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-10 (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 10 Logic (id = "opioidcds-recommendation-10")

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

<Library xmlns="http://hl7.org/fhir">
  <id value="opioidcds-recommendation-10"/> 
  <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="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="observation.html">Observation</a> 
          </td> 
        </tr> 
        <tr style="background-color: #efefef">
          <td> Filter</td> 
          <td> Value</td> 
        </tr> 
        <tr> 
          <td> combo-code</td> 
          <td> In ValueSet 
            <a href="http://example.org/fhir/ValueSet/illicit-drug-urine-screening">http://example.org/fhir/ValueSet/illicit-drug-urine-screening</a> 
          </td> 
        </tr> 
      </table> 
      <table class="grid">
        <tr> 
          <td colspan="2">
            <b> Type</b> : 
            <a href="observation.html">Observation</a> 
          </td> 
        </tr> 
        <tr style="background-color: #efefef">
          <td> Filter</td> 
          <td> Value</td> 
        </tr> 
        <tr> 
          <td> combo-code</td> 
          <td> In ValueSet 
            <a href="http://example.org/fhir/ValueSet/opioid-urine-screening">http://example.org/fhir/ValueSet/opioid-urine-screening</a> 
          </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/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;62&quot; startChar=&quot;12&quot; endLine=&quot;62&quot;
           endChar=&quot;60&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;62&quot; startChar=&quot;12&quot; endLine=&quot;62&quot;
           endChar=&quot;60&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;66&quot; startChar=&quot;3&quot; endLine=&quot;66&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;66&quot; startChar=&quot;3&quot; endLine=&quot;66&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;74&quot; startChar=&quot;3&quot; endLine=&quot;74&quot;
           endChar=&quot;64&quot; message=&quot;Could not resolve code path combo-code for the type
           of the retrieve FHIR.Observation.&quot; errorType=&quot;semantic&quot; errorSeverity=&quot;warning&q
          uot; xsi:type=&quot;a:CqlToElmError&quot;/&gt;
   &lt;annotation startLine=&quot;74&quot; startChar=&quot;3&quot; endLine=&quot;74&quot;
           endChar=&quot;64&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;79&quot; startChar=&quot;3&quot; endLine=&quot;79&quot;
           endChar=&quot;63&quot; message=&quot;Could not resolve code path combo-code for the type
           of the retrieve FHIR.Observation.&quot; errorType=&quot;semantic&quot; errorSeverity=&quot;warning&q
          uot; xsi:type=&quot;a:CqlToElmError&quot;/&gt;
   &lt;annotation startLine=&quot;79&quot; startChar=&quot;3&quot; endLine=&quot;79&quot;
           endChar=&quot;63&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;134&quot; startChar=&quot;20&quot; endLine=&quot;134&quot;
           endChar=&quot;76&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;143&quot; startChar=&quot;16&quot; endLine=&quot;143&quot;
           endChar=&quot;17&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;157&quot; startChar=&quot;52&quot; endLine=&quot;157&quot;
           endChar=&quot;73&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;171&quot; startChar=&quot;62&quot; endLine=&quot;171&quot;
           endChar=&quot;78&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_10&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;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;Lookback Year&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&qu
          ot;&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;Exclusion Criteria&quot; context=&quot;Patient&quot; accessLevel=&quot;Publ
          ic&quot;&gt;
         &lt;expression xsi:type=&quot;Or&quot;&gt;
            &lt;operand xsi:type=&quot;Exists&quot;&gt;
               &lt;operand dataType=&quot;fhir:MedicationRequest&quot; codeProperty=&quot;medication
          CodeableConcept&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;/operand&gt;
            &lt;/operand&gt;
            &lt;operand name=&quot;HasMetastaticCancer&quot; libraryName=&quot;Common&quot;
           xsi:type=&quot;ExpressionRef&quot;/&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;Get Illicit Drug Urine Screenings in Last 12 Months&quot; context=&quot;Pat
          ient&quot; accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;observation&quot;&gt;
               &lt;expression dataType=&quot;fhir:Observation&quot; codeProperty=&quot;combo-code&qu
          ot; xsi:type=&quot;Retrieve&quot;&gt;
                  &lt;codes name=&quot;Illicit Drug Screening&quot; libraryName=&quot;Common&quot;
           xsi:type=&quot;ValueSetRef&quot;/&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;effective&quot; scope=&quot;observation&quot;
           xsi:type=&quot;Property&quot;/&gt;
               &lt;/operand&gt;
               &lt;operand name=&quot;Lookback Year&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;
            &lt;/where&gt;
            &lt;sort&gt;
               &lt;by direction=&quot;asc&quot; xsi:type=&quot;ByExpression&quot;&gt;
