One of two use cases we tested in the Markle Connecting for Health Common Framework prototype was the exchange of medication history. In order to do so, we adopted a format for representation in the network that had the best fit with broad adoption and potential standardization. The Medication History schema we used was derived from the National Council for Prescription Drug Programs (NCPDP1) SCRIPT specification, version 8.1, as described by RxHub.2
We generated a schema for use in the prototype using the ZixCorp3 XML implementation. These Medication History schemae, as developed by CSC, can be located at: https://ehr.consult.csc.com/cfh/.
There is considerable work on medication history standards, and we anticipate that there will be future changes to this standard in the near term. Because the Common Framework maintains a separation between data description and transport, updates to the medication history standard will not require re-engineering the network to accommodate the new standard.
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Markle Connecting for Health thanks the Massachusetts prototype team, John Halamka, MD, Vinod Muralidhar, John Calladine, and Gail Fournier for their implementation efforts on this standard.
©2006-2012, Markle Foundation
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