Opioid Prescribing Support Implementation Guide
2016.4.0 - CI Build

Opioid Prescribing Support 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 2016.4.0 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

Table of Contents

.. 0 Table of Contents
... 1 Home
... 2 2016 CDC Guideline - Profiles
... 3 2016 CDC Guideline - Terminology
... 4 2016 CDC Guideline - Examples
... 5 2016 CDC Guideline - Documentation
.... 5.1 2016 CDC Guideline - Implementation Documentation
.... 5.2 2016 CDC Guideline - Integration Documentation
.... 5.3 2016 CDC Guideline - Process Documentation
.... 5.4 2016 CDC Guideline - Service Documentation
... 6 2016 CDC Guideline - Downloads
... 7 2016 CDC Guideline - Quick Start
... 8 Conformance Resource Registry
... 9 Chronic Pain Decision Documentation
... 10 2016 CDC Guideline Recommendation #1 - Nonpharmacologic and Nonopioid Pharmacologic Therapy Consideration
.... 10.1 OpioidCDS Recommendation 01 - CQL Source
... 11 2016 CDC Guideline Recommendation #2 - Opioid Therapy Goals Discussion
.... 11.1 OpioidCDS Recommendation 02 - CQL Source
... 12 2016 CDC Guideline Recommendation #3 - Opioid Therapy Risk/Benefit Discussion
.... 12.1 OpioidCDS Recommendation 03 - CQL Source
... 13 2016 CDC Guideline Recommendation #4 Order Sign Variation - Opioid Immediate Release Form When Starting Opioid Therapy
.... 13.1 OpioidCDS Recommendation 04 Order Sign - CQL Source
... 14 2016 CDC Guideline Recommendation #4 Patient View Variation - Opioid Immediate Release Form When Starting Opioid Therapy
.... 14.1 OpioidCDS Recommendation 04 Patient View - CQL Source
... 15 2016 CDC Guideline Recommendation #5 - Lowest Effective Dose
.... 15.1 OpioidCDS Recommendation 05 - CQL Source
... 16 2016 CDC Guideline Recommendation #6 - Prescribe Lowest Effective Dose and Duration
.... 16.1 OpioidCDS Recommendation 06 - CQL Source
... 17 2016 CDC Guideline Recommendation #7 - Opioid Therapy Risk Assessment
.... 17.1 2016 CDC Guideline OpioidCDS Recommendation 07 - CQL Source
... 18 2016 CDC Guideline Recommendation #8 - Naloxone Consideration
.... 18.1 OpioidCDS Recommendation 08 - CQL Source
... 19 2016 CDC Guideline Recommendation #9 - Consider Patient's History of Controlled Substance Prescriptions
.... 19.1 OpioidCDS Recommendation 09 - CQL Source
... 20 2016 CDC Guideline Recommendation #10 Order Sign Variation - Urine Drug Testing
.... 20.1 OpioidCDS Recommendation 10 Order Sign - CQL Source
... 21 2016 CDC Guideline Recommendation #10 Patient View Variation - Urine Drug Testing
.... 21.1 OpioidCDS Recommendation 10 Patient View - CQL Source
... 22 2016 CDC Guideline Recommendation #11 Order Select Variation - Concurrent Use of Opioids and Benzodiazepines
.... 22.1 OpioidCDS Recommendation 11 Order Select - CQL Source
... 23 2016 CDC Guideline Recommendation #11 Patient View Variation - Concurrent Use of Opioids and Benzodiazepines
.... 23.1 OpioidCDS Recommendation 11 Patient View - CQL Source
... 24 2016 CDC Guideline Recommendation #12 - Evidence-based Treatment for Patients with Opioid Use Disorder
.... 24.1 OpioidCDS Recommendation 12 (patient-view) - CQL Source
... 25 License and Legal Terms
... 26 Artifacts Summary
.... 26.1 HelloWorld
.... 26.2 HelloWorldPatientView
.... 26.3 CDCMMEClinicalConversionFactors
.... 26.4 OpioidCDSRoutines
.... 26.5 OpioidCDSCommon
.... 26.6 OpioidCDSCommonConfig
.... 26.7 OpioidLogicMK2020
.... 26.8 OpioidData2020
.... 26.9 OpioidLogicMK2019
.... 26.10 OpioidData2019
.... 26.11 FHIRHelpers
.... 26.12 FHIRModelInfo
.... 26.13 OpioidCDSREC10CommonLibrary
.... 26.14 OpioidCDSREC01Library
.... 26.15 OpioidCDSREC01Library
.... 26.16 OpioidCDSREC03Library
.... 26.17 OpioidCDSREC04Library
.... 26.18 OpioidCDSREC04PatientViewLibrary
.... 26.19 OpioidCDSREC05Library
.... 26.20 OpioidCDSREC06Library
.... 26.21 OpioidCDSREC07Library
.... 26.22 OpioidCDSREC08Library
.... 26.23 OpioidCDSREC09Library
.... 26.24 OpioidCDSREC10Library
.... 26.25 OpioidCDSREC10PatientViewLibrary
.... 26.26 OpioidCDSREC11Library
.... 26.27 OpioidCDSREC11PatientViewLibrary
.... 26.28 OpioidCDSREC12PatientViewLibrary
.... 26.29 OpioidRiskAssessmentActivityDefinition
.... 26.30 OpioidUrineScreeningActivityDefinition
.... 26.31 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #1
..... 26.31.1 Library
.... 26.32 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #2
..... 26.32.1 Library
.... 26.33 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #3
..... 26.33.1 Library
.... 26.34 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #4 (patient view)
..... 26.34.1 Library
.... 26.35 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #4
..... 26.35.1 Library
.... 26.36 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #5
..... 26.36.1 Library
