Id: OpioidCDSREC07 Url: Library - Recommendation #7 - Opioid Therapy Risk Assessment Version: 2022.1.0 Name: OpioidCDSREC07 Title: Library - Recommendation #7 - Opioid Therapy Risk Assessment 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 Risk Assessment Interval Period 0 1 Out Previous 10 Days Interval Period 0 1 Out Encounter Interval Period 0 1 Out Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions MedicationRequest 0 * Out Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential boolean 0 1 Out Opioid Risk Assessment in Past 90 Days Procedure 0 * Out Prescribed Opioids for 7 of Past 10 Days with an Encounter 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 Procedure http://hl7.org/fhir/StructureDefinition/Procedure ;; code filter: path: code value set: http://fhir.org/guides/cdc/opioid-cds/ValueSet/opioid-misuse-assessment-procedure Encounter http://hl7.org/fhir/StructureDefinition/Encounter ;; code filter: path: type value set: http://fhir.org/guides/cdc/opioid-cds/ValueSet/office-visit Content: text/cql library OpioidCDSREC07 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 #7 ** Clinicians should evaluate benefits and risks with patients within 1-4 weeks of starting ** opioid therapy for subacute or chronic pain or of dosage escalation. Clinicians should ** regularly reevaluate benefits and risks of continued opioid therapy with patients ** (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 subacute and/or chronic 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 ** Opioid risk benefit assessment has not been performed in the past 90 days ** Then ** Regularly Evaluate the Benefits and Risks of Opioid Therapy: ** Document - Conducted benefit and risk assessment ** Snooze - Conducted assessment, 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-07 parameter ContextPrescriptions List<MedicationRequest> context Patient define "Risk Assessment Interval": Interval[Today() - 91 days, Today() - 1 day] define "Previous 10 Days Interval": Interval[Today() - 10 days, Today()] define "Encounter Interval": Interval[Today() - 12 months - 1 days, Today() - 1 day] define "Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions": ( Common."Is Opioid Analgesic with Ambulatory Misuse Potential?"( ContextPrescriptions ) ) AmbulatoryOpioidPrescription where Routines."Is Subacute or Chronic Pain Prescription?"( AmbulatoryOpioidPrescription ) define "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential": exists( "Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" ) define "Opioid Risk Assessment in Past 90 Days": [Procedure: Common."Opioid misuse assessment procedure"] riskAssessment where start of (riskAssessment.performed as FHIR.Period) in day of "Risk Assessment Interval" define "Prescribed Opioids for 7 of Past 10 Days with an Encounter": Common."Days on Opioids during Period"( "Previous 10 Days Interval" ) >= 7 and exists ( [Encounter: Common."Office Visit"] AmbulatoryEncounter where AmbulatoryEncounter.period during "Encounter Interval" ) define "Inclusion Criteria": "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential" and Routines."CDC 2022 Guideline General Inclusion Criteria" and not exists ( "Opioid Risk Assessment in Past 90 Days" ) and ( "Prescribed Opioids for 7 of Past 10 Days with an Encounter" or Common."Prescribed Opioids for 21 or more of 30 Days for each of the past 3 Months" ) define "Exclusion Criteria": Common."End of Life Assessment" define "Is Recommendation Applicable?": "Inclusion Criteria" and not "Exclusion Criteria" Content: application/elm+xml Encoded data (46424 characters) Content: application/elm+json Encoded data (82956 characters)
Library - Recommendation #7 - Opioid Therapy Risk Assessment
HL7 FHIR Community Process (FCP) / Security Risk Solutions, Inc. (SRS)
Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions
Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential
Prescribed Opioids for 7 of Past 10 Days with an Encounter