MEDPRE Medical prescription
MEDPRE Medical prescription
TBG10 Healthcare
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).
Position
Segment
Name
Max Use
00010
Mandatory
Max 1
A 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 20B 0051 UN
00020
Mandatory
Max 1
To indicate the type and function of a message and to transmit the identification of the message.
00030
Conditional
Max 9
To specify date and/or time relating to the message, such as the date and time the message is generated.
00040
Conditional
Max 9
A segment with free text information, in coded or clear form, to provide information related to the message.
Segment group 1
Mandatory
Repeat 99
00060
Mandatory
Max 1
To allocate a unique reference number to an individual party allowing each party to be referenced from other locations within the message.
00070
Conditional
Max 9
To 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.
00080
Conditional
Max 9
To specify alternative identification numbers of a healthcare party.
00090
Conditional
Max 9
To specify the medical speciality and type of a healthcare organisation.
00100
Conditional
Max 9
To specify the qualification of a healthcare professional.
00110
Conditional
Max 1
A segment to specify the type, medical speciality and the position or military rank of a healthcare professional.
00120
Conditional
Max 1
To specify an address of a healthcare party.
00130
Conditional
Max 9
To specify a communication number of a party.
00140
Conditional
Max 1
A 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.
Segment group 2
Mandatory
Repeat 9
00160
Mandatory
Max 1
To specify the type of the requested document or message.
00170
Conditional
Max 1
To identify the requested communication method.
Segment group 3
Mandatory
Repeat 1
00190
Mandatory
Max 1
To specify the type of subject of care such as a person, group of persons, an animal or a group of animals.
00200
Conditional
Max 9
To specify the name and official ID of the person or the identification of a group of persons, animal or animal group.
00210
Conditional
Max 1
To specify the gender of the person or animal.
00220
Conditional
Max 9
To specify an alternative identification numbers for the subject of care.
00230
Conditional
Max 2
To specify a date and/or time related to the subject of care such as date and time of birth or age.
00240
Conditional
Max 1
To specify the nationality of the person.
00250
Conditional
Max 9
To specify the basis of entitlement to health services and any confidentiality constraint that applies to the handling of information about the subject of care.
00260
Conditional
Max 2
To specify the breed and species of an animal.
00270
Conditional
Max 1
To specify the authenticity of the person's identity by the prescriber, such as person known by prescriber, person unknown, etc.
00280
Conditional
Max 9
A 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.
00290
Conditional
Max 1
To specify the language of the person.
00300
Conditional
Max 1
To specify the person's ability in the language.
Segment group 4
Mandatory
Repeat 9
00320
Mandatory
Max 1
To specify a precaution as a code.
00330
Conditional
Max 9
A segment with free text information, in coded or clear form, to specify a precaution.
00340
Conditional
Max 2
To specify an associated date for the precaution such as start or end date and/or time.
Segment group 5
Mandatory
Repeat 9
00360
Mandatory
Max 1
To specify an address of the subject of care.
00370
Conditional
Max 9
To specify a communication number for the subject of care at the specific address.
Segment group 6
Mandatory
Repeat 99
00390
Mandatory
Max 1
To specify the type of relationship between the subject of care and the related party.
00400
Mandatory
Max 9
To specify information necessary to establish the identity of a related party.
00410
Conditional
Max 1
To specify the gender of the person.
00420
Conditional
Max 1
To specify an address of a patient related party.
00430
Conditional
Max 9
To specify a communication number of a patient related party.
00440
Conditional
Max 1
To specify a language of the person.
00450
Conditional
Max 1
To specify the person's ability in the language.
Segment group 7
Mandatory
Repeat 999
00470
Mandatory
Max 1
To allocate an identification number to the clinical information item.
00480
Conditional
Max 9
To specify the type of clinical information item and possibly a medical diagnosis.
00490
Conditional
Max 9
To 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.
00500
Conditional
Max 9
To 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.
00510
Conditional
Max 1
To specify the language of the clinical information item.
