| Type | Standard / Implementation Specification | Standards Process Maturity | Implementation Maturity | Adoption Level | Federally required | Cost | Test Tool Availability |
|---|---|---|---|---|---|---|---|
|
Standard
|
Final
|
Production
|
 |
No
|
Free
|
No
|
|
|
Standard
|
Final
|
Production
|
 |
No
|
Free
|
No
|
|
|
Standard
|
Final
|
Production
|
|
Yes
|
Free
|
No
|
|
|
Standard
|
Final
|
Production
|
 |
No
|
Free
|
No
|
|
|
Standard
|
Final
|
Production
|
|
No
|
$
|
No
|
|
|
Standard
|
Final
|
Production
|
|
No
|
Free
|
N/A
|
| Limitations, Dependencies, and Preconditions for Consideration |
Applicable Value Set(s) and Starter Set(s)
|
|---|---|
|
|
Help
1. Optional: Background Text / Cover Letter
The "Optional Background Text / Cover Letter" field provides space for additional context or introductory information related to your comment.
This field is entirely optional and serves the following purposes:
- Provides context for reviewers
- Serves as an introduction if submitting multiple comments
- Functions as a cover letter for formal submissions
If you are submitting a single comment for a specific data class or element, you may leave this field blank. For multiple comments, this space is useful for explaining the overall purpose or connection between your comments.
Fig 1 The "Optional Background Text / Cover Letter" field allows users to provide contextual information or introductory remarks for their comment submission.
2. Complete the Comment Form
The comment form contains several fields that require your input:
ISA Content: This field is automatically populated based on the page you are currently viewing. No action is required.
Standards and Implementation Specifications: This drop-down menu is pre-selected based on the topic you're commenting on. The selection reflects the relevant standard or implementation specification for your current page.
Subject: Enter a concise title that summarizes the focus of your comment. This helps reviewers quickly understand the nature of your feedback.
Comment: This is the main field where you provide your detailed feedback, concerns, or suggestions. The comment box includes a text editor with formatting options that allow you to:
- Format text as bold or italic
- Insert hyperlinks
- Create bullet points
- Create numbered lists
- Apply strike-through formatting
- Attach images
- Insert tables
Use these formatting options as needed to clearly present your information.
Fig 2 The comment text editor toolbar provides formatting options including bold, italic, links, lists, tables, and image insertion capabilities.
3. Optional: Add Additional Comments
If you need to provide feedback on multiple aspects of the ISA content, you can add additional comments:
- After completing your first comment, locate and click the link labeled "Comment on another interoperability need" at the bottom of the form.
- A new comment section will appear, allowing you to enter details for your additional comment.
- For this new comment section, the "ISA Content" and "Standards and Implementation Specifications" fields will not be automatically populated. You must select the appropriate content and specification from the drop-down menus for each additional comment.
- Complete all required fields for your additional comment.
- Repeat this process for each additional comment you wish to submit.
Fig 3 The "Comment on another interoperability need" link enables users to add multiple comments within a single submission.
4. Optional: Upload Supporting Files
The platform allows you to upload supporting documentation to enhance your comment:
- Locate the "File Upload" section at the bottom of the comment form.
- Click to upload any files (such as PDFs or documents) that provide additional context, evidence, or clarification for your comment.
Important: If you have already entered your comments using the form fields, there is no need to upload duplicate content in PDF format. The file upload feature is intended for supplementary materials only. Please avoid uploading files that contain the same information already provided in your comment text.
Fig 4 The "File Upload" section permits users to attach supporting documentation that supplements their written comments.
5. Optional: Save and Exit
If you need to pause your work and return to complete your comment later:
- Click the "Save and Exit" button at the bottom of the form.
- Your comment will be saved as a draft that you can access and complete later.
- When you return to the platform, you will see a red triangle with an exclamation mark next to the "Return to saved Comment" button, indicating that you have saved comments in draft status.
- Click the "Return to saved Comment " button to continue working on your draft.
