CPG Opioid Prescribing Guideline Examples
1.0.0 - ci-build
CPG Opioid Prescribing Guideline Examples
1.0.0 - ci-build
CPG Opioid Prescribing Guideline Examples, published by HL7 International - Clinical Decision Support WG. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cpg-example-opioids/ and changes regularly. See the Directory of published versions
| Official URL: http://cqframework.org/cpg-example-opioids/PlanDefinition/opioidcds-r4-recommendation-05 | Version: 1.0.0 | |||
| Draft as of 2024-11-18 | Computable Name: OpioidCDS_R4_Recommendation_05 | |||
Usage:Clinical Focus: Medication requested (situation), Clinical Focus: Chronic pain (finding) |
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Copyright/Legal: CDC 2016+ |
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When opioids are started, providers should prescribe the lowest effective dosage.
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.
Generated Narrative: PlanDefinition opioidcds-r4-recommendation-05
url: PlanDefinition CDC Opioid Prescribing Guideline Recommendation #5
version: 1.0.0
name: OpioidCDS_R4_Recommendation_05
title: CDC Opioid Prescribing Guideline Recommendation #5
type: ECA Rule
status: Draft
experimental: true
date: 2024-11-18 18:13:39+0000
publisher: HL7 International - Clinical Decision Support WG
contact: HL7 International - Clinical Decision Support WG: http://www.hl7.org/Special/committees/dss/index.cfm
description:
When opioids are started, providers should prescribe the lowest effective dosage.
| Code | Value[x] |
| UsageContextType focus: Clinical Focus | Medication requested (situation) |
| UsageContextType focus: Clinical Focus | Chronic pain (finding) |
jurisdiction: World
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 >90 MME/day
copyright:
CDC 2016+
topic: Opioid Prescribing
author: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH:
relatedArtifact
type: Documentation
display: MME Conversion Tables
url: https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf
Documents
Url https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf
library: Opioid CDS R4 Logic for recommendation #5
action
title: High risk for opioid overdose.
description: Total morphine milligram equivalent (MME) exceeds recommended amount. Taper to less than 50.
documentation
type: Documentation
display: CDC guideline for prescribing opioids for chronic pain
Documents
Extension Url , https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fmmwr%2Fvolumes%2F65%2Frr%2Frr6501e1er.htm documentation
type: Documentation
Triggers
Type Name Named Event medication-prescribe condition
kind: Applicability
Expressions
Description Language Expression Is total MME >= 50? CQL Inclusion Criteria groupingBehavior: Visual Group
selectionBehavior: Exactly One
dynamicValue
path: action.title
Expressions
Language Expression CQL Get Summary dynamicValue
path: action.description
Expressions
Language Expression CQL Get Detail dynamicValue
path: activity.extension
Expressions
Language Expression CQL Get Indicator Actions
Description Will reduce dosage Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo Acute pain; snooze 1 mo N/A - see comment (will be reviewed by medical director); snooze 3 mo