Multi-sequence instructions
A multi-sequence would be required where a dosage instruction changes over a given time schedule, where a dosage instruction includes optional follow-up doses or where a concurrent dosage instruction is required for the same medication at a different dose.
Examples below include Prednisolone to treat Bell’s palsy where a dose starts at 60 mg per day for a period of time then reduces by 10 mg per day. This would be described as a sequential dosage instruction. A concurrent dosage example is provided to describe a different dose in the morning to that at midday.
Sequential Instructions
Where the value of sequence is an incremental integer it defines a sequential instruction.
Concurrent Instructions
Where the same integer value of sequence is defines it means a concurrent instruction.