Coded Value for HL7 Defined Tables		(0167)
	12	00329	Total Daily Dose		O					CQ Composite Quantity with Units
	13	01303	Dispense-to Location		W
	14	00307	Needs Human Review		O		[1..1]			ID Coded Value for HL7 Defined Tables		(0136)
	15	00330	Special Dispensing Instructions		O	Y				CWE Coded with Exceptions		(0706)
	16	01132	Actual Strength		O					NM Numeric
	17	01133	Actual Strength Unit		O					CWE Coded with Exceptions		(0707)
	18	01129	Substance Lot Number		O	Y		20=		ST String Data
	19	01130	Substance Expiration Date		O	Y				DTM Date/Time
	20	01131	Substance Manufacturer Name		O	Y				CWE Coded with Exceptions
	21	01123	Indication		O	Y				CWE Coded with Exceptions		(0694)
	22	01220	Dispense Package Size		O					NM Numeric
	23	01221	Dispense Package Size Unit		O					CWE Coded with Exceptions		(0709)
	24	01222	Dispense Package Method		O		[1..2]			ID Coded Value for HL7 Defined Tables		(0321)
	25	01476	Supplementary Code		O	Y				CWE Coded with Exceptions		(0700)
	26	01477	Initiating Location		O					CWE Coded with Exceptions		(0711)
	27	01478	Packaging/Assembly Location		O					CWE Coded with Exceptions		(0712)
	28	01686	Actual Drug Strength Volume		O			5=		NM Numeric
	29	01687	Actual Drug Strength Volume Units		O					CWE Coded with Exceptions		(0713)
	30	01688	Dispense to Pharmacy		B					CWE Coded with Exceptions		(0714)
	31	01689	Dispense to Pharmacy Address		B					XAD Extended Address
	32	01690	Pharmacy Order Type		O		[1..1]			ID Coded Value for HL7 Defined Tables		(0480)
	33	01691	Dispense Type		O					CWE Coded with Exceptions		(0484)
	34	02311	Pharmacy Phone Number		O	Y				XTN Extended Telecommunication Number
	35	03392	Dispense Tag Identifier		O	Y				EI Entity Identifier

	Seq#	Data Element	Description	Optionality	Repetition	Length	C.LEN	Table	Data Type
RXD
	1	00334	Dispense Sub-ID Counter	R			4=		NM Numeric
	2	00335	Dispense/Give Code	R				(0292)	CWE Coded with Exceptions
	3	00336	Date/Time Dispensed	R					DTM Date/Time
	4	00337	Actual Dispense Amount	R					NM Numeric
	5	00338	Actual Dispense Units	C				(0704)	CWE Coded with Exceptions
	6	00339	Actual Dosage Form	O				(0705)	CWE Coded with Exceptions
	7	00325	Prescription Number	R			20=		ST String Data
	8	00326	Number of Refills Remaining	C					NM Numeric
	9	00340	Dispense Notes	O	Y		200=		ST String Data
	10	00341	Dispensing Provider	B	Y				XCN Extended Composite ID Number and Name for Persons
	11	00322	Substitution Status	O		[1..1]		(0167)	ID Coded Value for HL7 Defined Tables
	12	00329	Total Daily Dose	O					CQ Composite Quantity with Units
	13	01303	Dispense-to Location	W
	14	00307	Needs Human Review	O		[1..1]		(0136)	ID Coded Value for HL7 Defined Tables
	15	00330	Special Dispensing Instructions	O	Y			(0706)	CWE Coded with Exceptions
	16	01132	Actual Strength	O					NM Numeric
	17	01133	Actual Strength Unit	O				(0707)	CWE Coded with Exceptions
	18	01129	Substance Lot Number	O	Y		20=		ST String Data
	19	01130	Substance Expiration Date	O	Y				DTM Date/Time
	20	01131	Substance Manufacturer Name	O	Y				CWE Coded with Exceptions
	21	01123	Indication	O	Y			(0694)	CWE Coded with Exceptions
	22	01220	Dispense Package Size	O					NM Numeric
	23	01221	Dispense Package Size Unit	O				(0709)	CWE Coded with Exceptions
	24	01222	Dispense Package Method	O		[1..2]		(0321)	ID Coded Value for HL7 Defined Tables
	25	01476	Supplementary Code	O	Y			(0700)	CWE Coded with Exceptions
	26	01477	Initiating Location	O				(0711)	CWE Coded with Exceptions
	27	01478	Packaging/Assembly Location	O				(0712)	CWE Coded with Exceptions
	28	01686	Actual Drug Strength Volume	O			5=		NM Numeric
	29	01687	Actual Drug Strength Volume Units	O				(0713)	CWE Coded with Exceptions
	30	01688	Dispense to Pharmacy	B				(0714)	CWE Coded with Exceptions
	31	01689	Dispense to Pharmacy Address	B					XAD Extended Address
	32	01690	Pharmacy Order Type	O		[1..1]		(0480)	ID Coded Value for HL7 Defined Tables
	33	01691	Dispense Type	O				(0484)	CWE Coded with Exceptions
	34	02311	Pharmacy Phone Number	O	Y				XTN Extended Telecommunication Number
	35	03392	Dispense Tag Identifier	O	Y				EI Entity Identifier

