Opioid CDS Recommendation 10 ECA Rule (id = "opioidcds-10")

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  display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%: 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.Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code focus = 'Clinical Focus', stated as 'Clinical Focus')Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code focus = 'Clinical Focus', stated as 'Clinical Focus')ISO 3166-1 Codes for the representation of names of countries and their subdivisions
             — Part 1: Country code: 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.: Providers should be aware if patients are taking other prescription drugs or
         illicit drugs that might increase their risk of an overdose.: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: ,
         Robert McClure, MD, MPH: : Patient has a urine screening testing positive for either unprescribed opioids
           or illicit drugs in the past 12 months: Patient has a positive urine screening in the past 12 months for opioid(s), which
             is not prescribed: Patient has a positive urine screening in the past 12 months, which does not
             include prescribed opioids

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  <name value="Cdcopioid10"/> 
  <title value="CDC Opioid Prescribing Guideline Recommendation #10"/> 
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  <date value="2017-04-23"/> 
  

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  <purpose value="CDC’s Guideline for Prescribing Opioids for Chronic Pain is intended to improve
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   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
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  <copyright value="© CDC 2016+."/> 
  <topic> 
    <text value="Opioid Prescribing"/> 
  </topic> 
  <author> 
    <name value="Kensaku Kawamoto, MD, PhD, MHS"/> 
  </author> 
  <author> 
    <name value="Bryn Rhodes"/> 
  </author> 
  <author> 
    <name value="Floyd Eisenberg, MD, MPH"/> 
  </author> 
  <author> 
    <name value="Robert McClure, MD, MPH"/> 
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