Clinical Decision Support for Chronic Pain Management and Shared Decision-Making IG
0.1.0 - CI Build
Clinical Decision Support for Chronic Pain Management and Shared Decision-Making IG, published by CQF. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cds4cpm/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.
MyPAIN Client Capability Statement |
Describes the capabilities a FHIR client will use to implement the functionality of the MyPAIN application |
MyPAIN Server Capability Statement |
Describes the required capabilities a FHIR server must support to be usable as the server for the MyPAIN application |
Pain Manager Client Capability Statement |
Describes the capabilities a FHIR client will use to implement the functionality of the PainManager application |
Pain Manager Server Capability Statement |
Describes the required capabilities a FHIR server must support to be usable as the server for the PainManager application |
These define logic, asset collections and other libraries as part of content in this implementation guide.
Library/library-InitialQualifyingQuerySTU3 |
These define forms used by systems conforming to this implementation guide to capture or expose data to end users.
MyPain Questionnaire |
A questionnaire to use with the MyPAIN application for a patient to assess their pain levels, locations, and treatments for use in consultation with a clinician to determine further treatments. |
MyPain Questionnaire |
A questionnaire to use with the MyPAIN application for a patient to assess their pain levels, locations, and treatments for use in consultation with a clinician to determine further treatments. Created for UFL pilot. |
These define constraints on FHIR resources for systems conforming to this implementation guide.
CDS4CPMAssessment |
Profile of observation used to characterize assessment responses from the MyPAIN questionnaire as observation resources available for provider review during a shared decision-making session using the PainManager application |
CDS4CPMBooleanAssessment |
Profile of observation used to characterize boolean-valued assessment responses from the MyPAIN questionnaire as observation resources available for provider review during a shared decision-making session using the PainManager application |
CDS4CPMCodeableAssessment |
Profile of observation used to characterize codeable assessment responses from the MyPAIN questionnaire as observation resources available for provider review during a shared decision-making session using the PainManager application |
CDS4CPMTextAssessment |
Profile of observation used to characterize text assessment responses from the MyPAIN questionnaire as observation resources available for provider review during a shared decision-making session using the PainManager application |
These define sets of codes used by systems conforming to this implementation guide.
Anxiety |
This value set contains codes representing conditions related to anxiety. |
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Chronic Liver Disease |
This value set contains concepts that represent a diagnosis of chronic liver disease. |
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Conditions associated with chronic pain |
Conditions that indicate chronic pain or are likely to cause chronic pain. |
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Kidney Failure |
This value set contains concepts that represent kidney failure. |
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LOINC Non-opioid Drug Urine Test |
ValueSet containing all general screening tests in urine for drugs of abuse other than narcotics codes. |
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Liver Disease |
This value set contains concepts that represent a diagnosis of liver disease. |
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Major Depression |
This value set contains concepts that represent major depression. |
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MyPAIN All Questionnaire Codes |
Value set for All Questionnaire Codes used in the MyPAIN Questionnaire |
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MyPAIN All QuestionnaireResponse Codes |
Value set for All Questionnaire Response Codes used in the MyPAIN Questionnaire |
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MyPAIN Questionnaire Codes |
Value set for Questionnaire Codes used in the MyPAIN Questionnaire |
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MyPAIN QuestionnaireResponse Codes |
Value set for Questionnaire Response Codes used in the MyPAIN Questionnaire |
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Non opioid pain medications |
This value set contains codes that represent medications which may be of potential therapeutic benefit in treating chronic pain. It does not include opiate and opioid class medications. |
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Pain Therapies |
Value set for Pain Therapy and Strategy Observations used in MyPAIN and Pain Manager |
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Pain Types |
Value set for Pain Types used in MyPAIN and Pain Manager |
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Pregnancy |
This value set contains concepts related to the diagnosis of pregnancy. |
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Pregnancy (New ICD10 codes published between 2018 and 2020) |
Pregnancy |
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Sleep disordered breathing |
Conditions associated with sleep-related breathing disorders. |
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Substance Abuse Conditions |
ValueSet containing all diagnosis and findings indicating drug abuse codes. |
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Three Item Likert |
Value set for 3-item Likert scale questions used in MyPAIN and Pain Manager |
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Urine drug screening tests |
Individual tests and panels of tests of urine for drugs of misuse |
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ValueSet - Benzodiazepine Medications |
All benzodiazepine clinical drugs |
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ValueSet - Current Pain Levels |
Current pain level valueset. |
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ValueSet - Empty |
The empty value set, used to indicate that a reusable concept defined in the concepts library has no meaning in a given configuration |
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ValueSet - Naloxone Medications |
All naloxone medications |
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ValueSet - Opioid Drug Urine Screening |
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ValueSet - Opioids |
Value set for Opioid drugs |
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ValueSet - Pain Interference Answers |
Pain interference valueset answers. |
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ValueSet - Past Pain Levels |
Past pain levels valueset. |
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ValueSet - Survey Agreement Answers |
Survey agreement answers valueset. |
These define new code systems used by systems conforming to this implementation guide.
Default MME Conversion Factors |
This Code System Supplement defines conversion factors for calculating Morphine Milligram Equivalence (MME) using conversion factors used by default for the CDS4CPM Project. The supplement defines conversions factors for ingredients in one of 3 ways: 1, as a direct conversion factor for the ingredient, 2, as a dose-form-specific conversion factor for the ingredient, and 3, as a dose-ranged conversion factor for the ingredient. See the descriptions for each property for information on how the values are represented for the different conversion factors. For a given ingredient, only one type of property will be present, and the properties will enable a unique conversion factor to be determined if the input is within the expected range. If the input is outside the expected range, implementations should indicate a conversion factor could not be determined from the supplied information. All conversion factors supplied in this supplement are in ‘mg/d’. |
MyPAIN Questionnaire Codes |
Code system for questions from questionnaire used in MyPAIN and Pain Manager |
MyPAIN Questionnaire Response Codes |
Code system for responses from questionnaire used in MyPAIN and Pain Manager |
Pain Therapies |
Code system for Pain Therapy and Strategy Observations used in MyPAIN and Pain Manager |