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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 8 Logic
{ "resourceType": "Library", "id": "opioidcds-recommendation-08", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h2>Participants</h2>\n <table class=\"grid\">\n <tr>\n <td>Author</td>\n <td>Kensaku Kawamoto, MD, PhD, MHS</td>\n </tr>\n <tr>\n <td>Author</td>\n <td>Bryn Rhodes</td>\n </tr>\n <tr>\n <td>Author</td>\n <td>Floyd Eisenberg, MD, MPH</td>\n </tr>\n <tr>\n <td>Author</td>\n <td>Robert McClure, MD, MPH</td>\n </tr>\n </table>\n <h2>Related Artifacts</h2>\n <table class=\"grid\">\n <tr>\n <td>Documentation</td>\n <td>CDC guideline for prescribing opioids for chronic pain</td>\n <td>https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420</td>\n </tr>\n <tr>\n <td>Depends On</td>\n <td/>\n <td>\n <code>http://example.org/fhir/Library/opioidcds-common</code>\n </td>\n </tr>\n <tr>\n <td>Documentation</td>\n <td>MME Conversion Tables</td>\n <td>https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf</td>\n </tr>\n </table>\n <h2>Data Requirements</h2>\n <table class=\"grid\">\n <tr>\n <td colspan=\"2\">\n <b>Type</b>: \n <a href=\"medicationrequest.html\">MedicationRequest</a>\n </td>\n </tr>\n <tr style=\"background-color: #efefef\">\n <td>Filter</td>\n <td>Value</td>\n </tr>\n <tr>\n <td>medicationCodeableConcept</td>\n <td>In ValueSet \n <a href=\"http://example.org/fhir/ValueSet/naloxone\">http://example.org/fhir/ValueSet/naloxone</a>\n </td>\n </tr>\n </table>\n <table class=\"grid\">\n <tr>\n <td colspan=\"2\">\n <b>Type</b>: \n <a href=\"medicationrequest.html\">MedicationRequest</a>\n </td>\n </tr>\n <tr style=\"background-color: #efefef\">\n <td>Filter</td>\n <td>Value</td>\n </tr>\n <tr>\n <td>medicationCodeableConcept</td>\n <td>In ValueSet \n <a href=\"http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care\">http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care</a>\n </td>\n </tr>\n </table>\n <table class=\"grid\">\n <tr>\n <td colspan=\"2\">\n <b>Type</b>: \n <a href=\"medicationrequest.html\">MedicationRequest</a>\n </td>\n </tr>\n <tr style=\"background-color: #efefef\">\n <td>Filter</td>\n <td>Value</td>\n </tr>\n <tr>\n <td>medicationCodeableConcept</td>\n <td>In ValueSet \n <a href=\"http://example.org/fhir/ValueSet/benzodiazepines\">http://example.org/fhir/ValueSet/benzodiazepines</a>\n </td>\n </tr>\n </table>\n <table class=\"grid\">\n <tr>\n <td colspan=\"2\">\n <b>Type</b>: \n <a href=\"condition.html\">Condition</a>\n </td>\n </tr>\n <tr style=\"background-color: #efefef\">\n <td>Filter</td>\n <td>Value</td>\n </tr>\n <tr>\n <td>code</td>\n <td>In ValueSet \n <a href=\"http://example.org/fhir/ValueSet/substance-abuse\">http://example.org/fhir/ValueSet/substance-abuse</a>\n </td>\n </tr>\n </table>\n <h2>Contents</h2>\n <p>\n <code>application/elm+xml</code>\n </p>\n <pre>\n <code class=\"language-xml\"><?xml version="1.0" encoding="UTF-8"?>\n<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">\n <annotation startLine="63" startChar="11" endLine="63" endChar="48" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <annotation startLine="63" startChar="11" endLine="63" endChar="48" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <annotation startLine="81" startChar="5" endLine="81" endChar="68" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <annotation startLine="81" startChar="5" endLine="81" endChar="68" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <annotation startLine="74" startChar="11" endLine="74" endChar="55" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <annotation startLine="74" startChar="11" endLine="74" endChar="55" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <annotation startLine="77" startChar="12" endLine="77" endChar="41" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>\n <identifier id="OpioidCDS_STU4_REC_08" version="0.1.0"/>\n <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>\n <usings>\n <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>\n <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.2.0"/>\n </usings>\n <includes>\n <def localIdentifier="Common" path="OpioidCDS_STU4_Common" version="0.1.0"/>\n </includes>\n <parameters>\n <def name="ContextPrescriptions" accessLevel="Public">\n <parameterTypeSpecifier xsi:type="ListTypeSpecifier">\n <elementType name="fhir:MedicationRequest" xsi:type="NamedTypeSpecifier"/>\n </parameterTypeSpecifier>\n </def>\n </parameters>\n <valueSets>\n <def name="Substance Abuse" id="TODO" accessLevel="Public"/>\n </valueSets>\n <statements>\n <def name="Patient" context="Patient">\n <expression xsi:type="SingletonFrom">\n <operand dataType="fhir:Patient" xsi:type="Retrieve"/>\n </expression>\n </def>\n <def name="Validate Trigger Event" context="Patient" accessLevel="Public">\n <expression xsi:type="Exists">\n <operand xsi:type="Query">\n <source