                  &lt;expression path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;effective&quot; xsi:type=&quot;IdentifierRef&quot;/&gt;
                  &lt;/expression&gt;
               &lt;/by&gt;
            &lt;/sort&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Most Recent Illicit Drug Urine Screenings in Last 12 Months&quot;
           context=&quot;Patient&quot; accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Last&quot;&gt;
            &lt;source name=&quot;Get Illicit Drug Urine Screenings in Last 12 Months&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Get Opioid Drug Urine Screenings in Last 12 Months&quot; context=&quot;Pati
          ent&quot; accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;observation&quot;&gt;
               &lt;expression dataType=&quot;fhir:Observation&quot; codeProperty=&quot;combo-code&qu
          ot; xsi:type=&quot;Retrieve&quot;&gt;
                  &lt;codes name=&quot;Opioid Drug Screening&quot; libraryName=&quot;Common&quot;
           xsi:type=&quot;ValueSetRef&quot;/&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;effective&quot; scope=&quot;observation&quot;
           xsi:type=&quot;Property&quot;/&gt;
               &lt;/operand&gt;
               &lt;operand name=&quot;Lookback Year&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;
            &lt;/where&gt;
            &lt;sort&gt;
               &lt;by direction=&quot;asc&quot; xsi:type=&quot;ByExpression&quot;&gt;
                  &lt;expression path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source name=&quot;effective&quot; xsi:type=&quot;IdentifierRef&quot;/&gt;
                  &lt;/expression&gt;
               &lt;/by&gt;
            &lt;/sort&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Most Recent Opioid Drug Urine Screenings in Last 12 Months&quot;
           context=&quot;Patient&quot; accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Last&quot;&gt;
            &lt;source name=&quot;Get Opioid Drug Urine Screenings in Last 12 Months&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;No Urine Screening In Last 12 Months&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;And&quot;&gt;
            &lt;operand xsi:type=&quot;IsNull&quot;&gt;
               &lt;operand name=&quot;Most Recent Illicit Drug Urine Screenings in Last
           12 Months&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;
            &lt;/operand&gt;
            &lt;operand xsi:type=&quot;IsNull&quot;&gt;
               &lt;operand name=&quot;Most Recent Opioid Drug Urine Screenings in Last
           12 Months&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;
            &lt;/operand&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Positive Opioid Drug Screening&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;mostRecentScreening&quot;&gt;
               &lt;expression name=&quot;Most Recent Opioid Drug Urine Screenings in Last
           12 Months&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;
            &lt;/source&gt;
            &lt;where xsi:type=&quot;Or&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;code&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source xsi:type=&quot;Indexer&quot;&gt;
                           &lt;operand path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;
                              &lt;source path=&quot;interpretation&quot; scope=&quot;mostRecentScree
          ning&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;/source&gt;
                     &lt;/source&gt;
                  &lt;/operand&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;POS&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
               &lt;/operand&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;Not&quot;&gt;
                        &lt;operand xsi:type=&quot;IsNull&quot;&gt;
                           &lt;operand xsi:type=&quot;Indexer&quot;&gt;
                              &lt;operand path=&quot;component&quot; scope=&quot;mostRecentScreening
          &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;/operand&gt;
                        &lt;/operand&gt;
                     &lt;/operand&gt;
                  &lt;/condition&gt;
                  &lt;then 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 path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;
                                 &lt;source path=&quot;interpretation&quot; xsi:type=&quot;Property&
          quot;&gt;
                                    &lt;source xsi:type=&quot;Indexer&quot;&gt;
                                       &lt;operand path=&quot;component&quot; scope=&quot;mostRecent
          Screening&quot; xsi:type=&quot;Property&quot;/&gt;
                                       &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&quo
          t; xsi:type=&quot;Literal&quot;/&gt;
                                    &lt;/source&gt;
                                 &lt;/source&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;POS&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                  &lt;/then&gt;
                  &lt;else valueType=&quot;t:Boolean&quot; value=&quot;false&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
               &lt;/operand&gt;
            &lt;/where&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Orders Before Most Recent Opioid Screening&quot; context=&quot;Patient&quot
          ; accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;orders&quot;&gt;
               &lt;expression name=&quot;Get Active Ambulatory Opioid Rx&quot; xsi:type=&quot;Expres
          sionRef&quot;/&gt;
            &lt;/source&gt;
            &lt;relationship alias=&quot;mostRecentScreening&quot; xsi:type=&quot;With&quot;&gt;
               &lt;expression name=&quot;Positive Opioid Drug Screening&quot; xsi:type=&quot;Express
          ionRef&quot;/&gt;
               &lt;suchThat xsi:type=&quot;Less&quot;&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;authoredOn&quot; scope=&quot;orders&quot; xsi:type=&quot;
          Property&quot;/&gt;
                  &lt;/operand&gt;
                  &lt;operand path=&quot;value&quot; xsi:type=&quot;Property&quot;&gt;
                     &lt;source path=&quot;effective&quot; scope=&quot;mostRecentScreening&quot;
           xsi:type=&quot;Property&quot;/&gt;
                  &lt;/operand&gt;
               &lt;/suchThat&gt;
            &lt;/relationship&gt;
            &lt;return&gt;
               &lt;expression name=&quot;orders&quot; xsi:type=&quot;AliasRef&quot;/&gt;
            &lt;/return&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Prescribed Opioids&quot; context=&quot;Patient&quot; accessLevel=&quot;Publ
          ic&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;orders&quot;&gt;
               &lt;expression name=&quot;Orders Before Most Recent Opioid Screening&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
            &lt;/source&gt;
            &lt;return&gt;
               &lt;expression xsi:type=&quot;Lower&quot;&gt;
                  &lt;operand xsi:type=&quot;SingletonFrom&quot;&gt;
                     &lt;operand name=&quot;GetIngredient&quot; libraryName=&quot;Common&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;orders&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;/operand&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/return&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;GetOpioid&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&quot;
           xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;Case&quot;&gt;
            &lt;comparand name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3299-5&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Acetaminophen&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;14184-6&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Atropine&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;16485-5&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Bromodiphenhydramine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3408-2&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Brompheniramine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3414-0&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Buprenorphine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3421-5&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Butalbital&quot; xsi:type=&quot;L
          iteral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;12333-1&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Butorphanol&quot; xsi:type=&quot;
          Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3423-1&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Caffeine&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;21142-5&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Carisoprodol&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;16605-8&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Chlorcyclizine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3467-8&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Chlorpheniramine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3507-1&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Codeine&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;14066-5&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Dihydrocodeine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3571-7&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Diphenhydramine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;11235-9&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Fentanyl&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;12308-3&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Hydrocodone&quot; xsi:type=&quot;
          Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;9834-3&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Hydromorphone&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;14071&quot; xsi:type=&quot;Litera
          l&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Ibuprofen&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3711-9&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Levorphanol&quot; xsi:type=&quot;
          Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3746-5&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Meperidine&quot; xsi:type=&quot;L
          iteral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3773-9&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Methadone&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3830-7&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Morphine&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;42618-9&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Naloxone&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;12309-1&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Naltrexone&quot; xsi:type=&quot;L
