NEWRX:: Release 1 :: SCRIPT

Message Structure

Not supported according to the Implementation Guide but required according to the XSD.

C1 = Label Change (Any changes to the Drug, form, strength, dosage, or route) C2 = Frequency Change (Any change to the frequency or hours of   administration for the drug) C3 = Other

Used to request return receipt. If this field is submitted with 1 in the request, a Verify transaction is to be sent from the recipient at some time. 1 = Return Receipt Requested all other values = no return receipt requested

In XML, this valued Code List Qualifier is replaced by an element. This is a desirable simplification since the "1131 Code List Qualifier" is used in other contexts as specified by the External Code List specification.

Transaction key. In some trading partner agreements utilizing a mailbox functionality, this field may contain the receiver's identification number for the transaction being returned.

PVD-020 On the mandatory transactions: One occurrence is the prescriber number. One occurrence may be used to identify the clinic. One occurrence may be used to identify a supervisor. At least one occurrence of the PVD- 020-01 and _02 must contain HPI (NPI). Prescriber individual (not organizational) NPI Number is mandatory. This is mandatory for the PVD (PC), not the PVD (SU). For all transactions except RXHRES, if the prescriber has an NPI, one occurrence must contain the value HPI (NPI). For all transactions except RXHRES, if the prescriber has a DEA number, one occurrence must contain the value DH (DEA Number).

One occurrence may be the pharmacist number. NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.

Alphanumeric, D3

On the mandatory transactions: One occurrence must contain the value 'D3' (NCPDP Provider ID Number). One occurrence must contain the value 'HPI' (National Provider ID

Alphanumeric, 94

Choice

Alphanumeric, 0B

Choice

Alphanumeric, 1C

Choice

Alphanumeric,1D

Choice

Alphanumeric, 1E

Choice

Alphanumeric, 1G

Choice

Alphanumeric, 1J

Choice

Alphanumeric, 1M

Choice

Alphanumeric, 2U

Choice

Alphanumeric, ADI

Choice

Alphanumeric, BO

Choice

Alphanumeric, C1

Choice

Alphanumeric, EA

Choice

Alphanumeric, EJ

Choice

Alphanumeric, DH

Choice

Alphanumeric, HI

Choice

Alphanumeric, IP

Choice

Alphanumeric, NC

Choice

Alphanumeric, NF

Choice

Alphanumeric, PD

Choice

Alphanumeric, SY

Choice

Alphanumeric, HPI

One occurrence must contain the value 'HPI'  (National Provider ID) for mandatory occurences of this segment.   Choice

Alphanumeric, G1

Choice

The source of the code list for 040- I007-03-7990 Provider Specialty code. Required if Provider Specialty code (040-I007-03-7990) is used. Values: See External Code List

Pharmacist's Name "The name of the prescriber or pharmacist or supervisor. This composite is broken into individual section for each part of the name."

Since this field is marked CM - this component is required. This assumption should apply to any mandatory composite field.

First name required if the Phamacist's name is required.

Alphanumeric

Alphanumeric

Alphanumeric

The clinic or pharmacy name in one field.

The composite for the prescriber or pharmacist or supervisor address. Further defined fields are used for specific section of the address.

Alphanumeric

Alphanumeric

Alphanumeric

United States and Canadian Province Postal Service Abbreviations. Values: See External Code List.

ZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).

Alphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?

Provider contact number. Prescriber telephone number or other contact number. May occur multiple times when used with qualifier and repetition separator. Used with qualifiers in field 090-01 Code List qualifier.

Telephone number, mandatory, max 80 length

Qualifies the Communication Number. X- 12 DE 365. When used, one occurrence is 'TE' (Telephone). Other occurrences are optional and would contain other values. Values: See External Code List

BN Beeper CP Cellular EM Electronic Mail FX Fax HP Home NP Night TE Telephone WP Work

PVD-020 On the mandatory transactions: One occurrence is the prescriber number. One occurrence may be used to identify the clinic. One occurrence may be used to identify a supervisor. At least one occurrence of the PVD- 020-01 and '02 must contain 'HPI' (NPI). Prescriber individual (not organizational) NPI Number is mandatory. This is mandatory for the PVD (PC), not the PVD (SU). For all transactions except RXHRES, if the prescriber has an NPI, one occurrence must contain the value 'HPI' (NPI). For all transactions except RXHRES, if the prescriber has a DEA number, one occurrence must contain the value 'DH' (DEA Number)

ERROR: The XML Schema does not allow repetitions. NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.

