RXE.2_Give_CodeSequential Number: 2
Description: Give Code
Data Type: CWE
Item ID: 317
Table: 0292
RXE.3_Give_Amount_-_MinimumSequential Number: 3
Description: Give Amount - Minimum
Data Type: NM
Item ID: 318
Sequential Number: 4
Description: Give Amount - Maximum
Data Type: NM
Item ID: 319
RXE.5_Give_UnitsSequential Number: 5
Description: Give Units
Data Type: CWE
Item ID: 320
Table: 9999
Sequential Number: 6
Description: Give Dosage Form
Data Type: CWE
Item ID: 321
Table: 9999
RXE.7_Provider_s_Administration_InstructionsSequential Number: 7
Description: Provider's Administration Instructions
Data Type: CWE
Item ID: 298
Table: 9999
Sequential Number: 9
Description: Substitution Status
Data Type: ID
Item ID: 322
Table: 0167
Sequential Number: 10
Description: Dispense Amount
Data Type: NM
Item ID: 323
Sequential Number: 11
Description: Dispense Units
Data Type: CWE
Item ID: 324
Table: 9999
Sequential Number: 12
Description: Number Of Refills
Data Type: NM
Item ID: 304
RXE.13_Ordering_Provider_s_DEA_NumberSequential Number: 13
Description: Ordering Provider's DEA Number
Data Type: XCN
Item ID: 305
RXE.14_Pharmacist_Treatment_Supplier_s_Verifier_IDSequential Number: 14
Description: Pharmacist/Treatment Supplier's Verifier ID
Data Type: XCN
Item ID: 306
Sequential Number: 15
Description: Prescription Number
Data Type: ST
Item ID: 325
Sequential Number: 16
Description: Number of Refills Remaining
Data Type: NM
Item ID: 326
Sequential Number: 17
Description: Number of Refills/Doses Dispensed
Data Type: NM
Item ID: 327
Sequential Number: 18
Description: D/T of Most Recent Refill or Dose Dispensed
Data Type: DTM
Item ID: 328
Sequential Number: 19
Description: Total Daily Dose
Data Type: CQ
Item ID: 329
Sequential Number: 20
Description: Needs Human Review
Data Type: ID
Item ID: 307
Table: 0136
RXE.21_Special_Dispensing_InstructionsSequential Number: 21
Description: Special Dispensing Instructions
Data Type: CWE
Item ID: 330
Table: 9999
Sequential Number: 22
Description: Give Per (Time Unit)
Data Type: ST
Item ID: 331
Sequential Number: 23
Description: Give Rate Amount
Data Type: ST
Item ID: 332
Sequential Number: 24
Description: Give Rate Units
Data Type: CWE
Item ID: 333
Table: 9999
Sequential Number: 25
Description: Give Strength
Data Type: NM
Item ID: 1126
Sequential Number: 26
Description: Give Strength Units
Data Type: CWE
Item ID: 1127
Table: 9999
RXE.27_Give_IndicationSequential Number: 27
Description: Give Indication
Data Type: CWE
Item ID: 1128
Table: 9999
Sequential Number: 28
Description: Dispense Package Size
Data Type: NM
Item ID: 1220
Sequential Number: 29
Description: Dispense Package Size Unit
Data Type: CWE
Item ID: 1221
Table: 9999
Sequential Number: 30
Description: Dispense Package Method
Data Type: ID
Item ID: 1222
Table: 0321
RXE.31_Supplementary_CodeSequential Number: 31
Description: Supplementary Code
Data Type: CWE
Item ID: 1476
Table: 9999
Sequential Number: 32
Description: Original Order Date/Time
Data Type: DTM
Item ID: 1673
Sequential Number: 33
Description: Give Drug Strength Volume
Data Type: NM
Item ID: 1674
Sequential Number: 34
Description: Give Drug Strength Volume Units
Data Type: CWE
Item ID: 1675
Table: 9999
Sequential Number: 35
Description: Controlled Substance Schedule
Data Type: CWE
Item ID: 1676
Table: 0477
Sequential Number: 36
Description: Formulary Status
Data Type: ID
Item ID: 1677
Table: 0478
RXE.37_Pharmaceutical_Substance_AlternativeSequential Number: 37
Description: Pharmaceutical Substance Alternative
Data Type: CWE
Item ID: 1678
Table: 9999
Sequential Number: 38
Description: Pharmacy of Most Recent Fill
Data Type: CWE
Item ID: 1679
Table: 9999
Sequential Number: 39
Description: Initial Dispense Amount
Data Type: NM
Item ID: 1680
Sequential Number: 40
Description: Dispensing Pharmacy
Data Type: CWE
Item ID: 1681
Table: 9999
Sequential Number: 41
Description: Dispensing Pharmacy Address
Data Type: XAD
Item ID: 1682
Sequential Number: 42
Description: Deliver-to Patient Location
Data Type: PL
Item ID: 1683
Sequential Number: 43
Description: Deliver-to Address
Data Type: XAD
Item ID: 1684
Sequential Number: 44
Description: Pharmacy Order Type
Data Type: ID
Item ID: 1685
Table: 0480
RXE.45_Pharmacy_Phone_NumberSequential Number: 45
Description: Pharmacy Phone Number
Data Type: XTN
Item ID: 2310
any