Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). 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

Example Library/opioidcds-common (XML)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

Raw XML (canonical form + also see XML Format Specification)

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Opioid CDS Common Library (id = "opioidcds-common")

<?xml version="1.0" encoding="UTF-8"?>

<Library xmlns="http://hl7.org/fhir">
  <id value="opioidcds-common"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> Participants</h2> 
      <table class="grid">
        <tr> 
          <td> Author</td> 
          <td> Kensaku Kawamoto, MD, PhD, MHS</td> 
        </tr> 
        <tr> 
          <td> Author</td> 
          <td> Bryn Rhodes</td> 
        </tr> 
        <tr> 
          <td> Author</td> 
          <td> Floyd Eisenberg, MD, MPH</td> 
        </tr> 
        <tr> 
          <td> Author</td> 
          <td> Robert McClure, MD, MPH</td> 
        </tr> 
      </table> 
      <h2> Related Artifacts</h2> 
      <table class="grid">
        <tr> 
          <td> Documentation</td> 
          <td> CDC guideline for prescribing opioids for chronic pain</td> 
          <td> 
            <p> 
              <code> 
                <a href="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chro
                nic-pain---united-states-2016#420">https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chro
                  nic-pain---united-states-2016#420</a> 
              </code>  (
              <code/>  )
            </p> 
          </td> 
        </tr> 
        <tr> 
          <td> Depends On</td> 
          <td/>  
          <td> 
            <code> http://example.org/fhir/Library/omtk-logic</code> 
          </td> 
        </tr> 
        <tr> 
          <td> Documentation</td> 
          <td> MME Conversion Tables</td> 
          <td> 
            <p> 
              <code> 
                <a href="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf">https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf</a> 
              </code>  (
              <code/>  )
            </p> 
          </td> 
        </tr> 
      </table> 
      <h2> Contents</h2> 
      <p> 
        <code> application/elm+xml</code> 
      </p> 
      <pre> 
        <code> &lt;?xml version=&quot;1.0&quot; encoding=&quot;UTF-8&quot;?&gt;
&lt;library xmlns=&quot;urn:hl7-org:elm:r1&quot; xmlns:t=&quot;urn:hl7-org:elm-types:r1&quot;
           xmlns:xsi=&quot;http://www.w3.org/2001/XMLSchema-instance&quot; xmlns:xsd=&quot;http://www.w3
          .org/2001/XMLSchema&quot; xmlns:fhir=&quot;http://hl7.org/fhir&quot; xmlns:qdm43=&quot;urn:hea
          lthit-gov:qdm:v4_3&quot; xmlns:qdm53=&quot;urn:healthit-gov:qdm:v5_3&quot; xmlns:a=&quot;urn:h
          l7-org:cql-annotations:r1&quot;&gt;
   &lt;identifier id=&quot;OpioidCDS_STU4_Common&quot; version=&quot;0.1.0&quot;/&gt;
   &lt;schemaIdentifier id=&quot;urn:hl7-org:elm&quot; version=&quot;r1&quot;/&gt;
   &lt;usings&gt;
      &lt;def localIdentifier=&quot;System&quot; uri=&quot;urn:hl7-org:elm-types:r1&quot;/&gt
          ;
      &lt;def localIdentifier=&quot;FHIR&quot; uri=&quot;http://hl7.org/fhir&quot;
           version=&quot;3.2.0&quot;/&gt;
   &lt;/usings&gt;
   &lt;includes&gt;
      &lt;def localIdentifier=&quot;OMTKLogic&quot; path=&quot;OMTKLogic&quot;
           version=&quot;0.1.0&quot;/&gt;
   &lt;/includes&gt;
   &lt;valueSets&gt;
      &lt;def name=&quot;Benzodiazepines&quot; id=&quot;benzodiazepines&quot; accessLevel=&qu
          ot;Public&quot;/&gt;
      &lt;def name=&quot;Naloxone&quot; id=&quot;naloxone&quot; accessLevel=&quot;Public&quot
          ;/&gt;
      &lt;def name=&quot;Ambulatory Abuse Potential Opioids&quot; id=&quot;opioids-abused-in-
          ambulatory-care&quot; accessLevel=&quot;Public&quot;/&gt;
      &lt;def name=&quot;End Of Life Opioids&quot; id=&quot;opioids-indicating-end-of-life&qu
          ot; accessLevel=&quot;Public&quot;/&gt;
      &lt;def name=&quot;Long Acting Opioids&quot; id=&quot;long-acting-opioids&quot;
           accessLevel=&quot;Public&quot;/&gt;
      &lt;def name=&quot;Illicit Drug Screening&quot; id=&quot;illicit-drug-urine-screening&q
          uot; accessLevel=&quot;Public&quot;/&gt;
      &lt;def name=&quot;Opioid Drug Screening&quot; id=&quot;opioid-urine-screening&quot;
           accessLevel=&quot;Public&quot;/&gt;
      &lt;def name=&quot;Opioids&quot; id=&quot;opioids&quot; accessLevel=&quot;Public&quot;/
          &gt;
      &lt;def name=&quot;Codeine Cough Meds&quot; id=&quot;opioids-codeine-cough-meds&quot;
           accessLevel=&quot;Public&quot;/&gt;
      &lt;def name=&quot;Short Acting Opioids&quot; id=&quot;short-acting-opioids&quot;
           accessLevel=&quot;Public&quot;/&gt;
   &lt;/valueSets&gt;
   &lt;statements&gt;
      &lt;def name=&quot;IsForChronicPain&quot; context=&quot;Patient&quot; accessLevel=&quot
          ;Public&quot;&gt;
         &lt;expression valueType=&quot;t:Boolean&quot; value=&quot;true&quot;
           xsi:type=&quot;Literal&quot;/&gt;
      &lt;/def&gt;
      &lt;def name=&quot;HasMetastaticCancer&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression valueType=&quot;t:Boolean&quot; value=&quot;false&quot;
           xsi:type=&quot;Literal&quot;/&gt;
      &lt;/def&gt;
      &lt;def name=&quot;ToCode&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&qu
          ot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression classType=&quot;t:Code&quot; xsi:type=&quot;Instance&quot;&gt;
            &lt;element name=&quot;code&quot;&gt;
               &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;code&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;coding&quot; xsi:type=&quot;OperandRef&quot;/&gt;
                  &lt;/source&gt;
               &lt;/value&gt;
            &lt;/element&gt;
            &lt;element name=&quot;system&quot;&gt;
               &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;system&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;coding&quot; xsi:type=&quot;OperandRef&quot;/&gt;
                  &lt;/source&gt;
               &lt;/value&gt;
            &lt;/element&gt;
            &lt;element name=&quot;version&quot;&gt;
               &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;version&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;coding&quot; xsi:type=&quot;OperandRef&quot;/&gt;
                  &lt;/source&gt;
               &lt;/value&gt;
            &lt;/element&gt;
            &lt;element name=&quot;display&quot;&gt;
