2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide
2022.1.0 - CI Build

2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide, published by Centers for Disease Control and Prevention (CDC). This guide is not an authorized publication; it is the continuous build for version 2022.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/opioid-cds-r4/ and changes regularly. See the Directory of published versions

: Opiate specific urine drug screening tests - JSON Representation

Active as of 2023-05-25

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{
  "resourceType" : "ValueSet",
  "id" : "opiate-specific-urine-drug-screening-tests",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset"🔗 ,
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      "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-executablevalueset"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set contains 33 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-89308-1\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/89308-1/\">89308-1</a></td><td>http://loinc.org</td><td>Morphine-6-Glucuronide [Presence] in Urine by Screen method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-51739-1\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/51739-1/\">51739-1</a></td><td>http://loinc.org</td><td>Codeine Free [Mass/volume] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-89310-7\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/89310-7/\">89310-7</a></td><td>http://loinc.org</td><td>Codeine-6-glucuronide [Presence] in Urine by Screen method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-3508-9\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/3508-9/\">3508-9</a></td><td>http://loinc.org</td><td>Codeine [Mass/volume] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-16250-3\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/16250-3/\">16250-3</a></td><td>http://loinc.org</td><td>Codeine [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-3507-1\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/3507-1/\">3507-1</a></td><td>http://loinc.org</td><td>Codeine [Presence] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-16197-6\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/16197-6/\">16197-6</a></td><td>http://loinc.org</td><td>Codeine [Presence] in Urine by Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-13641-6\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/13641-6/\">13641-6</a></td><td>http://loinc.org</td><td>Codeine [Presence] in Urine by SAMHSA confirm method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19411-8\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19411-8/\">19411-8</a></td><td>http://loinc.org</td><td>Codeine [Presence] in Urine by Screen method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-70206-8\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/70206-8/\">70206-8</a></td><td>http://loinc.org</td><td>Codeine [Moles/volume] in Urine by Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19414-2\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19414-2/\">19414-2</a></td><td>http://loinc.org</td><td>Codeine cutoff [Mass/volume] in Urine for Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19413-4\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19413-4/\">19413-4</a></td><td>http://loinc.org</td><td>Codeine cutoff [Mass/volume] in Urine for Screen method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-58391-4\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/58391-4/\">58391-4</a></td><td>http://loinc.org</td><td>Codeine/Creatinine [Mass Ratio] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-3829-9\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/3829-9/\">3829-9</a></td><td>http://loinc.org</td><td>Morphine Free [Mass/volume] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-20550-0\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/20550-0/\">20550-0</a></td><td>http://loinc.org</td><td>Morphine Free [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-3828-1\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/3828-1/\">3828-1</a></td><td>http://loinc.org</td><td>Morphine Free [Presence] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19602-2\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19602-2/\">19602-2</a></td><td>http://loinc.org</td><td>Morphine Free [Presence] in Urine by Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19601-4\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19601-4/\">19601-4</a></td><td>http://loinc.org</td><td>Morphine Free [Presence] in Urine by Screen method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19604-8\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19604-8/\">19604-8</a></td><td>http://loinc.org</td><td>Morphine Free cutoff [Mass/volume] in Urine for Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19603-0\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19603-0/\">19603-0</a></td><td>http://loinc.org</td><td>Morphine Free cutoff [Mass/volume] in Urine for Screen method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-3832-3\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/3832-3/\">3832-3</a></td><td>http://loinc.org</td><td>Morphine [Mass/time] in 24 hour Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-3831-5\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/3831-5/\">3831-5</a></td><td>http://loinc.org</td><td>Morphine [Mass/volume] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-16251-1\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/16251-1/\">16251-1</a></td><td>http://loinc.org</td><td>Morphine [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-3830-7\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/3830-7/\">3830-7</a></td><td>http://loinc.org</td><td>Morphine [Presence] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-16196-8\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/16196-8/\">16196-8</a></td><td>http://loinc.org</td><td>Morphine [Presence] in Urine by Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-13648-1\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/13648-1/\">13648-1</a></td><td>http://loinc.org</td><td>Morphine [Presence] in Urine by SAMHSA confirm method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19597-4\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19597-4/\">19597-4</a></td><td>http://loinc.org</td><td>Morphine [Presence] in Urine by Screen method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-70210-0\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/70210-0/\">70210-0</a></td><td>http://loinc.org</td><td>Morphine [Moles/volume] in Urine by Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-78861-2\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/78861-2/\">78861-2</a></td><td>http://loinc.org</td><td>Morphine [Z-score] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19600-6\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19600-6/\">19600-6</a></td><td>http://loinc.org</td><td>Morphine cutoff [Mass/volume] in Urine for Confirmatory method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-19599-0\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/19599-0/\">19599-0</a></td><td>http://loinc.org</td><td>Morphine cutoff [Mass/volume] in Urine for Screen method</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-58392-2\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/58392-2/\">58392-2</a></td><td>http://loinc.org</td><td>Morphine/Creatinine [Mass Ratio] in Urine</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---loinc.org-78768-9\"> </a>\u00a0\u00a0<a href=\"https://loinc.org/78768-9/\">78768-9</a></td><td>http://loinc.org</td><td>Morphine [Mass/volume] in Urine -- adjusted for lean body mass+urine creatinine</td></tr></table></div>"
  },
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      "url" : "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-clinical-focus",
      "valueString" : "Presumed general urine tests for naturally occurring opioids (i.e. opiates) that are not specific to a particular substance based upon the inclusion of the word 'opiates' in the long name."
    },
    {
      "url" : "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-dataelement-scope",
      "valueString" : "Urine test"
    },
    {
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      "valueString" : "Codes"
    },
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      "valueString" : "None"
    },
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      "url" : "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail" : {
        "name" : "MD Partners, Inc.",
        "telecom" : [
          {
            "system" : "email",
            "value" : "info@mdpartners.com"
          }
        ]
      }
    },
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      "valueCode" : "computable"
    },
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      "valueCode" : "executable"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-usageWarning",
      "valueString" : "This value set contains a point-in-time expansion enumerating the codes that meet the value set intent. As new versions of the code systems used by the value set are released, the contents of this expansion will need to be updated to incorporate newly defined codes that meet the value set intent. Before, and periodically during production use, the value set expansion contents SHOULD be updated. The value set expansion specifies the timestamp when the expansion was produced, SHOULD contain the parameters used for the expansion, and SHALL contain the codes that are obtained by evaluating the value set definition. If this is ONLY an executable value set, a distributable definition of the value set must be obtained to compute the updated expansion."
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/valueset-rules-text",
      "valueMarkdown" : "Step 1. Add all codes found using the following LOINC query: (morphine AND NOT diamorphine AND NOT 6-Monoacetylmorphine) (=system:Urine)"
    }
  ],
  "url" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/opiate-specific-urine-drug-screening-tests",
  "version" : "2022.1.0",
  "name" : "OPIATE_SPECIFIC_URINE_DRUG_SCREENING_TESTS",
  "title" : "Opiate specific urine drug screening tests",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-05-25T18:08:12-06:00",
  "publisher" : "Centers for Disease Control and Prevention (CDC)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.cdc.gov"
        }
      ]
    }
  ],
  "description" : "Urine tests for naturally occurring opioids (i.e. opiates) that are specific to a particular naturally occurring opioid and therefore do not have the general word 'opiates' in the long name.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "purpose" : "Identification of urine drug tests where results can be used when considering pain management therapy",
  "copyright" : "© CDC 2016+.",
  "expansion" : {
    "identifier" : "5c433185-4ca4-48e0-8785-88a84e5e75de",
    "timestamp" : "2023-05-25T18:08:12-06:00",
    "total" : 33,
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        "system" : "http://loinc.org",
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        "display" : "Codeine Free [Mass/volume] in Urine"
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        "code" : "16250-3",
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        "display" : "Morphine [Moles/volume] in Urine by Confirmatory method"
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        "system" : "http://loinc.org",
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        "display" : "Morphine [Mass/volume] in Urine -- adjusted for lean body mass+urine creatinine"
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}