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

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        : 
        
      
      
        : id: cdc-opioid-guidance (OFFICIAL)
      
      
        : 0.1.0
      
      
        : cdc-opioid-10
      
      
        : CDC Opioid Prescribing Guideline Recommendation #10
      
      
        : ECA Rule 
         (
          #eca-rule)
        
      
      
        : draft
      
      
        : 2017-04-23
      
      
        : Centers for Disease Control and Prevention (CDC)
      
      
        : 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.
      
      
        : United States of America 
        
      
      
        : 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.
      
      
        : © CDC 2016+.
      
      
        : Opioid Prescribing 
        
      
      
        : Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert
         McClure, MD, MPH: 
      
      
        : 
        
      
      
        
          
        
        
          : Annual Urine Screening Check
        
        
          : Patient has not had a urine screening in the past 12 months
        
        
          
            
          
          
            : applicability
          
        
        
          
            
          
          
            : activity.extension
          
        
        
        
          
            
            
              
            
          
          
            
            
          
          
            
            
          
        
      
      
        
          
        
        
          : Positive Urine Screening Check
        
        
          : Patient has a urine screening testing positive for either unprescribed opioids or illicit
           drugs in the past 12 months
        
        
          
            
          
          
            : applicability
          
        
        
          
            
          
          
            : Unprescribed Opioids Found In Urine Screening
          
          
            : Patient has a positive urine screening in the past 12 months for opioid(s), which is
             not prescribed
          
        
        
          
            
          
          
            : Prescribed Opioids Not Found In Urine Screening
          
          
            : Patient has a positive urine screening in the past 12 months, which does not include
             prescribed opioids
          
        
        
          
            
          
          
            : Illicit Drugs Found In Urine Screening
          
          
            : Patient has a positive urine screening in the past 12 months for illicit drugs
          
        
      
    
  
  
  
    
    
  
  
  
  
  
    
      
      
      
    
  
  
  
  
  
  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.
  
    
      
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
      
    
  
  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.
  
  
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
    
    
    https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pai
    n---united-states-2016#420
    
      https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pai
      n---united-states-2016#420
    
  
  
  
    
    
    
      
      
        
          
            
              
              
              
            
          
        
        
          
            
              
              
              
            
          
        
      
    
    
      
      
    
    
      
      
        
        
        
      
    
    
      
      
        
        
      
    
    
      
    
    
      
    
  
  
    
    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 for opioid(s), which is not
           prescribed
          
          
        
      
      
        
        
          
          
        
      
      
        
        
          
          
        
      
      
        
      
    
    
      
      Patient has a positive urine screening in the past 12 months, which does not include prescribed
       opioids
      
        
        
          
            
              
                
                
                
              
            
          
          
            
              
                
                
                
              
            
          
        
      
      
        
        
          Patient has a positive urine screening in the past 12 months, which does not include prescribed
           opioids
          
          
        
      
      
        
        
          
          
        
      
      
        
        
          
          
        
      
    
    
      
      
      
        
        
          
            
              
                
                
                
              
            
          
          
            
              
                
                
                
              
            
          
        
      
      
        
        
          
          
          
        
      
      
        
        
          
          
        
      
      
        
        
          
          
        
      
      
        
      
    
  

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