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XML or JSON representation

Links: First Previous Next Last  (24 found). Search: http://test.fhir.org/r3/PlanDefinition/_history?&_prior=2018-09-25T08:39:31.077Z&_format=text/xhtml&history-id=915409c7-f691-4211-adba-c8bfacc970 

Unknown message entry "rr-plan-zika-state-department-of-health" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

The Reportability Response Plan Definition does not contain narrative text. The information from this resource is parsed and contained in Communication[rr-communication].text according to the guidlines set out here: Narrative Guidance.

<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="rr-plan-zika-state-department-of-health"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:43:36.343Z"/>
    <profile value="http://hl7.org/fhir/us/ecr/StructureDefinition/rr-relevant-reportable-condition-plandefinition"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">The Reportability Response Plan Definition does not contain narrative text. The information from this resource is parsed and contained in
      <a href="StructureDefinition-rr-communication-definitions.html#Communication.text">Communication[rr-communication].text</a>according to the guidlines set out here:
      <a href="narrative-guidance.html">Narrative Guidance</a>. </div>
  </text>
  <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-determination-of-reportability">
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
        <code value="RRVS1"/>
        <display value="Reportable"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-determination-of-reportability-reason">
    <valueString value="Condition is reportable"/>
  </extension>
  <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-determination-of-reportability-rule">
    <valueString value="Description of rule used in reportability determination"/>
  </extension>
  <url value="http://hl7.org/fhir/us/ecr/PlanDefinition/rr-plan-zika-state-department-of-health"/>
  <version value="0.0.0"/>
  <name value="ReportableConditionDetermination"/>
  <title value="Determination of Reportable Condition"/>
  <status value="active"/>
  <date value="2017-11-22T00:00:00+00:00"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <goal>
    <description>
      <text value="Clinical feedback"/>
    </description>
    <addresses>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="3928002"/>
        <display value="Zika virus disease (disorder)"/>
      </coding>
    </addresses>
  </goal>
  <action>
    <documentation>
      <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-external-resource-type">
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS13"/>
            <display value="Outbreak- or Cluster Related"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-priority">
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS17"/>
            <display value="Immediate action required"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <type value="documentation"/>
      <display value="Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted."/>
    </documentation>
    <timingDuration>
      <value value="24"/>
      <unit value="H"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="H"/>
    </timingDuration>
  </action>
  <action>
    <documentation>
      <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-external-resource-type">
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS8"/>
            <display value="Additional reporting needs"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-priority">
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS16"/>
            <display value="Action requested"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <type value="documentation"/>
      <display value="Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here."/>
      <url value="http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf"/>
    </documentation>
    <timingDuration>
      <value value="24"/>
      <unit value="H"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="H"/>
    </timingDuration>
  </action>
  <action>
    <documentation>
      <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-external-resource-type">
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS10"/>
            <display value="Treatment and/or prevention"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/us/ecr/StructureDefinition/extension-rr-priority">
        <valueCodeableConcept>
          <coding>
            <system value="urn:oid:2.16.840.1.114222.4.5.274"/>
            <code value="RRVS18"/>
            <display value="Immediate action requested"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <type value="documentation"/>
      <display value="Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy."/>
      <url value="http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf"/>
    </documentation>
    <timingDuration>
      <value value="24"/>
      <unit value="H"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="H"/>
    </timingDuration>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-11" Version "2"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #11 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #11

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: DRAFT

date: Mar 19, 2018 12:00:00 AM

publisher: Centers for Disease Control and Prevention (CDC)

description: Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

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 (Details )

library: 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: ,

Conditions

-KindExpression
*APPLICABILITY

Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-11"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2018-09-06T12:42:33.234Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #11 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #11</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: DRAFT</p>
      <p>
        <b>date</b>: Mar 19, 2018 12:00:00 AM</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>purpose</b>: CDC&#8217;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>: Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.</p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>library</b>:
        <a href="Library/opioidcds-recommendation-11">Library/opioidcds-recommendation-11</a>
      </p>
      <blockquote>
        <p>
          <b>action</b>
        </p>
        <p>
          <b>title</b>: Existing patient has concurrent opioid and benzodiazepine prescriptions.</p>
        <p>
          <b>description</b>: Checking if the trigger prescription meets the inclusion criteria for recommendation #11 workflow.</p>
        <p>
          <b>documentation</b>: , </p>
        <h3>Conditions</h3>
        <table class="grid">
          <tr>
            <td>-</td>
            <td>
              <b>Kind</b>
            </td>
            <td>
              <b>Expression</b>
            </td>
          </tr>
          <tr>
            <td>*</td>
            <td>APPLICABILITY</td>
            <td/>
          </tr>
        </table>
      </blockquote>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #11 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #11"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2018-03-19T00:00:00+00:00"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient."/>
  <purpose value="CDC&#8217;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 value="Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible."/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <copyright value="&#169; CDC 2016+."/>
  <library>
    <reference value="Library/opioidcds-recommendation-11"/>
  </library>
  <action>
    <title value="Existing patient has concurrent opioid and benzodiazepine prescriptions."/>
    <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #11 workflow."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="low"/>
              <display value="Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Check whether the existing patient is using opioids concurrently with benzodiazepines."/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will revise"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="N/A - see comment snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-10" Version "2"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #10 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #10

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: DRAFT

date: Apr 23, 2017 12:00:00 AM

publisher: Centers for Disease Control and Prevention (CDC)

description: When prescribing opioids for chronic pain, providers should use urine drug testing before starting opioid therapy and consider urine drug testing at least annually to assess for prescribed medications as well as other controlled prescription drugs and illicit drugs.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

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 be aware if patients are taking other prescription drugs or illicit drugs that might increase their risk of an overdose.

copyright: © CDC 2016+.

topic: Opioid Prescribing (Details )

library: Library/opioidcds-recommendation-10

action

Conditions

-KindExpression
*APPLICABILITY

Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-10"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2018-09-06T12:42:33.187Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #10 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #10</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: DRAFT</p>
      <p>
        <b>date</b>: Apr 23, 2017 12:00:00 AM</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: When prescribing opioids for chronic pain, providers should use urine drug testing before starting opioid therapy and consider urine drug testing at least annually to assess for prescribed medications as well as other controlled prescription drugs and illicit drugs.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>purpose</b>: CDC&#8217;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 be aware if patients are taking other prescription drugs or illicit drugs that might increase their risk of an overdose.</p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>library</b>:
        <a href="Library/opioidcds-recommendation-10">Library/opioidcds-recommendation-10</a>
      </p>
      <blockquote>
        <p>
          <b>action</b>
        </p>
        <h3>Conditions</h3>
        <table class="grid">
          <tr>
            <td>-</td>
            <td>
              <b>Kind</b>
            </td>
            <td>
              <b>Expression</b>
            </td>
          </tr>
          <tr>
            <td>*</td>
            <td>APPLICABILITY</td>
            <td/>
          </tr>
        </table>
      </blockquote>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #10 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #10"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
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  </type>
  <status value="draft"/>
  <date value="2017-04-23T00:00:00+00:00"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="When prescribing opioids for chronic pain, providers should use urine drug testing before starting opioid therapy and consider urine drug testing at least annually to assess for prescribed medications as well as other controlled prescription drugs and illicit drugs."/>
  <purpose value="CDC&#8217;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 value="Providers should be aware if patients are taking other prescription drugs or illicit drugs that might increase their risk of an overdose."/>
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  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
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    <valueCodeableConcept>
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      <system value="urn:iso:std:iso:3166"/>
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  <topic>
    <text value="Opioid Prescribing"/>
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  <copyright value="&#169; CDC 2016+."/>
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    <reference value="Library/opioidcds-recommendation-10"/>
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    <triggerDefinition>
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      <eventName value="medication-prescribe"/>
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        <description value="Will perform urine screening"/>
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        <description value="Not for chronic pain management. Snooze 3 months"/>
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      <title value="Unprescribed Opioids Found In Urine Screening"/>
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        <type value="documentation"/>
        <display value="CDC guideline for prescribing opioids for chronic pain"/>
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      <documentation>
        <type value="documentation"/>
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          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
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            </valueCodeableConcept>
          </extension>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <description value="Patient has a positive urine screening in the past 12 months for opioid(s), which is not prescribed"/>
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        <expression value="Has Unprescribed Opioids?"/>
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        <expression value="Inconsistent Unprescribed Opioids"/>
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      <action>
        <description value="Not for chronic pain management. Snooze 3 months"/>
      </action>
    </action>
    <action>
      <title value="Prescribed Opioids Not Found In Urine Screening"/>
      <description value="Patient has a positive urine screening in the past 12 months, which does not include prescribed opioids"/>
      <documentation>
        <type value="documentation"/>
        <display value="CDC guideline for prescribing opioids for chronic pain"/>
        <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
      </documentation>
      <documentation>
        <type value="documentation"/>
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        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <description value="Patient has a positive urine screening in the past 12 months, which does not include prescribed opioids"/>
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        <expression value="Has Missing Opioids?"/>
      </condition>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression value="Get Indicator"/>
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      <dynamicValue>
        <path value="action.description"/>
        <expression value="Inconsistent Missing Opioids"/>
      </dynamicValue>
    </action>
    <action>
      <title value="Illicit Drugs Found In Urine Screening"/>
      <description value="Patient has a positive urine screening in the past 12 months for illicit drugs"/>
      <documentation>
        <type value="documentation"/>
        <display value="CDC guideline for prescribing opioids for chronic pain"/>
        <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
      </documentation>
      <documentation>
        <type value="documentation"/>
        <document>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/recommendation-strength"/>
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            <valueCodeableConcept>
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                <code value="low"/>
                <display value="Low quality"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <description value="Patient has a positive urine screening in the past 12 months for illicit drugs"/>
        <language value="text/cql"/>
        <expression value="Has Illicit Drugs in Screening?"/>
      </condition>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression value="Get Indicator"/>
      </dynamicValue>
      <dynamicValue>
        <path value="action.description"/>
        <expression value="Inconsistent Illicit Drugs"/>
      </dynamicValue>
      <action>
        <description value="Not for chronic pain management. Snooze 3 months"/>
      </action>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-08" Version "2"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-08

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #8 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #8