          iteral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;10998-3&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Oxycodone&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;11247-4&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Oxymorphone&quot; xsi:type=&quot;
          Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3917-2&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Pentazocine&quot; xsi:type=&quot;
          Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3962-8&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Phenylephrine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3965-1&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Phenylpropanolamine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;11000-7&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Promethazine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;4003-0&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Pseudoephedrine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;4009-7&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Pyrilamine&quot; xsi:type=&quot;L
          iteral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;65807-0&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Tapentadol&quot; xsi:type=&quot;L
          iteral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;43219-5&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Tramadol&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;else xsi:type=&quot;Concatenate&quot;&gt;
               &lt;operand valueType=&quot;t:String&quot; value=&quot;Unknown code: &quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;operand name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;/else&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;value&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:String&quot; xsi:type=&quot;NamedTypeSpecifier&quo
          t;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Missing Opioids&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&
          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;Not&quot;&gt;
                  &lt;operand xsi:type=&quot;IsNull&quot;&gt;
                     &lt;operand name=&quot;Positive Opioid Drug Screening&quot; xsi:type=&quot;Expr
          essionRef&quot;/&gt;
                  &lt;/operand&gt;
               &lt;/operand&gt;
            &lt;/condition&gt;
            &lt;then xsi:type=&quot;Except&quot;&gt;
               &lt;operand xsi:type=&quot;Query&quot;&gt;
                  &lt;source alias=&quot;Prescriptions&quot;&gt;
                     &lt;expression name=&quot;Prescribed Opioids&quot; xsi:type=&quot;ExpressionRef
          &quot;/&gt;
                  &lt;/source&gt;
               &lt;/operand&gt;
               &lt;operand xsi:type=&quot;ToList&quot;&gt;
                  &lt;operand xsi:type=&quot;Lower&quot;&gt;
                     &lt;operand name=&quot;GetOpioid&quot; xsi:type=&quot;FunctionRef&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 path=&quot;coding&quot; xsi:type=&quot;Property&quot;&g
          t;
                                    &lt;source path=&quot;code&quot; xsi:type=&quot;Property&quot;&g
          t;
                                       &lt;source name=&quot;Positive Opioid Drug Screening&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
                                    &lt;/source&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&gt;
                  &lt;/operand&gt;
               &lt;/operand&gt;
            &lt;/then&gt;
            &lt;else xsi:type=&quot;As&quot;&gt;
               &lt;operand xsi:type=&quot;Null&quot;/&gt;
               &lt;asTypeSpecifier xsi:type=&quot;ListTypeSpecifier&quot;&gt;
                  &lt;elementType name=&quot;t:String&quot; xsi:type=&quot;NamedTypeSpecifier&quot;/
          &gt;
               &lt;/asTypeSpecifier&gt;
            &lt;/else&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Has Missing Opioids?&quot; context=&quot;Patient&quot; accessLevel=&quot;Pu
          blic&quot;&gt;
         &lt;expression xsi:type=&quot;Exists&quot;&gt;
            &lt;operand name=&quot;Missing Opioids&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Get Opioids From Most Recent Screening&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;mostRecentScreening&quot;&gt;
               &lt;expression name=&quot;Positive Opioid Drug Screening&quot; xsi:type=&quot;Express
          ionRef&quot;/&gt;
            &lt;/source&gt;
            &lt;return&gt;
               &lt;expression xsi:type=&quot;Union&quot;&gt;
                  &lt;operand xsi:type=&quot;ToList&quot;&gt;
                     &lt;operand xsi:type=&quot;Lower&quot;&gt;
                        &lt;operand name=&quot;GetOpioid&quot; xsi:type=&quot;FunctionRef&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 path=&quot;coding&quot; xsi:type=&quot;Property&quot
          ;&gt;
                                       &lt;source path=&quot;code&quot; scope=&quot;mostRecentScreen
          ing&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;/source&gt;
                              &lt;/source&gt;
