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

Table of Contents

.. 0 Table of Contents
... 1 Home
... 2 2022 CDC Clinical Practice Guideline - Profiles
... 3 2022 CDC Clinical Practice Guideline - Terminology
... 4 2022 CDC Clinical Practice Guideline - Examples
... 5 2022 CDC Clinical Practice Guideline - Documentation
.... 5.1 2022 CDC Clinical Practice Guideline - Implementation Documentation
.... 5.2 2022 CDC Clinical Practice Guideline - Integration Documentation
.... 5.3 2022 CDC Clinical Practice Guideline - Process Documentation
.... 5.4 2022 CDC Clinical Practice Guideline - Service Documentation
... 6 2022 CDC Clinical Practice Guideline - Downloads
... 7 2022 CDC Clinical Practice Guideline - Subroutines
... 8 2022 CDC Clinical Practice Guideline - Acute Pain
... 9 2022 CDC Clinical Practice Guideline - Quick Start
... 10 Chronic Pain Decision Documentation
... 11 Recommendation #1 - Nonpharmacologic and Nonopioid Pharmacologic Therapy Consideration
... 12 Recommendation #2 - Prioritize Nonopioid Pain Therapies
... 13 Recommendation #3 - Opioid Immediate Release Form When Starting Opioid Therapy
... 14 Recommendations #4 and #5 - Lowest Effective Dose
... 15 Recommendation #6 - Prescribe Lowest Effective Dose and Duration
... 16 Recommendation #7 - Opioid Therapy Risk Assessment
... 17 Recommendation #8 - Naloxone Consideration
... 18 Recommendation #9 - Consider Patient's History of Controlled Substance Prescriptions
... 19 Recommendation #10 - Urine Drug Testing
... 20 Recommendation #11 - Concurrent Use of Opioids and Benzodiazepines
... 21 Recommendation #12 - Evidence-based Treatment for Patients with Opioid Use Disorder
... 22 License and Legal Terms
... 23 Artifacts Summary
.... 23.1 HelloWorld
.... 23.2 HelloWorldPatientView
.... 23.3 CDCMMEClinicalConversionFactors
.... 23.4 OpioidCDSRoutines
.... 23.5 OpioidCDSCommon
.... 23.6 OpioidCDSCommonConfig
.... 23.7 OpioidLogicMK2020
.... 23.8 OpioidData2020
.... 23.9 FHIRHelpers
.... 23.10 FHIRModelInfo
.... 23.11 OpioidCDSREC10CommonLibrary
.... 23.12 OpioidCDSREC01Library
.... 23.13 OpioidCDSREC02Library
.... 23.14 OpioidCDSREC03Library
.... 23.15 OpioidCDSREC04And05Library
.... 23.16 OpioidCDSREC06Library
.... 23.17 OpioidCDSREC07Library
.... 23.18 OpioidCDSREC08Library
.... 23.19 OpioidCDSREC09Library
.... 23.20 OpioidCDSREC10Library
.... 23.21 OpioidCDSREC10PatientViewLibrary
.... 23.22 OpioidCDSREC11Library
.... 23.23 OpioidCDSREC11PatientViewLibrary
.... 23.24 OpioidCDSREC12PatientViewLibrary
.... 23.25 OpioidRiskAssessmentActivityDefinition
.... 23.26 OpioidUrineScreeningActivityDefinition
.... 23.27 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #1
..... 23.27.1 Library
.... 23.28 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #2
..... 23.28.1 Library
.... 23.29 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #3
..... 23.29.1 Library
.... 23.30 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendations #4 and #5
..... 23.30.1 Library
.... 23.31 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #6
..... 23.31.1 Library
.... 23.32 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #7
..... 23.32.1 Library
.... 23.33 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #8 (order-sign)
..... 23.33.1 Library
.... 23.34 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #8
..... 23.34.1 Library
.... 23.35 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #9
..... 23.35.1 Library
.... 23.36 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #10 (order-sign)
..... 23.36.1 Library
.... 23.37 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #10 (patient-view)
..... 23.37.1 Library
.... 23.38 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #10
..... 23.38.1 Library
.... 23.39 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #11 (patient-view)
..... 23.39.1 Library
