2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide
2022.1.1 - Release 2022.1
2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide
2022.1.1 - Release 2022.1
2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide, published by CDC / Security Risk Solutions, Inc. (SRS). This guide is not an authorized publication; it is the continuous build for version 2022.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/security-rs/opioid-cds-r4/ and changes regularly. See the Directory of published versions
| Active as of 2026-06-27 |
{
"resourceType" : "CodeSystem",
"id" : "opioidcds-overrideReasons",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem opioidcds-overrideReasons</b></p><a name=\"opioidcds-overrideReasons\"> </a><a name=\"hcopioidcds-overrideReasons\"> </a><p>This case-sensitive code system <code>http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">snooze-1-month<a name=\"opioidcds-overrideReasons-snooze-1-month\"> </a></td><td>Snooze Alert for 1 Month</td><td>Disable the alert for 1 month for a particular patient, user(s), department(s), site(s), or organization</td></tr><tr><td style=\"white-space:nowrap\">snooze-3-months<a name=\"opioidcds-overrideReasons-snooze-3-months\"> </a></td><td>Snooze Alert for 3 Months</td><td>Disable the alert for 3 months for a particular patient, user(s), department(s), site(s), or organization</td></tr><tr><td style=\"white-space:nowrap\">snooze-6-months<a name=\"opioidcds-overrideReasons-snooze-6-months\"> </a></td><td>Snooze Alert for 6 Months</td><td>Disable the alert for 6 months for a particular patient, user(s), department(s), site(s), or organization</td></tr><tr><td style=\"white-space:nowrap\">snooze-1-year<a name=\"opioidcds-overrideReasons-snooze-1-year\"> </a></td><td>Snooze Alert for 1 Year</td><td>Disable the alert for 1 year for a particular patient, user(s), department(s), site(s), or organization</td></tr><tr><td style=\"white-space:nowrap\">snooze-1-month-with-comment<a name=\"opioidcds-overrideReasons-snooze-1-month-with-comment\"> </a></td><td>Snooze Alert for 1 Month with a Comment</td><td>Disable the alert for 1 month for a particular patient, user(s), department(s), site(s), or organization. Reasoning and/or justification supplied in an additional comment</td></tr><tr><td style=\"white-space:nowrap\">snooze-3-months-with-comment<a name=\"opioidcds-overrideReasons-snooze-3-months-with-comment\"> </a></td><td>Snooze Alert for 3 Months with a Comment</td><td>Disable the alert for 3 months for a particular patient, user(s), department(s), site(s), or organization. Reasoning and/or justification supplied in an additional comment</td></tr><tr><td style=\"white-space:nowrap\">snooze-6-months-with-comment<a name=\"opioidcds-overrideReasons-snooze-6-months-with-comment\"> </a></td><td>Snooze Alert for 6 Months with a Comment</td><td>Disable the alert for 6 months for a particular patient, user(s), department(s), site(s), or organization. Reasoning and/or justification supplied in an additional comment</td></tr><tr><td style=\"white-space:nowrap\">snooze-1-year-with-comment<a name=\"opioidcds-overrideReasons-snooze-1-year-with-comment\"> </a></td><td>Snooze Alert for 1 Year with a Comment</td><td>Disable the alert for 1 year for a particular patient, user(s), department(s), site(s), or organization. Reasoning and/or justification supplied in an additional comment</td></tr><tr><td style=\"white-space:nowrap\">comment<a name=\"opioidcds-overrideReasons-comment\"> </a></td><td>Comment</td><td>A comment about the received information or suggestion. This can include feedback for improvement/refinement.