D02A
Message D02A/MEDPRE
Medical prescription message
The MEDPRE message is sent from a prescriber (issuer) of prescriptions (healthcare professionals, i.e. physician, dentist, or veterinarian) to a dispensing agent (i.e. pharmacy) in order to allow the dispenser to deliver dispensed medicines(s) for the treatment of a subject of care (patient, patient group, animal or animal group). The MEDPRE message may also be sent via a relaying agent for storage until it is requested by a dispenser. Copies of the message may also be sent to parties entitled to receive a copy. The MEDPRE message can also be used as a request for a prescription from a dispensing agent to a prescriber.
Message description
UNH
M(1) : Message headerA service segment starting and uniquely identifying a message. The message type code for the Medical prescription message is MEDPRE. Note: Medical prescription messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 MEDPRE 0052 D 0054 02A 0051 UN
BGM
M(1) : Beginning of messageTo indicate the type and function of a message and to transmit the identification of the message.
DTM
C(9) : Date/time/periodTo specify date and/or time relating to the message, such as the date and time the message is generated.
FTX
C(9) : Free textA segment with free text information, in coded or clear form, to provide information related to the message.
SG1 M(99) : SEQ-PNA-IDE-SPR-QUA-EMP-ADR-COM-RFF-SG2
To represent information about involved healthcare parties.
SEQ
M(1) : Sequence detailsTo allocate a unique reference number to an individual party allowing each party to be referenced from other locations within the message.
PNA
C(9) : Party identificationTo specify information necessary to establish the identity of a healthcare party. One occurrence of the segment is used to specify the identity details at one level. If both organisation, department and/or physician are to be specified then a separate occurrence of this segment has to be used for each of them.
IDE
C(9) : IdentityTo specify alternative identification numbers of a healthcare party.
SPR
C(9) : Organisation classification detailsTo specify the medical speciality and type of a healthcare organisation.
QUA
C(9) : QualificationTo specify the qualification of a healthcare professional.
EMP
C(1) : Employment detailsA segment to specify the type, medical speciality and the position or military rank of a healthcare professional.
ADR
C(1) : AddressTo specify an address of a healthcare party.
COM
C(9) : Communication contactTo specify a communication number of a party.
RFF
C(1) : ReferenceA segment to specify a link to a higher level healthcare organisation which the actual healthcare organisation or healthcare professional is a part of. This segment is only used if multiple occurrences of this segment group is needed to express the information of a healthcare party.
SG3 C(1) : ATT-PNA-PDI-IDE-DTM-NAT-AGR-CCI-STS-FTX-LAN-CAV-SG4-SG5-SG6-SG7
A group of segments to describe the subject of care.
ATT
M(1) : AttributeTo specify the type of subject of care such as a person, group of persons, an animal or a group of animals.
PNA
C(9) : Party identificationTo specify the name and official ID of the person or the identification of a group of persons, animal or animal group.
PDI
C(1) : Person demographic informationTo specify the gender of the person or animal.
IDE
C(9) : IdentityTo specify an alternative identification numbers for the subject of care.
DTM
C(2) : Date/time/periodTo specify a date and/or time related to the subject of care such as date and time of birth or age.
NAT
C(1) : NationalityTo specify the nationality of the person.
AGR
C(9) : Agreement identificationTo specify the basis of entitlement to health services and any confidentiality constraint that applies to the handling of information about the subject of care.
CCI
C(2) : Characteristic/class idTo specify the breed and species of an animal.
STS
C(1) : StatusTo specify the authenticity of the person's identity by the prescriber, such as person known by prescriber, person unknown, etc.
FTX
C(9) : Free textA segment with free text information, in coded or clear form, to provide information relating to the subject of care, such as a confidentiality constraint concerning a person or age of a group of animals.
LAN
C(1) : LanguageTo specify the language of the person.
CAV
C(1) : Characteristic valueTo specify the person's ability in the language.
SG4 C(9) : HAN-FTX-DTM
A group of segments to specify any precaution advice concerning the subject of care.
HAN
M(1) : Handling instructionsTo specify a precaution as a code.
FTX
C(9) : Free textA segment with free text information, in coded or clear form, to specify a precaution.
DTM
C(2) : Date/time/periodTo specify an associated date for the precaution such as start or end date and/or time.
SG5 C(9) : ADR-COM
SG6 C(99) : REL-PNA-PDI-ADR-COM-LAN-CAV
A segment group to provide information about a related party such as next-of-kin or animal carer.
REL
M(1) : RelationshipTo specify the type of relationship between the subject of care and the related party.