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: DRAFT

date: Mar 19, 2018 12:00:00 AM

publisher: Centers for Disease Control and Prevention (CDC)

description: Clinicians should incorporate into the management plan strategies to mitigate risk, including considering offering naloxone when factors that increase risk for opioid overdose, such as history of overdose, history of substance use disorder, higher opioid dosages (≥50 MME/day), or concurrent benzodiazepine use, are present.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

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: Before starting and periodically during continuation of opioid therapy, clinicians should evaluate risk factors for opioid-related harms.

copyright: © CDC 2016+.

topic: Opioid Prescribing (Details )

relatedArtifact:

library: Library/opioidcds-recommendation-08

action

title: Existing patient exhibits risk factors for opioid-related harms.

description: Checking if the trigger prescription meets the inclusion criteria for recommendation #8 workflow.

documentation: ,

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<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-08"/>
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    <lastUpdated value="2018-09-06T12:42:33.156Z"/>
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        <b>url</b>:
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      </p>
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        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
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        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #8 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #8</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: DRAFT</p>
      <p>
        <b>date</b>: Mar 19, 2018 12:00:00 AM</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: Clinicians should incorporate into the management plan strategies to mitigate risk, including considering offering naloxone when factors that increase risk for opioid overdose, such as history of overdose, history of substance use disorder, higher opioid dosages (&#8805;50 MME/day), or concurrent benzodiazepine use, are present.</p>
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        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>purpose</b>: CDC&#8217;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>: Before starting and periodically during continuation of opioid therapy, clinicians should evaluate risk factors for opioid-related harms.</p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>relatedArtifact</b>: </p>
      <p>
        <b>library</b>:
        <a href="Library/opioidcds-recommendation-08">Library/opioidcds-recommendation-08</a>
      </p>
      <blockquote>
        <p>
          <b>action</b>
        </p>
        <p>
          <b>title</b>: Existing patient exhibits risk factors for opioid-related harms.</p>
        <p>
          <b>description</b>: Checking if the trigger prescription meets the inclusion criteria for recommendation #8 workflow.</p>
        <p>
          <b>documentation</b>: , </p>
        <h3>Conditions</h3>
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          <tr>
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      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found</b>
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  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-08"/>
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    <value value="cdc-opioid-guidance"/>
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  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #8 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #8"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
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  <status value="draft"/>
  <date value="2018-03-19T00:00:00+00:00"/>
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  <description value="Clinicians should incorporate into the management plan strategies to mitigate risk, including considering offering naloxone when factors that increase risk for opioid overdose, such as history of overdose, history of substance use disorder, higher opioid dosages (&#8805;50 MME/day), or concurrent benzodiazepine use, are present."/>
  <purpose value="CDC&#8217;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 value="Before starting and periodically during continuation of opioid therapy, clinicians should evaluate risk factors for opioid-related harms."/>
  <useContext>
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      <system value="http://hl7.org/fhir/usage-context-type"/>
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        <code value="182888003"/>
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    </valueCodeableConcept>
  </useContext>
  <useContext>
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      <code value="focus"/>
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      <system value="urn:iso:std:iso:3166"/>
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  <topic>
    <text value="Opioid Prescribing"/>
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  <copyright value="&#169; CDC 2016+."/>
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    <type value="documentation"/>
    <display value="MME Conversion Tables"/>
    <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/>
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    <title value="Existing patient exhibits risk factors for opioid-related harms."/>
    <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #8 workflow."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
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    <triggerDefinition>
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    <groupingBehavior value="visual-group"/>
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      <expression value="Get Detail"/>
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      <expression value="Get Summary"/>
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    <dynamicValue>
      <path value="action.extension"/>
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      <description value="Will offer Naloxone instead"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="N/A - see comment snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-07" Version "2"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-07

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #7 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #7

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: DRAFT

date: Mar 19, 2018 12:00:00 AM

publisher: Centers for Disease Control and Prevention (CDC)

description: Clinicians should evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy for chronic pain or of dose escalation. Clinicians should evaluate benefits and harms of continued therapy with patients every 3 months or more frequently.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

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: If benefits do not outweigh harms of continued opioid therapy, clinicians should optimize other therapies and work with patients to taper opioids to lower dosages or to taper and discontinue opioids.

copyright: © CDC 2016+.

topic: Opioid Prescribing (Details )

library: Library/opioidcds-recommendation-07

action

title: Existing patient should be evaluated for risk of continued opioid therapy.

description: Checking if the trigger prescription meets the inclusion criteria for recommendation #7 workflow.

documentation: ,

Conditions

-KindExpression
*APPLICABILITY

Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-07"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2018-09-06T12:42:33.109Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-07">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-07</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #7 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #7</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: DRAFT</p>
      <p>
        <b>date</b>: Mar 19, 2018 12:00:00 AM</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: Clinicians should evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy for chronic pain or of dose escalation. Clinicians should evaluate benefits and harms of continued therapy with patients every 3 months or more frequently.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>purpose</b>: CDC&#8217;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>: If benefits do not outweigh harms of continued opioid therapy, clinicians should optimize other therapies and work with patients to taper opioids to lower dosages or to taper and discontinue opioids.</p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>library</b>:
        <a href="Library/opioidcds-recommendation-07">Library/opioidcds-recommendation-07</a>
      </p>
      <blockquote>
        <p>
          <b>action</b>
        </p>
        <p>
          <b>title</b>: Existing patient should be evaluated for risk of continued opioid therapy.</p>
        <p>
          <b>description</b>: Checking if the trigger prescription meets the inclusion criteria for recommendation #7 workflow.</p>
        <p>
          <b>documentation</b>: , </p>
        <h3>Conditions</h3>
        <table class="grid">
          <tr>
            <td>-</td>
            <td>
              <b>Kind</b>
            </td>
            <td>
              <b>Expression</b>
            </td>
          </tr>
          <tr>
            <td>*</td>
            <td>APPLICABILITY</td>
            <td/>
          </tr>
        </table>
      </blockquote>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-07"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #7 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #7"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2018-03-19T00:00:00+00:00"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="Clinicians should evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy for chronic pain or of dose escalation. Clinicians should evaluate benefits and harms of continued therapy with patients every 3 months or more frequently."/>
  <purpose value="CDC&#8217;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 value="If benefits do not outweigh harms of continued opioid therapy, clinicians should optimize other therapies and work with patients to taper opioids to lower dosages or to taper and discontinue opioids."/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <copyright value="&#169; CDC 2016+."/>
  <library>
    <reference value="Library/opioidcds-recommendation-07"/>
  </library>
  <action>
    <label value="Assessment of risk for opioid use procedure"/>
    <title value="Existing patient should be evaluated for risk of continued opioid therapy."/>
    <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #7 workflow."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="very-low"/>
              <display value="Very Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Check whether the existing patient, without an end of life condition or risk assessment in the past 90 days, has taken an opioid-with-abuse-potential for 7 of the past 10 days or 63 of the past 90 days."/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <type>
      <system value="http://hl7.org/fhir/action-type"/>
      <code value="create"/>
    </type>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <definition>
      <reference value="ActivityDefinition/opioidcds-risk-assessment-request"/>
    </definition>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will schedule assessment of risk for opioid use for the patient"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="N/A - see comment snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-05" Version "2"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-05

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #5 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #5

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: DRAFT

date: Apr 23, 2017 12:00:00 AM

publisher: Centers for Disease Control and Prevention (CDC)

description: When opioids are started, providers should prescribe the lowest effective dosage.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

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 opioids at any dosage, should carefully reassess evidence of individual benefits and risks when considering increasing dosage to ≥50 morphine milligram equivalents (MME)/day, and should avoid increasing dosage to ≥90 MME/day or carefully justify a decision to titrate dosage to >90 MME/day

copyright: © CDC 2016+.

topic: Opioid Prescribing (Details )

relatedArtifact:

library: Library/opioidcds-recommendation-05

action

title: High risk for opioid overdose.

description: Total morphine milligram equivalent (MME) exceeds recommended amount. Taper to less than 50.

documentation: ,

Conditions

-KindExpression
*APPLICABILITY

Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-05"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2018-09-06T12:42:33.062Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-05">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-05</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #5 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #5</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: DRAFT</p>
      <p>
        <b>date</b>: Apr 23, 2017 12:00:00 AM</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: When opioids are started, providers should prescribe the lowest effective dosage.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>purpose</b>: CDC&#8217;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 opioids at any dosage, should carefully reassess evidence of individual benefits and risks when considering increasing dosage to &#8805;50 morphine milligram equivalents (MME)/day, and should avoid increasing dosage to &#8805;90 MME/day or carefully justify a decision to titrate dosage to &gt;90 MME/day</p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>relatedArtifact</b>: </p>
      <p>
        <b>library</b>:
        <a href="Library/opioidcds-recommendation-05">Library/opioidcds-recommendation-05</a>
      </p>
      <blockquote>
        <p>
          <b>action</b>
        </p>
        <p>
          <b>title</b>: High risk for opioid overdose.</p>
        <p>
          <b>description</b>: Total morphine milligram equivalent (MME) exceeds recommended amount. Taper to less than 50.</p>
        <p>
          <b>documentation</b>: , </p>
        <h3>Conditions</h3>
        <table class="grid">
          <tr>
            <td>-</td>
            <td>
              <b>Kind</b>
            </td>
            <td>
              <b>Expression</b>
            </td>
          </tr>
          <tr>
            <td>*</td>
            <td>APPLICABILITY</td>
            <td/>
          </tr>
        </table>
      </blockquote>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-05"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #5 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #5"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2017-04-23T00:00:00+00:00"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="When opioids are started, providers should prescribe the lowest effective dosage."/>
  <purpose value="CDC&#8217;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 value="Providers should use caution when prescribing opioids at any dosage, should carefully reassess evidence of individual benefits and risks when considering increasing dosage to &#8805;50 morphine milligram equivalents (MME)/day, and should avoid increasing dosage to &#8805;90 MME/day or carefully justify a decision to titrate dosage to &gt;90 MME/day"/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <copyright value="&#169; CDC 2016+."/>
  <relatedArtifact>
    <type value="documentation"/>
    <display value="MME Conversion Tables"/>
    <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/>
  </relatedArtifact>
  <library>
    <reference value="Library/opioidcds-recommendation-05"/>
  </library>
  <action>
    <title value="High risk for opioid overdose."/>
    <description value="Total morphine milligram equivalent (MME) exceeds recommended amount. Taper to less than 50."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="low"/>
              <display value="Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Is total MME &gt;= 50?"/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="activity.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will reduce dosage"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="Acute pain snooze 1 mo"/>
    </action>
    <action>
      <description value="N/A - see comment (will be reviewed by medical director) snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-04" Version "2"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #4 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #4

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: DRAFT

date: Mar 19, 2018 12:00:00 AM

publisher: Centers for Disease Control and Prevention (CDC)

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

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

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 (Details )

library: Library/opioidcds-recommendation-04

action

title: Extended-release opioid prescription triggered.

