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18.8.158 RXR - Pharmacy/Treatment Route Segment (4A.4.2)

The Pharmacy/Treatment Route segment contains the alternative combination of route, site, administration device, and administration method that are prescribed as they apply to a particular order. 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.

HL7 Attribute Table - RXR - Pharmacy/Treatment Route

Base Framework
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
RXR
100309Route SHOULD[1..1] repr: V2RouteOfAdministration (CD)
CWE

Coded with Exceptions

200310Administration Site MAY[0..1] univ: BodyParts (CD)
CWE

Coded with Exceptions

300311Administration Device MAY[0..1] repr: AdministrationDevice (CD)
CWE

Coded with Exceptions

400312Administration Method MAY[0..1] repr: AdministrationMethod (CD)
CWE

Coded with Exceptions

501315Routing Instruction MAY[0..1] RoutingInstruction (CD)
CWE

Coded with Exceptions

601670Administration Site Modifier MAY[0..1] univ: BodySiteModifier (CD)
CWE

Coded with Exceptions

Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
RXR
100309Route SHALL[1..1] repr: V2RouteOfAdministration (CD) hl7VS-routeOfAdministration (VS) routeOfAdministration (CS)
CWE

Coded with Exceptions

200310Administration Site MAY[0..1] univ: BodyParts (CD) hl7VS-bodyParts (VS) bodyParts (CS)
CWE

Coded with Exceptions

300311Administration Device MAY[0..1] repr: AdministrationDevice (CD) hl7VS-administrationDevice (VS) administrationDevice (CS)
CWE

Coded with Exceptions

400312Administration Method MAY[0..1] repr: AdministrationMethod (CD) hl7VS-administrationMethod (VS) administrationMethod (CS)
CWE

Coded with Exceptions

501315Routing Instruction MAY[0..1] RoutingInstruction (CD)
CWE

Coded with Exceptions

601670Administration Site Modifier MAY[0..1] univ: BodySiteModifier (CD) hl7VS-bodySiteModifier (VS) bodySiteModifier (CS)
CWE

Coded with Exceptions

Base FrameworkBase Standard Profile
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData TypeImplementVocabulary
RXR 
100309Route SHOULD[1..1] repr: V2RouteOfAdministration (CD)
CWE

Coded with Exceptions

SHALLhl7VS-routeOfAdministration (VS) routeOfAdministration (CS)
200310Administration Site MAY[0..1] univ: BodyParts (CD)
CWE

Coded with Exceptions

MAYhl7VS-bodyParts (VS) bodyParts (CS)
300311Administration Device MAY[0..1] repr: AdministrationDevice (CD)
CWE

Coded with Exceptions

MAYhl7VS-administrationDevice (VS) administrationDevice (CS)
400312Administration Method MAY[0..1] repr: AdministrationMethod (CD)
CWE

Coded with Exceptions

MAYhl7VS-administrationMethod (VS) administrationMethod (CS)
501315Routing Instruction MAY[0..1] RoutingInstruction (CD)
CWE

Coded with Exceptions

MAY
601670Administration Site Modifier MAY[0..1] univ: BodySiteModifier (CD)
CWE

Coded with Exceptions

MAYhl7VS-bodySiteModifier (VS) bodySiteModifier (CS)
Base Framework Base Standard Profile
Seq# Data Element Description Flags Optionality Repetition Length C.LEN Table Data Type Optionality Table
RXR  
1 00309 Route   O     (0162)
CWE

Coded with Exceptions

R  
2 00310 Administration Site   O      
CWE

Coded with Exceptions

  (0550)
3 00311 Administration Device   O      
CWE

Coded with Exceptions

  (0164)
4 00312 Administration Method   O      
CWE

Coded with Exceptions

  (0165)
5 01315 Routing Instruction   O      
CWE

Coded with Exceptions

  (0766)
6 01670 Administration Site Modifier   O      
CWE

Coded with Exceptions

  (0495)
Seq# Data Element Description Optionality Repetition Length C.LEN Table Data Type
RXR
1 00309 Route R     (0162)
CWE

Coded with Exceptions

2 00310 Administration Site O     (0550)
CWE

Coded with Exceptions

3 00311 Administration Device O     (0164)
CWE

Coded with Exceptions

4 00312 Administration Method O     (0165)
CWE

Coded with Exceptions

5 01315 Routing Instruction O     (0766)
CWE

Coded with Exceptions

6 01670 Administration Site Modifier O     (0495)
CWE

Coded with Exceptions

18.8.158.1 RXR field definitions (4A.4.2.0)

18.8.158.2 RXR-1 Route (CWE) 00309 (4A.4.2.1)

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 CWE data type. Refer to User-Defined Table 0162 - Route of Administration in Chapter 2C, Code Tables, for valid values.

18.8.158.3 RXR-2 Administration Site (CWE) 00310 (4A.4.2.2)

Definition: This field contains the site of the administration route. When using a post-coordinated code table in this field, RXR-6 Administration Site may be used to modify the meaning of this field.

Refer to HL7 Table 0550 - Body Parts in Chapter 2C, Code Tables, for valid values. Other appropriate external code sets (e.g., SNOMED) may also be employed.

18.8.158.4 RXR-3 Administration Device (CWE) 00311 (4A.4.2.3)

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 User-defined Table 0164 - Administration device in Chapter 2C, Code Tables, for valid entries.

18.8.158.5 RXR-4 Administration Method (CWE) 00312 (4A.4.2.4)

Definition: This field identifies the specific method requested for the administration of the drug or treatment to the patient. Refer To User-defined Table 0165 - Administration Method in Chapter 2C, Code Tables, for valid values.

18.8.158.6 RXR-5 Routing Instruction (CWE) 01315 (4A.4.2.5)

Definition: This field provides instruction on administration routing, especially in cases where more than one route of administration is possible. A typical case would be designating which IV line should be used when more than one IV line is a possible route for injection. Refer to Table 0766 - Routing Instruction in Chapter 2C for valid values.

18.8.158.7 RXR-6 Administration Site Modifier (CWE) 01670 (4A.4.2.6)

Definition: This field contains a modifier which modifies the meaning of RXR-2 Administration Site.

The code table used in this field is dependent upon the code table used in RXR-2 Administration site. If RXR-2 employs HL7 Table 0550 - Body Parts, then this field may only be populated with values from HL7 Table 0495 - Body Parts Modifier. In the case of other code sets (e.g., SNOMED) in RXR-2, RXR-6 may only be populated if modifiers are defined within, or related to, that code set.

Condition Rule: This field may only be populated if RXR-2 Administration Site is populated. This field is not required if RXR-2 is populated.