PNA
M(9) : Party identificationTo specify information necessary to establish the identity of a related party.
PDI
C(1) : Person demographic informationTo specify the gender of the person.
ADR
C(1) : AddressTo specify an address of a patient related party.
COM
C(9) : Communication contactTo specify a communication number of a patient related party.
LAN
C(1) : LanguageTo specify a language of the person.
CAV
C(1) : Characteristic valueTo specify the person's ability in the language.
SG7 C(999) : LIN-CIN-DTM-PNA-LAN-FTX-RSL-CLI-CCI-SG8
This segment group contains clinical information about the patient such as medical history, investigation results, medication records or allergies. Each occurrence of this segment group provides information concerning a single clinical information item.
LIN
M(1) : Line itemTo allocate an identification number to the clinical information item.
CIN
C(9) : Clinical informationTo specify the type of clinical information item and possibly a medical diagnosis.
DTM
C(9) : Date/time/periodTo specify start and/or end date and/or time for the clinical information item and/or date and/or time of the origin of the clinical information item.
PNA
C(9) : Party identificationTo specify information necessary to establish the identity of the party providing the clinical information item. One occurrence of the segment is used to specify the identity details at one level. If both organisation, department and/or physician are to be specified then a separate occurrence of this segment has to be used for each of them.
LAN
C(1) : LanguageTo specify the language of the clinical information item.
FTX
C(99) : Free textA segment with free text information, in coded or clear form, to specify an item of clinical information.
RSL
C(1) : ResultTo specify a clinical investigation result item, such as the height or weight of the subject of care or the result of a laboratory investigation.
CLI
C(9) : Clinical interventionTo specify a clinical examination such as a height measurement. Multiple occurrences of this segment may be needed if a multi-axial coding scheme is being used.
CCI
C(9) : Characteristic/class idTo specify a characteristic of a laboratory investigation. Multiple occurrences of this segment may be needed if a multi-axial coding scheme is being used.
SG8 C(1) : IMD-STS-DSG-INP-FTX-SCC-QTY
A group of segments to specify current or past medication or known allergy.
IMD
M(1) : Item descriptionA segment to identify a medicinal product item.
STS
M(1) : StatusTo specify the medicinal treatment status such as commenced, stopped or a patient allergy.
DSG
C(9) : Dosage administrationTo specify the form of presentation or the route of administration of the medicinal product as well as dosage administration or trigger for administration.
INP
C(9) : Parties and instructionTo specify an instruction for use.
FTX
C(9) : Free textA segment with free text information, in coded or clear form, to provide comments to dosage administration.
SCC
C(9) : Scheduling conditionsTo specify a dosage pattern as structured information.
QTY
C(9) : QuantityTo specify a quantity concerning the medicine such as a single dose or strength of tablet.
SG9 M(1) : GIS-IDE-DTM-PTY-AGR-LAN-STS-FTX-SG10-SG11-SG12-SG14
A group of segments to specify a set of prescriptions issued for a subject of care.
GIS
M(1) : General indicatorTo specify the service type of the prescription set such as a new prescription, a modification of an earlier prescription or cancellation of a prescription.
IDE
M(9) : IdentityTo identify the prescription set and the coding scheme used for identification of the medicinal product(s).
DTM
M(9) : Date/time/periodA segment to specify a date and/or time relevant for the prescription set such as issue date of prescription set or requested date and time of dispensing.
PTY
C(1) : PriorityA segment to specify the requested priority for dispensing.
AGR
C(1) : Agreement identificationTo specify the agreed disposal of the prescribed medicinal product(s) such as to be used by the client or for distribution.
LAN
C(1) : LanguageA segment to specify the language of the prescription set.
STS
C(1) : StatusTo specify the status of the prescription set such as requested, prescribed or dispensed.
FTX
C(99) : Free textA segment with free text information, in coded or clear form, to provide comments to the prescription set.
SG10 C(9) : DOC-IDE-DTM
A group of segments to specify a reference to a related message or document.
DOC
M(1) : Document/message detailsTo specify the type of message or document being referenced.
IDE
C(1) : IdentityTo identify a referenced message or document.
DTM
C(1) : Date/time/periodTo specify issue date and/or time for a referenced message or document.
SG11 C(1) : TOD-TDT-FTX-DTM-ADR-COM-PNA-PTY-PAC
A group of segments to specify where the dispensed medicine is to be delivered or collected.
TOD
M(1) : Terms of delivery or transportTo specify how the dispensed medicine(s) will be delivered or collected.
TDT
C(1) : Details of transportA segment to specify the mode of transport for the delivery of dispensed medicine(s).