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

documentation: ,

Conditions

-KindExpression
*APPLICABILITY

Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-04"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2018-09-06T12:42:33.031Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #4 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #4</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: DRAFT</p>
      <p>
        <b>date</b>: Mar 19, 2018 12:00:00 AM</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: When starting opioid therapy for chronic pain, clinicians should prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>purpose</b>: CDC&#8217;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>: &#169; CDC 2016+.</p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>library</b>:
        <a href="Library/opioidcds-recommendation-04">Library/opioidcds-recommendation-04</a>
      </p>
      <blockquote>
        <p>
          <b>action</b>
        </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>
        <p>
          <b>documentation</b>: , </p>
        <h3>Conditions</h3>
        <table class="grid">
          <tr>
            <td>-</td>
            <td>
              <b>Kind</b>
            </td>
            <td>
              <b>Expression</b>
            </td>
          </tr>
          <tr>
            <td>*</td>
            <td>APPLICABILITY</td>
            <td/>
          </tr>
        </table>
      </blockquote>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Expression not handled yet, and no structure found</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #4 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #4"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2018-03-19T00:00:00+00:00"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="When starting opioid therapy for chronic pain, clinicians should prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids."/>
  <purpose value="CDC&#8217;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 value="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."/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <copyright value="&#169; CDC 2016+."/>
  <library>
    <reference value="Library/opioidcds-recommendation-04"/>
  </library>
  <action>
    <title value="Extended-release opioid prescription triggered."/>
    <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #4 workflow."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="very-low"/>
              <display value="Very Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Check whether the opioid prescription for the existing patient is extended-release without any opioids-with-abuse-potential prescribed in the past 90 days."/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="activity.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will precribe immediate release"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="N/A - see comment snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-11" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: opioidcds-11

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #11 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #11

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: draft

date: Mar 19, 2018

publisher: Centers for Disease Control and Prevention (CDC)

description: Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.

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.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

topic: Opioid Prescribing (Details )

contributor: , , ,

copyright: © CDC 2016+.

library: Generated Summary: id: opioidcds-recommendation-11; OpioidCDS_REC_11 (OFFICIAL); version: 0.1.0; name: Library - Logic for Recommendation #11; title: Opioid CDS Logic for recommendation #11; status: active; Logic Library; date: Apr 15, 2018 1:49:09 PM; publisher: Centers for Disease Control and Prevention (CDC); description: Opioid decision support logic to avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.; purpose: The purpose of this library is to determine whether opioid pain medication and benzodiazepines have been prescribed concurrently.; usage: This library is used to notify the prescriber/user to avoid prescribing opioid pain medication and benzodiazepines concurrently.; United States of America; Opioid Prescribing;

Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-11"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:42:28.797Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: opioidcds-11</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #11 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #11</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: Mar 19, 2018</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.</p>
      <p>
        <b>purpose</b>: CDC&#8217;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>: Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>contributor</b>: , , , </p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>library</b>:
        <a href="Library-opioidcds-recommendation-11.html">Generated Summary: id: opioidcds-recommendation-11 OpioidCDS_REC_11 (OFFICIAL) version: 0.1.0 name: Library - Logic for Recommendation #11 title: Opioid CDS Logic for recommendation #11 status: active
          <span title="Codes: {http://hl7.org/fhir/library-type logic-library}">Logic Library</span> date: Apr 15, 2018 1:49:09 PM publisher: Centers for Disease Control and Prevention (CDC) description: Opioid decision support logic to avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible. purpose: The purpose of this library is to determine whether opioid pain medication and benzodiazepines have been prescribed concurrently. usage: This library is used to notify the prescriber/user to avoid prescribing opioid pain medication and benzodiazepines concurrently.
          <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span>
          <span title="Codes: ">Opioid Prescribing</span> </a>
      </p>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #11 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #11"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2018-03-19"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient."/>
  <purpose value="CDC&#8217;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 value="Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible."/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <contributor>
    <type value="author"/>
    <name value="Kensaku Kawamoto, MD, PhD, MHS"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Bryn Rhodes"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Floyd Eisenberg, MD, MPH"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Robert McClure, MD, MPH"/>
  </contributor>
  <copyright value="&#169; CDC 2016+."/>
  <library>
    <reference value="Library/opioidcds-recommendation-11"/>
  </library>
  <action>
    <title value="Existing patient has concurrent opioid and benzodiazepine prescriptions."/>
    <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #11 workflow."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="low"/>
              <display value="Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Check whether the existing patient is using opioids concurrently with benzodiazepines."/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will revise"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="N/A - see comment snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-10" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: opioidcds-10

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #10 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #10

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: draft

date: Apr 23, 2017

publisher: Centers for Disease Control and Prevention (CDC)

description: When prescribing opioids for chronic pain, providers should use urine drug testing before starting opioid therapy and consider urine drug testing at least annually to assess for prescribed medications as well as other controlled prescription drugs and illicit drugs.

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 be aware if patients are taking other prescription drugs or illicit drugs that might increase their risk of an overdose.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

topic: Opioid Prescribing (Details )

contributor: , , ,

copyright: © CDC 2016+.

library: Generated Summary: id: opioidcds-recommendation-10; OpioidCDS_REC_10 (OFFICIAL); version: 0.1.0; name: Library - Logic for Recommendation #10; title: Opioid CDS Logic for recommendation #10; status: active; Logic Library; date: Apr 15, 2018 1:49:09 PM; publisher: Centers for Disease Control and Prevention (CDC); description: Opioid decision support logic to evaluate whether the patient has had a urine screening in the past 12 months and provide analysis.; purpose: The purpose of this library is to determine whether the patient has had a urine screening in the past 12 months. Is so, then check the results for missing opioids that are prescribed, present opioids that aren't prescribed or present illicit drugs.; usage: This library is used to notify the prescriber/user whether the patient has had a urine screening in the past 12 months and to provide analysis if true.; United States of America; Opioid Prescribing;

Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-10"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:42:28.765Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: opioidcds-10</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #10 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #10</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: Apr 23, 2017</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: When prescribing opioids for chronic pain, providers should use urine drug testing before starting opioid therapy and consider urine drug testing at least annually to assess for prescribed medications as well as other controlled prescription drugs and illicit drugs.</p>
      <p>
        <b>purpose</b>: CDC&#8217;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 be aware if patients are taking other prescription drugs or illicit drugs that might increase their risk of an overdose.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>contributor</b>: , , , </p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>library</b>:
        <a href="Library-opioidcds-recommendation-10.html">Generated Summary: id: opioidcds-recommendation-10 OpioidCDS_REC_10 (OFFICIAL) version: 0.1.0 name: Library - Logic for Recommendation #10 title: Opioid CDS Logic for recommendation #10 status: active
          <span title="Codes: {http://hl7.org/fhir/library-type logic-library}">Logic Library</span> date: Apr 15, 2018 1:49:09 PM publisher: Centers for Disease Control and Prevention (CDC) description: Opioid decision support logic to evaluate whether the patient has had a urine screening in the past 12 months and provide analysis. purpose: The purpose of this library is to determine whether the patient has had a urine screening in the past 12 months. Is so, then check the results for missing opioids that are prescribed, present opioids that aren't prescribed or present illicit drugs. usage: This library is used to notify the prescriber/user whether the patient has had a urine screening in the past 12 months and to provide analysis if true.
          <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span>
          <span title="Codes: ">Opioid Prescribing</span> </a>
      </p>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #10 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #10"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2017-04-23"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="When prescribing opioids for chronic pain, providers should use urine drug testing before starting opioid therapy and consider urine drug testing at least annually to assess for prescribed medications as well as other controlled prescription drugs and illicit drugs."/>
  <purpose value="CDC&#8217;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 value="Providers should be aware if patients are taking other prescription drugs or illicit drugs that might increase their risk of an overdose."/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <contributor>
    <type value="author"/>
    <name value="Kensaku Kawamoto, MD, PhD, MHS"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Bryn Rhodes"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Floyd Eisenberg, MD, MPH"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Robert McClure, MD, MPH"/>
  </contributor>
  <copyright value="&#169; CDC 2016+."/>
  <library>
    <reference value="Library/opioidcds-recommendation-10"/>
  </library>
  <action>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <action>
      <title value="Annual Urine Screening Check"/>
      <description value="Patient has not had a urine screening in the past 12 months"/>
      <documentation>
        <type value="documentation"/>
        <display value="CDC guideline for prescribing opioids for chronic pain"/>
        <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
      </documentation>
      <documentation>
        <type value="documentation"/>
        <document>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/recommendation-strength"/>
                <code value="weak"/>
                <display value="Weak"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/evidence-quality"/>
                <code value="very-low"/>
                <display value="Very Low quality"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <description value="Patient has not had a urine screening in the past 12 months"/>
        <language value="text/cql"/>
        <expression value="No Urine Screening In Last 12 Months"/>
      </condition>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression value="Get Indicator"/>
      </dynamicValue>
      <action>
        <description value="Will perform urine screening"/>
      </action>
      <action>
        <description value="Not for chronic pain management. Snooze 3 months"/>
      </action>
    </action>
    <action>
      <title value="Unprescribed Opioids Found In Urine Screening"/>
      <description value="Patient has a positive urine screening in the past 12 months for opioid(s), which is not prescribed"/>
      <documentation>
        <type value="documentation"/>
        <display value="CDC guideline for prescribing opioids for chronic pain"/>
        <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
      </documentation>
      <documentation>
        <type value="documentation"/>
        <document>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/recommendation-strength"/>
                <code value="strong"/>
                <display value="Strong"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/evidence-quality"/>
                <code value="low"/>
                <display value="Low quality"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <description value="Patient has a positive urine screening in the past 12 months for opioid(s), which is not prescribed"/>
        <language value="text/cql"/>
        <expression value="Has Unprescribed Opioids?"/>
      </condition>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression value="Get Indicator"/>
      </dynamicValue>
      <dynamicValue>
        <path value="action.description"/>
        <expression value="Inconsistent Unprescribed Opioids"/>
      </dynamicValue>
      <action>
        <description value="Not for chronic pain management. Snooze 3 months"/>
      </action>
    </action>
    <action>
      <title value="Prescribed Opioids Not Found In Urine Screening"/>
      <description value="Patient has a positive urine screening in the past 12 months, which does not include prescribed opioids"/>
      <documentation>
        <type value="documentation"/>
        <display value="CDC guideline for prescribing opioids for chronic pain"/>
        <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
      </documentation>
      <documentation>
        <type value="documentation"/>
        <document>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/recommendation-strength"/>
                <code value="strong"/>
                <display value="Strong"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/evidence-quality"/>
                <code value="low"/>
                <display value="Low quality"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <description value="Patient has a positive urine screening in the past 12 months, which does not include prescribed opioids"/>
        <language value="text/cql"/>
        <expression value="Has Missing Opioids?"/>
      </condition>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression value="Get Indicator"/>
      </dynamicValue>
      <dynamicValue>
        <path value="action.description"/>
        <expression value="Inconsistent Missing Opioids"/>
      </dynamicValue>
    </action>
    <action>
      <title value="Illicit Drugs Found In Urine Screening"/>
      <description value="Patient has a positive urine screening in the past 12 months for illicit drugs"/>
      <documentation>
        <type value="documentation"/>
        <display value="CDC guideline for prescribing opioids for chronic pain"/>
        <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
      </documentation>
      <documentation>
        <type value="documentation"/>
        <document>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/recommendation-strength"/>
                <code value="strong"/>
                <display value="Strong"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/evidence-quality"/>
                <code value="low"/>
                <display value="Low quality"/>
              </coding>
            </valueCodeableConcept>
          </extension>
        </document>
      </documentation>
      <condition>
        <kind value="applicability"/>
        <description value="Patient has a positive urine screening in the past 12 months for illicit drugs"/>
        <language value="text/cql"/>
        <expression value="Has Illicit Drugs in Screening?"/>
      </condition>
      <dynamicValue>
        <path value="activity.extension"/>
        <expression value="Get Indicator"/>
      </dynamicValue>
      <dynamicValue>
        <path value="action.description"/>
        <expression value="Inconsistent Illicit Drugs"/>
      </dynamicValue>
      <action>
        <description value="Not for chronic pain management. Snooze 3 months"/>
      </action>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-08" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: opioidcds-08