</td></tr><tr><td style=\"white-space:nowrap\">update-order<a name=\"opioidcds-overrideReasons-update-order\"> </a></td><td>Update Order</td><td>The order will be updated to the order(s) suggested by the service</td></tr><tr><td style=\"white-space:nowrap\">cancel-order<a name=\"opioidcds-overrideReasons-cancel-order\"> </a></td><td>Cancel Order</td><td>The order will be canceled based on the information provided by the service</td></tr><tr><td style=\"white-space:nowrap\">launch-app<a name=\"opioidcds-overrideReasons-launch-app\"> </a></td><td>Launch App</td><td>An application will be used to complete the workflow</td></tr><tr><td style=\"white-space:nowrap\">accept-suggestion<a name=\"opioidcds-overrideReasons-accept-suggestion\"> </a></td><td>Accept Suggestion</td><td>The suggestion provided by the service has been accepted</td></tr><tr><td style=\"white-space:nowrap\">accept-suggestion-with-comment<a name=\"opioidcds-overrideReasons-accept-suggestion-with-comment\"> </a></td><td>Accept Suggestion with Comment</td><td>The suggestion provided by the service has been accepted. Additional action(s) documented in an associated comment</td></tr><tr><td style=\"white-space:nowrap\">decline-suggestion<a name=\"opioidcds-overrideReasons-decline-suggestion\"> </a></td><td>Decline Suggestion</td><td>The suggestion provided by the service has been declined</td></tr><tr><td style=\"white-space:nowrap\">decline-suggestion-with-comment<a name=\"opioidcds-overrideReasons-decline-suggestion-with-comment\"> </a></td><td>Decline Suggestion with Comment</td><td>The suggestion provided by the service has been declined. Reasoning and/or justification supplied in an additional comment</td></tr><tr><td style=\"white-space:nowrap\">UToxAccepted<a name=\"opioidcds-overrideReasons-UToxAccepted\"> </a></td><td>Action Taken</td><td>Action taken on the Recommendation 10 urine toxicology screening recommendation (e.g., toxicology screen was ordered).</td></tr><tr><td style=\"white-space:nowrap\">UToxNA<a name=\"opioidcds-overrideReasons-UToxNA\"> </a></td><td>Alert not appropriate</td><td>The Recommendation 10 urine toxicology screening recommendation is not appropriate for the current patient or context.</td></tr><tr><td style=\"white-space:nowrap\">UToxPDeclined<a name=\"opioidcds-overrideReasons-UToxPDeclined\"> </a></td><td>Action not taken</td><td>Action on the Recommendation 10 urine toxicology screening recommendation was not taken (e.g., patient declined or other reason).</td></tr><tr><td style=\"white-space:nowrap\">UToxWrongProvider<a name=\"opioidcds-overrideReasons-UToxWrongProvider\"> </a></td><td>Wrong clinician</td><td>The Recommendation 10 urine toxicology screening recommendation is not appropriate for this clinician's scope of practice.</td></tr><tr><td style=\"white-space:nowrap\">UnExptResultAccepted<a name=\"opioidcds-overrideReasons-UnExptResultAccepted\"> </a></td><td>Action Taken</td><td>Action taken in response to the unexpected toxicology results alert from Recommendation 10 (e.g., will repeat urine drug screening more frequently or will assess for substance use disorder).</td></tr><tr><td style=\"white-space:nowrap\">UnExptResultNA<a name=\"opioidcds-overrideReasons-UnExptResultNA\"> </a></td><td>Alert not appropriate</td><td>The Recommendation 10 unexpected toxicology results alert is not appropriate for the current patient or context.</td></tr><tr><td style=\"white-space:nowrap\">UnExptResultWrongProvider<a name=\"opioidcds-overrideReasons-UnExptResultWrongProvider\"> </a></td><td>Wrong clinician</td><td>The Recommendation 10 unexpected toxicology results alert is not appropriate for this clinician's scope of practice.</td></tr></table></div>"
},
"url" : "http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.65.16.2"
}
],
"version" : "2022.1.1",
"name" : "CDC_Opioid_Override_Reasons",
"title" : "CDC Opioid Override Reasons",
"status" : "active",
"experimental" : false,
"date" : "2026-06-27T04:09:13+00:00",
"publisher" : "CDC / Security Risk Solutions, Inc. (SRS)",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.securityrisksolutions.com"
}
]
}
],
"description" : "Override reasons for the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain",
"copyright" : "Centers for Disease Control and Prevention (CDC)",
"caseSensitive" : true,
"content" : "complete",
"concept" : [
{
"code" : "snooze-1-month",
"display" : "Snooze Alert for 1 Month",
"definition" : "Disable the alert for 1 month for a particular patient, user(s), department(s), site(s), or organization"
},
{
"code" : "snooze-3-months",
"display" : "Snooze Alert for 3 Months",
"definition" : "Disable the alert for 3 months for a particular patient, user(s), department(s), site(s), or organization"
},
{
"code" : "snooze-6-months",
"display" : "Snooze Alert for 6 Months",
