R6 Ballot (3rd Draft) FHIR CI-Build

Publish-box (todo) This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Example PlanDefinition/opioidcds-08 (Narrative)

Maturity Level : N/A
Responsible Owner: Clinical Decision Support Work Group Standards Status : Informative Compartments : No defined compartments

This is the narrative for the resource. See also the XML , JSON or Turtle format. This example conforms to the profile PlanDefinition .

Generated Narrative: PlanDefinition opioidcds-08

StructureDefinition Work Group : cds

identifier : Uniform Resource Identifier (URI) /urn:oid:2.16.840.1.113883.4.642.11.10, cdc-opioid-guidance (use: official, )

version : 0.1.0

name : Cdcopioid08

title : CDC Opioid Prescribing Guideline Recommendation #8

type : ECA Rule

status : draft Draft

date : 2018-03-19

publisher : HL7 International / Clinical Decision Support

contact : http://www.hl7.org/Special/committees/dss

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.

UseContexts

- Code Value[x]
* UsageContextType UsageContextType: focus : Clinical Focus (Clinical Focus) Medication requested (situation)
* UsageContextType UsageContextType: focus : Clinical Focus (Clinical Focus) Chronic pain (finding)

jurisdiction : 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

author : Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH:

relatedArtifact

type : documentation Documentation

display : CDC guideline for prescribing opioids for chronic pain

Documents

- Url
* https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420

relatedArtifact

type : documentation Documentation

display : MME Conversion Tables

Documents

- Url
* https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf

library : http://example.org/fhir/Library/opioidcds-recommendation-08

action

Strength of recommendation : Strong

Quality of evidence : Low quality

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

description :

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

Documentations

- Type
* documentation Documentation

Triggers

- Type Name
* named-event Named Event medication-prescribe

condition

kind : applicability Applicability

Expressions

- Description Language Expression
* 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 an average MME greater than 50 mg/day. text/cql text/cql-identifier Inclusion Criteria

groupingBehavior : visual-group Visual Group

selectionBehavior : exactly-one Exactly One

dynamicValue

path : action.description

Expressions

- Language Expression
* text/cql text/cql-identifier Get Detail

dynamicValue

path : action.title

Expressions

- Language Expression
* text/cql text/cql-identifier Get Summary

dynamicValue

path : action.extension

Expressions

- Language Expression
* text/cql text/cql-identifier Get Indicator

Actions

- Description
*

Will offer Naloxone instead

*

Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo

*

N/A - see comment; snooze 3 mo

 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.