STK-6 Statin Medication Allergy

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Approved
    • Priority: Minor
    • Component/s: Measure, ValueSet
    • None
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      Thank you for your comment and question. You are correct, the Statin Allergen value set does not include a code for the Statin Category, it includes actual medications and/or ingredient specific codes. Unfortunately this is a limitation of RxNorm, in which there are no class specific codes to use. We follow the CMS Blueprint for the Measures Management System, which guides us to use the following: "Allergy/Intolerance value sets, when drawn from RxNorm, should include RxNorm concepts having Term Types: o Brand Name (BN) o Ingredient (IN) o Multiple Ingredient (MIN) o Precise Ingredient (PIN)​". Since a patient who has a statin allergy is allergic to all statin medications, you could map your statin allergy local code to one of the specific codes contained in the value set.
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      Thank you for your comment and question. You are correct, the Statin Allergen value set does not include a code for the Statin Category, it includes actual medications and/or ingredient specific codes. Unfortunately this is a limitation of RxNorm, in which there are no class specific codes to use. We follow the CMS Blueprint for the Measures Management System, which guides us to use the following: "Allergy/Intolerance value sets, when drawn from RxNorm, should include RxNorm concepts having Term Types: o Brand Name (BN) o Ingredient (IN) o Multiple Ingredient (MIN) o Precise Ingredient (PIN)​". Since a patient who has a statin allergy is allergic to all statin medications, you could map your statin allergy local code to one of the specific codes contained in the value set.
    • CMS105v4/NQF0439

      STK-6 Documentation of Allergy to Statin medication can be used as a reason for not prescribing statin at discharge. Statin Allergen value set includes multiple statin medications. It is possible to document allergies in the patient's record using the drug category (ex. Allergy to Statins) instead of allergy to specific medication (ex.Allergy to Lipitor). Could the documentation of allergy to the Statin Category be used as denominator exclusion? How can this be mapped to the 'Statin Allergen' value set? Please advise.

            Assignee:
            Rob McClure
            Reporter:
            Isbelia Briceno
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              Created:
              Updated:
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