HL7 Terminology (THO)
5.1.0 - Publication
HL7 Terminology (THO)
5.1.0 - Publication
This page is part of the HL7 Terminology (v5.1.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions 
| Active as of 2019-12-01 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="v2-0506"/>
<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>status</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#status</td><td>code</td><td>Status of the concept</td></tr><tr><td>deprecated</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated</td><td>code</td><td>Version of HL7 in which the code was deprecated</td></tr><tr><td>v2-concComment</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment</td><td>string</td><td>V2 Concept Comment</td></tr><tr><td>v2-concCommentAsPub</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub</td><td>string</td><td>V2 Concept Comment As Published</td></tr></table><p><b>Concepts</b></p><p>This code system <code>http://terminology.hl7.org/CodeSystem/v2-0506</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>V2 Concept Comment</b></td><td><b>V2 Concept Comment As Published</b></td></tr><tr><td style="white-space:nowrap">N<a name="v2-0506-N"> </a></td><td>Nurse prerogative</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>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></tr><tr><td style="white-space:nowrap">C<a name="v2-0506-C"> </a></td><td>Compound</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 "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.</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 "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.</td></tr><tr><td style="white-space:nowrap">T<a name="v2-0506-T"> </a></td><td>Tapering</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>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></tr><tr><td style="white-space:nowrap">E<a name="v2-0506-E"> </a></td><td>Exclusive</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>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></tr><tr><td style="white-space:nowrap">S<a name="v2-0506-S"> </a></td><td>Simultaneous</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>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></tr></table></div>
</text>
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<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"/>
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<version value="2.1.0"/>
<name value="ServiceRequestRelationship"/>
<title value="serviceRequestRelationship"/>
<status value="active"/>
<experimental value="false"/>
<date value="2019-12-01"/>
<publisher value="HL7, Inc"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/"/>
</telecom>
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<description
value="HL7-defined code system of concepts used to specify an additional or alternate relationship between this service request and other service requests. Used in the Timing/Quantity Relationship (TQ2) segment in HL7 Version 2.x messaging."/>
<purpose
value="Underlying Master Code System for V2 table 0506 (Service Request Relationship)"/>
<copyright
value="Copyright HL7. Licensed under creative commons public domain"/>
<caseSensitive value="true"/>
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<hierarchyMeaning value="is-a"/>
<compositional value="false"/>
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<content value="complete"/>
<property>
<code value="status"/>
<uri
value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#status"/>
<description value="Status of the concept"/>
<type value="code"/>
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<property>
<code value="deprecated"/>
<uri
value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated"/>
<description value="Version of HL7 in which the code was deprecated"/>
<type value="code"/>
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<property>
<code value="v2-concComment"/>
<uri
value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concComment"/>
<description value="V2 Concept Comment"/>
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<property>
<code value="v2-concCommentAsPub"/>
<uri
value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-concCommentAsPub"/>
<description value="V2 Concept Comment As Published"/>
<type value="string"/>
</property>
<concept id="5522">
<code value="N"/>
<display value="Nurse prerogative"/>
<definition value="Nurse prerogative"/>
<property>
<code value="v2-concComment"/>
<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."/>
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<code value="v2-concCommentAsPub"/>
<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."/>
</property>
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<code value="status"/>
<valueCode value="A"/>
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<concept id="5523">
<code value="C"/>
<display value="Compound"/>
<definition value="Compound"/>
<property>
<code value="v2-concComment"/>
<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 "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."/>
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<code value="v2-concCommentAsPub"/>
<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 "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."/>
</property>
<property>
<code value="status"/>
<valueCode value="A"/>
</property>
</concept>
<concept id="5524">
<code value="T"/>
<display value="Tapering"/>
<definition value="Tapering"/>
<property>
<code value="v2-concComment"/>
<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."/>
</property>
<property>
<code value="v2-concCommentAsPub"/>
<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."/>
</property>
<property>
<code value="status"/>
<valueCode value="A"/>
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</concept>
<concept id="5525">
<code value="E"/>
<display value="Exclusive"/>
<definition value="Exclusive"/>
<property>
<code value="v2-concComment"/>
<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)."/>
</property>
<property>
<code value="v2-concCommentAsPub"/>
<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)."/>
</property>
<property>
<code value="status"/>
<valueCode value="A"/>
</property>
</concept>
<concept id="5526">
<code value="S"/>
<display value="Simultaneous"/>
<definition value="Simultaneous"/>
<property>
<code value="v2-concComment"/>
<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)."/>
</property>
<property>
<code value="v2-concCommentAsPub"/>
<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)."/>
</property>
<property>
<code value="status"/>
<valueCode value="A"/>
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</concept>
</CodeSystem>
IG © 2020+ HL7 International - Vocabulary Work Group. Package hl7.terminology#5.1.0 based on FHIR 4.0.1. Generated 2023-02-25
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