alias="triggerScript">\n <expression name="ContextPrescriptions" xsi:type="ParameterRef"/>\n </source>\n <where name="IsOpioidWithAmbulatoryAbusePotential" libraryName="Common" xsi:type="FunctionRef">\n <operand name="ToCode" libraryName="Common" xsi:type="FunctionRef">\n <operand xsi:type="Indexer">\n <operand path="coding" xsi:type="Property">\n <source path="medication" scope="triggerScript" xsi:type="Property"/>\n </operand>\n <operand valueType="t:Integer" value="0" xsi:type="Literal"/>\n </operand>\n </operand>\n </where>\n </operand>\n </expression>\n </def>\n <def name="Exclusion Criteria" context="Patient" accessLevel="Public">\n <expression xsi:type="Exists">\n <operand dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">\n <codes name="Naloxone" libraryName="Common" xsi:type="ValueSetRef"/>\n </operand>\n </expression>\n </def>\n <def name="Get Active Ambulatory Opioid Rx" context="Patient" accessLevel="Public">\n <expression xsi:type="Union">\n <operand xsi:type="Query">\n <source alias="Rx">\n <expression dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">\n <codes name="Ambulatory Abuse Potential Opioids" libraryName="Common" xsi:type="ValueSetRef"/>\n </expression>\n </source>\n <where xsi:type="And">\n <operand xsi:type="Equal">\n <operand path="value" xsi:type="Property">\n <source path="status" scope="Rx" xsi:type="Property"/>\n </operand>\n <operand valueType="t:String" value="active" xsi:type="Literal"/>\n </operand>\n <operand xsi:type="Equal">\n <operand path="value" xsi:type="Property">\n <source path="code" xsi:type="Property">\n <source xsi:type="Indexer">\n <operand xsi:type="Flatten">\n <operand xsi:type="Query">\n <source alias="$this">\n <expression path="category" scope="Rx" xsi:type="Property"/>\n </source>\n <where xsi:type="Not">\n <operand xsi:type="IsNull">\n <operand path="coding" xsi:type="Property">\n <source name="$this" xsi:type="AliasRef"/>\n </operand>\n </operand>\n </where>\n <return>\n <expression path="coding" xsi:type="Property">\n <source name="$this" xsi:type="AliasRef"/>\n </expression>\n </return>\n </operand>\n </operand>\n <operand valueType="t:Integer" value="0" xsi:type="Literal"/>\n </source>\n </source>\n </operand>\n <operand valueType="t:String" value="outpatient" xsi:type="Literal"/>\n </operand>\n </where>\n </operand>\n <operand name="ContextPrescriptions" xsi:type="ParameterRef"/>\n </expression>\n </def>\n <def name="Average MME" context="Patient" accessLevel="Public">\n <expression name="TotalMME" libraryName="Common" xsi:type="FunctionRef">\n <operand name="Get Active Ambulatory Opioid Rx" xsi:type="ExpressionRef"/>\n </expression>\n </def>\n <def name="MME >= 50 mg/d?" context="Patient" accessLevel="Public">\n <expression xsi:type="If">\n <condition asType="t:Boolean" xsi:type="As">\n <operand xsi:type="IsNull">\n <operand name="Average MME" xsi:type="ExpressionRef"/>\n </operand>\n </condition>\n <then valueType="t:Boolean" value="false" xsi:type="Literal"/>\n <else xsi:type="GreaterOrEqual">\n <operand name="Average MME" xsi:type="ExpressionRef"/>\n <operand value="50" unit="mg/d" xsi:type="Quantity"/>\n </else>\n </expression>\n </def>\n <def name="On Benzodiazepine" context="Patient" accessLevel="Public">\n <expression xsi:type="Exists">\n <operand dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">\n <codes name="Benzodiazepines" libraryName="Common" xsi:type="ValueSetRef"/>\n </operand>\n </expression>\n </def>\n <def name="Inclusion Criteria" context="Patient" accessLevel="Public">\n <expression xsi:type="And">\n <operand xsi:type="And">\n <operand name="Validate Trigger Event" xsi:type="ExpressionRef"/>\n <operand xsi:type="Not">\n <operand name="Exclusion Criteria" xsi:type="ExpressionRef"/>\n </operand>\n </operand>\n <operand xsi:type="Or">\n <operand name="MME >= 50 mg/d?" xsi:type="ExpressionRef"/>\n <operand name="On Benzodiazepine" xsi:type="ExpressionRef"/>\n </operand>\n </expression>\n </def>\n <def name="Has Substance Abuse History" context="Patient" accessLevel="Public">\n <expression xsi:type="Exists">\n <operand dataType="fhir:Condition" codeProperty="code" xsi:type="Retrieve">\n <codes name="Substance Abuse" xsi:type="ValueSetRef"/>\n </operand>\n </expression>\n </def>\n <def name="Get Indicator" context="Patient" accessLevel="Public">\n <expression valueType="t:String" value="warning" xsi:type="Literal"/>\n </def>\n <def name="Get Summary" context="Patient" accessLevel="Public">\n <expression valueType="t:String" value="Incorporate into the management plan strategies to mitigate risk; including considering offering naloxone when factors that increase risk for opioid overdose are present" xsi:type="Literal"/>\n </def>\n <def name="Get Notification" context="Patient" accessLevel="Public">\n <expression xsi:type="Concatenate">\n <operand valueType="t:String" value="Consider offering naloxone given following risk