{"resourceType":"PlanDefinition","id":"options-example","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e[Put rendering here]\u003c/div\u003e"},"contained":[{"resourceType":"ActivityDefinition","id":"activitydefinition-medicationrequest-1","status":"draft","kind":"MedicationRequest","productCodeableConcept":{"text":"Medication 1"}},{"resourceType":"ActivityDefinition","id":"activitydefinition-medicationrequest-2","status":"draft","kind":"MedicationRequest","productCodeableConcept":{"text":"Medication 2"}}],"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.15"}],"name":"ThisExampleIllustratesRelationshipsBetweenActions","title":"This example illustrates relationships between actions.","status":"draft","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"description":"This example illustrates relationships between actions.","action":[{"groupingBehavior":"logical-group","selectionBehavior":"all","action":[{"id":"medication-action-1","title":"Administer Medication 1","definitionCanonical":"#activitydefinition-medicationrequest-1"},{"id":"medication-action-2","title":"Administer Medication 2","relatedAction":[{"targetId":"medication-action-1","relationship":"after-end","offsetDuration":{"value":1,"unit":"h"}}],"definitionCanonical":"#activitydefinition-medicationrequest-2"}]}]}
{"resourceType":"PlanDefinition","id":"opioidcds-04","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.4"},{"use":"official","value":"cdc-opioid-guidance"}],"version":"0.1.0","name":"Cdcopioid04","title":"CDC Opioid Prescribing Guideline Recommendation #4","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/plan-definition-type","code":"eca-rule","display":"ECA Rule"}]},"status":"draft","date":"2018-03-19","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"description":"When starting opioid therapy for chronic pain, clinicians should prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids.","useContext":[{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"182888003","display":"Medication requested (situation)"}]}},{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"82423001","display":"Chronic pain (finding)"}]}}],"jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"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 use caution when prescribing extended-release/long-acting (ER/LA) opioids as they carry a higher risk and negligible benefit compared to immediate-release opioids.","copyright":"© CDC 2016+.","topic":[{"text":"Opioid Prescribing"}],"author":[{"name":"Kensaku Kawamoto, MD, PhD, MHS"},{"name":"Bryn Rhodes"},{"name":"Floyd Eisenberg, MD, MPH"},{"name":"Robert McClure, MD, MPH"}],"relatedArtifact":[{"type":"documentation","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"}}],"library":["http://example.org/fhir/Library/opioidcds-recommendation-04"],"action":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/recommendation-strength","code":"strong","display":"Strong"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/evidence-quality","code":"low","display":"Low quality"}]}}],"title":"Extended-release opioid prescription triggered.","description":"Checking if the trigger prescription meets the inclusion criteria for recommendation #4 workflow.","documentation":[{"type":"documentation"}],"trigger":[{"type":"named-event","name":"medication-prescribe"}],"condition":[{"kind":"applicability","expression":{"description":"Check whether the opioid prescription for the existing patient is extended-release without any opioids-with-abuse-potential prescribed in the past 90 days.","language":"text/cql-identifier","expression":"Inclusion Criteria"}}],"groupingBehavior":"visual-group","selectionBehavior":"exactly-one","dynamicValue":[{"path":"action.title","expression":{"language":"text/cql-identifier","expression":"Get Summary"}},{"path":"action.description","expression":{"language":"text/cql-identifier","expression":"Get Detail"}},{"path":"activity.extension","expression":{"language":"text/cql-identifier","expression":"Get Indicator"}}],"action":[{"description":"Will precribe immediate release"},{"description":"Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo"},{"description":"N/A - see comment; snooze 3 mo"}]}]}
{"resourceType":"PlanDefinition","id":"plandefinition-predecessor-example","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n         \n      \u003ctable class\u003d\"grid dict\"\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd\u003e\n                  \n            \u003cb\u003eId: \u003c/b\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003ePlanDefinition/zika-virus-intervention-initial\u003c/td\u003e\n            \n        \u003c/tr\u003e\n         \n      \u003c/table\u003e\n         \n      \u003cp/\u003e\n         \n      \u003ctable class\u003d\"grid dict\"\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd\u003e\n                  \n            \u003cb\u003eIdentifier: \u003c/b\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n                  \n            \u003cb\u003evalue: \u003c/b\u003e\n                  \n            \u003cspan\u003ezika-virus-intervention\u003c/span\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n         \n      \u003c/table\u003e\n         \n      \u003cp/\u003e\n         \n      \u003ctable class\u003d\"grid dict\"\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd\u003e\n                  \n            \u003cb\u003eTitle: \u003c/b\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003eExample Zika Virus Intervention\u003c/td\u003e\n            \n        \u003c/tr\u003e\n         \n      \u003c/table\u003e\n         \n      \u003cp/\u003e\n         \n      \u003ctable class\u003d\"grid dict\"\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd\u003e\n                  \n            \u003cb\u003eStatus: \u003c/b\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003eactive\u003c/td\u003e\n            \n        \u003c/tr\u003e\n         \n      \u003c/table\u003e\n         \n      \u003cp/\u003e\n         \n      \u003ctable class\u003d\"grid dict\"\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd\u003e\n                  \n            \u003cb\u003eDescription: \u003c/b\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003eZika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.\u003c/td\u003e\n            \n        \u003c/tr\u003e\n         \n      \u003c/table\u003e\n         \n      \u003cp/\u003e\n         \n      \u003ctable class\u003d\"grid dict\"\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd\u003e\n                  \n            \u003cb\u003eTopic: \u003c/b\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003etext: \u003c/b\u003e\n                     \n              \u003cspan\u003eZika Virus Management\u003c/span\u003e\n                  \n            \u003c/span\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n         \n      \u003c/table\u003e\n         \n      \u003cp/\u003e\n         \n      \u003ctable class\u003d\"grid dict\"\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd\u003e\n                  \n            \u003cb\u003eLibrary: \u003c/b\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n            \n        \u003ctr\u003e\n               \n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n                  \n            \u003cb\u003ereference: \u003c/b\u003e\n                  \n            \u003cspan\u003eLibrary/zika-virus-intervention-logic\u003c/span\u003e\n               \n          \u003c/td\u003e\n            \n        \u003c/tr\u003e\n         \n      \u003c/table\u003e\n         \n      \u003cp/\u003e\n         \n      \u003ch2\u003eActions\u003c/h2\u003e\n         \n      \u003cp style\u003d\"width: 100%;\" class\u003d\"hierarchy\"\u003e\n            \n        \u003cspan\u003e\n               \n          \u003cb\u003eStep: \u003c/b\u003e\n               \n          \u003cbr/\u003e\n               \n          \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                  \n            \u003cb\u003etitle: \u003c/b\u003e\n                  \n            \u003cspan\u003eZika Virus Assessment\u003c/span\u003e\n                  \n            \u003cbr/\u003e\n               \n          \u003c/span\u003e\n               \n          \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                  \n            \u003cb\u003econdition: \u003c/b\u003e\n                  \n            \u003cbr/\u003e\n                  \n            \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                     \n              \u003cb\u003etype: \u003c/b\u003e\n                     \n              \u003cspan\u003eapplicability\u003c/span\u003e\n                     \n              \u003cbr/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                     \n              \u003cb\u003eexpression: \u003c/b\u003e\n                     \n              \u003cspan\u003eIs Patient Pregnant\u003c/span\u003e\n                     \n              \u003cbr/\u003e\n                  \n            \u003c/span\u003e\n               \n          \u003c/span\u003e\n               \n          \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Administer Zika Virus Exposure Assessment\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                           \n                  \u003cb\u003ereference: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 100px;\"\u003e#administer-zika-virus-exposure-assessment\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan\u003e\n\t\t\t\t\t\t\t \n                    \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cb\u003edescription: \u003c/b\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cspan\u003eAdminister Zika Virus Exposure Assessment\u003c/span\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cbr/\u003e\n\t\t\t\t\t\t\t \n                    \u003c/span\u003e\n\t\t\t\t\t\t\t \n                    \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cb\u003ecategory: \u003c/b\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cspan\u003eprocedure\u003c/span\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cbr/\u003e\n\t\t\t\t\t\t\t \n                    \u003c/span\u003e\n                           \n                  \u003c/span\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Order Serum + Urine rRT-PCR Test\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003ereference: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 125px;\"\u003eActivityDefinition/order-serum-urine-rrt-pcr-test\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Order Serum Zika Virus IgM + Dengue Virus IgM\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003ereference: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 125px;\"\u003e#order-serum-zika-dengue-virus-igm\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan\u003e\n                              \n                    \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                                    \n                        \u003cb\u003edescription: \u003c/b\u003e\n                                    \n                        \u003cspan\u003eOrder Serum Zika and Dengue Virus IgM\u003c/span\u003e\n                                    \n                        \u003cbr/\u003e\n                                 \n                      \u003c/span\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                    \n                        \u003cb\u003erelated:\u003c/b\u003e\n                                    \n                        \u003cbr/\u003e\n                                    \n                        \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                       \n                          \u003cb\u003etype: \u003c/b\u003e\n                                       \n                          \u003cspan\u003edocumentation\u003c/span\u003e\n                                       \n                          \u003cbr/\u003e\n                                    \n                        \u003c/span\u003e\n                                    \n                        \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                       \n                          \u003cb\u003edisplay: \u003c/b\u003e\n                                       \n                          \u003cspan\u003eExplanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.\u003c/span\u003e\n                                       \n                          \u003cbr/\u003e\n                                    \n                        \u003c/span\u003e\n                                 \n                      \u003c/span\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                    \n                        \u003cb\u003ecategory: \u003c/b\u003e\n                                    \n                        \u003cspan\u003ediagnostic\u003c/span\u003e\n                                    \n                        \u003cbr/\u003e\n                                 \n                      \u003c/span\u003e\n                              \n                    \u003c/span\u003e\n                           \n                  \u003c/span\u003e\n                           \n                  \u003cspan/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Consider IgM Antibody Testing\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003ereference: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 125px;\"\u003eActivityDefinition/consider-igm-antibody-testing\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Provide Mosquito Prevention and Contraception Advice\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                        \n                \u003cspan\u003e\n                           \n                  \u003cb\u003eStep: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                              \n                    \u003cb\u003econdition: \u003c/b\u003e\n                              \n                    \u003cbr/\u003e\n                              \n                    \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                 \n                      \u003cb\u003ereference: \u003c/b\u003e\n                                 \n                      \u003cbr/\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 125px;\"\u003e#provide-mosquito-prevention-advice\u003c/span\u003e\n                                 \n                      \u003cspan\u003e\n                                    \n                        \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                       \n                          \u003cbr/\u003e\n                                       \n                          \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                          \n                            \u003cb\u003edescription: \u003c/b\u003e\n                                          \n                            \u003cspan\u003eProvide mosquito prevention advice\u003c/span\u003e\n                                          \n                            \u003cbr/\u003e\n                                       \n                          \u003c/span\u003e\n                                       \n                          \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                          \n                            \u003cb\u003erelated:\u003c/b\u003e\n                                          \n                            \u003cbr/\u003e\n                                          \n                            \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                             \n                              \u003cb\u003etype: \u003c/b\u003e\n                                             \n                              \u003cspan\u003edocumentation\u003c/span\u003e\n                                             \n                              \u003cbr/\u003e\n                                          \n                            \u003c/span\u003e\n                                          \n                            \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                             \n                              \u003cb\u003edisplay: \u003c/b\u003e\n                                             \n                              \u003cspan\u003eAdvice for patients about how to avoid Mosquito bites.\u003c/span\u003e\n                                             \n                              \u003cbr/\u003e\n                                          \n                            \u003c/span\u003e\n                                       \n                          \u003c/span\u003e\n                                       \n                          \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                          \n                            \u003cb\u003erelated:\u003c/b\u003e\n                                          \n                            \u003cbr/\u003e\n                                          \n                            \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                             \n                              \u003cb\u003etype: \u003c/b\u003e\n                                             \n                              \u003cspan\u003edocumentation\u003c/span\u003e\n                                             \n                              \u003cbr/\u003e\n                                          \n                            \u003c/span\u003e\n                                          \n                            \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                             \n                              \u003cb\u003edisplay: \u003c/b\u003e\n                                             \n                              \u003cspan\u003eAdvice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]\u003c/span\u003e\n                                             \n                              \u003cbr/\u003e\n                                          \n                            \u003c/span\u003e\n                                       \n                          \u003c/span\u003e\n                                       \n                          \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                          \n                            \u003cb\u003ecategory: \u003c/b\u003e\n                                          \n                            \u003cspan\u003ecommunication\u003c/span\u003e\n                                          \n                            \u003cbr/\u003e\n                                       \n                          \u003c/span\u003e\n                                    \n                        \u003c/span\u003e\n                                 \n                      \u003c/span\u003e\n                              \n                    \u003c/span\u003e\n                           \n                  \u003c/span\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 75px;\"/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan\u003e\n                           \n                  \u003cb\u003eStep: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                              \n                    \u003cb\u003econdition: \u003c/b\u003e\n                              \n                    \u003cbr/\u003e\n                              \n                    \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                 \n                      \u003cb\u003ereference: \u003c/b\u003e\n                                 \n                      \u003cbr/\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 125px;\"\u003eActivityDefinition/provide-contraception-advice\u003c/span\u003e\n                                 \n                      \u003cbr/\u003e\n                              \n                    \u003c/span\u003e\n                           \n                  \u003c/span\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                  \n            \u003c/span\u003e\n               \n          \u003c/span\u003e\n            \n        \u003c/span\u003e\n         \n      \u003c/p\u003e\n      \n    \u003c/div\u003e"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"url":"http://example.org/PlanDefinition/plandefinition-predecessor-example","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.9"},{"use":"official","value":"plandefinition-predecessor-example"}],"version":"1.0.0","name":"ExampleZikaVirusIntervention","title":"Example Zika Virus Intervention","status":"active","date":"2016-11-14","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"description":"Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.","topic":[{"text":"Zika Virus Management"}],"relatedArtifact":[{"type":"derived-from","document":{"url":"https://www.cdc.gov/mmwr/volumes/65/wr/mm6539e1.htm?s_cid\u003dmm6539e1_w"}},{"type":"successor","resource":"http://example.org/fhir/PlanDefinition/zika-virus-intervention"}],"library":["http://example.org/fhir/Library/zika-virus-intervention-logic"],"action":[{"title":"Zika Virus Assessment","trigger":[{"type":"named-event","name":"patient-view"}],"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Is Patient Pregnant"}}],"action":[{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Administer Zika Virus Exposure Assessment"}}],"definitionCanonical":"http://example.org/fhir/ActivityDefinition/administer-zika-virus-exposure-assessment"},{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Order Serum + Urine rRT-PCR Test"}}],"definitionCanonical":"http://example.org/fhir/ActivityDefinition/order-serum-urine-rrt-pcr-test"},{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Order Serum Zika Virus IgM + Dengue Virus IgM"}}],"definitionCanonical":"http://example.org/fhir/ActivityDefinition/order-serum-zika-dengue-virus-igm"},{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Consider IgM Antibody Testing"}}],"definitionCanonical":"http://example.org/fhir/ActivityDefinition/consider-igm-antibody-testing"},{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Provide Mosquito Prevention and Contraception Advice"}}],"action":[{"definitionCanonical":"http://example.org/fhir/ActivityDefinition/provide-mosquito-prevention-advice"},{"definitionCanonical":"http://example.org/fhir/ActivityDefinition/provide-contraception-advice"}]}]}]}
{"resourceType":"PlanDefinition","id":"exclusive-breastfeeding-intervention-02","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n      \u003ctable class\u003d\"grid dict\"\u003e\n        \u003ctr\u003e\n          \u003ctd\u003e\n            \u003cb\u003eId: \u003c/b\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n        \u003ctr\u003e\n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003ePlanDefinition/exclusive-breastfeeding-intervention-02\u003c/td\u003e\n        \u003c/tr\u003e\n      \u003c/table\u003e\n      \u003cp/\u003e\n      \u003ctable class\u003d\"grid dict\"\u003e\n        \u003ctr\u003e\n          \u003ctd\u003e\n            \u003cb\u003eIdentifier: \u003c/b\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n        \u003ctr\u003e\n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n            \u003cb\u003evalue: \u003c/b\u003e\n            \u003cspan\u003eexclusive-breastfeeding-intervention-02\u003c/span\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n      \u003c/table\u003e\n      \u003cp/\u003e\n      \u003ctable class\u003d\"grid dict\"\u003e\n        \u003ctr\u003e\n          \u003ctd\u003e\n            \u003cb\u003eTitle: \u003c/b\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n        \u003ctr\u003e\n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003eExclusive Breastfeeding Intervention-02\u003c/td\u003e\n        \u003c/tr\u003e\n      \u003c/table\u003e\n      \u003cp/\u003e\n      \u003ctable class\u003d\"grid dict\"\u003e\n        \u003ctr\u003e\n          \u003ctd\u003e\n            \u003cb\u003eStatus: \u003c/b\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n        \u003ctr\u003e\n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003eactive\u003c/td\u003e\n        \u003c/tr\u003e\n      \u003c/table\u003e\n      \u003cp/\u003e\n      \u003ctable class\u003d\"grid dict\"\u003e\n        \u003ctr\u003e\n          \u003ctd\u003e\n            \u003cb\u003eDescription: \u003c/b\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n        \u003ctr\u003e\n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003eExclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by notifying the provider to sign the breastmilk feeding readiness assessment order, if necessary.\u003c/td\u003e\n        \u003c/tr\u003e\n      \u003c/table\u003e\n      \u003cp/\u003e\n      \u003ctable class\u003d\"grid dict\"\u003e\n        \u003ctr\u003e\n          \u003ctd\u003e\n            \u003cb\u003eTopic: \u003c/b\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n        \u003ctr\u003e\n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n            \u003cspan\u003e\n              \u003cb\u003etext: \u003c/b\u003e\n              \u003cspan\u003eExclusive Breastfeeding\u003c/span\u003e\n            \u003c/span\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n      \u003c/table\u003e\n      \u003cp/\u003e\n      \u003ctable class\u003d\"grid dict\"\u003e\n        \u003ctr\u003e\n          \u003ctd\u003e\n            \u003cb\u003eLibrary: \u003c/b\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n        \u003ctr\u003e\n          \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n            \u003cb\u003ereference: \u003c/b\u003e\n            \u003cspan\u003eLibrary/library-exclusive-breastfeeding-cds-logic\u003c/span\u003e\n          \u003c/td\u003e\n        \u003c/tr\u003e\n      \u003c/table\u003e\n      \u003cp/\u003e\n      \u003ch2\u003eActions\u003c/h2\u003e\n      \u003cp style\u003d\"width: 100%;\" class\u003d\"hierarchy\"\u003e\n        \u003cspan\u003e\n          \u003cb\u003eStep: \u003c/b\u003e\n          \u003cbr/\u003e\n          \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n            \u003cb\u003etitle: \u003c/b\u003e\n            \u003cspan\u003eMother should be administered a breastfeeding readiness assessment.\u003c/span\u003e\n            \u003cbr/\u003e\n          \u003c/span\u003e\n          \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n            \u003cb\u003econdition: \u003c/b\u003e\n            \u003cbr/\u003e\n            \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n              \u003cb\u003etype: \u003c/b\u003e\n              \u003cspan\u003eapplicability\u003c/span\u003e\n              \u003cbr/\u003e\n            \u003c/span\u003e\n            \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n              \u003cb\u003eexpression: \u003c/b\u003e\n              \u003cspan\u003eShould Notify Provider to Sign Assessment Order\u003c/span\u003e\n              \u003cbr/\u003e\n            \u003c/span\u003e\n          \u003c/span\u003e\n          \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n            \u003cspan\u003e\n              \u003cb\u003eStep: \u003c/b\u003e\n              \u003cbr/\u003e\n              \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                \u003cb\u003etitle: \u003c/b\u003e\n                \u003cspan\u003eNotify the provider to sign the order.\u003c/span\u003e\n                \u003cbr/\u003e\n              \u003c/span\u003e\n              \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                \u003cb\u003etext: \u003c/b\u003e\n                \u003cspan\u003eA Breastfeeding Readiness Assessment is recommended, please authorize or reject the order.\u003c/span\u003e\n                \u003cbr/\u003e\n              \u003c/span\u003e\n            \u003c/span\u003e\n          \u003c/span\u003e\n        \u003c/span\u003e\n      \u003c/p\u003e\n    \u003c/div\u003e"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"identifier":[{"use":"official","value":"exclusive-breastfeeding-intervention-02"},{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.20"}],"version":"1.0.0","name":"ExclusiveBreastfeedingIntervention02","title":"Exclusive Breastfeeding Intervention-02","status":"active","date":"2015-03-08","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"description":"Exclusive breastfeeding intervention intended to improve outcomes for exclusive breastmilk feeding of newborns by notifying the provider to sign the breastmilk feeding readiness assessment order, if necessary.","topic":[{"text":"Exclusive Breastfeeding"}],"relatedArtifact":[{"type":"derived-from","resource":"http://example.org/fhir/Measure/measure-exclusive-breastfeeding"}],"library":["http://example.org/fhir/Library/library-exclusive-breastfeeding-cds-logic"],"action":[{"title":"Mother should be administered a breastfeeding readiness assessment.","trigger":[{"type":"named-event","name":"Admission"},{"type":"named-event","name":"Birth"},{"type":"named-event","name":"Infant Transfer to Recovery"},{"type":"named-event","name":"Transfer to Post-Partum"}],"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Notify Provider to Sign Assessment Order"}}],"action":[{"title":"Notify the provider to sign the order.","textEquivalent":"A Breastfeeding Readiness Assessment is recommended, please authorize or reject the order.","type":{"coding":[{"code":"create"}]},"dynamicValue":[{"path":"/","expression":{"language":"text/cql-identifier","expression":"Communication Request to Provider"}}]}]}]}