Alphanumeric, D3

Choice

Alphanumeric, 94

Choice

Alphanumeric, 0B

Choice

Alphanumeric, 1C

Choice

Alphanumeric,1D

Choice

Alphanumeric, 1E

Choice

Alphanumeric, 1G

Choice

Alphanumeric, 1J

Choice

Alphanumeric, 1M

Choice

Alphanumeric, 2U

Choice

Alphanumeric, ADI

Choice

Alphanumeric, BO

Choice

Alphanumeric, C1

Choice

Alphanumeric, EA

Choice

Alphanumeric, EJ

Choice

Alphanumeric, DH

Choice

Alphanumeric, HI

Choice

Alphanumeric, IP

Choice

Alphanumeric, NC

Choice

Alphanumeric, NF

Choice

Alphanumeric, PD

Choice

Alphanumeric, SY

Choice

Alphanumeric, HPI

Choice

Alphanumeric, G1

Choice

Required if 040-I007-01-4709 Agency Qualifier, coded is used. This attribute is encoded using an ASC X12 code. according to the External Code List reference it was modified as follows: "Deleted existing values (may be used in SCRIPT Standard Versions 5.0 - 10.4; added new value for use in SCRIPT Standard Version 10.5 or higher". The specification does not indicate what the values are or whether any specialty code specified by X12 is allowed.

040-I007-02-4707 is no longer supported.

The clinic or pharmacy name in one field.

Prescriber's Name "The name of the prescriber or pharmacist or supervisor. This composite is broken into individual section for each part of the name."

This field is marked as "conditional" but it should be mandatory in the context of the parent element (i.e. if the name appears, then the last name is required).

Alphanumeric

Alphanumeric

Alphanumeric

Alphanumeric

The composite for the prescriber or pharmacist or supervisor address. Further defined fields are used for specific section of the address.

Alphanumeric

Alphanumeric

Alphanumeric

United States and Canadian Province Postal Service Abbreviations. Values: See External Code List.

ZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).

Alphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?

This composite is used to identify the Designated Agent - use for transmitter/submitter name. If a supervising prescriber name or id is required, use another repetition of the PVD Segment placing the id in the reference number field. This composite is to be used in the 0PC0 PVD Segment loop only. Note: For NEWRX, REFRES, CANRX or CHGRES ' this field is mandatory if the sender of the message is not the actual prescriber referenced in PVD 020-01

Last name of the Designated Agent. This field is to be used in the 'PC' PVD Segment loop only.

This field should be marked as required in the XSD because it would be required if the name appears at all. Otherwise a name may appear with empty child elements.

First name of the Designated Agent.

Middle name of the Designated Agent..

Alphanumeric

Alphanumeric

Provider contact number. Prescriber telephone number or other contact number. May occur multiple times when used with qualifier and repetition separator. Used with qualifiers in

Telephone number, mandatory, max 80 length

Qualifies the Communication Number. X- 12 DE 365. When used, one occurrence is TE (Telephone). Other occurrences are optional and would contain other values. Values: See External Code List

BN Beeper CP Cellular EM Electronic Mail FX Fax HP Home NP Night TE Telephone WP Work

This a choice of identifiers that combines the Reference Number and its Reference Qualifier.

NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.

Alphanumeric, D3

Choice

Alphanumeric, 94

Choice

Alphanumeric, 0B

Choice

Alphanumeric, 1C

Choice

Alphanumeric,1D

Choice

Alphanumeric, 1E

Choice

Alphanumeric, 1G

Choice

Alphanumeric, 1J

Choice

Alphanumeric, 1M

Choice

Alphanumeric, 2U

Choice

Alphanumeric, ADI

Choice

Alphanumeric, BO

Choice

Alphanumeric, C1

Choice

Alphanumeric, EA

Choice

Alphanumeric, EJ

Choice

Alphanumeric, DH

Choice

Alphanumeric, HI

Choice

Alphanumeric, IP

Choice

Alphanumeric, NC

Choice

Alphanumeric, NF

Choice

Alphanumeric, PD

Choice

Alphanumeric, SY

Choice

Alphanumeric, HPI

Choice

Alphanumeric, G1

Choice

Required if 040-I007-01-4709 Agency Qualifier, coded is used. This attribute is encoded using an ASC X12 code. according to the External Code List reference it was modified as follows: "Deleted existing values (may be used in SCRIPT Standard Versions 5.0 - 10.4; added new value for use in SCRIPT Standard Version 10.5 or higher". The specification does not indicate what the values are or whether any specialty code specified by X12 is allowed.

