Release 5 R6 Ballot (2nd Draft)

This page is part of the FHIR Specification (v5.0.0: R5 - STU v6.0.0-ballot2: Release 6 Ballot (2nd 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-08 (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 opioidcds-08

Resource PlanDefinition "opioidcds-08" url : http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-08

identifier : id: urn:oid:2.16.840.1.113883.4.642.11.10, id: cdc-opioid-guidance (use: OFFICIAL) 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 ( PlanDefinitionType #eca-rule)

status : draft

date : 2018-03-19

publisher : Centers for Disease Control and Prevention (CDC) 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 focus: 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)
* UsageContextType focus: 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 :

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 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-08

action

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

documentation document
- type : documentation Type
* documentation

Triggers

- Type Name
* named-event medication-prescribe

condition

kind : 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 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 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.