                           &lt;/operand&gt;
                        &lt;/operand&gt;
                     &lt;/operand&gt;
                  &lt;/operand&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;Not&quot;&gt;
                              &lt;operand xsi:type=&quot;IsNull&quot;&gt;
                                 &lt;operand xsi:type=&quot;Indexer&quot;&gt;
                                    &lt;operand path=&quot;component&quot; scope=&quot;mostRecentScr
          eening&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;/operand&gt;
                              &lt;/operand&gt;
                           &lt;/operand&gt;
                        &lt;/condition&gt;
                        &lt;then xsi:type=&quot;Lower&quot;&gt;
                           &lt;operand name=&quot;GetOpioid&quot; xsi:type=&quot;FunctionRef&quot;&g
          t;
                              &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 path=&quot;coding&quot; xsi:type=&quot;Property&q
          uot;&gt;
                                          &lt;source path=&quot;code&quot; xsi:type=&quot;Property&q
          uot;&gt;
                                             &lt;source xsi:type=&quot;Indexer&quot;&gt;
                                                &lt;operand path=&quot;component&quot;
           scope=&quot;mostRecentScreening&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;/operand&gt;
                                       &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&quo
          t; xsi:type=&quot;Literal&quot;/&gt;
                                    &lt;/source&gt;
                                 &lt;/source&gt;
                              &lt;/operand&gt;
                           &lt;/operand&gt;
                        &lt;/then&gt;
                        &lt;else asType=&quot;t:String&quot; xsi:type=&quot;As&quot;&gt;
                           &lt;operand xsi:type=&quot;SingletonFrom&quot;&gt;
                              &lt;operand xsi:type=&quot;List&quot;/&gt;
                           &lt;/operand&gt;
                        &lt;/else&gt;
                     &lt;/operand&gt;
                  &lt;/operand&gt;
               &lt;/expression&gt;
            &lt;/return&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Unprescribed Opioids&quot; context=&quot;Patient&quot; accessLevel=&quot;Pu
          blic&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;mostRecentScreeningOpioids&quot;&gt;
               &lt;expression name=&quot;Get Opioids From Most Recent Screening&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
            &lt;/source&gt;
            &lt;relationship alias=&quot;ingredients&quot; xsi:type=&quot;With&quot;&gt;
               &lt;expression name=&quot;Prescribed Opioids&quot; xsi:type=&quot;ExpressionRef&quot;
          /&gt;
               &lt;suchThat xsi:type=&quot;Not&quot;&gt;
                  &lt;operand xsi:type=&quot;In&quot;&gt;
                     &lt;operand name=&quot;mostRecentScreeningOpioids&quot; xsi:type=&quot;AliasRef
          &quot;/&gt;
                     &lt;operand xsi:type=&quot;ToList&quot;&gt;
                        &lt;operand name=&quot;ingredients&quot; xsi:type=&quot;AliasRef&quot;/&gt;
                     &lt;/operand&gt;
                  &lt;/operand&gt;
               &lt;/suchThat&gt;
            &lt;/relationship&gt;
            &lt;return&gt;
               &lt;expression name=&quot;mostRecentScreeningOpioids&quot; xsi:type=&quot;AliasRef&qu
          ot;/&gt;
            &lt;/return&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Has Unprescribed Opioids?&quot; context=&quot;Patient&quot; accessLevel=&qu
          ot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Exists&quot;&gt;
            &lt;operand name=&quot;Unprescribed Opioids&quot; xsi:type=&quot;ExpressionRef&quot;/&gt
          ;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Positive Illicit Drug Screening&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Query&quot;&gt;
            &lt;source alias=&quot;mostRecentScreening&quot;&gt;
               &lt;expression name=&quot;Most Recent Illicit Drug Urine Screenings in
           Last 12 Months&quot; xsi:type=&quot;ExpressionRef&quot;/&gt;
            &lt;/source&gt;
            &lt;where xsi:type=&quot;Or&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;code&quot; xsi:type=&quot;Property&quot;&gt;
                        &lt;source xsi:type=&quot;Indexer&quot;&gt;
                           &lt;operand path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;
                              &lt;source path=&quot;interpretation&quot; scope=&quot;mostRecentScree
          ning&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;/source&gt;
                     &lt;/source&gt;
                  &lt;/operand&gt;
                  &lt;operand valueType=&quot;t:String&quot; value=&quot;POS&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
               &lt;/operand&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;Not&quot;&gt;
                        &lt;operand xsi:type=&quot;IsNull&quot;&gt;
                           &lt;operand xsi:type=&quot;Indexer&quot;&gt;
                              &lt;operand path=&quot;component&quot; scope=&quot;mostRecentScreening