18.8.154.1 RXD field definitions (4A.4.5.0)

18.8.154.2 RXD-1 Dispense Sub-ID counter (NM) 00334 (4A.4.5.1)

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

18.8.154.3 RXD-2 Dispense/Give Code (CWE) 00335 (4A.4.5.2)

Definition: This field identifies the medical substance or treatment ordered to be given to the patient; it is equivalent to OBR-4-Universal Service ID. 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 in Chapter 2C, Code Tables).

Note: The contents of RXD-2-dispense/give code should be compatible with 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.

18.8.154.4 RXD-3 Date/Time Dispensed (DTM) 00336 (4A.4.5.3)

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

18.8.154.5 RXD-4 Actual Dispense Amount (NM) 00337 (4A.4.5.4)

Definition: This field indicates the amount dispensed.

18.8.154.6 RXD-5 Actual Dispense Units (CWE) 00338 (4A.4.5.5)

Definition: This field indicates the units dispensed. Site-defined table. 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. Refer to Table 0704 - Actual Dispense Units in Chapter 2C for valid values.

18.8.154.7 RXD-6 Actual Dosage Form (CWE) 00339 (4A.4.5.6)

Definition: The dosage form indicates the manner in which the medication/treatment 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. Refer to Table 0705 - Actual Dosage Form in Chapter 2C for valid values.

18.8.154.8 RXD-7 Prescription Number (ST) 00325 (4A.4.5.7)

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.

18.8.154.9 RXD-8 Number of Refills Remaining (NM) 00326 (4A.4.5.8)

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.

18.8.154.10 RXD-9 Dispense Notes (ST) 00340 (4A.4.5.9)

Definition: This field contains free text notes to the person dispensing the medication/treatment (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 for example.

18.8.154.11 RXD-10 Dispensing Provider (XCN) 00341 (4A.4.5.10)

Definition: This field is retained for backward compatibility only as of v 27. The reader is referred to the PRT segment described in Chapter.7.

This field contains the provider ID of the person dispensing the pharmaceutical. If the person referenced in this field is also referenced in PRT segment, they must contain the same information. However, if there is a difference, then PRT segment takes precedence.

18.8.154.12 RXD-11 Substitution Status (ID) 00322 (4A.4.5.11)

Definition: Refer to HL7 Table 0167 - Substitution Status in Chapter 2C, Code Tables, for suggested values.

18.8.154.13 RXD-12 Total Daily Dose (CQ) 00329 (4A.4.5.12)

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.

