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-07 (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 Recommendation 7 Logic (id = "opioidcds-recommendation-07")

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

<Library xmlns="http://hl7.org/fhir">
  <id value="opioidcds-recommendation-07"/> 
  <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-chronic-pai
                n---united-states-2016#420">https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pai
                  n---united-states-2016#420</a> 
              </code>  (
              <code/>  )
            </p> 
          </td> 
        </tr> 
        <tr> 
          <td> Depends On</td> 
          <td/>  
          <td> 
            <code> http://example.org/fhir/Library/opioidcds-common</code> 
          </td> 
        </tr> 
      </table> 
      <h2> Data Requirements</h2> 
      <table class="grid">
        <tr> 
          <td colspan="2">
            <b> Type</b> : 
            <a href="medicationrequest.html">MedicationRequest</a> 
          </td> 
        </tr> 
        <tr style="background-color: #efefef">
          <td> Filter</td> 
          <td> Value</td> 
        </tr> 
        <tr> 
          <td> medicationCodeableConcept</td> 
          <td> In ValueSet 
            <a href="http://example.org/fhir/ValueSet/opioids-indicating-end-of-life">http://example.org/fhir/ValueSet/opioids-indicating-end-of-life</a> 
          </td> 
        </tr> 
      </table> 
      <table class="grid">
        <tr> 
          <td colspan="2">
            <b> Type</b> : 
            <a href="procedure.html">Procedure</a> 
          </td> 
        </tr> 
        <tr style="background-color: #efefef">
          <td> Filter</td> 
          <td> Value</td> 
        </tr> 
        <tr> 
          <td> code</td> 
          <td> One of these codes: </td> 
        </tr> 
      </table> 
      <table class="grid">
        <tr> 
          <td colspan="2">
            <b> Type</b> : 
            <a href="procedure.html">Procedure</a> 
          </td> 
        </tr> 
        <tr style="background-color: #efefef">
          <td> Filter</td> 
          <td> Value</td> 
        </tr> 
        <tr> 
          <td> code</td> 
          <td> One of these codes: </td> 
        </tr> 
      </table> 
      <table class="grid">
        <tr> 
          <td colspan="2">
            <b> Type</b> : 
            <a href="medicationrequest.html">MedicationRequest</a> 
          </td> 
        </tr> 
        <tr style="background-color: #efefef">
          <td> Filter</td> 
          <td> Value</td> 
        </tr> 
        <tr> 
          <td> medicationCodeableConcept</td> 
          <td> In ValueSet 
            <a href="http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care">http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care</a> 
          </td> 
        </tr> 
      </table> 
      <table class="grid">
        <tr> 
          <td colspan="2">
            <b> Type</b> : 
            <a href="encounter.html">Encounter</a> 
          </td> 
        </tr> 
      </table> 
      <h2> Contents</h2> 
      <p> 
        <code> application/elm+xml</code> 
      </p> 
      <pre> 
        <code class="language-xml">&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/20
          01/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-annotation
          s:r1&quot;&gt;
   &lt;annotation startLine=&quot;76&quot; startChar=&quot;3&quot; endLine=&quot;76&quot;
           endChar=&quot;51&quot; message=&quot;Could not resolve code path medicationCodeableConcept
           for the type of the retrieve FHIR.MedicationRequest.&quot; errorType=&quot;semantic&quot;
           errorSeverity=&quot;warning&quot; xsi:type=&quot;a:CqlToElmError&quot;/&gt;
   &lt;annotation startLine=&quot;76&quot; startChar=&quot;3&quot; endLine=&quot;76&quot;
           endChar=&quot;51&quot; message=&quot;Could not resolve membership operator for terminology
           target of the retrieve.&quot; errorType=&quot;semantic&quot; errorSeverity=&quot;warning&quot;
           xsi:type=&quot;a:CqlToElmError&quot;/&gt;
   &lt;annotation startLine=&quot;85&quot; startChar=&quot;4&quot; endLine=&quot;85&quot;
           endChar=&quot;53&quot; message=&quot;Could not resolve membership operator for terminology
           target of the retrieve.&quot; errorType=&quot;semantic&quot; errorSeverity=&quot;warning&quot;
           xsi:type=&quot;a:CqlToElmError&quot;/&gt;
   &lt;annotation startLine=&quot;86&quot; startChar=&quot;13&quot; endLine=&quot;86&quot;
           endChar=&quot;52&quot; message=&quot;Could not resolve membership operator for terminology
