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
| Active as of 2026-06-01 |
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet fentanyl-type-urine-drug-screening-tests</b></p><a name="fentanyl-type-urine-drug-screening-tests"> </a><a name="hcfentanyl-type-urine-drug-screening-tests"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profiles: <a href="http://hl7.org/fhir/uv/cpg/STU1/StructureDefinition-cpg-computablevalueset.html">CPGComputableValueSet</a>, <a href="http://hl7.org/fhir/uv/cpg/STU1/StructureDefinition-cpg-executablevalueset.html">CPGExecutableValueSet</a></p></div><p style="border: black 1px dotted; background-color: #EEEEEE; padding: 8px; margin-bottom: 8px">Expansion based on Loinc v2.82</p><p>This value set contains 57 concepts</p><table class="codes"><tr><td><b>System</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Inactive</b></td><td><b><a href="http://hl7.org/fhir/concept-properties#status">status</a></b></td></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-16334-5"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/16334-5/">16334-5</a></td><td>Alfentanil [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-18383-0"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/18383-0/">18383-0</a></td><td>Alfentanil [Presence] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-86604-6"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/86604-6/">86604-6</a></td><td>Alfentanil/Creatinine [Mass Ratio] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-11073-4"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/11073-4/">11073-4</a></td><td>Despropionylfentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-11075-9"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/11075-9/">11075-9</a></td><td>Norfentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-11235-9"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/11235-9/">11235-9</a></td><td>fentaNYL [Presence] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-26867-2"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/26867-2/">26867-2</a></td><td>fentaNYL [Units/volume] in 24 hour Urine</td><td>inactive</td><td>DISCOURAGED</td></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-3637-6"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/3637-6/">3637-6</a></td><td>fentaNYL [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-40839-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/40839-3/">40839-3</a></td><td>fentaNYL [Presence] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-43199-9"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/43199-9/">43199-9</a></td><td>Norfentanyl [Presence] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-43200-5"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/43200-5/">43200-5</a></td><td>Norfentanyl [Presence] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-58379-9"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/58379-9/">58379-9</a></td><td>fentaNYL+Norfentanyl [Presence] in Urine by Screen method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-58380-7"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/58380-7/">58380-7</a></td><td>fentaNYL/Creatinine [Mass Ratio] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-58381-5"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/58381-5/">58381-5</a></td><td>fentaNYL [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-58382-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/58382-3/">58382-3</a></td><td>Norfentanyl/Creatinine [Mass Ratio] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-58383-1"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/58383-1/">58383-1</a></td><td>Norfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-59673-4"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/59673-4/">59673-4</a></td><td>fentaNYL [Presence] in Urine by Screen method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-66129-8"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/66129-8/">66129-8</a></td><td>fentaNYL+Norfentanyl [Presence] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-74372-4"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/74372-4/">74372-4</a></td><td>Acetyl fentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-74810-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/74810-3/">74810-3</a></td><td>Acetyl fentanyl [Presence] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-77775-5"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/77775-5/">77775-5</a></td><td>Norfentanyl cutoff [Mass/volume] in Urine for Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-78766-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/78766-3/">78766-3</a></td><td>fentaNYL [Mass/volume] in Urine -- adjusted for lean body mass+urine creatinine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-78828-1"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/78828-1/">78828-1</a></td><td>fentaNYL [Z-score] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-79259-8"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/79259-8/">79259-8</a></td><td>fentaNYL cutoff [Mass/volume] in Urine for Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-79260-6"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/79260-6/">79260-6</a></td><td>fentaNYL cutoff [Mass/volume] in Urine for Screen method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93471-1"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93471-1/">93471-1</a></td><td>Acetyl norfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-95797-7"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/95797-7/">95797-7</a></td><td>Norfentanyl [Presence] in Urine by Screen method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-100437-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/100437-3/">100437-3</a></td><td>Norsufentanil [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-18435-8"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/18435-8/">18435-8</a></td><td>SUFentanil [Presence] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-86610-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/86610-3/">86610-3</a></td><td>SUFentanil/Creatinine [Mass Ratio] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-9396-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/9396-3/">9396-3</a></td><td>SUFentanil [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105530-0"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105530-0/">105530-0</a></td><td>Beta hydroxythiofentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93473-7"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93473-7/">93473-7</a></td><td>Beta hydroxythiofentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105532-6"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105532-6/">105532-6</a></td><td>3-Methylfentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93465-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93465-3/">93465-3</a></td><td>3-Methylfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93469-5"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93469-5/">93469-5</a></td><td>4-Fluorobutyrylfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-101161-8"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/101161-8/">101161-8</a></td><td>p-Fluorofentanyl/Creatinine [Mass Ratio] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-101162-6"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/101162-6/">101162-6</a></td><td>p-Fluorofentanyl [Presence] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93464-6"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93464-6/">93464-6</a></td><td>p-Fluorofentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93461-2"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93461-2/">93461-2</a></td><td>4-Methoxybutyrylfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93468-7"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93468-7/">93468-7</a></td><td>Acrylfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-99079-6"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/99079-6/">99079-6</a></td><td>Acrylfentanyl [Presence] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93467-9"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93467-9/">93467-9</a></td><td>Butyrylfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93470-3"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93470-3/">93470-3</a></td><td>Furanylfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-99081-2"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/99081-2/">99081-2</a></td><td>Furanylfentanyl [Presence] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93466-1"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93466-1/">93466-1</a></td><td>Valerylfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105531-8"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105531-8/">105531-8</a></td><td>4-Methylphenethylacetylfentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93472-9"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93472-9/">93472-9</a></td><td>4-Methylphenethylacetylfentanyl [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93462-0"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93462-0/">93462-0</a></td><td>Norcarfentanil [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-93463-8"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/93463-8/">93463-8</a></td><td>Ocfentanil [Mass/volume] in Urine by Confirmatory method</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105536-7"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105536-7/">105536-7</a></td><td>Phenylacetyl fentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105537-5"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105537-5/">105537-5</a></td><td>p-Fluorobutyryl fentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105539-1"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105539-1/">105539-1</a></td><td>p-Fluoro cyclopropyl fentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105533-4"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105533-4/">105533-4</a></td><td>Methoxyacetylfentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105534-2"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105534-2/">105534-2</a></td><td>Methoxyacetyl norfentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-105535-9"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/105535-9/">105535-9</a></td><td>Cyclopropylfentanyl [Mass/volume] in Urine</td><td/><td/></tr><tr><td><a name="fentanyl-type-urine-drug-screening-tests-http://loinc.org-67822-7"> </a><code>http://loinc.org</code></td><td style="white-space:nowrap"> <a href="https://loinc.org/67822-7/">67822-7</a></td><td>fentaNYL and Norfentanyl panel - Urine</td><td/><td/></tr></table></div>
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value="Maintenance search expression: `multiaxial_descendantsof:(LP16021-5 OR LP15167-7 OR LP17874-6 OR LP411435-3 OR LP411437-9 OR LP411432-0 OR LP411415-5 OR LP411412-2 OR LP248692-8 OR LP411430-4 OR LP411429-6 OR LP411433-8 OR LP411418-9 OR LP411434-6 OR LP411413-0 OR LP411414-8 OR LP438292-7 OR LP438293-5 OR LP438295-0 OR LP438290-1 OR LP438289-3 OR LP438291-9 OR LP133999-5) AND system:urine`. The compose anchors at 23 trunk LP codes - LP16021-5, LP15167-7, LP17874-6, LP411435-3, LP411437-9, LP411432-0, LP411415-5, LP411412-2, LP248692-8, LP411430-4, LP411429-6, LP411433-8, LP411418-9, LP411434-6, LP411413-0, LP411414-8, LP438292-7, LP438293-5, LP438295-0, LP438290-1, LP438289-3, LP438291-9, and LP133999-5 - using `concept is-a` filters scoped to SYSTEM=LP7681-2 (urine) and CLASSTYPE=1 (lab test). To regenerate: re-run the search expression as a LOINC hierarchy query, add any newly-discovered trunk LP code as another is-a filter, then re-expand."/>
</extension>
</extension>
<url
value="http://fhir.org/guides/cdc/opioid-cds/ValueSet/fentanyl-type-urine-drug-screening-tests"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.114222.48.15"/>
</identifier>
<version value="2022.1.1"/>
<name value="FENTANYL_TYPE_URINE_DRUG_SCREENING_TESTS"/>
<title value="Fentanyl-type urine drug screening tests"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-06-01T10:52:58-04:00"/>
<publisher value="CDC / Security Risk Solutions, Inc. (SRS)"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.securityrisksolutions.com"/>
</telecom>
</contact>
<description
value="Urine screening tests for fentanyl-type drugs and metabolites"/>
<copyright value="© CDC 2016+."/>
<compose>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP16021-5"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP15167-7"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP17874-6"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411435-3"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411437-9"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411432-0"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411415-5"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411412-2"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP248692-8"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411430-4"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411429-6"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411433-8"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411418-9"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411434-6"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411413-0"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP411414-8"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP438292-7"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP438293-5"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP438295-0"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP438290-1"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP438289-3"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP438291-9"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
<include>
<system value="http://loinc.org"/>
<filter>
<property value="concept"/>
<op value="is-a"/>
<value value="LP133999-5"/>
</filter>
<filter>
<property value="CLASSTYPE"/>
<op value="="/>
<value value="1"/>
</filter>
<filter>
<property value="SYSTEM"/>
<op value="="/>
<value value="LP7681-2"/>
</filter>
</include>
</compose>
<expansion>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.property">
<extension url="code">
<valueCode value="status"/>
</extension>
<extension url="uri">
<valueUri value="http://hl7.org/fhir/concept-properties#status"/>
</extension>
</extension>
<identifier value="urn:uuid:52c7f298-b7ac-47ec-b442-b21f7018210e"/>
<timestamp value="2026-06-01T20:01:48.724Z"/>
<total value="57"/>
<parameter>
<name value="used-codesystem"/>
<valueUri value="http://loinc.org|2.82"/>
</parameter>
<parameter>
<name value="version"/>
<valueUri value="http://loinc.org|2.82"/>
</parameter>
<contains>
<system value="http://loinc.org"/>
<code value="16334-5"/>
<display value="Alfentanil [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="18383-0"/>
<display value="Alfentanil [Presence] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="86604-6"/>
<display
value="Alfentanil/Creatinine [Mass Ratio] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="11073-4"/>
<display value="Despropionylfentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="11075-9"/>
<display value="Norfentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="11235-9"/>
<display value="fentaNYL [Presence] in Urine"/>
</contains>
<contains>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property">
<extension url="code">
<valueCode value="status"/>
</extension>
<extension url="value">
<valueCode value="DISCOURAGED"/>
</extension>
</extension>
<system value="http://loinc.org"/>
<inactive value="true"/>
<code value="26867-2"/>
<display value="fentaNYL [Units/volume] in 24 hour Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="3637-6"/>
<display value="fentaNYL [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="40839-3"/>
<display value="fentaNYL [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="43199-9"/>
<display value="Norfentanyl [Presence] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="43200-5"/>
<display
value="Norfentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="58379-9"/>
<display
value="fentaNYL+Norfentanyl [Presence] in Urine by Screen method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="58380-7"/>
<display value="fentaNYL/Creatinine [Mass Ratio] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="58381-5"/>
<display
value="fentaNYL [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="58382-3"/>
<display value="Norfentanyl/Creatinine [Mass Ratio] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="58383-1"/>
<display
value="Norfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="59673-4"/>
<display value="fentaNYL [Presence] in Urine by Screen method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="66129-8"/>
<display
value="fentaNYL+Norfentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="74372-4"/>
<display value="Acetyl fentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="74810-3"/>
<display
value="Acetyl fentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="77775-5"/>
<display
value="Norfentanyl cutoff [Mass/volume] in Urine for Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="78766-3"/>
<display
value="fentaNYL [Mass/volume] in Urine -- adjusted for lean body mass+urine creatinine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="78828-1"/>
<display value="fentaNYL [Z-score] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="79259-8"/>
<display
value="fentaNYL cutoff [Mass/volume] in Urine for Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="79260-6"/>
<display
value="fentaNYL cutoff [Mass/volume] in Urine for Screen method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93471-1"/>
<display
value="Acetyl norfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="95797-7"/>
<display value="Norfentanyl [Presence] in Urine by Screen method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="100437-3"/>
<display
value="Norsufentanil [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="18435-8"/>
<display value="SUFentanil [Presence] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="86610-3"/>
<display
value="SUFentanil/Creatinine [Mass Ratio] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="9396-3"/>
<display value="SUFentanil [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105530-0"/>
<display value="Beta hydroxythiofentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93473-7"/>
<display
value="Beta hydroxythiofentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105532-6"/>
<display value="3-Methylfentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93465-3"/>
<display
value="3-Methylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93469-5"/>
<display
value="4-Fluorobutyrylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="101161-8"/>
<display
value="p-Fluorofentanyl/Creatinine [Mass Ratio] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="101162-6"/>
<display
value="p-Fluorofentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93464-6"/>
<display
value="p-Fluorofentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93461-2"/>
<display
value="4-Methoxybutyrylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93468-7"/>
<display
value="Acrylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="99079-6"/>
<display
value="Acrylfentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93467-9"/>
<display
value="Butyrylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93470-3"/>
<display
value="Furanylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="99081-2"/>
<display
value="Furanylfentanyl [Presence] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93466-1"/>
<display
value="Valerylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105531-8"/>
<display
value="4-Methylphenethylacetylfentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93472-9"/>
<display
value="4-Methylphenethylacetylfentanyl [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93462-0"/>
<display
value="Norcarfentanil [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="93463-8"/>
<display
value="Ocfentanil [Mass/volume] in Urine by Confirmatory method"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105536-7"/>
<display value="Phenylacetyl fentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105537-5"/>
<display value="p-Fluorobutyryl fentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105539-1"/>
<display value="p-Fluoro cyclopropyl fentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105533-4"/>
<display value="Methoxyacetylfentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105534-2"/>
<display value="Methoxyacetyl norfentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="105535-9"/>
<display value="Cyclopropylfentanyl [Mass/volume] in Urine"/>
</contains>
<contains>
<system value="http://loinc.org"/>
<code value="67822-7"/>
<display value="fentaNYL and Norfentanyl panel - Urine"/>
</contains>
</expansion>
</ValueSet>