18.8.154.14 RXD-13 Dispense-to Location (4A.4.5.13)

Definition: This field is retained for backward compatibility only as of v 2.6 and withdrawn from the standard as of v 2.8. The reader is referred toRXD-30 and RXD-31.

18.8.154.15 RXD-14 Needs Human Review (ID) 00307 (4A.4.5.14)

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

YYes - 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-Special dispensing instructions.

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

18.8.154.16 RXD-15 Special Dispensing Instructions (CWE) 00330 (4A.4.5.15)

Definition: This field contains pharmacy or treatment supplier-generated special instructions to the provider dispensing/administering the order. Refer to Table 0706 - Special Dispensing Instructions in Chapter 2C for valid values.

18.8.154.17 RXD-16 Actual Strength (NM) 01132 (4A.4.5.16)

Definition: Use when RXD-2-Dispense/Give Code does not specify the strength. This is the numeric part of the strength, of a single dosage unit of the dispensed product, used in combination with RXD-17-actual strength unit.

18.8.154.18 RXD-17 Actual Strength Unit (CWE) 01133 (4A.4.5.17)

Definition: Use when RXD-2-Dispense/Give Code does not specify the strength. This is the unit of the strength, of a single dosage unit of the dispensed product, used in combination with RXD-16-actual strength. Refer to Table 0707 - Actual Strength Unit in Chapter 2C for valid values.

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 (micg/h) is an acceptable value. These compound units are contained in the ISO+ table. See Chapter 7 for full definition of ISO+ units.

18.8.154.19 RXD-18 Substance Lot Number (ST) 01129 (4A.4.5.18)

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.

18.8.154.20 RXD-19 Substance Expiration Date (DTM) 01130 (4A.4.5.19)

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.

18.8.154.21 RXD-20 Substance Manufacturer Name (CWE) 01131 (4A.4.5.20)

Definition: This field contains the manufacturer of the medical substance administered when it is a manufactured substance.

Note: For vaccines, code system MVX may be used to code this field. See Section 4A.7.1, "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.

18.8.154.22 RXD-21 Indication (CWE) 01123 (4A.4.5.21)

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. Refer to Table 0708 - Indication in Chapter 2C for valid values.

18.8.154.23 RXD-22 Dispense Package Size (NM) 01220 (4A.4.5.22)

Definition: This field contains the size of package to be dispensed. Units are transmitted in RXD-23-dispense package size unit.

18.8.154.24 RXD-23 Dispense Package Size Unit (CWE) 01221 (4A.4.5.23)

Definition: This field contains the units in which RXE-28-dispense package size is denominated. The advertised number of units in the manufacturer's package, i.e., the package as it comes from the supplier. Refer to Table 0709 - Dispense Package Size Unit in Chapter 2C for valid values.

18.8.154.25 RXD-24 Dispense Package Method (ID) 01222 (4A.4.5.24)

Definition: This field contains the method by which treatment is dispensed. Refer To HL7 Table 0321 - Dispense Method in Chapter 2C, Code Tables, for valid values.

18.8.154.26 RXD-25 Supplementary code (CWE) 01476 (4A.4.5.25)

Definition: This field accommodates the identification of any codes that might be associated with the pharmaceutical substance. Common codes include: the Generic Product Identifier (GPI), Generic Code Number_Sequence Number (GCN_SEQNO), National Drug Code (NDC). Refer to Table 0710 - Supplementary Code in Chapter 2C for valid values.

18.8.154.27 RXD-26 Initiating Location (CWE) 01477 (4A.4.5.26)

Definition: This field identifies the pharmacy or other treatment dispensing service (e.g., respiratory) that received the initial request. Refer to Table 0711 - Initiating Location in Chapter 2C for valid values.

Example: Pharmacy A (the Intake/Receiving) receives a phone call from the patient requesting a medication refill, but stipulates that the prescription will be picked up in pharmacy B. In accordance with the business process the prescription will be packaged/assembled in Pharmacy C.