           target of the retrieve.&quot; errorType=&quot;semantic&quot; errorSeverity=&quot;warning&quot;
           xsi:type=&quot;a:CqlToElmError&quot;/&gt;
   &lt;annotation startLine=&quot;95&quot; startChar=&quot;3&quot; endLine=&quot;95&quot;
           endChar=&quot;66&quot; message=&quot;Could not resolve code path medicationCodeableConcept
           for the type of the retrieve FHIR.MedicationRequest.&quot; errorType=&quot;semantic&quot;
           errorSeverity=&quot;warning&quot; xsi:type=&quot;a:CqlToElmError&quot;/&gt;
   &lt;annotation startLine=&quot;95&quot; startChar=&quot;3&quot; endLine=&quot;95&quot;
           endChar=&quot;66&quot; message=&quot;Could not resolve membership operator for terminology
           target of the retrieve.&quot; errorType=&quot;semantic&quot; errorSeverity=&quot;warning&quot;
           xsi:type=&quot;a:CqlToElmError&quot;/&gt;
   &lt;annotation startLine=&quot;103&quot; startChar=&quot;10&quot; endLine=&quot;103&quot;
           endChar=&quot;70&quot; message=&quot;List-valued expression was demoted to a singleton.&quot;
           errorType=&quot;semantic&quot; errorSeverity=&quot;warning&quot; xsi:type=&quot;a:CqlToElmError&quot
          ;/&gt;
   &lt;annotation startLine=&quot;69&quot; startChar=&quot;59&quot; endLine=&quot;69&quot;
           endChar=&quot;88&quot; message=&quot;List-valued expression was demoted to a singleton.&quot;
           errorType=&quot;semantic&quot; errorSeverity=&quot;warning&quot; xsi:type=&quot;a:CqlToElmError&quot
          ;/&gt;
   &lt;annotation startLine=&quot;115&quot; startChar=&quot;6&quot; endLine=&quot;115&quot;
           endChar=&quot;35&quot; message=&quot;List-valued expression was demoted to a singleton.&quot;
           errorType=&quot;semantic&quot; errorSeverity=&quot;warning&quot; xsi:type=&quot;a:CqlToElmError&quot
          ;/&gt;
   &lt;identifier id=&quot;OpioidCDS_STU4_REC_07&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;Common&quot; path=&quot;OpioidCDS_STU4_Common&quot;
           version=&quot;0.1.0&quot;/&gt;
   &lt;/includes&gt;
   &lt;parameters&gt;
      &lt;def name=&quot;ContextPrescriptions&quot; accessLevel=&quot;Public&quot;&gt;
         &lt;parameterTypeSpecifier xsi:type=&quot;ListTypeSpecifier&quot;&gt;
            &lt;elementType name=&quot;fhir:MedicationRequest&quot; xsi:type=&quot;NamedTypeSpecifie
          r&quot;/&gt;
         &lt;/parameterTypeSpecifier&gt;
      &lt;/def&gt;
   &lt;/parameters&gt;
   &lt;codeSystems&gt;
      &lt;def name=&quot;SNOMED&quot; id=&quot;http://snomed.info/sct&quot; accessLevel=&quot;Public
          &quot;/&gt;
   &lt;/codeSystems&gt;
   &lt;codes&gt;
      &lt;def name=&quot;Assessment of risk for opioid abuse&quot; id=&quot;454281000124100&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;codeSystem name=&quot;SNOMED&quot;/&gt;
      &lt;/def&gt;
      &lt;def name=&quot;High risk drug monitoring&quot; id=&quot;268525008&quot; accessLevel=&quot;
          Public&quot;&gt;
         &lt;codeSystem name=&quot;SNOMED&quot;/&gt;
      &lt;/def&gt;
   &lt;/codes&gt;
   &lt;statements&gt;
      &lt;def name=&quot;Patient&quot; context=&quot;Patient&quot;&gt;
         &lt;expression xsi:type=&quot;SingletonFrom&quot;&gt;
            &lt;operand dataType=&quot;fhir:Patient&quot; xsi:type=&quot;Retrieve&quot;/&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Risk Assessment Interval&quot; context=&quot;Patient&quot; accessLevel=&quo
          t;Public&quot;&gt;
         &lt;expression lowClosed=&quot;true&quot; highClosed=&quot;true&quot; xsi:type=&quot;Interv
          al&quot;&gt;
            &lt;low xsi:type=&quot;Subtract&quot;&gt;
               &lt;operand xsi:type=&quot;Today&quot;/&gt;
               &lt;operand value=&quot;91&quot; unit=&quot;days&quot; xsi:type=&quot;Quantity&quot;/
          &gt;
            &lt;/low&gt;
            &lt;high xsi:type=&quot;Subtract&quot;&gt;
               &lt;operand xsi:type=&quot;Today&quot;/&gt;
               &lt;operand value=&quot;1&quot; unit=&quot;day&quot; xsi:type=&quot;Quantity&quot;/&g
          t;
            &lt;/high&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Encounter Interval&quot; context=&quot;Patient&quot; accessLevel=&quot;Publ
          ic&quot;&gt;
         &lt;expression lowClosed=&quot;true&quot; highClosed=&quot;true&quot; xsi:type=&quot;Interv
          al&quot;&gt;
            &lt;low xsi:type=&quot;Subtract&quot;&gt;
               &lt;operand xsi:type=&quot;Subtract&quot;&gt;
                  &lt;operand xsi:type=&quot;Today&quot;/&gt;
                  &lt;operand value=&quot;12&quot; unit=&quot;months&quot; xsi:type=&quot;Quantity&q
