This page is part of the FHIR Specification (v4.3.0: R4B - STU). 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
Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw XML (canonical form + also see XML Format Specification)
Opioid CDS Recommendation 5 Logic (id = "opioidcds-recommendation-05")
<?xml version="1.0" encoding="UTF-8"?> <Library xmlns="http://hl7.org/fhir"> <id value="opioidcds-recommendation-05"/> <identifier> <use value="official"/> <value value="OpioidCDS_REC_05"/> </identifier> <version value="0.1.0"/> <title value="Opioid CDS Logic for recommendation #5"/> <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 for use in implementing CDC Opioid Prescribing Guidelines."/> <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="This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution."/> <usage value="This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME."/> <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"/> <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pai n---united-states-2016#420"/> <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> <relatedArtifact> <type value="documentation"/> <display value="MME Conversion Tables"/> <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/> <document> <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/> </document> </relatedArtifact> <dataRequirement id="medications"> <type value="MedicationRequest"/> <codeFilter> <path value="status"/> <code> <code value="active"/> </code> </codeFilter> <codeFilter> <path value="category"/> <code> <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/> <code value="outpatient"/> </code> </codeFilter> </dataRequirement> <content> <contentType value="application/elm+xml"/> <data value="PD94bWwgdmVyc2lvbj0iMS4wIiBlbmNvZGluZz0iVVRGLTgiPz4KPGxpYnJhcnkgeG1sbnM9InVybjpobDctb3JnOmVsbTpyMSIg eG1sbnM6dD0idXJuOmhsNy1vcmc6ZWxtLXR5cGVzOnIxIiB4bWxuczp4c2k9Imh0dHA6Ly93d3cudzMub3JnLzIwMDEvWE1MU2NoZ W1hLWluc3RhbmNlIiB4bWxuczp4c2Q9Imh0dHA6Ly93d3cudzMub3JnLzIwMDEvWE1MU2NoZW1hIiB4bWxuczpmaGlyPSJodHRwOi 