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: Synthetic opioid urine drug screening tests

Official URL: http://fhir.org/guides/cdc/opioid-cds/ValueSet/synthetic-opioid-urine-drug-screening-tests Version: 2022.1.1
Active as of 2026-06-03 Computable Name: SYNTHETIC_OPIOID_URINE_DRUG_SCREENING_TESTS
Other Identifiers: OID:2.16.840.1.114222.48.42

Copyright/Legal: © CDC 2016+.

Urine tests for synthetic and semi-synthetic (non-opiate) substances

Identification of urine drug tests where results can be used when considering pain management therapy

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 LP248692-8 (Acetyl norfentanyl), SYSTEM = LP7681-2 (Urine) and CLASSTYPE = 1
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411610-1 (Synthetic opioids), SYSTEM = LP7681-2 (Urine) and CLASSTYPE = 1
  • Include codes fromhttp://loinc.org version Not Stated (use latest from terminology server) where concept is-a LP411436-1 (Synthetic opioids panel), SYSTEM = LP7681-2 (Urine) and CLASSTYPE = 1

 

Expansion

Expansion based on Loinc v2.82

This value set contains 41 concepts

SystemCodeDisplayJSONXML
http://loinc.org  93471-1Acetyl norfentanyl [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  101163-4Brorphine [Mass/volume] in Urine by Confirmatory method
http://loinc.org  101164-2Brorphine/Creatinine [Mass Ratio] in Urine by Confirmatory method
http://loinc.org  101165-9Brorphine [Presence] in Urine by Confirmatory method
http://loinc.org  101166-7Metonitazene [Mass/volume] in Urine by Confirmatory method
http://loinc.org  101167-5Metonitazene/Creatinine [Mass Ratio] in Urine by Confirmatory method
http://loinc.org  101168-3Metonitazene [Presence] in Urine by Confirmatory method
http://loinc.org  101169-12-methyl AP-237 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  101171-72-methyl AP-237/Creatinine [Mass Ratio] in Urine by Confirmatory method
http://loinc.org  101180-82-methyl AP-237 [Presence] in Urine by Confirmatory method
http://loinc.org  105530-0Beta hydroxythiofentanyl [Mass/volume] in Urine
http://loinc.org  105531-84-Methylphenethylacetylfentanyl [Mass/volume] in Urine
http://loinc.org  105532-63-Methylfentanyl [Mass/volume] in Urine
http://loinc.org  107609-0Synthetic opioids [Presence] in Urine
http://loinc.org  93451-3Nor-W-18+Nor-W-15 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93452-1W-19 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93453-9W-15 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93454-7W-18 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93455-4IC-26 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93456-2MT-45 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93457-0AH-8529 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93458-8AH-8533 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93459-6U-47700 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93460-4AH-7921 [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93461-24-Methoxybutyrylfentanyl [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  93464-6p-Fluorofentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93465-33-Methylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93466-1Valerylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93467-9Butyrylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93468-7Acrylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93469-54-Fluorobutyrylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93470-3Furanylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93472-94-Methylphenethylacetylfentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  93473-7Beta hydroxythiofentanyl [Mass/volume] in Urine by Confirmatory method
http://loinc.org  99079-6Acrylfentanyl [Presence] in Urine by Confirmatory method
http://loinc.org  99081-2Furanylfentanyl [Presence] in Urine by Confirmatory method
http://loinc.org  93474-5Synthetic opioids panel - Urine by Confirmatory method

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