Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Data Element
Medication List Type
Description

Codification of the type of medication list (e.g. Active medication list, Reconciled medication list, Discharged medication list, Discontinued (Inactive) medication list, Patient generated medication list (Different nuance, needs to be reviewed by a clinician before it can be entered as an active medication list), Medications that are private and need patient consent to share, Medication administration list, Medication administration list for public health and CDC reporting (e.g., for COVID, Antibiotics for Antibiotic Stewardship), Discharged medication list (Feeds the discharge summary that contains the Discharged medication list and when transferring within a hospital from one level of care to another (intersystem), a transfer medication list is used for MR).
Submitted By: Shelly Spiro / Pharmacy HIT Collaborative
Data Element Information
Use Case Description(s)
Use Case Description Types of medication lists are used in the Standardized Medication Profile (SMP) FHIR IG for transitions of care (https://build.fhir.org/ig/HL7/smp-ig/) to define the type of medication list for medication reconciliation and to export a type of medication list (e.g. medication administration). LOINC codes are available and this data element and SMP use case is part of the HL7 PACIO project (https://confluence.hl7.org/display/PC/PACIO+Project).
Estimate the breadth of applicability of the use case(s) for this data element This data element will help with CDC's request to add medication administration, which may help with burden-reduction initiatives related to medication reconciliation.
Link to use case project page https://confluence.hl7.org/display/PC/PACIO+Project
ONC Priority
  • Address public health interoperability needs of reporting, investigation, and emergency response
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) LOINC
Additional Specifications Standardized Medication Profile Implementation Guide https://build.fhir.org/ig/HL7/smp-ig/
Current Use Not currently captured, stored, or accessed
Extent of exchange N/A
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) None
Restrictions on Use (e.g. licensing, user fees) None
Privacy and Security Concerns None
Estimate of Overall Burden No more burdensome than current medication reconciliation processes and will assure more accurate and comprehensive medication reconciliation.
ONC Evaluation Details
Each submitted Data Element has been evaluated based on the following criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Criterion #1
Maturity - Current Standards		 Level 2 - Data element is represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2
Maturity - Current Use 		Level 0 - Data element is captured, stored, or accessed in limited settings such as a pilot or proof of concept demonstration.
Criterion #3
Maturity - Current Exchange		 Level 0 - Data element is electronically exchanged in limited environments, such as connectathons or pilots.
Criterion #4
Use Case(s) - Breadth of Applicability		 Level 2 - Use cases apply to most care settings or specialties.

Comment

Submitted by jpatterson@mitre.org on

PACIO Recommends Advancing Medication List Type to USCDI V6

  • Data Class: Medications
  • Data Element: Medication List Type (Level 0)
  • Recommendation: Advance the Medication List Type data element from Level 0 to Level 2 and final USCDI v6
  • Rationale: The PACIO Community* recommends advancing the Medication List Type data element from Level 0 to Level 2 and Final USCDI v6. This request for inclusion of the Medication List Type recommends the use of LOINC codes for active medication list, discharge medication list, medication administration list, transfer medication list, etc. to allow current Medication data class elements to be reused across all needs expressed in other Level 0 data elements, such as the Medication Administration data elements and Discharge Medications data element. This data element was tested during the PACIO Connectathons for the Standardized Medication Profile (SMP) use case. This recommendation is endorsed by PACIO Standard Medication Profile, Transitions of Care, and the Personal Functioning and Engagement subgroups.
  • * The PACIO (Post-Acute Care Interoperability) Project, established February 2019, is a collaborative effort between industry, government, and other stakeholders, with the goal of establishing a framework for the development of FHIR implementation guides to facilitate health information exchange.
  • Applicable standards: LOINC with specific codes captured under NLM VSAC OID 2.16.840.1.113762.1.4.1096.240 and LOINC code 80565-5 for Medication Administration Report.

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