Id: OpioidCDSREC11OrderSelect Url: Library - Recommendation #11 - Concurrent Use of Opioids and Benzodiazepines Version: 2022.1.0 Name: OpioidCDSREC11OrderSelect Title: Library - Recommendation #11 - Concurrent Use of Opioids and Benzodiazepines 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 Opioid Analgesic with Ambulatory Misuse Potential Prescriptions MedicationRequest 0 * Out Benzodiazepine or CNS Depressant Prescriptions MedicationRequest 0 * Out Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential boolean 0 1 Out Patient Is Being Prescribed Benzodiazepine or CNS Depressant 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 OpioidCDSREC11OrderSelect 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 #11 ** Clinicians should use particular caution when prescribing opioid pain medication and benzodiazepines concurrently ** and consider whether benefits outweigh risks of concurrent prescribing of opioids and other central nervous system ** depressants (recommendation category: B; evidence type: 3). ** ** When ** Provider is prescribing an opioid analgesic with ambulatory misuse potential in the outpatient setting or ** Provider is prescribing a benzodiazepine or other central nervous system depressant medication ** 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 ** Patient prescribed opioid analgesic with ambulatory misuse potential and benzodiazepine or other central nervous system depressant medication concurrently ** Then ** Use particular caution when prescribing opioid pain medication and benzodiazepines concurrently: ** Document - Will modify prescription ** Snooze - Benefits 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-11-order-select parameter ContextPrescriptions List<MedicationRequest> context Patient define "Opioid Analgesic with Ambulatory Misuse Potential Prescriptions": Common."Is Opioid Analgesic with Ambulatory Misuse Potential?"( ContextPrescriptions ) define "Benzodiazepine or CNS Depressant Prescriptions": Common."Is Benzodiazepine or CNS Depressant?"( ContextPrescriptions ) define "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential": exists( "Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" ) define "Patient Is Being Prescribed Benzodiazepine or CNS Depressant": exists( "Benzodiazepine or CNS Depressant Prescriptions" ) define "Inclusion Criteria": ( ( "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential" and exists Common."Active Ambulatory Benzodiazepine or CNS Depressant Rx" ) or ( "Patient Is Being Prescribed Benzodiazepine or CNS Depressant" and exists Common."Active Ambulatory Opioid Rx" ) ) and Routines."CDC 2022 Guideline General Inclusion Criteria" define "Exclusion Criteria": Common."End of Life Assessment" define "Is Recommendation Applicable?": "Inclusion Criteria" and not "Exclusion Criteria" Content: application/elm+xml Encoded data (23060 characters) Content: application/elm+json Encoded data (36720 characters)
Library - Recommendation #11 - Concurrent Use of Opioids and Benzodiazepines
HL7 FHIR Community Process (FCP) / Security Risk Solutions, Inc. (SRS)
Opioid Analgesic with Ambulatory Misuse Potential Prescriptions
Benzodiazepine or CNS Depressant Prescriptions
Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential
Patient Is Being Prescribed Benzodiazepine or CNS Depressant