The name of the prescriber or pharmacist or supervisor. This composite is broken into individual section for each part of the name.

Last name of the prescriber or pharmacist or supervisor.

First name of the prescriber or pharmacist or supervisor.

Middle name of the prescriber or pharmacist or supervisor.

Alphanumeric

Alphanumeric

The clinic or pharmacy name in one field.

The composite for the prescriber or pharmacist or supervisor address. Further defined fields are used for specific section of the address.

Alphanumeric

Alphanumeric

Alphanumeric

United States and Canadian Province Postal Service Abbreviations. Values: See External Code List.

ZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).

Alphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?

Telephone number, mandatory, max 80 length

Qualifies the Communication Number. X- 12 DE 365. When used, one occurrence is TE (Telephone). Other occurrences are optional and would contain other values. Values: See External Code List

BN: Beeper CP: Cellular EM: Electronic Mail FX: Fax HP: Home NP: Night TE: Telephone WP: Work

The actual identification for the facility. The qualifier was used to specify a choice of possible identifier listed here.

NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.

Alphanumeric, D3

Choice

Alphanumeric, 94

Choice

Alphanumeric, 0B

Choice

Alphanumeric, 1C

Choice

Alphanumeric,1D

Choice

Alphanumeric, 1E

Choice

Alphanumeric, 1G

Choice

Alphanumeric, 1J

Choice

Alphanumeric, 1M

Choice

Alphanumeric, 2U

Choice

Alphanumeric, ADI

Choice

Alphanumeric, BO

Choice

Alphanumeric, C1

Choice

Alphanumeric, EA

Choice

Alphanumeric, EJ

Choice

Alphanumeric, DH

Choice

Alphanumeric, HI

Choice

Alphanumeric, IP

Choice

Alphanumeric, NC

Choice

Alphanumeric, NF

Choice

Alphanumeric, PD

Choice

Alphanumeric, SY

Choice

Alphanumeric, HPI

Choice

Alphanumeric, G1

Choice

"The clinic or pharmacy name in one field." - this duplicates one of the other segments' information.

Facility Address

Alphanumeric

Alphanumeric

Alphanumeric

United States and Canadian Province Postal Service Abbreviations. Values: See External Code List.

ZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).

Alphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?

Facility contact number(s).

Telephone number, mandatory, max 80 length

Qualifies the Communication Number. X- 12 DE 365. When used, one occurrence is  TE' (Telephone). Other occurrences are optional and would contain other values. Values: See External Code List

BN: Beeper CP: Cellular EM: Electronic Mail FX: Fax HP: Home NP: Night TE: Telephone WP: Work

Defines the relationship of patient to cardholder.

1 (Cardholder), 2 (Spouse), 3 (Child), 4 (Other).

This is s choice in XML- either date or date/time may be specified.

Birth Date of patient. Format: CCYYMMDD Note: Whenever possible, Birth Date of patient should be sent.

Date and Time

This composite is the name of the patient. Further defined fields separate the name into components.

Last name of patient.

First name of the patient.

Middlename should be specified if available.

Alphanumeric

Alphanumeric

Gender of the patient. X-12 DE 1069. Values: M = Male F = Female U = Unknown

Choice of relevant identifiers is not restricted to those relevant to Patient identification.

NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.

Alphanumeric, D3

Choice

Alphanumeric, 94

Choice

Alphanumeric, 0B

Choice

Alphanumeric, 1C

Choice

Alphanumeric,1D

Choice

Alphanumeric, 1E

Choice

Alphanumeric, 1G

Choice

Alphanumeric, 1J

Choice

Alphanumeric, 1M

Choice

Alphanumeric, 2U

Choice

Alphanumeric, ADI

Choice

Alphanumeric, BO

Choice

Alphanumeric, C1

Choice

Alphanumeric, EA

Choice

Alphanumeric number, (Qualifier= 'EJ')

This is a possible choice for patient identifier types. Choice

Alphanumeric, DH

Choice

Alphanumeric, HI

Choice

Alphanumeric, IP

This is a possible choice for patient identifier types. Choice

Alphanumeric, NC

Choice

Alphanumeric, NF

Choice

Alphanumeric, PD

Choice

Alphanumeric, SY

This is a possible choice for patient identifier types. Choice

Alphanumeric, HPI

Choice

Alphanumeric, G1

Choice

The composite for the patient address. Further defined fields are used for specific section of the address. Note: Whenever possible, the patient address fields should be sent.

