RxNorm and DailyMed Stuart J. Nelson, MD, FACP, FACMI.

Slides:

Advertisements

Similar presentations

IHE Pharmacy profiles Hospital Medication Workflow status – July 2010.

Advertisements

Enhancing Written Information from the Pharmacy: An Update on MedGuides & Consumer Medicine Information (CMI) National Association of Chain Drug Stores.

Joint TC Meeting: EHR – RCRIM RCRIM Overview HL7 Working Group Meeting January, 2007 Presented by: Ed Tripp Program Director, eSubmissions Abbott (RCRIM.

Spring 2008: features & functionality overview Julie Gordon, Product Director Presented at SLA DPHT Spring Meeting, St Petersburg, Florida.

Structured Product Labeling Overview

U.S. Food and Drug Administration

Update on Vocabularies and Value Sets for Meaningful Use

Primary Goal: To demonstrate the ability to provide efficient and accurate ICU care, formally close the ICU event with the patient’s PCP, and show interoperability.

Clarity Medication Mapping to NDF-RT

SPL/DailyMed Jamboree Workshop October 28, 2013 Stephen A. Weitzman, J.D., LL.M.

DailyMed Stuart J. Nelson, MD, FACP, FACMI National Library of Medicine National Institutes of Health.

Drug File – IV Additives and Solutions June 2011.

RxNorm Overview John Kilbourne MD National Library of Medicine

“Paperless Labeling Rule” Proposed Rule First Look January 2015.

Update on Vocabularies and Value Sets for Meaningful Use Betsy Humphreys, MLS, FACMI Deputy Director National Library of Medicine National Institutes of.

Managing Pharmacy Drug Data Optimizing Pharmacy Data Management Mary Ann Niesen, Pharm.D.

The Role of the UMLS in Vocabulary Control CENDI Conference “Controlled Vocabulary and the Internet” Stuart J. Nelson, MD.

ClinicalTrials.gov Stephen Kiyoi

The Future of NDC: The HL7 Perspective James J. Cimino, M.D. Co-chair, HL7 Vocabulary Technical Committee Departments of Medicine and Medical Informatics.

The Role of Standard Terminologies in Facilitating Integration James J. Cimino, M.D. Departments of Biomedical Informatics and Medicine Columbia University.

HL7 Drug Name Coordination Efforts James J. Cimino, M.D. Columbia University.

1 FDA’s Proposed Revised 21 CFR 207 Rule and Electronic Drug Registration and Listing Systems (e-DRLS) John W. Gardner, MD, DrPH Director, DCRMS / OC /

Drug calculation formula

1 Overview of DailyMed John Kilbourne MD National Library of Medicine

Clinical Operations Workgroup.  Core Measure  Generate and transmit permissible prescriptions electronically (eRx)  Meaningful Use Stage 1:  Core:

NLM Vocabulary Update Betsy Humphreys Deputy Director, NLM.

 Overview The Drug Compendia  Review Drug Compendia Processes  Benefits of SPL.

C3PI: Computational Photography Project for Pill Identification SPLIMAGE: OHPCC Imaging Support Terry Yoo OHPCC/LHNCBC/NLM/NIH/DHHS/USA October 28, 2013.

Overview of the New Content and Format Requirements for Prescription Drug Labeling.

Patient Safety Initiatives Kelly Cronin Director, Patient Safety and Outcomes Research Office of Policy and Planning Office of the Commissioner FDA.

Stage 2 EHR Certification: NLM Vocabulary Update Betsy Humphreys, MLS, FACMI Deputy Director National Library of Medicine National Institutes of Health.

Meaningful Use Measures. Reporting Time Periods Reporting Period for 1 st year of MU (Stage 1) 90 consecutive days within the calendar year Reporting.

11 February 2008NLM BOR WG on Clinical Trials1 Clinical Trials Registration and Results Reporting: Legislative Requirements Jerry Sheehan Assistant Director.

1 Betsy L. Humphreys, MLS Betsy L. Humphreys, MLS National Library of Medicine National Library of Medicine National Institutes of Health National Institutes.

P R E S E N T E D B Y: Carol Goularte Pharmacy Buyer Sierra Nevada Memorial Hospital August 19, 2009 Pharmaceutical Recall Process.

FINDING DRUG DATA STAT WEB-BASED INFORMATION RESOURCES :

Downstream Use of Structured Product Labeling Thomas R. Bizzaro, R.Ph. Vice President, Health policy and Industry Relations SPL/DailyMed Jamboree Workshop.

DynaMed Plus Tutorial support.ebsco.com. DynaMed Plus™ is the clinical reference tool that physicians go to for answers to clinical questions. Content.

Stage 2 EHR Certification: NLM Vocabulary Update Betsy Humphreys Deputy Director, NLM.

NLM Standards Related Activities Vivian A Auld Senior Specialist for Health Data Standards National Library of Medicine HL7 Working Group Meeting San Antonio,

Stage 2 EHR Certification: NLM Vocabulary Update Betsy Humphreys Deputy Director, NLM.

NLM Standards Related Activities Vivian A Auld Senior Specialist for Health Data Standards National Library of Medicine National Committee on Vital and.