00520
Conditional
Max 99
A segment with free text information, in coded or clear form, to specify an item of clinical information.
00530
Conditional
Max 1
To specify a clinical investigation result item, such as the height or weight of the subject of care or the result of a laboratory investigation.
00540
Conditional
Max 9
To 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.
00550
Conditional
Max 9
To specify a characteristic of a laboratory investigation. Multiple occurrences of this segment may be needed if a multi-axial coding scheme is being used.
Segment group 8
Mandatory
Repeat 1
00570
Mandatory
Max 1
A segment to identify a medicinal product item.
00580
Mandatory
Max 1
To specify the medicinal treatment status such as commenced, stopped or a patient allergy.
00590
Conditional
Max 9
To specify the form of presentation or the route of administration of the medicinal product as well as dosage administration or trigger for administration.
00600
Conditional
Max 9
To specify an instruction for use.
00610
Conditional
Max 9
A segment with free text information, in coded or clear form, to provide comments to dosage administration.
00620
Conditional
Max 9
To specify a dosage pattern as structured information.
00630
Conditional
Max 9
To specify a quantity concerning the medicine such as a single dose or strength of tablet.
Segment group 9
Mandatory
Repeat 1
00650
Mandatory
Max 1
To specify the service type of the prescription set such as a new prescription, a modification of an earlier prescription or cancellation of a prescription.
00660
Mandatory
Max 9
To identify the prescription set and the coding scheme used for identification of the medicinal product(s).
00670
Mandatory
Max 9
A 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.
00680
Conditional
Max 1
A segment to specify the requested priority for dispensing.
00690
Conditional
Max 1
To specify the agreed disposal of the prescribed medicinal product(s) such as to be used by the client or for distribution.
00700
Conditional
Max 1
A segment to specify the language of the prescription set.
00710
Conditional
Max 1
To specify the status of the prescription set such as requested, prescribed or dispensed.
00720
Conditional
Max 99
A segment with free text information, in coded or clear form, to provide comments to the prescription set.
Segment group 10
Mandatory
Repeat 9
00740
Mandatory
Max 1
To specify the type of message or document being referenced.
00750
Conditional
Max 1
To identify a referenced message or document.
00760
Conditional
Max 1
To specify issue date and/or time for a referenced message or document.
Segment group 11
Mandatory
Repeat 1
00780
Mandatory
Max 1
To specify how the dispensed medicine(s) will be delivered or collected.
00790
Conditional
Max 1
A segment to specify the mode of transport for the delivery of dispensed medicine(s).
00800
Conditional
Max 9
A segment with free text information, in coded or clear form, to specify the delivery of the dispensed medicine(s).
00810
Conditional
Max 9
A segment to specify a date and/or time relevant for the delivery of the dispensed medicine(s) such as date and time of delivery.
00820
Conditional
Max 1
A segment to specify the address for delivery of the dispensed medicine(s).
00830
Conditional
Max 9
A segment to identify a telecommunication number for the receiver at the dispensed medicine delivery point.
00840
Conditional
Max 9
A segment to identify the receiver of a dispensed medicine.
00850
Conditional
Max 1
A segment to specify the requested priority for the delivery of the dispensed medicine(s).
00860
Conditional
Max 1
To specify if special packaging is required.
Segment group 12
Mandatory
Repeat 9
00880
Mandatory
Max 1
To specify the responsibility for the settlement of charges, i.e. whether the costs are to be paid by the patient, by private insurance, etc.
00890
Conditional
Max 9
To 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.
00900
Conditional
Max 9
To identify a payer.
00910
Conditional
Max 9
To specify a national requirement or condition.
Segment group 13
Mandatory
Repeat 9
00930
Mandatory
Max 1
To specify insurance cover type and care coverage.
00940
Conditional
Max 9
To specify a reason for reduced or no payment.
00950
Conditional
Max 1
To specify percentage to be paid as the contribution of the payer.
00960
Conditional
Max 9
To specify a monetary amount as the contribution of the payer.
00970
Conditional
Max 9
To specify a reference for the authorisation of this service.
