Example: Prescriber requests medication history
In this example a prescriber is requesting historical prescription information from a payer for a patient based on a date range or social security number. Payer sends back a response with one prescription. Video shows how a non-technical user can easily map the NCPDP Script and other standards to any target format.
Payer can easily setup a trading partner in Adeptia and automate all the NCPDP transactions.
- Payer receives request from the Prescriber (trading partner)
- Maps the RxHistory Request / Response message
- Automatic trigger processes new requests on arrival
- Payer checks the request status in Trading Partner Monitor interface
Refer to the following data integration video on how to setup a trading partner and automate the processing of prescriber requests.
As part of this example we will use database lookups to search for the Patient medication historical data from a database table and apply the search results into the Rx History Response segments under the PrescribedMedication node of the SCRIPT Standard.
Elements in the NCPDP Rx History Request (RxHistoryRequest) Transaction (SCRIPT standard) are:
|
Element |
Value |
|
To (payer) |
PAYER123:ZZZ |
|
From (prescriber) |
7702211:C |
|
RelatesToMessageID |
991 |
|
PrescriberOrderNumber |
Not applicable |
|
RxHistoryRequest |
RxHistoryRequest |
|
Patient SocialSecurity |
888092222 |
|
Patient LastName,FirstName |
Jane:Elen |
|
Patient Gender |
F |
|
Patient Address |
21 Main St, Aurora, IL, 60445 |
|
PayerName |
ACME |
|
CardholderID |
1234567890 |
|
CardholderLastName |
Elen |
|
Cardholder FirstName |
Jane |
|
Prescriber Address |
45 Main St, Chicago, IL 60661 |
|
Prescriber Phone- Communication Number |
555-000-2222 |
Some of the important elements in the RxHistoryResponse (from Payer) are:
|
Element |
Value |
|
To (prescriber) |
7702211:C |
|
From (payer) |
PAYER123:ZZZ |
|
RelatesToMessageID |
1234567 |
|
PrescriberOrderNumber |
110088 |
|
RxReferenceNumber |
PH888 |
|
Patient SocialSecurity (Cardholder) |
888092222 |
|
Patient LastName,FirstName (Cardholder) |
Jane:Elen |
|
Patient Gender |
F |
|
Patient Address |
21 Main St, Aurora, IL, 60445 |
|
Pharmacy Provider ID - NCPDPID |
7701789 |
|
Pharmacy National Provider ID - NPI |
1234567890 |
|
Pharmacy Name - StoreName |
ABC Pharmacy |
|
Prescriber NPI |
444444444 |
|
Prescriber Address |
45 Main St, Chicago, IL 60661 |
|
Prescriber Phone- Communication Number |
555-000-2222 |
|
Drug Description |
Generic SR 240MG |
|
Drug Strength |
240 |
|
Strength From – NCPDP Drug Dosage Form Terminology is the code for Tablet dosing form. |
C42998 |
|
Quantity /Code value |
60:38 |
|
WrittenDate |
2014-10-1 |
|
Days Supply |
30 |
|
Substitutions |
1 |
|
Number of Refills |
0 |
|
Note – Pharmacy is asking to substitute to generic |
Substitute Generic? |
|
Sig Text |
Take one tablet |
|
RxFillIndicator – intent to receive status |
1 |
Adeptia supports full integration of NCPDP standards.
For more information on Adeptia - NCPDP integration please refer to http://support.adeptia.com/entries/54725865-Integration-with-NCPDP-...
Simplified mapping of the NCPDP standard is one of key advantages of using Adeptia. To learn more about the mapping functionality please refer to mapping videos available in the support forum.
To learn more about the NCPDP Script standard please refer to www.ncpdp.org
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