Representing Immunizations – Historical

Comment

Agree with the code system…

Agree with the code system and value set identified. The VSAC direct url for this value set is https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.6/expansion. 

I would like to also have the ISA include RxNorm as an additional code system to describe vaccines. That value set is Vaccine Clinical Drug 2.16.840.1.113762.1.4.1010.8 https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.8/expansion

This is clearly the right…

This is clearly the right value set for historical data, as that is the value set used.

added value of RxNorm

Given the uptake of CVX/MVX standards, what would the added value of RxNorm be in representing vaccines over CVX/MVX along?

RxNorm and Immunizations?

These are the correct value sets to represent Historical immunizations. 

RxNorm is included in list of value and starter sets. (RxNorm Vaccine Clinical Drug 2.16.840.1.113762.1.4.1010.8)

If CVX and MVX have it covered what is the use case for RxNorm?  

Agree, it should not be…

Agree, it should not be required because it can't be obtained from a patient's history.

Comments on Immunization Topics

Thank you for the opportunity to comment on these and other immunization topics related to the ISA. Our member feedback from the American Immunization Registry Association is attached. 

AIRA Letter and Comments - ONC 2018 Standards Advisory - Oct 2018

NCPDP Comment

  1. Request ONC to add NDC as a value. NDC has historically been used by pharmacy to report immunizations.
  2. Add the following:
Type-Implementation Specification Standard Implementation/Specification- National Drug Code Standards Process Maturity – Final Implementation Maturity- Production Adoption Level – 5 Federally Required – Yes Cost – Free Test Tool Availability – N/A

The American Medical…

The American Medical Association requests that the Current Procedural Terminology (CPT) code set be added to the standards listed in Section I: Representing Immunizations - Historical. The CPT code set is identified as a terminology standard for Representing Immunizations – Administered, so therefore, it should be included as a standard for historical immunizations. CPT was created over 50 years ago and is a uniform language that accurately describes medical, surgical, and diagnostic services and provides for reliable communication among users. It has an extremely robust and mature development process with open and transparent meetings and clinical input from national medical specialties and relevant stakeholders. It is the most widely adopted outpatient procedure code set. Use of the CPT code set is federally required under HIPAA.