Plandefinition-opioidcds-11 - FHIR v5.0.0-draft-final

R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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 PlanDefinition/opioidcds-11 (Narrative)

Clinical Decision Support Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: Not linked to any defined compartments

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile PlanDefinition.

Generated Narrative: PlanDefinition

Resource PlanDefinition "opioidcds-11"

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-11

identifier: id: urn:oid:2.16.840.1.113883.4.642.11.2, id: cdc-opioid-guidance (use: OFFICIAL)

version: 0.1.0

name: Cdcopioid11

title: CDC Opioid Prescribing Guideline Recommendation #11

type: ECA Rule (PlanDefinitionType#eca-rule)

status: draft

date: 2018-03-19

publisher: Centers for Disease Control and Prevention (CDC)

description: Concurrently prescribing opioid medications with benzodiazepines increases the risk of harm for the patient.

UseContexts

-

Code

Value[x]

*

Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus')

Medication requested (situation) (SNOMED CT#182888003)

*

Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus')

Chronic pain (finding) (SNOMED CT#82423001)

jurisdiction: United States of America (ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code#US)

purpose: 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: Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.

topic: Opioid Prescribing ()

author: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH:

relatedArtifact
type: documentation
display: CDC guideline for prescribing opioids for chronic pain
document

relatedArtifact
type: documentation
display: MME Conversion Tables
document

library: http://example.org/fhir/Library/opioidcds-recommendation-11

action
title: Existing patient has concurrent opioid and benzodiazepine prescriptions.
description: Checking if the trigger prescription meets the inclusion criteria for recommendation #11 workflow.
documentation
type: documentation
document
Triggers
- Type Name
* named-event medication-prescribe
condition
kind: applicability
Expressions
- Description Language Expression
* Check whether the existing patient is using opioids concurrently with benzodiazepines. text/cql Inclusion Criteria
groupingBehavior: visual-group
selectionBehavior: exactly-one
dynamicValue
path: action.description
Expressions
- Language Expression
* text/cql Get Detail
dynamicValue
path: action.title
Expressions
- Language Expression
* text/cql Get Summary
dynamicValue
path: action.extension
Expressions
- Language Expression
* text/cql Get Indicator
Actions
- Description
* Will revise
* Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo
* N/A - see comment; snooze 3 mo

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.