          &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;/operand&gt;
                        &lt;/operand&gt;
                     &lt;/operand&gt;
                  &lt;/condition&gt;
                  &lt;then 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 path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;
                                 &lt;source path=&quot;interpretation&quot; xsi:type=&quot;Property&
          quot;&gt;
                                    &lt;source xsi:type=&quot;Indexer&quot;&gt;
                                       &lt;operand path=&quot;component&quot; scope=&quot;mostRecent
          Screening&quot; xsi:type=&quot;Property&quot;/&gt;
                                       &lt;operand valueType=&quot;t:Integer&quot; value=&quot;0&quo
          t; xsi:type=&quot;Literal&quot;/&gt;
                                    &lt;/source&gt;
                                 &lt;/source&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;POS&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                  &lt;/then&gt;
                  &lt;else valueType=&quot;t:Boolean&quot; value=&quot;false&quot; xsi:type=&quot;Li
          teral&quot;/&gt;
               &lt;/operand&gt;
            &lt;/where&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Has Illicit Drugs in Screening?&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Exists&quot;&gt;
            &lt;operand xsi:type=&quot;ToList&quot;&gt;
               &lt;operand name=&quot;Positive Illicit Drug Screening&quot; xsi:type=&quot;Expressio
          nRef&quot;/&gt;
            &lt;/operand&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;AnyTrue&quot;&gt;
                  &lt;source 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;Exp
          ressionRef&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;80&quot;
           xsi:type=&quot;Literal&quot;/&gt;
                  &lt;/source&gt;
               &lt;/operand&gt;
            &lt;/operand&gt;
            &lt;operand xsi:type=&quot;Or&quot;&gt;
               &lt;operand xsi:type=&quot;Or&quot;&gt;
                  &lt;operand xsi:type=&quot;Or&quot;&gt;
                     &lt;operand name=&quot;No Urine Screening In Last 12 Months&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
                     &lt;operand name=&quot;Has Missing Opioids?&quot; xsi:type=&quot;ExpressionRef&
          quot;/&gt;
                  &lt;/operand&gt;
                  &lt;operand name=&quot;Has Unprescribed Opioids?&quot; xsi:type=&quot;ExpressionRe
          f&quot;/&gt;
               &lt;/operand&gt;
               &lt;operand name=&quot;Has Illicit Drugs in Screening?&quot; xsi:type=&quot;Expressio
          nRef&quot;/&gt;
            &lt;/operand&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;GetIllicitDrug&quot; context=&quot;Patient&quot; accessLevel=&quot;Public&q
          uot; xsi:type=&quot;FunctionDef&quot;&gt;
         &lt;expression xsi:type=&quot;Case&quot;&gt;
            &lt;comparand name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3397-7&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Cocaine&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;14267-9&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Methylenedioxymethamphetamine
           (MDMA)&quot; xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;29868-7&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Gamma Hydroxybutyric
           Acid (GHB)&quot; xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;12327-3&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Ketamine&quot; xsi:type=&quot;Lit
          eral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3732-5&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Lysergic Acid Diethylamide
           (LSD)&quot; xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3779-6&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Methamphetamine&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;17504-2&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Psilocybin&quot; xsi:type=&quot;L
          iteral&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;41020-9&quot; xsi:type=&quot;Lite
          ral&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Flunitrazepam (Rohypnol)&quot;
           xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;caseItem&gt;
               &lt;when valueType=&quot;t:String&quot; value=&quot;3426-4&quot; xsi:type=&quot;Liter
          al&quot;/&gt;
               &lt;then valueType=&quot;t:String&quot; value=&quot;Tetrahydrocannabinol
           (THC)&quot; xsi:type=&quot;Literal&quot;/&gt;
            &lt;/caseItem&gt;
            &lt;else xsi:type=&quot;Concatenate&quot;&gt;
               &lt;operand valueType=&quot;t:String&quot; value=&quot;Unknown code: &quot;
           xsi:type=&quot;Literal&quot;/&gt;
               &lt;operand name=&quot;value&quot; xsi:type=&quot;OperandRef&quot;/&gt;
            &lt;/else&gt;
         &lt;/expression&gt;
         &lt;operand name=&quot;value&quot;&gt;
            &lt;operandTypeSpecifier name=&quot;t:String&quot; xsi:type=&quot;NamedTypeSpecifier&quo
          t;/&gt;
         &lt;/operand&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Inconsistent Illicit Drugs&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Concatenate&quot;&gt;
