Pharmacologic agents used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

Data Element

Applicable Vocabulary Standard(s)

Medications

  • RxNorm®, January 6, 2020 Full Release Update

Data Element

Applicable Vocabulary Standard(s)

Medications

  • RxNorm® Full Monthly Release, June 7, 2021 

Data Element

Applicable Vocabulary Standard(s)

Medications

Pharmacologic agent used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

  • RxNorm® Full Monthly Release, July 5, 2022

Optional:

  • National Drug Code (NDC), July 19, 2022
Dose

Amount of a medication for each administration.

Dose Units of Measure

Units of measure of a medication. (e.g., milligrams, milliliters)

  • The Unified Code for Units of Measure, Revision 2.1
Indication

Sign, symptom, or medical condition that leads to the recommendation of a treatment, test, or procedure.

Fill Status

State of a medication with regards to dispensing or other activity. (e.g., dispensed, partially dispensed, not dispensed)

Data Element

Applicable Vocabulary Standard(s)

Medications

Pharmacologic agent used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

  • RxNorm® Full Monthly Release, July 5, 2022

Optional:

  • National Drug Code (NDC), July 19, 2022
Dose

Amount of a medication for each administration.

Dose Units of Measure

Units of measure of a medication. (e.g., milligrams, milliliters)

  • The Unified Code for Units of Measure, Revision 2.1
Indication

Sign, symptom, or medical condition that leads to the recommendation of a treatment, test, or procedure.

Fill Status

State of a medication with regards to dispensing or other activity. (e.g., dispensed, partially dispensed, not dispensed)

Data Element

Applicable Vocabulary Standard(s)

Medications

Pharmacologic agent used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

  • RxNorm® Full Monthly Release July 3, 2023

Optional:

  • National Drug Code (NDC), July 20, 2023
Dose

Amount of a medication for each administration.

Dose Unit of Measure

Unit of measure of a medication.

Examples include but are not limited to milligram (mg) and milliliter (mL).

  • The Unified Code for Units of Measure, Revision 2.1
Indication

Sign, symptom, or medical condition that is the reason for giving or taking a medication.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2023 Release
  • International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2023
Fill Status

State of a medication with regards to dispensing or other activity.

Examples include but are not limited to dispensed, partially dispensed, and not dispensed.

Medication Instructions

Directions for administering or taking a medication.

Examples include but are not limited to prescription directions for taking a medication, and package instructions for over-the-counter medications.

Usage notes: May include route, quantity, timing/frequency, and special instructions (PRN, sliding scale, taper).

Medication Adherence

Statement of whether a medication has been consumed according to instructions.

Examples include but are not limited to taking as directed, taking less than directed, and not taking.

  • Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2023 Release

Data Element

Applicable Vocabulary Standard(s)

Medications

Pharmacologic agent used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

  • RxNorm® Full Monthly Release, July 1, 2024

Optional:

  • National Drug Code (NDC), July 16, 2024
Dose

Amount of a medication for each administration.

Dose Unit of Measure

Unit of measure of a medication.

Examples include but are not limited to milligram (mg) and milliliter (mL).

  • The Unified Code for Units of Measure, Revision 2.1
Route of Administration

Physiological administration path of a therapeutic agent into or onto a patient.

Examples include but are not limited to oral, topical, and intravenous.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2024 Release
  • National Cancer Institute Thesaurus (NCIt) v24.04e, FDA Structured Product Labeling (SPL) Terminology
Indication

Sign, symptom, or medical condition that is the reason for giving or taking a medication.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2024 Release
  • International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2024
Fill Status

State of a medication with regards to dispensing or other activity.

Examples include but are not limited to dispensed, partially dispensed, and not dispensed.

Medication Instructions

Directions for administering or taking a medication.

Usage note: May include route, quantity, timing/frequency, and special instructions (PRN, sliding scale, taper).

Examples include but are not limited to prescription directions for taking a medication, and package instructions for over-the-counter medications.

Medication Adherence

Statement of whether a medication has been consumed according to instructions.

Examples include but are not limited to taking as directed, taking less than directed, and not taking.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2024 Release

Data Element

Applicable Vocabulary Standard(s)

Medications

Pharmacologic agent used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

  • RxNorm® Full Monthly Release, July 7, 2025

Optional:

  • National Drug Code (NDC), July 23, 2025
Dose

Amount of a medication for each administration.

Dose Unit of Measure

Unit of measure of a medication.

Examples include but are not limited to milligram (mg) and milliliter (mL).

  • The Unified Code for Units of Measure, Revision 2.2
Route of Administration

Physiological administration path of a therapeutic agent into or onto a patient.

Examples include but are not limited to oral, topical, and intravenous.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2025 Release
  • National Cancer Institute Thesaurus (NCIt) v24.10d, FDA Structured Product Labeling (SPL) Terminology
Indication

Sign, symptom, or medical condition that is the reason for giving or taking a medication.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2025 Release
  • International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2025
Dispense Status

State of a medication with regards to dispensing or other activity.

Examples include but are not limited to dispensed, partially dispensed, and not dispensed.

Medication Instructions

Directions for administering or taking a medication.

Usage note: May include route, quantity, timing/frequency, and special instructions (PRN, sliding scale, taper).

Examples include but are not limited to prescription directions for taking a medication, and package instructions for over-the-counter medications.

Medication Adherence

Statement of whether a medication has been consumed according to instructions.

Examples include but are not limited to taking as directed, taking less than directed, and not taking.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition, March 2025 Release

Data Element

Applicable Vocabulary Standard(s)

Medication

Pharmacologic agent used in the diagnosis, cure, mitigation, treatment, or prevention of disease.

  • RxNorm® 

Optional:

  • National Drug Code (NDC)
Dose

Amount of a medication for each administration.

Dose Unit of Measure

Units of measure of a medication. 

Examples include but are not limited to milligram (mg) and milliliter (mL).

  • The Unified Code for Units of Measure (UCUM)
Route of Administration

Physiological administration path of a therapeutic agent into or onto a patient. 

Examples include but are not limited to oral, topical, and intravenous. 

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition
  • National Cancer Institute Thesaurus (NCIt), FDA Structured Product Labeling (SPL) Terminology
Medication Dispense Status

State of a medication with regards to dispensing or other activity. 

Examples include but are not limited to dispensed, partially dispensed, and not dispensed.

Medication Instructions

Directions for administering or taking a medication. 

Usage note: May include route, quantity, timing/frequency, and special instructions (PRN, sliding scale, taper). 

Examples include but are not limited to prescription directions for taking a medication, and package instructions for over-the-counter medications. 

Medication Adherence

Statement of whether a medication has been consumed according to instructions. 

Examples include but are not limited to taking as directed, taking less than directed, and not taking.

  • SNOMED Clinical Terms® (SNOMED CT®) U.S. Edition
Medication Administration

Information about the event of a patient consuming or otherwise being given a
medication. 

Examples include but are not limited to swallowing a tablet, administering an injection, and a long running infusion.

Medication Dispense Quantity

The amount of medication dispensed or to be dispensed.

Comment

Log in or register to post comments

Add a New Comment

Review comment and Submit

Edit
Comment #1