RXA
Pharmacy/Treatment Administration
FHIR:Immunization
The RDS message may be created by the pharmacy/treatment application for each instance of dispensing a drug or treatment to fill an existing order or orders. In the most common case, the RDS messages would be routed to a Nursing application or to some clinical application, which needs the data about drugs dispensed or treatments given. As a site-specific variant, the original order segments (RXO, RXE and their associated RXR/RXCs) may be sent optionally (for comparison).
The ORC must have the filler order number and the order control code RE. The RXE and associated RXCs may be present if the receiving application needs any of their data. The RXD carries the dispense data for a given issuance of medication: thus it may describe a single dose, a half-day dose, a daily dose, a refill of a prescription, etc. The RXD is not a complete record of an order. Use the RXO and RXE segments if a complete order is needed. It is a record from the pharmacy or treatment supplier to the Nursing application (or other) with drug/treatment dispense and administration instructions.
RRequiredOOptionalCConditionalWWithdrawn|#Date/Time*Backward compat.+Filler
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| C.Len | Element | v2.8 | FHIR | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | - | - | NM | R | 1 | - | 00342 | RXA-1 | Give Sub-ID Counter | Conf Length | - |
| 2 | - | - | NM | R | 1 | - | 00344 | RXA-2 | Administration Sub-ID Counter | Conf Length | - |
| 3 | - | - | DTM | R | 1 | - | 00345 | RXA-3 | Date/Time Start of Administration | occurrenceDateTime | |
| 4 | - | - | DTM | R | 1 | - | 00346 | RXA-4 | Date/Time End of Administration | - | |
| 5 | - | - | CWE | R | 1 | 0292 | 00347 | RXA-5 | Administered Code | vaccineCode | |
| 6 | - | - | NM | R | 1 | - | 00348 | RXA-6 | Administered Amount | doseQuantity.value | |
| 7 | - | - | CWE | C | 1 | 9999 | 00349 | RXA-7 | Administered Units | doseQuantity | |
| 8 | - | - | CWE | O | 1 | 9999 | 00350 | RXA-8 | Administered Dosage Form | - | |
| 9 | - | - | CWE | O | * | 9999 | 00351 | RXA-9 | Administration Notes | - | |
| 10 | - | - | XCN | B | * | - | 00352 | RXA-10 | Administering Provider | 3 mappings | |
| 11 | - | - | - | W | 1 | - | 00353 | RXA-11 | Administered-at Location | - | |
| 12 | - | - | ST | C | 1 | - | 00354 | RXA-12 | Administered Per (Time Unit) | Conf Length | - |
| 13 | - | - | NM | O | 1 | - | 01134 | RXA-13 | Administered Strength | - | |
| 14 | - | - | CWE | O | 1 | 9999 | 01135 | RXA-14 | Administered Strength Units | - | |
| 15 | - | - | ST | O | * | - | 01129 | RXA-15 | Substance Lot Number | Conf Length | lotNumber |
| 16 | - | - | DTM | O | * | - | 01130 | RXA-16 | Substance Expiration Date | expirationDate | |
| 17 | - | - | CWE | O | * | - | 01131 | RXA-17 | Substance Manufacturer Name | manufacturer(Organization) | |
| 18 | - | - | CWE | O | * | 9999 | 01136 | RXA-18 | Substance/Treatment Refusal Reason | statusReason | |
| 19 | - | - | CWE | O | * | 9999 | 01123 | RXA-19 | Indication | reasonCode | |
| 20 | 2 | - | ID | O | 1 | 0322 | 01223 | RXA-20 | Completion Status | 2 mappings | |
| 21 | 1 | - | ID | O | 1 | 0206 | 01224 | RXA-21 | Action Code - RXA | status | |
| 22 | - | - | DTM | O | 1 | - | 01225 | RXA-22 | System Entry Date/Time | recorded | |
| 23 | - | - | NM | O | 1 | - | 01696 | RXA-23 | Administered Drug Strength Volume | Conf Length | - |
| 24 | - | - | CWE | O | 1 | 9999 | 01697 | RXA-24 | Administered Drug Strength Volume Units | - | |
| 25 | - | - | CWE | O | 1 | 9999 | 01698 | RXA-25 | Administered Barcode Identifier | - | |
| 26 | 1 | - | ID | O | 1 | 0480 | 01699 | RXA-26 | Pharmacy Order Type | - | |
| 27 | - | - | PL | O | 1 | - | 02264 | RXA-27 | Administer-at | location[1](Location) | |
| 28 | - | - | XAD | O | 1 | - | 02265 | RXA-28 | Administered-at Address | location[1](Location.address) | |
| 29 | - | - | EI | O | * | - | 03396 | RXA-29 | Administered Tag Identifier | - |
11