Temp_Workspace_Deduplication+&Repurposing

PRN Medication List Active Medications (Held for Period of Time) Medications that patient was exposed to, now discontinued, but still clinically relevant Software need – document the delta || LIST (Sequence) || || "A" Data Element (core data exchanged with every transition) || Includes ICD-9 codes and/or SNOMED codes || "A" Data Element (core data exchanged with every transition) || Value Set: Medication Brand Name 2.16.840.1.113883.3.88.12.80.16 Code System(s): rxNorm 2.16.840.1.113883.6.88 Value Set: Medication Drug Class 2.16.840.1.113883.3.88.12.80.18 Code System(s): NDF-RT 2.16.840.1.113883.3.26.1.5 Value Set: Medication Clinical Drug 2.16.840.1.113883.3.88.12.80.17 Code System(s): RxNorm 2.16.840.1.113883.6.88 || "A" Data Element (core data exchanged with every transition) || Value Set: Medication Brand Name 2.16.840.1.113883.3.88.12.80.16 Code System(s): rxNorm 2.16.840.1.113883.6.88 Value Set: Medication Drug Class 2.16.840.1.113883.3.88.12.80.18 Code System(s): NDF-RT 2.16.840.1.113883.3.26.1.5 Value Set: Medication Clinical Drug 2.16.840.1.113883.3.88.12.80.17 Code System(s): RxNorm 2.16.840.1.113883.6.88 || "A" Data Element (core data exchanged with every transition) || Need to have both the "dose" as well as the form or administration unit. || PQ || ** Clinical Example ** : 500 mg tablet Value Set: Medication Brand Name 2.16.840.1.113883.3.88.12.80.16 Code System(s): rxNorm 2.16.840.1.113883.6.88 || "A" Data Element (core data exchanged with every transition) || 6 hours while awake || "A" Data Element (core data exchanged with every transition) || Code System(s): National Cancer Institute (NCI) Thesaurus 2.16.840.1.113883.3.26.1.1 || "A" Data Element (core data exchanged with every transition) || Store in the refrigerator. Take with food. || "A" Data Element (core data exchanged with every transition) || by mouth; or apply to skin in area of rash Value Set: Medication Route FDA Value Set 2.16.840.1.113883.3.88.12.3221.8.7 Code System(s): National Cancer Institute (NCI) Thesaurus 2.16.840.1.113883.3.26.1.1 || "A" Data Element (core data exchanged with every transition) || at bedtime daily || "A" Data Element (core data exchanged with every transition) || 
 * Active Medication List ||
 * Name of Data Element || Definition of Data Element || ISO/HL7 Datatype|| Examples and Guidance || Data Element Priority ||
 * Active Medication List || A list of clinically relevant medications, including:
 * Associated Assessment || Reason the provider prescribed the medication || BAG (Bag) || ** Clinical Example ** : Hyperlipidemia: Lipitor
 * Changed Medications || Medications that have been modified in this encounter, i.e. dosage adjustments || CE (Coded element) || ** Clinical Example ** : Lipitor 10 mg discontinued; Lipitor 20 mg prescribed
 * Date Of Reconciliation || The date of the last active medication list reconciliation || DATE || || "A" Data Element (core data exchanged with every transition) ||
 * Discontinued Medications || Medications that have been discontinued || CE (Coded element) || ** Clinical Example ** : Lipitor 10 mg discontinued
 * Dose || The amount of the product to be given. This includes a dose in measurable units (e.g., milliliters, or mg), the form (or administrative unit (e.g. tablets, suppository, etc...), and the amount of the form to take. For example Medication XXX 500 mg, tablets; take ½ tablet, administration unit (e.g., tablet), or an amount of active ingredient (e.g., 250 mg). May define a variable dose, dose range or dose options based upon identified criteria (see Dose Indicator)
 * Duration || The period of time that you are to take the medication if it is time limited, e.g. take abx for 10 days || IVL (Interval) || ** Clinical Example ** : for 10 days || "A" Data Element (core data exchanged with every transition) ||
 * Frequency || Defines how often the medication is to be administered as events per unit of time. Often expressed as the number of times per day (e.g., four times a day), but may also include event-related information (e.g., 1 hour before meals, in the morning, at bedtime). Complimentary to Interval, although equivalent expressions may have different implications (e.g., every 8 hours versus 3 times a day) || IVL_TS || ** Clinical Example ** :
 * Medication Code || This is the physical form of the product as presented to the individual. For example: tablet, capsule, liquid or ointment || CE (Coded element) || Value Set: Medication Product Form 2.16.840.1.113883.3.88.12.3221.8.11
 * Patient Instructions || Instructions to the patient that are not traditionally part of the Sig. For example, “keep in the refrigerator.” More extensive patient education materials can also be included || ED (Encapsulated Data) || ** Clinical example ** :
 * Prescriber || The person that wrote this order/prescription (may include both a name and an identifier) || EN (Entity Name) || || "A" Data Element (core data exchanged with every transition) ||
 * Reconciled By || The name of the individual who last reconciled the active medication list || EN (Entity Name) || || "A" Data Element (core data exchanged with every transition) ||
 * Route || Indicates how the medication is received by the patient (e.g., by mouth, intravenously, topically, etc.) || CE (Coded element) || ** Clinical Example: **
 * Start Date || Used to express the start date for a medication || DATE || || "A" Data Element (core data exchanged with every transition) ||
 * Status of Reconciliation || Is the active medication list reconciled? || CE (Coded element) || || "A" Data Element (core data exchanged with every transition) ||
 * Stop Date || Used to express a "hard stop," such as the last Sig sequence in a tapering dose, where the last sequence is 'then D/C' or where the therapy/drug is used to treat a condition and that treatment is for a fixed duration with a hard stop, such as antibiotic treatment, etc || DATE || || "A" Data Element (core data exchanged with every transition) ||
 * When to Take || For PRN meds this information would be take when you are experiencing the system, e.g. take you nitroglycerine when you are experiencing chest pain || IVL_TS || ** Clinical Example ** :