title: Challenges in exchanging medication information: identifying gaps in clinical document exchange and terminology standards.
abstract: The availability of accurate medication history information is invaluable for making sound therapeutic decisions. The Continuity of Care Document (CCD) could serve as a mechanism for exchanging interoperable medication information between EHRs. We evaluate the feasibility of representing a medication and its underlying components in a Healthcare Information Technology Standards Panel (HITSP) compliant CCD. Our evaluation resulted in successfully mapping 94% of medication entries and greater than 92% of medication component mappings to CCD constraints. We identify gaps and provide recommendations for improving the representational adequacy of the Federal Medication Terminology (FMT) to fully represent orderable medication concepts.
authors.affiliation: Partners Healthcare, Inc., Boston, MA, USA.
authors.forename: Shobha
authors.initials: S
authors.lastname: Phansalkar
authors.forename: George
authors.initials: G
authors.lastname: Robinson
authors.forename: George
authors.initials: G
authors.lastname: Getty
authors.forename: James
authors.initials: J
authors.lastname: Shalaby
authors.forename: David
authors.initials: D
authors.lastname: Tao
authors.forename: Carol
authors.initials: C
authors.lastname: Broverman
mesh_terms: D003195:Computer Communication Networks; D003266:Continuity of Patient Care; D011307:Drug Prescriptions; D057286:Electronic Health Records; D006801:Humans; D050316:Medical Order Entry Systems; D008498:Medical Record Linkage; D010865:Pilot Projects; D012984:Software; D018875:Vocabulary, Controlled