Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Data Element
Medication Module
Description

The medication module is concerned with resources and functionality in 3 main domains: (1) the ordering, dispensing, administration of medications and recording statements of medication use, (2) Recording of Immunizations given (or not given), evaluation of given immunizations and recommendations for an individual patient at a point in time, and (3) The creation or querying for medications as part of drug information or drug knowledge. https://www.hl7.org/fhir/medications-module.html
Submitted By: Shelly Spiro / Pharmacy HIT Collaborative
Data Element Information
Rationale for Separate Consideration These data elements under USCDI Class Medications should include the HL7 fundamental FHIR resources of MedicationRequest, MedicationDispense, MedicationAdministration, MedicationStatement, and MedicationKnowledge. These FHIR resources are needed for eCare Plans, including but not limited to the Pharmacist eCare Plan.
Use Case Description(s)
Use Case Description These foundational FHIR resources are part of a suite of resources and should all be under USCDI Medication as they are needed for eCare Plans, including but not limited to the Pharmacist eCare Plan.
Estimate the breadth of applicability of the use case(s) for this data element At least 21 pharmacy system vendors are FHIR enabled and are created millions of Pharmacist eCare Plans throughout the US.
Healthcare Aims
  • Improving patient experience of care (quality and/or satisfaction)
  • Improving the health of populations
  • Improving provider experience of care
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) RxNorm and SNOMED CT
Additional Specifications https://www.hl7.org/fhir/medications-module.html
Current Use This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders
Supporting Artifacts https://www.ecareplaninitiative.com/
https://216b2f95-65cb-4e7e-bd94-a9b066b0a193.filesusr.com/ugd/b303f5_a66df3115abd40a58659bae8f51b4aad.pdf
Extent of exchange 5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders.
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) MedicationKnowledge resource is draft
Restrictions on Use (e.g. licensing, user fees) None known.
Privacy and Security Concerns None known.
Estimate of Overall Burden Burden is on the EHR and pharmacy system vendors to implement.
ONC Evaluation Details
Each submitted Data Element has been evaluated based on the following criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Criterion #1
Maturity - Current Standards		 Level 2 - Data element is represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2
Maturity - Current Use 		Level 1 - Data element is captured, stored, or accessed in at least one production EHR or HIT module.
Criterion #3
Maturity - Current Exchange		 Level 1 - Data element is electronically exchanged between two production EHRs or other HIT modules using available interoperability standards.
Criterion #4
Use Case(s) - Breadth of Applicability		 Level 2 - Use cases apply to most care settings or specialties.

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