{"resourceType":"PlanDefinition","id":"opioidcds-11","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.2"},{"use":"official","value":"cdc-opioid-guidance"}],"version":"0.1.0","name":"Cdcopioid11","title":"CDC Opioid Prescribing Guideline Recommendation #11","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/plan-definition-type","code":"eca-rule","display":"ECA Rule"}]},"status":"draft","date":"2018-03-19","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"description":"Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.","useContext":[{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"182888003","display":"Medication requested (situation)"}]}},{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"82423001","display":"Chronic pain (finding)"}]}}],"jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"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":"Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.","copyright":"© CDC 2016+.","topic":[{"text":"Opioid Prescribing"}],"author":[{"name":"Kensaku Kawamoto, MD, PhD, MHS"},{"name":"Bryn Rhodes"},{"name":"Floyd Eisenberg, MD, MPH"},{"name":"Robert McClure, MD, MPH"}],"relatedArtifact":[{"type":"documentation","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"}}],"library":["http://example.org/fhir/Library/opioidcds-recommendation-11"],"action":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/recommendation-strength","code":"strong","display":"Strong"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/evidence-quality","code":"low","display":"Low quality"}]}}],"title":"Existing patient has concurrent opioid and benzodiazepine prescriptions.","description":"Checking if the trigger prescription meets the inclusion criteria for recommendation #11 workflow.","documentation":[{"type":"documentation"}],"trigger":[{"type":"named-event","name":"medication-prescribe"}],"condition":[{"kind":"applicability","expression":{"description":"Check whether the existing patient is using opioids concurrently with benzodiazepines.","language":"text/cql-identifier","expression":"Inclusion Criteria"}}],"groupingBehavior":"visual-group","selectionBehavior":"exactly-one","dynamicValue":[{"path":"action.description","expression":{"language":"text/cql-identifier","expression":"Get Detail"}},{"path":"action.title","expression":{"language":"text/cql-identifier","expression":"Get Summary"}},{"path":"action.extension","expression":{"language":"text/cql-identifier","expression":"Get Indicator"}}],"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"}]}]}
{"resourceType":"PlanDefinition","id":"protocol-example","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n\n      \u003cp\u003e\n        \u003cb\u003eid: \u003c/b\u003eexample, \n      \u003c/p\u003e\n\n      \u003cp\u003e\n        \u003cb\u003eidentifier: \u003c/b\u003e, \n        \u003cb\u003esystem: \u003c/b\u003ehttp://acme.org, \n        \u003cb\u003evalue: \u003c/b\u003eexample-1, \n      \u003c/p\u003e\n      \u003cp\u003e\n        \u003cb\u003etitle: \u003c/b\u003eObesity Assessment Protocol, \n      \u003c/p\u003e\n      \u003cp\u003e\n        \u003cb\u003estatus: \u003c/b\u003edraft, \n      \u003c/p\u003e\n      \u003cp\u003e\n        \u003cb\u003etype: \u003c/b\u003econdition, \n      \u003c/p\u003e\n      \u003cp\u003e\n        \u003cb\u003epurpose: \u003c/b\u003eExample of A medical algorithm for assessment and treatment of overweight and obesity, \n      \u003c/p\u003e\n      \u003cp\u003e\n        \u003cb\u003eauthor: \u003c/b\u003e, \n        \u003cb\u003edisplay: \u003c/b\u003eNational Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/algorthm/algorthm.htm, \n      \u003c/p\u003e\n      \u003cp\u003e\n        \u003cb\u003estep: \u003c/b\u003e, \n        \u003cb\u003ename: \u003c/b\u003eMeasure BMI, \n        \u003cb\u003edescription: \u003c/b\u003eMeasure, Weight, Height, Waist, Circumference; Calculate BMI  Weight must be measured so that the BMI can be calculated. Most charts are based on weights obtained with the patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height in meters]2), but is more easily obtained from a nomogram. Waist circumference is important because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be a marker of increased risk even in persons of normal weight. The technique for measuring waist circumference is described in the text. A nutrition assessment will also help to assess the diet and physical activity habits of overweight patients, \n        \u003cb\u003eprecondition: \u003c/b\u003e, \n        \u003cb\u003eunion: \u003c/b\u003e, \n        \u003cb\u003edescription: \u003c/b\u003eThe practitioner must seek to determine whether the patient has ever been overweight. 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Stable patients with cardiac     chest pain require risk stratification, office-based workup, initiation of disease-specific     medications, and subspecialty referral to a cardiologist.","useContext":[{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"56265001","display":"Heart disease (disorder)"}]}}],"usage":"The Cardiology chest pain (CP) and coronary artery disease (CAD) group of KNARTs are intended to assist primary care providers in the management of adult patients with stable chest pain (with or without known CAD); aid in determining when a cardiology consultation is appropriate; provide guidance for initial noninvasive diagnostic orders (stress testing) and provide a structured documentation template for the process. Stable patients with cardiac chest pain require risk stratification, office-based workup, initiation of disease-specific medications, and subspecialty referral to a cardiologist. This context excludes emergent patients (new/ongoing/unstable pattern CP). Included are those patients with stable CP with or without known CAD, to be considered for evaluation by cardiology.","copyright":"© Copyright Cognitive Medical Systems, Inc. 9444 Waples Street Suite 300 San Diego, CA 92121","author":[{"name":"Bruce Bray MD"},{"name":"Scott Wall MD"},{"name":"Aiden Abidov MD, PhD"}],"relatedArtifact":[{"type":"derived-from","display":"Cardiology: Chest Pain (CP) / Coronary Artery Disease (CAD) Clinical Content White Paper","document":{"url":"NEED-A-URL-HERE"}},{"type":"justification","display":"Outcome CVD (coronary death, myocardial infarction, coronary insufficiency, angina, ischemic stroke, hemorrhagic stroke, transient ischemic attack, peripheral artery disease, heart failure)","citation":"Cardiovascular disease          (10-year risk) [Internet].: Framingham Heart Study; cited 2017]. Available from: https://www.framinghamheartstudy.org/risk-functions/cardiovascular-disease/10-year-risk.php.","document":{"url":"https://www.framinghamheartstudy.org/risk-functions/cardiovascular-disease/10-year-risk.php"}},{"type":"justification","display":"General cardiovascular risk profile for use in primary care: the Framingham Heart Study","citation":"Cardiovascular disease          (10-year risk) [Internet].: Framingham Heart Study; cited 2017]. Available from: https://www.framinghamheartstudy.org/risk-functions/cardiovascular-disease/10-year-risk.php.","document":{"url":"https://www.framinghamheartstudy.org/risk-functions/cardiovascular-disease/10-year-risk.php"}},{"type":"justification","display":"2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons","citation":"Fihn SD, Blankenship JC, Alexander KP, Bittl JA, Byrne JG, Fletcher BJ, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: A report of the american college of cardiology/american heart association task force on practice guidelines, and the american association for thoracic surgery, preventive cardiovascular nurses association, society for cardiovascular angiography and interventions, and society of thoracic surgeons. J Thorac Cardiovasc Surg. 2015 March 01;149(3):5.","document":{"url":"NEED-A-URL-HERE"}},{"type":"justification","display":"ACC/AHA 2002 guideline update for exercise testing: summary article: A report of the American college of cardiology/American heart association task force on practice guidelines (committee to update the 1997 exercise testing guidelines)","citation":"Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, et al. ACC/AHA 2002 guideline update for exercise testing: Summary article: A report of the american college of cardiology/american heart association task force on practice guidelines (committee to update the 1997 exercise testing guidelines). Circulation. 2002 October 01;106(14):1883-92.","document":{"url":"NEED-A-URL-HERE"}},{"type":"justification","display":"LABEL: ASPIRIN 81 MG- aspirin tablet, coated","citation":"Label: ASPIRIN 81 MG- aspirin tablet, coated [Internet].: National Library of Medicine; 2017. 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NICE guidance. chest pain of recent onset: Assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin. 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{"resourceType":"PlanDefinition","id":"opioidcds-07","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.6"},{"use":"official","value":"cdc-opioid-guidance"}],"version":"0.1.0","name":"Cdcopioid07","title":"CDC Opioid Prescribing Guideline Recommendation #7","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/plan-definition-type","code":"eca-rule","display":"ECA Rule"}]},"status":"draft","date":"2018-03-19","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"description":"Clinicians should evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy for chronic pain or of dose escalation. Clinicians should evaluate benefits and harms of continued therapy with patients every 3 months or more frequently.","useContext":[{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"182888003","display":"Medication requested (situation)"}]}},{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"82423001","display":"Chronic pain (finding)"}]}}],"jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"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":"If benefits do not outweigh harms of continued opioid therapy, clinicians should optimize other therapies and work with patients to taper opioids to lower dosages or to taper and discontinue opioids.","copyright":"© CDC 2016+.","topic":[{"text":"Opioid Prescribing"}],"author":[{"name":"Kensaku Kawamoto, MD, PhD, MHS"},{"name":"Bryn Rhodes"},{"name":"Floyd Eisenberg, MD, MPH"},{"name":"Robert McClure, MD, MPH"}],"relatedArtifact":[{"type":"documentation","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"}}],"library":["http://example.org/fhir/Library/opioidcds-recommendation-07"],"action":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/recommendation-strength","code":"strong","display":"Strong"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/evidence-quality","code":"low","display":"Low quality"}]}}],"title":"Existing patient should be evaluated for risk of continued opioid therapy.","description":"Checking if the trigger prescription meets the inclusion criteria for recommendation #7 workflow.","documentation":[{"type":"documentation"}],"trigger":[{"type":"named-event","name":"medication-prescribe"}],"condition":[{"kind":"applicability","expression":{"description":"Check whether the existing patient, without an end of life condition or risk assessment in the past 90 days, has taken an opioid-with-abuse-potential for 7 of the past 10 days or 63 of the past 90 days.","language":"text/cql-identifier","expression":"Inclusion Criteria"}}],"groupingBehavior":"visual-group","selectionBehavior":"exactly-one","dynamicValue":[{"path":"action.title","expression":{"language":"text/cql-identifier","expression":"Get Summary"}},{"path":"action.description","expression":{"language":"text/cql-identifier","expression":"Get Detail"}},{"path":"action.extension","expression":{"language":"text/cql-identifier","expression":"Get Indicator"}}],"action":[{"description":"Will schedule assessment of risk for opioid use for the patient"},{"description":"Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo"},{"description":"N/A - see comment; snooze 3 mo"}]}]}
