Opioid CDS Recommendation 4 ECA Rule (id = "opioidcds-04")

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  <text> <status value="extensions"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: PlanDefinition</b> <a name="opioidcds-04"> </a> <a name="hcopioidcds-04"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PlanDefinition &quot;opioidcds-04&quot; </p> </div> <p> <b> StructureDefinition Work Group</b> : cds</p> <p> <b> identifier</b> : <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes
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This OID may also be used in CD.codeSystem.">URI</a> /urn:oid:2.16.840.1.113883.4.642.11.4, cdc-opioid-guidance (use: OFFICIAL)</p> <p> <b> version</b> : 0.1.0</p> <p> <b> name</b> : Cdcopioid04</p> <p> <b> title</b> : CDC Opioid Prescribing Guideline Recommendation #4</p> <p> <b> type</b> : ECA Rule <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-plan-definition-type.html">PlanDefinitionType</a> #eca-rule)</span> </p> <p> <b> status</b> : draft</p> <p> <b> date</b> : 2018-03-19</p> <p> <b> publisher</b> : HL7 International / Clinical Decision Support</p> <p> <b> contact</b> : </p> <p> <b> description</b> : When starting opioid therapy for chronic pain, clinicians should prescribe immediate-releas
        e opioids instead of extended-release/long-acting (ER/LA) opioids.</p> <h3> UseContexts</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Code</b> </td> <td> <b> Value[x]</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code focus = 'Clinical Focus', stated as 'Clinical Focus')</td> <td> Medication requested (situation) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #182888003)</span> </td> </tr> <tr> <td style="display: none">*</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code focus = 'Clinical Focus', stated as 'Clinical Focus')</td> <td> Chronic pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #82423001)</span> </td> </tr> </table> <p> <b> jurisdiction</b> : United States of America <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions
             — Part 1: Country code</a> #US)</span> </p> <p> <b> purpose</b> : 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.</p> <p> <b> usage</b> : 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.</p> <p> <b> copyright</b> : © CDC 2016+.</p> <p> <b> topic</b> : Opioid Prescribing <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> author</b> : Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: ,
         Robert McClure, MD, MPH: </p> <blockquote> <p> <b> relatedArtifact</b> </p> <p> <b> type</b> : documentation</p> <p> <b> display</b> : CDC guideline for prescribing opioids for chronic pain</p> <blockquote> <p> <b> document</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> relatedArtifact</b> </p> <p> <b> type</b> : documentation</p> <p> <b> display</b> : MME Conversion Tables</p> <blockquote> <p> <b> document</b> </p> </blockquote> </blockquote> <p> <b> library</b> : <a href="http://example.org/fhir/Library/opioidcds-recommendation-04">http://example.org/fhir/Library/opioidcds-recommendation-04</a> </p> <blockquote> <p> <b> action</b> </p> <p> <b> Strength of recommendation</b> : Strong <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-recommendation-strength.html">StrengthOfRecommendationRating</a> #strong)</span> </p> <p> <b> Quality of evidence</b> : Low quality <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-evidence-quality.html">QualityOfEvidenceRating</a> #low)</span> </p> <p> <b> title</b> : Extended-release opioid prescription triggered.</p> <p> <b> description</b> : Checking if the trigger prescription meets the inclusion criteria for recommendation
           #4 workflow.</p> <h3> Documentations</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Type</b> </td> </tr> <tr> <td style="display: none">*</td> <td> documentation</td> </tr> </table> <h3> Triggers</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Type</b> </td> <td> <b> Name</b> </td> </tr> <tr> <td style="display: none">*</td> <td> named-event</td> <td> medication-prescribe</td> </tr> </table> <blockquote> <p> <b> condition</b> </p> <p> <b> kind</b> : applicability</p> <h3> Expressions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Description</b> </td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Check whether the opioid prescription for the existing patient is extended-release
                 without any opioids-with-abuse-potential prescribed in the past 90 days.</td> <td> text/cql</td> <td> Inclusion Criteria</td> </tr> </table> </blockquote> <p> <b> groupingBehavior</b> : visual-group</p> <p> <b> selectionBehavior</b> : exactly-one</p> <blockquote> <p> <b> dynamicValue</b> </p> <p> <b> path</b> : action.title</p> <h3> Expressions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td style="display: none">*</td> <td> text/cql</td> <td> Get Summary</td> </tr> </table> </blockquote> <blockquote> <p> <b> dynamicValue</b> </p> <p> <b> path</b> : action.description</p> <h3> Expressions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td style="display: none">*</td> <td> text/cql</td> <td> Get Detail</td> </tr> </table> </blockquote> <blockquote> <p> <b> dynamicValue</b> </p> <p> <b> path</b> : activity.extension</p> <h3> Expressions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td style="display: none">*</td> <td> text/cql</td> <td> Get Indicator</td> </tr> </table> </blockquote> <h3> Actions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Description</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Will precribe immediate release</td> </tr> <tr> <td style="display: none">*</td> <td> Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo</td> </tr> <tr> <td style="display: none">*</td> <td> N/A - see comment; snooze 3 mo</td> </tr> </table> </blockquote> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="cds"/> </extension> 
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