Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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-recommendation-05 (Turtle)

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

Raw Turtle (+ also see Turtle/RDF Format Specification)

Opioid CDS Recommendation 5 Logic

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

[a fhir:Library;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "opioidcds-recommendation-05"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>\n            <p>\n              <code>\n                <a href=\"https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420\">https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420</a>\n              </code> (\n              <code/>)\n            </p>\n          </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>\n            <p>\n              <code>\n                <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>\n              </code> (\n              <code/>)\n            </p>\n          </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>status</td>\n          <td>One of these codes: [not stated] active: active</td>\n        </tr>\n        <tr>\n          <td>category</td>\n          <td>One of these codes: \n            <a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-medicationrequest-category.html#medicationrequest-category-outpatient\">MedicationRequest Category Codes</a> outpatient: Outpatient\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\">&lt;?xml version=&quot;1.0&quot; encoding=&quot;UTF-8&quot;?&gt;\n&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:healthit-gov:qdm:v4_3&quot; xmlns:qdm53=&quot;urn:healthit-gov:qdm:v5_3&quot; xmlns:a=&quot;urn:hl7-org:cql-annotations:r1&quot;&gt;\n   &lt;identifier id=&quot;OpioidCDS_STU4&quot; version=&quot;0.1.0&quot;/&gt;\n   &lt;schemaIdentifier id=&quot;urn:hl7-org:elm&quot; version=&quot;r1&quot;/&gt;\n   &lt;usings&gt;\n      &lt;def localIdentifier=&quot;System&quot; uri=&quot;urn:hl7-org:elm-types:r1&quot;/&gt;\n      &lt;def localIdentifier=&quot;FHIR&quot; uri=&quot;http://hl7.org/fhir&quot; version=&quot;3.2.0&quot;/&gt;\n   &lt;/usings&gt;\n   &lt;includes&gt;\n      &lt;def localIdentifier=&quot;MMECommon&quot; path=&quot;OpioidCDS_STU4_Common&quot; version=&quot;0.1.0&quot;/&gt;\n   &lt;/includes&gt;\n   &lt;parameters&gt;\n      &lt;def name=&quot;UserID&quot; accessLevel=&quot;Public&quot;&gt;\n         &lt;parameterTypeSpecifier name=&quot;t:String&quot; xsi:type=&quot;NamedTypeSpecifier&quot;/&gt;\n      &lt;/def&gt;\n      &lt;def name=&quot;ContextPrescriptions&quot; accessLevel=&quot;Public&quot;&gt;\n         &lt;parameterTypeSpecifier xsi:type=&quot;ListTypeSpecifier&quot;&gt;\n            &lt;elementType name=&quot;fhir:MedicationRequest&quot; xsi:type=&quot;NamedTypeSpecifier&quot;/&gt;\n         &lt;/parameterTypeSpecifier&gt;\n      &lt;/def&gt;\n   &lt;/parameters&gt;\n   &lt;statements&gt;\n      &lt;def name=&quot;Patient&quot; context=&quot;Patient&quot;&gt;\n         &lt;expression xsi:type=&quot;SingletonFrom&quot;&gt;\n            &lt;operand dataType=&quot;fhir:Patient&quot; xsi:type=&quot;Retrieve&quot;/&gt;\n         &lt;/expression&gt;\n      &lt;/def&gt;\n      &lt;def name=&quot;Get Active Prescriptions&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;&gt;\n         &lt;expression xsi:type=&quot;Query&quot;&gt;\n            &lt;source alias=&quot;activeRx&quot;&gt;\n               &lt;expression dataType=&quot;fhir:MedicationRequest&quot; xsi:type=&quot;Retrieve&quot;/&gt;\n            &lt;/source&gt;\n            &lt;where xsi:type=&quot;And&quot;&gt;\n               &lt;operand xsi:type=&quot;Equal&quot;&gt;\n                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;\n                     &lt;source path=&quot;status&quot; scope=&quot;activeRx&quot; xsi:type=&quot;Property&quot;/&gt;\n                  &lt;/operand&gt;\n                  &lt;operand valueType=&quot;t:String&quot; value=&quot;active&quot; xsi:type=&quot;Literal&quot;/&gt;\n               &lt;/operand&gt;\n               &lt;operand xsi:type=&quot;Equal&quot;&gt;\n                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;\n                     &lt;source path=&quot;code&quot; xsi:type=&quot;Property&quot;&gt;\n                        &lt;source xsi:type=&quot;Indexer&quot;&gt;\n                           &lt;operand xsi:type=&quot;Flatten&quot;&gt;\n                              &lt;operand xsi:type=&quot;Query&quot;&gt;\n                                 &lt;source alias=&quot;$this&quot;&gt;\n                                    &lt;expression path=&quot;category&quot; scope=&quot;activeRx&quot; xsi:type=&quot;Property&quot;/&gt;\n                                 &lt;/source&gt;\n                                 &lt;where xsi:type=&quot;Not&quot;&gt;\n                                    &lt;operand xsi:type=&quot;IsNull&quot;&gt;\n                                       &lt;operand path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;\n                                          &lt;source name=&quot;$this&quot; xsi:type=&quot;AliasRef&quot;/&gt;\n                                       &lt;/operand&gt;\n                                    &lt;/operand&gt;\n                                 &lt;/where&gt;\n                                 &lt;return&gt;\n                                    &lt;expression path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;\n                                       &lt;source name=&quot;$this&quot; xsi:type=&quot;AliasRef&quot;/&gt;\n                                    &lt;/expression&gt;\n                                 &lt;/return&gt;\n                              &lt;/operand&gt;\n                           &lt;/operand&gt;\n                           &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&quot; xsi:type=&quot;Literal&quot;/&gt;\n                        &lt;/source&gt;\n                     &lt;/source&gt;\n                  &lt;/operand&gt;\n                  &lt;operand valueType=&quot;t:String&quot; value=&quot;outpatient&quot; xsi:type=&quot;Literal&quot;/&gt;\n               &lt;/operand&gt;\n            &lt;/where&gt;\n         &lt;/expression&gt;\n      &lt;/def&gt;\n      &lt;def name=&quot;Total MME&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;&gt;\n         &lt;expression name=&quot;TotalMME&quot; libraryName=&quot;MMECommon&quot; xsi:type=&quot;FunctionRef&quot;&gt;\n            &lt;operand xsi:type=&quot;Union&quot;&gt;\n               &lt;operand name=&quot;ContextPrescriptions&quot; xsi:type=&quot;ParameterRef&quot;/&gt;\n               &lt;operand name=&quot;Get Active Prescriptions&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;\n            &lt;/operand&gt;\n         &lt;/expression&gt;\n      &lt;/def&gt;\n      &lt;def name=&quot;Is MME 50 Or More?&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;&gt;\n         &lt;expression xsi:type=&quot;GreaterOrEqual&quot;&gt;\n            &lt;operand name=&quot;Total MME&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;\n            &lt;operand value=&quot;50&quot; unit=&quot;mg/d&quot; xsi:type=&quot;Quantity&quot;/&gt;\n         &lt;/expression&gt;\n      &lt;/def&gt;\n      &lt;def name=&quot;Get Indicator&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;&gt;\n         &lt;expression valueType=&quot;t:String&quot; value=&quot;warning&quot; xsi:type=&quot;Literal&quot;/&gt;\n      &lt;/def&gt;\n      &lt;def name=&quot;Get Summary&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;&gt;\n         &lt;expression xsi:type=&quot;Concatenate&quot;&gt;\n            &lt;operand valueType=&quot;t:String&quot; value=&quot;High risk for opioid overdose - &quot; xsi:type=&quot;Literal&quot;/&gt;\n            &lt;operand xsi:type=&quot;Case&quot;&gt;\n               &lt;caseItem&gt;\n                  &lt;when xsi:type=&quot;GreaterOrEqual&quot;&gt;\n                     &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;\n                        &lt;source name=&quot;Total MME&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;\n                     &lt;/operand&gt;\n                     &lt;operand xsi:type=&quot;ToDecimal&quot;&gt;\n                        &lt;operand valueType=&quot;t:Integer&quot; value=&quot;90&quot; xsi:type=&quot;Literal&quot;/&gt;\n                     &lt;/operand&gt;\n                  &lt;/when&gt;\n                  &lt;then valueType=&quot;t:String&quot; value=&quot;taper now&quot; xsi:type=&quot;Literal&quot;/&gt;\n               &lt;/caseItem&gt;\n               &lt;else valueType=&quot;t:String&quot; value=&quot;consider tapering&quot; xsi:type=&quot;Literal&quot;/&gt;\n            &lt;/operand&gt;\n         &lt;/expression&gt;\n      &lt;/def&gt;\n      &lt;def name=&quot;Get Detail&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;&gt;\n         &lt;expression xsi:type=&quot;Concatenate&quot;&gt;\n            &lt;operand xsi:type=&quot;Concatenate&quot;&gt;\n               &lt;operand valueType=&quot;t:String&quot; value=&quot;Total morphine milligram equivalent (MME) is &quot; xsi:type=&quot;Literal&quot;/&gt;\n               &lt;operand xsi:type=&quot;ToString&quot;&gt;\n                  &lt;operand name=&quot;Total MME&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;\n               &lt;/operand&gt;\n            &lt;/operand&gt;\n            &lt;operand valueType=&quot;t:String&quot; value=&quot;. Taper to less than 50.&quot; xsi:type=&quot;Literal&quot;/&gt;\n         &lt;/expression&gt;\n      &lt;/def&gt;\n   &lt;/statements&gt;\n&lt;/library&gt;\n</code>\n      </pre>\n    </div>"
