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
| Active as of 2023-05-25 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="synthetic-opioid-urine-drug-screening-tests"/>
<meta>
<profile
value="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset"/>
<profile
value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computablevalueset"/>
<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 29 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-93471-1"> </a> <a href="https://loinc.org/93471-1/">93471-1</a></td><td>http://loinc.org</td><td>Acetyl norfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93473-7"> </a> <a href="https://loinc.org/93473-7/">93473-7</a></td><td>http://loinc.org</td><td>Beta hydroxythiofentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93465-3"> </a> <a href="https://loinc.org/93465-3/">93465-3</a></td><td>http://loinc.org</td><td>3-Methylfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93469-5"> </a> <a href="https://loinc.org/93469-5/">93469-5</a></td><td>http://loinc.org</td><td>4-Fluorobutyrylfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93464-6"> </a> <a href="https://loinc.org/93464-6/">93464-6</a></td><td>http://loinc.org</td><td>p-Fluorofentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-101162-6"> </a> <a href="https://loinc.org/101162-6/">101162-6</a></td><td>http://loinc.org</td><td>p-Fluorofentanyl [Presence] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-101161-8"> </a> <a href="https://loinc.org/101161-8/">101161-8</a></td><td>http://loinc.org</td><td>p-Fluorofentanyl/Creatinine [Mass Ratio] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93461-2"> </a> <a href="https://loinc.org/93461-2/">93461-2</a></td><td>http://loinc.org</td><td>4-Methoxybutyrylfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93471-1"> </a> <a href="https://loinc.org/93471-1/">93471-1</a></td><td>http://loinc.org</td><td>Acetyl norfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93468-7"> </a> <a href="https://loinc.org/93468-7/">93468-7</a></td><td>http://loinc.org</td><td>Acrylfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-99079-6"> </a> <a href="https://loinc.org/99079-6/">99079-6</a></td><td>http://loinc.org</td><td>Acrylfentanyl [Presence] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93467-9"> </a> <a href="https://loinc.org/93467-9/">93467-9</a></td><td>http://loinc.org</td><td>Butyrylfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93470-3"> </a> <a href="https://loinc.org/93470-3/">93470-3</a></td><td>http://loinc.org</td><td>Furanylfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-99081-2"> </a> <a href="https://loinc.org/99081-2/">99081-2</a></td><td>http://loinc.org</td><td>Furanylfentanyl [Presence] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93466-1"> </a> <a href="https://loinc.org/93466-1/">93466-1</a></td><td>http://loinc.org</td><td>Valerylfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93472-9"> </a> <a href="https://loinc.org/93472-9/">93472-9</a></td><td>http://loinc.org</td><td>4-Methylphenethylacetylfentanyl [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93462-0"> </a> <a href="https://loinc.org/93462-0/">93462-0</a></td><td>http://loinc.org</td><td>Norcarfentanil [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93463-8"> </a> <a href="https://loinc.org/93463-8/">93463-8</a></td><td>http://loinc.org</td><td>Ocfentanil [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93455-4"> </a> <a href="https://loinc.org/93455-4/">93455-4</a></td><td>http://loinc.org</td><td>IC-26 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93456-2"> </a> <a href="https://loinc.org/93456-2/">93456-2</a></td><td>http://loinc.org</td><td>MT-45 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93459-6"> </a> <a href="https://loinc.org/93459-6/">93459-6</a></td><td>http://loinc.org</td><td>U-47700 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93460-4"> </a> <a href="https://loinc.org/93460-4/">93460-4</a></td><td>http://loinc.org</td><td>AH-7921 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93457-0"> </a> <a href="https://loinc.org/93457-0/">93457-0</a></td><td>http://loinc.org</td><td>AH-8529 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93458-8"> </a> <a href="https://loinc.org/93458-8/">93458-8</a></td><td>http://loinc.org</td><td>AH-8533 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93451-3"> </a> <a href="https://loinc.org/93451-3/">93451-3</a></td><td>http://loinc.org</td><td>Nor-W-18+Nor-W-15 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93453-9"> </a> <a href="https://loinc.org/93453-9/">93453-9</a></td><td>http://loinc.org</td><td>W-15 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93454-7"> </a> <a href="https://loinc.org/93454-7/">93454-7</a></td><td>http://loinc.org</td><td>W-18 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93452-1"> </a> <a href="https://loinc.org/93452-1/">93452-1</a></td><td>http://loinc.org</td><td>W-19 [Mass/volume] in Urine by Confirmatory method</td></tr><tr><td style="white-space:nowrap"><a name="http---loinc.org-93474-5"> </a> <a href="https://loinc.org/93474-5/">93474-5</a></td><td>http://loinc.org</td><td>Synthetic opioids panel - Urine by Confirmatory method</td></tr></table></div>
</text>
<extension
url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-clinical-focus">
<valueString
value="Urine tests for synthetic and semi-synthetic (non-opiate) substances"/>
</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="Urine tests for synthetic and semi-synthetic (non-opiate) substances"/>
</extension>
<extension
url="http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-exclusion-criteria">
<valueString
value="Codes listed in the General opiate urine drug screening tests value set and the Opiate specific urine drug screening tests value set"/>
</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>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="executable"/>
</extension>
<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: (opiate OR opioid AND NOT morphine AND NOT diamorphine AND NOT 6-Monoacetylmorphine AND NOT opiates) (=system:Urine)"/>
</extension>
<url
value="http://fhir.org/guides/cdc/opioid-cds/ValueSet/synthetic-opioid-urine-drug-screening-tests"/>
<version value="2022.1.0"/>
<name value="SYNTHETIC_OPIOID_URINE_DRUG_SCREENING_TESTS"/>
<title value="Synthetic opioid 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 synthetic and semi-synthetic (non-opiate) substances"/>
<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="40f9b1ac-35af-4bde-8cba-d01ef21ac6aa"/>
<timestamp value="2023-05-25T18:08:12-06:00"/>
<total value="29"/>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93471-1"/>
<display
value="Acetyl norfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93473-7"/>
<display
value="Beta hydroxythiofentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93465-3"/>
<display
value="3-Methylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93469-5"/>
<display
value="4-Fluorobutyrylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93464-6"/>
<display
value="p-Fluorofentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="101162-6"/>
<display
value="p-Fluorofentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="101161-8"/>
<display
value="p-Fluorofentanyl/Creatinine [Mass Ratio] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93461-2"/>
<display
value="4-Methoxybutyrylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93471-1"/>
<display
value="Acetyl norfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93468-7"/>
<display
value="Acrylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="99079-6"/>
<display
value="Acrylfentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93467-9"/>
<display
value="Butyrylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93470-3"/>
<display
value="Furanylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="99081-2"/>
<display
value="Furanylfentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93466-1"/>
<display
value="Valerylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93472-9"/>
<display
value="4-Methylphenethylacetylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93462-0"/>
<display
value="Norcarfentanil [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93463-8"/>
<display
value="Ocfentanil [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93455-4"/>
<display value="IC-26 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93456-2"/>
<display value="MT-45 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93459-6"/>
<display value="U-47700 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93460-4"/>
<display value="AH-7921 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93457-0"/>
<display value="AH-8529 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93458-8"/>
<display value="AH-8533 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93451-3"/>
<display
value="Nor-W-18+Nor-W-15 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93453-9"/>
<display value="W-15 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93454-7"/>
<display value="W-18 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93452-1"/>
<display value="W-19 [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<version value="2.74"/>
<code value="93474-5"/>
<display
value="Synthetic opioids panel - Urine by Confirmatory method"/>
</contains>
</expansion>
</ValueSet>