EHR Tips and Tricks. Order Dialog “Pop-Ups” Providers can have a variety of “messages” when ordering a medication: – Display Restrictions/Guidelines –

A L T A R U M P R E S E N T A T I O N TMA UBO Pharmacy Rates Update Presented by the UBO Support Team January 15, 2008 (0800, 1400, 2100) EST January.

OR “READ THE FINE PRINT PLEASE!”

An EHR isn’t Enough: Information Exchange for Meaningful Use June 18, 2010 Tri-State REC Kickoff Michele Fronckiewicz Executive Director Child Health Administrative.

AHRQ Annual Conference September 27, 2007 E-Prescribing and Ambulatory Medication Reconciliation Douglas S. Bell, MD, PhD Assistant Professor, UCLA Department.

This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information.

HIT Policy Committee Adoption/Certification Workgroup Comments on NPRM, IFR Paul Egerman, Co-Chair Retired Marc Probst, Co-Chair Intermountain Healthcare.

Dr Ihab Nada, M.D., DOE, MSKMC.  CMIS is an effective and complete clinic management tool that makes information instant, easy to access, easy to update,

NLM Value Set Authority Center Curation and delivery of value sets for eMeasures eMeasures Issues Group (eMIG) May 24, 2012 NLM.

Labeling and Electronic Initiatives Rachel E. Behrman M.D., M.P.H. Deputy Director, Office of Medical Policy CDER FDA Science Board, April 15, 2005.

1 One Year Post Exclusivity Adverse Event Review: Ciprofloxacin Pediatric Subcommittee of the Anti-infective Drugs Advisory Committee Meeting June 9, 2004.

Federal Medication Terminologies (FMT) Enabling Health IT Interoperability.

Health IT Workforce Curriculum Version 1.0 Fall Networking and Health Information Exchange Unit 4a Basic Health Data Standards Component 9/Unit.

C-CDA Scorecard Rubrics Review of CDA R2.0 Smart C-CDA Scorecard Rules C. Beebe.

1 Structured Product Labeling Project Update Randy Levin, M.D. Director for Health and Regulatory Data Standards Food and Drug Administration HL7 Working.

© Copyright IBM 2007DIA ERS SIAC Presentation, January 2008 The HL7 RPS and SPL Standards - A High Level View Terry Hardin Sr. IT Architect Emerging Software.

Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill/Irwin Chapter 2 Clinical Information Standards – Unit 3 seminar Electronic.

Patrick McLaughlin National Library of Medicine National Institutes of Health U.S. Department of Health and Human Services.

1 RxNorm Overview Tammy Powell National Library of Medicine National Institutes of Health U.S. Department of Health and Human Services

Dailymed/RxNorm Jamboree Leyla Rahjou-Esfandiary September 2016

Understanding Drug Labels

Red Drugs November Update.

Basic Facts in pharmacy

CCHIT Roadmap Discussion Items

UDI Key Features: Medical Device Integration

SPL Implementation Working Group Leyla Rahjou-Esfandiary October 2016

Labeling and Electronic Initiatives

RxNav 2.0 – A web-based mobile-responsive RxNorm browser

Presentation transcript:

RxNorm and DailyMed Stuart J. Nelson, MD, FACP, FACMI

What is RxNorm?  Public Domain Vocabulary  Standardized (NORMalized) names for Clinical Drugs  Supports Interoperability  Part of UMLS

The Clinical Drug Problem (1)  Missed Synonymy in UMLS  HL7 Discussions  Clinical Drug Defined –Ingredient plus Strength or Form or Both

The Clinical Drug Problem (2)  Ciprofloxacin 100mg/50mL IV Infusion  Ciprofloxacin 400mg/200 ml IV Infusion  Ciprofloxacin Lactate 0.2% in Saline (Base Equiv)  Ciprofloxacin IV Soln 2 MG/ML  The Same, or Different?

Why Clinical Drugs?  NDC Codes –Too Granular –Incomplete Records –Meaningful Identifiers –Without Hyphens - Not Unique  No Source Complete and Accurate

NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: Propranolol 10 Mg Oral Tablet NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC: NDC:

The RxNorm Model

Sources of Clinical Drug Vocabularies  First Databank  Multum  Micromedex  MediSpan  Gold Standard  SNOMED-CT  VA NDF  FDA - NDC Registry, DailyMed

Present Status  Coverage –Prescription Drugs (US) –99% Complete  Browser (RxNav) 

Differences From UMLS  Normalized Names Establish Synonymy  Frequent Releases  Limited Scope

DailyMed Basis  Structured Product Labels  FDA Approved Information

What is a Product Label?  Content Approved by FDA  Information for Prescribers/ Dispensers  Rarely Information for Patients

Product Label Distribution Old Method  Printed on Odd Shaped Paper  Tiny Print  Folded to Postage Stamp Size  Stuck Inside Box  Some Printed in PDR  Updates Erratic

Product Label Distribution New Method  Submitted and Processed Electronically  Sent to NLM  Available Online (Section 508 Compliant)  Downloadable for Reuse  First Label November 1, 2005  Easily Updated

Other Features of DailyMed  Links –PubMed –MEDLINEplus –ClinicalTrials –Presence in Breast Milk –Reporting Adverse Events  RxNorm Names and Codes

DailyMed Functions  Download Product Labels  Print Product Labels  Forward Label  Search Archive for Old Labels  Notify of Changes (RSS)

DailyMed