If the address of the patient is unable to be obtained, the text 'UNKNOWN' should be put in the Street Address.

Street and Number/P.O. Box Note: Whenever possible, the patient address fields should be sent

If patient is homeless, the text 'HOMELESS' should be put in the Street Address.

Street and Number/P.O. Box Note: Whenever possible, the patient address fields should be sent

Alphanumeric

identification United States and Canadian Province Postal Service Abbreviations. Values: See External Code List.

Postal Code ZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).

Alphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?

Patient contact number. May occur multiple times when used with qualifier and repetition separator. Used with qualifiers in field 070-02 Code List qualifier.

Telephone number, mandatory, max 80 length

Qualifies the Communication Number. X- 12 DE 365. When used, one occurrence is 'TE' (Telephone). Other occurrences are optional and would contain other values.

BN Beeper CP Cellular EM Electronic Mail FX Fax HP Home NP Night TE Telephone WP Work

Patient location elements order was changed for XML. Facility. --> Room --> Bed became Facility --> Bed --> Room.

The unit of the patient.

The bed of the patient.

The room of the patient.

This element was added to 10.11 but it may be needed in earlier versions.

This field is required to support Meaningful Use Criteria .

There is a discrepancy in the field length: the implementation guide specifies only 35 "bytes" while the XSD specifies it can be maximum 105 characters. The implementation guide suggests that it's acceptable to abbreviate this field but since it is the only mandatory identifier for the drug it is necessary that this description be detailed and complete.

From the SCRIPT Implementation Guide the following is stated for the Item Description: 'Is the self-contained full drug name, strength, and form.'

The "Drug number" refers ot the drug coded

RxNorm preferred product code.

This element of the dataytype should be mandatory. Otherwise a XML message that contains a "DrugCoded" element that is empty would be acceptable though it does not make sense since "DrugCoded" is already optional.

Coded: the code list defining the Item Number. X-12 DE 235.

The allowed qualifiers were expanded for version 10.11 to "ND|MF|RT|UN|UP"

Measurement Value - Drug strength. Changed from field 6314 to 4440 in Version 4.0. Field length expanded to an..70.

GPI, GCN Seq #, GFC, DDID, SmartKey, GM, Multum MMDC, Multum Drug ID, etc

Code value to define the reference number.

Code identifying the source organization. Required if Item Form Code (010-I013- 14-7992) used.

The XSD skips elements DRU-010-10 through DRU-010-12.

Drug form, in a code. Dosage form code. Pharmaceutical Dosage Form. Qualified by Source Code List (7991). Values: See External Code List

Code identifying the source organization. Required if Item Strength Code (010- I013-16-7993) used. Values: See External Code List

Drug strength qualifier. Units of Presentation. Qualified by Source Code List (7991). Values: See External Code List

Code, the latest available at: http://evs.nci.nih.gov/ftp1/NCPDP/

This element is used to store the DEA Schedule code: C38046 Unspecified C48672 Schedule I Substance C48675 Schedule II C48676 Schedule III C48677 Schedule IV C48679 Schedule V

This composite is for the count of tablets or number of grams.

This should be a numeric value but it is specified as a string. This element is required if the quantity is transmitted. "On NEWRX, when the DRU 020-I009- 03-1131 value 'QS' value is used, DRU 020-I009-05-7994 Potency Unit Code must equal 'C38046' (Unspecified). DRU 020-I009-02-6060 Quantity must equal '0'."

This element was corrected for 10.11 and became a numeric, mandatory, max 11 length (nM...11). Before that is was changed to (an...35) in version 4.0.

Alphanumeric, coded using Uses X-12 DE 673 value set. Quantity Sufficient (QS) code usage: in care settings where there are established dispensing protocols between the prescriber and the pharmacy/pharmacist, dispensed quantities for certain medication orders are appropriately determined by the pharmacy'based on the prescriber's dosing directions as well as other factors. For example, in the Long Term Care setting, medication orders are typically open-ended. A medication is delivered to the resident's facility on a scheduled basis until the pharmacy is notified that the order has been discontinued by the prescriber. The delivery schedule is determined by each pharmacy based on a variety of factors'with deliveries occurring every 7 days, every 14 days, monthly, etc. Accordingly, the quantity to be dispensed for a given delivery must be determined by the pharmacy to match their particular delivery schedule. For use on the NEWRX message only, DRU 020-I009-03-1131 Code List Qualifier value of the 'QS' qualifier is limited to settings where dispensing protocols are in force between the physician and pharmacy/pharmacist, where such use is in accordance with federal and state regulations. Example settings include long term care, home health care, and outpatient clinics.