               &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;display&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;coding&quot; xsi:type=&quot;OperandRef&quot;/&gt;
                  &lt;/source&gt;
               &lt;/value&gt;
            &lt;/element&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;coding&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;fhir:Coding&quot; xsi:type=&quot;NamedTypeSpe
          cifier&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;ToQuantity&quot; context=&quot;Patient&quot; accessLevel=&quot;Publi
          c&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression classType=&quot;t:Quantity&quot; xsi:type=&quot;Instance&quot;&gt;
            &lt;element name=&quot;value&quot;&gt;
               &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;quantity&quot; xsi:type=&quot;OperandRef&quot;/&gt
          ;
                  &lt;/source&gt;
               &lt;/value&gt;
            &lt;/element&gt;
            &lt;element name=&quot;unit&quot;&gt;
               &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;unit&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;quantity&quot; xsi:type=&quot;OperandRef&quot;/&gt
          ;
                  &lt;/source&gt;
               &lt;/value&gt;
            &lt;/element&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;quantity&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;fhir:Quantity&quot; xsi:type=&quot;NamedTypeS
          pecifier&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Prescriptions&quot; context=&quot;Patient&quot; accessLevel=&quot;Pu
          blic&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;O&quot;&gt;
               &lt;expression name=&quot;Orders&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;/source&gt;
            &lt;let identifier=&quot;rxNormCode&quot;&gt;
               &lt;expression name=&quot;ToCode&quot; xsi:type=&quot;FunctionRef&quot;&gt;
                  &lt;operand xsi:type=&quot;Indexer&quot;&gt;
                     &lt;operand path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;medication&quot; scope=&quot;O&quot;
           xsi:type=&quot;Property&quot;/&gt;
                     &lt;/operand&gt;
                     &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;medicationName&quot;&gt;
               &lt;expression name=&quot;GetMedicationName&quot; libraryName=&quot;OMTKLogic&
          quot; xsi:type=&quot;FunctionRef&quot;&gt;
                  &lt;operand name=&quot;rxNormCode&quot; xsi:type=&quot;QueryLetRef&quot;/&g
          t;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;dosageInstruction&quot;&gt;
               &lt;expression xsi:type=&quot;Indexer&quot;&gt;
                  &lt;operand path=&quot;dosageInstruction&quot; scope=&quot;O&quot;
           xsi:type=&quot;Property&quot;/&gt;
                  &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;repeat&quot;&gt;
               &lt;expression path=&quot;repeat&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;timing&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;dosageInstruction&quot; xsi:type=&quot;QueryLetRef
          &quot;/&gt;
                  &lt;/source&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;frequency&quot;&gt;
               &lt;expression xsi:type=&quot;Coalesce&quot;&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;frequencyMax&quot; xsi:type=&quot;Property&quot;&g
          t;
                        &lt;source name=&quot;repeat&quot; xsi:type=&quot;QueryLetRef&quot;/&
          gt;
                     &lt;/source&gt;
                  &lt;/operand&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;frequency&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source name=&quot;repeat&quot; xsi:type=&quot;QueryLetRef&quot;/&
          gt;
                     &lt;/source&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;period&quot;&gt;
               &lt;expression classType=&quot;t:Quantity&quot; xsi:type=&quot;Instance&quot;&
          gt;
                  &lt;element name=&quot;value&quot;&gt;
                     &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;period&quot; xsi:type=&quot;Property&quot;&gt;
                           &lt;source name=&quot;repeat&quot; xsi:type=&quot;QueryLetRef&quot
          ;/&gt;
                        &lt;/source&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;unit&quot;&gt;
                     &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;periodUnit&quot; xsi:type=&quot;Property&quot;&
          gt;
                           &lt;source name=&quot;repeat&quot; xsi:type=&quot;QueryLetRef&quot
          ;/&gt;
                        &lt;/source&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;doseDescription&quot;&gt;
               &lt;expression xsi:type=&quot;Coalesce&quot;&gt;
                  &lt;operand xsi:type=&quot;ToList&quot;&gt;
                     &lt;operand xsi:type=&quot;If&quot;&gt;
                        &lt;condition asType=&quot;t:Boolean&quot; xsi:type=&quot;As&quot;&gt
          ;
                           &lt;operand xsi:type=&quot;Is&quot;&gt;
                              &lt;operand path=&quot;dose&quot; xsi:type=&quot;Property&quot;
          &gt;
                                 &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                              &lt;/operand&gt;
                              &lt;isTypeSpecifier name=&quot;fhir:Range&quot; xsi:type=&quot;
          NamedTypeSpecifier&quot;/&gt;
                           &lt;/operand&gt;
                        &lt;/condition&gt;
                        &lt;then xsi:type=&quot;Concatenate&quot;&gt;
                           &lt;operand xsi:type=&quot;Concatenate&quot;&gt;
                              &lt;operand xsi:type=&quot;Concatenate&quot;&gt;
                                 &lt;operand xsi:type=&quot;ToString&quot;&gt;
                                    &lt;operand name=&quot;ToQuantity&quot; xsi:type=&quot;Fu
          nctionRef&quot;&gt;
                                       &lt;operand path=&quot;low&quot; xsi:type=&quot;Proper
          ty&quot;&gt;
                                          &lt;source path=&quot;dose&quot; xsi:type=&quot;Pro
          perty&quot;&gt;
                                             &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                          &lt;/source&gt;
                                       &lt;/operand&gt;
                                    &lt;/operand&gt;
                                 &lt;/operand&gt;
                                 &lt;operand valueType=&quot;t:String&quot; value=&quot;-&quo
