Rx norm oct2012 i91informatics

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Short overview at I91Informatics group in Oct 2012

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Rx norm oct2012 i91informatics

  1. 1. Everything you wanted to know, about RxNorm John Poikonen, PharmD John@ePharmD.NET
  2. 2. Agenda• The imperative of RxNorm• Drug KB Industrial Complex• RxNorm Under the covers – Source – Advantages – Disadvantages• Pearls• Questions10/17/2012 John@ePharmD.Net 2
  3. 3. Terminology Standards• Medicine – ICD, CPT, DSM• Nursing – NIC and NOC• Pharmacy – NDCs (yuk)10/17/2012 John@ePharmD.Net 3
  4. 4. National Drug Codes• They Suck.• Wrong specificity for most clinical uses• Non Standard• Reused• Variable format• Impossible to normalize10/17/2012 John@ePharmD.Net 4
  5. 5. Meaningful Use10/17/2012 John@ePharmD.Net 5
  6. 6. HIE• Medication Normalization an imperative.10/17/2012 John@ePharmD.Net 6
  7. 7. Drug Monitoring and HIE• Congressional Report on Interoperability• MA Law• ONC Webinar Tomorrow – Enhancing Access to Prescription Drug Monitoring Programs through Health Information Technology: Work Group Recommendations » https://www4.gotomeeting.com/register/99435401510/17/2012 John@ePharmD.Net 7
  8. 8. What is RxNorm• RxNorm is a set of drug concepts created and managed by the National Library of Medicine (NLM) and available through the UMLS’s (Unified Medical Language System) Metathesaurus• RxNorm initially created as a means to map generic concepts between the drug compendia• RxNorm has since expanded to incorporate brand name concepts and different levels of drug concepts• Commonly referred to as “one thing” but is actually an umbrella term for multiple drug concepts10/17/2012 John@ePharmD.Net 8
  9. 9. 10/17/2012 John@ePharmD.Net 9
  10. 10. 10/17/2012 John@ePharmD.Net 10
  11. 11. RxNorm the best Drug KB10/17/2012 John@ePharmD.Net 11
  12. 12. Drug KB Industrial Complex• Drug KB Industry – Software Development needs – Past anticompetitive and antitrust activities – Should move to better CDS not terminology• Vendors Perspective – Spaghetti software development – Codes tied to software – Message to Vendors Deal with it!10/17/2012 John@ePharmD.Net 12
  13. 13. Pearls and Resources• http://www.youtube.com/watch?v=0N31_YgF Ey8&feature=player_detailpage• http://geekdoctor.blogspot.com/2011/11/ben efits-of-rxnorm.html#10/17/2012 John@ePharmD.Net 13
  14. 14. Summary• RxNorm will be the standard for all medication interoperability• RxNorm will be the standard for all medication allergy listing• RxNorm supports granularity for most clinical uses of medication terminology, including eRx and Med Rec.• Must insist that vendors convert to RxNorm for interoperability NOW!• RxNorm is the best Drug KB available and is free• Do not hesitate to contact me on specifics10/17/2012 John@ePharmD.Net 14

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