          uot;/&gt;
               &lt;/operand&gt;
               &lt;operand value=&quot;1&quot; unit=&quot;days&quot; xsi:type=&quot;Quantity&quot;/&
          gt;
            &lt;/low&gt;
            &lt;high xsi:type=&quot;Subtract&quot;&gt;
               &lt;operand xsi:type=&quot;Today&quot;/&gt;
               &lt;operand value=&quot;1&quot; unit=&quot;day&quot; xsi:type=&quot;Quantity&quot;/&g
          t;
            &lt;/high&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Validate Trigger Event&quot; context=&quot;Patient&quot; accessLevel=&quot;
          Public&quot;&gt;
         &lt;expression xsi:type=&quot;Exists&quot;&gt;
            &lt;operand xsi:type=&quot;Query&quot;&gt;
               &lt;source alias=&quot;triggerScript&quot;&gt;
                  &lt;expression name=&quot;ContextPrescriptions&quot; xsi:type=&quot;ParameterRef&q
          uot;/&gt;
               &lt;/source&gt;
               &lt;where name=&quot;IsOpioidWithAmbulatoryAbusePotential&quot; libraryName=&quot;Com
          mon&quot; xsi:type=&quot;FunctionRef&quot;&gt;
                  &lt;operand name=&quot;ToCode&quot; libraryName=&quot;Common&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;triggerScript&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;/operand&gt;
               &lt;/where&gt;
            &lt;/operand&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Medications Indicating End Of Life&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;endOfLifeRx&quot;&gt;
               &lt;expression dataType=&quot;fhir:MedicationRequest&quot; codeProperty=&quot;medicat
          ionCodeableConcept&quot; xsi:type=&quot;Retrieve&quot;&gt;
                  &lt;codes name=&quot;End Of Life Opioids&quot; libraryName=&quot;Common&quot;
           xsi:type=&quot;ValueSetRef&quot;/&gt;
               &lt;/expression&gt;
            &lt;/source&gt;
            &lt;where 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;endOfLifeRx&quot; xsi:type=&quot;Pr
          operty&quot;/&gt;
               &lt;/operand&gt;
               &lt;operand valueType=&quot;t:String&quot; value=&quot;active&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
            &lt;/where&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Exclusion Criteria&quot; context=&quot;Patient&quot; accessLevel=&quot;Publ
          ic&quot;&gt;
         &lt;expression xsi:type=&quot;Exists&quot;&gt;
            &lt;operand name=&quot;Medications Indicating End Of Life&quot; xsi:type=&quot;Expressio
          nRef&quot;/&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Opioid Risk Assessment in Past 90 Days&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;riskAssessment&quot;&gt;
               &lt;expression xsi:type=&quot;Union&quot;&gt;
                  &lt;operand dataType=&quot;fhir:Procedure&quot; codeProperty=&quot;code&quot;
           xsi:type=&quot;Retrieve&quot;&gt;
                     &lt;codes name=&quot;Assessment of risk for opioid abuse&quot; xsi:type=&quot;C
          odeRef&quot;/&gt;
                  &lt;/operand&gt;
                  &lt;operand dataType=&quot;fhir:Procedure&quot; codeProperty=&quot;code&quot;
           xsi:type=&quot;Retrieve&quot;&gt;
                     &lt;codes name=&quot;High risk drug monitoring&quot; xsi:type=&quot;CodeRef&quo
          t;/&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/source&gt;
            &lt;where xsi:type=&quot;In&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;performed&quot; scope=&quot;riskAssessment&quot;
           xsi:type=&quot;Property&quot;/&gt;
                  &lt;/source&gt;
               &lt;/operand&gt;
               &lt;operand name=&quot;Risk Assessment Interval&quot; xsi:type=&quot;ExpressionRef&qu
          ot;/&gt;
            &lt;/where&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Get Active Ambulatory Opioid Rx&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;Rx&quot;&gt;
               &lt;expression dataType=&quot;fhir:MedicationRequest&quot; codeProperty=&quot;medicat
          ionCodeableConcept&quot; xsi:type=&quot;Retrieve&quot;&gt;
                  &lt;codes name=&quot;Ambulatory Abuse Potential Opioids&quot; libraryName=&quot;Co
          mmon&quot; xsi:type=&quot;ValueSetRef&quot;/&gt;
               &lt;/expression&gt;
            &lt;/source&gt;
            &lt;where xsi:type=&quot;And&quot;&gt;
               &lt;operand 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;Rx&quot; xsi:type=&quot;Property
          &quot;/&gt;
                  &lt;/operand&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;active&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/operand&gt;
