Section 1a: Clinical Document Architecture (CDA®)
Section 2: Clinical and Administrative Domains
Section 3: Implementation Guides

HL7 CDA® R2 Implementation Guide: Medication Therapy Management (MTM) Templates, Release 1 - US Realm

DESCRIPTION

This two volume guide supports the documentation and communication needs of the expanding Medication Therapy Management (MTM) services arena and the CMS Medicare Part D reporting and patient information requirements for MTM. It is to be used for the exchange of medication related information including assessment results, recommendations for modifications to medication regimens, recommendations for other services (e.g., dietary or laboratory) and the results of interventions between/among providers, payers, pharmacy benefit managers (PBMs) and patients.

This guide defines templates within this library that are used for the documentation of MTM services, specifically:

  • Medication Action Plan, Medication List
  • Comprehensive Medication Review (CMR) , Targeted Medication Review (TMR), Medication Therapy Outcomes

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: Medication Therapy Management (MTM) Templates, Release 1 - US Realm may also go by the following names or acronyms:

"HL7 IG for CDAR2: Medication Therapy Management (MTM) Templates, R1", MTM CMR Take-away document; MTM CMS document, CDAR2, MTM

TARGETS

  • Regulatory Agency
  • Standards Development Organizations (SDOs)
  • Health Care IT Vendors
  • MTM System Vendors
  • Healthcare Institutions (hospitals, long term care, home care, mental health)
  • MTM Pharmacists

BENEFITS

  • Defines how to construct patient take-away documents following Medication Therapy Management (MTM) Medication Review encounters using cCDA
  • Facilitates exchange of information between the Patient, the MTM Pharmacist, and other health care providers
  • Supports optimization of Patient outcomes following MTM Medication Reviews – Comprehensive Medication Reviews (CMR) and Targeted Medication Reviews (TMR)

DEVELOPMENT BACKGROUND

This was a joint development effort between HL7 and the National Council for Prescription Drug Programs (NCPDP).  The specific intent being to employ cCDA to produce the patient-specific documents required by Centers for Medicare and Medicaid Services (CMS) following Medication Therapy Management (MTM) Medication Reviews (Comprehensive – CMR, and Targeted – TMR).

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: Medication Therapy Management (MTM) Templates, Release 1 - US Realm

(Download) (2.77 MB)

TOPIC

  • Pharmacy

BALLOT TYPE

  • Informative

STATUS DATE

2015-10-28

RESPONSIBLE WORK GROUP

Pharmacy

STAKEHOLDERS

  • Health Care IT Vendors
  • Healthcare Institutions
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • CDA

CURRENT STATE

  • Active

REALM

  • US Realm