Representing Alcohol Use

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Type Standard Implementation/Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard for observations
Final
Production
Rating 1
Yes
Free
N/A
Standard for observation values
Final
Production
Feedback Requested
No
Free
N/A
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • The Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] consists of the first 3 questions of the World Health Organization’s 10-question AUDIT alcohol screening that can help identify patients who are hazardous drinkers or have active alcohol use disorders (including alcohol abuse or dependence), is best suited for this interoperability need.
  • See LOINC projects in the Interoperability Proving Ground. 
  • For more information about observations and observation values, see Appendix II for an informational resource developed by the Health IT Standards Committee. 

AUDIT-C panel (LOINC® code 72109-2)

AUDIT-C member codes

   LOINC® code 68518-0 (with LOINC® answer list ID LL2179-1)

   LOINC® code 68519-8 (with LOINC® answer list ID LL2180-9)

   LOINC® code 68520-6 (with LOINC® answer list ID LL2181-7)

   AUDIT-C total score (LOINC® code 75626-2)

AUDIT panel (LOINC code 72110-0)

AUDIT panel total score (LOINC code 75624-7)

Comments

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The Joint Commission currently has 3 chart-abstracted quality measures screening for alcohol use and treatment (SUB-1, SUB-2/2a, and SUB-3/3a) that are used by The Joint Commission and CMS in quality reporting programs.  We agree with inclusion of the Audit-C, as that is a validated screening tool for unhealthy alcohol use.  However, we also think that the AUDIT tool should be included as well.  This tool is also a validated survey instrument, and seems to be the most commonly used one for our chart-abstracted measures.  LOINC currently has 72110-0 Alcohol Use Disorder Identification Test [AUDIT] and 75624-7 Total Score [AUDIT].  In order for use, the rest of the questions from the survey instrument would need to be added in LOINC as well as the LOINC answer lists.

Thank you for your comment.  We have added the full AUDIT panel code and the total score code.  This does not imply any requirement for an EHR or other health IT system to capture the AUDIT test questions or total score, but we recognize that this test may currently be in use.

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SNOMED – Not currently used in NCPDP MMA mandated standards. Future versions of the NCPDP SCRIPT standard support SNOMED.