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Example PlanDefinition/opioidcds-10 (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-10

Resource PlanDefinition "opioidcds-10"

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

identifier : id: urn:oid:2.16.840.1.113883.4.642.11.3, id: cdc-opioid-guidance (use: OFFICIAL) Uniform Resource Identifier (URI) /urn:oid:2.16.840.1.113883.4.642.11.3, cdc-opioid-guidance (use: official, )

version : 0.1.0

name : Cdcopioid10

title : CDC Opioid Prescribing Guideline Recommendation #10

type : ECA Rule ( PlanDefinitionType #eca-rule)

status : draft Draft

date : 2017-04-23

publisher : Centers for Disease Control and Prevention (CDC) HL7 International / Clinical Decision Support

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

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.

UseContexts

- Code Value[x]
* Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code UsageContextType: focus = 'Clinical Focus', stated as 'Clinical Focus') (Clinical Focus) Medication requested (situation) ( SNOMED CT #182888003)
* Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code UsageContextType: focus = 'Clinical Focus', stated as 'Clinical Focus') (Clinical Focus) Chronic pain (finding) ( SNOMED CT #82423001)

jurisdiction : United States of America ( ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code #US)

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 ()

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

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

library : http://example.org/fhir/Library/opioidcds-recommendation-10

action

Strength of recommendation : Strong

Quality of evidence : Low quality

title : Annual Urine Screening Check

description :

Patient has not had a urine screening in the past 12 months

Documentations

documentation document
- type : documentation Type
* Documentation

Triggers

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

condition

kind : applicability Applicability

Expressions

- Description Language Expression
* Patient has not had a urine screening in the past 12 months text/cql text/cql-identifier No Screenings in Past Year

dynamicValue

path : activity.extension

Expressions

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

Actions

- Description
*

Will perform urine screening

*

Not for chronic pain management. Snooze 3 months

action

Strength of recommendation : Strong

Quality of evidence : Low quality

title : Positive Urine Screening Check

description :

Patient has a urine screening testing positive for either unprescribed opioids or illicit drugs in the past 12 months

Documentations

documentation document
- type : documentation Type
* Documentation

condition

kind : applicability Applicability

Expressions

- Description Language Expression
* Patient has a positive urine screening in the past 12 months text/cql text/cql-identifier Has Positive Screening?

action

Strength of recommendation : Strong

Quality of evidence : Low quality

title : Unprescribed Opioids Found In Urine Screening

description :

Patient has a positive urine screening in the past 12 months for opioid(s), which is not prescribed

Documentations

- documentation Type
* Documentation

condition

kind : Applicability

Expressions

- Description Language Expression
* Patient has a positive urine screening in the past 12 months for opioid(s), which is not prescribed text/cql-identifier Has Unprescribed Opioids?

dynamicValue

path : activity.extension

Expressions

- Language Expression
* text/cql-identifier Get Indicator

dynamicValue

path : action.description

Expressions

- Language Expression
* text/cql-identifier Inconsistent Unprescribed Opioids

Actions

- action Description
*

Not for chronic pain management. Snooze 3 months

action

Strength of recommendation : Strong

Quality of evidence : Low quality

title : Prescribed Opioids Not Found In Urine Screening

description :

Patient has a positive urine screening in the past 12 months, which does not include prescribed opioids

Documentations

- documentation Type
* Documentation

condition

kind : Applicability

Expressions

- Description Language Expression
* Patient has a positive urine screening in the past 12 months, which does not include prescribed opioids text/cql-identifier Has Missing Opioids?

dynamicValue

path : activity.extension

Expressions

- Language Expression
* text/cql-identifier Get Indicator

dynamicValue

path : action.description

Expressions

- Language Expression
* text/cql-identifier Inconsistent Missing Opioids

action

Strength of recommendation : Strong

Quality of evidence : Low quality

title : Illicit Drugs Found In Urine Screening

description :

Patient has a positive urine screening in the past 12 months for illicit drugs

Documentations

- documentation Type
* Documentation

condition

kind : Applicability

Expressions

- Description Language Expression
* Patient has a positive urine screening in the past 12 months for illicit drugs text/cql-identifier Has Illicit Drugs in Screening?

dynamicValue

path : activity.extension

Expressions

- Language Expression
* text/cql-identifier Get Indicator

dynamicValue

path : action.description

Expressions

- Language Expression
* text/cql-identifier Inconsistent Illicit Drugs

Actions

- action Description
*

Not for chronic pain management. Snooze 3 months

 

 

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.