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.

ResourceTypeDescription
Opioid Terminology Management Knowledgdebase Logic (OMTK) LibraryLibraryCQL Library that provides logic for implementation of opioid management functionality including Milligram Morphine Equivalents (MME).
Opioid Terminology Management Knowledgebase Logic (OMTK)CQL SourceFor reference, the complete CQL source for the OMTK Logic Library.
Opioid Terminology Management Knowledgdebase Data (OMTK) LibraryLibraryCQL Library that provides logic for implementation of opioid management functionality including Milligram Morphine Equivalents (MME).
Opioid Terminology Management Knowledgebase Data (OMTK)CQL SourceFor reference, the complete CQL source for the OMTK Logic Library.
Common Opioid Decision Support LogicLibraryCQL Library that provides common logic for the recommendations
Common Opioid Decision Support LogicSTU3 CQL SourceFor reference, the complete CQL source for the common logic.
CDC Opioid Prescribing Guideline Recommendation #11PlanDefinitionEvent-Condition-Action rule that implements behavior for CDC Opioid Prescribing Guideline Recommendation #11
Recommendation #11 - concurrent opioid pain medication and benzodiazepines prescriptionsLibraryDefines the data requirements to support evaluation of recommendation #11
CDC Opioid Prescribing Guideline Recommendation #11 Patient ViewPlanDefinitionEvent-Condition-Action rule that implements behavior for CDC Opioid Prescribing Guideline Recommendation #11
Recommendation #11 Patient View - concurrent opioid pain medication and benzodiazepines prescriptionsLibraryDefines the data requirements to support evaluation of recommendation #11
Recommendation #11 - concurrent opioid pain medication and benzodiazepines prescriptionsSTU3 CQL SourceFor reference, the complete CQL source for recommendation #11
Recommendation #11 Patient View - concurrent opioid pain medication and benzodiazepines prescriptionsSTU3 CQL SourceFor reference, the complete CQL source for recommendation #11