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-08

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #8 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #8

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: draft

date: Mar 19, 2018

publisher: Centers for Disease Control and Prevention (CDC)

description: Clinicians should incorporate into the management plan strategies to mitigate risk, including considering offering naloxone when factors that increase risk for opioid overdose, such as history of overdose, history of substance use disorder, higher opioid dosages (≥50 MME/day), or concurrent benzodiazepine use, are present.

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: Before starting and periodically during continuation of opioid therapy, clinicians should evaluate risk factors for opioid-related harms.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

topic: Opioid Prescribing (Details )

contributor: , , ,

copyright: © CDC 2016+.

relatedArtifact:

library: Generated Summary: id: opioidcds-recommendation-08; OpioidCDS_REC_08 (OFFICIAL); version: 0.1.0; name: Library - Logic for Recommendation #8; title: Opioid CDS Logic for recommendation #8; status: active; Logic Library; date: Apr 15, 2018 1:49:09 PM; publisher: Centers for Disease Control and Prevention (CDC); description: Opioid decision support logic to consider offering Naloxone when factors that increase risk for opioid overdose are present.; purpose: The purpose of this library is to determine whether increased risks for opioid overdose are present.; usage: This library is used to recommend the prescriber/user to consider offering Naloxone when increased risks for opioid overdose are present.; United States of America; Opioid Prescribing;

Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-08"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:42:28.750Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: opioidcds-08</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-08">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-08</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #8 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #8</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: Mar 19, 2018</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: Clinicians should incorporate into the management plan strategies to mitigate risk, including considering offering naloxone when factors that increase risk for opioid overdose, such as history of overdose, history of substance use disorder, higher opioid dosages (&#8805;50 MME/day), or concurrent benzodiazepine use, are present.</p>
      <p>
        <b>purpose</b>: CDC&#8217;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>: Before starting and periodically during continuation of opioid therapy, clinicians should evaluate risk factors for opioid-related harms.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>contributor</b>: , , , </p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>relatedArtifact</b>: </p>
      <p>
        <b>library</b>:
        <a href="Library-opioidcds-recommendation-08.html">Generated Summary: id: opioidcds-recommendation-08 OpioidCDS_REC_08 (OFFICIAL) version: 0.1.0 name: Library - Logic for Recommendation #8 title: Opioid CDS Logic for recommendation #8 status: active
          <span title="Codes: {http://hl7.org/fhir/library-type logic-library}">Logic Library</span> date: Apr 15, 2018 1:49:09 PM publisher: Centers for Disease Control and Prevention (CDC) description: Opioid decision support logic to consider offering Naloxone when factors that increase risk for opioid overdose are present. purpose: The purpose of this library is to determine whether increased risks for opioid overdose are present. usage: This library is used to recommend the prescriber/user to consider offering Naloxone when increased risks for opioid overdose are present.
          <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span>
          <span title="Codes: ">Opioid Prescribing</span> </a>
      </p>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-08"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #8 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #8"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2018-03-19"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="Clinicians should incorporate into the management plan strategies to mitigate risk, including considering offering naloxone when factors that increase risk for opioid overdose, such as history of overdose, history of substance use disorder, higher opioid dosages (&#8805;50 MME/day), or concurrent benzodiazepine use, are present."/>
  <purpose value="CDC&#8217;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 value="Before starting and periodically during continuation of opioid therapy, clinicians should evaluate risk factors for opioid-related harms."/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <contributor>
    <type value="author"/>
    <name value="Kensaku Kawamoto, MD, PhD, MHS"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Bryn Rhodes"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Floyd Eisenberg, MD, MPH"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Robert McClure, MD, MPH"/>
  </contributor>
  <copyright value="&#169; CDC 2016+."/>
  <relatedArtifact>
    <type value="documentation"/>
    <display value="MME Conversion Tables"/>
    <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/>
  </relatedArtifact>
  <library>
    <reference value="Library/opioidcds-recommendation-08"/>
  </library>
  <action>
    <title value="Existing patient exhibits risk factors for opioid-related harms."/>
    <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #8 workflow."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="very-low"/>
              <display value="Very Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Check whether the existing patient exhibits risk factors for opioid-related harms, such as concurrent use with benzodiazepine, a history of substance abuse, and/or a average MME greater than 50 mg/day."/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will offer Naloxone instead"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="N/A - see comment snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-07" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: opioidcds-07

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-07

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #7 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #7

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: draft

date: Mar 19, 2018

publisher: Centers for Disease Control and Prevention (CDC)

description: Clinicians should evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy for chronic pain or of dose escalation. Clinicians should evaluate benefits and harms of continued therapy with patients every 3 months or more frequently.

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: If benefits do not outweigh harms of continued opioid therapy, clinicians should optimize other therapies and work with patients to taper opioids to lower dosages or to taper and discontinue opioids.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

topic: Opioid Prescribing (Details )

contributor: , , ,

copyright: © CDC 2016+.

library: Generated Summary: id: opioidcds-recommendation-07; OpioidCDS_REC_07 (OFFICIAL); version: 0.1.0; name: Library - Logic for Recommendation #7; title: Opioid CDS Logic for recommendation #7; status: active; Logic Library; date: Apr 15, 2018 1:49:09 PM; publisher: Centers for Disease Control and Prevention (CDC); description: Opioid decision support logic to evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy and harms of continued therapy with patients every 3 months or more frequently.; purpose: The purpose of this library is to determine whether the patient has been evaluated for benefits and harms within 1 to 4 weeks of starting opioid therapy and every 3 months or more subsequently.; usage: This library is used to notify the prescriber/user whether an evaluation for benefits and harms associated with opioid therapy is recommended for the patient.; United States of America; Opioid Prescribing;

Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-07"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:42:28.718Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: opioidcds-07</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-07">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-07</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #7 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #7</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: Mar 19, 2018</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: Clinicians should evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy for chronic pain or of dose escalation. Clinicians should evaluate benefits and harms of continued therapy with patients every 3 months or more frequently.</p>
      <p>
        <b>purpose</b>: CDC&#8217;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>: If benefits do not outweigh harms of continued opioid therapy, clinicians should optimize other therapies and work with patients to taper opioids to lower dosages or to taper and discontinue opioids.</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>contributor</b>: , , , </p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>library</b>:
        <a href="Library-opioidcds-recommendation-07.html">Generated Summary: id: opioidcds-recommendation-07 OpioidCDS_REC_07 (OFFICIAL) version: 0.1.0 name: Library - Logic for Recommendation #7 title: Opioid CDS Logic for recommendation #7 status: active
          <span title="Codes: {http://hl7.org/fhir/library-type logic-library}">Logic Library</span> date: Apr 15, 2018 1:49:09 PM publisher: Centers for Disease Control and Prevention (CDC) description: Opioid decision support logic to evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy and harms of continued therapy with patients every 3 months or more frequently. purpose: The purpose of this library is to determine whether the patient has been evaluated for benefits and harms within 1 to 4 weeks of starting opioid therapy and every 3 months or more subsequently. usage: This library is used to notify the prescriber/user whether an evaluation for benefits and harms associated with opioid therapy is recommended for the patient.
          <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span>
          <span title="Codes: ">Opioid Prescribing</span> </a>
      </p>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-07"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #7 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #7"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2018-03-19"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="Clinicians should evaluate benefits and harms with patients within 1 to 4 weeks of starting opioid therapy for chronic pain or of dose escalation. Clinicians should evaluate benefits and harms of continued therapy with patients every 3 months or more frequently."/>
  <purpose value="CDC&#8217;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 value="If benefits do not outweigh harms of continued opioid therapy, clinicians should optimize other therapies and work with patients to taper opioids to lower dosages or to taper and discontinue opioids."/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <contributor>
    <type value="author"/>
    <name value="Kensaku Kawamoto, MD, PhD, MHS"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Bryn Rhodes"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Floyd Eisenberg, MD, MPH"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Robert McClure, MD, MPH"/>
  </contributor>
  <copyright value="&#169; CDC 2016+."/>
  <library>
    <reference value="Library/opioidcds-recommendation-07"/>
  </library>
  <action>
    <label value="Assessment of risk for opioid use procedure"/>
    <title value="Existing patient should be evaluated for risk of continued opioid therapy."/>
    <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #7 workflow."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="very-low"/>
              <display value="Very Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Check whether the existing patient, without an end of life condition or risk assessment in the past 90 days, has taken an opioid-with-abuse-potential for 7 of the past 10 days or 63 of the past 90 days."/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <type>
      <system value="http://hl7.org/fhir/action-type"/>
      <code value="create"/>
    </type>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <definition>
      <reference value="ActivityDefinition/opioidcds-risk-assessment-request"/>
    </definition>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will schedule assessment of risk for opioid use for the patient"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="N/A - see comment snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-05" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: opioidcds-05

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-05

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #5 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #5

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: draft

date: Apr 23, 2017

publisher: Centers for Disease Control and Prevention (CDC)

description: When opioids are started, providers should prescribe the lowest effective dosage.