- You will be taken to a review page where you can:
- Select "Submit Comment" to officially submit your feedback.
- Click "Edit" to return to the comment form and make changes
- Select "Discard Draft" to delete the saved draft and start fresh
Fig 5 A red triangle with exclamation mark indicator appears next to the "Return to saved Comment" button when draft comments are saved in the system.
6. Review and Submit
Once you have completed your comment:
- Click the "Review and Submit" button at the bottom of the form.
- This will take you to a review screen displaying your comment(s) in full.
- Review all information for accuracy and completeness.
- On this review screen, you have three options:
- Click "Submit Comment" to officially submit your feedback
- Click "Edit" to return to the comment form and make changes
- Click "Discard Draft" to delete the comment and start fresh
- The review screen also includes a "Print" button that allows you to create a printed copy of your comments for your records.
- If you choose to submit, your comment will be recorded in the system and made available for review by the appropriate stakeholders.
Fig 6 The review screen includes a "Print" button that allows users to create a record of their comment submission.
Comment
Submitted by david_rocha on
Sept 2026 SCTIDs for DAST-10 procedure, score, assessment scale
The below SNOMED CT concepts with the IDs for the DAST-10 are currently in the SNOMED CT US edition daily build and should be part of the next release for September 2026.
https://dailybuild.ihtsdotools.org/?perspective=full&conceptId1=1031401000124103&edition=MAIN/SNOMEDCT-US&release=&languages=en
Drug Abuse Screening Test 10-item version (assessment scale)
SCTID: 1031401000124103
1031401000124103 | Drug Abuse Screening Test 10-item version (assessment scale) |
en Drug Abuse Screening Test 10-item version (assessment scale)
en Drug Abuse Screening Test 10-item version
en DAST-10 (Drug Abuse Screening Test 10-item) version
https://dailybuild.ihtsdotools.org/?perspective=full&conceptId1=1031731000124100&edition=MAIN/SNOMEDCT-US&release=&languages=en
Drug Abuse Screening Test 10-item version score (observable entity)
SCTID: 1031731000124100
1031731000124100 | Drug Abuse Screening Test 10-item version score (observable entity) |
en Drug Abuse Screening Test 10-item version score (observable entity)
en Drug Abuse Screening Test 10-item version score
en DAST-10 (Drug Abuse Screening Test 10-item) version score
https://dailybuild.ihtsdotools.org/?perspective=full&conceptId1=1031691000124108&edition=MAIN/SNOMEDCT-US&release=&languages=en
Assessment using Drug Abuse Screening Test 10-item version (procedure)
SCTID: 1031691000124108
1031691000124108 | Assessment using Drug Abuse Screening Test 10-item version (procedure) |
en Assessment using Drug Abuse Screening Test 10-item version (procedure)
en Assessment using Drug Abuse Screening Test 10-item version
en Assessment using DAST-10 (Drug Abuse Screening Test 10-item) version
Submitted by pwilson@ncpdp.org on
NCPDP Comments
NCPDP supports the use of SNOMED CT.
Submitted by mattreid on
The AMA requests that the…
The AMA requests that the Current Procedural Terminology (CPT) code set be added to the standards listed in Section I: Representing Drug Use. CPT codes 99408 and 99409 identify patient screening and intervention for substance abuse. CPT codes 80320 – 80377 identify definitive drug testing.
In addition, CPT Category II codes identify a patient screened for injection drug use (4290F) and counseled for pharmacologic treatment for opioid addiction (4306F).
CPT is a comprehensive and regularly curated uniform language that accurately describes medical, surgical, and diagnostic services and provides for reliable communication among users. It has an extremely robust and mature development process with open and transparent meetings and clinical input from national medical specialties and relevant stakeholders. It is the most widely adopted outpatient procedure code set. Use of the CPT code set is federally required under HIPAA.
