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Group 5 - Rxnorm

RxNorm is a standardized clinical drug terminology that provides normalized names and identifiers to enable the unambiguous representation of medication information. It aggregates content from multiple drug vocabularies to provide a more complete representation of drug names, codes, and properties. RxNorm aims to support semantic interoperability across systems and clinical decision support through its provision of a common reference terminology for medications.

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104 views26 pages

Group 5 - Rxnorm

RxNorm is a standardized clinical drug terminology that provides normalized names and identifiers to enable the unambiguous representation of medication information. It aggregates content from multiple drug vocabularies to provide a more complete representation of drug names, codes, and properties. RxNorm aims to support semantic interoperability across systems and clinical decision support through its provision of a common reference terminology for medications.

Uploaded by

Abdu Aminu
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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IN

What is RxNorm?
• Standardized naming system to codify clinical drugs.

• National standard for coding clinical drugs in the U.S.

• Tool for supporting semantic interoperation between


different systems. .
• By choosing to represent medications at the level of ‘clinical drug,’ defined as
ingredient(s), strength(s), and dose form, it provides normalized names for these
clinical drugs
What is RxNorm?
• Collection of commonly-used public and commercial drug
vocabularies containing drug names and their ingredient
• Normalized naming system for generic and branded drugs
• A tool for supporting semantic interoperation between drug
terminologies and pharmacy knowledge base systems
Purpose of RxNorm
• RxNorm provides normalized names and unique identifiers for medicines and drugs.

• Enable computer systems to communicate drug-related information efficiently and


unambiguously.

• aggregating and organizing content from various source drug vocabularies, deriving a
more complete and consistent representation of drug names, codes, and relevant
information.

• using RxNorm standard names and codes to capture drug product information in EHR,
cross mapping among disparate drug vocabularies, and facilitating medication-related
clinical decision support.
What RxNorm is NOT
• RxNorm is not a terminology for:

• Diagnostic products
• Medical devices
• Medical foods
• Compounded drugs
• Homeopathic products
• Radiopharmaceuticals

• These are out-of-scope and do not receive an RxNorm normalized name or


an RxNorm Concept Unique Identifier (RXCUI) in the RxNorm terminology
who uses RxNorm
• clinicians
• pharmacies
• hospitals
• insurance companies
• IT developer and
• researchers
WHY RXNORM?
• The creation of RxNorm was motivated by the need for a single,
standard, multipurpose terminology for representing medications.

• Many clinical information tasks can benefit from the use of a standard
terminology for representing drug information, including creation of
electronic medical records (EMR), automated decision support,
quality assurance, healthcare research, reimbursement, and
mandatory reporting
CONT….
• The NDCs have not proved suitable for such use. They lack many of
the desirable characteristics for controlled terminologies

• For example, the identifiers are not meaningless, but are composed of
identifiers for the manufacturer or packager, the product, and the
package size.

• While usable for tracking products, these codes are not suitable for
aggregating products for the uses mentioned above
CONT…
• RxNorm, a terminology that is intended to represent drug terms in a
formalized fashion and support interoperability among various drug
terminologies.

• RxNorm is built upon what is already available—various drug


vocabularies commonly used in pharmacy management and drug
interaction software

• It is built by creating normalized drug names based on the information


and names in the contributing source vocabularies
CONT…
• . In November 2004, RxNorm was first released as an independent
terminology, and established a monthly release schedule.

• In October 2008, weekly releases were introduced as additions to the


corresponding monthly release

• Today, RxNorm continues to evolve as a standard for clinical


information exchange
CONT…
• Any source vocabulary included in RxNorm can be used to achieve
compliance with the ‘Meaningful Use’ requirements for electronic
health records (EHR)
Content within RxNorm

• No single drug vocabulary provides complete and interoperable drug


names, codes, and relevant information.

• RxNorm takes the multiple drug names, using them to complement


each other and reconcile the conflicts among them.

• By aggregating and organizing content from various source drug


vocabularies, RxNorm can derive a more complete and consistent
representation of drug names, codes, and relevant information
The National Drug File Reference
Terminology (NDF-RT)
• The National Drug File Reference Terminology (NDF-RT) was
integrated into RxNorm as a source vocabulary beginning with the
RxNorm June 2010 monthly release

• The inclusion of NDF-RT has provided RxNorm with an additional type


of information
CONT…
• Besides drug names and codes: providers now can find within the
RxNorm data the clinical properties associated with certain drugs,
such as the possible clinical use, the pharmacologic properties such as
the mechanism of action or physiologic effect, chemical structure,
contraindications to use, or possible interactions.

• These clinical properties of a drug may help providers with better


decision support.
How is RxNorm used
• RxNORM ePrescribing sub set

• Formulary development and maintenance

• Medication history

• Research data management


RXNORM e-prescribing SUB-SET
• RxNorm e-prescribing subset intends to provide a comprehensive
nomenclature that includes all prescribable clinical drugs and packs
on the market for use in e-prescribing systems.

• The subset would include Federal Medication Terminologies


components (RxNorm, UNII, NDC, NDF-RT classes) as well as
important attributes in RxNorm
CONT…
• It is believed that the e-prescribing subset will encourage providers to
use standard RxNorm names and codes to enter medication orders
electronically.
• E-prescribing is a starting point to realize the true potential of EHRs
and thus we have named the subset an e-prescribing subset.

• The use of the subset, however, is not limited to e-prescribing only.


CONT…
• The subset also can be applied throughout EHRs when medication
information is captured.
• For example, patients can use the subset to enter medications on
their medication lists and pharmacies can use the subset to record the
medications dispensed.
CONT….
• RxNorm e-prescribing subset includes not only RxNorm names and
codes, but also RxNorm attributes that could assist with medication-
related clinical decision

• However, both RxNorm and its e-prescribing subset remain as a


terminology, not necessarily a complete drug knowledge base

• Therefore, certain knowledge is not within its scope, such as


formulary information or drug pricing information.
CONT….
• Although such knowledge is not included in RxNorm, as more
drug knowledge bases are incorporating RxNorm codes, users
can choose to interface with certain knowledge bases via these
names and codes.

• While the basic structure, mission, and uses of RxNorm are well
established, additional features and developments continue to
be made.
CONT…
• Additional drug classification information, allergy and adverse
reaction classes, and other grouping information may be
included over time since the system has been emerged before
short time . .
RxNorm Drug Terminology
• Data model
• Ingredient + Strength + Dose form
• Semantic Clinical Drug (SCD)
• Basic building block for fully specified clinical drug names

• Organizes and links source data with an RxNorm Concept Unique


Identifier (RXCUI)
CONT…
• RxCUIs and corresponding names are being included in the CMS
Formulary Reference File (FRF) as of the calendar year 2010.

• RxCUIs are now used in the FRF to represent drug products, replacing
proxy NDC codes that were used for the same purpose previously

• As each unique RxCUI can represent multiple NDCs of the same drug
product, use of RxCUIs can streamline the formulary submission
process
SUMMARY
• RxNorm was built with the idea that uses of it might provide
substantial benefits including standard names and codes for drug
product representation, semantic interoperability across disparate
drug vocabularies, and medication-related clinical decision support.

• At this point it appears that RxNorm is a compliant vocabulary for


medications to support ‘Meaningful Use’; incorporation of RxNorm
may be needed for health information system certification and for
incentive payments.
ANY QUESTIONS?
THANK
YOU!

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