Low Dose ICS LABA Preparations in Children 5 to 11 Years of Age

active
URL
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.512
Version
20210909
PublisherNHLBI Implementation Science and Health Care Innovation StewardDate2021-09-09T01:01:05-04:00Purpose

(Clinical Focus: This valueset contains preparation that are an oral inhaled corticosteroid (ICS) medication in combination with a long-acting beta agonist (LABA) medication used for low-dose maintenance controller therapy in asthmatic children ages 5 to 11 years.),(Data Element Scope: FHIR MedicationStatement.medicationCodeableConcept, MedicationRequest.medicationCodeableConcept),(Inclusion Criteria: Includes oral ICS-LABA combo inhaler preparations that might typically and reasonably be used to treat asthmatics ages 5-11 years within the low-dose range (based upon ICS component) as per the NHLBI NAEPP EPR3 Guidelines for the Diagnosis and Management of Asthma (2007). Use of an ICS preparation for maintenance therapy in an atypical fashion (greater or fewer inhalations per day than is typical or expected) may not align with the partitioning of an ICS preparation into this dose-ranged valueset. The utility of this approach has not been clinically validated, but the rationale comes from observations of inconsistency and lack of usability of structured dosage information for inhaled medications in CDA and FHIR data across vendor systems and implementations.),(Exclusion Criteria: Excludes withdrawn preparations and retired codes (although they may still be available from pharmacies until supplies are exhausted). Excludes preparations with a small dose-number size (~14 inhalations or fewer) that would not be prescribed for maintenance therapy.)

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