'QS' is not used in retail pharmacy NEWRX messages. If a NEWRX message is received by a retail pharmacy with the QS qualifier for a quantity of 0, then an ERROR response message must be returned. The ERROR message will contain a Status type, coded 010-9015 = '900' (Transaction Rejected). In addition, the Code List Qualifier STS-020-1131 (Reject Code) should indicate the rejection; for example, a Reject Code value of '134' to indicate 'DRU potency unit code is invalid.'

Alphanumeric, fixed in the XML "Code identifying the source organization. Required if Potency Unit Code (020-I009-05-7994) is used."

Unit of measure. Potency Unit. Qualified by Source Code List (7991).

Uses NCPDP NCI subsets

Note: It is strongly recommended that Days Supply (value 'ZDS' be supported.

Backwards compatibility note: The order was modified in version 10.11.

SIG instructions. Dosage free text. Note: If Structured Sig Segment is used, see Note in Structured Sig Segment - Sig Free Text String Indicator (030-S024- 01-7902).

This element in the XML structure combines DRU-030-2 and 3.

Backwards compatibility: the order of the DRU segment was changed in 10.11 thus the later version is not  backwards compatible with 10.6.

This field does not appear in 10.11 because the qualifier is assumed to be "R" in all cases for NEWRX.

R = Number of Refills 'R' implies an Original Dispensing in addition to the Quantity specified in DRU 060-I009-02- 6060. Example: If DRU 060-I009-01- 6063 = 'R' and DRU 060-I009-02-6060 = 3, the prescriber is authorizing four dispensings. This value will appear in NEWRX messages and will not appear in REFRES messages. See Note 2. A = Additional Refills Authorized 'A' implies no Original Dispensing in addition to the quantity specified in DRU 060-I009--2-6060. Example: If DRU 060-I009-01-6063 = 'A' and DRU 060-I009-02-6060 = 3, the prescriber is authorizing three dispensings. This value will appear only in REFRES

This element specifies the number of refills allowed.

Renamed "NumberOfRefills" in version 10.11 and the type was change to numeric (n..2) and used without a qualifier - it is assumed to be"R".

NCPDP value list. Value 0 = No Product Selection Indicated. This value should be used to designate that substitutions are allowed. When a prescriber wishes to allow substitutes for a NEWRX, this field should be ' to reflect that substitutions can be allowed. Values: See the NCPDP External Code List for definitions of values. 0 = No Product Selection Indicated 1 = Substitution Not Allowed by Prescriber 2 = Substitution Allowed - Patient Requested Product Dispensed 3 = Substitution Allowed - Pharmacist Selected Product Dispensed 4 = Substitution Allowed - Generic Drug Not in Stock 5 = Substitution Allowed - Brand Drug Dispensed as a Generic 7 = Substitution Not Allowed - Brand Drug Mandated by Law 8 = Substitution Allowed - Generic Drug Not Available in Marketplace (6 was intentionally left off)

For Medication History Response (RXHRES): If the entity has fill history, Last Fill Date must be used. If the entity has prescribing data, date authorized (Date Written) must be used. For all transaction except VERIFY - At least one loop must contain 85 = Date Issued (Written Date) REFREQ ' At least one loop must contain LD ' (Last Fill). Value '06' (Sold Date) is only allowed to be used in Medication History Response, Fill Status Notification, and Refill Request transactions.

Qualifier - 85 is implied.

Date

Date and Time

For Medication History Response (RXHRES): If the entity has fill history, Last Fill Date must be used. If the entity has prescribing data, date authorized (Date Written) must be used. For all transaction except VERIFY - At least one loop must contain 85 = Date Issued (Written Date) REFREQ ' At least one loop must contain LD ' (Last Fill). Value '06' (Sold Date) is only allowed to be used in Medication History Response, Fill Status Notification, and Refill Request transactions.

Qualifier - LD is implied.

Date

Date and Time

Qualifier - 36 is implied

Date

Date and Time

Qualifier - 07 is implied

Date

Date and Time

Qualifier - PE is implied

Date

Date and Time

Qualifier - 35 is implied

Date

Date and Time

Qualifier - BE is implied

Date

Date and Time

This structure allows senders to specify two sets of primary and secondary diagnoses.

This repeated element allows for repeating groups of Primary and Secondary diagnoses.