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 opioids at any dosage, should carefully reassess evidence of individual benefits and risks when considering increasing dosage to ≥50 morphine milligram equivalents (MME)/day, and should avoid increasing dosage to ≥90 MME/day or carefully justify a decision to titrate dosage to >90 MME/day

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

topic: Opioid Prescribing (Details )

contributor: , , ,

copyright: © CDC 2016+.

relatedArtifact:

library: Generated Summary: id: opioidcds-recommendation-05; OpioidCDS_REC_05 (OFFICIAL); version: 0.1.0; name: Library - Logic for Recommendation #5; title: Opioid CDS Logic for recommendation #5; status: active; Logic Library; date: Apr 15, 2018 1:49:09 PM; publisher: Centers for Disease Control and Prevention (CDC); description: Opioid Decision Support Logic for use in implementing CDC Opioid Prescribing Guidelines.; purpose: This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution.; usage: This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME.; United States of America; Opioid Prescribing;

Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-05"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:42:28.687Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: opioidcds-05</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-05">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-05</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #5 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #5</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: Apr 23, 2017</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: When opioids are started, providers should prescribe the lowest effective dosage.</p>
      <p>
        <b>purpose</b>: CDC&#8217;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 opioids at any dosage, should carefully reassess evidence of individual benefits and risks when considering increasing dosage to &#8805;50 morphine milligram equivalents (MME)/day, and should avoid increasing dosage to &#8805;90 MME/day or carefully justify a decision to titrate dosage to &gt;90 MME/day</p>
      <p>
        <b>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>contributor</b>: , , , </p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>relatedArtifact</b>: </p>
      <p>
        <b>library</b>:
        <a href="Library-opioidcds-recommendation-05.html">Generated Summary: id: opioidcds-recommendation-05 OpioidCDS_REC_05 (OFFICIAL) version: 0.1.0 name: Library - Logic for Recommendation #5 title: Opioid CDS Logic for recommendation #5 status: active
          <span title="Codes: {http://hl7.org/fhir/library-type logic-library}">Logic Library</span> date: Apr 15, 2018 1:49:09 PM publisher: Centers for Disease Control and Prevention (CDC) description: Opioid Decision Support Logic for use in implementing CDC Opioid Prescribing Guidelines. purpose: This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution. usage: This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME.
          <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span>
          <span title="Codes: ">Opioid Prescribing</span> </a>
      </p>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-05"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #5 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #5"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2017-04-23"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="When opioids are started, providers should prescribe the lowest effective dosage."/>
  <purpose value="CDC&#8217;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 value="Providers should use caution when prescribing opioids at any dosage, should carefully reassess evidence of individual benefits and risks when considering increasing dosage to &#8805;50 morphine milligram equivalents (MME)/day, and should avoid increasing dosage to &#8805;90 MME/day or carefully justify a decision to titrate dosage to &gt;90 MME/day"/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <contributor>
    <type value="author"/>
    <name value="Kensaku Kawamoto, MD, PhD, MHS"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Bryn Rhodes"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Floyd Eisenberg, MD, MPH"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Robert McClure, MD, MPH"/>
  </contributor>
  <copyright value="&#169; CDC 2016+."/>
  <relatedArtifact>
    <type value="documentation"/>
    <display value="MME Conversion Tables"/>
    <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/>
  </relatedArtifact>
  <library>
    <reference value="Library/opioidcds-recommendation-05"/>
  </library>
  <action>
    <title value="High risk for opioid overdose."/>
    <description value="Total morphine milligram equivalent (MME) exceeds recommended amount. Taper to less than 50."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="low"/>
              <display value="Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Is total MME &gt;= 50?"/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="activity.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will reduce dosage"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="Acute pain snooze 1 mo"/>
    </action>
    <action>
      <description value="N/A - see comment (will be reviewed by medical director) snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "opioidcds-04" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: opioidcds-04

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: PlanDefinition - Recommendation #4 Workflow

title: CDC Opioid Prescribing Guideline Recommendation #4

type: ECA Rule (Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: draft

date: Mar 19, 2018

publisher: Centers for Disease Control and Prevention (CDC)

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

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.

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

topic: Opioid Prescribing (Details )

contributor: , , ,

copyright: © CDC 2016+.

library: Generated Summary: id: opioidcds-recommendation-04; OpioidCDS_REC_04 (OFFICIAL); version: 0.1.0; name: Library - Logic for Recommendation #4; title: Opioid CDS Logic for recommendation #4; status: active; Logic Library; date: Apr 15, 2018 1:49:09 PM; publisher: Centers for Disease Control and Prevention (CDC); description: Opioid decision support logic for prescribing extended-release/long-acting (ER/LA) opioids when starting a patient on opioids.; purpose: The purpose of this library is to determine the appropriateness of extended-release opioids with ambulatory abuse potential for the patient.; usage: This library is used to notify the prescriber/user that immediate-release opioids are recommended when starting a patient on opioids.; United States of America; Opioid Prescribing;

Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="opioidcds-04"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:42:28.656Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: opioidcds-04</p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04">http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04</a>
      </p>
      <p>
        <b>identifier</b>: cdc-opioid-guidance (OFFICIAL)</p>
      <p>
        <b>version</b>: 0.1.0</p>
      <p>
        <b>name</b>: PlanDefinition - Recommendation #4 Workflow</p>
      <p>
        <b>title</b>: CDC Opioid Prescribing Guideline Recommendation #4</p>
      <p>
        <b>type</b>: ECA Rule
        <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})</span>
      </p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: Mar 19, 2018</p>
      <p>
        <b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p>
      <p>
        <b>description</b>: When starting opioid therapy for chronic pain, clinicians should prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids.</p>
      <p>
        <b>purpose</b>: CDC&#8217;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>useContext</b>: , </p>
      <p>
        <b>jurisdiction</b>: United States of America
        <span style="background: LightGoldenRodYellow">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>
      </p>
      <p>
        <b>topic</b>: Opioid Prescribing
        <span style="background: LightGoldenRodYellow">(Details )</span>
      </p>
      <p>
        <b>contributor</b>: , , , </p>
      <p>
        <b>copyright</b>: &#169; CDC 2016+.</p>
      <p>
        <b>library</b>:
        <a href="Library-opioidcds-recommendation-04.html">Generated Summary: id: opioidcds-recommendation-04 OpioidCDS_REC_04 (OFFICIAL) version: 0.1.0 name: Library - Logic for Recommendation #4 title: Opioid CDS Logic for recommendation #4 status: active
          <span title="Codes: {http://hl7.org/fhir/library-type logic-library}">Logic Library</span> date: Apr 15, 2018 1:49:09 PM publisher: Centers for Disease Control and Prevention (CDC) description: Opioid decision support logic for prescribing extended-release/long-acting (ER/LA) opioids when starting a patient on opioids. purpose: The purpose of this library is to determine the appropriateness of extended-release opioids with ambulatory abuse potential for the patient. usage: This library is used to notify the prescriber/user that immediate-release opioids are recommended when starting a patient on opioids.
          <span title="Codes: {urn:iso:std:iso:3166 US}">United States of America</span>
          <span title="Codes: ">Opioid Prescribing</span> </a>
      </p>
      <p>
        <b style="color: maroon">Exception generating Narrative: type org.hl7.fhir.r4.model.Contributor not handled yet</b>
      </p>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04"/>
  <identifier>
    <use value="official"/>
    <value value="cdc-opioid-guidance"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="PlanDefinition - Recommendation #4 Workflow"/>
  <title value="CDC Opioid Prescribing Guideline Recommendation #4"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/plan-definition-type"/>
      <code value="eca-rule"/>
      <display value="ECA Rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <date value="2018-03-19"/>
  <publisher value="Centers for Disease Control and Prevention (CDC)"/>
  <description value="When starting opioid therapy for chronic pain, clinicians should prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids."/>
  <purpose value="CDC&#8217;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 value="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."/>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="182888003"/>
        <display value="Medication requested (situation)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system value="http://hl7.org/fhir/usage-context-type"/>
      <code value="focus"/>
      <display value="Clinical Focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="82423001"/>
        <display value="Chronic pain (finding)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <topic>
    <text value="Opioid Prescribing"/>
  </topic>
  <contributor>
    <type value="author"/>
    <name value="Kensaku Kawamoto, MD, PhD, MHS"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Bryn Rhodes"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Floyd Eisenberg, MD, MPH"/>
  </contributor>
  <contributor>
    <type value="author"/>
    <name value="Robert McClure, MD, MPH"/>
  </contributor>
  <copyright value="&#169; CDC 2016+."/>
  <library>
    <reference value="Library/opioidcds-recommendation-04"/>
  </library>
  <action>
    <title value="Extended-release opioid prescription triggered."/>
    <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #4 workflow."/>
    <documentation>
      <type value="documentation"/>
      <display value="CDC guideline for prescribing opioids for chronic pain"/>
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/>
    </documentation>
    <documentation>
      <type value="documentation"/>
      <document>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-strengthOfRecommendation">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/recommendation-strength"/>
              <code value="strong"/>
              <display value="Strong"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/evidence-quality"/>
              <code value="very-low"/>
              <display value="Very Low quality"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </document>
    </documentation>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="medication-prescribe"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <description value="Check whether the opioid prescription for the existing patient is extended-release without any opioids-with-abuse-potential prescribed in the past 90 days."/>
      <language value="text/cql"/>
      <expression value="Inclusion Criteria"/>
    </condition>
    <groupingBehavior value="visual-group"/>
    <selectionBehavior value="exactly-one"/>
    <dynamicValue>
      <path value="action.title"/>
      <expression value="Get Summary"/>
    </dynamicValue>
    <dynamicValue>
      <path value="action.description"/>
      <expression value="Get Detail"/>
    </dynamicValue>
    <dynamicValue>
      <path value="activity.extension"/>
      <expression value="Get Indicator"/>
    </dynamicValue>
    <action>
      <description value="Will precribe immediate release"/>
    </action>
    <action>
      <description value="Risk of overdose carefully considered and outweighed by benefit snooze 3 mo"/>
    </action>
    <action>
      <description value="N/A - see comment snooze 3 mo"/>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "zika-virus-intervention" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/zika-virus-intervention

Identifier:
value: zika-virus-intervention

Title:
Example Zika Virus Intervention

Status:
active

Description:
Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.

