<type> <coding> <system value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/> <code value="eca-rule"/> <display value="ECA Rule"/> </coding> </type> <status value="draft"/> <date value="2018-03-19"/> <publisher value="Centers for Disease Control and Prevention (CDC)"/> <description value="Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient."/> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> <display value="Clinical Focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="182888003"/> <display value="Medication requested (situation)"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> <display value="Clinical Focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="82423001"/> <display value="Chronic pain (finding)"/> </coding> </valueCodeableConcept> </useContext> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> <display value="United States of America"/> </coding> </jurisdiction> <purpose value="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 value="Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible."/> <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"/> </author> <relatedArtifact> <type value="documentation"/> <display value="CDC guideline for prescribing opioids for chronic pain"/> <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"/> </relatedArtifact> <relatedArtifact> <type value="documentation"/> <display value="MME Conversion Tables"/> <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/> </relatedArtifact> <library value="Library/opioidcds-recommendation-11"/> <action>  <title value="Existing patient has concurrent opioid and benzodiazepine prescriptions."/> <description value="Checking if the trigger prescription meets the inclusion criteria for recommendation #11 workflow."/> <documentation> <type value="documentation"/> <document>  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/recommendation-strength"/> <code value="strong"/> <display value="Strong"/> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/evidence-quality"/> <code value="low"/> <display value="Low quality"/> </coding> </valueCodeableConcept> </extension> </document> </documentation> <trigger> <type value="named-event"/> <name value="medication-prescribe"/> </trigger> <condition> <kind value="applicability"/> <expression> <description value="Check whether the existing patient is using opioids concurrently with benzodiazepines."/> <language value="text/cql"/> <expression value="Inclusion Criteria"/> </expression> </condition> <groupingBehavior value="visual-group"/> <selectionBehavior value="exactly-one"/>  <dynamicValue> <path value="action.description"/> <expression> <language value="text/cql"/> <expression value="Get Detail"/> </expression> </dynamicValue> <dynamicValue> <path value="action.title"/> <expression> <language value="text/cql"/> <expression value="Get Summary"/> </expression> </dynamicValue> <dynamicValue> <path value="action.extension"/> <expression> <language value="text/cql"/> <expression value="Get Indicator"/> </expression> </dynamicValue> <action> <description value="Will revise"/>  </action> <action> <description value="Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo"/> </action> <action> <description value="N/A - see comment; snooze 3 mo"/> </action> </action> </PlanDefinition>

Generated Narrative with Details

id: opioidcds-11

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

identifier: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: cdc-opioid-11

title: CDC Opioid Prescribing Guideline Recommendation #11

type: ECA Rule (Details : {http://terminology.hl7.org/CodeSystem/plan-definition-type code 'eca-rule' = 'ECA Rule', given as 'ECA Rule'})

status: draft

date: 19/03/2018

publisher: Centers for Disease Control and Prevention (CDC)

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

useContext: ,

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})

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.

topic: Opioid Prescribing (Details )

author: , , ,

relatedArtifact: ,

library: Library/opioidcds-recommendation-11

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