Representing Patient Medications

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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
Yes
N/A
Standard
Final
Production
Rating 3
No
Free
N/A
Emerging Standard
In Developement
Pilot
Rating 1
No
Free
N/A
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • The use of NDC in conjunction with RxNorm can help minimize gaps in representing medications, including compounded products, over -the-counter medications, and herbals.
  • MED-RT allows for representing classes of medications when specific medications are not known.
  • Immunizations are not considered medications for this interoperability need.
  • RxNorm is often used for the exchange of information; however, it may not be available for export and import by end users.
  • Grouping Value Set: Medication Clinical Drug 2.16.840.1.113762.1.4.1010.4
    • Medication Clinical General Drug (2.16.840.1.113883.3.88.12.80.17)
    • Medication Clinical Brand-specific Drug (2.16.840.1.113762.1.4.1010.5) (RxNorm).
  • Grouping Value Set: Clinical Substance 2.16.840.1.113762.1.4.1010.2
    • Medication Clinical Drug (2.16.840.1.113762.1.4.1010.4) (RxNorm )
    • Unique Ingredient Identifier - Complete Set (2.16.840.1.113883.3.88.12.80.20) (UNII)

Comment

NCPDP - Comments

The National Drug Code (NDC) should have an Adoption Level of 5 and Federally Required should be a Yes. It is mandated under HIPAA.

SNOMED is not currently used. NCPDP Standards would need to be modified to support SNOMED.

Medication Reference Terminology (MED-RT) is not currently used.  NCPDP Standards would need to be modified to support MED-RT.

NDC Federally Required and Adoption level

Thank you for your comments.  We acknowledge the federal requirement to include NDC on CMS 1500 claim form.  With respect to adoption level, we would appreciate  your comments on level of adoption and use of NDC within existing health IT systems.