Thank you for your question regarding CMS819v2 Hospital Harm - Opioid-Related Adverse Events. The opioid and amount that was administered and documented in the medical record should be the RxNorm used in the calculation. If you are using a clinically equivalent RxNorm code that is not in the Opioid value set ("Opioids, All" OID: 2.16.840.1.113762.1.4.1196.226), you can map it to one of the codes used in this value set to meet the measure. We are unable to provide specific guidance related to the mapping of codes. If mapping is conducted, you should maintain documentation in case of a CMS audit. You can reference the applicable codes contained in this value set on the Value Set Authority Center (VSAC) at https://vsac.nlm.nih.gov/ . Click on the “Search Value Sets” tab and enter the value set ID to review codes included in the respective value set. We hope this helps.

Please clarify what should be pulling into the report when related to eHH-ORAE medication section because our vendor is telling us that the order details of a specified amount is what should pull in, not what the order ended up as and what was actually given. If the CMS files they are using to build this measure are actually meant to capture this way, we believe it should be changed to reflect what the patient actually received. This could have a large impact on our population of patients we submit to CMS and TJC.