Challenges in exchanging medication information: identifying gaps in clinical document exchange and terminology standards

The availability of accurate medication history information is invaluable for making sound therapeutic decisions. The Continuity of Care Document (CCD) could serve as a mechanism for exchanging interoperable medication information between EHRs. We evaluate the feasibility of representing a medicatio...

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Bibliographic Details
Published in:AMIA ... Annual Symposium proceedings 2009-11, Vol.2009, p.526-530
Main Authors: Phansalkar, Shobha, Robinson, George, Getty, George, Shalaby, James, Tao, David, Broverman, Carol
Format: Article
Language:English
Subjects:
Computer Communication Networks
Continuity of Patient Care
Drug Prescriptions
Electronic Health Records
Humans
Medical Order Entry Systems
Medical Record Linkage
Pilot Projects
Software
Vocabulary, Controlled
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Summary:The availability of accurate medication history information is invaluable for making sound therapeutic decisions. The Continuity of Care Document (CCD) could serve as a mechanism for exchanging interoperable medication information between EHRs. We evaluate the feasibility of representing a medication and its underlying components in a Healthcare Information Technology Standards Panel (HITSP) compliant CCD. Our evaluation resulted in successfully mapping 94% of medication entries and greater than 92% of medication component mappings to CCD constraints. We identify gaps and provide recommendations for improving the representational adequacy of the Federal Medication Terminology (FMT) to fully represent orderable medication concepts.
ISSN:1559-4076