Generated Narrative: PlanDefinition
Resource PlanDefinition "opioidcds-11"
StructureDefinition Work Group: cds
url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11
identifier: URI/urn:oid:2.16.840.1.113883.4.642.11.2, cdc-opioid-guidance (use: OFFICIAL)
version: 0.1.0
name: Cdcopioid11
title: CDC Opioid Prescribing Guideline Recommendation #11
type: ECA Rule (PlanDefinitionType#eca-rule)
status: draft
date: 2018-03-19
publisher: HL7 International / Clinical Decision Support
contact:
description: Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.
UseContexts
- | Code | Value[x] |
* | 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: Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.
copyright: © CDC 2016+.
topic: Opioid Prescribing ()
author: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH:
relatedArtifact
type: documentation
display: CDC guideline for prescribing opioids for chronic pain
document
relatedArtifact
type: documentation
display: MME Conversion Tables
document
library: http://example.org/fhir/Library/opioidcds-recommendation-11
action
title: Existing patient has concurrent opioid and benzodiazepine prescriptions.
description: Checking if the trigger prescription meets the inclusion criteria for recommendation #11 workflow.
documentation
type: documentation
document
Triggers
- | Type | Name |
* | named-event | medication-prescribe |
condition
kind: applicability
Expressions
- | Description | Language | Expression |
* | Check whether the existing patient is using opioids concurrently with benzodiazepines. | text/cql | Inclusion Criteria |
groupingBehavior: visual-group
selectionBehavior: exactly-one
dynamicValue
path: action.description
Expressions
- | Language | Expression |
* | text/cql | Get Detail |
dynamicValue
path: action.title
Expressions
- | Language | Expression |
* | text/cql | Get Summary |
dynamicValue
path: action.extension
Expressions
- | Language | Expression |
* | text/cql | Get Indicator |
Actions
- | Description |
* | Will revise |
* | Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo |
* | N/A - see comment; snooze 3 mo |
"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "cds" ]
] ) ; #
fhir:url [ fhir:v "http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.11.2" ]
] [
fhir:use [ fhir:v "official" ] ;
fhir:value [ fhir:v "cdc-opioid-guidance" ]
] ) ; #
fhir:version [ fhir:v "0.1.0"] ; #
fhir:name [ fhir:v "Cdcopioid11"] ; #
fhir:title [ fhir:v "CDC Opioid Prescribing Guideline Recommendation #11"] ; #
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/plan-definition-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eca-rule" ] ;
fhir:display [ fhir:v "ECA Rule" ]
] )
] ; #
fhir:status [ fhir:v "draft"] ; #
fhir:date [ fhir:v "2018-03-19"^^xsd:date] ; #
fhir:publisher [ fhir:v "HL7 International / Clinical Decision Support"] ; #
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ]
] )
] ) ; #
fhir:description [ fhir:v "Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient."] ; #
fhir:useContext ( [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "focus" ] ;
fhir:display [ fhir:v "Clinical Focus" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:182888003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "182888003" ] ;
fhir:display [ fhir:v "Medication requested (situation)" ]
] )
]
] [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "focus" ] ;
fhir:display [ fhir:v "Clinical Focus" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:82423001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "82423001" ] ;
fhir:display [ fhir:v "Chronic pain (finding)" ]
] )
]
] ) ; #
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ]
] )
] ) ; #
fhir:purpose [ fhir:v "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."] ; #
fhir:usage [ fhir:v "Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible."] ; #
fhir:copyright [ fhir:v "© CDC 2016+."] ; #
fhir:topic ( [
fhir:text [ fhir:v "Opioid Prescribing" ]
] ) ; #
fhir:author ( [
fhir:name [ fhir:v "Kensaku Kawamoto, MD, PhD, MHS" ]
] [
fhir:name [ fhir:v "Bryn Rhodes" ]
] [
fhir:name [ fhir:v "Floyd Eisenberg, MD, MPH" ]
] [
fhir:name [ fhir:v "Robert McClure, MD, MPH" ]
] ) ; #
fhir:relatedArtifact ( [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "CDC guideline for prescribing opioids for chronic pain" ] ;
fhir:document [
fhir:url [ fhir:v "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"^^xsd:anyURI ]
]
] [
fhir:type [ fhir:v "documentation" ] ;
fhir:display [ fhir:v "MME Conversion Tables" ] ;
fhir:document [
fhir:url [ fhir:v "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"^^xsd:anyURI ]
]
] ) ; #
fhir:library ( [
fhir:v "http://example.org/fhir/Library/opioidcds-recommendation-11"^^xsd:anyURI ;
fhir:link