title: Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician.
abstract: BACKGROUND
  The goal of the Enhanced Medication History (EMH) project is to provide medication histories to ambulatory primary care practices in the Indiana Network for Patient Care.
  
  
  METHODS
  Medications were aggregated from three different sources of pharmacy data (Medicaid, SureScripts, and the county health system of Indianapolis). Dispensing events were assembled into the Continuity of Care Document (CCD), and presented to clinicians as RxNorm Clinical Drugs.
  
  
  RESULTS
  The EMH project completed 46 weeks of operation in a community health center in Indianapolis. Medication Histories were generated for 10498 office visits for 4449 distinct patients. Seven (of nine) attending physicians responded to a written survey and found the Medication Histories useful (3.9±0.4 on a scale of 1 to 5).
  
  
  CONCLUSIONS
  Implementation of the EMH project demonstrated the successful use (as well as the challenging aspects) of the CCD and the RxNorm terminology in the outpatient clinical setting.
authors.affiliation: Regenstrief Institute, Inc..
authors.forename: Linas
authors.initials: L
authors.lastname: Simonaitis
authors.forename: Anne
authors.initials: A
authors.lastname: Belsito
authors.forename: Gary
authors.initials: G
authors.lastname: Cravens
authors.forename: Changyu
authors.initials: C
authors.lastname: Shen
authors.forename: J Marc
authors.initials: JM
authors.lastname: Overhage
mesh_terms: D000553:Ambulatory Care; D003151:Community Health Centers; D003266:Continuity of Patient Care; D006801:Humans; D009819:Office Visits; D011320:Primary Health Care