Representing Immunizations – Historical

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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
No
N/A
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • CVX codes are designed to represent administered and historical immunizations and will not contain manufacturer-specific information.

  • When 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.

  • MVX is rarely used to record historical vaccines; however, if a provider has the information available in that standard it should be captured and messaged as part of the historical vaccination record.

  • RxNORM is an acceptable alternative code set for local use, but it is not federally required for exchange with immunization registries and thus may have limitations for interoperability across systems. 

Comment

Agree with the code system…

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. 

I would like to also have the ISA include RxNorm as an additional code system to describe vaccines. That value set 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

This is clearly the right…

This is clearly the right value set for historical data, as that is the value set used.

added value of RxNorm

Given the uptake of CVX/MVX standards, what would the added value of RxNorm be in representing vaccines over CVX/MVX along?

RxNorm and Immunizations?

These are the correct value sets to represent Historical immunizations. 

RxNorm is included in list of value and starter sets. (RxNorm Vaccine Clinical Drug 2.16.840.1.113762.1.4.1010.8)

If CVX and MVX have it covered what is the use case for RxNorm?  

Agree, it should not be…

Agree, it should not be required because it can't be obtained from a patient's history.

Comments on Immunization Topics

Thank you for the opportunity to comment on these and other immunization topics related to the ISA. Our member feedback from the American Immunization Registry Association is attached. 

AIRA Letter and Comments - ONC 2018 Standards Advisory - Oct 2018.pdf