Submitted by david_rocha on
SNOMED CT concepts added to Sept 2026 US Edition
The below concepts were added to the SNOMED CT US Edition September 2026 release.
Drug Abuse Screening Test 10-item version (assessment scale)
SCTID: 1031401000124103
1031401000124103 | Drug Abuse Screening Test 10-item version (assessment scale) |
en Drug Abuse Screening Test 10-item version (assessment scale)
en Drug Abuse Screening Test 10-item version
en DAST-10 (Drug Abuse Screening Test 10-item) version
en The original Drug Abuse Screening Test (DAST), copyright 1982 by Dr. Harvey Skinner, contained 28 items that were modeled after the widely used Michigan Alcoholism Screening Test. It yields a quantitative index of the degree of consequences related to drug abuse. A shortened version of the DAST was devised using 10-items that are good discriminators.
Drug Abuse Screening Test 10-item version score (observable entity)
SCTID: 1031731000124100
1031731000124100 | Drug Abuse Screening Test 10-item version score (observable entity) |
en Drug Abuse Screening Test 10-item version score (observable entity)
en Drug Abuse Screening Test 10-item version score
en DAST-10 (Drug Abuse Screening Test 10-item) version score
Assessment using Drug Abuse Screening Test 10-item version (procedure)
SCTID: 1031691000124108
1031691000124108 | Assessment using Drug Abuse Screening Test 10-item version (procedure) |
en Assessment using Drug Abuse Screening Test 10-item version (procedure)
en Assessment using Drug Abuse Screening Test 10-item version
en Assessment using DAST-10 (Drug Abuse Screening Test 10-item) version
Drug Abuse Screening Test 20-item version (assessment scale)
SCTID: 1031421000124108
1031421000124108 | Drug Abuse Screening Test 20-item version (assessment scale) |
en Drug Abuse Screening Test 20-item version (assessment scale)
en Drug Abuse Screening Test 20-item version
en DAST-20 (Drug Abuse Screening Test 20-item) version
en The original Drug Abuse Screening Test (DAST), copyright 1982 by Dr. Harvey Skinner, contained 28 items that were modeled after the widely used Michigan Alcoholism Screening Test. It yields a quantitative index of the degree of consequences related to drug abuse. A shortened version of the DAST was devised using 20-items that are good discriminators.
Drug Abuse Screening Test 20-item version score (observable entity)
SCTID: 1031741000124105
1031741000124105 | Drug Abuse Screening Test 20-item version score (observable entity) |
en Drug Abuse Screening Test 20-item version score (observable entity)
en Drug Abuse Screening Test 20-item version score
en DAST-20 (Drug Abuse Screening Test 20-item) version score
Assessment using Drug Abuse Screening Test 20-item version (procedure)
SCTID: 1031701000124108
1031701000124108 | Assessment using Drug Abuse Screening Test 20-item version (procedure) |
en Assessment using Drug Abuse Screening Test 20-item version (procedure)
en Assessment using Drug Abuse Screening Test 20-item version
en Assessment using DAST-20 (Drug Abuse Screening Test 20-item) version
Assessment using Drug Abuse Screening Test 28-item version (procedure)
SCTID: 1031711000124106
1031711000124106 | Assessment using Drug Abuse Screening Test 28-item version (procedure) |
en Assessment using Drug Abuse Screening Test 28-item version (procedure)
en Assessment using Drug Abuse Screening Test 28-item version
en Assessment using DAST - Drug Abuse Screening Test
en Assessment using DAST-28 (Drug Abuse Screening Test 28-item) version
en Assessment using Drug Abuse Screening Test
Drug Abuse Screening Test 28-item version (assessment scale)
SCTID: 1031411000124100
1031411000124100 | Drug Abuse Screening Test 28-item version (assessment scale) |
en Drug Abuse Screening Test 28-item version (assessment scale)
en Drug Abuse Screening Test 28-item version
en DAST - Drug Abuse Screening Test
en DAST-28 (Drug Abuse Screening Test 28-item) version