8vaGw3Lm9yZy9maGlyIiB4bWxuczpxZG00Mz0idXJuOmhlYWx0aGl0LWdvdjpxZG06djRfMyIgeG1sbnM6cWRtNTM9InVybjpoZWF sdGhpdC1nb3Y6cWRtOnY1XzMiIHhtbG5zOmE9InVybjpobDctb3JnOmNxbC1hbm5vdGF0aW9uczpyMSI+CiAgIDxpZGVudGlmaWVy IGlkPSJPcGlvaWRDRFNfU1RVNCIgdmVyc2lvbj0iMC4xLjAiLz4KICAgPHNjaGVtYUlkZW50aWZpZXIgaWQ9InVybjpobDctb3JnO mVsbSIgdmVyc2lvbj0icjEiLz4KICAgPHVzaW5ncz4KICAgICAgPGRlZiBsb2NhbElkZW50aWZpZXI9IlN5c3RlbSIgdXJpPSJ1cm 46aGw3LW9yZzplbG0tdHlwZXM6cjEiLz4KICAgICAgPGRlZiBsb2NhbElkZW50aWZpZXI9IkZISVIiIHVyaT0iaHR0cDovL2hsNy5 vcmcvZmhpciIgdmVyc2lvbj0iMy4yLjAiLz4KICAgPC91c2luZ3M+CiAgIDxpbmNsdWRlcz4KICAgICAgPGRlZiBsb2NhbElkZW50 aWZpZXI9Ik1NRUNvbW1vbiIgcGF0aD0iT3Bpb2lkQ0RTX1NUVTRfQ29tbW9uIiB2ZXJzaW9uPSIwLjEuMCIvPgogICA8L2luY2x1Z GVzPgogICA8cGFyYW1ldGVycz4KICAgICAgPGRlZiBuYW1lPSJVc2VySUQiIGFjY2Vzc0xldmVsPSJQdWJsaWMiPgogICAgICAgIC A8cGFyYW1ldGVyVHlwZVNwZWNpZmllciBuYW1lPSJ0OlN0cmluZyIgeHNpOnR5cGU9Ik5hbWVkVHlwZVNwZWNpZmllciIvPgogICA gICA8L2RlZj4KICAgICAgPGRlZiBuYW1lPSJDb250ZXh0UHJlc2NyaXB0aW9ucyIgYWNjZXNzTGV2ZWw9IlB1YmxpYyI+CiAgICAg ICAgIDxwYXJhbWV0ZXJUeXBlU3BlY2lmaWVyIHhzaTp0eXBlPSJMaXN0VHlwZVNwZWNpZmllciI+CiAgICAgICAgICAgIDxlbGVtZ W50VHlwZSBuYW1lPSJmaGlyOk1lZGljYXRpb25SZXF1ZXN0IiB4c2k6dHlwZT0iTmFtZWRUeXBlU3BlY2lmaWVyIi8+CiAgICAgIC AgIDwvcGFyYW1ldGVyVHlwZVNwZWNpZmllcj4KICAgICAgPC9kZWY+CiAgIDwvcGFyYW1ldGVycz4KICAgPHN0YXRlbWVudHM+CiA gICAgIDxkZWYgbmFtZT0iUGF0aWVudCIgY29udGV4dD0iUGF0aWVudCI+CiAgICAgICAgIDxleHByZXNzaW9uIHhzaTp0eXBlPSJT aW5nbGV0b25Gcm9tIj4KICAgICAgICAgICAgPG9wZXJhbmQgZGF0YVR5cGU9ImZoaXI6UGF0aWVudCIgeHNpOnR5cGU9IlJldHJpZ XZlIi8+CiAgICAgICAgIDwvZXhwcmVzc2lvbj4KICAgICAgPC9kZWY+CiAgICAgIDxkZWYgbmFtZT0iR2V0IEFjdGl2ZSBQcmVzY3 JpcHRpb25zIiBjb250ZXh0PSJQYXRpZW50IiBhY2Nlc3NMZXZlbD0iUHVibGljIj4KICAgICAgICAgPGV4cHJlc3Npb24geHNpOnR 5cGU9IlF1ZXJ5Ij4KICAgICAgICAgICAgPHNvdXJjZSBhbGlhcz0iYWN0aXZlUngiPgogICAgICAgICAgICAgICA8ZXhwcmVzc2lv biBkYXRhVHlwZT0iZmhpcjpNZWRpY2F0aW9uUmVxdWVzdCIgeHNpOnR5cGU9IlJldHJpZXZlIi8+CiAgICAgICAgICAgIDwvc291c mNlPgogICAgICAgICAgICA8d2hlcmUgeHNpOnR5cGU9IkFuZCI+CiAgICAgICAgICAgICAgIDxvcGVyYW5kIHhzaTp0eXBlPSJFcX