.... 23.40 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #11
..... 23.40.1 Library
.... 23.41 PlanDefinition - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain: Recommendation #12 (patient-view)
..... 23.41.1 Library
.... 23.42 Morphine Milligram Equivalent (MME) Conversion Factors for FHIR R4
.... 23.43 Morphine Milligram Equivalent (MME) Calculator for FHIR R4
.... 23.44 Opioid Management Terminology Knowledge Data
.... 23.45 Opioid Management Terminology Knowledge Logic
.... 23.46 CDC_CarePlan
.... 23.47 CDC_MedicationRequest
.... 23.48 CDC_Observation
.... 23.49 CDC_RequestGroup
.... 23.50 CDC_ValueSet
.... 23.51 DataDateRollerExtension
.... 23.52 EffectiveDataRequirement Extension
.... 23.53 CDC 2022 Opioid Guidance Clinical Focus Extension
.... 23.54 CDC 2022 Opioid Guidance Data Element Extension
.... 23.55 CDC 2022 Opioid Guidance exclusion Criteria Extension
.... 23.56 CDC 2022 Opioid Guidance Inclusion Criteria Extension
.... 23.57 ValueSet - Medication Request Category Community
.... 23.58 ValueSet - Medication Request Status Active
.... 23.59 CodeSystem - CDC 2022 Opioid Indicator
.... 23.60 OpioidCDS CarePlan
.... 23.61 Cancer Diagnosis Condition
.... 23.62 End of Life Condition
.... 23.63 Terminal Condition
.... 23.64 Cancer Diagnosis Encounter
.... 23.65 Oncology Participant Encounter
.... 23.66 Ambulatory Opioid MedicationDispense
.... 23.67 OpioidCDS MedicationRequest
.... 23.68 Ambulatory Opioid MedicationRequest
.... 23.69 OpioidCDS Observation
.... 23.70 OpioidCDS Patient
.... 23.71 Oncology Specialist PractitionerRole
.... 23.72 OpioidCDS RequestGroup
.... 23.73 Palliative Care ServiceRequest
.... 23.74 Amphetamine-class drugs and metabolite urine tests
.... 23.75 Amphetamine class medications
.... 23.76 Benzodiazepine medications
.... 23.77 Buprenorphine and Methadone medications
.... 23.78 Cannabinoid class urine drug screening
.... 23.79 CDC malignant cancer conditions
.... 23.80 CNS depressant medications
.... 23.81 Cocaine urine drug screening tests
.... 23.82 Sleep disordered breathing
.... 23.83 Conditions documenting substance misuse
.... 23.84 Conditions likely terminal for opioid prescribing
.... 23.85 Extended release opioid with ambulatory misuse potential
.... 23.86 Fentanyl-type medications
.... 23.87 Fentanyl-type urine drug screening tests
.... 23.88 General opiate urine drug screening tests
.... 23.89 Hospice Finding
.... 23.90 Hospice Procedure
.... 23.91 Limited life expectancy conditions
.... 23.92 Methadone urine drug screening tests
.... 23.93 Methadone medications
.... 23.94 Naloxone medications
.... 23.95 Non-opioid drug urine screening
.... 23.96 Non-synthetic opioid medications
.... 23.97 Oncology specialty designations (NUCC)
.... 23.98 Opiate specific urine drug screening tests
.... 23.99 Opioid counseling procedure
.... 23.100 Opioid drug urine screening
.... 23.101 Opioid misuse assessment procedure
.... 23.102 Opioid misuse disorders
.... 23.103 Opioid treatment assessment procedure
.... 23.104 Pain management procedure
.... 23.105 Pain treatment plan
.... 23.106 PDMP data reviewed finding
.... 23.107 PDMP review procedure
.... 23.108 Phencyclidine urine drug screening tests
.... 23.109 Sickle-cell diseases
.... 23.110 Substance misuse behavioral counseling
.... 23.111 Synthetic opioid medications
.... 23.112 Synthetic opioid urine drug screening tests
.... 23.113 Therapies indicating end of life care
.... 23.114 Condition Clinical Status Active
.... 23.115 Encounter Diagnosis Condition Category
.... 23.116 Problem List Condition Category
.... 23.117 US Core Health Concern Condition Category
.... 23.118 Hospice Disposition
.... 23.119 Observation Category Laboratory
.... 23.120 Observation Category Procedure
.... 23.121 Office Visit
.... 23.122 Xylazine drug urine screening tests
.... 23.123 CQFToolingDevice