March Release - 03/05/2018
This release of RxNorm is consistent with the 2017AB UMLS Metathesaurus release. For additional information about RxNorm releases, including scripts for loading the RxNorm data into Oracle and MySQL databases, read the RxNorm Technical Documentation.
Sources
The following source versions in bold have been updated since the previous RxNorm release:
| Source Name | SAB | Version |
|---|---|---|
| Anatomical Therapeutic Chemical Classification System | ATC | ATC_2018 |
| Vaccines Administered | CVX | CVX_2018_01_18 |
| DrugBank | DRUGBANK | DRUGBANK5.0_2018_01_29 |
| Gold Standard Drug Database | GS | GS_2018_01_31 |
| Multum MediSource Lexicon | MMSL | MMSL_2018_02_01 |
| Micromedex RED BOOK | MMX | MMX_2018_01_29 |
| Medical Subject Headings (MeSH) | MSH | MSH2018_2017_08_11 |
| CMS Formulary Reference File | MTHCMSFRF | MTHCMSFRF_2014 |
| FDA Structured Product Labels | MTHSPL | MTHSPL_2018_02_23 |
| FDB MedKnowledge (formerly NDDF Plus) | NDDF | NDDF_2018_01_31 |
| Veterans Health Administration National Drug File - Reference Terminology | NDFRT | NDFRT_2018_02_05 |
| NDFRT FDASPL relationships | NDFRT_FDASPL | NDFRT_FDASPL_2018_02_05 |
| NDFRT FMTSME relationships | NDFRT_FMTSME | NDFRT_FMTSME_2018_02_05 |
| US Edition of SNOMED CT (drug information) | SNOMEDCT_US | SNOMEDCT_US_2018_01_31 |
| Veterans Health Administration National Drug File | VANDF | VANDF_2018_01_26 |
*Reminder: As of October 2017, Medi-Span data will not be included in the RxNorm or UMLS releases. If you have questions, please contact: medispan-support@wolterskluwer.com.
Data Changes
NDF-RT/MED-RT Reminder
The Veterans Health Administration (VHA) is replacing its National Drug File-Reference Terminology (NDF-RT) with Medication Reference Terminology (MED-RT). The last release of NDF-RT is in the RxNorm full March release and will remain in the RxNorm full monthly releases for the next several months. There are no plans to include MED-RT in RxNorm; however, MED-RT will be included in the UMLS Metathesaurus along with RxNorm and its source vocabularies. The anticipated first release date of MED-RT is Monday, March 5th. For information about the MED-RT release, go to: https://www.cancer.gov/research/resources/terminology/fmt.
New Dose Form
RxNorm includes a new dose form: Oral Tablet with Sensor. This dose form is defined as a tablet taken orally that digitally tracks if patients have ingested their medication.
Here are the concepts using the new dose form Oral Tablet with Sensor in the March release:
| RXCUI | TTY | String |
|---|---|---|
| 1998451 | SCD | aripiprazole 10 MG Oral Tablet with Sensor |
| 1998453 | SBD | aripiprazole 10 MG Oral Tablet with Sensor [Abilify] |
| 1998454 | SCD | aripiprazole 15 MG Oral Tablet with Sensor |
| 1998455 | SBD | aripiprazole 15 MG Oral Tablet with Sensor [Abilify] |
| 1998456 | SCD | aripiprazole 2 MG Oral Tablet with Sensor |
| 1998457 | SBD | aripiprazole 2 MG Oral Tablet with Sensor [Abilify] |
| 1998458 | SCD | aripiprazole 20 MG Oral Tablet with Sensor |
| 1998459 | SBD | aripiprazole 20 MG Oral Tablet with Sensor [Abilify] |
| 1998460 | SCD | aripiprazole 30 MG Oral Tablet with Sensor |
| 1998461 | SBD | aripiprazole 30 MG Oral Tablet with Sensor [Abilify] |
| 1998462 | SCD | aripiprazole 5 MG Oral Tablet with Sensor |
| 1998463 | SBD | aripiprazole 5 MG Oral Tablet with Sensor [Abilify] |
Qualitative Distinction
Qualitative Distinction modifiers allow flexibility in the RxNorm model to create new RXCUIs as needed. Please see the technical documentation for more information about Qualitative Distinctions (QDs), which were first released in the August 2016 monthly release.
Here are the new concepts with QDs in the March release:
| RXCUI | TTY | String |
|---|---|---|
| 1998771 | SCD | Breath-Actuated 120 ACTUAT Beclomethasone Dipropionate 0.08 MG/ACTUAT Metered Dose Inhaler |
| 1998772 | SBD | Breath-Actuated 120 ACTUAT Beclomethasone Dipropionate 0.08 MG/ACTUAT Metered Dose Inhaler [Qvar] |
| 1998773 | SCD | Breath-Actuated 120 ACTUAT Beclomethasone Dipropionate 0.04 MG/ACTUAT Metered Dose Inhaler |
| 1998774 | SBD | Breath-Actuated 120 ACTUAT Beclomethasone Dipropionate 0.04 MG/ACTUAT Metered Dose Inhaler [Qvar] |
For each SCD or SBD with a QD, there is an associated attribute in RXNSAT with the attribute name (ATN) of 'RXN_QUALITATIVE_DISTINCTION'. The March release contains the following new attribute value (ATV) to match the QD strings found in the SCD and SBD normalized names:
- Breath-Actuated
New Unit of Measure
RxNorm includes a new unit of measure: SQ-HDM. SQ is a method of standardization of biological potency, major allergen content, and complexity of the allergen extract; HDM is an abbreviation for house dust mite.
Here are the new concepts with the SQ-HDM unit of measure in the March release:
| RXCUI | TTY | String |
|---|---|---|
| 1998624 | SCD | American house dust mite extract 6 SQ-HDM / European house dust mite extract 6 SQ-HDM Sublingual Tablet |
| 1998631 | SBD | American house dust mite extract 6 SQ-HDM / European house dust mite extract 6 SQ-HDM Sublingual Tablet [Odactra] |
Data Counts
| Term Type or Attribute | Number |
|---|---|
| Active GPCKs | 380 |
| Active BPCKs | 456 |
| Active SCDs | 18486 |
| Active SBDs | 10425 |
| Active RXNORM MINs | 3975 |
| Active RXNORM INs | 11697 |
| Active RXNORM PINs | 2743 |
| Active RXNORM BNs | 6053 |
| Active RXNORM DFs | 117 |
| Obsolete GPCKs | 166 |
| Obsolete BPCKs | 143 |
| Obsolete SCDs | 16811 |
| Obsolete SBDs | 10712 |
| Obsolete RXNORM MINs | 0 |
| Obsolete RXNORM INs | 0 |
| Obsolete RXNORM PINs | 0 |
| Obsolete RXNORM BNs | 10034 |
| Obsolete RXNORM DFs | 59 |
| Editor-suppressed SCDs | 1749 |
| Editor-suppressed SBDs | 1399 |
| SAB=RXNORM NDCs | 238681 |
| Distinct SAB=RXNORM NDCs | 238681 |
Last Reviewed: March 5, 2018