Id: |
OpioidCDSREC09 |
Url: |
Library - Recommendation #9 - Consider Patient's History of Controlled Substance Prescriptions |
Version: |
2022.1.0 |
Name: |
OpioidCDSREC09 |
Title: |
Library - Recommendation #9 - Consider Patient's History of Controlled Substance Prescriptions |
Status: |
active |
Experimental: |
true |
Type: |
system: http://terminology.hl7.org/CodeSystem/library-type
code: logic-library
|
Date: |
2025-01-10 16:49:36+0000 |
Publisher: |
Centers for Disease Control and Prevention (CDC) |
Related Artifacts: |
Dependencies
|
Parameters: |
Name | Type | Min | Max | In/Out |
ContextPrescriptions | MedicationRequest | 0 | 1 | In |
Patient | Patient | 0 | 1 | Out |
Look Back 90 Days | Period | 0 | 1 | Out |
Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions | MedicationRequest | 0 | * | Out |
Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential | boolean | 0 | 1 | Out |
PDMP Data Not Reviewed in Past 90 Days | boolean | 0 | 1 | Out |
Inclusion Criteria | boolean | 0 | 1 | Out |
Exclusion Criteria | boolean | 0 | 1 | Out |
Is Recommendation Applicable? | boolean | 0 | 1 | Out |
Get Indicator | string | 0 | 1 | Out |
Get Summary | string | 0 | 1 | Out |
Get Detail | string | 0 | 1 | Out |
|
Content: text/cql |
library OpioidCDSREC09 version '2022.1.0'
using FHIR version '4.0.1'
include FHIRHelpers version '4.0.1' called FHIRHelpers
include OpioidCDSCommon version '2022.1.0' called Common
include OpioidCDSCommonConfig version '2022.1.0' called Config
include OpioidCDSRoutines version '2022.1.0' called Routines
parameter ContextPrescriptions List<MedicationRequest>
context Patient
define "Look Back 90 Days":
Interval[Today() - 90 days, Today()]
define "Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions":
( Common."Is Opioid Analgesic with Ambulatory Misuse Potential?"( ContextPrescriptions ) ) AmbulatoryOpioidPrescription
where Routines."Is Subacute or Chronic Pain Prescription?"( AmbulatoryOpioidPrescription )
define "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential":
exists( "Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" )
define "PDMP Data Not Reviewed in Past 90 Days":
Config."PDMP Data Not Reviewed in Past 90 Days Criteria Enabled"
and not (
exists (
[Procedure: Common."PDMP review procedure"] P
where P.status ~ 'completed'
and P.performed during "Look Back 90 Days"
)
or exists (
[Observation: Common."PDMP data reviewed finding"] O
where O.status in { 'final', 'amended' }
and (
if O.effective is FHIR.Period
then (O.effective as FHIR.Period) during day of "Look Back 90 Days"
else if O.effective is FHIR.dateTime
then date from O.effective in day of "Look Back 90 Days"
else false
)
)
)
define "Inclusion Criteria":
"Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
and Routines."Is Opioid Review Useful?"
and "PDMP Data Not Reviewed in Past 90 Days"
define "Exclusion Criteria":
false
define "Is Recommendation Applicable?":
"Inclusion Criteria"
and not "Exclusion Criteria"
define "Get Indicator":
if "Is Recommendation Applicable?"
then 'warning'
else null
define "Get Summary":
if "Is Recommendation Applicable?"
then 'Notify: PDMP data for this patient has not been reviewed in the past 90 days.'
else null
define "Get Detail":
if "Is Recommendation Applicable?"
then 'Review PDMP data for this patient before completing an opioid order
[Recommendation 9 of the 2022 CDC Clinical Practice Guideline provides guidance about utilizing PDMP information to improve patient safety](https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm#:~:text=Clinicians%20should%20take,see%20Recommendation%2010).)
[CDC advises not to dismiss patients from your practice on the basis of PDMP information](https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm#:~:text=Clinicians%20should%20not%20dismiss,Recommendations%208%20and%2012%5D).)'
else null
|
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Content: application/elm+xml |
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Content: application/elm+json |
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