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Resource "opioidcds-11" Version "2" (PlanDefinition)

Tags:

XML or JSON representation . provenance for this resource

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>