2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide
2022.1.0 - CI Build

2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide, published by Centers for Disease Control and Prevention (CDC). This guide is not an authorized publication; it is the continuous build for version 2022.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/opioid-cds-r4/ and changes regularly. See the Directory of published versions

: Recommendation #10 - Urine Drug Testing (order-sign) - XML Representation

Draft as of 2024-11-19

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            <td style="padding-left: 4px;"><a href="PlanDefinition-opioidcds-10-order-sign-crd.html">Recommendation #10 - Urine Drug Testing (order-sign)</a></td>
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            <td style="padding-left: 4px;">Recommendation #10 - Urine Drug Testing (order-sign)</td>
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            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;">When prescribing opioids for subacute or chronic pain, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances.</td>
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                                    <td>OpioidCDSREC10OrderSignCRD</td>
                                
                                
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                            <pre><code class="language-cql">define &amp;quot;Do the CRD thing?&amp;quot;: true</code></pre>
                        
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            shareable computable executable publishable 
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            <th scope="row"><b>Purpose: </b></th>
            <td style="padding-left: 4px;"><div><p>The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain is intended to improve communication between clinicians and patients about the benefits and risks of pain treatments, including opioid therapy; improve the effectiveness and safety of pain treatment; mitigate pain; improve function and quality of life for patients with pain; and reduce risks associated with opioid pain therapy, including opioid use disorder, overdose, and death. The recommendations do not apply to pain related to sickle cell disease or cancer or to patients receiving palliative or end-of-life care.</p>
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            <th scope="row"><b>Usage: </b></th>
            <td style="padding-left: 4px;">Before starting opioids and periodically (at least annually) during opioid therapy, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed opioids and other prescription and nonprescription controlled substances that increase risk for overdose when combined with opioids, including nonprescribed and illicit opioids and benzodiazepines.</td>
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            <td style="padding-left: 4px;"><div><p>© CDC 2016+.</p>
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                  <li>
                    <a href="https://www.cdc.gov/mmwr/volumes/71/rr/pdfs/rr7103a1-H.pdf"> 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain</a>
                  </li>
              
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                <tr><td><a href="Library-OpioidCDSREC10OrderSignCRD.html">OpioidCDSREC10OrderSignCRD</a></td></tr>
              
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          <th scope="row"><b>Actions: </b></th>
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                    <b>1. Consider the Benefits and Risks of Conducting a Urine Toxicology Screen:</b> Consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances.

For guidance regarding utilizing toxicology tests when prescribing opioids, see [Recommendation 10 of the 2022 CDC Clinical Practice Guideline](https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm#Recommendation10).<br/>
                    <b>When:</b> <i>Named Event:</i> order-sign<br/>
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                        <i>Dynamic Values:</i><br/>
                        
                          context.draftOrders.MedicationRequest.extension: <i>(Get Coverage Extension)</i><br/>
                        
                      
                    
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For guidance regarding utilizing toxicology tests when prescribing opioids, see [Recommendation 10 of the 2022 CDC Clinical Practice Guideline](https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm#Recommendation10)."/>
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