          t; xsi:type=&quot;Literal&quot;/&gt;
                              &lt;/operand&gt;
                              &lt;operand xsi:type=&quot;ToString&quot;&gt;
                                 &lt;operand name=&quot;ToQuantity&quot; xsi:type=&quot;Funct
          ionRef&quot;&gt;
                                    &lt;operand path=&quot;high&quot; xsi:type=&quot;Property
          &quot;&gt;
                                       &lt;source path=&quot;dose&quot; xsi:type=&quot;Proper
          ty&quot;&gt;
                                          &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                       &lt;/source&gt;
                                    &lt;/operand&gt;
                                 &lt;/operand&gt;
                              &lt;/operand&gt;
                           &lt;/operand&gt;
                           &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&g
          t;
                              &lt;source path=&quot;unit&quot; xsi:type=&quot;Property&quot;&
          gt;
                                 &lt;source path=&quot;high&quot; xsi:type=&quot;Property&quo
          t;&gt;
                                    &lt;source path=&quot;dose&quot; xsi:type=&quot;Property&
          quot;&gt;
                                       &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                    &lt;/source&gt;
                                 &lt;/source&gt;
                              &lt;/source&gt;
                           &lt;/operand&gt;
                        &lt;/then&gt;
                        &lt;else xsi:type=&quot;ToString&quot;&gt;
                           &lt;operand name=&quot;ToQuantity&quot; xsi:type=&quot;FunctionRef
          &quot;&gt;
                              &lt;operand asType=&quot;fhir:Quantity&quot; xsi:type=&quot;As&
          quot;&gt;
                                 &lt;operand path=&quot;dose&quot; xsi:type=&quot;Property&qu
          ot;&gt;
                                    &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                 &lt;/operand&gt;
                              &lt;/operand&gt;
                           &lt;/operand&gt;
                        &lt;/else&gt;
                     &lt;/operand&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;frequencyDescription&quot;&gt;
               &lt;expression xsi:type=&quot;Concatenate&quot;&gt;
                  &lt;operand xsi:type=&quot;ToString&quot;&gt;
                     &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;frequency&quot; xsi:type=&quot;Property&quot;&g
          t;
                           &lt;source path=&quot;repeat&quot; xsi:type=&quot;Property&quot;&g
          t;
                              &lt;source path=&quot;timing&quot; xsi:type=&quot;Property&quot
          ;&gt;
                                 &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                              &lt;/source&gt;
                           &lt;/source&gt;
                        &lt;/source&gt;
                     &lt;/operand&gt;
                  &lt;/operand&gt;
                  &lt;operand xsi:type=&quot;Coalesce&quot;&gt;
                     &lt;operand xsi:type=&quot;Concatenate&quot;&gt;
                        &lt;operand valueType=&quot;t:String&quot; value=&quot;-&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                        &lt;operand xsi:type=&quot;ToString&quot;&gt;
                           &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&g
          t;
                              &lt;source path=&quot;frequencyMax&quot; xsi:type=&quot;Propert
          y&quot;&gt;
                                 &lt;source path=&quot;repeat&quot; xsi:type=&quot;Property&q
          uot;&gt;
                                    &lt;source path=&quot;timing&quot; xsi:type=&quot;Propert
          y&quot;&gt;
                                       &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                    &lt;/source&gt;
                                 &lt;/source&gt;
                              &lt;/source&gt;
                           &lt;/operand&gt;
                        &lt;/operand&gt;
                     &lt;/operand&gt;
                     &lt;operand valueType=&quot;t:String&quot; value=&quot;&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;return&gt;
               &lt;expression xsi:type=&quot;Tuple&quot;&gt;
                  &lt;element name=&quot;rxNormCode&quot;&gt;
                     &lt;value name=&quot;rxNormCode&quot; xsi:type=&quot;QueryLetRef&quot;/&
          gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;isDraft&quot;&gt;
                     &lt;value xsi:type=&quot;Equal&quot;&gt;
                        &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                           &lt;source path=&quot;status&quot; scope=&quot;O&quot;
           xsi:type=&quot;Property&quot;/&gt;
                        &lt;/operand&gt;
                        &lt;operand valueType=&quot;t:String&quot; value=&quot;draft&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;isPRN&quot;&gt;
                     &lt;value path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;asNeeded&quot; xsi:type=&quot;Property&quot;&gt
          ;
                           &lt;source name=&quot;dosageInstruction&quot; xsi:type=&quot;Query
          LetRef&quot;/&gt;
                        &lt;/source&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;prescription&quot;&gt;
                     &lt;value xsi:type=&quot;If&quot;&gt;
                        &lt;condition asType=&quot;t:Boolean&quot; xsi:type=&quot;As&quot;&gt
          ;
                           &lt;operand xsi:type=&quot;Not&quot;&gt;
                              &lt;operand xsi:type=&quot;IsNull&quot;&gt;
                                 &lt;operand path=&quot;text&quot; xsi:type=&quot;Property&qu
          ot;&gt;
                                    &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                 &lt;/operand&gt;
                              &lt;/operand&gt;
                           &lt;/operand&gt;
                        &lt;/condition&gt;
                        &lt;then xsi:type=&quot;Concatenate&quot;&gt;
                           &lt;operand xsi:type=&quot;Concatenate&quot;&gt;
                              &lt;operand name=&quot;medicationName&quot; xsi:type=&quot;Quer
          yLetRef&quot;/&gt;
                              &lt;operand valueType=&quot;t:String&quot; value=&quot;
           &quot; xsi:type=&quot;Literal&quot;/&gt;