Qualifies the Clinical Information - primary field. Values: See External Code List

E, F, and M are not supported. ABF International Classification of Diseases-10- Clinical Modifications (ICD- 10-CM) DX International Classification of Diseases-9- Clinical Modifications- Diagnosis (ICD-9-CM-Diagnosis E Micromedex/Medical F First DataBank M Medi-Span Product

ABF specifies ICD-10-CM DX specifies ICD-9-CM Diagnosis There is no support for SNOMED-CT.

The prescriber supplied or pharmacy inferred code for the diagnosis, coded

Alphanumeric ABF International Classification of Diseases-10- Clinical Modifications (ICD- 10-CM) DX International Classification of Diseases-9- Clinical Modifications- Diagnosis (ICD-9-CM-Diagnosis

ABF specifies ICD-10-CM DX specifies ICD-9-CM Diagnosis There is no support for SNOMED-CT and there is no support for Micromedex, Fist DataBank, or Medi-Span, unlike the Primary diagnosis.

The prescriber supplied or pharmacy inferred code for the secondary diagnosis., coded

Qualifier used to define the Reference Number. X-12 DE 128.   Alphanumeric, validation pattern G1|PD|D3|94|0B|1C|1D|1E|1G|1M|2U|BO|DH| HI|NC|NF|PD|SY|HPI|G1|ZZ

Alphanumeric, mandatory. This number is used to store the Prior Authorization or Sample Prescription number or the Prescriber Order Number, if used. Used in conjunction with 02-1153 qualifier field. The Prescriber Order Number resides in this field in a RXHRES transaction only. This field cannot be used for the prescriber order number in other transactions; these occur in the UIH Segment. For RXHRES in each loop of the medication - If the Prescriber Order Number is used, the qualifier of '94' (Pharmacy or Prescriber File ID) is required. The field is used to convey the prescriber order number in a Medication History response.

Conditional repeating composite for further explanation, conflict, or clarification of services related to drug use evaluation

Code identifying the type of conflict detected. When this composite is used, DUE Reason For Service Code is mandatory. When the DUE Reason For Service Code is sent from the prescriber to the pharmacist, the DUE Result Of Service Code is mandatory. When the DUE Reason For Service Code is sent from the pharmacist to the prescriber, the DUE Result Of Service code is conditional. This field uses the appropriate values from the Reason For Service Code in NCPDP External Code List.

Alphanumeric, pattern Code identifying intervention performed when a conflict has been detected. This field uses the appropriate values from the Professional Service Code in the NCPDP External Code List.

Alphanumeric, pattern Action taken in response to a conflict. This field uses the appropriate values from the Result of Service Code in the NCPDP External Code List.

Identifies the co-existing agent contributing to the DUR event (drug or disease) conflicting with the prescribed drug. When DUE Co-Agent ID is used, the DUE Co-Agent ID Qualifier must be present.

Alphanumeric

Alphanumeric, see regex Code qualifying the value in DUE Co- Agent ID. When DUE Co-Agent ID Qualifier is sent, the DUE Co-Agent ID must be present. This field uses the appropriate values from the DUR Co-Agent Qualifier in the NCPDP External Code List.

Alphanumeric, pattern Code identifying the significance or severity level of a clinical event as contained in the originating database.

Additional textual information regarding intervention and/or acknowledgment associated with a DUE conflict. Mandatory if DUE Professional Service Code (100-S018-02-7881) = 'ZZ' (Other) to provide further explanation

Code identifying the coverage status of the prescribed drug.

The status of the prescription's prior authorization as known by the sender.

Used for medications ordered by a prescriber but not requiring dispensing at this time, but required for administration and available for drug-to-drug interactions.

The XSD pattern appears to have an error. This should be Y|N rather than Y|H ?

Conditional composite for the facility to relay to the long term care pharmacy the timeframe when medication is needed for delivery. When a facility transmits either a new medication order (NEWRX) or request for the re-supply of a medication (RESUPP) to a pharmacy, it would optionally indicate the time by which the medication is needed. The facility could also provide a textual reason why the medication is needed by the time specified. The long term care pharmacy would then use this information to determine whether a special delivery is required, or whether the order could go out with the next scheduled delivery.

In the XSD this date/time is using UtcDatetype unlike other date/time values.

Composite for time zone for use with 140-I006; otherwise not used.

In the DRU Segment, Time Zone data elements are available for usage between the facility and the long term care pharmacy as part of the 'Needed No Later Than' information. In addition, Time Zone is available in the REQ segment for use when communicating drug administration events such as suspending medication administration, using the Drug Administration Notification (DRUADM) message. Events communicated in the CENSUS message may include time as well as date, and the Time Zone composite may be used to clarify those time values.