.... 26.37 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #6
..... 26.37.1 Library
.... 26.38 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #7
..... 26.38.1 Library
.... 26.39 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #8 (order-sign)
..... 26.39.1 Library
.... 26.40 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #8
..... 26.40.1 Library
.... 26.41 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #9
..... 26.41.1 Library
.... 26.42 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #10 (order-sign)
..... 26.42.1 Library
.... 26.43 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #10 (patient-view)
..... 26.43.1 Library
.... 26.44 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #10
..... 26.44.1 Library
.... 26.45 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #11 (patient-view)
..... 26.45.1 Library
.... 26.46 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #11
..... 26.46.1 Library
.... 26.47 PlanDefinition - CDC 2016 Opioid Prescribing Guideline Recommendation #12 (patient-view)
..... 26.47.1 Library
.... 26.48 Morphine Milligram Equivalent (MME) Conversion Factors for FHIR R4
.... 26.49 Morphine Milligram Equivalent (MME) Calculator for FHIR R4
.... 26.50 Opioid Management Terminology Knowledge Data
.... 26.51 Opioid Management Terminology Knowledge Logic
.... 26.52 CDC_CarePlan
.... 26.53 CDC_MedicationRequest
.... 26.54 CDC_Observation
.... 26.55 CDC_RequestGroup
.... 26.56 CDC-ValueSet
.... 26.57 DataDateRollerExtension
.... 26.58 OpioidCDSIndicator
.... 26.59 CDC 2016 Opioid Guidance Clinical Focus Extension
.... 26.60 CDC 2016 Opioid Guidance Data Element Extension
.... 26.61 CDC 2016 Opioid Guidance exclusion Criteria Extension
.... 26.62 CDC 2016 Opioid Guidance Inclusion Criteria Extension
.... 26.63 Action_indicator
.... 26.64 benzodiazepine medications
.... 26.65 Buprenorphine and Methadone medications
.... 26.66 CDC malignant cancer conditions
.... 26.67 Cocaine urine drug screening tests
.... 26.68 ValueSet - Condition Clinical Status Active
.... 26.69 ValueSet - Encounter Diagnosis Condition Categories
.... 26.70 ValueSet - Problem List Condition Category
.... 26.71 ValueSet - US Core Health Concern Condition Category
.... 26.72 Conditions documenting substance misuse
.... 26.73 Conditions likely terminal for opioid prescribing
.... 26.74 Extended release opioid with ambulatory misuse potential
.... 26.75 Fentanyl-type medications
.... 26.76 Fentanyl-type urine drug screening tests
.... 26.77 General opiate urine drug screening tests
.... 26.78 ValueSet - Hospice Disposition
.... 26.79 Hospice Finding
.... 26.80 Hospice Procedure
.... 26.81 Limited life expectancy conditions
.... 26.82 ValueSet - Medication Request Category Community
.... 26.83 ValueSet - Medication Request Status Active
.... 26.84 naloxone medications
.... 26.85 Non-opioid drug urine screening
.... 26.86 Non-synthetic opioid medications
.... 26.87 ValueSet - Observation Category Laboratory
.... 26.88 ValueSet - Observation Category Procedure
.... 26.89 ValueSet - Office Visit
.... 26.90 Oncology specialty designations (NUCC)
.... 26.91 Opiate specific urine drug screening tests
.... 26.92 Opioid analgesics with ambulatory misuse potential
.... 26.93 Opioid counseling procedure
.... 26.94 Opioid drug urine screening
.... 26.95 Opioid misuse assessment procedure
.... 26.96 Opioid misuse disorders
.... 26.97 ValueSet - Opioid Indicator
.... 26.98 Pain management procedure
.... 26.99 Pain treatment plan
.... 26.100 PDMP data reviewed finding
.... 26.101 PDMP review procedure
.... 26.102 Phencyclidine urine drug screening tests
.... 26.103 Substance misuse behavioral counseling
.... 26.104 Synthetic opioid urine drug screening tests
.... 26.105 Therapies indicating end of life care
.... 26.106 Urine drug screening tests
.... 26.107 CodeSystem - CDC 2016 Opioid Indicator
.... 26.108 OpioidCDS CarePlan
.... 26.109 Cancer Diagnosis Condition
.... 26.110 End of Life Condition
.... 26.111 Terminal Condition
.... 26.112 Cancer Diagnosis Encounter
.... 26.113 Oncology Participant Encounter
.... 26.114 Recommendation 10 Patient View Context Encounter Example
.... 26.115 Recommendation 10 Patient View Prefetch Encounter Example
.... 26.116 Ambulatory Opioid MedicationDispense
.... 26.117 OpioidCDS MedicationRequest
.... 26.118 Ambulatory Opioid MedicationRequest
.... 26.119 Recommendation 10 Patient View Context MedicationRequest Example
.... 26.120 Recommendation 10 Patient View Prefetch MedicationRequest Example
.... 26.121 OpioidCDS Observation
.... 26.122 OpioidCDS Patient
.... 26.123 Recommendation 10 Patient View Prefetch Patient Example
.... 26.124 Oncology Specialist PractitionerRole
.... 26.125 OpioidCDS RequestGroup
.... 26.126 Palliative Care ServiceRequest
.... 26.127 CQFToolingDevice