factor(s) for opioid overdose: " xsi:type="Literal"/>\n <operand xsi:type="If">\n <condition asType="t:Boolean" xsi:type="As">\n <operand name="MME >= 50 mg/d?" xsi:type="ExpressionRef"/>\n </condition>\n <then xsi:type="Concatenate">\n <operand xsi:type="Concatenate">\n <operand valueType="t:String" value="Average MME (" xsi:type="Literal"/>\n <operand xsi:type="ToString">\n <operand name="Average MME" xsi:type="ExpressionRef"/>\n </operand>\n </operand>\n <operand valueType="t:String" value=") >= 50 mg/day, " xsi:type="Literal"/>\n </then>\n <else xsi:type="Concatenate">\n <operand valueType="t:String" value="" xsi:type="Literal"/>\n <operand xsi:type="If">\n <condition asType="t:Boolean" xsi:type="As">\n <operand name="On Benzodiazepine" xsi:type="ExpressionRef"/>\n </condition>\n <then valueType="t:String" value="concurrent use of benzodiazepine, " xsi:type="Literal"/>\n <else valueType="t:String" value="" xsi:type="Literal"/>\n </operand>\n </else>\n </operand>\n </expression>\n </def>\n </statements>\n</library>\n</code>\n </pre>\n </div>" }, "identifier": [ { "use": "official", "value": "OpioidCDS_REC_04" } ], "version": "0.1.0", "title": "Opioid CDS Logic for recommendation #4", "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 to consider offering Naloxone when factors that increase risk for opioid overdose are present.", "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": "The purpose of this library is to determine whether increased risks for opioid overdose are present.", "usage": "This library is used to recommend the prescriber/user to consider offering Naloxone when increased risks for opioid overdose are present.", "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": [ { "type": "MedicationRequest", "codeFilter": [ { "path": "medicationCodeableConcept", "valueSet": "http://example.org/fhir/ValueSet/naloxone" } ] }, { "type": "MedicationRequest", "codeFilter": [ { "path": "medicationCodeableConcept", "valueSet": "http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care" } ] }, { "type": "MedicationRequest", "codeFilter": [ { "path": "medicationCodeableConcept", "valueSet": "http://example.org/fhir/ValueSet/benzodiazepines" } ] }, { "type": "Condition", "codeFilter": [ { "path": "code", "valueSet": "http://example.org/fhir/ValueSet/substance-abuse" } ] } ], "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">
   <annotation startLine="63" startChar="11" endLine="63" endChar="48" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="63" startChar="11" endLine="63" endChar="48" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="81" startChar="5" endLine="81" endChar="68" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="81" startChar="5" endLine="81" endChar="68" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="74" startChar="11" endLine="74" endChar="55" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="74" startChar="11" endLine="74" endChar="55" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="77" startChar="12" endLine="77" endChar="41" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <identifier id="OpioidCDS_STU4_REC_08" 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="Common" path="OpioidCDS_STU4_Common" version="0.1.0"/>
   </includes>
   <parameters>
      <def name="ContextPrescriptions" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="ListTypeSpecifier">
            <elementType name="fhir:MedicationRequest" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <valueSets>
      <def name="Substance Abuse" id="TODO" accessLevel="Public"/>
   </valueSets>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="Validate Trigger Event" context="Patient" accessLevel="Public">
         <expression xsi:type="Exists">
            <operand xsi:type="Query">
               <source alias="triggerScript">
                  <expression name="ContextPrescriptions" xsi:type="ParameterRef"/>
               </source>
               <where name="IsOpioidWithAmbulatoryAbusePotential" libraryName="Common" xsi:type="FunctionRef">
                  <operand name="ToCode" libraryName="Common" xsi:type="FunctionRef">
                     <operand xsi:type="Indexer">
                        <operand path="coding" xsi:type="Property">
                           <source path="medication" scope="triggerScript" xsi:type="Property"/>
                        </operand>
                        <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                     </operand>
                  </operand>
               </where>
            </operand>
         </expression>
      </def>
      <def name="Exclusion Criteria" context="Patient" accessLevel="Public">
         <expression xsi:type="Exists">
            <operand dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">
               <codes name="Naloxone" libraryName="Common" xsi:type="ValueSetRef"/>
