Representing Immunizations – Administered

Printer Friendly, PDF & Email
Type Standard Implementation/Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard
Final
Production
Rating 5
Yes
Free
N/A
Standard
Final
Production
Rating 4
No
Free
N/A
Standard
Final
Production
Feedback Requested
Yes
Free
N/A
Standard
Final
Production
Feedback Requested
No
Free
N/A
Standard
Final
Production
Rating 4
No
$
No
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • HL7 CVX codes are designed to represent administered and historical immunizations and will not contain manufacturer-specific information.
  • If an MVX code is paired with a CVX (vaccine administered) code, the specific trade named vaccine may be indicated providing further specificity as to the vaccines administered.
  • There is a potential issue with use of the National Drug Code regarding which code to use when there are multiple active ingredients in a single package or multiple separate ingredients that need to be mixed together.
  • CPT is an acceptable alternative code set for local use, but may have limitations for interoperability across systems. 

Comments

Permalink

On behalf of American Medical Association I appreciate the ability to comment on the 2017 Interoperability Standards Advisory.

The AMA requests that the Current Procedural Terminology (CPT) code set be added to the standards listed in I-G: Immunizations – Interoperability Need: Immunizations – Administered.  The CPT code set contains a comprehensive and regularly curated list of immunization product codes that are reported with an administration procedure code.  The combination of codes accurately captures what the immunization product is and that it has been administered, which has been specifically useful for tracking immunizations in the pediatric population.  CPT has a high level of maturity for its development process and implementation, and is the most widely adopted outpatient procedure code set.  It is also federally required.

Permalink

Agree with the code system and value set identified. The VSAC direct url for this value set is https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.6/expansion. 

The RxNorm value set that should be identified is Vaccine Clinical Drug 2.16.840.1.113762.1.4.1010.8 https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.8/expansion

Permalink

The National Drug Code (NDC) Adoption rate is a level 5

The lot number should be added as a requirement when NDC is used.  The lot number is used in conjunction with the NDC when reporting immunizations to state registries.

Permalink

CVS seems more appropriate than NDC, as it is specific to immunization, and can be reconciled well with historical data that largely uses it.  A CPT to CVX valueset recommendation might be published (and has been in the past), but it should not be considered to be the primary vocabulary.

Permalink

On behalf of American Medical Association (AMA) I appreciate the ability to comment on the 2018 Interoperability Standards Advisory (ISA).

Comment:

The AMA recommends that the adoption level for CPT be changed from “Feedback Requested” to “high or widespread adoption.” The CPT procedure codes for vaccines and immune globulins products have been in place for decades and are updated as appropriate for new products. The product codes are reported in addition to the relevant administration procedure code to accurately capture the route of immunization and counseling related to the administered vaccine product. The combination of these codes is widely used for tracking immunizations in the pediatric population. CPT has a high level of maturity for its development process and implementation, and is the most widely adopted outpatient procedure code set. It is also federally required.

Permalink

On behalf of American Medical Association (AMA) I appreciate the ability to comment on the 2018 Interoperability Standards Advisory (ISA).

Comment:

The AMA recommends that the adoption level for CPT be changed from “Feedback Requested” to “high or widespread adoption.” The CPT procedure codes for vaccines and immune globulins products have been in place for decades and are updated as appropriate for new products. The product codes are reported in addition to the relevant administration procedure code to accurately capture the route of immunization and counseling related to the administered vaccine product. The combination of these codes is widely used for tracking immunizations in the pediatric population. CPT has a high level of maturity for its development process and implementation, and is the most widely adopted outpatient procedure code set. It is also federally required.