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HIT Standards Committee e-Prescribing of Discharge Medications Power Team

HIT Standards Committee e-Prescribing of Discharge Medications Power Team. Jamie Ferguson, Chair September 28, 2011. Power Team Members. Jamie Ferguson, Chair Don Bechtel, Siemens Ken Gebhart, NIST Kevin Hutchinson, Prematics Liz Johnson, Tenet Scott Robertson, KP

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HIT Standards Committee e-Prescribing of Discharge Medications Power Team

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  1. HIT Standards Committeee-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

  3. Power Team Status Recap • 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

  4. HL7 Versions • 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 Identification RXO.1 • Prescription Quantity RXO.11 + RXO.12 • Sig (text) RXO.7.2 • Date written ORC.9 • Refills RXO.13

  5. Certification Comparability • Mandatory test elements, NCPDP mapped to HL7 v2.x

  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

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