OpioidCDSREC10OrderSign
type: Library
node role: treeRoot
id:
  v: OpioidCDSREC10OrderSign
text:
  status:
    v: generated
  div:
    v: Id: library-OpioidCDSREC10 Type: logic-library Version: 2022.1.0 Status: active Related: type: depends-on Resource: http://fhir.org/guides/cdc/opioid-cds/Library/FHIRHelpers type: depends-on Resource: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommon type: depends-on Resource: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSRoutines Data Requirements: type: Observation code filter: path: code valueset: http://fhir.org/guides/cdc/opioid-cds/ValueSet/non-opioid-drug-urine-screening type: Observation code filter: path: code valueset: http://fhir.org/guides/cdc/opioid-cds/ValueSet/opioid-drug-urine-screening Content: type: text/cql library OpioidCDSREC10 version '2022.1.0' using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' called FHIRHelpers include OpioidCDSCommon version '2022.1.0' called Common include OpioidCDSRoutines version '2022.1.0' called Routines /* ** Recommendation #10 ** When prescribing opioids for subacute or chronic pain, providers should use urine drug ** testing before starting opioid therapy and consider urine drug testing at ** least annually to assess for prescribed medications as well as other controlled ** prescription drugs and illicit drugs (recommendation category: B, evidence type: 4) ** ** When ** Provider is prescribing an opioid analgesic with ambulatory misuse potential in the outpatient setting ** Prescription is for treating chronic pain. ** Opioid review is useful for this patient: ** Patient is 18 or over ** Patient does not have findings indicating limited life expectancy ** Patient does not have orders for therapies indicating end of life care ** Patient is not undergoing active cancer treatment: ** Patient has had at least 2 encounters within the past year with any diagnosis of cancer ** Urine drug screening has not been performed in last 12 months ** Then ** Recommend urine drug screening ** Will perform urine screening ** Not for chronic pain management, snooze 3 months ** N/A - see comment, snooze …
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url:
  v: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSREC10OrderSign
  l: OpioidCDSREC10OrderSign
version:
  v: 2022.1.0
name:
  v: OpioidCDSREC10OrderSign
title:
  v: Library - Recommendation #10 - Urine Drug Testing
status:
  v: active
experimental:
  v: true
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/library-type
      l: library-type
    code:
      v: logic-library
date:
  v: 2026-02-05T17:35:28+00:00
publisher:
  v: Centers for Disease Control and Prevention (CDC)
contact:
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    value:
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    l: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommonConfig
related artifact:
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    l: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSRoutines
related artifact:
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  display:
    v: Library Rec10Common
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    l: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSREC10Common
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    l: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSRoutines
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type:
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display:
  v: Value set Opioid analgesics with ambulatory misuse potential
resource:
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  l: opioid-analgesics-with-ambulatory-misuse-potential

type:
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display:
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resource:
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  l: medicationrequest-category-community

type:
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display:
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resource:
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  l: all-urine-drug-screening-tests

type:
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display:
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resource:
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  l: amphetamine-drug-urine-screening-tests

type:
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display:
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resource:
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  l: amphetamines-class-medications

type:
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display:
  v: Value set Barbiturate Urine Tests
resource:
  v: http://fhir.org/guides/cdc/opioid-cds/ValueSet/barbiturate-drug-urine-screening-tests
  l: barbiturate-drug-urine-screening-tests

type:
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resource:
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type:
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display:
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resource:
  v: http://fhir.org/guides/cdc/opioid-cds/ValueSet/benzodiazepine-drug-urine-screening-tests
  l: benzodiazepine-drug-urine-screening-tests

type:
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display:
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resource:
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type:
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display:
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resource:
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  l: buprenorphine-drug-urine-screening-tests

type:
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resource:
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type:
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display:
  v: Value set Cocaine Urine Tests
resource:
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  l: cocaine-urine-drug-screening-tests

type:
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display:
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resource:
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type:
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display:
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resource:
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  l: heroin-drug-urine-screening-tests

type:
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display:
  v: Value set Methadone Urine Tests
resource:
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type:
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resource:
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type:
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resource:
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  l: oxycodone-medications

type:
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resource:
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name:
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max:
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name:
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