MEDICATION OR OTHER SUBSTANCE FLOW. AHRQ Common Formats for Event Reporting Hospital Version 2.0a

Transcription

1 MEDICATION OR OTHER SUBSTANCE FLOW AHRQ Common Formats for Event Reporting Hospital Version 2.0a AHRQ Common Formats for Event Reporting Hospital Version 2.0a July 2018

2 Data elements required to be submitted to the Data elements for logic purposes only, and shall not be included more than once in CDA XML files submitted to the Data elements shall not be included in CDA XML files submitted to the Medication or Other Substance Type of involved (DE270) DE270 = A1197 Type of medication involved (DE273) DE270 = A1200 DE270 = A1209, A1212, A1213, A66 Type of biological product (DE279) Report type (DE3) DE3 = A9 Medication Page 2 DE3 = A3 or A6 Process(es) involving a (DE291) DE291 = A1305 Medication or contraindication not involving allergy (DE313) DE291 = A585, A1272, A1275, A1278, A1281, A1284, A1287, A1290, A1293, A1296, A1299, A1303, A1304, A1308, A66 Stage event originated (DE315) Go to Medication Page 2 AHRQ Common Formats for Event Reporting Hospital Version 2.0a Medication or Other Substance Flow July 2018 Page 2 of 6

3 DE3 = A3 Data elements required to be submitted to the Data elements for logic purposes only, and shall not be included more than once in CDA XML files submitted to the Data elements shall not be included in CDA XML files submitted to the PSOPPC/ NPSD. DE3 = A6 Medication Page 2 Report type (DE3) DE3 = A9 RXCUI Semantic Clinical Drug (SCD) (DE1151) RXCUI Semantic Clinical Drug (SCD) (DE1151) RXCUI Semantic Clinical Drug (SCD) (DE1151) RXCUI brand name (BN) (DE322) RXCUI brand name (BN) (DE322) RXCUI brand name (BN) (DE322) Medication/ prescribed (DE333) Medication/ prescribed (DE333) Medication/ given (DE336) More Medications/ Substances? Number <5? More Medications/ Substances? Number <5? More Medications/ Substances? Number <5? Stop Stop Stop AHRQ Common Formats for Event Reporting Hospital Version 2.0a Medication or Other Substance Flow July 2018 Page 3 of 6

4 1. Flow Chart Questions 1. What type of medication/ was involved? DE What type of medication was involved in the event or unsafe condition? DE What type of biological product was involved in the event or unsafe condition? DE What was the process-related event(s) involving the medication/? DE What was the known contraindication (potential or actual interaction) for this medication or other than patient allergy or sensitivity? DE At what stage in the process did the event originate, regardless of the stage at which it was discovered? DE What is the RXCUI Semantic Clinical Drug (SCD) of the medication? DE If appropriate, what is the RXCUI brand name (BN) of the medication? DE Was this medication/ prescribed for this patient? DE Was this medication/ given to this patient? DE Alternative Text Flow Chart Narrative 1. Start Medication Flow. 2. Check Type of involved, Data Element identifier 270. a. If Data Element identifier 270 equals Answer Code 1197, proceed to Type of medication involved. b. If Data Element identifier 270 equals Answer Code 1200, proceed to Type of biological product. c. If Data Element identifier 270 equals Answer Codes 1209, 1212, 1213, or 66 proceed to Report type. 3. Check Type of medication involved, Data Element identifier 273. All Answer Codes proceed to Report type. 4. Check Type of biological product, Data Element identifier 279. All Answer Codes proceed to Report type. 5. If Report type, Data Element identifier 3 equals Answer Code 9, proceed to recheck Report type. te: This Data Element identifier (3) is included on the flow chart for logic purposes. It shall not be included more than once in CDA XML files submitted to the PSOPPC and NPSD. 6. If Report type, Data Element identifier 3 equals Answer Codes 3 or 6, proceed to Process(es) involving a. 7. Check Process(es) involving a, Data Element identifier 291. a. If Data Element identifier 291 equals Answer Code 1305, proceed to Medication or contraindication not involving allergy. b. If Data Element identifier 291 equals Answer Codes 585, 1272, 1275, 1278, 1281, 1284, 1287, 1290, 1293, 1296, 1299, 1303, 1304, 1308, or 66, proceed to Stage event originated. 8. Check Medication or contraindication not involving allergy, Data Element identifier 313. All Answer Codes proceed to Stage event originated. 9. Check Stage event originated, Data Element identifier 315. All Answer Codes proceed to Report type. te: This Data Element identifier (3) is included on the flow chart for logic AHRQ Common Formats for Event Reporting Hospital Version 2.0a Medication or Other Substance Flow July 2018 Page 4 of 6

