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NCPDP SCRIPT Enhancements

2. Eprescribing Activities Related to SCRIPT usage. May 2007 LTC industry participants request removal of exemption from eprescribing and use of SCRIPT version 10.1Eprescribing participants discuss and build recommendation moving to a new version of SCRIPT on November 8, 2007 during NCPDP quarterly

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NCPDP SCRIPT Enhancements

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    1. NCPDP SCRIPT Enhancements National Committee on Vital and Health Statistics Lynne Gilbertson NCPDP January 29-30, 2008

    2. 2 Eprescribing Activities Related to SCRIPT usage May 2007 LTC industry participants request removal of exemption from eprescribing and use of SCRIPT version 10.1 Eprescribing participants discuss and build recommendation moving to a new version of SCRIPT on November 8, 2007 during NCPDP quarterly work group meetings November 16, 2007 CMS releases NPRM on eprescribing December 17, 2007 NCPDP submits recommendation letter to NCVHS

    3. 3 Recommendations Submitted NCVHS recommend to CMS the use of NCPDP SCRIPT version 10.5 with implementation date of January 2010 Ambulatory and LTC use Continue support of SCRIPT version 8.1 dual versions supported (8.1 and 10.5) Can co-exist Now supporting 5.0 and 8.1, but predominant use of 8.1 Sunset SCRIPT version 5.0 We are assuming that we are the “only game in town” as far as Sig standard goes – want recognition that this will be the only approved structure, whether in SCRIPT, HL7 or CCR.We are assuming that we are the “only game in town” as far as Sig standard goes – want recognition that this will be the only approved structure, whether in SCRIPT, HL7 or CCR.

    4. 4 SCRIPT version 10.5 Under ballot (January 2008) Ballot Adjudication (February 2008) If ballot comments, anticipated recirculation ballot (April 2008) Discussion of recirculation comments (May 2008) Appeal timeframe (June 2008) NCPDP Board of Trustees approval (July 2008) Publication (July 2008) List of TG participants at endList of TG participants at end

    5. 5 SCRIPT Enhancements Detailed changes are included in every version of SCRIPT (Appendix B. History of Implementation Guide Changes) Summary provided to NCVHS as attachment to the December letter

    6. 6 Specific Enhancements SCRIPT version 9.0 Approved October 2005 Quantity Qualifier with values for units and purpose - removed units; was causing confusion Thank CMS for sponsoring the calls; AHRQ for supportThank CMS for sponsoring the calls; AHRQ for support

    7. 7 Specific Enhancements SCRIPT version 10.0 Approved October 2006 Long term care needs Patient identifier qualifier additional values Date additional values Prior Authorization Status with values Do Not Fill/Profile Flag Facility Unit, Room, Bed Cancel message – Change of Prescription Status Flag for discontinue open refills or not yet dispensed values Thank CMS for sponsoring the calls; AHRQ for supportThank CMS for sponsoring the calls; AHRQ for support

    8. 8 Specific Enhancements SCRIPT version 10.1 Approved July 2007 Long term care needs CENSUS Update Transaction added Facility notifies the pharmacy about new resident/change to demographic info/discharge of resident Resupply Request Transaction added Looks like a Refill Request, but no response is necessary Other needs Prescriber Order Number added in Medication History Thank CMS for sponsoring the calls; AHRQ for supportThank CMS for sponsoring the calls; AHRQ for support

    9. 9 Specific Enhancements SCRIPT version 10.2 Approved July 2007 Long term care needs Needed No Later Than date/time added for special delivery needs Thank CMS for sponsoring the calls; AHRQ for supportThank CMS for sponsoring the calls; AHRQ for support

    10. 10 Specific Enhancements SCRIPT version 10.3 Approval anticipated April 2008 Medication History Source and Fill Number information for de-duplicate processing Thank CMS for sponsoring the calls; AHRQ for supportThank CMS for sponsoring the calls; AHRQ for support

    11. 11 Specific Enhancements SCRIPT version 10.4 Approval anticipated April 2008 Support of multiple pharmacy benefit identifiers (BIN/Processor Control Number) Support of Sig Segment for patient instructions Based on the Structured & Codified Sig Format Implementation Guide For future piloter’s use Thank CMS for sponsoring the calls; AHRQ for supportThank CMS for sponsoring the calls; AHRQ for support

    12. 12 Specific Enhancements SCRIPT version 10.5 Approval anticipated July 2008 Support of XML incorporated into imp guide Support of HITSP recommendations for Medication Management Use Case Support of Federal Medication Terminologies code sets Further constraints identified by HITSP Thank CMS for sponsoring the calls; AHRQ for supportThank CMS for sponsoring the calls; AHRQ for support

    13. 13 Questions? Thank you Lynne Gilbertson lgilbertson@ncpdp.org

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