FTX
C(9) : Free textA segment with free text information, in coded or clear form, to specify the delivery of the dispensed medicine(s).
DTM
C(9) : Date/time/periodA segment to specify a date and/or time relevant for the delivery of the dispensed medicine(s) such as date and time of delivery.
ADR
C(1) : AddressA segment to specify the address for delivery of the dispensed medicine(s).
COM
C(9) : Communication contactA segment to identify a telecommunication number for the receiver at the dispensed medicine delivery point.
PNA
C(9) : Party identificationA segment to identify the receiver of a dispensed medicine.
PTY
C(1) : PriorityA segment to specify the requested priority for the delivery of the dispensed medicine(s).
PAC
C(1) : PackageTo specify if special packaging is required.
SG12 C(9) : FCA-PNA-IDE-RCS-SG13
A group of segments to specify the party responsible in part or in whole for the payment and the related payment conditions for the dispensed medicine(s) in the actual prescription set.
FCA
M(1) : Financial charges allocationTo specify the responsibility for the settlement of charges, i.e. whether the costs are to be paid by the patient, by private insurance, etc.
PNA
C(9) : Party identificationTo specify information necessary to establish the identity of the payer. One occurrence of the segment is used to specify the identity details at one level. Thus two occurrences of this segment may be needed if both organisation and department are being used.
IDE
C(9) : IdentityTo identify a payer.
RCS
C(9) : Requirements and conditionsTo specify a national requirement or condition.
SG13 C(9) : ICD-ALC-PCD-MOA-IDE-DTM
A group of segments to specify a payment condition.
ICD
M(1) : Insurance cover descriptionTo specify insurance cover type and care coverage.
ALC
C(9) : Allowance or chargeTo specify a reason for reduced or no payment.
PCD
C(1) : Percentage detailsTo specify percentage to be paid as the contribution of the payer.
MOA
C(9) : Monetary amountTo specify a monetary amount as the contribution of the payer.
IDE
C(9) : IdentityTo specify a reference for the authorisation of this service.
DTM
C(9) : Date/time/periodA segment to specify a date and/or time relevant to this payment condition such as date of authorisation.
SG14 C(99) : LIN-DSG-IMD-QTY-PGI-PNA-PAC-IDE-DLM-EQN-PRC-DTM-STS-CIN-FTX-SG15-SG16-SG17
A group of segments to specify the information about a single prescription item.
LIN
M(1) : Line itemA segment to specify a prescription item identification and request for notification information related to variation in delivery such as a substituted item or delivery failure.
DSG
C(9) : Dosage administrationA segment to specify the form of presentation of the medicinal product.
IMD
M(1) : Item descriptionA segment to identify a medicinal product item and the type of the item.
QTY
C(9) : QuantityTo specify a quantity concerning the medicine regime such as number of units of supply or strength of tablet.
PGI
C(9) : Product group informationA segment to specify the group in which the medicine belongs such as legal category or price category.
PNA
C(9) : Party identificationA segment to specify the supplier of the medicinal product, the manufacturer of the medicinal product or the initial prescriber of the treatment.
PAC
C(1) : PackageA segment to specify the type of package and the number of physical units.
IDE
C(9) : IdentityTo identify the package or to give an alternative identification of the initial authoriser.
DLM
C(9) : Delivery limitationsTo specify limitations on dispensing such as allowed substitution type if any.
EQN
C(1) : Number of unitsTo specify the number of times dispensing to be repeated.
PRC
C(9) : Process identificationA segment to specify information about the preparation of an extemporaneously dispensed medicine.
DTM
C(9) : Date/time/periodA segment to specify a date and/or time or period concerning the prescribing of the dispensed medicine such as dispensing interval or initial date of treatment.
STS
C(1) : StatusTo specify the status of the dispensed medicine provided such as requested, dispensed, etc.
CIN
C(99) : Clinical informationTo specify the indication for the prescribed item and/or comments concerning the prescribed item expressed as a clinical code.
FTX
C(99) : Free textA segment with free text information, in coded or clear form, expressing the indication for the prescribed item, package description, comments concerning the prescribed item or other information about this prescription item.
SG15 C(99) : CAV-IMD-QTY-FTX
A group of segments to specify information about a single ingredient.
CAV
M(1) : Characteristic valueA segment to specify the function of the ingredient such as active or excipient ingredient.
IMD
M(1) : Item descriptionA segment to identify the ingredient.
QTY
C(9) : QuantityA segment to specify the quantity for an ingredient.
FTX
C(99) : Free textA segment with free text information, in coded or clear form, to provide comments about the ingredient.
