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Resource "opioidcds-04" Version "1" (PlanDefinition)

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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>