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
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
| Draft as of 2023-11-14 |
{
"resourceType" : "Library",
"id" : "OpioidCDSREC10ModuleConfiguration",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduleconfigurationlibrary"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">OpioidCDSREC10ModuleConfiguration</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\"><a href=\"Library-OpioidCDSREC10ModuleConfiguration.html\">Module Configuration Library for Recommendation 10 (EPIC prefetch configuration)</a></td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">2022.1.0</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">OpioidCDSREC10ModuleConfiguration</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">Module Configuration Library for Recommendation 10 (EPIC prefetch configuration)</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Type: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-library-type.html\">LibraryType</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>module-definition</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2023-11-14</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Centers for Disease Control and Prevention (CDC)</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\"><div><p>This library is used to populate the prefetch template for Recommendation 10 (EPIC-specific)</p>\n</div></td>\n </tr>\n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 4px;\">US</td>\n </tr>\n \n \n \n \n \n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Data Requirements:</b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n \n <tr>\n <th>Patient</th>\n <th/>\n <th/>\n <th>\n \n </th>\n </tr>\n \n <tr>\n <th>Observation</th>\n <th/>\n <th/>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html\">Observation Category Codes</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>laboratory</span>\n </p>\n \n \n \n \n <b>code filter: </b>\n \n <br/>\n \n \n \n <span style=\"padding-left: 4px;\">\n <b>value set: </b><span>http://fhir.org/guides/cdc/opioid-cds/ValueSet/all-urine-drug-screening-tests</span>\n </span>\n \n \n \n </th>\n </tr>\n \n <tr>\n <th>MedicationRequest</th>\n <th/>\n <th/>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-medicationrequest-category.html\">MedicationRequest Category Codes</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>community</span>\n </p>\n \n \n \n \n <b>code filter: </b>\n \n <br/>\n \n \n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>active</span>\n </p>\n \n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Condition</th>\n <th/>\n <th/>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-category.html\">Condition Category Codes</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>encounter-diagnosis</span>\n </p>\n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-condition-category.html\">US Core Condition Category Extension Codes</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>health-concern</span>\n </p>\n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-category.html\">Condition Category Codes</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>problem-list-item</span>\n </p>\n \n \n \n \n <b>code filter: </b>\n \n <br/>\n \n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>system: </b> <span><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a></span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>active</span>\n </p>\n \n \n \n \n </th>\n </tr>\n \n <tr>\n <th>Encounter</th>\n <th/>\n <th/>\n <th>\n \n </th>\n </tr>\n \n <tr>\n <th>ServiceRequest</th>\n <th/>\n <th/>\n <th>\n \n <b>code filter: </b>\n \n <br/>\n \n \n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>active</span>\n </p>\n \n \n \n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>completed</span>\n </p>\n \n \n \n \n </th>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n </table>\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "cds"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-configurationEndpoint",
"valueUri" : "http://example.com/fhir"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-endpointSupportsPost",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-configurationFor",
"valueCanonical" : "http://fhir.org/guides/cdc/opioid-cds/PlanDefinition/opioidcds-10-order-sign"
}
],
"url" : "http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSREC10ModuleConfiguration",
"version" : "2022.1.0",
"name" : "OpioidCDSREC10ModuleConfiguration",
"title" : "Module Configuration Library for Recommendation 10 (EPIC prefetch configuration)",
"status" : "draft",
"experimental" : true,
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"date" : "2023-11-14",
"publisher" : "Centers for Disease Control and Prevention (CDC)",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.cdc.gov"
}
]
}
],
"description" : "This library is used to populate the prefetch template for Recommendation 10 (EPIC-specific)",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"dataRequirement" : [
{
"id" : "patient-query",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern",
"valueString" : "Patient?_id={{context.patientId}}"
},
{
"extension" : [
{
"url" : "path",
"valueString" : "id"
},
{
"url" : "searchParam",
"valueString" : "_id"
},
{
"url" : "comparator",
"valueCode" : "eq"
},
{
"url" : "value",
"valueString" : "{{context.patientId}}"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-valueFilter"
}
],
"type" : "Patient"
},
{
"id" : "all-uds-labs-query",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern",
"_valueString" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression" : {
"description" : "Expression that builds the FHIR query for all UDS labs for the patient in the past year",
"language" : "text/cql-expression",
