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 - XML Representation

Active as of 2023-05-25

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="opiate-specific-urine-drug-screening-tests"/>
  <meta>
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             value="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset"/>
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    <profile
             value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-executablevalueset"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>  <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>
  </text>
  <extension
             url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-clinical-focus">
    <valueString
                 value="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."/>
  </extension>
  <extension
             url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-dataelement-scope">
    <valueString value="Urine test"/>
  </extension>
  <extension
             url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-inclusion-criteria">
    <valueString value="Codes"/>
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  <extension
             url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-exclusion-criteria">
    <valueString value="None"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-author">
    <valueContactDetail>
      <name value="MD Partners, Inc."/>
      <telecom>
        <system value="email"/>
        <value value="info@mdpartners.com"/>
      </telecom>
    </valueContactDetail>
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  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
    <valueCode value="computable"/>
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    <valueCode value="executable"/>
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  <extension
             url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-usageWarning">
    <valueString
                 value="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."/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/valueset-rules-text">
    <valueMarkdown
                   value="Step 1. Add all codes found using the following LOINC query: (morphine AND NOT diamorphine AND NOT 6-Monoacetylmorphine) (=system:Urine)"/>
  </extension>
  <url
       value="http://fhir.org/guides/cdc/opioid-cds/ValueSet/opiate-specific-urine-drug-screening-tests"/>
  <version value="2022.1.0"/>
  <name value="OPIATE_SPECIFIC_URINE_DRUG_SCREENING_TESTS"/>
  <title value="Opiate specific urine drug screening tests"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-05-25T18:08:12-06:00"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://www.cdc.gov"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <purpose
           value="Identification of urine drug tests where results can be used when considering pain management therapy"/>
  <copyright value="© CDC 2016+."/>
  <expansion>
    <identifier value="5c433185-4ca4-48e0-8785-88a84e5e75de"/>
    <timestamp value="2023-05-25T18:08:12-06:00"/>
    <total value="33"/>
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      <code value="89308-1"/>
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    <contains>
      <system value="http://loinc.org"/>
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      <code value="51739-1"/>
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      <system value="http://loinc.org"/>
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      <code value="3508-9"/>
      <display value="Codeine [Mass/volume] in Urine"/>
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      <code value="16250-3"/>
      <display value="Codeine [Mass/volume] in Urine by Confirmatory method"/>
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    <contains>
      <system value="http://loinc.org"/>
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      <code value="3507-1"/>
      <display value="Codeine [Presence] in Urine"/>
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      <display value="Codeine [Presence] in Urine by Confirmatory method"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="13641-6"/>
      <display value="Codeine [Presence] in Urine by SAMHSA confirm method"/>
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    <contains>
      <system value="http://loinc.org"/>
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      <display value="Codeine [Presence] in Urine by Screen method"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="70206-8"/>
      <display
               value="Codeine [Moles/volume] in Urine by Confirmatory method"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="19414-2"/>
      <display
               value="Codeine cutoff [Mass/volume] in Urine for Confirmatory method"/>
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      <display
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      <code value="58391-4"/>
      <display value="Codeine/Creatinine [Mass Ratio] in Urine"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
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      <display value="Morphine Free [Mass/volume] in Urine"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="20550-0"/>
      <display
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    <contains>
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      <display value="Morphine Free [Presence] in Urine"/>
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    <contains>
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    <contains>
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      <display value="Morphine Free [Presence] in Urine by Screen method"/>
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      <display
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="3832-3"/>
      <display value="Morphine [Mass/time] in 24 hour Urine"/>
    </contains>
    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
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      <display value="Morphine [Mass/volume] in Urine"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="16251-1"/>
      <display
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    <contains>
      <system value="http://loinc.org"/>
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      <display value="Morphine [Presence] in Urine"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="16196-8"/>
      <display value="Morphine [Presence] in Urine by Confirmatory method"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="13648-1"/>
      <display value="Morphine [Presence] in Urine by SAMHSA confirm method"/>
    </contains>
    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="19597-4"/>
      <display value="Morphine [Presence] in Urine by Screen method"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
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      <display
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      <version value="2.74"/>
      <code value="19600-6"/>
      <display
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
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      <display
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    <contains>
      <system value="http://loinc.org"/>
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      <display value="Morphine/Creatinine [Mass Ratio] in Urine"/>
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    <contains>
      <system value="http://loinc.org"/>
      <version value="2.74"/>
      <code value="78768-9"/>
      <display
               value="Morphine [Mass/volume] in Urine -- adjusted for lean body mass+urine creatinine"/>
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</ValueSet>