This page is part of the FHIR Specification (v4.4.0: R5 Preview #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4
Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw JSON (canonical form + also see JSON Format Specification)
Opioid CDS Recommendation 5 Logic
{ "resourceType": "Library", "id": "opioidcds-recommendation-05", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n <b>Generated Narrative with Details</b>\n </p>\n <p>\n <b>id</b>: opioidcds-recommendation-05\n </p>\n <p>\n <b>identifier</b>: OpioidCDS_REC_05 (OFFICIAL)\n </p>\n <p>\n <b>version</b>: 0.1.0\n </p>\n <p>\n <b>title</b>: Opioid CDS Logic for recommendation #5\n </p>\n <p>\n <b>status</b>: ACTIVE\n </p>\n <p>\n <b>experimental</b>: false\n </p>\n <p>\n <b>type</b>: Logic Library \n <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/library-type code 'logic-library' = 'Logic Library', given as 'Logic Library'})</span>\n </p>\n <p>\n <b>date</b>: 26/03/2018 6:49:09 AM\n </p>\n <p>\n <b>publisher</b>: Centers for Disease Control and Prevention (CDC)\n </p>\n <p>\n <b>description</b>: Opioid Decision Support Logic for use in implementing CDC Opioid Prescribing Guidelines.\n </p>\n <p>\n <b>useContext</b>: , \n </p>\n <p>\n <b>jurisdiction</b>: United States of America \n <span style=\"background: LightGoldenRodYellow\">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span>\n </p>\n <p>\n <b>purpose</b>: This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution.\n </p>\n <p>\n <b>usage</b>: This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME.\n </p>\n <p>\n <b>copyright</b>: © CDC 2016+.\n </p>\n <p>\n <b>topic</b>: Opioid Prescribing \n <span style=\"background: LightGoldenRodYellow\">(Details )</span>\n </p>\n <p>\n <b>author</b>: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH: \n </p>\n <p>\n <b>relatedArtifact</b>: , , \n </p>\n <p>\n <b>dataRequirement</b>: \n </p>\n <p>\n <b>content</b>: \n </p>\n </div>" }, "identifier": [ { "use": "official", "value": "OpioidCDS_REC_05" } ], "version": "0.1.0", "title": "Opioid CDS Logic for recommendation #5", "status": "active", "experimental": false, "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/library-type", "code": "logic-library", "display": "Logic Library" } ] }, "date": "2018-03-25T13:49:09-06:00", "publisher": "Centers for Disease Control and Prevention (CDC)", "description": "Opioid Decision Support Logic for use in implementing CDC Opioid Prescribing Guidelines.", "useContext": [ { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "focus", "display": "Clinical Focus" }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "182888003", "display": "Medication requested (situation)" } ] } }, { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "focus", "display": "Clinical Focus" }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "82423001", "display": "Chronic pain (finding)" } ] } } ], "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US", "display": "United States of America" } ] } ], "purpose": "This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution.", "usage": "This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME.", "copyright": "© CDC 2016+.", "topic": [ { "text": "Opioid Prescribing" } ], "author": [ { "name": "Kensaku Kawamoto, MD, PhD, MHS" }, { "name": "Bryn Rhodes" }, { "name": "Floyd Eisenberg, MD, MPH" }, { "name": "Robert McClure, MD, MPH" } ], "relatedArtifact": [ { "type": "documentation", "display": "CDC guideline for prescribing opioids for chronic pain", "url": "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420" }, { "type": "depends-on", "resource": "http://example.org/fhir/Library/opioidcds-common" }, { "type": "documentation", "display": "MME Conversion Tables", "url": "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf" } ], "dataRequirement": [ { "id": "medications", "type": "MedicationRequest", "codeFilter": [ { "path": "status", "code": [ { "code": "active" } ] }, { "path": "category", "code": [ { "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code": "outpatient" } ] } ] } ], "content": [ { "contentType": "application/elm+xml", "data": "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="OpioidCDS_STU4" version="0.1.0"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.2.0"/>
   </usings>
   <includes>
      <def localIdentifier="MMECommon" path="OpioidCDS_STU4_Common" version="0.1.0"/>
   </includes>
   <parameters>
      <def name="UserID" accessLevel="Public">
         <parameterTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>
      </def>
      <def name="ContextPrescriptions" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="ListTypeSpecifier">
            <elementType name="fhir:MedicationRequest" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="Get Active Prescriptions" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="activeRx">
               <expression dataType="fhir:MedicationRequest" xsi:type="Retrieve"/>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand path="value" xsi:type="Property">
                     <source path="status" scope="activeRx" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="active" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="Equal">
                  <operand path="value" xsi:type="Property">
                     <source path="code" xsi:type="Property">
                        <source xsi:type="Indexer">
                           <operand xsi:type="Flatten">
                              <operand xsi:type="Query">
                                 <source alias="$this">
                                    <expression path="category" scope="activeRx" xsi:type="Property"/>
                                 </source>
                                 <where xsi:type="Not">
                                    <operand xsi:type="IsNull">
                                       <operand path="coding" xsi:type="Property">
                                          <source name="$this" xsi:type="AliasRef"/>
                                       </operand>
                                    </operand>
                                 </where>
                                 <return>
                                    <expression path="coding" xsi:type="Property">
                                       <source name="$this" xsi:type="AliasRef"/>
                                    </expression>
                                 </return>
                              </operand>
                           </operand>
                           <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                        </source>
                     </source>
                  </operand>
                  <operand valueType="t:String" value="outpatient" xsi:type="Literal"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Total MME" context="Patient" accessLevel="Public">
         <expression name="TotalMME" libraryName="MMECommon" xsi:type="FunctionRef">
            <operand xsi:type="Union">
               <operand name="ContextPrescriptions" xsi:type="ParameterRef"/>
               <operand name="Get Active Prescriptions" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Is MME 50 Or More?" context="Patient" accessLevel="Public">
         <expression xsi:type="GreaterOrEqual">
            <operand name="Total MME" xsi:type="ExpressionRef"/>
            <operand value="50" unit="mg/d" xsi:type="Quantity"/>
         </expression>
      </def>
      <def name="Get Indicator" context="Patient" accessLevel="Public">
         <expression valueType="t:String" value="warning" xsi:type="Literal"/>
      </def>
      <def name="Get Summary" context="Patient" accessLevel="Public">
         <expression xsi:type="Concatenate">
            <operand valueType="t:String" value="High risk for opioid overdose - " xsi:type="Literal"/>
            <operand xsi:type="Case">
               <caseItem>
                  <when xsi:type="GreaterOrEqual">
                     <operand path="value" xsi:type="Property">
                        <source name="Total MME" xsi:type="ExpressionRef"/>
                     </operand>
                     <operand xsi:type="ToDecimal">
                        <operand valueType="t:Integer" value="90" xsi:type="Literal"/>
                     </operand>
                  </when>
                  <then valueType="t:String" value="taper now" xsi:type="Literal"/>
               </caseItem>
               <else valueType="t:String" value="consider tapering" xsi:type="Literal"/>
            </operand>
         </expression>
      </def>
      <def name="Get Detail" context="Patient" accessLevel="Public">
         <expression xsi:type="Concatenate">
            <operand xsi:type="Concatenate">
               <operand valueType="t:String" value="Total morphine milligram equivalent (MME) is " xsi:type="Literal"/>
               <operand xsi:type="ToString">
                  <operand name="Total MME" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand valueType="t:String" value=". Taper to less than 50." xsi:type="Literal"/>
         </expression>
      </def>
   </statements>
</library>
" } ] }
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.