Release 5 Preview #3

This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). 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

Plandefinition-opioidcds-10

Clinical Decision Support Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: Not linked to any 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

id: opioidcds-10

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10

identifier: id: cdc-opioid-guidance (OFFICIAL)

version: 0.1.0

name: cdc-opioid-10

title: CDC Opioid Prescribing Guideline Recommendation #10

type: ECA Rule

status: draft

date: 2017-04-23

publisher: Centers for Disease Control and Prevention (CDC)

description: 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.

useContext: ,

jurisdiction: 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: Providers should be aware if patients are taking other prescription drugs or illicit drugs that might increase their risk of an overdose.

topic: Opioid Prescribing

author: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH:

action
title: Annual Urine Screening Check
description: Patient has not had a urine screening in the past 12 months
documentation:
trigger:
Conditions
- Kind Expression
* applicability
DynamicValues
- Path Expression
* activity.extension
Actions
- Description
* Will perform urine screening
* Not for chronic pain management. Snooze 3 months

action
title: Positive Urine Screening Check
description: Patient has a urine screening testing positive for either unprescribed opioids or illicit drugs in the past 12 months
documentation:
Conditions
- Kind Expression
* applicability
action
action
action

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.