Release 5 R6 Ballot (1st Draft)

This page is part of the FHIR Specification (v5.0.0: R5 - STU v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes ). This is the The current published version in it's permanent home (it will always be available at this URL). is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Example PlanDefinition/opioidcds-11 (Narrative)

Clinical Decision Support Work Group Maturity Level : N/A 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

Resource PlanDefinition "opioidcds-11"

StructureDefinition Work Group : cds

url : http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11

identifier : id: urn:oid:2.16.840.1.113883.4.642.11.2, id:  # urn:oid:2.16.840.1.113883.4.642.11.2, id: cdc-opioid-guidance (use: OFFICIAL)

version : 0.1.0

name : Cdcopioid11

title : CDC Opioid Prescribing Guideline Recommendation #11

type : ECA Rule ( PlanDefinitionType #eca-rule)

status : draft

date : 2018-03-19

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

contact :

description : Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.

UseContexts

- Code Value[x]
* Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus') Medication requested (situation) ( SNOMED CT #182888003)
* Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as '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 : Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.

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

display : CDC guideline for prescribing opioids for chronic pain

document

relatedArtifact

type : documentation

display : MME Conversion Tables

document

library : http://example.org/fhir/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

type : documentation

document

Triggers

- Type Name
* named-event medication-prescribe

condition

kind : applicability

Expressions

- Description Language Expression
* Check whether the existing patient is using opioids concurrently with benzodiazepines. text/cql Inclusion Criteria

groupingBehavior : visual-group

selectionBehavior : exactly-one

dynamicValue

path : action.description

Expressions

- Language Expression
* text/cql Get Detail

dynamicValue

path : action.title

Expressions

- Language Expression
* text/cql Get Summary

dynamicValue

path : action.extension

Expressions

- Language Expression
* text/cql Get Indicator

Actions

- Description
* Will revise
* 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.