interfacing with the RXNorm National Library of Medicine (NLM) drug database (a new alternative to t

It will work if the shortcut has the new dose's RXCUI.

If [enter] key worked on the drug field vs. the search field, to change from ramipril 5mg daily to 10mg daily would be

(1) click ramipril

(2) click modify

(3) ram10 (for my shortcut) [hit enter]

That is pretty fast.

I would use my right hand for the mouse and my left hand would do (3) and it would be crazy quick.

(note: Would the drug end up in the same "Category" ? Current, Temp .. etc ? )

the enter field does not work on the drug name field because if it did, then tab would also work. Then tabbing out of the drug name field would always bring up a search.

It used to work like this and was very annoying.

Are shortcuts stored on the server ?

1/2 my clients don't have the shortcuts.

Oh ... and those clients have different ones ... must be client specific.

My desire for a quasi-robust way of making sure medication data I enter in Synapse is interchangeable with others systems has just increased.

Some colleagues of mine moved from one EMR to another .... and only demographics data went to the new system !

TRAGEDY !

Is there a "Do able" method for Synapse users to maximize data portability ?

That probably happened if they moved from a very granular EMR where views of a encounter are actually sql views.

Synapse doesn't do that ...

But typically if some offers to port the data from one EMR to another, all they're normally talking about is the demographics. Nothing else.

You can now use codified drugs ( RxCUI ), but the shortcuts are not compatible with this yet ...

Wow ! Great News.

If I could get this for shortcuts I can proceed with full scale medication roll out !

That would be huge for me.

The shortcuts now include the RxCUIs.

You will have to add RxCUIs to all existing shortcuts ( manually ) ...

Donations can be sent to the usual place [H]

Changing EMRs is a reality. You join a new group, they are unlikely going to let you use your EMR, it's likely a situation where a user has to use the EMR the rest of the group is using.



I would like future Synapse users to know that Synapse has attempted as best as possible to ensure the patient's "Medication Data Portability".

RXCUI is a bold step in that direction.

Can you explain to me the likely mechanics on how a doctor who is using
Synapse with RXCUIs would be able to migrate their medications to a new
EMR ?

Is this a likely scenario ?

EMR #2 uses First Data Bank as a "codification" for medications. Vendor #2 must map the RXCUIs to the equivalent entry in FDB and then import that data (drug, dose, instructions) into the patient's drug list.

My understanding is that US Govt is moving to making the RxCUI the main codification system in the USA.

SeeAHRQ Publication No. 08-0062-EFE-Prescribing StandardsExpert Meeting Summary

Currently the RxCUI can map to several NDCs and that is an issue the NLM is working on.

I don't know anything about first bank .. but all vendors of medication data need to look at creating appropriate maps.

FDA NDC: National Drug Code Directory<p style="text-align: left">The NDC serves as universal product identifier for human drugs.

http://www.accessdata.fda.gov/scripts/cder/ndc/default.cfm



First Data Bank -http://en.wikipedia.org/wiki/First_DataBank



Medication Code Sets (including Medication allergies):

Public

* National Drug Codes (NDC)
* NHS Read Codes
* Health Canada Drug Product Database (DPD)
* US Veterans Administration Drug File (NDF-RT)

Commercial (in alphabetic order)

* First Data Bank National Drug Data File (NDDF)
* Gold Standard (Alchemy)
* Lexi-Comp
* Medi-Span Master Drug Database (MDDB)
* Micromedex DRUGDEX
* Multum Lexicon
* Systematized Nomenclature of Medicine&ndash;Clinical Terms (SNOMED-CT)


source: http://www.healthcareguy.com/index.php/archives/510

RXnorm - http://www.nlm.nih.gov/research/umls/rxnorm/RxNorm.pdf