• Recommendation #11 - Concurrent Use of Opioids and Benzodiazepines
• Functional Description
• Content

8.11.0 Recommendation #11 - Concurrent Use of Opioids and Benzodiazepines

Recommendation #11:

Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible (recommendation category: A, evidence type: 3).

8.11.1 Functional Description

Patient is being prescribed opioids for chronic pain.

Patient does not appear to be at end of life.

If patient is prescribed opioid medication concurrently with Benzodiazepine medication, provide a recommendation to revise order:

Avoid prescribing opioid pain mediation and benzodiazepine concurrently whenever possible.

Provide links to the CDC Guidance.

One of the following responses should be required:

• Will revise order.
• Risk of overdose carefully considered and outweighed by benefit; snooze 3 months.
• N/A-see comment (will be reviewed by medical director); snooze 3 months.

8.11.2 Content

The following artifacts formalize the description of the logic and behavior defined by this recommendation.

Resource	Type	Description
Opioid Terminology Management Knowledgdebase Logic (OMTK) Library	Library	CQL Library that provides logic for implementation of opioid management functionality including Milligram Morphine Equivalents (MME).
Opioid Terminology Management Knowledgebase Logic (OMTK)	CQL Source	For reference, the complete CQL source for the OMTK Logic Library.
Opioid Terminology Management Knowledgdebase Data (OMTK) Library	Library	CQL Library that provides logic for implementation of opioid management functionality including Milligram Morphine Equivalents (MME).
Opioid Terminology Management Knowledgebase Data (OMTK)	CQL Source	For reference, the complete CQL source for the OMTK Logic Library.
Common Opioid Decision Support Logic	Library	CQL Library that provides common logic for the recommendations
Common Opioid Decision Support Logic	STU3 CQL Source	For reference, the complete CQL source for the common logic.
CDC Opioid Prescribing Guideline Recommendation #11	PlanDefinition	Event-Condition-Action rule that implements behavior for CDC Opioid Prescribing Guideline Recommendation #11
Recommendation #11 - concurrent opioid pain medication and benzodiazepines prescriptions	Library	Defines the data requirements to support evaluation of recommendation #11
CDC Opioid Prescribing Guideline Recommendation #11 Patient View	PlanDefinition	Event-Condition-Action rule that implements behavior for CDC Opioid Prescribing Guideline Recommendation #11
Recommendation #11 Patient View - concurrent opioid pain medication and benzodiazepines prescriptions	Library	Defines the data requirements to support evaluation of recommendation #11
Recommendation #11 - concurrent opioid pain medication and benzodiazepines prescriptions	STU3 CQL Source	For reference, the complete CQL source for recommendation #11
Recommendation #11 Patient View - concurrent opioid pain medication and benzodiazepines prescriptions	STU3 CQL Source	For reference, the complete CQL source for recommendation #11