                           &lt;/operand&gt;
                           &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&g
          t;
                              &lt;source path=&quot;text&quot; xsi:type=&quot;Property&quot;&
          gt;
                                 &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                              &lt;/source&gt;
                           &lt;/operand&gt;
                        &lt;/then&gt;
                        &lt;else xsi:type=&quot;Concatenate&quot;&gt;
                           &lt;operand xsi:type=&quot;Concatenate&quot;&gt;
                              &lt;operand xsi:type=&quot;Concatenate&quot;&gt;
                                 &lt;operand xsi:type=&quot;Concatenate&quot;&gt;
                                    &lt;operand xsi:type=&quot;Concatenate&quot;&gt;
                                       &lt;operand name=&quot;medicationName&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                       &lt;operand valueType=&quot;t:String&quot;
           value=&quot; &quot; xsi:type=&quot;Literal&quot;/&gt;
                                    &lt;/operand&gt;
                                    &lt;operand name=&quot;doseDescription&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                 &lt;/operand&gt;
                                 &lt;operand valueType=&quot;t:String&quot; value=&quot;
           q&quot; xsi:type=&quot;Literal&quot;/&gt;
                              &lt;/operand&gt;
                              &lt;operand name=&quot;frequencyDescription&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                           &lt;/operand&gt;
                           &lt;operand xsi:type=&quot;If&quot;&gt;
                              &lt;condition asType=&quot;t:Boolean&quot; xsi:type=&quot;As&qu
          ot;&gt;
                                 &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&q
          uot;&gt;
                                    &lt;source path=&quot;asNeeded&quot; xsi:type=&quot;Prope
          rty&quot;&gt;
                                       &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                                    &lt;/source&gt;
                                 &lt;/operand&gt;
                              &lt;/condition&gt;
                              &lt;then valueType=&quot;t:String&quot; value=&quot;
           PRN&quot; xsi:type=&quot;Literal&quot;/&gt;
                              &lt;else valueType=&quot;t:String&quot; value=&quot;&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                           &lt;/operand&gt;
                        &lt;/else&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;dose&quot;&gt;
                     &lt;value xsi:type=&quot;If&quot;&gt;
                        &lt;condition asType=&quot;t:Boolean&quot; xsi:type=&quot;As&quot;&gt
          ;
                           &lt;operand xsi:type=&quot;Is&quot;&gt;
                              &lt;operand path=&quot;dose&quot; xsi:type=&quot;Property&quot;
          &gt;
                                 &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                              &lt;/operand&gt;
                              &lt;isTypeSpecifier name=&quot;fhir:Range&quot; xsi:type=&quot;
          NamedTypeSpecifier&quot;/&gt;
                           &lt;/operand&gt;
                        &lt;/condition&gt;
                        &lt;then name=&quot;ToQuantity&quot; xsi:type=&quot;FunctionRef&quot;
          &gt;
                           &lt;operand path=&quot;high&quot; xsi:type=&quot;Property&quot;&gt
          ;
                              &lt;source path=&quot;dose&quot; xsi:type=&quot;Property&quot;&
          gt;
                                 &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                              &lt;/source&gt;
                           &lt;/operand&gt;
                        &lt;/then&gt;
                        &lt;else name=&quot;ToQuantity&quot; xsi:type=&quot;FunctionRef&quot;
          &gt;
                           &lt;operand asType=&quot;fhir:Quantity&quot; xsi:type=&quot;As&quo
          t;&gt;
                              &lt;operand path=&quot;dose&quot; xsi:type=&quot;Property&quot;
          &gt;
                                 &lt;source name=&quot;dosageInstruction&quot;
           xsi:type=&quot;QueryLetRef&quot;/&gt;
                              &lt;/operand&gt;
                           &lt;/operand&gt;
                        &lt;/else&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;dosesPerDay&quot;&gt;
                     &lt;value xsi:type=&quot;Coalesce&quot;&gt;
                        &lt;operand name=&quot;ToDaily&quot; libraryName=&quot;OMTKLogic&quot
          ; xsi:type=&quot;FunctionRef&quot;&gt;
                           &lt;operand name=&quot;frequency&quot; xsi:type=&quot;QueryLetRef&
          quot;/&gt;
                           &lt;operand name=&quot;period&quot; xsi:type=&quot;QueryLetRef&quo
          t;/&gt;
                        &lt;/operand&gt;
                        &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;1.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
               &lt;/expression&gt;
            &lt;/return&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;Orders&quot;&gt;
            &lt;operandTypeSpecifier xsi:type=&quot;ListTypeSpecifier&quot;&gt;
               &lt;elementType name=&quot;fhir:MedicationRequest&quot; xsi:type=&quot;NamedTy
          peSpecifier&quot;/&gt;
            &lt;/operandTypeSpecifier&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;MME&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;
           xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;P&quot;&gt;
               &lt;expression name=&quot;Prescriptions&quot; xsi:type=&quot;FunctionRef&quot;
          &gt;
                  &lt;operand name=&quot;prescriptions&quot; xsi:type=&quot;OperandRef&quot;/
          &gt;
               &lt;/expression&gt;
            &lt;/source&gt;
            &lt;let identifier=&quot;mme&quot;&gt;
               &lt;expression xsi:type=&quot;SingletonFrom&quot;&gt;
                  &lt;operand name=&quot;CalculateMMEs&quot; libraryName=&quot;OMTKLogic&quot
          ; xsi:type=&quot;FunctionRef&quot;&gt;
                     &lt;operand xsi:type=&quot;List&quot;&gt;
                        &lt;element xsi:type=&quot;Tuple&quot;&gt;
                           &lt;element name=&quot;rxNormCode&quot;&gt;
