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Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
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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\"><?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 <identifier id="OpioidCDS_STU4" 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="MMECommon" path="OpioidCDS_STU4_Common" version="0.1.0"/>\n </includes>\n <parameters>\n <def name="UserID" accessLevel="Public">\n <parameterTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>\n </def>\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 <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="Get Active Prescriptions" context="Patient" accessLevel="Public">\n <expression xsi:type="Query">\n <source alias="activeRx">\n <expression dataType="fhir:MedicationRequest" xsi:type="Retrieve"/>\n </source>\n <where xsi:type="And">\n <operand xsi:type="Equal">\n <operand path="value" xsi:type="Property">\n <source path="status" scope="activeRx" 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="$this">\n <expression path="category" scope="activeRx" xsi:type="Property"/>\n </source>\n <where xsi:type="Not">\n <operand xsi:type="IsNull">\n <operand path="coding" xsi:type="Property">\n <source name="$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 </expression>\n </def>\n <def name="Total MME" context="Patient" accessLevel="Public">\n <expression name="TotalMME" libraryName="MMECommon" xsi:type="FunctionRef">\n <operand xsi:type="Union">\n <operand name="ContextPrescriptions" xsi:type="ParameterRef"/>\n <operand name="Get Active Prescriptions" xsi:type="ExpressionRef"/>\n </operand>\n </expression>\n </def>\n <def name="Is MME 50 Or More?" context="Patient" accessLevel="Public">\n <expression xsi:type="GreaterOrEqual">\n <operand name="Total MME" xsi:type="ExpressionRef"/>\n <operand value="50" unit="mg/d" xsi:type="Quantity"/>\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 xsi:type="Concatenate">\n <operand valueType="t:String" value="High risk for opioid overdose - " xsi:type="Literal"/>\n <operand xsi:type="Case">\n <caseItem>\n <when xsi:type="GreaterOrEqual">\n <operand path="value" xsi:type="Property">\n <source name="Total MME" xsi:type="ExpressionRef"/>\n </operand>\n <operand xsi:type="ToDecimal">\n <operand valueType="t:Integer" value="90" xsi:type="Literal"/>\n </operand>\n </when>\n <then valueType="t:String" value="taper now" xsi:type="Literal"/>\n </caseItem>\n <else valueType="t:String" value="consider tapering" xsi:type="Literal"/>\n </operand>\n </expression>\n </def>\n <def name="Get Detail" context="Patient" accessLevel="Public">\n <expression xsi:type="Concatenate">\n <operand xsi:type="Concatenate">\n <operand valueType="t:String" value="Total morphine milligram equivalent (MME) is " xsi:type="Literal"/>\n <operand xsi:type="ToString">\n <operand name="Total MME" xsi:type="ExpressionRef"/>\n </operand>\n </operand>\n <operand valueType="t:String" value=". Taper to less than 50." xsi:type="Literal"/>\n </expression>\n </def>\n </statements>\n</library>\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.