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HIT Standards Committee e-Prescribing of Discharge Medications Power Team Jamie Ferguson, Chair September 28, 2011.

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Presentation on theme: "HIT Standards Committee e-Prescribing of Discharge Medications Power Team Jamie Ferguson, Chair September 28, 2011."— Presentation transcript:

1 HIT Standards Committee e-Prescribing of Discharge Medications Power Team Jamie Ferguson, Chair September 28, 2011

2 Power Team Members Jamie Ferguson, Chair Don Bechtel, Siemens Ken Gebhart, NIST Kevin Hutchinson, Prematics Liz Johnson, Tenet Scott Robertson, KP David Yakimischak, Surescripts 2

3  On July 20 the HITSC endorsed the Power Team recommendations with two amendments:  Identify specific HL7 version numbers for HL7 discharge prescription messaging to be used in EHR certification (Action item)  Omit data element list for RxNorm (No further action required)  The Power Team met with NIST repeatedly regarding HL7 prescription messaging in EHR certification in order to:  Identify the specific HL7 messages for discharge eRx that can implement the Medicare Part D regulation text  Ensure workability/practicality of certification testing for these  Ensure comparability of eRx messaging for discharge medications with NCPDP SCRIPT vs. HL7 prescriptions 3 Power Team Status Recap

4 HL7 Versions 4  Any valid HL7 version 2 prescription message (version 2.2 through 2.5.1) meets requirements of Medicare Part D  Defined requirements for “valid HL7 version 2 prescription message” – NIST MU Mandatory Criteria mapped to HL7 version 2.2 through version 2.5.1:  Product IdentificationRXO.1  Prescription QuantityRXO.11 + RXO.12  Sig (text)RXO.7.2  Date written ORC.9  Refills RXO.13

5 Certification Comparability 5  Mandatory test elements, NCPDP mapped to HL7 v2.x SCRIPT EDIFACTSCRIPT XMLHL7 v2.x (V2.2 – V2.5.1) ØØØ SØ19 Ø1 ØØ13 Segment code /MedicationPrescribednot applicable to HL7 Ø1Ø IØ13 Ø1 7ØØ9 Item Description Identification No equivalent in XMLnot applicable to HL7 Ø1Ø IØ13 Ø2 7ØØ8 Item Description/MedicationPrescribed/DrugDescriptionRXO-1.2 Requested Give Code.Text Ø1Ø IØ13 Ø8 1154 Reference Number/MedicationPrescribed/DrugDBCodeRXO-1.1 Requested Give Code.Identifier Ø1Ø IØ13 Ø9 1153 Reference Qualifier/MedicationPrescribed/DrugDBCodeQualifierRXO-1.3 Requested Give Code.Name of Coding System Ø2Ø IØØ9 Ø1 6Ø63 Quantity Qualifier/MedicationPrescribed/Quantity/QualifierRXO-12.1 Requested Dispense Units.Identifier Ø2Ø IØØ9 Ø2 6Ø6Ø Quantity/MedicationPrescribed/QuantityRXO-11 Requested Dispense Amount Ø2Ø IØØ9 Ø3 1131 Code List Qualifier/MedicationPrescribed/Quantity/CodeListQualifiernot applicable to HL7 Ø3Ø IØ14 Ø2 Dosage/MedicationPrescribed/DirectionsRXO-7.2 Provider's Administration Instructions.Text Ø4Ø IØØ6 Ø1 2ØØ5 Date/Time Period Qualifier No equivalent in XML not applicable to HL7 Ø4Ø IØØ6 Ø2 238Ø Date/Time/Period/MedicationPrescribed/WrittenDateORC-9 Date Time of Transaction Ø6Ø IØØ9 Ø1 6Ø63 Quantity Qualifier/MedicationPrescribed/Refills/Qualifiernot applicable to HL7 Ø6Ø IØØ9 Ø2 6Ø6Ø Quantity/MedicationPrescribed/Refills/QuantityRXO-13 Number of Refills

6 Summary & Recommendation  HL7 Amendment to Power Team recommendation: eRx for discharge medications may use HL7 version 2.2 through version 2.5.1 prescription messages, as described above  Aligns EHR certification with Medicare Part D regulations  Practical and testable  Alternative standards allowed in Part D are comparable  Request HITSC approval of HL7 amendment to previous recommendations of standards for eRx of discharge medications 6

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