                              &lt;value path=&quot;rxNormCode&quot; scope=&quot;P&quot;
           xsi:type=&quot;Property&quot;/&gt;
                           &lt;/element&gt;
                           &lt;element name=&quot;doseQuantity&quot;&gt;
                              &lt;value path=&quot;dose&quot; scope=&quot;P&quot;
           xsi:type=&quot;Property&quot;/&gt;
                           &lt;/element&gt;
                           &lt;element name=&quot;dosesPerDay&quot;&gt;
                              &lt;value path=&quot;dosesPerDay&quot; scope=&quot;P&quot;
           xsi:type=&quot;Property&quot;/&gt;
                           &lt;/element&gt;
                        &lt;/element&gt;
                     &lt;/operand&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;return&gt;
               &lt;expression xsi:type=&quot;Tuple&quot;&gt;
                  &lt;element name=&quot;rxNormCode&quot;&gt;
                     &lt;value path=&quot;rxNormCode&quot; scope=&quot;P&quot;
           xsi:type=&quot;Property&quot;/&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;isDraft&quot;&gt;
                     &lt;value path=&quot;isDraft&quot; scope=&quot;P&quot; xsi:type=&quot;Pr
          operty&quot;/&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;isPRN&quot;&gt;
                     &lt;value path=&quot;isPRN&quot; scope=&quot;P&quot; xsi:type=&quot;Prop
          erty&quot;/&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;prescription&quot;&gt;
                     &lt;value path=&quot;prescription&quot; scope=&quot;P&quot;
           xsi:type=&quot;Property&quot;/&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;dailyDose&quot;&gt;
                     &lt;value path=&quot;dailyDoseDescription&quot; xsi:type=&quot;Property&
          quot;&gt;
                        &lt;source name=&quot;mme&quot; xsi:type=&quot;QueryLetRef&quot;/&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;conversionFactor&quot;&gt;
                     &lt;value path=&quot;conversionFactor&quot; xsi:type=&quot;Property&quot
          ;&gt;
                        &lt;source name=&quot;mme&quot; xsi:type=&quot;QueryLetRef&quot;/&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
                  &lt;element name=&quot;mme&quot;&gt;
                     &lt;value path=&quot;mme&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source name=&quot;mme&quot; xsi:type=&quot;QueryLetRef&quot;/&gt;
                     &lt;/value&gt;
                  &lt;/element&gt;
               &lt;/expression&gt;
            &lt;/return&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;prescriptions&quot;&gt;
            &lt;operandTypeSpecifier xsi:type=&quot;ListTypeSpecifier&quot;&gt;
               &lt;elementType name=&quot;fhir:MedicationRequest&quot; xsi:type=&quot;NamedTy
          peSpecifier&quot;/&gt;
            &lt;/operandTypeSpecifier&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;TotalMME&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&
          quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression classType=&quot;t:Quantity&quot; xsi:type=&quot;Instance&quot;&gt;
            &lt;element name=&quot;value&quot;&gt;
               &lt;value xsi:type=&quot;Sum&quot;&gt;
                  &lt;source xsi:type=&quot;Query&quot;&gt;
                     &lt;source alias=&quot;M&quot;&gt;
                        &lt;expression name=&quot;MME&quot; xsi:type=&quot;FunctionRef&quot;&
          gt;
                           &lt;operand name=&quot;prescriptions&quot; xsi:type=&quot;OperandR
          ef&quot;/&gt;
                        &lt;/expression&gt;
                     &lt;/source&gt;
                     &lt;return&gt;
                        &lt;expression path=&quot;value&quot; xsi:type=&quot;Property&quot;&g
          t;
                           &lt;source path=&quot;mme&quot; scope=&quot;M&quot;
           xsi:type=&quot;Property&quot;/&gt;
                        &lt;/expression&gt;
                     &lt;/return&gt;
                  &lt;/source&gt;
               &lt;/value&gt;
            &lt;/element&gt;
            &lt;element name=&quot;unit&quot;&gt;
               &lt;value valueType=&quot;t:String&quot; value=&quot;mg/d&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/element&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;prescriptions&quot;&gt;
            &lt;operandTypeSpecifier xsi:type=&quot;ListTypeSpecifier&quot;&gt;
               &lt;elementType name=&quot;fhir:MedicationRequest&quot; xsi:type=&quot;NamedTy
          peSpecifier&quot;/&gt;
            &lt;/operandTypeSpecifier&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;GetPeriodDays&quot; context=&quot;Patient&quot; accessLevel=&quot;Pu
          blic&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;Case&quot;&gt;
            &lt;caseItem&gt;
               &lt;when xsi:type=&quot;StartsWith&quot;&gt;
                  &lt;operand name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;year&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/when&gt;
               &lt;then valueType=&quot;t:Decimal&quot; value=&quot;365.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when xsi:type=&quot;StartsWith&quot;&gt;
                  &lt;operand name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;month&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/when&gt;
               &lt;then valueType=&quot;t:Decimal&quot; value=&quot;30.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when xsi:type=&quot;StartsWith&quot;&gt;
                  &lt;operand name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;hour&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/when&gt;
               &lt;then xsi:type=&quot;Divide&quot;&gt;
                  &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;1.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                  &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;24.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/then&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when xsi:type=&quot;StartsWith&quot;&gt;
                  &lt;operand name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;minute&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/when&gt;
               &lt;then xsi:type=&quot;Multiply&quot;&gt;
                  &lt;operand xsi:type=&quot;Divide&quot;&gt;
                     &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;1.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                     &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;24.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                  &lt;/operand&gt;
