Id: OpioidCDSREC06 Url: Library - Recommendation #6 - Prescribe Lowest Effective Dose and Duration Version: 2022.1.0 Name: OpioidCDSREC06 Title: Library - Recommendation #6 - Prescribe Lowest Effective Dose and Duration Status: active Experimental: true Type: system: http://terminology.hl7.org/CodeSystem/library-type code: logic-library Date: 2026-02-18 19:59:29+0000 Publisher: HL7 FHIR Community Process (FCP) / Security Risk Solutions, Inc. (SRS) Related Artifacts: Dependencies http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1 FHIR Helpersversion: null4.0.1) Library - OpioidCDS Commonversion: null2022.1.0) Library - OpioidCDS Common Configurationversion: null2022.1.0) Library - OpioidCDS Routinesversion: null2022.1.0) Parameters: Name Type Min Max In/Out ContextPrescriptions MedicationRequest 0 * In Patient Patient 0 1 Out Acute Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions MedicationRequest 0 * Out Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential for Acute Pain boolean 0 1 Out Order is for Long-Acting Opioid boolean 0 1 Out Inclusion Criteria boolean 0 1 Out Exclusion Criteria boolean 0 1 Out Is Recommendation Applicable? boolean 0 1 Out Data Requirements: Type Profile MS Code Filter Patient http://hl7.org/fhir/StructureDefinition/Patient Content: text/cql library OpioidCDSREC06 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 OpioidCDSCommonConfig version '2022.1.0' called Config include OpioidCDSRoutines version '2022.1.0' called Routines /* ** ** Recommendation #6 ** When opioids are needed for acute pain, clinicians should prescribe no greater quantity than ** needed for the expected duration of pain severe enough to require opioids ** (recommendation category: A; evidence type: 4). ** ** When ** Provider is prescribing an opioid analgesic with ambulatory misuse potential in the outpatient setting ** Prescription is for treating acute pain. ** CDC 2022 guideline general inclusion criteria met for this patient: ** Patient is 18 or over ** Patient does not have evidence of sickle cell disease ** 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 office visits within the past 12 months with an oncology specialist present, or ** Patient has had at least 2 office visits within the past 12 months with a CDC malignant cancer condition diagnosis ** Patient does not have conditions likely terminal for opioid prescribing present ** Prescription is for more than 7 days ** Then ** When Treating Acute Pain, Prescribe No Greater Quantity Than Needed: ** Document - Will adjust opioid order ** Snooze - Benefits of opioid therapy duration outweigh risks, snooze 3 months ** Snooze - N/A see comment, snooze 3 months ** */ // META: Plan Definition: http://fhir.org/guides/cdc/opioid-cds-r4/PlanDefinition/opioid-cds-06 parameter ContextPrescriptions List<MedicationRequest> context Patient define "Acute Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions": ( Common."Is Opioid Analgesic with Ambulatory Misuse Potential?"( ContextPrescriptions ) ) AmbulatoryOpioidPrescription where Routines."Is Acute Pain Prescription?"( AmbulatoryOpioidPrescription ) and Routines."Acute Pain Prescription Greater Than 7 Days?"(AmbulatoryOpioidPrescription) define "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential for Acute Pain": exists( "Acute Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" ) define "Order is for Long-Acting Opioid": exists ( "Acute Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" AmbulatoryOpioidPrescription where AmbulatoryOpioidPrescription.medication in Common."Extended release opioid with ambulatory misuse potential" or Common.GetDurationInDays( AmbulatoryOpioidPrescription.dispenseRequest.expectedSupplyDuration ) > 7 days ) define "Inclusion Criteria": "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential for Acute Pain" and Routines."CDC 2022 Guideline General Inclusion Criteria" and "Order is for Long-Acting Opioid" define "Exclusion Criteria": false define "Is Recommendation Applicable?": "Inclusion Criteria" and not "Exclusion Criteria" Content: application/elm+xml Encoded data (28264 characters) Content: application/elm+json Encoded data (47256 characters)
Library - Recommendation #6 - Prescribe Lowest Effective Dose and Duration
HL7 FHIR Community Process (FCP) / Security Risk Solutions, Inc. (SRS)
Acute Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions
Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential for Acute Pain