SG16 C(99) : SEQ-DSG-QTY-INP-DTM-FTX-SCC-CIN-PCI-LAN-EQA
A group of segments to specify how the dispensed medicine should be administered and used.
SEQ
M(1) : Sequence detailsTo allocate a sequential regimen phase number.
DSG
C(9) : Dosage administrationTo specify how the dispensed medicine is administered. If this information is provided in a structured way then this segment is used for route of administration or trigger for administration.
QTY
C(9) : QuantityA segment to specify a quantity related to dosage of the dispensed medicine such as the single dose or maximum daily dose.
INP
C(9) : Parties and instructionTo instruct the dispenser that an exceptional dosage regimen is intended.
DTM
C(9) : Date/time/periodA segment to specify a date and/or time or period concerning dosage of the dispensed medicine such as duration of treatment or time of administration.
FTX
C(9) : Free textA segment with free text information, in coded or clear form, to provide information relating to the medicine dosage and administration.
SCC
C(9) : Scheduling conditionsTo specify a dosage pattern and dosage frequency as structured information.
CIN
C(9) : Clinical informationA segment to specify the indication for the use of the dispensed medicine.
PCI
C(9) : Package identificationTo specify a cautionary or advisory label.
LAN
C(1) : LanguageA segment to specify the language of the instructions.
EQA
C(9) : Attached equipmentTo specify device or equipment to be used for the administration of the dispensed medicine.
SG17 C(9) : FCA-PNA-IDE-RCS-SG18
A group of segments to specify the party that is responsible in part or in whole for the payment of the actual prescription item and the related payment conditions.
FCA
M(1) : Financial charges allocationTo specify the responsibility for the settlement of charges, i.e. whether the costs are to be paid by the patient, by private insurance, etc.
PNA
C(9) : Party identificationTo specify information necessary to establish the identity of the payer. One occurrence of the segment is used to specify the identity details at one level. Thus two occurrences of this segment may be needed if both organisation and department are being used.
IDE
C(9) : IdentityTo identify a payer.
RCS
C(9) : Requirements and conditionsTo specify a national requirement or condition.
SG18 C(9) : ICD-ALC-PCD-MOA-IDE-DTM
A group of segments to specify a payment condition.
ICD
M(1) : Insurance cover descriptionTo specify the insurance cover type and care coverage.
ALC
C(9) : Allowance or chargeTo specify a reason for reduced or no payment.
PCD
C(1) : Percentage detailsTo specify percentage to be paid as the contribution of the payer.
MOA
C(9) : Monetary amountTo specify a monetary amount as the contribution of the payer.
IDE
C(9) : IdentityTo specify a reference for the authorisation of this service.
DTM
C(9) : Date/time/periodA segment to specify a date and/or time relevant to this payment condition such as date of authorisation.
CNT
C(1) : Control totalA segment to provide the number of prescription items in the message.
UNT
M(1) : Message trailerA service segment ending a message, giving the total number of segments in the message (including the UNH & UNT) and the control reference number of the message.
Message structure
UNH, Message header M 1 BGM, Beginning of message M 1 DTM, Date/time/period C 9 FTX, Free text C 9 --- Segment Group 1 ------------------------- M 99 -------+ SEQ, Sequence details M 1 | PNA, Party identification C 9 | IDE, Identity C 9 | SPR, Organisation classification details C 9 | QUA, Qualification C 9 | EMP, Employment details C 1 | ADR, Address C 1 | COM, Communication contact C 9 | RFF, Reference C 1 | | --- Segment Group 2 ------------------------- C 9 ------+| DOC, Document/message details M 1 || COM, Communication contact C 1 || ---- ----------------------------------------------------------++ --- Segment Group 3 ------------------------- C 1 -------+ ATT, Attribute M 1 | PNA, Party identification C 9 | PDI, Person demographic information C 1 | IDE, Identity C 9 | DTM, Date/time/period C 2 | NAT, Nationality C 1 | AGR, Agreement identification C 9 | CCI, Characteristic/class id C 2 | STS, Status C 1 | FTX, Free text C 9 | LAN, Language C 1 | CAV, Characteristic value C 1 | | --- Segment Group 4 ------------------------- C 9 ------+| HAN, Handling instructions M 1 || FTX, Free text