{"resourceType":"PlanDefinition","id":"opioidcds-05","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.1"},{"use":"official","value":"cdc-opioid-guidance"}],"version":"0.1.0","name":"Cdcopioid05","title":"CDC Opioid Prescribing Guideline Recommendation #5","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/plan-definition-type","code":"eca-rule","display":"ECA Rule"}]},"status":"draft","date":"2017-04-23","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"description":"When opioids are started, providers should prescribe the lowest effective dosage.","useContext":[{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"182888003","display":"Medication requested (situation)"}]}},{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"82423001","display":"Chronic pain (finding)"}]}}],"jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"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 use caution when prescribing opioids at any dosage, should carefully reassess evidence of individual benefits and risks when considering increasing dosage to ≥50 morphine milligram equivalents (MME)/day, and should avoid increasing dosage to ≥90 MME/day or carefully justify a decision to titrate dosage to \u003e90 MME/day","copyright":"© CDC 2016+.","topic":[{"text":"Opioid Prescribing"}],"author":[{"name":"Kensaku Kawamoto, MD, PhD, MHS"},{"name":"Bryn Rhodes"},{"name":"Floyd Eisenberg, MD, MPH"},{"name":"Robert McClure, MD, MPH"}],"relatedArtifact":[{"type":"documentation","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"}}],"library":["http://example.org/fhir/Library/opioidcds-recommendation-05"],"action":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/recommendation-strength","code":"strong","display":"Strong"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/evidence-quality","code":"low","display":"Low quality"}]}}],"title":"High risk for opioid overdose.","description":"Total morphine milligram equivalent (MME) exceeds recommended amount. Taper to less than 50.","documentation":[{"type":"documentation"}],"trigger":[{"type":"named-event","name":"medication-prescribe"}],"condition":[{"kind":"applicability","expression":{"description":"Is total MME \u003e\u003d 50?","language":"text/cql-identifier","expression":"Is MME 50 Or More?"}}],"groupingBehavior":"visual-group","selectionBehavior":"exactly-one","dynamicValue":[{"path":"action.title","expression":{"language":"text/cql-identifier","expression":"getSummary"}},{"path":"action.description","expression":{"language":"text/cql-identifier","expression":"getDetail"}},{"path":"activity.extension","expression":{"language":"text/cql-identifier","expression":"getIndicator"}}],"action":[{"description":"Will reduce dosage"},{"description":"Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo"},{"description":"Acute pain; snooze 1 mo"},{"description":"N/A - see comment (will be reviewed by medical director); snooze 3 mo"}]}]}
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padding-right: 25px;\"\u003eThis order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.\u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003cp/\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eUsage: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr\u003e\n               \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003eThis order set should be applied after assessing a patient for suicide risk, when the findings of that assessment indicate the patient has low suicide risk.\u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003cp/\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eContext: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr style\u003d\"vertical-align: top;\"\u003e\n               \u003ctd style\u003d\"padding-right: 25px;\"\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003esystem: \u003c/b\u003e\n                     \u003cspan\u003ehttp://terminology.hl7.org/CodeSystem/usage-context-type\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003ecode: \u003c/b\u003e\n                     \u003cspan\u003eage\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003evalue: \u003c/b\u003e\n                     \u003cbr/\u003e\n                     \u003cspan\u003e\n                        \u003cspan\u003e\n                           \u003cspan\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003esystem: \u003c/b\u003e\n                                 \u003cspan\u003ehttps://meshb.nlm.nih.gov\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003ecode: \u003c/b\u003e\n                                 \u003cspan\u003eD000328\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003edisplay: \u003c/b\u003e\n                                 \u003cspan\u003eAdult\u003c/span\u003e\n                              \u003c/span\u003e\n                           \u003c/span\u003e\n                        \u003c/span\u003e\n                     \u003c/span\u003e\n                  \u003c/p\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eContext: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr style\u003d\"vertical-align: top;\"\u003e\n               \u003ctd style\u003d\"padding-right: 25px;\"\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003esystem: \u003c/b\u003e\n                     \u003cspan\u003ehttp://terminology.hl7.org/CodeSystem/usage-context-type\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003ecode: \u003c/b\u003e\n                     \u003cspan\u003efocus\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003evalue: \u003c/b\u003e\n                     \u003cbr/\u003e\n                     \u003cspan\u003e\n                        \u003cspan\u003e\n                           \u003cspan\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003esystem: \u003c/b\u003e\n                                 \u003cspan\u003ehttp://snomed.info/sct\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003ecode: \u003c/b\u003e\n                                 \u003cspan\u003e87512008\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003edisplay: \u003c/b\u003e\n                                 \u003cspan\u003eMild major depression\u003c/span\u003e\n                              \u003c/span\u003e\n                           \u003c/span\u003e\n                        \u003c/span\u003e\n                     \u003c/span\u003e\n                  \u003c/p\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eContext: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr style\u003d\"vertical-align: top;\"\u003e\n               \u003ctd style\u003d\"padding-right: 25px;\"\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003esystem: \u003c/b\u003e\n                     \u003cspan\u003ehttp://terminology.hl7.org/CodeSystem/usage-context-type\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003ecode: \u003c/b\u003e\n                     \u003cspan\u003efocus\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003evalue: \u003c/b\u003e\n                     \u003cbr/\u003e\n                     \u003cspan\u003e\n                        \u003cspan\u003e\n                           \u003cspan\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003esystem: \u003c/b\u003e\n                                 \u003cspan\u003ehttp://snomed.info/sct\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003ecode: \u003c/b\u003e\n                                 \u003cspan\u003e40379007\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003edisplay: \u003c/b\u003e\n                                 \u003cspan\u003eMild recurrent major depression\u003c/span\u003e\n                              \u003c/span\u003e\n                           \u003c/span\u003e\n                        \u003c/span\u003e\n                     \u003c/span\u003e\n                  \u003c/p\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eContext: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr style\u003d\"vertical-align: top;\"\u003e\n               \u003ctd style\u003d\"padding-right: 25px;\"\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003esystem: \u003c/b\u003e\n                     \u003cspan\u003ehttp://terminology.hl7.org/CodeSystem/usage-context-type\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003ecode: \u003c/b\u003e\n                     \u003cspan\u003efocus\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003evalue: \u003c/b\u003e\n                     \u003cbr/\u003e\n                     \u003cspan\u003e\n                        \u003cspan\u003e\n                           \u003cspan\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003esystem: \u003c/b\u003e\n                                 \u003cspan\u003ehttp://snomed.info/sct\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003ecode: \u003c/b\u003e\n                                 \u003cspan\u003e394687007\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003edisplay: \u003c/b\u003e\n                                 \u003cspan\u003eLow suicide risk\u003c/span\u003e\n                              \u003c/span\u003e\n                           \u003c/span\u003e\n                        \u003c/span\u003e\n                     \u003c/span\u003e\n                  \u003c/p\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eContext: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr style\u003d\"vertical-align: top;\"\u003e\n               \u003ctd style\u003d\"padding-right: 25px;\"\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003esystem: \u003c/b\u003e\n                     \u003cspan\u003ehttp://terminology.hl7.org/CodeSystem/usage-context-type\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003ecode: \u003c/b\u003e\n                     \u003cspan\u003efocus\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003evalue: \u003c/b\u003e\n                     \u003cbr/\u003e\n                     \u003cspan\u003e\n                        \u003cspan\u003e\n                           \u003cspan\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003esystem: \u003c/b\u003e\n                                 \u003cspan\u003ehttp://snomed.info/sct\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003ecode: \u003c/b\u003e\n                                 \u003cspan\u003e225337009\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003edisplay: \u003c/b\u003e\n                                 \u003cspan\u003eSuicide risk assessment\u003c/span\u003e\n                              \u003c/span\u003e\n                           \u003c/span\u003e\n                        \u003c/span\u003e\n                     \u003c/span\u003e\n                  \u003c/p\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eContext: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr style\u003d\"vertical-align: top;\"\u003e\n               \u003ctd style\u003d\"padding-right: 25px;\"\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003esystem: \u003c/b\u003e\n                     \u003cspan\u003ehttp://terminology.hl7.org/CodeSystem/usage-context-type\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003ecode: \u003c/b\u003e\n                     \u003cspan\u003euser\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003evalue: \u003c/b\u003e\n                     \u003cbr/\u003e\n                     \u003cspan\u003e\n                        \u003cspan\u003e\n                           \u003cspan\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003esystem: \u003c/b\u003e\n                                 \u003cspan\u003ehttp://snomed.info/sct\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003ecode: \u003c/b\u003e\n                                 \u003cspan\u003e309343006\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003edisplay: \u003c/b\u003e\n                                 \u003cspan\u003ePhysician\u003c/span\u003e\n                              \u003c/span\u003e\n                           \u003c/span\u003e\n                        \u003c/span\u003e\n                     \u003c/span\u003e\n                  \u003c/p\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eContext: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr style\u003d\"vertical-align: top;\"\u003e\n               \u003ctd style\u003d\"padding-right: 25px;\"\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003esystem: \u003c/b\u003e\n                     \u003cspan\u003ehttp://terminology.hl7.org/CodeSystem/usage-context-type\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003ecode: \u003c/b\u003e\n                     \u003cspan\u003evenue\u003c/span\u003e\n                  \u003c/p\u003e\n                  \u003cp style\u003d\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\"\u003e\n                     \u003cb\u003evalue: \u003c/b\u003e\n                     \u003cbr/\u003e\n                     \u003cspan\u003e\n                        \u003cspan\u003e\n                           \u003cspan\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003esystem: \u003c/b\u003e\n                                 \u003cspan\u003ehttp://snomed.info/sct\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003ecode: \u003c/b\u003e\n                                 \u003cspan\u003e440655000\u003c/span\u003e\n                                 \u003cbr/\u003e\n                              \u003c/span\u003e\n                              \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                                 \u003cb\u003edisplay: \u003c/b\u003e\n                                 \u003cspan\u003eOutpatient environment\u003c/span\u003e\n                              \u003c/span\u003e\n                           \u003c/span\u003e\n                        \u003c/span\u003e\n                     \u003c/span\u003e\n                  \u003c/p\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003cp/\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eTopic: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr\u003e\n               \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n                  \u003cspan\u003e\n                     \u003cb\u003etext: \u003c/b\u003e\n                     \u003cspan\u003eSuicide risk assessment\u003c/span\u003e\n                  \u003c/span\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003cp/\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eContributor: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr\u003e\n               \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n                  \u003cb\u003e\n                     \u003cspan\u003eauthor\u003c/span\u003e:\n                  \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr\u003e\n               \u003ctd style\u003d\"padding-left: 50px; padding-right: 25px;\"\u003eMotive Medical Intelligence\u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003cp/\u003e\n         \u003ctable class\u003d\"grid dict\"\u003e\n            \u003ctr\u003e\n               \u003ctd\u003e\n                  \u003cb\u003eLibrary: \u003c/b\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr\u003e\n               \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n                  \u003cb\u003ereference: \u003c/b\u003e\n                  \u003cspan\u003eLibrary/suiciderisk-orderset-logic\u003c/span\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n            \u003ctr\u003e\n               \u003ctd style\u003d\"padding-left: 25px; padding-right: 25px;\"\u003e\n                  \u003cb\u003edisplay: \u003c/b\u003e\n                  \u003cspan\u003eSuicideRiskLogic\u003c/span\u003e\n               \u003c/td\u003e\n            \u003c/tr\u003e\n         \u003c/table\u003e\n         \u003cp/\u003e\n         \u003ch2\u003eActions\u003c/h2\u003e\n         \u003cp style\u003d\"width: 100%;\" class\u003d\"hierarchy\"\u003e\n            \u003cspan\u003e\n               \u003cb\u003eStep: \u003c/b\u003e\n               \u003cbr/\u003e\n               \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                  \u003cb\u003etitle: \u003c/b\u003e\n                  \u003cspan\u003eSuicide Risk Assessment and Outpatient Management\u003c/span\u003e\n                  \u003cbr/\u003e\n               \u003c/span\u003e\n               \u003cspan style\u003d\"padding-left: 25px;\"\u003e\n                  \u003cspan\u003e\n                     \u003cb\u003eStep: \u003c/b\u003e\n                     \u003cbr/\u003e\n                     \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                        \u003cb\u003etitle: \u003c/b\u003e\n                        \u003cspan\u003eConsults and Referrals\u003c/span\u003e\n                        \u003cbr/\u003e\n                     \u003c/span\u003e\n                     \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                        \u003cspan\u003e\n                           \u003cb\u003eStep: \u003c/b\u003e\n                           \u003cbr/\u003e\n                           \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                              \u003cb\u003etext: \u003c/b\u003e\n                              \u003cspan\u003eRefer to outpatient mental health program for evaluation and treatment of mental health conditions now\u003c/span\u003e\n                              \u003cbr/\u003e\n                           \u003c/span\u003e\n                           \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                              \u003cb\u003econdition: \u003c/b\u003e\n                              \u003cbr/\u003e\n                              \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                 \u003cb\u003ereference: \u003c/b\u003e\n                                 \u003cbr/\u003e\n                                 \u003cspan style\u003d\"padding-left: 125px;\"\u003e#referralToMentalHealthCare\u003c/span\u003e\n                                 \u003cspan\u003e\n                                    \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                       \u003cbr/\u003e\n                                       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{"resourceType":"PlanDefinition","id":"opioidcds-08","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.10"},{"use":"official","value":"cdc-opioid-guidance"}],"version":"0.1.0","name":"Cdcopioid08","title":"CDC Opioid Prescribing Guideline Recommendation #8","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/plan-definition-type","code":"eca-rule","display":"ECA