|Data Element ID:||DE348|
|Name:||Intended administration route|
|Version:||Hospital Version 1.1, Hospital Version 1.2|
|Data Element ISO Name:||Administration_Medication-Route_Intended,CD|
|Definition:||Determination of the intended route of administration.|
|Question:||What was the intended route of administration?|
|Form Name:||Medication or Other Substance|
|Setting:||Hospitals, including outpatient pharmacies and outpatient departments located within the hospital|
|Comments:||None defined at this time|
|Description of Change:||Changed Maximum Length of characters for free text from "500" to "2000"|
|Go-To Logic:||Refer to Common Formats Flow Charts|
|Guide For Use:||
Answer this question only if the event involved an incorrect route of administration.
'Cutaneous, topical application, including ointment, spray, patch' also includes iontopheresis, i.e., using an electric current to stimulate absorption through the skin.
'Subcutaneous' also includes intradermal, e.g., tuberculin injection, and involves piercing the skin.
'Ophthalmic' includes application to the eyelid, conjunctiva or sclera.
'Oral, including sublingual and buccal' involves taking the substance by mouth and swallowing it or keeping it under the tongue or against the inside of the cheek to be absorbed.
'Otic' includes instillation into the ear canal.
'Nasal' includes instillation of drops into the nostril, swabbing or packing the nasal mucosa, or inhalation of an aerosol into the nasal passages or upper respiratory tract.
'Intravenous' includes by push or drip or pump directly into a vein or into a central line.
'Intramuscular' includes injection into the deltoid, gluteus or similar muscle.
'Intrathecal' involves injection of substances into the cerebrospinal fluid in the subarachnoid space or into the cerebral ventricles. Administering a spinal anesthetic is an intrathecal procedure.
'Epidural' includes use of an indwelling catheter to administer a substance into the epidural space within the vertebral column.
'Gastric' involves administration into the stomach or digestive tract, generally via a nasogastric tube.
'Rectal' includes administration through the anus into the rectum or through the rectum into the lower GI tract.
'Vaginal' includes administration of substances via the vaginal introitus into the vagina or uterus.
|HL7 Data Type:||Concept Descriptor (CD)|
|Maximum Length:||5 (2000 for free text associated with 'Other: Please specify' response.)|
|Answer Code||Answer ID||Answer Value||Code System||Code System Name|
|A1440||a||Cutaneous, topical application, including ointment, spray, patch||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1443||b||Subcutaneous||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1444||c||Ophthalmic||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1446||d||Oral, including sublingual or buccal||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1447||e||Otic||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1449||f||Nasal||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1450||g||Inhalation||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1452||h||Intravenous||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1455||i||Intramuscular||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1458||j||Intrathecal||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1461||k||Epidural||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1464||l||Gastric||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1467||m||Rectal||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A1470||n||Vaginal||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A66||p||Other: Please specify||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|Until Date:||- -|
|Source:||Agency for Healthcare Research and Quality|
|Submitting Organization:||Agency for Healthcare Research and Quality (AHRQ)|
|Date of Submission:||- -|
|Responsible Organization:||Agency for Healthcare Research and Quality (AHRQ)|
|Creator:||Amy Helwig, MD, MS|
|Data Steward:||Agency for Healthcare Research and Quality (AHRQ)|
|References:||No specific reference at this time|
|Rationale for Change:||Increased narrative field size to accommodate more information|
|Administrative Status Date:||04/03/2012|