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

retired
URL
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.514
Version
20210909
PublisherNHLBI Implementation Science and Health Care Innovation StewardDate2021-09-09T01:01:05-04:00Purpose

(Clinical Focus: This valueset contains preparations that are an oral inhaled corticosteroid (ICS) medication in combination with a long-acting beta agonist (LABA) medication used for high-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 high-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for inhaled medications in CDA and FHIR data across vendor systems and implementations.),(Exclusion Criteria: Excludes withdrawn preparations and retired codes (although they may still be available from pharmacies until supplies are exhausted).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.)

Expansion
<<>>>
CodeDisplaySystem
1918205http://www.nlm.nih.gov/research/umls/rxnorm
896209http://www.nlm.nih.gov/research/umls/rxnorm
896229http://www.nlm.nih.gov/research/umls/rxnorm
896271http://www.nlm.nih.gov/research/umls/rxnorm
896267http://www.nlm.nih.gov/research/umls/rxnorm
896212http://www.nlm.nih.gov/research/umls/rxnorm
1918203http://www.nlm.nih.gov/research/umls/rxnorm
1424889http://www.nlm.nih.gov/research/umls/rxnorm
1246313http://www.nlm.nih.gov/research/umls/rxnorm
1660938http://www.nlm.nih.gov/research/umls/rxnorm
896272http://www.nlm.nih.gov/research/umls/rxnorm
1246311http://www.nlm.nih.gov/research/umls/rxnorm
896228http://www.nlm.nih.gov/research/umls/rxnorm
896273http://www.nlm.nih.gov/research/umls/rxnorm
1660937http://www.nlm.nih.gov/research/umls/rxnorm
1539893http://www.nlm.nih.gov/research/umls/rxnorm