C 9 || DTM, Date/time/period C 2 || ---- ----------------------------------------------------------+| | --- Segment Group 5 ------------------------- C 9 ------+| ADR, Address M 1 || COM, Communication contact C 9 || ---- ----------------------------------------------------------+| | --- Segment Group 6 ------------------------- C 99 ------+| REL, Relationship M 1 || PNA, Party identification M 9 || PDI, Person demographic information C 1 || ADR, Address C 1 || COM, Communication contact C 9 || LAN, Language C 1 || CAV, Characteristic value C 1 || ---- ----------------------------------------------------------+| | --- Segment Group 7 ------------------------- C 999 ------+| LIN, Line item M 1 || CIN, Clinical information C 9 || DTM, Date/time/period C 9 || PNA, Party identification C 9 || LAN, Language C 1 || FTX, Free text C 99 || RSL, Result C 1 || CLI, Clinical intervention C 9 || CCI, Characteristic/class id C 9 || || --- Segment Group 8 ------------------------- C 1 -----+|| IMD, Item description M 1 ||| STS, Status M 1 ||| DSG, Dosage administration C 9 ||| INP, Parties and instruction C 9 ||| FTX, Free text C 9 ||| SCC, Scheduling conditions C 9 ||| QTY, Quantity C 9 ||| ---- ---------------------------------------------------------+++ --- Segment Group 9 ------------------------- M 1 -------+ GIS, General indicator M 1 | IDE, Identity M 9 | DTM, Date/time/period M 9 | PTY, Priority C 1 | AGR, Agreement identification C 1 | LAN, Language C 1 | STS, Status C 1 | FTX, Free text C 99 | | --- Segment Group 10 ------------------------ C 9 ------+| DOC, Document/message details M 1 || IDE, Identity C 1 || DTM, Date/time/period C 1 || ---- ----------------------------------------------------------+| | --- Segment Group 11 ------------------------ C 1 ------+| TOD, Terms of delivery or transport M 1 || TDT, Details of transport C 1 || FTX, Free text C 9 || DTM, Date/time/period C 9 || ADR, Address C 1 || COM, Communication contact C 9 || PNA, Party identification C 9 || PTY, Priority C 1 || PAC, Package C 1 || ---- ----------------------------------------------------------+| | --- Segment Group 12 ------------------------ C 9 ------+| FCA, Financial charges allocation M 1 || PNA, Party identification C 9 || IDE, Identity C 9 || RCS, Requirements and conditions C 9 || || --- Segment Group 13 ------------------------ C 9 -----+|| ICD, Insurance cover description M 1 ||| ALC, Allowance or charge C 9 ||| PCD, Percentage details C 1 ||| MOA, Monetary amount C 9 ||| IDE, Identity C 9 ||| DTM, Date/time/period C 9 ||| ---- ---------------------------------------------------------++| | --- Segment Group 14 ------------------------ C 99 ------+| LIN, Line item M 1 || DSG, Dosage administration C 9 || IMD, Item description M 1 || QTY, Quantity C 9 || PGI, Product group information C 9 || PNA, Party identification C 9 || PAC, Package C 1 || IDE, Identity C 9 || DLM, Delivery limitations C 9 || EQN, Number of units C 1 || PRC, Process identification C 9 || DTM, Date/time/period C 9 || STS, Status C 1 || CIN, Clinical information C 99 || FTX, Free text C 99 || || --- Segment Group 15 ------------------------ C 99 -----+|| CAV, Characteristic value M 1 ||| IMD, Item description M 1 ||| QTY, Quantity C 9 ||| FTX, Free text C 99 ||| ---- ---------------------------------------------------------+|| || --- Segment Group 16 ------------------------ C 99 -----+|| SEQ, Sequence details M 1 ||| DSG, Dosage administration C 9 ||| QTY, Quantity C 9 ||| INP, Parties and instruction C 9 ||| DTM, Date/time/period C 9 ||| FTX, Free text C 9 ||| SCC, Scheduling conditions C 9 ||| CIN, Clinical information C 9 ||| PCI, Package identification C 9 ||| LAN, Language C 1 ||| EQA, Attached equipment C 9 ||| ---- ---------------------------------------------------------+|| || --- Segment Group 17 ------------------------ C 9 -----+|| FCA, Financial charges allocation M 1 ||| PNA, Party identification C 9 ||| IDE, Identity C 9 ||| RCS, Requirements and conditions C 9 ||| ||| --- Segment Group 18 ------------------------ C 9 ----+||| ICD, Insurance cover description M 1 |||| ALC, Allowance or charge C 9 |||| PCD, Percentage details C 1 |||| MOA, Monetary amount C 9 |||| IDE, Identity C 9 |||| DTM, Date/time/period C 9 |||| ---- --------------------------------------------------------++++ CNT, Control total C 1 UNT, Message trailer M 1