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Example PlanDefinition/opioidcds-04 (Narrative)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: No defined compartments

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile PlanDefinition.

Generated Narrative: PlanDefinition

Resource PlanDefinition "opioidcds-04"

StructureDefinition Work Group: cds

identifier: URI/urn:oid:2.16.840.1.113883.4.642.11.4, cdc-opioid-guidance (use: OFFICIAL)

version: 0.1.0

name: Cdcopioid04

title: CDC Opioid Prescribing Guideline Recommendation #4

type: ECA Rule (PlanDefinitionType#eca-rule)

status: draft

date: 2018-03-19

publisher: HL7 International / Clinical Decision Support


description: When starting opioid therapy for chronic pain, clinicians should prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids.


*Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus')Medication requested (situation) (SNOMED CT#182888003)
*Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus')Chronic pain (finding) (SNOMED CT#82423001)

jurisdiction: United States of America (ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code#US)

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 extended-release/long-acting (ER/LA) opioids as they carry a higher risk and negligible benefit compared to immediate-release opioids.

copyright: © CDC 2016+.

topic: Opioid Prescribing ()

author: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH:


type: documentation

display: CDC guideline for prescribing opioids for chronic pain



type: documentation

display: MME Conversion Tables


library: http://example.org/fhir/Library/opioidcds-recommendation-04


Strength of recommendation: Strong (StrengthOfRecommendationRating#strong)

Quality of evidence: Low quality (QualityOfEvidenceRating#low)

title: Extended-release opioid prescription triggered.

description: Checking if the trigger prescription meets the inclusion criteria for recommendation #4 workflow.






kind: applicability


*Check whether the opioid prescription for the existing patient is extended-release without any opioids-with-abuse-potential prescribed in the past 90 days.text/cqlInclusion Criteria

groupingBehavior: visual-group

selectionBehavior: exactly-one


path: action.title


*text/cqlGet Summary


path: action.description


*text/cqlGet Detail


path: activity.extension


*text/cqlGet Indicator


*Will precribe immediate release
*Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo
*N/A - see comment; snooze 3 mo



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.