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A Mobile Health Application for Medication Reconciliation using RxNorm and FHIR

Authors:
Thomas Agresta
Steven Demurjian
Eugene Sanzi
John DeStefano
Stacy Ward-Charlerie
Rachel Rusnak
Ryan Tran

Keywords: Medication reconciliation; FHIR; Mobile health; Interoperability

Abstract:
Medications are a large and growing component of the prescriber’s armamentarium and are the first line treatment for 88% of chronic diseases. The percentage of patients taking multiple prescription medications is also increasing. According to the most recent data (2011-2014) from the Centers for Disease Control and Prevention (CDC), 40.7% of seniors (65 years or older) and 10.9% of the total population were taking five (5) or more prescription medications within the past 30 days. For seniors, the 40.7% represents almost a three-fold increase from the period of 1988-1994 (13.8%). Because a patient’s medication regimen is the basis for many treatment decisions, it is extremely important that medication lists are accurate in order to maximize therapeutic impact and prevent potentially life-threatening patient safety events. This paper presents our work on a mobile health (mHealth) application for medication reconciliation that can: retrieve medications from multiple electronic health records, personal health records, and other health information technology systems; combine and reconcile medication into a medication list that identifies potential conflicts between the same and/or different medications; develop an adaptive multi-use algorithm for medication reconciliation for multiple medications pulled from different sources; and, provide a Fast Healthcare Interoperability Resources FHIR-based extensible software solution for medication reconciliation which can seamlessly include new medication sources and algorithm modifications.

Pages: 1 to 10

Copyright: Copyright (c) IARIA, 2020

Publication date: October 18, 2020

Published in: conference

ISSN: 2519-8491

ISBN: 978-1-61208-834-1

Location: Porto, Portugal

Dates: from October 18, 2020 to October 22, 2020