               &lt;operand xsi:type=&quot;Equal&quot;&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;code&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source xsi:type=&quot;Indexer&quot;&gt;
                           &lt;operand xsi:type=&quot;Flatten&quot;&gt;
                              &lt;operand xsi:type=&quot;Query&quot;&gt;
                                 &lt;source alias=&quot;$this&quot;&gt;
                                    &lt;expression path=&quot;category&quot; scope=&quot;Rx&quot;
           xsi:type=&quot;Property&quot;/&gt;
                                 &lt;/source&gt;
                                 &lt;where xsi:type=&quot;Not&quot;&gt;
                                    &lt;operand xsi:type=&quot;IsNull&quot;&gt;
                                       &lt;operand path=&quot;coding&quot; xsi:type=&quot;Property&q
          uot;&gt;
                                          &lt;source name=&quot;$this&quot; xsi:type=&quot;AliasRef&
          quot;/&gt;
                                       &lt;/operand&gt;
                                    &lt;/operand&gt;
                                 &lt;/where&gt;
                                 &lt;return&gt;
                                    &lt;expression path=&quot;coding&quot; xsi:type=&quot;Property&q
          uot;&gt;
                                       &lt;source name=&quot;$this&quot; xsi:type=&quot;AliasRef&quo
          t;/&gt;
                                    &lt;/expression&gt;
                                 &lt;/return&gt;
                              &lt;/operand&gt;
                           &lt;/operand&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;/operand&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;outpatient&quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;/operand&gt;
            &lt;/where&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Encounter in past 12 months&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;E&quot;&gt;
               &lt;expression dataType=&quot;fhir:Encounter&quot; xsi:type=&quot;Retrieve&quot;/&gt;
            &lt;/source&gt;
            &lt;where xsi:type=&quot;In&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;period&quot; scope=&quot;E&quot; xsi:type=&quot;Property&
          quot;/&gt;
                  &lt;/source&gt;
               &lt;/operand&gt;
               &lt;operand name=&quot;Encounter Interval&quot; xsi:type=&quot;ExpressionRef&quot;/&g
          t;
            &lt;/where&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Rx Active 7 of Past 10 Days With Encounter&quot; context=&quot;Patient&quot
          ; accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;And&quot;&gt;
            &lt;operand xsi:type=&quot;SingletonFrom&quot;&gt;
               &lt;operand name=&quot;ProbableDaysInRange&quot; libraryName=&quot;Common&quot;
           xsi:type=&quot;FunctionRef&quot;&gt;
                  &lt;operand name=&quot;Get Active Ambulatory Opioid Rx&quot; xsi:type=&quot;Expres
          sionRef&quot;/&gt;
                  &lt;operand valueType=&quot;t:Integer&quot; value=&quot;10&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
                  &lt;operand valueType=&quot;t:Integer&quot; value=&quot;7&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
               &lt;/operand&gt;
            &lt;/operand&gt;
            &lt;operand xsi:type=&quot;Exists&quot;&gt;
               &lt;operand name=&quot;Encounter in past 12 months&quot; xsi:type=&quot;ExpressionRef
          &quot;/&gt;
            &lt;/operand&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Rx Active 63 of Past 90 Days&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression name=&quot;ProbableDaysInRange&quot; libraryName=&quot;Common&quot;
           xsi:type=&quot;FunctionRef&quot;&gt;
            &lt;operand name=&quot;Get Active Ambulatory Opioid Rx&quot; xsi:type=&quot;ExpressionRe
          f&quot;/&gt;
            &lt;operand valueType=&quot;t:Integer&quot; value=&quot;90&quot; xsi:type=&quot;Literal&
          quot;/&gt;
            &lt;operand valueType=&quot;t:Integer&quot; value=&quot;63&quot; xsi:type=&quot;Literal&
          quot;/&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Inclusion Criteria&quot; context=&quot;Patient&quot; accessLevel=&quot;Publ
          ic&quot;&gt;
         &lt;expression xsi:type=&quot;And&quot;&gt;
            &lt;operand xsi:type=&quot;And&quot;&gt;
               &lt;operand xsi:type=&quot;And&quot;&gt;
                  &lt;operand name=&quot;Validate Trigger Event&quot; xsi:type=&quot;ExpressionRef&q
          uot;/&gt;