                  &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;60.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/then&gt;
            &lt;/caseItem&gt;
            &lt;else valueType=&quot;t:Decimal&quot; value=&quot;1.0&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;value&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:String&quot; xsi:type=&quot;NamedTypeSpecif
          ier&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;GetDurationInDays&quot; context=&quot;Patient&quot; accessLevel=&quo
          t;Public&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;Case&quot;&gt;
            &lt;caseItem&gt;
               &lt;when xsi:type=&quot;StartsWith&quot;&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;unit&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt
          ;
                     &lt;/source&gt;
                  &lt;/operand&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;year&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/when&gt;
               &lt;then xsi:type=&quot;Multiply&quot;&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt
          ;
                     &lt;/source&gt;
                  &lt;/operand&gt;
                  &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;365.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/then&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when xsi:type=&quot;StartsWith&quot;&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;unit&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt
          ;
                     &lt;/source&gt;
                  &lt;/operand&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;month&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/when&gt;
               &lt;then xsi:type=&quot;Multiply&quot;&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt
          ;
                     &lt;/source&gt;
                  &lt;/operand&gt;
                  &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;30.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/then&gt;
            &lt;/caseItem&gt;
            &lt;else path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
               &lt;source path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
               &lt;/source&gt;
            &lt;/else&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;value&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;fhir:Duration&quot; xsi:type=&quot;NamedTypeS
          pecifier&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;ProbableDaysInRange&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;orders&quot;&gt;
               &lt;expression name=&quot;Orders&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;/source&gt;
            &lt;let identifier=&quot;frequency&quot;&gt;
               &lt;expression path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;frequency&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;repeat&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;timing&quot; xsi:type=&quot;Property&quot;&gt;
                           &lt;source xsi:type=&quot;Indexer&quot;&gt;
                              &lt;operand path=&quot;dosageInstruction&quot; scope=&quot;orde
          rs&quot; xsi:type=&quot;Property&quot;/&gt;
                              &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                           &lt;/source&gt;
                        &lt;/source&gt;
                     &lt;/source&gt;
                  &lt;/source&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;period&quot;&gt;
               &lt;expression path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;period&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;repeat&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;timing&quot; xsi:type=&quot;Property&quot;&gt;
                           &lt;source xsi:type=&quot;Indexer&quot;&gt;
                              &lt;operand path=&quot;dosageInstruction&quot; scope=&quot;orde
          rs&quot; xsi:type=&quot;Property&quot;/&gt;
                              &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                           &lt;/source&gt;
                        &lt;/source&gt;
                     &lt;/source&gt;
                  &lt;/source&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;periodDays&quot;&gt;
               &lt;expression name=&quot;GetPeriodDays&quot; xsi:type=&quot;FunctionRef&quot;
          &gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;periodUnit&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;repeat&quot; xsi:type=&quot;Property&quot;&gt;
                           &lt;source path=&quot;timing&quot; xsi:type=&quot;Property&quot;&g
          t;
                              &lt;source xsi:type=&quot;Indexer&quot;&gt;
                                 &lt;operand path=&quot;dosageInstruction&quot;
           scope=&quot;orders&quot; xsi:type=&quot;Property&quot;/&gt;
                                 &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&qu
          ot; xsi:type=&quot;Literal&quot;/&gt;
                              &lt;/source&gt;
                           &lt;/source&gt;
                        &lt;/source&gt;
                     &lt;/source&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;dosesPerDay&quot;&gt;
               &lt;expression xsi:type=&quot;If&quot;&gt;
                  &lt;condition asType=&quot;t:Boolean&quot; xsi:type=&quot;As&quot;&gt;
                     &lt;operand xsi:type=&quot;GreaterOrEqual&quot;&gt;
                        &lt;operand xsi:type=&quot;Divide&quot;&gt;
                           &lt;operand xsi:type=&quot;ToDecimal&quot;&gt;
                              &lt;operand name=&quot;frequency&quot; xsi:type=&quot;QueryLetR
          ef&quot;/&gt;
                           &lt;/operand&gt;
                           &lt;operand xsi:type=&quot;Multiply&quot;&gt;
                              &lt;operand name=&quot;period&quot; xsi:type=&quot;QueryLetRef&
          quot;/&gt;
                              &lt;operand name=&quot;periodDays&quot; xsi:type=&quot;QueryLet
          Ref&quot;/&gt;
                           &lt;/operand&gt;
                        &lt;/operand&gt;
                        &lt;operand valueType=&quot;t:Decimal&quot; value=&quot;1.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                     &lt;/operand&gt;
                  &lt;/condition&gt;
