A Prescriber’s Ability to Obtain a Patient’s Medication History

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Type Standard Implementation/Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Implementation Specification
Rating 4
Limitations, Dependencies, and Preconditions for Consideration Applicable Security Patterns for Consideration
  • Both the “Medication History Request” and “Medication History Response” transactions need to be implemented for interoperability purposes.
  • Both the prescriber and the receiving pharmacy or pharmacy benefits manager (PBM) must have their systems configured for the transaction in order to facilitate successful exchange. This may also include hospitals and/or Accountable Care Organizations (ACOs). 
  • See NCPDP projects in the Interoperability Proving Ground.
  • Secure Communication – create a secure channel for client-to- serve and server-to-server communication.
  • Secure Message Router – securely route and enforce policy on inbound and outbound messages without interruption of delivery.
  • Authentication Enforcer – centralized authentication processes.
  • Authorization Enforcer – specifies access control policies.
  • Credential Tokenizer – encapsulate credentials as a security token for reuse  (e.g.,  – SAML, Kerberos).
  • Assertion Builder – define processing logic for identity, authorization and attribute statements.
  • User Role – identifies the role asserted by the individual initiating the transaction.
  • Purpose of Use - Identifies the purpose for the transaction.



The second bullet under Limitations, Dependencies, and Preconditions for Consideration should be modified to include Hospitals and Accountable Care Organizations (ACOs).