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| 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-10
StructureDefinition Work Group: cds
identifier: Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.11.3, cdc-opioid-guidance (use: official, )
version: 0.1.0
name: Cdcopioid10
title: CDC Opioid Prescribing Guideline Recommendation #10
type: ECA Rule
status: draft
date: 2017-04-23
publisher: HL7 International / Clinical Decision Support
contact: http://www.hl7.org/Special/committees/dss
description:
When prescribing opioids for chronic pain, providers should use urine drug testing before starting opioid therapy and consider urine drug testing at least annually to assess for prescribed medications as well as other controlled prescription drugs and illicit drugs.
| 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:
Providers should be aware if patients are taking other prescription drugs or illicit drugs that might increase their risk of an overdose.
copyright:
© CDC 2016+.
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
library: http://example.org/fhir/Library/opioidcds-recommendation-10
action
Strength of recommendation: Strong
Quality of evidence: Low quality
title: Annual Urine Screening Check
description:
Patient has not had a urine screening in the past 12 months
Documentations
Type documentation Triggers
Type Name named-event medication-prescribe condition
kind: applicability
Expressions
Description Language Expression Patient has not had a urine screening in the past 12 months text/cql No Screenings in Past Year dynamicValue
path: activity.extension
Expressions
Language Expression text/cql Get Indicator Actions
Description Will perform urine screening
Not for chronic pain management. Snooze 3 months
action
Strength of recommendation: Strong
Quality of evidence: Low quality
title: Positive Urine Screening Check
description:
Patient has a urine screening testing positive for either unprescribed opioids or illicit drugs in the past 12 months
Documentations
Type documentation condition
kind: applicability
Expressions
Description Language Expression Patient has a positive urine screening in the past 12 months text/cql Has Positive Screening? action
Strength of recommendation: Strong
Quality of evidence: Low quality
title: Unprescribed Opioids Found In Urine Screening
description:
Patient has a positive urine screening in the past 12 months for opioid(s), which is not prescribed
Documentations
Type documentation condition
kind: applicability
Expressions
Description Language Expression Patient has a positive urine screening in the past 12 months for opioid(s), which is not prescribed text/cql Has Unprescribed Opioids? dynamicValue
path: activity.extension
Expressions
Language Expression text/cql Get Indicator dynamicValue
path: action.description
Expressions
Language Expression text/cql Inconsistent Unprescribed Opioids Actions
Description Not for chronic pain management. Snooze 3 months
action
Strength of recommendation: Strong
Quality of evidence: Low quality
title: Prescribed Opioids Not Found In Urine Screening
description:
Patient has a positive urine screening in the past 12 months, which does not include prescribed opioids
Documentations
Type documentation condition
kind: applicability
Expressions
Description Language Expression Patient has a positive urine screening in the past 12 months, which does not include prescribed opioids text/cql Has Missing Opioids? dynamicValue
path: activity.extension
Expressions
Language Expression text/cql Get Indicator dynamicValue
path: action.description
Expressions
Language Expression text/cql Inconsistent Missing Opioids action
Strength of recommendation: Strong
Quality of evidence: Low quality
title: Illicit Drugs Found In Urine Screening
description:
Patient has a positive urine screening in the past 12 months for illicit drugs
Documentations
Type documentation condition
kind: applicability
Expressions
Description Language Expression Patient has a positive urine screening in the past 12 months for illicit drugs text/cql Has Illicit Drugs in Screening? dynamicValue
path: activity.extension
Expressions
Language Expression text/cql Get Indicator dynamicValue
path: action.description
Expressions
Language Expression text/cql Inconsistent Illicit Drugs Actions
Description Not for chronic pain management. Snooze 3 months
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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Thu, Dec 12, 2024 19:29+0000.
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