00980
Conditional
Max 9
A segment to specify a date and/or time relevant to this payment condition such as date of authorisation.
Segment group 14
Mandatory
Repeat 99
01000
Mandatory
Max 1
A 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.
01010
Conditional
Max 9
A segment to specify the form of presentation of the medicinal product.
01020
Mandatory
Max 1
A segment to identify a medicinal product item and the type of the item.
01030
Conditional
Max 9
To specify a quantity concerning the medicine regime such as number of units of supply or strength of tablet.
01040
Conditional
Max 9
A segment to specify the group in which the medicine belongs such as legal category or price category.
01050
Conditional
Max 9
A segment to specify the supplier of the medicinal product, the manufacturer of the medicinal product or the initial prescriber of the treatment.
01060
Conditional
Max 1
A segment to specify the type of package and the number of physical units.
01070
Conditional
Max 9
To identify the package or to give an alternative identification of the initial authoriser.
01080
Conditional
Max 9
To specify limitations on dispensing such as allowed substitution type if any.
01090
Conditional
Max 1
To specify the number of times dispensing to be repeated.
01100
Conditional
Max 9
A segment to specify information about the preparation of an extemporaneously dispensed medicine.
01110
Conditional
Max 9
A 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.
01120
Conditional
Max 1
To specify the status of the dispensed medicine provided such as requested, dispensed, etc.
01130
Conditional
Max 99
To specify the indication for the prescribed item and/or comments concerning the prescribed item expressed as a clinical code.
01140
Conditional
Max 99
A 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.
Segment group 15
Mandatory
Repeat 99
01160
Mandatory
Max 1
A segment to specify the function of the ingredient such as active or excipient ingredient.
01170
Mandatory
Max 1
A segment to identify the ingredient.
01180
Conditional
Max 9
A segment to specify the quantity for an ingredient.
01190
Conditional
Max 99
A segment with free text information, in coded or clear form, to provide comments about the ingredient.
Segment group 16
Mandatory
Repeat 99
01210
Mandatory
Max 1
To allocate a sequential regimen phase number.
01220
Conditional
Max 9
To 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.
01230
Conditional
Max 9
A segment to specify a quantity related to dosage of the dispensed medicine such as the single dose or maximum daily dose.
01240
Conditional
Max 9
To instruct the dispenser that an exceptional dosage regimen is intended.
01250
Conditional
Max 9
A 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.
01260
Conditional
Max 9
A segment with free text information, in coded or clear form, to provide information relating to the medicine dosage and administration.
01270
Conditional
Max 9
To specify a dosage pattern and dosage frequency as structured information.
01280
Conditional
Max 9
A segment to specify the indication for the use of the dispensed medicine.
01290
Conditional
Max 9
To specify a cautionary or advisory label.
01300
Conditional
Max 1
A segment to specify the language of the instructions.
01310
Conditional
Max 9
To specify device or equipment to be used for the administration of the dispensed medicine.
Segment group 17
Mandatory
Repeat 9
01330
Mandatory
Max 1
To specify the responsibility for the settlement of charges, i.e. whether the costs are to be paid by the patient, by private insurance, etc.
01340
Conditional
Max 9
To 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.
01350
Conditional
Max 9
To identify a payer.
01360
Conditional
Max 9
To specify a national requirement or condition.
Segment group 18
Mandatory
Repeat 9
01380
Mandatory
Max 1
To specify the insurance cover type and care coverage.
01390
Conditional
Max 9
To specify a reason for reduced or no payment.
01400
Conditional
Max 1
To specify percentage to be paid as the contribution of the payer.
01410
Conditional
Max 9
To specify a monetary amount as the contribution of the payer.
01420
Conditional
Max 9
To specify a reference for the authorisation of this service.
01430
Conditional
Max 9
A segment to specify a date and/or time relevant to this payment condition such as date of authorisation.
01440
Conditional
Max 1
A segment to provide the number of prescription items in the message.
01450
Mandatory
Max 1
A 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.