V2-0506.cs.xml

FHIR Value set/code system definition for HL7 v2 table 0506 ( Service Request Relationship)

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v2-0506"/> 
  <meta> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <language value="en"/> 
  <text> 
    <status value="additional"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Service Request Relationship</p> 

      <table class="grid">
        <tr> 
          <td> 
            <b> Code</b> 
          </td> 
          <td> 
            <b> Description</b> 
          </td> 
          <td> 
            <b> Comment</b> 
          </td> 
          <td> 
            <b> Version</b> 
          </td> 
        </tr> 
        <tr> 
          <td> C
            <a name="C"> </a> 
          </td> 
          <td> Compound</td> 
          <td> A compound is an extempo order which may be made up of multiple drugs.  For example, many
               hospitals have a standard item called &quot;Magic Mouthwash&quot;.  The item is ordered
               that way by the physician. The extempo items will contain multiple products, such as Maalox,
               Benadryl, Xylocaine, etc.  They will all be mixed together and will be dispensed in a
               single container.</td> 
          <td> added v2.5</td> 
        </tr> 
        <tr> 
          <td> E
            <a name="E"> </a> 
          </td> 
          <td> Exclusive</td> 
          <td> An exclusive order is an order where only one of the multiple items should be administered
               at any one dosage time.  The nurse may chose between the alternatives, but should only
               give ONE of them.  An example would be: Phenergan 25 mg PO, IM or R q6h prn (orally, intramuscularly
              , or rectally every 6 hours as needed).</td> 
          <td> added v2.5</td> 
        </tr> 
        <tr> 
          <td> N
            <a name="N"> </a> 
          </td> 
          <td> Nurse prerogative</td> 
          <td> Where a set of two or more orders exist and the Nurse, or other caregiver, has the prerogative
               to choose which order will be administered at a particular point in time.  For example,
  Milk of Magnesia PO 30 ml qhs (at bedtime)
  Dulcolax Supp R @ hs prn
  Colace 100 mg capsule PO bid 
The nurse would be administering MOM, but may add the Colace and may also give the Dulcolax
               Supp as needed to promote and maintain regularity.</td> 
          <td> added v2.5</td> 
        </tr> 
        <tr> 
          <td> S
            <a name="S"> </a> 
          </td> 
          <td> Simultaneous</td> 
          <td> A simultaneous order is 2 or more drugs which are ordered to be given at the same time.
                A common example of this would be Demerol and Phenergan (Phenergan is given with the
               Demerol to control the nausea that Demerol can cause).  The order could be: Demerol 50
               mg IM with Phenergan 25 mg IM q4h prn (every 4 hours as needed).</td> 
          <td> added v2.5</td> 
        </tr> 
        <tr> 
          <td> T
            <a name="T"> </a> 
          </td> 
          <td> Tapering</td> 
          <td> A tapering order is one in which the same drug is used, but it has a declining dosage
               over a number of days.
For example, Decadron 0.5 mg is often ordered this way.  The order would look like this:
  Decadron 0.5 mg qid (four times a day) for 2 days, then
  Decadron 0.5 mg tid (three times a day) for 2 days, then
  Decadron 0.5 mg bid (twice a day) for 2 days, then
  Decadron 0.5 mg qd (daily) for 2 days, then stop.</td> 
          <td> added v2.5</td> 
        </tr> 
      </table> 

    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="external"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <url value="http://terminology.hl7.org/CodeSystem/v2-0506"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.18.330"/> 
  </identifier> 
  <version value="2.9"/> 
  <name value="v2.0506"/> 
  <title value="v2 Service Request Relationship"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <publisher value="HL7, Inc"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="FHIR Value set/code system definition for HL7 v2 table 0506 ( Service Request Relationship)"/> 
  <content value="complete"/> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
      <valueString value="A compound is an extempo order which may be made up of multiple drugs.  For example, many
         hospitals have a standard item called &quot;Magic Mouthwash&quot;.  The item is ordered
         that way by the physician. The extempo items will contain multiple products, such as Maalox,
         Benadryl, Xylocaine, etc.  They will all be mixed together and will be dispensed in a
         single container."/> 
    </extension> 
    <code value="C"/> 
    <display value="Compound"/> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
      <valueString value="An exclusive order is an order where only one of the multiple items should be administered
         at any one dosage time.  The nurse may chose between the alternatives, but should only
         give ONE of them.  An example would be: Phenergan 25 mg PO, IM or R q6h prn (orally, intramuscularly
        , or rectally every 6 hours as needed)."/> 
    </extension> 
    <code value="E"/> 
    <display value="Exclusive"/> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
      <valueString value="Where a set of two or more orders exist and the Nurse, or other caregiver, has the prerogative
         to choose which order will be administered at a particular point in time.  For example,
  Milk of Magnesia PO 30 ml qhs (at bedtime)
  Dulcolax Supp R @ hs prn
  Colace 100 mg capsule PO bid 
The nurse would be administering MOM, but may add the Colace and may also give the Dulcolax
         Supp as needed to promote and maintain regularity."/> 
    </extension> 
    <code value="N"/> 
    <display value="Nurse prerogative"/> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
      <valueString value="A simultaneous order is 2 or more drugs which are ordered to be given at the same time.
          A common example of this would be Demerol and Phenergan (Phenergan is given with the
         Demerol to control the nausea that Demerol can cause).  The order could be: Demerol 50
         mg IM with Phenergan 25 mg IM q4h prn (every 4 hours as needed)."/> 
    </extension> 
    <code value="S"/> 
    <display value="Simultaneous"/> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-concept-comments">
      <valueString value="A tapering order is one in which the same drug is used, but it has a declining dosage
         over a number of days.
For example, Decadron 0.5 mg is often ordered this way.  The order would look like this:
  Decadron 0.5 mg qid (four times a day) for 2 days, then
  Decadron 0.5 mg tid (three times a day) for 2 days, then
  Decadron 0.5 mg bid (twice a day) for 2 days, then
  Decadron 0.5 mg qd (daily) for 2 days, then stop."/> 
    </extension> 
    <code value="T"/> 
    <display value="Tapering"/> 
  </concept> 
</CodeSystem>