Topic:
text: Zika Virus Management

Library:
reference: Library/zika-virus-intervention-logic

Actions

Step:
title: Zika Virus Assessment
condition:
type: applicability
expression: Is Patient Pregnant
Step:
condition:
type: applicability
expression: Should Administer Zika Virus Exposure Assessment
condition:
reference:
#administer-zika-virus-exposure-assessment
description: Administer Zika Virus Exposure Assessment
category: procedure
Step:
condition:
type: applicability
expression: Should Order Serum + Urine rRT-PCR Test
condition:
reference:
ActivityDefinition/order-serum-urine-rrt-pcr-test
Step:
condition:
type: applicability
expression: Should Order Serum Zika Virus IgM + Dengue Virus IgM
condition:
reference:
#order-serum-zika-dengue-virus-igm
description: Order Serum Zika and Dengue Virus IgM
related:
type: documentation
display: Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.
category: diagnostic
Step:
condition:
type: applicability
expression: Should Consider IgM Antibody Testing
condition:
reference:
ActivityDefinition/consider-igm-antibody-testing
Step:
condition:
type: applicability
expression: Should Provide Mosquito Prevention and Contraception Advice
Step:
condition:
reference:
#provide-mosquito-prevention-advice
description: Provide mosquito prevention advice
related:
type: documentation
display: Advice for patients about how to avoid Mosquito bites.
related:
type: documentation
display: Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]
category: communication
Step:
condition:
reference:
ActivityDefinition/provide-contraception-advice


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="zika-virus-intervention"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:38:08.656Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/zika-virus-intervention</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>zika-virus-intervention</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Example Zika Virus Intervention</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">active</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Zika Virus Management</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/zika-virus-intervention-logic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Zika Virus Assessment</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span>
              <br/> </span>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>Is Patient Pregnant</span>
              <br/> </span> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 75px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 75px">
                  <b>expression: </b>
                  <span>Should Administer Zika Virus Exposure Assessment</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 75px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 100px">#administer-zika-virus-exposure-assessment</span>
                  <br/>
                  <span>
                    <span style="padding-left: 75px">
                      <b>description: </b>
                      <span>Administer Zika Virus Exposure Assessment</span>
                      <br/> </span>
                    <span style="padding-left: 75px">
                      <b>category: </b>
                      <span>procedure</span>
                      <br/> </span> </span> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Order Serum + Urine rRT-PCR Test</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">ActivityDefinition/order-serum-urine-rrt-pcr-test</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Order Serum Zika Virus IgM + Dengue Virus IgM</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">#order-serum-zika-dengue-virus-igm</span>
                  <br/>
                  <span>
                    <span style="padding-left: 50px">
                      <span style="padding-left: 50px">
                        <b>description: </b>
                        <span>Order Serum Zika and Dengue Virus IgM</span>
                        <br/> </span>
                      <span style="padding-left: 75px">
                        <b>related:</b>
                        <br/>
                        <span style="padding-left: 100px">
                          <b>type: </b>
                          <span>documentation</span>
                          <br/> </span>
                        <span style="padding-left: 100px">
                          <b>display: </b>
                          <span>Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.</span>
                          <br/> </span> </span>
                      <span style="padding-left: 100px">
                        <b>category: </b>
                        <span>diagnostic</span>
                        <br/> </span> </span> </span>
                  <span/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Consider IgM Antibody Testing</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">ActivityDefinition/consider-igm-antibody-testing</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Provide Mosquito Prevention and Contraception Advice</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px">
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">#provide-mosquito-prevention-advice</span>
                      <span>
                        <span style="padding-left: 75px">
                          <br/>
                          <span style="padding-left: 100px">
                            <b>description: </b>
                            <span>Provide mosquito prevention advice</span>
                            <br/> </span>
                          <span style="padding-left: 75px">
                            <b>related:</b>
                            <br/>
                            <span style="padding-left: 100px">
                              <b>type: </b>
                              <span>documentation</span>
                              <br/> </span>
                            <span style="padding-left: 100px">
                              <b>display: </b>
                              <span>Advice for patients about how to avoid Mosquito bites.</span>
                              <br/> </span> </span>
                          <span style="padding-left: 75px">
                            <b>related:</b>
                            <br/>
                            <span style="padding-left: 100px">
                              <b>type: </b>
                              <span>documentation</span>
                              <br/> </span>
                            <span style="padding-left: 100px">
                              <b>display: </b>
                              <span>Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]</span>
                              <br/> </span> </span>
                          <span style="padding-left: 100px">
                            <b>category: </b>
                            <span>communication</span>
                            <br/> </span> </span> </span> </span> </span>
                  <span style="padding-left: 75px"/> </span>
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">ActivityDefinition/provide-contraception-advice</span>
                      <br/> </span> </span> </span> </span> </span> </span> </span> </p> </div>
  </text>
  <url value="http://example.org/PlanDefinition/zika-virus-intervention"/>
  <identifier>
    <use value="official"/>
    <value value="zika-virus-intervention"/>
  </identifier>
  <version value="2.0.0"/>
  <title value="Example Zika Virus Intervention"/>
  <status value="active"/>
  <date value="2017-01-12"/>
  <description value="Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management."/>
  <topic>
    <text value="Zika Virus Management"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <url value="https://www.cdc.gov/mmwr/volumes/65/wr/mm6539e1.htm?s_cid=mm6539e1_w"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="predecessor"/>
    <resource>
      <reference value="PlanDefinition/zika-virus-intervention-initial"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/zika-virus-intervention-logic"/>
  </library>
  <action>
    <title value="Zika Virus Assessment"/>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="patient-view"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <expression value="Is Patient Pregnant"/>
    </condition>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Administer Zika Virus Exposure Assessment"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/administer-zika-virus-exposure-assessment"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Order Serum + Urine rRT-PCR Test"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/order-serum-urine-rrt-pcr-test"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Order Serum Zika Virus IgM + Dengue Virus IgM"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/order-serum-zika-dengue-virus-igm"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Consider IgM Antibody Testing"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/consider-igm-antibody-testing"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Provide Mosquito Prevention and Contraception Advice"/>
      </condition>
      <action>
        <definition>
          <reference value="ActivityDefinition/provide-mosquito-prevention-advice"/>
        </definition>
      </action>
      <action>
        <definition>
          <reference value="ActivityDefinition/provide-contraception-advice"/>
        </definition>
      </action>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "zika-virus-intervention-initial" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/zika-virus-intervention-initial

Identifier:
value: zika-virus-intervention

Title:
Example Zika Virus Intervention

Status:
active

Description:
Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.

Topic:
text: Zika Virus Management

Library:
reference: Library/zika-virus-intervention-logic

Actions

Step:
title: Zika Virus Assessment
condition:
type: applicability
expression: Is Patient Pregnant
Step:
condition:
type: applicability
expression: Should Administer Zika Virus Exposure Assessment
condition:
reference:
#administer-zika-virus-exposure-assessment
description: Administer Zika Virus Exposure Assessment
category: procedure
Step:
condition:
type: applicability
expression: Should Order Serum + Urine rRT-PCR Test
condition:
reference:
ActivityDefinition/order-serum-urine-rrt-pcr-test
Step:
condition:
type: applicability
expression: Should Order Serum Zika Virus IgM + Dengue Virus IgM
condition:
reference:
#order-serum-zika-dengue-virus-igm
description: Order Serum Zika and Dengue Virus IgM
related:
type: documentation
display: Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.
category: diagnostic
Step:
condition:
type: applicability
expression: Should Consider IgM Antibody Testing
condition:
reference:
ActivityDefinition/consider-igm-antibody-testing
Step:
condition:
type: applicability
expression: Should Provide Mosquito Prevention and Contraception Advice
Step:
condition:
reference:
#provide-mosquito-prevention-advice
description: Provide mosquito prevention advice
related:
type: documentation
display: Advice for patients about how to avoid Mosquito bites.
related:
type: documentation
display: Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]
category: communication
Step:
condition:
reference:
ActivityDefinition/provide-contraception-advice


