Class: Treatment_intent_or_order_revision

Description of: Treatment_intent_or_order_revision

Class steward is Orders/Observation
The collection of characteristics for a pharmacy treatment order that can be revised during the course of processing the order. Pharmacy encoding is an example of a process that may revise order characteristics. This "revisions" class allows tracking of changes made to the order, and representation of the order at any stage in its processing.

Rationale: Class name changed to better represent usage. There is no sense in which the contents of this class represent an "item" of the pharmacy order. Conformance to new name for generalization.

OpenIssue: Note that this is used to surface the information carred in the Pharmacy Encoded segment of v2.3, and this name ‘revision’ may need to be changed to be more appropriate.

Attribute definitions for: Treatment_intent_or_order_revision

dispense_package_method_cd

the method by which treatment is dispensed, e.g., Traditional, unit-dose, floor stock, automatic dispensing

Rationale: previously unmatched V2.3 field

OpenIssue:

|RXD^24^01222^Dispense Package Method| |RXE^30^01222^Dispense Package Method|

dispense_package_size_amt

This field contains the size of package to be dispensed

Rationale: previously unmatched V2.3 field

OpenIssue:

|RXD^22^01220^Dispense Package Size| |RXE^28^01220^Dispense Package Size|

give_indication_cd

condition or problem for which the drug/treatment was prescribed

Rationale: previously unmatched V2.3 field

OpenIssue:

|RXE^27^01128^Give Indication|

give_per_time_unit_cd

The number of gives per unit of time.

|RXE^22^00331^Give Per (Time Unit)| |RXG^14^00331^Give Per (Time Unit)| |RXO^17^00308^Requested Give Per (Time Unit)|

give_rate_amt

The rate of give for the medication.

|RXE^23^00332^Give Rate Amount| |RXG^15^00332^Give Rate Amount|

last_refilled_dttm

A indication that the pharmacy order required human review.

|RXD^14^00307^Needs Human Review| |RXE^20^00307^Needs Human Review| |RXG^12^00307^Needs Human Review| |RXO^16^00307^Needs Human Review|

max_give_amt

The maximum amount of medication to be administered.

|RXE^4^00319^Give Amount - Maximum| |RXG^6^00319^Give Amount - Maximum| |RXO^3^00294^Requested Give Amount - Maximum|

min_give_amt

The minimum amount of medication to be administered.

|RXE^3^00318^Give Amount - Minimum| |RXG^5^00318^Give Amount - Minimum| |RXO^2^00293^Requested Give Amount - Minimum|

needs_human_review_ind

An indication that a pharmacy order for an out of formulary item is authorized.

order_revision_PTcomp

Specification for one component of the ordered medication or treatment

Rationale:

OpenIssue:

|RXC^4^00316^Component Units|

order_revision_PTrout

Specification for one route of administration for the ordered medication or treatment. Specification includes route, site, administration device and administration method.

Rationale:

OpenIssue:

|RXR^2^00310^Site|

order_revision_quantitytiming_qt

A means of specifying when the service described by the give notice is to be performed and how frequently. It is a complex multicomponent field that can have repeats. The pharmacy or treatment department has the "authority" (and/or necessity) to schedule dispense/give events. Hence, the pharmacy or treatment department has the responsibility to encode this scheduling information for the pharmacy service order item and pharmacy service give notice. The quantity/timing for the patient service order does not change: it always specifies the requested give/dispense schedule of the original order

Rationale:

OpenIssue:

ordered_administration_method_cd

The method to be used to administer the medication.

|RXR^4^00312^Administration Method|

prescription_id

The information about how many services to perform at one service time and how often the service times are repeated, and to fix duration of the request.

|OBR^27^00221^Quantity/Timing| |ORC^7^00221^Quantity/Timing| |RXE^1^00221^Quantity/Timing| |RXG^3^00221^Quantity/Timing|

providers_administration_instruction_cd

the ordering provider's instructions to the patient or the provider administering the drug or treatment

Rationale: previously unmatched V2.3 field

OpenIssue:

|RXE^7^00298^Provider's Administration Instructions| |RXO^7^00298^Provider's Administration Instructions|

refills_allowed_qty

The number of refills doses dispensed.

|RXE^17^00327^Number of Refills/Doses Dispensed|

refills_doses_dispensed_qty

The number of refills remaining.

|RXD^8^00326^Number of Refills Remaining| |RXE^16^00326^Number of Refills Remaining|

refills_remaining_qty

The number of refills remaining.

|RXD^8^00326^Number of Refills Remaining| |RXE^16^00326^Number of Refills Remaining|

substitution_status_cd

Substitution status of the pharmacy order.

|RXD^11^00322^Substitution Status| |RXE^9^00322^Substitution Status| |RXG^10^00322^Substitution Status|

suppliers_dispensing_instruction_cd

the pharmacy or treatment supplier's provider-generated special instructions to the provider dispensing/administering the order

Rationale: previously unmatched V2.3 field

OpenIssue:

|RXD^15^00330^Pharmacy/Treatment Supplier's Special Dispensing I| |RXE^21^00330^Pharmacy/Treatment Supplier's Special Dispensing I|

total_daily_dose_amt

the total daily dose for this particular pharmaceutical as expressed in terms of actual dispense units.

Rationale: all RXE fields should appear in RIM08 Pharmacy_service_order_item

OpenIssue:

|RXD^12^00329^Total Daily Dose| |RXE^19^00329^Total Daily Dose|

total_daily_dose_cd

Total daily dosage code.

|RXD^12^00329^Total Daily Dose| |RXE^19^00329^Total Daily Dose|

Connection definitions for: Treatment_intent_or_order_revision

orders (0,1) :: Master_treatment_service :: is_ordered_on (0,n)

Rationale: link medication on pharmacy_service_order_item to service catalog

OpenIssue:

Whole-part definitions for: Treatment_intent_or_order_revision

is_part_of (1,1) :: Treatment_intent_or_order :: has_parts (1,n)