5 purposes. It shall not be included more than once in CDA XML files submitted to the PSOPPC and NPSD. 10. If Report type, Data Element identifier 3 equals Answer Code 3, proceed to RXCUI Semantic Clinical Drug (SCD). a. Complete RXCUI Semantic Clinical Drug (SCD), Data Element identifier Proceed to RXCUI brand name (BN). b. Complete RXCUI brand name (BN), if appropriate, Data Element identifier 322. Proceed to Medication/ prescribed. c. Complete Medication/ prescribed, Data Element identifier 333. Proceed to Medication/ given. d. Complete Medication/ given, Data Element identifier 336. Proceed to Number of medications/s involved in event. 11. Check whether Number of medications/s involved in event is greater than one; a. If yes, provide detail for up to four additional medications/s. te: This Data Element identifier is included on the flow chart for logic purposes. It shall not be included in CDA XML files submitted to the PSOPPC and NPSD. Return to complete identification of medications/s involved, beginning with RXCUI Semantic Clinical Drug (SCD), Data Element identifier 1151, item 10 above. b. When up to five medications/s have been identified, proceed to Stop. 12. If Report type, Data Element identifier 3 equals Answer Code 6, proceed to RXCUI Semantic Clinical Drug (SCD). a. Complete RXCUI Semantic Clinical Drug (SCD), Data Element identifier Proceed to RXCUI brand name (BN). b. Complete RXCUI brand name (BN) if appropriate, Data Element identifier 322. Proceed to Medication/ prescribed. c. Complete Medication/ prescribed, Data Element identifier 333. Proceed to Number of medications/s involved in event. 13. Check whether Number of medications/s involved in event is greater than one; a. If yes, provide detail for up to four additional medications/s. te: This Data Element identifier is included on the flow chart for logic purposes. It shall not be included in CDA XML files submitted to the PSOPPC and NPSD. Return to complete identification of medications/s involved, beginning with RXCUI Semantic Clinical Drug (SCD), Data Element identifier 1151, item 12 above. b. When up to five medications/s have been identified, proceed to Stop. 14. If Report type, Data Element identifier 3 equals Answer Code 9, proceed to RXCUI Semantic Clinical Drug (SCD). a. Complete RXCUI Semantic Clinical Drug (SCD), Data Element identifier Proceed to RXCUI brand name (BN). b. Complete RXCUI brand name (BN) if appropriate, Data Element identifier 322. Proceed to Number of medications/s involved in event. 15. Check whether Number of medications/s involved in event is greater than one; a. If yes, provide detail for up to four additional medications/s. te: This Data Element identifier is included on the flow chart for logic purposes. It shall not be included AHRQ Common Formats for Event Reporting Hospital Version 2.0a Medication or Other Substance Flow July 2018 Page 5 of 6

6 in CDA XML files submitted to the PSOPPC and NPSD. Return to complete identification of medications/s involved, beginning with RXCUI Semantic Clinical Drug (SC), Data Element identifier 1151, item 14 above. b. When up to five medications/s have been identified, proceed to Stop. 16. Stop. AHRQ Common Formats for Event Reporting Hospital Version 2.0a Medication or Other Substance Flow July 2018 Page 6 of 6