Opioid CDS Recommendation 10 ECA Rule (id = "opioidcds-10")

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  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: PlanDefinition</b> <a name="opioidcds-10"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px
       solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PlanDefinition &quot;opioidcds-10&quot; </p> </div> <p> <b> url</b> : <code> http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10</code> </p> <p> <b> identifier</b> : id: urn:oid:2.16.840.1.113883.4.642.11.3, id: cdc-opioid-guidance (OFFICIAL)</p> <p> <b> version</b> : 0.1.0</p> <p> <b> name</b> : cdc-opioid-10</p> <p> <b> title</b> : CDC Opioid Prescribing Guideline Recommendation #10</p> <p> <b> type</b> : ECA Rule <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-plan-definition-type.html">PlanDefinitionType</a> #eca-rule)</span> </p> <p> <b> status</b> : draft</p> <p> <b> date</b> : 2017-04-23</p> <p> <b> publisher</b> : Centers for Disease Control and Prevention (CDC)</p> <p> <b> description</b> : When prescribing opioids for chronic pain, providers should use urine drug testing before
         starting opioid therapy and consider urine drug testing at least annually to assess for
         prescribed medications as well as other controlled prescription drugs and illicit drugs.</p> <h3> UseContexts</h3> <table class="grid"><tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Value[x]</b> </td> </tr> <tr> <td> *</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code
             focus = 'Clinical Focus', stated as 'Clinical Focus')</td> <td> Medication requested (situation) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #182888003)</span> </td> </tr> <tr> <td> *</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code
             focus = 'Clinical Focus', stated as 'Clinical Focus')</td> <td> Chronic pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #82423001)</span> </td> </tr> </table> <p> <b> jurisdiction</b> : United States of America <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (unknown#US)</span> </p> <p> <b> purpose</b> : CDC’s Guideline for Prescribing Opioids for Chronic Pain is intended to improve communication
         between providers and patients about the risks and benefits of opioid therapy for chronic
         pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated
         with long-term opioid therapy, including opioid use disorder and overdose. The Guideline
         is not intended for patients who are in active cancer treatment, palliative care, or end-of-life
         care.</p> <p> <b> usage</b> : Providers should be aware if patients are taking other prescription drugs or illicit
         drugs that might increase their risk of an overdose.</p> <p> <b> copyright</b> : © CDC 2016+.</p> <p> <b> topic</b> : Opioid Prescribing <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> author</b> : Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert
         McClure, MD, MPH: </p> <blockquote> <p> <b> relatedArtifact</b> </p> <p> <b> type</b> : documentation</p> <p> <b> display</b> : CDC guideline for prescribing opioids for chronic pain</p> </blockquote> <p> <b> library</b> : <a href="http://example.org/fhir/Library/opioidcds-recommendation-10">http://example.org/fhir/Library/opioidcds-recommendation-10</a> </p> <blockquote> <p> <b> action</b> </p> <p> <b> title</b> : Annual Urine Screening Check</p> <p> <b> description</b> : Patient has not had a urine screening in the past 12 months</p> <blockquote> <p> <b> documentation</b> </p> <p> <b> type</b> : documentation</p> </blockquote> <h3> Triggers</h3> <table class="grid"><tr> <td> -</td> <td> <b> Type</b> </td> <td> <b> Name</b> </td> </tr> <tr> <td> *</td> <td> named-event</td> <td> medication-prescribe</td> </tr> </table> <blockquote> <p> <b> condition</b> </p> <p> <b> kind</b> : applicability</p> <h3> Expressions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Description</b> </td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td> *</td> <td> Patient has not had a urine screening in the past 12 months</td> <td> text/cql</td> <td> No Screenings in Past Year</td> </tr> </table> </blockquote> <blockquote> <p> <b> dynamicValue</b> </p> <p> <b> path</b> : activity.extension</p> <h3> Expressions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td> *</td> <td> text/cql</td> <td> Get Indicator</td> </tr> </table> </blockquote> <h3> Actions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Description</b> </td> </tr> <tr> <td> *</td> <td> Will perform urine screening</td> </tr> <tr> <td> *</td> <td> Not for chronic pain management. Snooze 3 months</td> </tr> </table> </blockquote> <blockquote> <p> <b> action</b> </p> <p> <b> title</b> : Positive Urine Screening Check</p> <p> <b> description</b> : Patient has a urine screening testing positive for either unprescribed opioids or illicit
           drugs in the past 12 months</p> <blockquote> <p> <b> documentation</b> </p> <p> <b> type</b> : documentation</p> </blockquote> <blockquote> <p> <b> condition</b> </p> <p> <b> kind</b> : applicability</p> <h3> Expressions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Description</b> </td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td> *</td> <td> Patient has a positive urine screening in the past 12 months</td> <td> text/cql</td> <td> Has Positive Screening?</td> </tr> </table> </blockquote> <blockquote> <p> <b> action</b> </p> <p> <b> title</b> : Unprescribed Opioids Found In Urine Screening</p> <p> <b> description</b> : Patient has a positive urine screening in the past 12 months for opioid(s), which is
             not prescribed</p> </blockquote> <blockquote> <p> <b> action</b> </p> <p> <b> title</b> : Prescribed Opioids Not Found In Urine Screening</p> <p> <b> description</b> : Patient has a positive urine screening in the past 12 months, which does not include
             prescribed opioids</p> </blockquote> <blockquote> <p> <b> action</b> </p> <p> <b> title</b> : Illicit Drugs Found In Urine Screening</p> <p> <b> description</b> : Patient has a positive urine screening in the past 12 months for illicit drugs</p> </blockquote> </blockquote> </div> </text> <url value="http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-10"/> 
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  <title value="CDC Opioid Prescribing Guideline Recommendation #10"/> 
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  <description value="When prescribing opioids for chronic pain, providers should use urine drug testing before
   starting opioid therapy and consider urine drug testing at least annually to assess for
   prescribed medications as well as other controlled prescription drugs and illicit drugs."/> 
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  <purpose value="CDC’s Guideline for Prescribing Opioids for Chronic Pain is intended to improve communication
   between providers and patients about the risks and benefits of opioid therapy for chronic
   pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated
   with long-term opioid therapy, including opioid use disorder and overdose. The Guideline
   is not intended for patients who are in active cancer treatment, palliative care, or end-of-life
   care."/> 
  <usage value="Providers should be aware if patients are taking other prescription drugs or illicit drugs
   that might increase their risk of an overdose."/> 
  <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> 
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      n---united-states-2016#420"/> 
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            <expression> 
            <description value="Patient has not had a urine screening in the past 12 months"/> 
          <language value="text/cql"/> 
              <expression value="No Screenings in Past Year"/> 
            </expression> 
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            <expression> 
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              <expression value="Get Indicator"/> 
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      <!--    Open Order Set, where available    -->
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    <action> 
      <description value="Not for chronic pain management. Snooze 3 months"/> 
    </action> 
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  <action> 
    <title value="Positive Urine Screening Check"/> 
    <description value="Patient has a urine screening testing positive for either unprescribed opioids or illicit
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    <action> 
      <title value="Unprescribed Opioids Found In Urine Screening"/> 
      <description value="Patient has a positive urine screening in the past 12 months for opioid(s), which is not
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      <action> 
        <description value="Not for chronic pain management. Snooze 3 months"/> 
      </action> 
    </action> 
    <action> 
      <title value="Prescribed Opioids Not Found In Urine Screening"/> 
      <description value="Patient has a positive urine screening in the past 12 months, which does not include prescribed
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