Literature DB >> 20351911

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

Shobha Phansalkar1, George Robinson, George Getty, James Shalaby, David Tao, Carol Broverman.   

Abstract

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.

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Year:  2009        PMID： 20351911      PMCID： PMC2815428     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN： 1559-4076


  7 in total

1.  Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Authors:  Eric G Poon; Barry Blumenfeld; Claus Hamann; Alexander Turchin; Erin Graydon-Baker; Patricia C McCarthy; John Poikonen; Perry Mar; Jeffrey L Schnipper; Robert K Hallisey; Sandra Smith; Christine McCormack; Marilyn Paterno; Christopher M Coley; Andrew Karson; Henry C Chueh; Cheryl Van Putten; Sally G Millar; Margaret Clapp; Ishir Bhan; Gregg S Meyer; Tejal K Gandhi; Carol A Broverman
Journal:  J Am Med Inform Assoc       Date:  2006 Nov-Dec       Impact factor: 4.497

2.  Interoperability: the key to the future health care system.

Authors:  David J Brailer
Journal:  Health Aff (Millwood)       Date:  2005 Jan-Jun       Impact factor: 6.301

Review 3.  Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.

Authors:  Vincent C Tam; Sandra R Knowles; Patricia L Cornish; Nowell Fine; Romina Marchesano; Edward E Etchells
Journal:  CMAJ       Date:  2005-08-30       Impact factor: 8.262

4.  Implementation of RxNorm as a terminology mediation standard for exchanging pharmacy medication between federal agencies.

Authors:  Fola Parrish; Nhan Do; Omar Bouhaddou; Pradnya Warnekar
Journal:  AMIA Annu Symp Proc       Date:  2006

5.  Medication reconciliation using natural language processing and controlled terminologies.

Authors:  James J Cimino; Tiffani J Bright; Jianhua Li
Journal:  Stud Health Technol Inform       Date:  2007

6.  A framework for characterizing drug information sources.

Authors:  Mark Sharp; Olivier Bodenreider; Nina Wacholder
Journal:  AMIA Annu Symp Proc       Date:  2008-11-06

7.  Evaluation of an inpatient computerized medication reconciliation system.

Authors:  Alexander Turchin; Claus Hamann; Jeffrey L Schnipper; Erin Graydon-Baker; Sally G Millar; Patricia C McCarthy; Christopher M Coley; Tejal K Gandhi; Carol A Broverman
Journal:  J Am Med Inform Assoc       Date:  2008-04-24       Impact factor: 4.497
  7 in total
  2 in total

1.  The promise of the CCD: challenges and opportunity for quality improvement and population health.

Authors:  John D D'Amore; Dean F Sittig; Adam Wright; M Sriram Iyengar; Roberta B Ness
Journal:  AMIA Annu Symp Proc       Date:  2011-10-22

2.  Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician.

Authors:  Linas Simonaitis; Anne Belsito; Gary Cravens; Changyu Shen; J Marc Overhage
Journal:  AMIA Annu Symp Proc       Date:  2010-11-13
  2 in total

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