18.8.154.28 RXD-27 Packaging/Assembly Location (CWE) 01478 (4A.4.5.27)

Definition: This field identifies the pharmacy which packaged/assembled request. Refer to Table 0712 - Packaging/Assembly Location in Chapter 2C for valid values.

18.8.154.29 RXD-28 Actual Drug Strength Volume (NM) 01686 (4A.4.5.28)

Description: This numeric field defines the volume measurement in which the drug strength concentration is contained. For example, Acetaminophen 120 MG/5ML Elixir means that 120 MG of the drug is in a solution with a volume of 5 ML , which would be encoded in RXD-16, RXD-17, RXD-28 and RXD-29 as

RXD||||||||||||||||120|mg^^ISO|||||||||||5|ml^^ISO ...

18.8.154.30 RXD-29 Actual Drug Strength Volume Units (CWE) 01687 (4A.4.5.29)

Description: This field indicates the volumetric unit associated with RXD-28 Actual Drug Strength Volume. See example in RXD-28. Refer to Table 0713 - Actual Drug Strength Volume Units in Chapter 2C for valid values.

18.8.154.31 RXD-30 Dispense to Pharmacy (CWE) 01688 (4A.4.5.30)

Definition: This field is retained for backward compatibility only as of v 27. The information formerly communicated using this field should now be communicated using the PRT segment. The reader is referred to chapter 7 for a description of that segment. Refer to Table 0714 - Dispense to Pharmacy in Chapter 2C for valid values.

This field specifies the pharmacy that will dispense or has dispensed the prescription. In the context of an order/request (i.e., in an RXO segment) this field represents the requested dispensing pharmacy. In the context of a registered order (i.e., in an RXE segment) this field represents the intended dispensing pharmacy, the pharmacy that is expected to dispense the prescription.

18.8.154.32 RXD-31 Dispense to Pharmacy Address (XAD) 01689 (4A.4.5.31)

This field specifies the address of the dispensing facility or the patient's location where the dispensing will occur.

18.8.154.33 RXD-32 Pharmacy Order Type (ID) 01690 (4A.4.5.32)

Definition: The Pharmacy Order Type field defines the general category of pharmacy order which may be used to determine the processing path the order will take. Refer to HL7 Table 0480 - Pharmacy Order Types in Chapter 2C, Code Tables, for valid values.

This field may also be used for grouping of related orders for processing and/or reports. For example, Medication Administration Records (MARs) often group large volume solutions, medications and small volume solutions differently based upon site-specific workflow.

Usage Rule: This field is optional for all Pharmacy transactions. When not populated, a default value of "M" is assumed.

18.8.154.34 RXD-33 Dispense Type (CWE) 01691 (4A.4.5.33)

Definition: This is the type of dispensing event that occurred. Refer to User-defined Table 0484 - Dispense Type for suggested values.

18.8.154.35 RXD-34 Pharmacy Phone Number (XTN) 02311 (4A.4.5.34)

Definition: This field contains the telecommunication contact information for the pharmacy. Repetitions may be supplied for various device types or use codes, or multiple instances of the same type or use. This concept also exists as RXO-36 and RXE-45 to support pharmacy contact information in the context of the order, the encoded order and the dispense.

18.8.154.36 RXD-35 Dispense Tag Identifier (EI) 03392 (4A.4.5.35)

Definition: This field contains an identifier for the individual product instance for the dispense occurrence. This may represent a barcode, RFID or other means of automatically-readable product instance. Repetitions represent the same instance where more than one barcode, RFID or other identification is present.

For example, the medication preparer, e.g., a semi-automatic system, can inform the nurse that "for the 8 a.m. administration event, the medication that has been assigned and available at the patient bedside has the barcode BBBBBBBBBBB." The nurse would scan the barcode to ensure that the right medication is being administered.