                  &lt;operand xsi:type=&quot;Not&quot;&gt;
                     &lt;operand name=&quot;Exclusion Criteria&quot; xsi:type=&quot;ExpressionRef&qu
          ot;/&gt;
                  &lt;/operand&gt;
               &lt;/operand&gt;
               &lt;operand xsi:type=&quot;Not&quot;&gt;
                  &lt;operand xsi:type=&quot;Exists&quot;&gt;
                     &lt;operand name=&quot;Opioid Risk Assessment in Past 90 Days&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
                  &lt;/operand&gt;
               &lt;/operand&gt;
            &lt;/operand&gt;
            &lt;operand xsi:type=&quot;Or&quot;&gt;
               &lt;operand name=&quot;Rx Active 7 of Past 10 Days With Encounter&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
               &lt;operand xsi:type=&quot;SingletonFrom&quot;&gt;
                  &lt;operand name=&quot;Rx Active 63 of Past 90 Days&quot; xsi:type=&quot;Expressio
          nRef&quot;/&gt;
               &lt;/operand&gt;
            &lt;/operand&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Get Indicator&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&qu
          ot;&gt;
         &lt;expression valueType=&quot;t:String&quot; value=&quot;warning&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Get Summary&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot
          ;&gt;
         &lt;expression valueType=&quot;t:String&quot; value=&quot;Patients on opioid
           therapy should be evaluated for benefits and harms within 1 to 4 weeks of starting opioid
           therapy and every 3 months or more subsequently.&quot; xsi:type=&quot;Literal&quot;/&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Get Detail&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;
          &gt;
         &lt;expression xsi:type=&quot;If&quot;&gt;
            &lt;condition xsi:type=&quot;SingletonFrom&quot;&gt;
               &lt;operand name=&quot;Rx Active 63 of Past 90 Days&quot; xsi:type=&quot;ExpressionRe
          f&quot;/&gt;
            &lt;/condition&gt;
            &lt;then valueType=&quot;t:String&quot; value=&quot;No evaluation for benefits
           and harms associated with opioid therapy has been performed for the patient in the past
           3 months&quot; xsi:type=&quot;Literal&quot;/&gt;
            &lt;else valueType=&quot;t:String&quot; value=&quot;No evaluation for benefits
           and harms has been performed for the patient starting opioid therapy&quot; xsi:type=&quot;Literal&qu
          ot;/&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
   &lt;/statements&gt;
&lt;/library&gt;
</code> 
      </pre> 
    </div> 
  </text> 
  <identifier> 
    <use value="official"/> 
    <value value="OpioidCDS_REC_07"/> 
  </identifier> 
  <version value="0.1.0"/> 
  <title value="Opioid CDS Logic for recommendation #7"/> 
  <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="Opioid decision support logic to evaluate benefits and harms with patients within 1 to
   4 weeks of starting opioid therapy and harms of continued therapy with patients every
   3 months or more frequently."/> 
  <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="The purpose of this library is to determine whether the patient has been evaluated for
   benefits and harms within 1 to 4 weeks of starting opioid therapy and every 3 months or
   more subsequently."/> 
  <usage value="This library is used to notify the prescriber/user whether an evaluation for benefits
   and harms associated with opioid therapy is recommended for the patient."/> 
  <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-chronic-pai
      n---united-states-2016#420"/> 
    </document> 
  </relatedArtifact> 
  <relatedArtifact> 
    <type value="depends-on"/> 
    <resource value="http://example.org/fhir/Library/opioidcds-common"/> 
  </relatedArtifact> 
  <dataRequirement> 
    <type value="MedicationRequest"/> 
    <codeFilter> 
      <path value="medicationCodeableConcept"/> 
      <valueSet value="http://example.org/fhir/ValueSet/opioids-indicating-end-of-life"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="Procedure"/> 
    <codeFilter> 
      <path value="code"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="Procedure"/> 
    <codeFilter> 
      <path value="code"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="MedicationRequest"/> 
    <codeFilter> 
      <path value="medicationCodeableConcept"/> 
      <valueSet value="http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="Encounter"/> 
  </dataRequirement> 
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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.