  ];
  fhir:Library.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.value [ fhir:value "OpioidCDS_REC_05" ]
  ];
  fhir:Library.version [ fhir:value "0.1.0"];
  fhir:Library.title [ fhir:value "Opioid CDS Logic for recommendation #5"];
  fhir:Library.status [ fhir:value "active"];
  fhir:Library.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:Library.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ];
       fhir:Coding.code [ fhir:value "logic-library" ];
       fhir:Coding.display [ fhir:value "Logic Library" ]
     ]
  ];
  fhir:Library.date [ fhir:value "2018-03-25T13:49:09-06:00"^^xsd:dateTime];
  fhir:Library.publisher [ fhir:value "Centers for Disease Control and Prevention (CDC)"];
  fhir:Library.description [ fhir:value "Opioid Decision Support Logic for use in implementing CDC Opioid Prescribing Guidelines."];
  fhir:Library.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ];
       fhir:Coding.display [ fhir:value "Clinical Focus" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:182888003;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "182888003" ];
         fhir:Coding.display [ fhir:value "Medication requested (situation)" ]
       ]
     ]
  ], [
     fhir:index 1;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ];
       fhir:Coding.display [ fhir:value "Clinical Focus" ]
     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:82423001;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "82423001" ];
         fhir:Coding.display [ fhir:value "Chronic pain (finding)" ]
       ]
     ]
  ];
  fhir:Library.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States of America" ]
     ]
  ];
  fhir:Library.purpose [ fhir:value "This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution."];
  fhir:Library.usage [ fhir:value "This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME."];
  fhir:Library.copyright [ fhir:value "© CDC 2016+."];
  fhir:Library.topic [
     fhir:index 0;
     fhir:CodeableConcept.text [ fhir:value "Opioid Prescribing" ]
  ];
  fhir:Library.author [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "Kensaku Kawamoto, MD, PhD, MHS" ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.name [ fhir:value "Bryn Rhodes" ]
  ], [
     fhir:index 2;
     fhir:ContactDetail.name [ fhir:value "Floyd Eisenberg, MD, MPH" ]
  ], [
     fhir:index 3;
     fhir:ContactDetail.name [ fhir:value "Robert McClure, MD, MPH" ]
  ];
  fhir:Library.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.display [ fhir:value "CDC guideline for prescribing opioids for chronic pain" ];
     fhir:RelatedArtifact.document [
       fhir:Attachment.url [ fhir:value "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420" ]
     ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://example.org/fhir/Library/opioidcds-common";
       fhir:link <http://example.org/fhir/Library/opioidcds-common>
     ]
  ], [
     fhir:index 2;
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.display [ fhir:value "MME Conversion Tables" ];
     fhir:RelatedArtifact.document [
       fhir:Attachment.url [ fhir:value "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf" ]
     ]
  ];
  fhir:Library.dataRequirement [
     fhir:index 0;
     fhir:Element.id [ fhir:value "medications" ];
     fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "status" ];
       fhir:DataRequirement.codeFilter.code [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "active" ]
       ]
     ], [
       fhir:index 1;
       fhir:DataRequirement.codeFilter.path [ fhir:value "category" ];
       fhir:DataRequirement.codeFilter.code [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ];
         fhir:Coding.code [ fhir:value "outpatient" ]
       ]
     ]
  ];
  fhir:Library.content [
     fhir:index 0;
     fhir:Attachment.contentType [ fhir:value "application/elm+xml" ];
     fhir:Attachment.data [ fhir:value "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="OpioidCDS_STU4" version="0.1.0"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.2.0"/>
   </usings>
   <includes>
      <def localIdentifier="MMECommon" path="OpioidCDS_STU4_Common" version="0.1.0"/>
   </includes>
   <parameters>
      <def name="UserID" accessLevel="Public">
         <parameterTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>
      </def>
      <def name="ContextPrescriptions" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="ListTypeSpecifier">
