Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-27046

Make note in the IG that drugs should support dual Coding (NDC/RxNorm)

    XMLWordPrintableJSON

Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci PDex (FHIR)
    • 0.1 [deprecated]
    • Financial Mgmt
    • (profiles) [deprecated]
    • 4.6.19, 4.6.20, 4.6.21
    • Hide

      There is no change to the Profile since it is an extensible CodeableConcept. However the guide should clarify that Payers should:

      • If RxNorm code is available use it to populate the CodeableConcept
      • If NDC Code is the only code available,
        • Map to RxNorm equivalent of NDC code 
        • Place both values into the relevant code field (Extensible CodeableConcept)

      It is up to each organization to determine the appropriate NDC to RxNorm mapping

      Show
      There is no change to the Profile since it is an extensible CodeableConcept. However the guide should clarify that Payers should: If RxNorm code is available use it to populate the CodeableConcept If NDC Code is the only code available, Map to RxNorm equivalent of NDC code  Place both values into the relevant code field (Extensible CodeableConcept) It is up to each organization to determine the appropriate NDC to RxNorm mapping
    • Mark Scrimshire / Pat Taylor : 17-0-5
    • Clarification
    • Non-substantive

    Description

      http://hl7.org/fhir/us/core/StructureDefinition-us-core-medication-definitions.html#Medication.code is a CodeableConcept and can support RxNorm and NDC Codes.

      Impacts Medication, MedicationRequest, MedicationStatement.

       

      There is no change to the Profile since it is an extensible CodeableConcept. However the guide should clarify that Payers should:

      • Start with the NDC Code
      • Map to RxNorm equivalent
      • Place both values into the relevant code field of the resource(Extensible CodeableConcept)

      The Guide should also make it clear that NDC is the originating code.

      A whitepaper will be added to Confluence to provide advice on how to perform the NDC to RxNorm mapping.

       

      Attachments

        Activity

          People

            Unassigned Unassigned
            ekivemark Mark Scrimshire
            Watchers:
            1 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: