Plandefinition-opioidcds-08 - FHIR v6.0.0-ballot2

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Example PlanDefinition/opioidcds-08 (Narrative)

Clinical Decision Support Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: No defined compartments

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile PlanDefinition.

Generated Narrative: PlanDefinition opioidcds-08

StructureDefinition Work Group: cds

identifier: Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.11.10, cdc-opioid-guidance (use: official, )

version: 0.1.0

name: Cdcopioid08

title: CDC Opioid Prescribing Guideline Recommendation #8

type: ECA Rule

status: draft

date: 2018-03-19

publisher: HL7 International / Clinical Decision Support

contact: http://www.hl7.org/Special/committees/dss

description:

Clinicians should incorporate into the management plan strategies to mitigate risk, including considering offering naloxone when factors that increase risk for opioid overdose, such as history of overdose, history of substance use disorder, higher opioid dosages (≥50 MME/day), or concurrent benzodiazepine use, are present.

UseContexts

Code

Value[x]

UsageContextType focus: Clinical Focus

Medication requested (situation)

UsageContextType focus: Clinical Focus

Chronic pain (finding)

jurisdiction: United States of America

purpose:

CDC’s Guideline for Prescribing Opioids for Chronic Pain is intended to improve communication between providers and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder and overdose. The Guideline is not intended for patients who are in active cancer treatment, palliative care, or end-of-life care.

usage:

Before starting and periodically during continuation of opioid therapy, clinicians should evaluate risk factors for opioid-related harms.

copyright:

topic: Opioid Prescribing

author: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH:

relatedArtifact
type: documentation
display: CDC guideline for prescribing opioids for chronic pain
Documents

- Url

* https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420

relatedArtifact
type: documentation
display: MME Conversion Tables
Documents

- Url

* https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf

library: http://example.org/fhir/Library/opioidcds-recommendation-08

action
Strength of recommendation: Strong
Quality of evidence: Low quality
title: Existing patient exhibits risk factors for opioid-related harms.
description:

Checking if the trigger prescription meets the inclusion criteria for recommendation #8 workflow.

Documentations

- Type

* documentation
Triggers

- Type Name

* named-event medication-prescribe
condition
kind: applicability
Expressions

- Description Language Expression

* Check whether the existing patient exhibits risk factors for opioid-related harms, such as concurrent use with benzodiazepine, a history of substance abuse, and/or an average MME greater than 50 mg/day. text/cql Inclusion Criteria
groupingBehavior: visual-group
selectionBehavior: exactly-one
dynamicValue
path: action.description
Expressions

- Language Expression

* text/cql Get Detail
dynamicValue
path: action.title
Expressions

- Language Expression

* text/cql Get Summary
dynamicValue
path: action.extension
Expressions

- Language Expression

* text/cql Get Indicator
Actions

- Description

*
Will offer Naloxone instead

*
Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo

*
N/A - see comment; snooze 3 mo

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.