Rule"}]},"status":"draft","date":"2018-03-19","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"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.","useContext":[{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"182888003","display":"Medication requested (situation)"}]}},{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"82423001","display":"Chronic pain (finding)"}]}}],"jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"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":"© CDC 2016+.","topic":[{"text":"Opioid Prescribing"}],"author":[{"name":"Kensaku Kawamoto, MD, PhD, MHS"},{"name":"Bryn Rhodes"},{"name":"Floyd Eisenberg, MD, MPH"},{"name":"Robert McClure, MD, MPH"}],"relatedArtifact":[{"type":"documentation","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"}}],"library":["http://example.org/fhir/Library/opioidcds-recommendation-08"],"action":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/recommendation-strength","code":"strong","display":"Strong"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/evidence-quality","code":"low","display":"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.","documentation":[{"type":"documentation"}],"trigger":[{"type":"named-event","name":"medication-prescribe"}],"condition":[{"kind":"applicability","expression":{"description":"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.","language":"text/cql-identifier","expression":"Inclusion Criteria"}}],"groupingBehavior":"visual-group","selectionBehavior":"exactly-one","dynamicValue":[{"path":"action.description","expression":{"language":"text/cql-identifier","expression":"Get Detail"}},{"path":"action.title","expression":{"language":"text/cql-identifier","expression":"Get Summary"}},{"path":"action.extension","expression":{"language":"text/cql-identifier","expression":"Get Indicator"}}],"action":[{"description":"Will offer Naloxone instead"},{"description":"Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo"},{"description":"N/A - see comment; snooze 3 mo"}]}]}
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\u003cbr/\u003e\n\t\t\t\t\t\t\t \n                    \u003c/span\u003e\n\t\t\t\t\t\t\t \n                    \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cb\u003ecategory: \u003c/b\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cspan\u003eprocedure\u003c/span\u003e\n\t\t\t\t\t\t\t\t\n                      \u003cbr/\u003e\n\t\t\t\t\t\t\t \n                    \u003c/span\u003e\n                           \n                  \u003c/span\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Order Serum + Urine rRT-PCR Test\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003ereference: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 125px;\"\u003eActivityDefinition/order-serum-urine-rrt-pcr-test\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Order Serum Zika Virus IgM + Dengue Virus IgM\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003ereference: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 125px;\"\u003e#order-serum-zika-dengue-virus-igm\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan\u003e\n                              \n                    \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                                    \n                        \u003cb\u003edescription: \u003c/b\u003e\n                                    \n                        \u003cspan\u003eOrder Serum Zika and Dengue Virus IgM\u003c/span\u003e\n                                    \n                        \u003cbr/\u003e\n                                 \n                      \u003c/span\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                    \n                        \u003cb\u003erelated:\u003c/b\u003e\n                                    \n                        \u003cbr/\u003e\n                                    \n                        \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                       \n                          \u003cb\u003etype: \u003c/b\u003e\n                                       \n                          \u003cspan\u003edocumentation\u003c/span\u003e\n                                       \n                          \u003cbr/\u003e\n                                    \n                        \u003c/span\u003e\n                                    \n                        \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                       \n                          \u003cb\u003edisplay: \u003c/b\u003e\n                                       \n                          \u003cspan\u003eExplanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.\u003c/span\u003e\n                                       \n                          \u003cbr/\u003e\n                                    \n                        \u003c/span\u003e\n                                 \n                      \u003c/span\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                    \n                        \u003cb\u003ecategory: \u003c/b\u003e\n                                    \n                        \u003cspan\u003ediagnostic\u003c/span\u003e\n                                    \n                        \u003cbr/\u003e\n                                 \n                      \u003c/span\u003e\n                              \n                    \u003c/span\u003e\n                           \n                  \u003c/span\u003e\n                           \n                  \u003cspan/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Consider IgM Antibody Testing\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003ereference: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 125px;\"\u003eActivityDefinition/consider-igm-antibody-testing\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"/\u003e\n                  \n            \u003c/span\u003e\n                  \n            \u003cspan\u003e\n                     \n              \u003cb\u003eStep: \u003c/b\u003e\n                     \n              \u003cbr/\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                        \n                \u003cb\u003econdition: \u003c/b\u003e\n                        \n                \u003cbr/\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003etype: \u003c/b\u003e\n                           \n                  \u003cspan\u003eapplicability\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                           \n                  \u003cb\u003eexpression: \u003c/b\u003e\n                           \n                  \u003cspan\u003eShould Provide Mosquito Prevention and Contraception Advice\u003c/span\u003e\n                           \n                  \u003cbr/\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                     \n              \u003cspan style\u003d\"padding-left: 50px;\"\u003e\n                        \n                \u003cspan\u003e\n                           \n                  \u003cb\u003eStep: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                              \n                    \u003cb\u003econdition: \u003c/b\u003e\n                              \n                    \u003cbr/\u003e\n                              \n                    \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                 \n                      \u003cb\u003ereference: \u003c/b\u003e\n                                 \n                      \u003cbr/\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 125px;\"\u003e#provide-mosquito-prevention-advice\u003c/span\u003e\n                                 \n                      \u003cspan\u003e\n                                    \n                        \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                       \n                          \u003cbr/\u003e\n                                       \n                          \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                          \n                            \u003cb\u003edescription: \u003c/b\u003e\n                                          \n                            \u003cspan\u003eProvide mosquito prevention advice\u003c/span\u003e\n                                          \n                            \u003cbr/\u003e\n                                       \n                          \u003c/span\u003e\n                                       \n                          \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                          \n                            \u003cb\u003erelated:\u003c/b\u003e\n                                          \n                            \u003cbr/\u003e\n                                          \n                            \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                             \n                              \u003cb\u003etype: \u003c/b\u003e\n                                             \n                              \u003cspan\u003edocumentation\u003c/span\u003e\n                                             \n                              \u003cbr/\u003e\n                                          \n                            \u003c/span\u003e\n                                          \n                            \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                             \n                              \u003cb\u003edisplay: \u003c/b\u003e\n                                             \n                              \u003cspan\u003eAdvice for patients about how to avoid Mosquito bites.