OpioidCDSREC01
type: Library
node role: treeRoot
id:
  v: OpioidCDSREC01
text:
  status:
    v: generated
  div:
    v: Id: library-OpioidCDSREC01 Type: logic-library Version: 2022.1.0 Status: active Related: type: depends-on Resource: http://fhir.org/guides/cdc/opioid-cds/Library/FHIRHelpers type: depends-on Resource: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommon type: depends-on Resource: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSRoutines Content: type: text/cql library OpioidCDSREC01 version '2022.1.0' using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' called FHIRHelpers include OpioidCDSCommon version '2022.1.0' called Common include OpioidCDSRoutines version '2022.1.0' called Routines /* ** ** Recommendation #1 ** Nonpharmacologic therapy and nonopioid pharmacologic therapy are preferred ** for acute pain. Clinicians should consider opioid therapy only if expected ** benefits for both pain and function are anticipated to outweigh risks to the ** patient. If opioids are used, they should be combined with nonpharmacologic ** therapy and nonopioid pharmacologic therapy, as appropriate ** (recommendation category: A, evidence type: 3). ** ** When ** Prescription is for treating acute pain ** Provider is prescribing an opioid with ambulatory misuse potential in the outpatient setting ** Opioid review is useful for this patient: ** Patient is 18 or over ** Patient does not have findings indicating limited life expectancy ** Patient does not have orders for therapies indicating end of life care ** Patient is not undergoing active cancer treatment: ** Patient has had at least 2 encounters within the past year with any diagnosis of cancer ** Patient is opioid naive: ** No indication of opioid use in the past 90 days from a prescription, self report (for future implementation), or a dispensing event (for future implementation) ** Then ** Recommend the use of nonpharmacologic therapy and nonopioid pharmacologic therapy as an alternative. Potential actions include: ** Document reason for opioid use ** Document that alternative therapy was attempted, …
contained: Parameters
  id:
    v: options
  parameter:
    name:
      v: translatorVersion
    value: String
      v: 3.5.1
  parameter:
    name:
      v: option
    value: String
      v: EnableAnnotations
  parameter:
    name:
      v: option
    value: String
      v: EnableLocators
  parameter:
    name:
      v: option
    value: String
      v: DisableListDemotion
  parameter:
    name:
      v: option
    value: String
      v: DisableListPromotion
  parameter:
    name:
      v: format
    value: String
      v: JSON
  parameter:
    name:
      v: format
    value: String
      v: XML
  parameter:
    name:
      v: analyzeDataRequirements
    value: Boolean
      v: false
  parameter:
    name:
      v: collapseDataRequirements
    value: Boolean
      v: false
  parameter:
    name:
      v: compatibilityLevel
    value: String
      v: 1.5
  parameter:
    name:
      v: enableCqlOnly
    value: Boolean
      v: false
  parameter:
    name:
      v: errorLevel
    value: String
      v: Info
  parameter:
    name:
      v: signatureLevel
    value: String
      v: None
  parameter:
    name:
      v: validateUnits
    value: Boolean
      v: true
  parameter:
    name:
      v: verifyOnly
    value: Boolean
      v: false
extension:
  url:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
    l: cqfm-softwaresystem
  value: Reference
    l: cqf-tooling
    reference:
      v: Device/cqf-tooling
extension:
  url:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
    l: cqfm-softwaresystem
  value: Reference
    l: cqf-tooling
    reference:
      v: Device/cqf-tooling
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/cqf-cqlOptions
    l: cqf-cqlOptions
  value: Reference
    l: options
    reference:
      v: #options
url:
  v: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSREC01
  l: OpioidCDSREC01
version:
  v: 2022.1.0
name:
  v: OpioidCDSREC01
title:
  v: Library - Recommendation #1 - Nonpharmacologic and Nonopioid Pharmacologic Therapy Consideration
status:
  v: active
experimental:
  v: true
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/library-type
      l: library-type
    code:
      v: logic-library
date:
  v: 2025-11-13T15:52:38+00:00
publisher:
  v: Centers for Disease Control and Prevention (CDC)
contact:
  telecom:
    system:
      v: url
    value:
      v: https://www.cdc.gov
related artifact:
  type:
    v: depends-on
  display:
    v: FHIR model information
  resource:
    v: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1
    l: http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo
related artifact:
  type:
    v: depends-on
  display:
    v: Library FHIRHelpers
  resource:
    v: http://fhir.org/guides/cdc/opioid-cds/Library/FHIRHelpers|4.0.1
    l: http://fhir.org/guides/cdc/opioid-cds/Library/FHIRHelpers
related artifact:
  type:
    v: depends-on
  display:
    v: Library Common
  resource:
    v: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommon|2022.1.0
    l: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommon
related artifact:
  type:
    v: depends-on
  display:
    v: Library Config
  resource:
    v: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommonConfig|2022.1.0
    l: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommonConfig
related artifact:
  type:
    v: depends-on
  display:
    v: Library Routines
  resource:
    v: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSRoutines|2022.1.0
    l: http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSRoutines
related artifact:
  type:
    v: depends-on
  display:
    v: Value set Opioid analgesics with ambulatory misuse potential
  resource:
    v: http://fhir.org/guides/cdc/opioid-cds/ValueSet/opioid-analgesics-with-ambulatory-misuse-potential
    l: opioid-analgesics-with-ambulatory-misuse-potential
related artifact:
  type:
    v: depends-on
  display:
    v: Value set Community
  resource:
    v: http://fhir.org/guides/cdc/opioid-cds/ValueSet/medicationrequest-category-community
    l: medicationrequest-category-community
parameter:
  name:
    v: ContextPrescriptions
  use:
    v: in

v: 0

v: *

v: MedicationRequest

name:
  v: Patient
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Patient

name:
  v: Acute Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: MedicationRequest

name:
  v: Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Inclusion Criteria
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Exclusion Criteria
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Is Recommendation Applicable?
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/StructureDefinition/Patient
  l: Patient

content type:
  v: text/cql

content type:
  v: application/elm+xml

content type:
  v: application/elm+json