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="zika-virus-intervention-initial"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:38:08.609Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/zika-virus-intervention-initial</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>zika-virus-intervention</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Example Zika Virus Intervention</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">active</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Zika Virus Management</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/zika-virus-intervention-logic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Zika Virus Assessment</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <b>condition: </b>
            <br/>
            <span style="padding-left: 50px">
              <b>type: </b>
              <span>applicability</span>
              <br/> </span>
            <span style="padding-left: 50px">
              <b>expression: </b>
              <span>Is Patient Pregnant</span>
              <br/> </span> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 75px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 75px">
                  <b>expression: </b>
                  <span>Should Administer Zika Virus Exposure Assessment</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 75px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 100px">#administer-zika-virus-exposure-assessment</span>
                  <br/>
                  <span>
                    <span style="padding-left: 75px">
                      <b>description: </b>
                      <span>Administer Zika Virus Exposure Assessment</span>
                      <br/> </span>
                    <span style="padding-left: 75px">
                      <b>category: </b>
                      <span>procedure</span>
                      <br/> </span> </span> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Order Serum + Urine rRT-PCR Test</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">ActivityDefinition/order-serum-urine-rrt-pcr-test</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Order Serum Zika Virus IgM + Dengue Virus IgM</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">#order-serum-zika-dengue-virus-igm</span>
                  <br/>
                  <span>
                    <span style="padding-left: 50px">
                      <span style="padding-left: 50px">
                        <b>description: </b>
                        <span>Order Serum Zika and Dengue Virus IgM</span>
                        <br/> </span>
                      <span style="padding-left: 75px">
                        <b>related:</b>
                        <br/>
                        <span style="padding-left: 100px">
                          <b>type: </b>
                          <span>documentation</span>
                          <br/> </span>
                        <span style="padding-left: 100px">
                          <b>display: </b>
                          <span>Explanation of diagnostic tests for Zika virus and which to use based on the patients clinical and exposure history.</span>
                          <br/> </span> </span>
                      <span style="padding-left: 100px">
                        <b>category: </b>
                        <span>diagnostic</span>
                        <br/> </span> </span> </span>
                  <span/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Consider IgM Antibody Testing</span>
                  <br/> </span> </span>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>reference: </b>
                  <br/>
                  <span style="padding-left: 125px">ActivityDefinition/consider-igm-antibody-testing</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px"/> </span>
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 75px">
                <b>condition: </b>
                <br/>
                <span style="padding-left: 100px">
                  <b>type: </b>
                  <span>applicability</span>
                  <br/> </span>
                <span style="padding-left: 100px">
                  <b>expression: </b>
                  <span>Should Provide Mosquito Prevention and Contraception Advice</span>
                  <br/> </span> </span>
              <span style="padding-left: 50px">
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">#provide-mosquito-prevention-advice</span>
                      <span>
                        <span style="padding-left: 75px">
                          <br/>
                          <span style="padding-left: 100px">
                            <b>description: </b>
                            <span>Provide mosquito prevention advice</span>
                            <br/> </span>
                          <span style="padding-left: 75px">
                            <b>related:</b>
                            <br/>
                            <span style="padding-left: 100px">
                              <b>type: </b>
                              <span>documentation</span>
                              <br/> </span>
                            <span style="padding-left: 100px">
                              <b>display: </b>
                              <span>Advice for patients about how to avoid Mosquito bites.</span>
                              <br/> </span> </span>
                          <span style="padding-left: 75px">
                            <b>related:</b>
                            <br/>
                            <span style="padding-left: 100px">
                              <b>type: </b>
                              <span>documentation</span>
                              <br/> </span>
                            <span style="padding-left: 100px">
                              <b>display: </b>
                              <span>Advice for patients about which mosquito repellents are effective and safe to use in pregnancy. [DEET, IF3535 and Picardin are safe during]</span>
                              <br/> </span> </span>
                          <span style="padding-left: 100px">
                            <b>category: </b>
                            <span>communication</span>
                            <br/> </span> </span> </span> </span> </span>
                  <span style="padding-left: 75px"/> </span>
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">ActivityDefinition/provide-contraception-advice</span>
                      <br/> </span> </span> </span> </span> </span> </span> </span> </p> </div>
  </text>
  <url value="http://example.org/PlanDefinition/zika-virus-intervention"/>
  <identifier>
    <use value="official"/>
    <value value="zika-virus-intervention"/>
  </identifier>
  <version value="1.0.0"/>
  <title value="Example Zika Virus Intervention"/>
  <status value="active"/>
  <date value="2016-11-14"/>
  <description value="Zika Virus Management intervention describing the CDC Guidelines for Zika Virus Reporting and Management."/>
  <topic>
    <text value="Zika Virus Management"/>
  </topic>
  <relatedArtifact>
    <type value="derived-from"/>
    <url value="https://www.cdc.gov/mmwr/volumes/65/wr/mm6539e1.htm?s_cid=mm6539e1_w"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="successor"/>
    <resource>
      <reference value="PlanDefinition/zika-virus-intervention"/>
    </resource>
  </relatedArtifact>
  <library>
    <reference value="Library/zika-virus-intervention-logic"/>
  </library>
  <action>
    <title value="Zika Virus Assessment"/>
    <triggerDefinition>
      <type value="named-event"/>
      <eventName value="patient-view"/>
    </triggerDefinition>
    <condition>
      <kind value="applicability"/>
      <expression value="Is Patient Pregnant"/>
    </condition>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Administer Zika Virus Exposure Assessment"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/administer-zika-virus-exposure-assessment"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Order Serum + Urine rRT-PCR Test"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/order-serum-urine-rrt-pcr-test"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Order Serum Zika Virus IgM + Dengue Virus IgM"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/order-serum-zika-dengue-virus-igm"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Consider IgM Antibody Testing"/>
      </condition>
      <definition>
        <reference value="ActivityDefinition/consider-igm-antibody-testing"/>
      </definition>
    </action>
    <action>
      <condition>
        <kind value="applicability"/>
        <expression value="Should Provide Mosquito Prevention and Contraception Advice"/>
      </condition>
      <action>
        <definition>
          <reference value="ActivityDefinition/provide-mosquito-prevention-advice"/>
        </definition>
      </action>
      <action>
        <definition>
          <reference value="ActivityDefinition/provide-contraception-advice"/>
        </definition>
      </action>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "protocol-example" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

id: example,

identifier: , system: http://acme.org, value: example-1,

title: Obesity Assessment Protocol,

status: draft,

type: condition,

purpose: Example of A medical algorithm for assessment and treatment of overweight and obesity,

author: , display: National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/algorthm/algorthm.htm,

step: , name: Measure BMI, description: Measure, Weight, Height, Waist, Circumference; Calculate BMI Weight must be measured so that the BMI can be calculated. Most charts are based on weights obtained with the patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height in meters]2), but is more easily obtained from a nomogram. Waist circumference is important because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be a marker of increased risk even in persons of normal weight. The technique for measuring waist circumference is described in the text. A nutrition assessment will also help to assess the diet and physical activity habits of overweight patients, precondition: , union: , description: The practitioner must seek to determine whether the patient has ever been overweight. While a technical definition is provided, a simple question such as 'Have you ever been overweight?' will accomplish the same goal. Questions directed towards weight history, dietary habits, physical activities, and medications may provide useful information about the origins of obesity in particular patients., condition: , type: , coding: , system: http://acme.org, code: 1234, display: Obesity, valueBoolean: true, union: , description: BMI Measured in Past 2 Years For those who have not been overweight, a 2 year interval is appropriate for the reassessment of BMI. While this time span is not evidence-based, it is believed to be a reasonable compromise between the need to identify weight gain at an early stage and the need to limit the time, effort, and cost of repeated measurements., condition: , type: , text: BMI in last 2 years, valueBoolean: false, activity: , detail: , category: procedure, code: , coding: , system: http://loinc.org, code: 39156-5, display: Body mass index (BMI) [Ratio], performer: , display: Nurse Ratched, description: Extra information on activity ,


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="protocol-example"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:38:08.562Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>id: </b>example, </p>
      <p>
        <b>identifier: </b>,
        <b>system: </b>http://acme.org,
        <b>value: </b>example-1, </p>
      <p>
        <b>title: </b>Obesity Assessment Protocol, </p>
      <p>
        <b>status: </b>draft, </p>
      <p>
        <b>type: </b>condition, </p>
      <p>
        <b>purpose: </b>Example of A medical algorithm for assessment and treatment of overweight and obesity, </p>
      <p>
        <b>author: </b>,
        <b>display: </b>National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/algorthm/algorthm.htm, </p>
      <p>
        <b>step: </b>,
        <b>name: </b>Measure BMI,
        <b>description: </b>Measure, Weight, Height, Waist, Circumference Calculate BMI Weight must be measured so that the BMI can be calculated. Most charts are based on weights obtained with the patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height in meters]2), but is more easily obtained from a nomogram. Waist circumference is important because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be a marker of increased risk even in persons of normal weight. The technique for measuring waist circumference is described in the text. A nutrition assessment will also help to assess the diet and physical activity habits of overweight patients,
        <b>precondition: </b>,
        <b>union: </b>,
        <b>description: </b>The practitioner must seek to determine whether the patient has ever been overweight. While a technical definition is provided, a simple question such as 'Have you ever been overweight?' will accomplish the same goal. Questions directed towards weight history, dietary habits, physical activities, and medications may provide useful information about the origins of obesity in particular patients.,
        <b>condition: </b>,
        <b>type: </b>,
        <b>coding: </b>,
        <b>system: </b>http://acme.org,
        <b>code: </b>1234,
        <b>display: </b>Obesity,
        <b>valueBoolean: </b>true,
        <b>union: </b>,
        <b>description: </b>BMI Measured in Past 2 Years For those who have not been overweight, a 2 year interval is appropriate for the reassessment of BMI. While this time span is not evidence-based, it is believed to be a reasonable compromise between the need to identify weight gain at an early stage and the need to limit the time, effort, and cost of repeated measurements.,
        <b>condition: </b>,
        <b>type: </b>,
        <b>text: </b>BMI in last 2 years,
        <b>valueBoolean: </b>false,
        <b>activity: </b>,
        <b>detail: </b>,
        <b>category: </b>procedure,
        <b>code: </b>,
        <b>coding: </b>,
        <b>system: </b>http://loinc.org,
        <b>code: </b>39156-5,
        <b>display: </b>Body mass index (BMI) [Ratio],
        <b>performer: </b>,
        <b>display: </b>Nurse Ratched,
        <b>description: </b>Extra information on activity , </p> </div>
  </text>
  <contained>
    <ActivityDefinition>
      <id value="procedure"/>
      <status value="draft"/>
      <description value="Extra information on activity "/>
      <kind value="ProcedureRequest"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="39156-5"/>
          <display value="Body mass index (BMI) [Ratio]"/>
        </coding>
      </code>
      <participant>
        <type value="practitioner"/>
        <role>
          <coding>
            <system value="http://hl7.org/fhir/practitioner-role"/>
            <code value="doctor"/>
            <display value="Doctor"/>
          </coding>
        </role>
      </participant>
    </ActivityDefinition>
  </contained>
  <identifier>
    <system value="http://acme.org"/>
    <value value="example-1"/>
  </identifier>
  <title value="Obesity Assessment Protocol"/>
  <type>
    <coding>
      <code value="protocol"/>
    </coding>
  </type>
  <status value="draft"/>
  <purpose value="Example of A medical algorithm for assessment and treatment of overweight and obesity"/>
  <useContext>
    <code>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="414916001"/>
        <display value="Obesity (disorder)"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <contributor>
    <type value="author"/>
    <name value="National Heart, Lung, and Blood Institute"/>
    <contact>
      <telecom>
        <system value="url"/>
        <value value="https://www.nhlbi.nih.gov/health-pro/guidelines"/>
      </telecom>
    </contact>
  </contributor>
  <relatedArtifact>
    <type value="derived-from"/>
    <display value="Overweight and Obesity Treatment Guidelines"/>
    <url value="http://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/algorthm/algorthm.htm"/>
  </relatedArtifact>
  <goal id="reduce-bmi-ratio">
    <category>
      <text value="Treatment"/>
    </category>
    <description>
      <text value="Reduce BMI to below 25"/>
    </description>
    <priority>
      <text value="medium-priority"/>
    </priority>
    <start>
      <text value="When the patient&apos;s BMI Ratio is at or above 25"/>
    </start>
    <addresses>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="414916001"/>
        <display value="Obesity (disorder)"/>
      </coding>
    </addresses>
    <documentation>
      <type value="justification"/>
      <display value="Evaluation and Treatment Strategy"/>
      <url value="https://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/42.htm"/>
    </documentation>
    <target>
      <measure>
        <coding>
          <system value="http://loinc.org"/>
          <code value="39156-5"/>
          <display value="Body mass index (BMI) [Ratio]"/>
        </coding>
      </measure>
      <detailRange>
        <high>
          <value value="24.9"/>
          <unit value="kg/m2"/>
        </high>
      </detailRange>
      <due>
        <value value="1"/>
        <unit value="a"/>
      </due>
    </target>
  </goal>
  <action>
    <label value="Measure BMI"/>
    <title value="Measure, Weight, Height, Waist, Circumference Calculate BMI"/>
    <description value="Weight must be measured so that the BMI can be calculated. Most charts are based on weights obtained with the patient wearing undergarments and no shoes. BMI can be manually calculated (kg/[height in meters]2), but is more easily obtained from a nomogram. Waist circumference is important because evidence suggests that abdominal fat is a particularly strong determinant of cardiovascular risk in those with a BMI of 25 to 34.9 kg/m2. Increased waist circumference can also be a marker of increased risk even in persons of normal weight. The technique for measuring waist circumference is described in the text. A nutrition assessment will also help to assess the diet and physical activity habits of overweight patients"/>
    <goalId value="reduce-bmi-ratio"/>
    <condition>
      <kind value="applicability"/>
      <description value="The practitioner must seek to determine whether the patient has ever been overweight. While a technical definition is provided, a simple question such as &apos;Have you ever been overweight?&apos; will accomplish the same goal. Questions directed towards weight history, dietary habits, physical activities, and medications may provide useful information about the origins of obesity in particular patients. For those who have not been overweight, a 2 year interval is appropriate for the reassessment of BMI. While this time span is not evidence-based, it is believed to be a reasonable compromise between the need to identify weight gain at an early stage and the need to limit the time, effort, and cost of repeated measurements."/>
      <language value="text/cql"/>
      <expression value="exists ([Condition: Obesity]) or not exists ([Observation: BMI] O where O.effectiveDateTime 2 years or less before Today())"/>
    </condition>
    <requiredBehavior value="must-unless-documented"/>
    <cardinalityBehavior value="single"/>
    <definition>
      <reference value="#procedure"/>
    </definition>
  </action>
</PlanDefinition>