"definition" : "Disable the alert for 6 months for a particular patient, user(s), department(s), site(s), or organization"
},
{
"code" : "snooze-1-year",
"display" : "Snooze Alert for 1 Year",
"definition" : "Disable the alert for 1 year for a particular patient, user(s), department(s), site(s), or organization"
},
{
"code" : "snooze-1-month-with-comment",
"display" : "Snooze Alert for 1 Month with a Comment",
"definition" : "Disable the alert for 1 month for a particular patient, user(s), department(s), site(s), or organization. Reasoning and/or justification supplied in an additional comment"
},
{
"code" : "snooze-3-months-with-comment",
"display" : "Snooze Alert for 3 Months with a Comment",
"definition" : "Disable the alert for 3 months for a particular patient, user(s), department(s), site(s), or organization. Reasoning and/or justification supplied in an additional comment"
},
{
"code" : "snooze-6-months-with-comment",
"display" : "Snooze Alert for 6 Months with a Comment",
"definition" : "Disable the alert for 6 months for a particular patient, user(s), department(s), site(s), or organization. Reasoning and/or justification supplied in an additional comment"
},
{
"code" : "snooze-1-year-with-comment",
"display" : "Snooze Alert for 1 Year with a Comment",
"definition" : "Disable the alert for 1 year for a particular patient, user(s), department(s), site(s), or organization. Reasoning and/or justification supplied in an additional comment"
},
{
"code" : "comment",
"display" : "Comment",
"definition" : "A comment about the received information or suggestion. This can include feedback for improvement/refinement."
},
{
"code" : "update-order",
"display" : "Update Order",
"definition" : "The order will be updated to the order(s) suggested by the service"
},
{
"code" : "cancel-order",
"display" : "Cancel Order",
"definition" : "The order will be canceled based on the information provided by the service"
},
{
"code" : "launch-app",
"display" : "Launch App",
"definition" : "An application will be used to complete the workflow"
},
{
"code" : "accept-suggestion",
"display" : "Accept Suggestion",
"definition" : "The suggestion provided by the service has been accepted"
},
{
"code" : "accept-suggestion-with-comment",
"display" : "Accept Suggestion with Comment",
"definition" : "The suggestion provided by the service has been accepted. Additional action(s) documented in an associated comment"
},
{
"code" : "decline-suggestion",
"display" : "Decline Suggestion",
"definition" : "The suggestion provided by the service has been declined"
},
{
"code" : "decline-suggestion-with-comment",
"display" : "Decline Suggestion with Comment",
"definition" : "The suggestion provided by the service has been declined. Reasoning and/or justification supplied in an additional comment"
},
{
"code" : "UToxAccepted",
"display" : "Action Taken",
"definition" : "Action taken on the Recommendation 10 urine toxicology screening recommendation (e.g., toxicology screen was ordered)."
},
{
"code" : "UToxNA",
"display" : "Alert not appropriate",
"definition" : "The Recommendation 10 urine toxicology screening recommendation is not appropriate for the current patient or context."
},
{
"code" : "UToxPDeclined",
"display" : "Action not taken",
"definition" : "Action on the Recommendation 10 urine toxicology screening recommendation was not taken (e.g., patient declined or other reason)."
},
{
"code" : "UToxWrongProvider",
"display" : "Wrong clinician",
"definition" : "The Recommendation 10 urine toxicology screening recommendation is not appropriate for this clinician's scope of practice."
},
{
"code" : "UnExptResultAccepted",
"display" : "Action Taken",
"definition" : "Action taken in response to the unexpected toxicology results alert from Recommendation 10 (e.g., will repeat urine drug screening more frequently or will assess for substance use disorder)."
},
{
"code" : "UnExptResultNA",
"display" : "Alert not appropriate",
"definition" : "The Recommendation 10 unexpected toxicology results alert is not appropriate for the current patient or context."
},
{
"code" : "UnExptResultWrongProvider",
"display" : "Wrong clinician",
"definition" : "The Recommendation 10 unexpected toxicology results alert is not appropriate for this clinician's scope of practice."
}
]
}