VhbCI+CiAgICAgICAgICAgICAgICAgIDxvcGVyYW5kIHBhdGg9InZhbHVlIiB4c2k6dHlwZT0iUHJvcGVydHkiPgogICAgICAgICA gICAgICAgICAgICA8c291cmNlIHBhdGg9InN0YXR1cyIgc2NvcGU9ImFjdGl2ZVJ4IiB4c2k6dHlwZT0iUHJvcGVydHkiLz4KICAg ICAgICAgICAgICAgICAgPC9vcGVyYW5kPgogICAgICAgICAgICAgICAgICA8b3BlcmFuZCB2YWx1ZVR5cGU9InQ6U3RyaW5nIiB2Y Wx1ZT0iYWN0aXZlIiB4c2k6dHlwZT0iTGl0ZXJhbCIvPgogICAgICAgICAgICAgICA8L29wZXJhbmQ+CiAgICAgICAgICAgICAgID xvcGVyYW5kIHhzaTp0eXBlPSJFcXVhbCI+CiAgICAgICAgICAgICAgICAgIDxvcGVyYW5kIHBhdGg9InZhbHVlIiB4c2k6dHlwZT0 iUHJvcGVydHkiPgogICAgICAgICAgICAgICAgICAgICA8c291cmNlIHBhdGg9ImNvZGUiIHhzaTp0eXBlPSJQcm9wZXJ0eSI+CiAg ICAgICAgICAgICAgICAgICAgICAgIDxzb3VyY2UgeHNpOnR5cGU9IkluZGV4ZXIiPgogICAgICAgICAgICAgICAgICAgICAgICAgI CA8b3BlcmFuZCB4c2k6dHlwZT0iRmxhdHRlbiI+CiAgICAgICAgICAgICAgICAgICAgICAgICAgICAgIDxvcGVyYW5kIHhzaTp0eX BlPSJRdWVyeSI+CiAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgIDxzb3VyY2UgYWxpYXM9IiR0aGlzIj4KICAgICAgICA gICAgICAgICAgICAgICAgICAgICAgICAgICAgPGV4cHJlc3Npb24gcGF0aD0iY2F0ZWdvcnkiIHNjb3BlPSJhY3RpdmVSeCIgeHNp OnR5cGU9IlByb3BlcnR5Ii8+CiAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgIDwvc291cmNlPgogICAgICAgICAgICAgI CAgICAgICAgICAgICAgICAgICA8d2hlcmUgeHNpOnR5cGU9Ik5vdCI+CiAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgIC AgIDxvcGVyYW5kIHhzaTp0eXBlPSJJc051bGwiPgogICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICA8b3BlcmF uZCBwYXRoPSJjb2RpbmciIHhzaTp0eXBlPSJQcm9wZXJ0eSI+CiAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAg ICAgIDxzb3VyY2UgbmFtZT0iJHRoaXMiIHhzaTp0eXBlPSJBbGlhc1JlZiIvPgogICAgICAgICAgICAgICAgICAgICAgICAgICAgI CAgICAgICAgICA8L29wZXJhbmQ+CiAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgIDwvb3BlcmFuZD4KICAgICAgIC AgICAgICAgICAgICAgICAgICAgICAgICAgPC93aGVyZT4KICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgPHJldHVybj4 KICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgPGV4cHJlc3Npb24gcGF0aD0iY29kaW5nIiB4c2k6dHlwZT0iUHJv cGVydHkiPgogICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICA8c291cmNlIG5hbWU9IiR0aGlzIiB4c2k6dHlwZ T0iQWxpYXNSZWYiLz4KICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgPC9leHByZXNzaW9uPgogICAgICAgICAgIC AgICAgICAgICAgICAgICAgICAgICA8L3JldHVybj4KICAgICAgICAgICAgICAgICAgICAgICAgICAgICAgPC9vcGVyYW5kPgogICA gICAgICAgICAgICAgICAgICAgICAgICA8L29wZXJhbmQ+CiAgICAgICAgICAgICAgICAgICAgICAgICAgIDxvcGVyYW5kIHZhbHVl VHlwZT0idDpJbnRlZ2VyIiB2YWx1ZT0iMCIgeHNpOnR5cGU9IkxpdGVyYWwiLz4KICAgICAgICAgICAgICAgICAgICAgICAgPC9zb 3VyY2U+CiAgICAgICAgICAgICAgICAgICAgIDwvc291cmNlPgogICAgICAgICAgICAgICAgICA8L29wZXJhbmQ+CiAgICAgICAgIC AgICAgICAgIDxvcGVyYW5kIHZhbHVlVHlwZT0idDpTdHJpbmciIHZhbHVlPSJvdXRwYXRpZW50IiB4c2k6dHlwZT0iTGl0ZXJhbCI vPgogICAgICAgICAgICAgICA8L29wZXJhbmQ+CiAgICAgICAgICAgIDwvd2hlcmU+CiAgICAgICAgIDwvZXhwcmVzc2lvbj4KICAg ICAgPC9kZWY+CiAgICAgIDxkZWYgbmFtZT0iVG90YWwgTU1FIiBjb250ZXh0PSJQYXRpZW50IiBhY2Nlc3NMZXZlbD0iUHVibGljI j4KICAgICAgICAgPGV4cHJlc3Npb24gbmFtZT0iVG90YWxNTUUiIGxpYnJhcnlOYW1lPSJNTUVDb21tb24iIHhzaTp0eXBlPSJGdW 5jdGlvblJlZiI+CiAgICAgICAgICAgIDxvcGVyYW5kIHhzaTp0eXBlPSJVbmlvbiI+CiAgICAgICAgICAgICAgIDxvcGVyYW5kIG5 hbWU9IkNvbnRleHRQcmVzY3JpcHRpb25zIiB4c2k6dHlwZT0iUGFyYW1ldGVyUmVmIi8+CiAgICAgICAgICAgICAgIDxvcGVyYW5k IG5hbWU9IkdldCBBY3RpdmUgUHJlc2NyaXB0aW9ucyIgeHNpOnR5cGU9IkV4cHJlc3Npb25SZWYiLz4KICAgICAgICAgICAgPC9vc GVyYW5kPgogICAgICAgICA8L2V4cHJlc3Npb24+CiAgICAgIDwvZGVmPgogICAgICA8ZGVmIG5hbWU9IklzIE1NRSA1MCBPciBNb3 JlPyIgY29udGV4dD0iUGF0aWVudCIgYWNjZXNzTGV2ZWw9IlB1YmxpYyI+CiAgICAgICAgIDxleHByZXNzaW9uIHhzaTp0eXBlPSJ HcmVhdGVyT3JFcXVhbCI+CiAgICAgICAgICAgIDxvcGVyYW5kIG5hbWU9IlRvdGFsIE1NRSIgeHNpOnR5cGU9IkV4cHJlc3Npb25S ZWYiLz4KICAgICAgICAgICAgPG9wZXJhbmQgdmFsdWU9IjUwIiB1bml0PSJtZy9kIiB4c2k6dHlwZT0iUXVhbnRpdHkiLz4KICAgI CAgICAgPC9leHByZXNzaW9uPgogICAgICA8L2RlZj4KICAgICAgPGRlZiBuYW1lPSJHZXQgSW5kaWNhdG9yIiBjb250ZXh0PSJQYX RpZW50IiBhY2Nlc3NMZXZlbD0iUHVibGljIj4KICAgICAgICAgPGV4cHJlc3Npb24gdmFsdWVUeXBlPSJ0OlN0cmluZyIgdmFsdWU 9Indhcm5pbmciIHhzaTp0eXBlPSJMaXRlcmFsIi8+CiAgICAgIDwvZGVmPgogICAgICA8ZGVmIG5hbWU9IkdldCBTdW1tYXJ5IiBj b250ZXh0PSJQYXRpZW50IiBhY2Nlc3NMZXZlbD0iUHVibGljIj4KICAgICAgICAgPGV4cHJlc3Npb24geHNpOnR5cGU9IkNvbmNhd GVuYXRlIj4KICAgICAgICAgICAgPG9wZXJhbmQgdmFsdWVUeXBlPSJ0OlN0cmluZyIgdmFsdWU9IkhpZ2ggcmlzayBmb3Igb3Bpb2 lkIG92ZXJkb3NlIC0gIiB4c2k6dHlwZT0iTGl0ZXJhbCIvPgogICAgICAgICAgICA8b3BlcmFuZCB4c2k6dHlwZT0iQ2FzZSI+CiA gICAgICAgICAgICAgIDxjYXNlSXRlbT4KICAgICAgICAgICAgICAgICAgPHdoZW4geHNpOnR5cGU9IkdyZWF0ZXJPckVxdWFsIj4K ICAgICAgICAgICAgICAgICAgICAgPG9wZXJhbmQgcGF0aD0idmFsdWUiIHhzaTp0eXBlPSJQcm9wZXJ0eSI+CiAgICAgICAgICAgI CAgICAgICAgICAgIDxzb3VyY2UgbmFtZT0iVG90YWwgTU1FIiB4c2k6dHlwZT0iRXhwcmVzc2lvblJlZiIvPgogICAgICAgICAgIC AgICAgICAgICA8L29wZXJhbmQ+CiAgICAgICAgICAgICAgICAgICAgIDxvcGVyYW5kIHhzaTp0eXBlPSJUb0RlY2ltYWwiPgogICA gICAgICAgICAgICAgICAgICAgICA8b3BlcmFuZCB2YWx1ZVR5cGU9InQ6SW50ZWdlciIgdmFsdWU9IjkwIiB4c2k6dHlwZT0iTGl0 ZXJhbCIvPgogICAgICAgICAgICAgICAgICAgICA8L29wZXJhbmQ+CiAgICAgICAgICAgICAgICAgIDwvd2hlbj4KICAgICAgICAgI CAgICAgICAgPHRoZW4gdmFsdWVUeXBlPSJ0OlN0cmluZyIgdmFsdWU9InRhcGVyIG5vdyIgeHNpOnR5cGU9IkxpdGVyYWwiLz4KIC AgICAgICAgICAgICAgPC9jYXNlSXRlbT4KICAgICAgICAgICAgICAgPGVsc2UgdmFsdWVUeXBlPSJ0OlN0cmluZyIgdmFsdWU9ImN vbnNpZGVyIHRhcGVyaW5nIiB4c2k6dHlwZT0iTGl0ZXJhbCIvPgogICAgICAgICAgICA8L29wZXJhbmQ+CiAgICAgICAgIDwvZXhw cmVzc2lvbj4KICAgICAgPC9kZWY+CiAgICAgIDxkZWYgbmFtZT0iR2V0IERldGFpbCIgY29udGV4dD0iUGF0aWVudCIgYWNjZXNzT GV2ZWw9IlB1YmxpYyI+CiAgICAgICAgIDxleHByZXNzaW9uIHhzaTp0eXBlPSJDb25jYXRlbmF0ZSI+CiAgICAgICAgICAgIDxvcG VyYW5kIHhzaTp0eXBlPSJDb25jYXRlbmF0ZSI+CiAgICAgICAgICAgICAgIDxvcGVyYW5kIHZhbHVlVHlwZT0idDpTdHJpbmciIHZ hbHVlPSJUb3RhbCBtb3JwaGluZSBtaWxsaWdyYW0gZXF1aXZhbGVudCAoTU1FKSBpcyAiIHhzaTp0eXBlPSJMaXRlcmFsIi8+CiAg ICAgICAgICAgICAgIDxvcGVyYW5kIHhzaTp0eXBlPSJUb1N0cmluZyI+CiAgICAgICAgICAgICAgICAgIDxvcGVyYW5kIG5hbWU9I lRvdGFsIE1NRSIgeHNpOnR5cGU9IkV4cHJlc3Npb25SZWYiLz4KICAgICAgICAgICAgICAgPC9vcGVyYW5kPgogICAgICAgICAgIC A8L29wZXJhbmQ+CiAgICAgICAgICAgIDxvcGVyYW5kIHZhbHVlVHlwZT0idDpTdHJpbmciIHZhbHVlPSIuIFRhcGVyIHRvIGxlc3M gdGhhbiA1MC4iIHhzaTp0eXBlPSJMaXRlcmFsIi8+CiAgICAgICAgIDwvZXhwcmVzc2lvbj4KICAgICAgPC9kZWY+CiAgIDwvc3Rh dGVtZW50cz4KPC9saWJyYXJ5Pgo="/> </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.