"expression" : "'Observation?subject=Patient/{{context.patientId}}&category=laboratory&date=ge' + ToString(Today() - 1 year) + 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}
}
]
}
},
{
"extension" : [
{
"url" : "path",
"valueString" : "subject"
},
{
"url" : "searchParam",
"valueString" : "patient"
},
{
"url" : "comparator",
"valueCode" : "eq"
},
{
"url" : "value",
"valueString" : "{{context.patientId}}"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-valueFilter"
}
],
"type" : "Observation",
"codeFilter" : [
{
"searchParam" : "category",
"code" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
},
{
"searchParam" : "code",
"valueSet" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/all-urine-drug-screening-tests"
}
],
"dateFilter" : [
{
"searchParam" : "date",
"valueDuration" : {
"value" : 1,
"unit" : "years",
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
]
},
{
"id" : "active-medication-requests",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern",
"valueString" : "MedicationRequest?subject=Patient/{{context.patientId}}&status=active&category=community&_include=MedicationRequest:medication",
"_valueString" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression" : {
"description" : "Expression that builds the FHIR query for all active medication requests for the patient. NOTE: Epic does not appear to support searching MedicationRequest resources by medicationCodeableConcept (being able to search for orders with specific codes would narrow the search).",
"language" : "text/cql-expression",
"expression" : "MedicationRequest?subject=Patient/{{context.patientId}}&status=active&category=community&_include=MedicationRequest:medication"
}
}
]
}
},
{
"extension" : [
{
"url" : "path",
"valueString" : "subject"
},
{
"url" : "searchParam",
"valueString" : "patient"
},
{
"url" : "comparator",
"valueCode" : "eq"
},
{
"url" : "value",
"valueString" : "{{context.patientId}}"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-valueFilter"
}
],
"type" : "MedicationRequest",
"codeFilter" : [
{
"searchParam" : "category",
"code" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
"code" : "community"
}
]
},
{
"searchParam" : "status",
"code" : [
{
"code" : "active"
}
]
}
]
},
{
"id" : "us-core-active-categorized-conditions",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern",
"valueString" : "Condition?patient={{context.patientId}}&category=encounter-diagnosis,health-concern,problem-list-item&clinical-status=active",
"_valueString" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression" : {
"description" : "Expression that builds the FHIR query for active US Core categorized conditions for the patient. NOTE: Epic does not appear to support searching Condition resources by code.",
"language" : "text/cql-expression",
"expression" : "'Condition?patient={{context.patientId}}&category=encounter-diagnosis,health-concern,problem-list-item&clinical-status=active'"
}
}
]
}
},
{
"extension" : [
{
"url" : "path",
"valueString" : "subject"
},
{
"url" : "searchParam",
"valueString" : "patient"
},
{
"url" : "comparator",
"valueCode" : "eq"
},
{
"url" : "value",
"valueString" : "{{context.patientId}}"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-valueFilter"
}
],
"type" : "Condition",
"codeFilter" : [
{
"searchParam" : "category",
"code" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis"
},
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code" : "health-concern"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
},
{
"searchParam" : "clinical-status",
"code" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
}
]
},
{
"id" : "all-encounters-in-past-year",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern",
"_valueString" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression" : {
"description" : "Expression that builds the FHIR query for all encounters in the past year for the patient. NOTE: Epic does not appear to support searching Encounter resources by type (being able to search for office visit encounter types would narrow the search).",
"language" : "text/cql-expression",
"expression" : "'Encounter?patient={{context.patientId}}&date=ge' + ToString(Today() - 1 year)"
}
}
]
}
},
{
"extension" : [
{
"url" : "path",
"valueString" : "subject"
},
{
"url" : "searchParam",
"valueString" : "patient"
},
{
"url" : "comparator",
"valueCode" : "eq"
},
{
"url" : "value",
"valueString" : "{{context.patientId}}"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-valueFilter"
}
],
"type" : "Encounter",
"dateFilter" : [
{
"searchParam" : "date",
"valueDuration" : {
"value" : 1,
"unit" : "years",
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
]
},
{
"id" : "active-or-completed-service-requests",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-fhirQueryPattern",
"valueString" : "ServiceRequest?patient={{context.patientId}}&status=active,completed",
"_valueString" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression" : {
"description" : "Expression that builds the FHIR query for all active/completed service requests for the patient. NOTE: Epic does not appear to support searching ServiceRequest resources by date (being able to search for service requests within the past 90 days would narrow the search).",
"language" : "text/cql-expression",
"expression" : "'ServiceRequest?patient={{context.patientId}}&status=active,completed'"
}
}
]
}
},
{
"extension" : [
{
"url" : "path",
"valueString" : "subject"
},
{
"url" : "searchParam",
"valueString" : "patient"
},
{
"url" : "comparator",
"valueCode" : "eq"
},
{
"url" : "value",
"valueString" : "{{context.patientId}}"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-valueFilter"
}
],
"type" : "ServiceRequest",
"codeFilter" : [
{
"searchParam" : "status",
"code" : [
{
"code" : "active"
},
{
"code" : "completed"
}
]
}
]
}
]
}