{"action":[{"action":[{"description":"Will revise"},{"description":"Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo"},{"description":"N/A - see comment; snooze 3 mo"}],"condition":[{"expression":{"description":"Check whether the existing patient is using opioids concurrently with benzodiazepines.","expression":"Inclusion Criteria","language":"text/cql-identifier"},"kind":"applicability"}],"description":"Checking if the trigger prescription meets the inclusion criteria for recommendation #11 workflow.","documentation":[{"type":"documentation"}],"dynamicValue":[{"expression":{"expression":"Get Detail","language":"text/cql-identifier"},"path":"action.description"},{"expression":{"expression":"Get Summary","language":"text/cql-identifier"},"path":"action.title"},{"expression":{"expression":"Get Indicator","language":"text/cql-identifier"},"path":"action.extension"}],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"code":"strong","display":"Strong","system":"http://terminology.hl7.org/CodeSystem/recommendation-strength"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"code":"low","display":"Low quality","system":"http://terminology.hl7.org/CodeSystem/evidence-quality"}]}}],"groupingBehavior":"visual-group","selectionBehavior":"exactly-one","title":"Existing patient has concurrent opioid and benzodiazepine prescriptions.","trigger":[{"name":"medication-prescribe","type":"named-event"}]}],"author":[{"name":"Kensaku Kawamoto, MD, PhD, MHS"},{"name":"Bryn Rhodes"},{"name":"Floyd Eisenberg, MD, MPH"},{"name":"Robert McClure, MD, MPH"}],"contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"copyright":"© CDC 2016+.","date":"2018-03-19","description":"Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"id":"opioidcds-11","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.2"},{"use":"official","value":"cdc-opioid-guidance"}],"jurisdiction":[{"coding":[{"code":"US","display":"United States of America","system":"urn:iso:std:iso:3166"}]}],"library":["http://example.org/fhir/Library/opioidcds-recommendation-11"],"name":"Cdcopioid11","publisher":"HL7 International / Clinical Decision Support","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.","relatedArtifact":[{"display":"CDC guideline for prescribing opioids for chronic pain","document":{"url":"https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"},"type":"documentation"},{"display":"MME Conversion Tables","document":{"url":"https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"},"type":"documentation"}],"resourceType":"PlanDefinition","status":"draft","title":"CDC Opioid Prescribing Guideline Recommendation #11","topic":[{"text":"Opioid Prescribing"}],"type":{"coding":[{"code":"eca-rule","display":"ECA Rule","system":"http://terminology.hl7.org/CodeSystem/plan-definition-type"}]},"usage":"Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.","useContext":[{"code":{"code":"focus","display":"Clinical Focus","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"182888003","display":"Medication requested (situation)","system":"http://snomed.info/sct"}]}},{"code":{"code":"focus","display":"Clinical Focus","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"82423001","display":"Chronic pain (finding)","system":"http://snomed.info/sct"}]}}],"version":"0.1.0"}