Unknown message entry "options-example" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

[Put rendering here]

<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="options-example"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:38:08.515Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">[Put rendering here]</div>
  </text>
  <contained>
    <ActivityDefinition>
      <id value="activitydefinition-medicationrequest-1"/>
      <status value="draft"/>
      <kind value="MedicationRequest"/>
      <productCodeableConcept>
        <text value="Medication 1"/>
      </productCodeableConcept>
    </ActivityDefinition>
  </contained>
  <contained>
    <ActivityDefinition>
      <id value="activitydefinition-medicationrequest-2"/>
      <status value="draft"/>
      <kind value="MedicationRequest"/>
      <productCodeableConcept>
        <text value="Medication 2"/>
      </productCodeableConcept>
    </ActivityDefinition>
  </contained>
  <title value="This example illustrates relationships between actions."/>
  <status value="draft"/>
  <action>
    <groupingBehavior value="logical-group"/>
    <selectionBehavior value="all"/>
    <action id="medication-action-1">
      <title value="Administer Medication 1"/>
      <definition>
        <reference value="#activitydefinition-medicationrequest-1"/>
      </definition>
    </action>
    <action id="medication-action-2">
      <title value="Administer Medication 2"/>
      <relatedAction>
        <actionId value="medication-action-1"/>
        <relationship value="after-end"/>
        <offsetDuration>
          <value value="1"/>
          <unit value="h"/>
        </offsetDuration>
      </relatedAction>
      <definition>
        <reference value="#activitydefinition-medicationrequest-2"/>
      </definition>
    </action>
  </action>
</PlanDefinition>

Unknown message entry "low-suicide-risk-order-set" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Id:
PlanDefinition/low-suicide-risk-order-set

Identifier:
value: mmi:low-suicide-risk-order-set

Title:
Low Suicide Risk Order Set

Status:
draft

Description:
Orders to be applied to a patient characterized as low suicide risk.

Purpose:
This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.

Usage:
This order set should be applied after assessing a patient for suicide risk, when the findings of that assessment indicate the patient has low suicide risk.

Context:

system: http://hl7.org/fhir/usage-context-type

code: age

value:
system: https://meshb.nlm.nih.gov
code: D000328
display: Adult

Context:

system: http://hl7.org/fhir/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 87512008
display: Mild major depression

Context:

system: http://hl7.org/fhir/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 40379007
display: Major depression, recurrent, mild

Context:

system: http://hl7.org/fhir/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 394687007
display: Low suicide risk

Context:

system: http://hl7.org/fhir/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 225337009
display: Suicide risk assessment

Context:

system: http://hl7.org/fhir/usage-context-type

code: user

value:
system: http://snomed.info/sct
code: 309343006
display: Physician

Context:

system: http://hl7.org/fhir/usage-context-type

code: venue

value:
system: http://snomed.info/sct
code: 440655000
display: Outpatient environment

Topic:
text: Suicide risk assessment

Contributor:
author:
Motive Medical Intelligence

Library:
reference: Library/suiciderisk-orderset-logic
display: SuicideRiskLogic

Actions

Step:
title: Suicide Risk Assessment and Outpatient Management
Step:
title: Consults and Referrals
Step:
text: Refer to outpatient mental health program for evaluation and treatment of mental health conditions now
condition:
reference:
#referralToMentalHealthCare
description: refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now
category: referral
Step:
title: Medications
Step:
title: First-Line Antidepressants
Step:
title: Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)
Step:
text: citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)
condition:
reference:
#citalopramPrescription
category: drug
Step:
text: escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)
Step:
text: paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)
Step:
text: Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)
Step:
text: Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)


<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="low-suicide-risk-order-set"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-09-06T12:38:08.453Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="grid dict">
        <tr>
          <td>
            <b>Id: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">PlanDefinition/low-suicide-risk-order-set</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Identifier: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>value: </b>
            <span>mmi:low-suicide-risk-order-set</span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Title: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Low Suicide Risk Order Set</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Status: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">draft</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Description: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">Orders to be applied to a patient characterized as low suicide risk.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Purpose: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Usage: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">This order set should be applied after assessing a patient for suicide risk, when the findings of that assessment indicate the patient has low suicide risk.</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>age</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>https://meshb.nlm.nih.gov</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>D000328</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Adult</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>focus</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>87512008</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Mild major depression</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>focus</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>40379007</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Major depression, recurrent, mild</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>focus</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>394687007</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Low suicide risk</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>focus</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>225337009</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Suicide risk assessment</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>user</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>309343006</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Physician</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <table class="grid dict">
        <tr>
          <td>
            <b>Context: </b> </td> </tr>
        <tr style="vertical-align: top">
          <td style="padding-right: 25px">
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>system: </b>
              <span>http://hl7.org/fhir/usage-context-type</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>code: </b>
              <span>venue</span> </p>
            <p style="padding-left: 25px margin-top: 5px margin-bottom: 5px">
              <b>value: </b>
              <br/>
              <span>
                <span>
                  <span>
                    <span style="padding-left: 25px">
                      <b>system: </b>
                      <span>http://snomed.info/sct</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>code: </b>
                      <span>440655000</span>
                      <br/> </span>
                    <span style="padding-left: 25px">
                      <b>display: </b>
                      <span>Outpatient environment</span> </span> </span> </span> </span> </p> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Topic: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <span>
              <b>text: </b>
              <span>Suicide risk assessment</span> </span> </td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Contributor: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>
              <span>author</span>: </b> </td> </tr>
        <tr>
          <td style="padding-left: 50px padding-right: 25px">Motive Medical Intelligence</td> </tr> </table>
      <p/>
      <table class="grid dict">
        <tr>
          <td>
            <b>Library: </b> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>reference: </b>
            <span>Library/suiciderisk-orderset-logic</span> </td> </tr>
        <tr>
          <td style="padding-left: 25px padding-right: 25px">
            <b>display: </b>
            <span>SuicideRiskLogic</span> </td> </tr> </table>
      <p/>
      <h2>Actions</h2>
      <p style="width: 100%" class="hierarchy">
        <span>
          <b>Step: </b>
          <br/>
          <span style="padding-left: 25px">
            <b>title: </b>
            <span>Suicide Risk Assessment and Outpatient Management</span>
            <br/> </span>
          <span style="padding-left: 25px">
            <span>
              <b>Step: </b>
              <br/>
              <span style="padding-left: 50px">
                <b>title: </b>
                <span>Consults and Referrals</span>
                <br/> </span>
              <span style="padding-left: 50px">
                <span>
                  <b>Step: </b>
                  <br/>
                  <span style="padding-left: 75px">
                    <b>text: </b>
                    <span>Refer to outpatient mental health program for evaluation and treatment of mental health conditions now</span>
                    <br/> </span>
                  <span style="padding-left: 75px">
                    <b>condition: </b>
                    <br/>
                    <span style="padding-left: 100px">
                      <b>reference: </b>
                      <br/>
                      <span style="padding-left: 125px">#referralToMentalHealthCare</span>
                      <span>
                        <span style="padding-left: 75px">
                          <br/>
                          <span style="padding-left: 100px">
                            <b>description: </b>
                            <span>refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now</span>
                            <br/> </span>
                          <span style="padding-left: 100px">
                            <b>category: </b>
                            <span>referral</span>
                            <br/> </span> </span> </span> </span> </span>
                  <span style="