Defines the time zone used by the sender. UN/EDIFACT element. Values: See External Code List For NEWRX or RESUPP in long term care setting, only value supported ' UT = Universal Time Coordinate Time zone difference quantity is mandatory if the composite is sent.

Alphanumeric, pattern The time zone difference quantity is HHMM offset from the Coordinated Universal Time (UTC) (X12 Data Element 623, value UT (Universal Time Coordinate)).

Free text additional instructions.

NOT SUPPORTED IN 10.6 but added to 10.11

Alphanumeric, coded

Alphanumeric, fixed

Alphanumeric

Not supported

The Repeating Sig Composite is used to indicate if there is more than one Sig, such as for a tapered dose or sliding scale.

A value of ' means that the Sig has no repeating elements. Values equal to or greater than 1 are used when the Sig has repeating elements to indicate the position within the string.

Alphanumeric, pattern AND|OR|THEN Used to express when there is more than one Sig as to whether all the Sigs must apply (AND) or if any of the Sigs can apply (OR) or if the Sigs are sequential (THEN), in the sequence defined by Sig SEQUENCE POSITION.

The Code System Composite of the Sig identifies which code system and version are used.

The version of The Systematized Nomenclature of Human and Veterinary Medicine (SNOMED) being used.

The version of Federal Medication Terminologies (FMT) being used.

Used to reflect the text string express of the Sig. It should always be used, and in addition is the only composite to place a free text Sig from a generating system that CANNOT generate a structured Sig.

Indicates the system capability of representing the instructions. Note: Value 1. Capture what the MD ordered. The Structured SIG Segment free text is used - free text is what the physician selected. DRU Dosage (030-I014-02 or 030-I014-03) Sig instructions must contain the same text. The Structured SIG Segment contains the codified SIG fields from the prescriber's order. Value 2. Reconstructed from structured Sig. The Structured SIG Segment free text used and it is a direct translation of codified SIG values and must not be structured English language or pharmacist/patient friendly. DRU Dosage (030-I014-02 or 030-I014-03) Sig instructions free text contains what the physician selected. Value 3. Pure free text. Value 3 is not used in the SCRIPT Standard. f the structured Sig cannot be generated, the segment is not used. The DRU Dosage (030-I014-02 or 030-I014-03) Sig instructions free text is used. DRU Dosage (030-I014-02 or 030-I014-03) Sig instructions free text contains what the physician selected.

Sig Free Text

The dose composite can define a fixed dose or can repeat to define a variable dose, dose range, or dose options.

Alphanumeric, pattern 1|2|3|4 Indicates the action to be taken on the Dose Composite fields.

The textual representation of the Dose Delivery Method. This is the method in which the dose is delivered (describes how the dose is administered/consumed)

Alphanumeric, pattern 1|2 Qualifier to identify the code system being used

The code representing the Dose Delivery Method Text.

Modifies the method in which the dose is delivered (clarifies Dose Delivery Method Text).

Qualifier to identify the code system being used. Values: See External Code List

The code representing the Dose Delivery Method Modifier Text.

The numeric expression of the dose.

The textual representation of the Dose Form

Qualifier to identify the code system being used. Values: See External Code List

The code representing the Dose Form

Alphanumeric, pattern TO|OR Used to signify that the Sig contains more than one dose in a range or option. Values: See External Code List

Used to calculate a dose where a body metric such as metric weight or surface area is used to calculate a dose for a patient.

Expresses the numeric value of the dosing basis.

The textual representation of the dosing basis unit of measure.

Alphanumeric, pattern 1|2 Qualifier to identify the code system being used.

The code representing the dosing basis unit of measure

Alphanumeric, pattern 1|2 Qualifier to identify the body metric being used (either weight or surface area). Values: See External Code List

Numeric Expresses the value of the body metric.

Numeric Expresses the numeric value of the calculated dose

The textual representation of the unit of measure of the calculated dose.

Alphanumeric, pattern 1|2 Qualifier to identify the code system being used. Values: See External Code List

Code representing the calculated dose unit of measure.

Alphanumeric, pattern TO|OR Used to signify that the Sig contains more than one dose which represent a dose range (TO) or contains a dose option (OR). Values: See External Code List

Defines a vehicle specified for the delivery of the product.

Alphanumeric, pattern 1|2 Vehicle Name Code Qualifier

The code representing the Vehicle Name.

A volume, expressed in a value.

The textual representation of Vehicle Unit of Measure.

