Id: library-OpioidCDSREC12PatientView 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/OpioidCDSCommonConfig Data Requirements: type: MedicationRequest code filter: path: medication valueset: http://fhir.org/guides/cdc/opioid-cds/ValueSet/buprenorphine-and-methadone-medications type: Procedure code filter: path: code valueset: http://fhir.org/guides/cdc/opioid-cds/ValueSet/substance-misuse-behavioral-counseling type: Condition code filter: path: category valueset: http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category Content: type: text/cql library OpioidCDSREC12PatientView 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 OpioidCDSCommonConfig version '2022.1.0' called Config /* ** ** Recommendation #12 ** Clinicians should offer or arrange evidence-based treatment (usually ** medication-assisted treatment with buprenorphine or methadone in combination ** with behavioral therapies) for patients with opioid use disorder ** (recommendation category: A, evidence type: 2) ** ** When ** Patient is 18 years and older and not receiving evidence-based treatment for ** opioid use disorder, which may include medication treatment with buprenorphine ** or methadone, or opioid-specific behavioral counseling ** Patient has a diagnosis of opioid use disorder in the past 90 days ** Then ** Recommend opioid agonist or partial agonist treatment with methadone maintenance ** therapy, buprenorphine therapy, and/or behavioral therapy. Potential actions include: ** Order methadone or buprenorphine ** Refer to qualified treatment provider (i.e. substance disorder specialist) ** N/A - see comment; snooze 3 months ** */ // META: PlanDefinition: http://fhir.org/guides/cdc/opioid-cds-r4/PlanDefinition/plandefinition-OpioidCDSREC12PatientView context Patient define "Opioid Use Disorder Lookback Period": Interval[Today() - 90 days, Today()] define "Is Recommendation Applicable?": "Inclusion Criteria" and not "Exclusion Criteria" define "Inclusion Criteria": "Patient 18 or Older?" and "Not Receiving Evidence-Based Treatment for Opioid Use Disorder" and "Presence of Diagnosis of Opioid Use Disorder" and "Positive Result from Opioid Use Disorder Evaluation Tool" define "Exclusion Criteria": false define "Patient 18 or Older?": Config."Age Less than 18 Years Is Enabled" and AgeInYears() >= 18 define "Not Receiving Evidence-Based Treatment for Opioid Use Disorder": Config."Evidence Based Treatment Criteria For Opioid Use Disorder" and not ( exists ( [MedicationRequest: Common."Buprenorphine and methadone medications"] MR where MR.status in { 'active', 'completed' } and date from MR.authoredOn during day of "Opioid Use Disorder Lookback Period" ) or exists ( [Procedure: Common."Substance misuse behavioral counseling"] P where P.status ~ 'completed' and ( case when P.performed is FHIR.dateTime then Interval[FHIRHelpers.ToDateTime(P.performed as FHIR.dateTime), FHIRHelpers.ToDateTime(P.performed as FHIR.dateTime)] when P.performed is FHIR.Period then FHIRHelpers.ToInterval(P.performed as FHIR.Period) else null as Interval<DateTime> end ) during day of "Opioid Use Disorder Lookback Period" ) ) define "Presence of Diagnosis of Opioid Use Disorder": exists ( [Condition: category in Common."US Core Condition Category Codes"] C where C.code in Common."Opioid misuse disorders" and exists ( C.clinicalStatus.coding Coding where FHIRHelpers.ToCode(Coding) ~ Common."Active Condition" ) and date from C.recordedDate during day of "Opioid Use Disorder Lookback Period" ) define "Positive Result from Opioid Use Disorder Evaluation Tool": true define "Get Indicator": if "Is Recommendation Applicable?" then 'warning' else null define "Get Summary": if "Is Recommendation Applicable?" then 'Recommend opioid agonist or partial agonist treatment with methadone maintenance therapy or buprenorphine and/or behavioral therapy' else null define "Get Detail": if "Is Recommendation Applicable?" then null else null
Library - Recommendation #12 (patient-view) - Evidence-based Treatment for Patients with Opioid Use Disorder
Centers for Disease Control and Prevention (CDC)
Value set Encounter Diagnosis Condition Category
Value set Problem List Condition Category
Value set US Core Health Concern Condition Category
Not Receiving Evidence-Based Treatment for Opioid Use Disorder
Presence of Diagnosis of Opioid Use Disorder
Positive Result from Opioid Use Disorder Evaluation Tool