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
| Official URL: http://fhir.org/guides/cdc/opioid-cds/ValueSet/fentanyl-type-urine-drug-screening-tests | Version: 2022.1.1 | |||
| Active as of 2026-06-01 | Computable Name: FENTANYL_TYPE_URINE_DRUG_SCREENING_TESTS | |||
| Other Identifiers: OID:2.16.840.1.114222.48.15 | ||||
Copyright/Legal: © CDC 2016+. |
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Urine screening tests for fentanyl-type drugs and metabolites
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Profiles: CPGComputableValueSet, CPGExecutableValueSet
This value set includes codes based on the following rules:
http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP16021-5 (Alfentanil), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP15167-7 (fentaNYL), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP17874-6 (SUFentanil), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411435-3 (Beta hydroxythiofentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411437-9 (3-Methylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411432-0 (4-Fluorobutyrylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411415-5 (4-Fluorofentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411412-2 (4-Methoxybutyrylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP248692-8 (Acetyl norfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411430-4 (Acrylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411429-6 (Butyrylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411433-8 (Furanylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411418-9 (Valerylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411434-6 (4-Methylphenethylacetylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411413-0 (Norcarfentanil), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411414-8 (Ocfentanil), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP438292-7 (Phenylacetyl fentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP438293-5 (p-Fluorobutyryl fentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP438295-0 (p-Fluoro cyclopropyl fentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP438290-1 (Methoxyacetylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP438289-3 (Methoxyacetyl norfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP438291-9 (Cyclopropylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)http://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP133999-5 (fentaNYL & Norfentanyl panel), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
Expansion based on Loinc v2.82
This value set contains 57 concepts
| System | Code | Display | Inactive | status | JSON | XML |
http://loinc.org | 16334-5 | Alfentanil [Mass/volume] in Urine | ||||
http://loinc.org | 18383-0 | Alfentanil [Presence] in Urine | ||||
http://loinc.org | 86604-6 | Alfentanil/Creatinine [Mass Ratio] in Urine by Confirmatory method | ||||
http://loinc.org | 11073-4 | Despropionylfentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 11075-9 | Norfentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 11235-9 | fentaNYL [Presence] in Urine | ||||
http://loinc.org | 26867-2 | fentaNYL [Units/volume] in 24 hour Urine | inactive | DISCOURAGED | ||
http://loinc.org | 3637-6 | fentaNYL [Mass/volume] in Urine | ||||
http://loinc.org | 40839-3 | fentaNYL [Presence] in Urine by Confirmatory method | ||||
http://loinc.org | 43199-9 | Norfentanyl [Presence] in Urine | ||||
http://loinc.org | 43200-5 | Norfentanyl [Presence] in Urine by Confirmatory method | ||||
http://loinc.org | 58379-9 | fentaNYL+Norfentanyl [Presence] in Urine by Screen method | ||||
http://loinc.org | 58380-7 | fentaNYL/Creatinine [Mass Ratio] in Urine | ||||
http://loinc.org | 58381-5 | fentaNYL [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 58382-3 | Norfentanyl/Creatinine [Mass Ratio] in Urine | ||||
http://loinc.org | 58383-1 | Norfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 59673-4 | fentaNYL [Presence] in Urine by Screen method | ||||
http://loinc.org | 66129-8 | fentaNYL+Norfentanyl [Presence] in Urine by Confirmatory method | ||||
http://loinc.org | 74372-4 | Acetyl fentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 74810-3 | Acetyl fentanyl [Presence] in Urine by Confirmatory method | ||||
http://loinc.org | 77775-5 | Norfentanyl cutoff [Mass/volume] in Urine for Confirmatory method | ||||
http://loinc.org | 78766-3 | fentaNYL [Mass/volume] in Urine -- adjusted for lean body mass+urine creatinine | ||||
http://loinc.org | 78828-1 | fentaNYL [Z-score] in Urine | ||||
http://loinc.org | 79259-8 | fentaNYL cutoff [Mass/volume] in Urine for Confirmatory method | ||||
http://loinc.org | 79260-6 | fentaNYL cutoff [Mass/volume] in Urine for Screen method | ||||
http://loinc.org | 93471-1 | Acetyl norfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 95797-7 | Norfentanyl [Presence] in Urine by Screen method | ||||
http://loinc.org | 100437-3 | Norsufentanil [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 18435-8 | SUFentanil [Presence] in Urine | ||||
http://loinc.org | 86610-3 | SUFentanil/Creatinine [Mass Ratio] in Urine by Confirmatory method | ||||
http://loinc.org | 9396-3 | SUFentanil [Mass/volume] in Urine | ||||
http://loinc.org | 105530-0 | Beta hydroxythiofentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 93473-7 | Beta hydroxythiofentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 105532-6 | 3-Methylfentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 93465-3 | 3-Methylfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 93469-5 | 4-Fluorobutyrylfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 101161-8 | p-Fluorofentanyl/Creatinine [Mass Ratio] in Urine by Confirmatory method | ||||
http://loinc.org | 101162-6 | p-Fluorofentanyl [Presence] in Urine by Confirmatory method | ||||
http://loinc.org | 93464-6 | p-Fluorofentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 93461-2 | 4-Methoxybutyrylfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 93468-7 | Acrylfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 99079-6 | Acrylfentanyl [Presence] in Urine by Confirmatory method | ||||
http://loinc.org | 93467-9 | Butyrylfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 93470-3 | Furanylfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 99081-2 | Furanylfentanyl [Presence] in Urine by Confirmatory method | ||||
http://loinc.org | 93466-1 | Valerylfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 105531-8 | 4-Methylphenethylacetylfentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 93472-9 | 4-Methylphenethylacetylfentanyl [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 93462-0 | Norcarfentanil [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 93463-8 | Ocfentanil [Mass/volume] in Urine by Confirmatory method | ||||
http://loinc.org | 105536-7 | Phenylacetyl fentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 105537-5 | p-Fluorobutyryl fentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 105539-1 | p-Fluoro cyclopropyl fentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 105533-4 | Methoxyacetylfentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 105534-2 | Methoxyacetyl norfentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 105535-9 | Cyclopropylfentanyl [Mass/volume] in Urine | ||||
http://loinc.org | 67822-7 | fentaNYL and Norfentanyl panel - Urine |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |