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

Autor: Phansalkar S; Partners Healthcare, Inc., Boston, MA, USA., Robinson G, Getty G, Shalaby J, Tao D, Broverman C
Jazyk: angličtina
Zdroj: AMIA ... Annual Symposium proceedings. AMIA Symposium [AMIA Annu Symp Proc] 2009 Nov 14; Vol. 2009, pp. 526-30. Date of Electronic Publication: 2009 Nov 14.
Abstrakt: 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.
Databáze: MEDLINE