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Resource "opioidcds-10" Version "1" (PlanDefinition)

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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>