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  2. CQM-863

For Medication, Order not done and Medication, Administered not done, is it acceptable to identify a default RXNORM, from the applicable value set, given that a "real" RXNORM is not ordered or administered?

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      Value sets associated with these medication "not done" clauses have been changed to be ingredient-type RxNorm concepts that align with the medications originally noted as expected for the patient population. Thee new value sets will be included with the 2014 MU releases and generally have value set names that end in "ingredient specific".

      CMS and ONC are currently working on a more technically correct approach to the "not done" concept for medications and other data types. The proposed approach suggests the use of the "null flavor" "not applicable". The downstream effects of this approach are currently under investigation and CMS and ONC anticipate publishing guidance on the definitive solution to this problem when it has been tested and approved. In the interim, we welcome comments regarding the feasibility of this proposed solution.

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      Please refer to the HL7 QRDA I standard Volume 1 chapter about "Asserting an Act Did Not Occur with a Reason" for details of how to report Medication Order not done.
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      Value sets associated with these medication "not done" clauses have been changed to be ingredient-type RxNorm concepts that align with the medications originally noted as expected for the patient population. Thee new value sets will be included with the 2014 MU releases and generally have value set names that end in "ingredient specific". CMS and ONC are currently working on a more technically correct approach to the "not done" concept for medications and other data types. The proposed approach suggests the use of the "null flavor" "not applicable". The downstream effects of this approach are currently under investigation and CMS and ONC anticipate publishing guidance on the definitive solution to this problem when it has been tested and approved. In the interim, we welcome comments regarding the feasibility of this proposed solution. ************ Please refer to the HL7 QRDA I standard Volume 1 chapter about "Asserting an Act Did Not Occur with a Reason" for details of how to report Medication Order not done.

      For Medication, Order not done and Medication, Administered not done, is it acceptable to identify a default RXNORM value, from the applicable value set? When a medication is ordered or administered, the RXNORM related to the actual medication is accessible. However for the Order not done and Administered not done, there is no such reference.

            yanheras Yan Heras
            cerlld Lynn Baldwin (Inactive)
            George Robinson (Inactive), Maureen Madden, Steve Emrick (Inactive)
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