\u003c/span\u003e\n                                             \n                              \u003cbr/\u003e\n                                          \n                            \u003c/span\u003e\n                                       \n                          \u003c/span\u003e\n                                       \n                          \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                                          \n                            \u003cb\u003erelated:\u003c/b\u003e\n                                          \n                            \u003cbr/\u003e\n                                          \n                            \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                             \n                              \u003cb\u003etype: \u003c/b\u003e\n                                             \n                              \u003cspan\u003edocumentation\u003c/span\u003e\n                                             \n                              \u003cbr/\u003e\n                                          \n                            \u003c/span\u003e\n                                          \n                            \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                             \n                              \u003cb\u003edisplay: \u003c/b\u003e\n                                             \n                              \u003cspan\u003eAdvice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]\u003c/span\u003e\n                                             \n                              \u003cbr/\u003e\n                                          \n                            \u003c/span\u003e\n                                       \n                          \u003c/span\u003e\n                                       \n                          \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                          \n                            \u003cb\u003ecategory: \u003c/b\u003e\n                                          \n                            \u003cspan\u003ecommunication\u003c/span\u003e\n                                          \n                            \u003cbr/\u003e\n                                       \n                          \u003c/span\u003e\n                                    \n                        \u003c/span\u003e\n                                 \n                      \u003c/span\u003e\n                              \n                    \u003c/span\u003e\n                           \n                  \u003c/span\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 75px;\"/\u003e\n                        \n                \u003c/span\u003e\n                        \n                \u003cspan\u003e\n                           \n                  \u003cb\u003eStep: \u003c/b\u003e\n                           \n                  \u003cbr/\u003e\n                           \n                  \u003cspan style\u003d\"padding-left: 75px;\"\u003e\n                              \n                    \u003cb\u003econdition: \u003c/b\u003e\n                              \n                    \u003cbr/\u003e\n                              \n                    \u003cspan style\u003d\"padding-left: 100px;\"\u003e\n                                 \n                      \u003cb\u003ereference: \u003c/b\u003e\n                                 \n                      \u003cbr/\u003e\n                                 \n                      \u003cspan style\u003d\"padding-left: 125px;\"\u003eActivityDefinition/provide-contraception-advice\u003c/span\u003e\n                                 \n                      \u003cbr/\u003e\n                              \n                    \u003c/span\u003e\n                           \n                  \u003c/span\u003e\n                        \n                \u003c/span\u003e\n                     \n              \u003c/span\u003e\n                  \n            \u003c/span\u003e\n               \n          \u003c/span\u003e\n            \n        \u003c/span\u003e\n         \n      \u003c/p\u003e\n      \n    \u003c/div\u003e"},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"url":"http://example.org/PlanDefinition/zika-virus-intervention","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.5"},{"use":"official","value":"zika-virus-intervention"}],"version":"2.0.0","name":"ExampleZikaVirusIntervention","title":"Example Zika Virus Intervention","status":"active","date":"2017-01-12","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/dss"}]}],"description":"Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.","useContext":[{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"age"},"valueRange":{"low":{"value":12,"unit":"a"}}},{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"user"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"309343006","display":"Physician"}]}}],"topic":[{"text":"Zika Virus Management"}],"relatedArtifact":[{"type":"derived-from","document":{"url":"https://www.cdc.gov/mmwr/volumes/65/wr/mm6539e1.htm?s_cid\u003dmm6539e1_w"}},{"type":"predecessor","resource":"http://example.org/fhir/PlanDefinition/zika-virus-intervention-initial"}],"library":["http://example.org/fhir/Library/zika-virus-intervention-logic"],"action":[{"title":"Zika Virus Assessment","trigger":[{"type":"named-event","name":"patient-view"}],"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Is Patient Pregnant"}}],"action":[{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Administer Zika Virus Exposure Assessment"}}],"definitionCanonical":"http://example.org/fhir/ActivityDefinition/administer-zika-virus-exposure-assessment"},{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Order Serum + Urine rRT-PCR Test"}}],"definitionCanonical":"http://example.org/fhir/ActivityDefinition/order-serum-urine-rrt-pcr-test"},{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Order Serum Zika Virus IgM + Dengue Virus IgM"}}],"definitionCanonical":"http://example.org/fhir/ActivityDefinition/order-serum-zika-dengue-virus-igm"},{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Consider IgM Antibody Testing"}}],"definitionCanonical":"http://example.org/fhir/ActivityDefinition/consider-igm-antibody-testing"},{"condition":[{"kind":"applicability","expression":{"language":"text/cql-identifier","expression":"Should Provide Mosquito Prevention and Contraception Advice"}}],"action":[{"definitionCanonical":"http://example.org/fhir/ActivityDefinition/provide-mosquito-prevention-advice"},{"definitionCanonical":"http://example.org/fhir/ActivityDefinition/provide-contraception-advice"}]}]}]}
{"resourceType":"PlanDefinition","id":"opioidcds-10","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"cds"}],"identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.11.3"},{"use":"official","value":"cdc-opioid-guidance"}],"version":"0.1.0","name":"Cdcopioid10","title":"CDC Opioid Prescribing Guideline Recommendation #10","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/plan-definition-type","code":"eca-rule","display":"ECA Rule"}]},"status":"draft","date":"2017-04-23","publisher":"HL7 International / Clinical Decision Support","contact":[{"telecom":[{"system":"url","value":"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.","useContext":[{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"182888003","display":"Medication requested (situation)"}]}},{"code":{"system":"http://terminology.hl7.org/CodeSystem/usage-context-type","code":"focus","display":"Clinical Focus"},"valueCodeableConcept":{"coding":[{"system":"http://snomed.info/sct","code":"82423001","display":"Chronic pain (finding)"}]}}],"jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"US","display":"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":[{"text":"Opioid Prescribing"}],"author":[{"name":"Kensaku Kawamoto, MD, PhD, MHS"},{"name":"Bryn Rhodes"},{"name":"Floyd Eisenberg, MD, MPH"},{"name":"Robert McClure, MD, MPH"}],"relatedArtifact":[{"type":"documentation","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"}}],"library":["http://example.org/fhir/Library/opioidcds-recommendation-10"],"action":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/recommendation-strength","code":"strong","display":"Strong"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/evidence-quality","code":"low","display":"Low quality"}]}}],"title":"Annual Urine Screening Check","description":"Patient has not had a urine screening in the past 12 months","documentation":[{"type":"documentation"}],"trigger":[{"type":"named-event","name":"medication-prescribe"}],"condition":[{"kind":"applicability","expression":{"description":"Patient has not had a urine screening in the past 12 months","language":"text/cql-identifier","expression":"No Screenings in Past Year"}}],"dynamicValue":[{"path":"activity.extension","expression":{"language":"text/cql-identifier","expression":"Get Indicator"}}],"action":[{"description":"Will perform urine screening"},{"description":"Not for chronic pain management. Snooze 3 months"}]},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/recommendation-strength","code":"strong","display":"Strong"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/evidence-quality","code":"low","display":"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","documentation":[{"type":"documentation"}],"condition":[{"kind":"applicability","expression":{"description":"Patient has a positive urine screening in the past 12 months","language":"text/cql-identifier","expression":"Has Positive Screening?"}}],"action":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/recommendation-strength","code":"strong","display":"Strong"}]}},{"url":"http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/evidence-quality","code":"low","display":"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","documentation":[{"type":"documentation"}],"condition":[{"kind":"applicability","expression":{"description":"Patient has a positive urine screening in the past 12 months for opioid(s), which is not prescribed","language":"text/cql-identifier","expression":"Has Unprescribed Opioids?"}}],"dynamicValue":[{"path":"activity.extension","expression":{"language":"text/cql-identifier","expression":"Get Indicator"}},{"path":"action.description","expression":{"language":"text/cql-identifier","expression":"Inconsistent Unprescribed Opioids"}}],"action":[{"description":"Not for chronic pain management. 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