Alphanumeric, pattern 1|2 Qualifier to identify the code system being used. Values: See External Code List

The code representing the Vehicle Unit of Measure

Alphanumeric, pattern AND|OR Denotes if for an instance of more than one vehicle if all vehicles are used together (AND), or if each of the listed vehicles is an option (OR). Values: See External Code List

Defines the route of administration.

Alphanumeric, free text, The textual representation of the Route of Administration

Qualifier to identify the code system being used. Route of Administration Code Qualifier

The code representing the Route of Administration

Alphanumeric, AND/OR Used to express when there is more than one route as to whether the routes are all required to be used (AND) or if any of the routes can be used (OR). Values: See External Code List

The textual representation of Site Code. It is the site of administration.

Qualifier to identify the code system being used.

The code representing the Site of Administration

Alphanumeric, AND/OR/NOT Used to express when there is more than one site as to whether the sites are all required (AND) for use or excluded from use (NOT) or if any of the sites can be used (OR).

This composite is used to provide instruction about the timing of the Sig - when/how often/frequently/at what rate - the medication is be taken. Defines a specific administration day, date or time

This composite in XML combines timing, frequency, and interval.

The textual representation of Administration Timing.

Qualifier to identify the code system being used.

The code representing the Administration Timing Text.

Alphanumeric, pattern AND|OR e ADMINISTRATION TIME as to whether the times are all required to be used (AND) or if any of the times can be used (OR). Values: See External Code List

The amount of time for a {single} dose to be administered

The textual representation of Rate Unit of Measure for the period of time (seconds, minutes, hours, days) in which the dose is to be administered.

Alphanumeric, pattern 1|2 Qualifier to identify the code system being used.

The code representing the Rate Unit Of Measure Text.

Expresses the time unit of measure for the calculated dose.

Alphanumeric, pattern 1|2 Qualifier to identify the code system being used.

The code representing the time period basis.

Defines a frequency of administration. Frequency is events per unit of time. The numeric interval for the event. Used to define a FREQUENCY of administration.

The textual representation of Frequency Units Code.

Alphanumeric, pattern 1|2 Qualifier to identify the code system being used.

The code represented by Frequency Units Text.

Alphanumeric, pattern AND|OR|TO Used to express when there is more than one FREQUENCY as to whether the frequencies are all required to be used (AND) or if any of the frequencies can be used (OR/TO).

Numeric Defines an interval of administration. Interval is the time between events.

The textual representation of Interval Units Code.

Qualifier to identify the code system being used.

The code representing the Interval Units Text.

Alphanumeric, pattern AND|OR|TO Used to express when there is more than one INTERVAL as to whether the intervals are all required to be used (AND) or if any of the intervals can be used (OR/TO). Values: See External Code List

Defines a duration of use/therapy.

Numeric The numeric duration units.

Alphanumeric The textual representation of Duration Units Code.

Qualifier to identify the code system being used.

The code representing the Duration Units Text.

The dose restriction composite of the Sig which defines a maximum or dose limit, as specified by the prescriber.

Numeric Defines a MAXIMUM DOSE, so that the Sig can represent the concept, 'Not to exceed _____.' Expression of a DOSE MAXIMUM involves placing the core dose value in this field and the units and variables in the fields that follow.

The textual representation of the Dose Maximum Units.

Qualifier 1, 2 Qualifier to identify the code system being used. Values: See External Code List

The code representing the Dose Maximum Units Text.

Numeric The numeric representation of the maximum dose calculations.

The textual representation of the Dose Maximum Variable Units.

Qualifier 1, 2 Qualifier to identify the code system being used. Required when Maximum Dose Restriction Variable Units Code (110- S033-08-7974) is used. Values: See External Code List

The code represented by the Dose Maximum Variable Units Text. Required when Maximum Dose Restriction Variable Units Code Qualifier (110-S033-07-7973) is used.

AND, OR boolean operator Used to express when there is more than one DURATION as to whether the durations are all required to be used (AND) or if any of the durations can be used (OR). Values: See External Code List

Defines the indication for use of the medication as meant to be conveyed to the patient.

The textual representation of the indication precursor.

Qualifier 1, 2 Qualifier to identify the code system being used. Values: See External Code List

The code representing the indication precursor.

The textual representation of the Indication.

Qualifier 1,2 Qualifier to identify the code system being used. Values: See External Code List

The code representing the Indication Text.

The textual representation of when the indication value is applicable.

The numeric expression of a value when it applies to an Indication.

The textual representation of the unit of measure of the indication value.