            &lt;operand valueType=&quot;t:String&quot; value=&quot;Found the following
           illicit drug(s) in urine drug screen: &quot; xsi:type=&quot;Literal&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;IsNull&quot;&gt;
                     &lt;operand name=&quot;GetIllicitDrug&quot; xsi:type=&quot;FunctionRef&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 path=&quot;coding&quot; xsi:type=&quot;Property&quot;&g
          t;
                                    &lt;source path=&quot;code&quot; xsi:type=&quot;Property&quot;&g
          t;
                                       &lt;source name=&quot;Positive Illicit Drug Screening&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
                                    &lt;/source&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&gt;
                  &lt;/operand&gt;
               &lt;/condition&gt;
               &lt;then name=&quot;GetIllicitDrug&quot; xsi:type=&quot;FunctionRef&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 path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;
                              &lt;source path=&quot;interpretation&quot; xsi:type=&quot;Property&quo
          t;&gt;
                                 &lt;source name=&quot;Positive Illicit Drug Screening&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
                              &lt;/source&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;/then&gt;
               &lt;else name=&quot;GetIllicitDrug&quot; xsi:type=&quot;FunctionRef&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 path=&quot;coding&quot; xsi:type=&quot;Property&quot;&gt;
                              &lt;source path=&quot;code&quot; xsi:type=&quot;Property&quot;&gt;
                                 &lt;source name=&quot;Positive Illicit Drug Screening&quot;
           xsi:type=&quot;ExpressionRef&quot;/&gt;
                              &lt;/source&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;/else&gt;
            &lt;/operand&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Has Opioids in Screening?&quot; context=&quot;Patient&quot; accessLevel=&qu
          ot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Exists&quot;&gt;
            &lt;operand xsi:type=&quot;ToList&quot;&gt;
               &lt;operand name=&quot;Positive Opioid Drug Screening&quot; xsi:type=&quot;Expression
          Ref&quot;/&gt;
            &lt;/operand&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Inconsistent Unprescribed Opioids&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Concatenate&quot;&gt;
            &lt;operand valueType=&quot;t:String&quot; value=&quot;Found the following
           unprescribed opioid(s): &quot; xsi:type=&quot;Literal&quot;/&gt;
            &lt;operand xsi:type=&quot;SingletonFrom&quot;&gt;
               &lt;operand name=&quot;Unprescribed Opioids&quot; xsi:type=&quot;ExpressionRef&quot;/
          &gt;
            &lt;/operand&gt;
         &lt;/expression&gt;
      &lt;/def&gt;
      &lt;def name=&quot;Inconsistent Missing Opioids&quot; context=&quot;Patient&quot;
           accessLevel=&quot;Public&quot;&gt;
         &lt;expression xsi:type=&quot;Concatenate&quot;&gt;
            &lt;operand valueType=&quot;t:String&quot; value=&quot;The following opioids
           are missing from the screening: &quot; xsi:type=&quot;Literal&quot;/&gt;
            &lt;operand xsi:type=&quot;SingletonFrom&quot;&gt;
               &lt;operand name=&quot;Missing Opioids&quot; xsi:type=&quot;ExpressionRef&quot;/&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;/statements&gt;
&lt;/library&gt;
</code> 
      </pre> 
    </div> 
  </text> 
  <identifier> 
    <use value="official"/> 
    <value value="OpioidCDS_REC_10"/> 
  </identifier> 
  <version value="0.1.0"/> 
  <title value="Opioid CDS Logic for recommendation #10"/> 
  <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 whether the patient has had a urine screening
   in the past 12 months and provide analysis."/> 
  <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 had a urine screening
   in the past 12 months. Is so, then check the results for missing opioids that are prescribed,
   present opioids that aren't prescribed or present illicit drugs."/> 
  <usage value="This library is used to notify the prescriber/user whether the patient has had a urine
   screening in the past 12 months and to provide analysis if true."/> 
  <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="MedicationRequest"/> 
    <codeFilter> 
      <path value="medicationCodeableConcept"/> 
      <valueSet value="http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="Observation"/> 
    <codeFilter> 
      <path value="combo-code"/> 
      <valueSet value="http://example.org/fhir/ValueSet/illicit-drug-urine-screening"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="Observation"/> 
    <codeFilter> 
      <path value="combo-code"/> 
      <valueSet value="http://example.org/fhir/ValueSet/opioid-urine-screening"/> 
    </codeFilter> 
  </dataRequirement> 
  <content> 
    <contentType value="application/elm+xml"/> 
    <data value="PD94bWwgdmVyc2lvbj0iMS4wIiBlbmNvZGluZz0iVVRGLTgiPz4KPGxpYnJhcnkgeG1sbnM9InVybjpobDctb3JnOmVsbTpyMSIg
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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.