                  &lt;then valueType=&quot;t:Decimal&quot; value=&quot;1.0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                  &lt;else xsi:type=&quot;Divide&quot;&gt;
                     &lt;operand xsi:type=&quot;ToDecimal&quot;&gt;
                        &lt;operand name=&quot;frequency&quot; xsi:type=&quot;QueryLetRef&quo
          t;/&gt;
                     &lt;/operand&gt;
                     &lt;operand xsi:type=&quot;Multiply&quot;&gt;
                        &lt;operand name=&quot;period&quot; xsi:type=&quot;QueryLetRef&quot;/
          &gt;
                        &lt;operand name=&quot;periodDays&quot; xsi:type=&quot;QueryLetRef&qu
          ot;/&gt;
                     &lt;/operand&gt;
                  &lt;/else&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;repeat&quot;&gt;
               &lt;expression path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                  &lt;source path=&quot;numberOfRepeatsAllowed&quot; xsi:type=&quot;Property&
          quot;&gt;
                     &lt;source path=&quot;dispenseRequest&quot; scope=&quot;orders&quot;
           xsi:type=&quot;Property&quot;/&gt;
                  &lt;/source&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;supplyDuration&quot;&gt;
               &lt;expression name=&quot;GetDurationInDays&quot; xsi:type=&quot;FunctionRef&q
          uot;&gt;
                  &lt;operand path=&quot;expectedSupplyDuration&quot; xsi:type=&quot;Property
          &quot;&gt;
                     &lt;source path=&quot;dispenseRequest&quot; scope=&quot;orders&quot;
           xsi:type=&quot;Property&quot;/&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;validityPeriod&quot;&gt;
               &lt;expression precision=&quot;Day&quot; xsi:type=&quot;DurationBetween&quot;&
          gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;start&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;validityPeriod&quot; xsi:type=&quot;Property&qu
          ot;&gt;
                           &lt;source path=&quot;dispenseRequest&quot; scope=&quot;orders&quo
          t; xsi:type=&quot;Property&quot;/&gt;
                        &lt;/source&gt;
                     &lt;/source&gt;
                  &lt;/operand&gt;
                  &lt;operand xsi:type=&quot;Today&quot;/&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;let identifier=&quot;endDifference&quot;&gt;
               &lt;expression xsi:type=&quot;If&quot;&gt;
                  &lt;condition asType=&quot;t:Boolean&quot; xsi:type=&quot;As&quot;&gt;
                     &lt;operand xsi:type=&quot;Less&quot;&gt;
                        &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                           &lt;source path=&quot;end&quot; xsi:type=&quot;Property&quot;&gt;
                              &lt;source path=&quot;validityPeriod&quot; xsi:type=&quot;Prope
          rty&quot;&gt;
                                 &lt;source path=&quot;dispenseRequest&quot; scope=&quot;orde
          rs&quot; xsi:type=&quot;Property&quot;/&gt;
                              &lt;/source&gt;
                           &lt;/source&gt;
                        &lt;/operand&gt;
                        &lt;operand xsi:type=&quot;Today&quot;/&gt;
                     &lt;/operand&gt;
                  &lt;/condition&gt;
                  &lt;then precision=&quot;Day&quot; xsi:type=&quot;DurationBetween&quot;&gt;
                     &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source path=&quot;end&quot; xsi:type=&quot;Property&quot;&gt;
                           &lt;source path=&quot;validityPeriod&quot; xsi:type=&quot;Property
          &quot;&gt;
                              &lt;source path=&quot;dispenseRequest&quot; scope=&quot;orders&
          quot; xsi:type=&quot;Property&quot;/&gt;
                           &lt;/source&gt;
                        &lt;/source&gt;
                     &lt;/operand&gt;
                     &lt;operand xsi:type=&quot;Today&quot;/&gt;
                  &lt;/then&gt;
                  &lt;else valueType=&quot;t:Integer&quot; value=&quot;0&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/expression&gt;
            &lt;/let&gt;
            &lt;return&gt;
               &lt;expression xsi:type=&quot;GreaterOrEqual&quot;&gt;
                  &lt;operand xsi:type=&quot;Multiply&quot;&gt;
                     &lt;operand xsi:type=&quot;Multiply&quot;&gt;
                        &lt;operand name=&quot;dosesPerDay&quot; xsi:type=&quot;QueryLetRef&q
          uot;/&gt;
                        &lt;operand xsi:type=&quot;Divide&quot;&gt;
                           &lt;operand xsi:type=&quot;Multiply&quot;&gt;
                              &lt;operand xsi:type=&quot;ToDecimal&quot;&gt;
                                 &lt;operand name=&quot;repeat&quot; xsi:type=&quot;QueryLetR
          ef&quot;/&gt;
                              &lt;/operand&gt;
                              &lt;operand name=&quot;supplyDuration&quot; xsi:type=&quot;Quer
          yLetRef&quot;/&gt;
                           &lt;/operand&gt;
                           &lt;operand xsi:type=&quot;ToDecimal&quot;&gt;
                              &lt;operand name=&quot;validityPeriod&quot; xsi:type=&quot;Quer
          yLetRef&quot;/&gt;
                           &lt;/operand&gt;
                        &lt;/operand&gt;
                     &lt;/operand&gt;
                     &lt;operand xsi:type=&quot;ToDecimal&quot;&gt;
                        &lt;operand xsi:type=&quot;Subtract&quot;&gt;
                           &lt;operand name=&quot;daysPast&quot; xsi:type=&quot;OperandRef&qu
          ot;/&gt;
                           &lt;operand name=&quot;endDifference&quot; xsi:type=&quot;QueryLet
          Ref&quot;/&gt;
                        &lt;/operand&gt;
                     &lt;/operand&gt;
                  &lt;/operand&gt;
                  &lt;operand xsi:type=&quot;ToDecimal&quot;&gt;
                     &lt;operand name=&quot;numDaysInDaysPast&quot; xsi:type=&quot;OperandRef
          &quot;/&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/return&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;Orders&quot;&gt;
            &lt;operandTypeSpecifier xsi:type=&quot;ListTypeSpecifier&quot;&gt;
               &lt;elementType name=&quot;fhir:MedicationRequest&quot; xsi:type=&quot;NamedTy
          peSpecifier&quot;/&gt;
            &lt;/operandTypeSpecifier&gt;
         &lt;/operand&gt;
         &lt;operand name=&quot;daysPast&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Integer&quot; xsi:type=&quot;NamedTypeSpeci
          fier&quot;/&gt;
         &lt;/operand&gt;