            <elementType name="fhir:MedicationRequest" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="Get Active Prescriptions" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="activeRx">
               <expression dataType="fhir:MedicationRequest" xsi:type="Retrieve"/>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand path="value" xsi:type="Property">
                     <source path="status" scope="activeRx" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="active" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="Equal">
                  <operand path="value" xsi:type="Property">
                     <source path="code" xsi:type="Property">
                        <source xsi:type="Indexer">
                           <operand xsi:type="Flatten">
                              <operand xsi:type="Query">
                                 <source alias="$this">
                                    <expression path="category" scope="activeRx" xsi:type="Property"/>
                                 </source>
                                 <where xsi:type="Not">
                                    <operand xsi:type="IsNull">
                                       <operand path="coding" xsi:type="Property">
                                          <source name="$this" xsi:type="AliasRef"/>
                                       </operand>
                                    </operand>
                                 </where>
                                 <return>
                                    <expression path="coding" xsi:type="Property">
                                       <source name="$this" xsi:type="AliasRef"/>
                                    </expression>
                                 </return>
                              </operand>
                           </operand>
                           <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                        </source>
                     </source>
                  </operand>
                  <operand valueType="t:String" value="outpatient" xsi:type="Literal"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Total MME" context="Patient" accessLevel="Public">
         <expression name="TotalMME" libraryName="MMECommon" xsi:type="FunctionRef">
            <operand xsi:type="Union">
               <operand name="ContextPrescriptions" xsi:type="ParameterRef"/>
               <operand name="Get Active Prescriptions" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Is MME 50 Or More?" context="Patient" accessLevel="Public">
         <expression xsi:type="GreaterOrEqual">
            <operand name="Total MME" xsi:type="ExpressionRef"/>
            <operand value="50" unit="mg/d" xsi:type="Quantity"/>
         </expression>
      </def>
      <def name="Get Indicator" context="Patient" accessLevel="Public">
         <expression valueType="t:String" value="warning" xsi:type="Literal"/>
      </def>
      <def name="Get Summary" context="Patient" accessLevel="Public">
         <expression xsi:type="Concatenate">
            <operand valueType="t:String" value="High risk for opioid overdose - " xsi:type="Literal"/>
            <operand xsi:type="Case">
               <caseItem>
                  <when xsi:type="GreaterOrEqual">
                     <operand path="value" xsi:type="Property">
                        <source name="Total MME" xsi:type="ExpressionRef"/>
                     </operand>
                     <operand xsi:type="ToDecimal">
                        <operand valueType="t:Integer" value="90" xsi:type="Literal"/>
                     </operand>
                  </when>
                  <then valueType="t:String" value="taper now" xsi:type="Literal"/>
               </caseItem>
               <else valueType="t:String" value="consider tapering" xsi:type="Literal"/>
            </operand>
         </expression>
      </def>
      <def name="Get Detail" context="Patient" accessLevel="Public">
         <expression xsi:type="Concatenate">
            <operand xsi:type="Concatenate">
               <operand valueType="t:String" value="Total morphine milligram equivalent (MME) is " xsi:type="Literal"/>
               <operand xsi:type="ToString">
                  <operand name="Total MME" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand valueType="t:String" value=". Taper to less than 50." xsi:type="Literal"/>
         </expression>
      </def>
   </statements>
</library>
"^^xsd:base64Binary ]
  ]] .

# - ontology header ------------------------------------------------------------

[a owl:Ontology;
  owl:imports fhir:fhir.ttl] .

# -------------------------------------------------------------------------------------


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.