R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3 R2

4.2.14.506 HL7 Version 2 Table 0506

Vocabulary Work Group Maturity Level: N/AExternal Use Context: Any

This is a table defined as part of HL7 v2 . Related FHIR content: v2 Service Request Relationship.

Summary

Name:v2 Service Request Relationship
Definition:

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

Code System URL:http://hl7.org/fhir/v2/0506
Value Set URL:http://hl7.org/fhir/ValueSet/v2-0506
OID:??
CodeSystem ResourceXML / JSON
ValueSet ResourceXML / JSON

This value set is used in the following places:

4.2.14.506.1 Code System Content

Service Request Relationship

CodeDescriptionCommentVersion
C CompoundA compound is an extempo order which may be made up of multiple drugs. For example, many hospitals have a standard item called "Magic Mouthwash". 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.added v2.5
E ExclusiveAn 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).added v2.5
N Nurse prerogativeWhere 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.added v2.5
S SimultaneousA 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).added v2.5
T TaperingA 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.added v2.5