Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.): SECTION 7 - ED MEDICATION DATA: 8.16 ED DISCHARGE MEDICATION

Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)

SECTION 7 - ED MEDICATION DATA

		7.01 DATE/TIME ED MEDICATION ORDERED
		7.02 ED MEDICATION ORDERING PRACTITIONER ID
		7.03 ED MEDICATION ORDERING PRACTITIONER TYPE
		7.04 ED MEDICATION
		7.05 ED MEDICATION DOSE
		7.06 ED MEDICATION DOSE UNITS
		7.07 ED MEDICATION SCHEDULE
		7.08 ED MEDICATION ROUTE
		7.09 DATE/TIME ED MEDICATION STARTS
		7.10 DATE/TIME ED MEDICATION STOPS
		7.11 ED MEDICATION ADMINISTERING PRACTITIONER ID
		7.12 ED MEDICATION ADMINISTERING PRACTITIONER TYPE
		8.01 DATE/TIME OF RECORDED ED DISPOSITION
		8.02 ED DISPOSITION
		8.03 INPATIENT PRACTITIONER ID
		8.04 INPATIENT PRACTITIONER TYPE
		8.05 FACILITY RECEIVING ED PATIENT
		8.06 DATE/TIME PATIENT DEPARTS ED
		8.07 ED FOLLOW-UP CARE ASSISTANCE
		8.08 REFERRAL AT ED DISPOSITION
		8.09 ED REFERRAL PRACTITIONER NAME
		8.10 ED REFERRAL PRACTITIONER ID
		8.11 ED REFERRAL PRACTITIONER TYPE
		8.12 ED REFERRAL ORGANIZATION
		8.13 ED DISCHARGE MEDICATION ORDER TYPE
		8.14 ED DISCHARGE MEDICATION ORDERING PRACTITIONER ID
		8.15 ED DISCHARGE MEDICATION ORDERING PRACTITIONER TYPE
		8.16 ED DISCHARGE MEDICATION
		8.17 ED DISCHARGE MEDICATION DOSE
		8.18 ED DISCHARGE MEDICATION DOSE UNITS
		8.19 ED DISCHARGE MEDICATION SCHEDULE
		8.20 ED DISCHARGE MEDICATION ROUTE
		8.21 AMOUNT OF ED DISCHARGE MEDICATION TO BE DISPENSED
		8.22 NUMBER OF ED DISCHARGE MEDICATION REFILLS
		8.23 ED DISPOSITION DIAGNOSIS DESCRIPTION
		8.24 ED DISPOSITION DIAGNOSIS CODE
		8.25 ED DISPOSITION DIAGNOSIS PRACTITIONER ID
		8.26 ED DISPOSITION DIAGNOSIS PRACTITIONER TYPE
		8.27 ED SERVICE LEVEL
		8.28 ED SERVICE LEVEL PRACTITIONER ID
		8.29 ED SERVICE LEVEL PRACTITIONER TYPE
		8.30 PATIENT PROBLEM ASSESSED IN ED OUTCOME OBSERVATION
		8.31 ED OUTCOME OBSERVATION
		8.32 DATE/TIME OF ED OUTCOME OBSERVATION
		8.33 ED OUTCOME OBSERVATION PRACTITIONER ID
		8.34 ED OUTCOME OBSERVATION PRACTITIONER TYPE
		8.35 ED PATIENT SATISFACTION REPORT TYPE
		8.36 ED PATIENT SATISFACTION REPORT

8.16 ED DISCHARGE MEDICATION

PART OF THE ED DISCHARGE MEDICATION GROUP (8.13 - 8.22)

Definition

Medication that is prescribed, renewed, changed, or discontinued at ED discharge.

Uses

Data on planned management of the ED patient’s health problems are needed for communication and continuity of care. These data are useful for ED administration, quality-of-care monitoring and evaluation, and research.

Discussion

This data element includes medications that are available without a prescription. Established systems that can be used to classify and code specific medications include the National Drug Codes (NDC) maintained by the Food and Drug Administration (FDA) and the World Health Organization Drug Record Codes. In addition, numerous local coding systems are in use.

Data Type (and Field Length)

CE - coded element (100).

Repetition

Yes; if more than one medication is prescribed, renewed, changed, or discontinued, this data element repeats with the ED Discharge Medication Group.

Field Values

Component 1 is the medication code.
Component 2 is the medication descriptor.
Component 3 is the coding system identifier.
Components 4 - 6 can be used for an alternate code, descriptor, and coding system identifier.

Example:

Component 1 = 0047-0402-30
Component 2 = Ampicillin 250 mg tab
Component 3 = NDC

Text data also can be entered without an accompanying code, as follows:

Component 1 = “ “
Component 2 = Penicillin

Data Standards or Guidelines

None.

Other References

National Drug Code Directory (FDA, 1996) and World Health Organization (WHO) Drug Dictionary (WHO Collaborating Centre for International Drug Monitoring, 1996).