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

ValueSet: Fentanyl-type urine drug screening tests

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+.

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)

Logical Definition (CLD)

This value set includes codes based on the following rules:

  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP16021-5 (Alfentanil), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP15167-7 (fentaNYL), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP17874-6 (SUFentanil), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://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)
  • Include codes fromhttp://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)
  • Include codes fromhttp://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)
  • Include codes fromhttp://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)
  • Include codes fromhttp://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)
  • Include codes fromhttp://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)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411430-4 (Acrylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411429-6 (Butyrylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411433-8 (Furanylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411418-9 (Valerylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://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)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411413-0 (Norcarfentanil), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411414-8 (Ocfentanil), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://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)
  • Include codes fromhttp://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)
  • Include codes fromhttp://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)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP438290-1 (Methoxyacetylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://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)
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP438291-9 (Cyclopropylfentanyl), CLASSTYPE = 1 and SYSTEM = LP7681-2 (Urine)
  • Include codes fromhttp://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

Expansion based on Loinc v2.82

This value set contains 57 concepts

SystemCodeDisplayInactivestatusJSONXML
http://loinc.org  16334-5Alfentanil [Mass/volume] in Urine
http://loinc.org  18383-0Alfentanil [Presence] in Urine
http://loinc.org  86604-6Alfentanil/Creatinine [Mass Ratio] in Urine by Confirmatory method
http://loinc.org  11073-4Despropionylfentanyl [Mass/volume] in Urine
http://loinc.org  11075-9Norfentanyl [Mass/volume] in Urine
http://loinc.org  11235-9fentaNYL [Presence] in Urine
http://loinc.org  26867-2fentaNYL [Units/volume] in 24 hour UrineinactiveDISCOURAGED
http://loinc.org  3637-6fentaNYL [Mass/volume] in Urine
http://loinc.org  40839-3fentaNYL [Presence] in Urine by Confirmatory method
http://loinc.org  43199-9Norfentanyl [Presence] in Urine
http://loinc.org  43200-5Norfentanyl [Presence] in Urine by Confirmatory method
http://loinc.org  58379-9fentaNYL+Norfentanyl [Presence] in Urine by Screen method
http://loinc.org  58380-7fentaNYL/Creatinine [Mass Ratio] in Urine
http://loinc.org  58381-5fentaNYL [Mass/volume] in Urine by Confirmatory method
http://loinc.org  58382-3Norfentanyl/Creatinine [Mass Ratio] in Urine
http://loinc.org  58383-1Norfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  59673-4fentaNYL [Presence] in Urine by Screen method
http://loinc.org  66129-8fentaNYL+Norfentanyl [Presence] in Urine by Confirmatory method
http://loinc.org  74372-4Acetyl fentanyl [Mass/volume] in Urine
http://loinc.org  74810-3Acetyl fentanyl [Presence] in Urine by Confirmatory method
http://loinc.org  77775-5Norfentanyl cutoff [Mass/volume] in Urine for Confirmatory method
http://loinc.org  78766-3fentaNYL [Mass/volume] in Urine -- adjusted for lean body mass+urine creatinine
http://loinc.org  78828-1fentaNYL [Z-score] in Urine
http://loinc.org  79259-8fentaNYL cutoff [Mass/volume] in Urine for Confirmatory method
http://loinc.org  79260-6fentaNYL cutoff [Mass/volume] in Urine for Screen method
http://loinc.org  93471-1Acetyl norfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  95797-7Norfentanyl [Presence] in Urine by Screen method
http://loinc.org  100437-3Norsufentanil [Mass/volume] in Urine by Confirmatory method
http://loinc.org  18435-8SUFentanil [Presence] in Urine
http://loinc.org  86610-3SUFentanil/Creatinine [Mass Ratio] in Urine by Confirmatory method
http://loinc.org  9396-3SUFentanil [Mass/volume] in Urine
http://loinc.org  105530-0Beta hydroxythiofentanyl [Mass/volume] in Urine
http://loinc.org  93473-7Beta hydroxythiofentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  105532-63-Methylfentanyl [Mass/volume] in Urine
http://loinc.org  93465-33-Methylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93469-54-Fluorobutyrylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  101161-8p-Fluorofentanyl/Creatinine [Mass Ratio] in Urine by Confirmatory method
http://loinc.org  101162-6p-Fluorofentanyl [Presence] in Urine by Confirmatory method
http://loinc.org  93464-6p-Fluorofentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93461-24-Methoxybutyrylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93468-7Acrylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  99079-6Acrylfentanyl [Presence] in Urine by Confirmatory method
http://loinc.org  93467-9Butyrylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93470-3Furanylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  99081-2Furanylfentanyl [Presence] in Urine by Confirmatory method
http://loinc.org  93466-1Valerylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  105531-84-Methylphenethylacetylfentanyl [Mass/volume] in Urine
http://loinc.org  93472-94-Methylphenethylacetylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93462-0Norcarfentanil [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93463-8Ocfentanil [Mass/volume] in Urine by Confirmatory method
http://loinc.org  105536-7Phenylacetyl fentanyl [Mass/volume] in Urine
http://loinc.org  105537-5p-Fluorobutyryl fentanyl [Mass/volume] in Urine
http://loinc.org  105539-1p-Fluoro cyclopropyl fentanyl [Mass/volume] in Urine
http://loinc.org  105533-4Methoxyacetylfentanyl [Mass/volume] in Urine
http://loinc.org  105534-2Methoxyacetyl norfentanyl [Mass/volume] in Urine
http://loinc.org  105535-9Cyclopropylfentanyl [Mass/volume] in Urine
http://loinc.org  67822-7fentaNYL 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