            </operand>
         </expression>
      </def>
      <def name="Get Active Ambulatory Opioid Rx" context="Patient" accessLevel="Public">
         <expression xsi:type="Union">
            <operand xsi:type="Query">
               <source alias="Rx">
                  <expression dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">
                     <codes name="Ambulatory Abuse Potential Opioids" libraryName="Common" xsi:type="ValueSetRef"/>
                  </expression>
               </source>
               <where xsi:type="And">
                  <operand xsi:type="Equal">
                     <operand path="value" xsi:type="Property">
                        <source path="status" scope="Rx" 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="Rx" 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>
            </operand>
            <operand name="ContextPrescriptions" xsi:type="ParameterRef"/>
         </expression>
      </def>
      <def name="Average MME" context="Patient" accessLevel="Public">
         <expression name="TotalMME" libraryName="Common" xsi:type="FunctionRef">
            <operand name="Get Active Ambulatory Opioid Rx" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def name="MME >= 50 mg/d?" context="Patient" accessLevel="Public">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand xsi:type="IsNull">
                  <operand name="Average MME" xsi:type="ExpressionRef"/>
               </operand>
            </condition>
            <then valueType="t:Boolean" value="false" xsi:type="Literal"/>
            <else xsi:type="GreaterOrEqual">
               <operand name="Average MME" xsi:type="ExpressionRef"/>
               <operand value="50" unit="mg/d" xsi:type="Quantity"/>
            </else>
         </expression>
      </def>
      <def name="On Benzodiazepine" context="Patient" accessLevel="Public">
         <expression xsi:type="Exists">
            <operand dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">
               <codes name="Benzodiazepines" libraryName="Common" xsi:type="ValueSetRef"/>
            </operand>
         </expression>
      </def>
      <def name="Inclusion Criteria" context="Patient" accessLevel="Public">
         <expression xsi:type="And">
            <operand xsi:type="And">
               <operand name="Validate Trigger Event" xsi:type="ExpressionRef"/>
               <operand xsi:type="Not">
                  <operand name="Exclusion Criteria" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand xsi:type="Or">
               <operand name="MME >= 50 mg/d?" xsi:type="ExpressionRef"/>
               <operand name="On Benzodiazepine" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Has Substance Abuse History" context="Patient" accessLevel="Public">
         <expression xsi:type="Exists">
            <operand dataType="fhir:Condition" codeProperty="code" xsi:type="Retrieve">
               <codes name="Substance Abuse" xsi:type="ValueSetRef"/>
            </operand>
         </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 valueType="t:String" value="Incorporate into the management plan strategies to mitigate risk; including considering offering naloxone when factors that increase risk for opioid overdose are present" xsi:type="Literal"/>
      </def>
      <def name="Get Notification" context="Patient" accessLevel="Public">
         <expression xsi:type="Concatenate">
            <operand valueType="t:String" value="Consider offering naloxone given following risk factor(s) for opioid overdose: " xsi:type="Literal"/>
            <operand xsi:type="If">
               <condition asType="t:Boolean" xsi:type="As">
                  <operand name="MME >= 50 mg/d?" xsi:type="ExpressionRef"/>
               </condition>
               <then xsi:type="Concatenate">
                  <operand xsi:type="Concatenate">
                     <operand valueType="t:String" value="Average MME (" xsi:type="Literal"/>
                     <operand xsi:type="ToString">
                        <operand name="Average MME" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand valueType="t:String" value=") >= 50 mg/day, " xsi:type="Literal"/>
               </then>
               <else xsi:type="Concatenate">
                  <operand valueType="t:String" value="" xsi:type="Literal"/>
                  <operand xsi:type="If">
                     <condition asType="t:Boolean" xsi:type="As">
                        <operand name="On Benzodiazepine" xsi:type="ExpressionRef"/>
                     </condition>
                     <then valueType="t:String" value="concurrent use of benzodiazepine, " xsi:type="Literal"/>
                     <else valueType="t:String" value="" xsi:type="Literal"/>
                  </operand>
               </else>
            </operand>
         </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.