         &lt;operand name=&quot;numDaysInDaysPast&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Integer&quot; xsi:type=&quot;NamedTypeSpeci
          fier&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;IsNaloxone&quot; context=&quot;Patient&quot; accessLevel=&quot;Publi
          c&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;InValueSet&quot;&gt;
            &lt;code name=&quot;rxNormCode&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;valueset name=&quot;Naloxone&quot;/&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;rxNormCode&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Code&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;IsBenzodiazepine&quot; context=&quot;Patient&quot; accessLevel=&quot
          ;Public&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;InValueSet&quot;&gt;
            &lt;code name=&quot;rxNormCode&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;valueset name=&quot;Benzodiazepines&quot;/&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;rxNormCode&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Code&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;IsOpioidWithAmbulatoryAbusePotential&quot; context=&quot;Patient&quo
          t; accessLevel=&quot;Public&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;InValueSet&quot;&gt;
            &lt;code name=&quot;rxNormCode&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;valueset name=&quot;Ambulatory Abuse Potential Opioids&quot;/&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;rxNormCode&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Code&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;IsLongActingOpioid&quot; context=&quot;Patient&quot; accessLevel=&qu
          ot;Public&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;InValueSet&quot;&gt;
            &lt;code name=&quot;rxNormCode&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;valueset name=&quot;Long Acting Opioids&quot;/&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;rxNormCode&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Code&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;IsEndOfLifeOpioid&quot; context=&quot;Patient&quot; accessLevel=&quo
          t;Public&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;InValueSet&quot;&gt;
            &lt;code name=&quot;rxNormCode&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;valueset name=&quot;End Of Life Opioids&quot;/&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;rxNormCode&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Code&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;IsOpioidDrugScreen&quot; context=&quot;Patient&quot; accessLevel=&qu
          ot;Public&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;InValueSet&quot;&gt;
            &lt;code name=&quot;observationCode&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;valueset name=&quot;Opioid Drug Screening&quot;/&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;observationCode&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Code&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;IsIllicitDrugScreen&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;InValueSet&quot;&gt;
            &lt;code name=&quot;observationCode&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;valueset name=&quot;Illicit Drug Screening&quot;/&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;observationCode&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Code&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;GetIngredient&quot; context=&quot;Patient&quot; accessLevel=&quot;Pu
          blic&quot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;$this&quot;&gt;
               &lt;expression name=&quot;GetIngredients&quot; libraryName=&quot;OMTKLogic&quo
          t; xsi:type=&quot;FunctionRef&quot;&gt;
                  &lt;operand name=&quot;rxNormCode&quot; xsi:type=&quot;OperandRef&quot;/&gt
          ;
               &lt;/expression&gt;
            &lt;/source&gt;
            &lt;where xsi:type=&quot;Not&quot;&gt;
               &lt;operand xsi:type=&quot;IsNull&quot;&gt;
                  &lt;operand path=&quot;ingredientName&quot; xsi:type=&quot;Property&quot;&g
          t;
                     &lt;source name=&quot;$this&quot; xsi:type=&quot;AliasRef&quot;/&gt;
                  &lt;/operand&gt;
               &lt;/operand&gt;
            &lt;/where&gt;
            &lt;return&gt;
               &lt;expression path=&quot;ingredientName&quot; xsi:type=&quot;Property&quot;&g
          t;
                  &lt;source name=&quot;$this&quot; xsi:type=&quot;AliasRef&quot;/&gt;
               &lt;/expression&gt;
            &lt;/return&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;rxNormCode&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:Code&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
   &lt;/statements&gt;
&lt;/library&gt;
</code> 
      </pre> 
    </div> 
  </text> 
  <identifier> 
    <use value="official"/> 
    <value value="OpioidCDS_Common"/> 
  </identifier> 
  <version value="0.1.0"/> 
  <title value="Opioid CDS Common Logic"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <type> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/> 
      <code value="logic-library"/> 
      <display value="Logic Library"/> 
    </coding> 
  </type> 
  <date value="2018-03-25T13:49:09-06:00"/> 
  <publisher value="Centers for Disease Control and Prevention (CDC)"/> 
  <description value="Common Opioid Decision Support Logic for use in implementing CDC Opioid Prescribing
   Guidelines."/> 
  <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="This library contains common logic across recommendations including MME calculations,
   conversions, and looking up codes in valuesets."/> 
  <usage value="This library is used for decision support for opioid guideline recommendations
   when applying PlanDefinitions."/> 
  <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"/> 
    <document> 
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chro
      nic-pain---united-states-2016#420"/> 
    </document> 
  </relatedArtifact> 
  <relatedArtifact> 
    <type value="depends-on"/> 
    <resource value="http://example.org/fhir/Library/omtk-logic"/> 
  </relatedArtifact> 
  <relatedArtifact> 
    <type value="documentation"/> 
    <display value="MME Conversion Tables"/> 
    <document> 
      <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/> 
    </document> 
  </relatedArtifact> 
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  </content> 
</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.