This page is part of the Data Exchange Profiles for 2022 CDC Clinical Practice Guideline for Prescribing Opioids (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4 . No current official version has been published yet. For a full list of available versions, see the Directory of published versions
Home
Official URL : http://hl7.org/fhir/us/cdc-opioid-cpg/ImplementationGuide/hl7.fhir.us.cdc-opioid-cpg
Version :
1.0.0-ballot
IG
Standards status:
Trial-use
Maturity Level : 2
Computable Name : CDCOpioidCPG
Summary
Defines exchange expectations for systems that implement the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain , both in terms of the data required to evaluate whether recommendations are applicable, as well as the data required to represent proposals resulting from those recommendations.
Scope of Use
This implementation guide proposes a standardized exchange of FHIR profiles that convey information referenced by the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain recommendations. The decision support logic authoring and clinical relevance of the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain is not within the scope of this implementation guide.
How to read this Guide
Home & Background – Introduces the opioid crisis context and relationship to the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain.
Artifacts – Detailed definitions of every profile, extension, value set, and operation.
Change History & Roadmap – Links to ballot comments and future work items.
Target Audiences
EHR and HIT vendors looking to supply opioid-related data in a consistent, reusable format.
Clinical decision support developers looking to retrieve complete patient context to execute the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain logic distributed in the 2022 CDC Clinical Practice Guideline for Prescribing Opioids IG .
Acknowledgements
This Implementation Guide was made possible by the thoughtful contributions of the following people and organizations:
Centers for Disease Control and Prevention (CDC) – clinical subject-matter expertise and reference content for the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain.
The Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP) - identify and develop standards for clinical decision support.
HL7 Clinical Decision Support Work Group – project sponsorship and ballot reconciliation.
Clinical Quality Framework (CQF) Initiative – source content and reference implementations from the 2022 CDC Clinical Practice Guideline for Prescribing Opioids IG.
Dependencies
Cross Version Analysis
This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B} systems. Packages for both R4 (hl7.fhir.us.cdc-opioid-cpg.r4) and R4B (hl7.fhir.us.cdc-opioid-cpg.r4b) are available.
Global Profiles
Global Profiles:
All resources of these types must conform to these profiles.
IP Statements
This publication includes IP covered under the following statements.
ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html Show Usage
ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code : AMPHETAMINES_CLASS_MEDICATIONS , AMPHETAMINE_URINE_DRUG_SCREENING_TESTS ... Show 87 more , ActiveCancerEncounterDiagnosisCondition , ActiveCancerProblemListHealthConcernCondition , AcutePainManagementMedicationRequest , AmphetamineMedication , AmphetamineMedicationRequest , AmphetamineUrineDrugScreeningResultObservation , BARBITURATE_MEDICATIONS , BARBITURATE_URINE_DRUG_SCREENING_TESTS , BENZODIAZEPINE_MEDICATIONS , BENZODIAZEPINE_URINE_DRUG_SCREENING_TESTS , BUPRENORPHINE_MEDICATIONS , BUPRENORPHINE_URINE_DRUG_SCREENING_TESTS , BarbiturateMedication , BarbiturateMedicationRequest , BarbiturateUrineDrugScreeningResultObservation , BenzodiazepineMedication , BenzodiazepineMedicationRequest , BenzodiazepineUrineDrugScreeningResultObservation , BuprenorphineMedication , BuprenorphineMedicationRequest , BuprenorphineUrineDrugScreeningResultObservation , CANNABINOID_URINE_DRUG_SCREENING_TESTS , CDCOpioidCPG , CDC_MALIGNANT_CANCER_CONDITIONS , CNSDepressantMedication , CNSDepressantMedicationRequest , CNS_DEPRESSANT_MEDICATIONS , COCAINE_URINE_DRUG_SCREENING_TESTS , CONDITIONS_LIKELY_TERMINAL_FOR_OPIOID_PRESCRIBING , CannabinoidUrineDrugScreeningResultObservation , ChronicPainManagementMedicationRequest , CocaineUrineDrugScreeningResultObservation , EXTENDED_RELEASE_OPIOID_WITH_AMBULATORY_MISUSE_POTENTIAL , EndOfLifeEncounterDiagnosis , EndOfLifeProblemsListHealthConcernCondition , ExtendedReleaseOpioidMedication , ExtendedReleaseOpioidMedicationRequest , FENTANYL_TYPE_MEDICATIONS , FENTANYL_TYPE_URINE_DRUG_SCREENING_TESTS , FentanylMedication , FentanylMedicationRequest , FentanylUrineDrugScreeningResultObservation , GENERAL_OPIATE_URINE_DRUG_SCREENING_TESTS , HEROIN_URINE_DRUG_SCREENING_TESTS , HeroinUrineDrugScreeningResultObservation , METHADONE_MEDICATIONS , METHADONE_URINE_DRUG_SCREENING_TESTS , MMEMedicationRequest , MethadoneMedication , MethadoneMedicationRequest , MethadoneUrineDrugScreeningResultObservation , NALOXONE_MEDICATIONS , NON_SYNTHETIC_OPIOID_MEDICATIONS , NaloxoneMedication , NaloxoneMedicationRequest , OPIOID_ANALGESICS_WITH_AMBULATORY_MISUSE_POTENTIAL , OPIOID_MISUSE_ASSESSMENT_PROCEDURE , OXYCODONE_MEDICATIONS , OXYCODONE_URINE_DRUG_SCREENING_TESTS , OpiateMedication , OpiateMedicationRequest , OpiateUrineDrugScreeningResultObservation , OpioidMedication , OpioidMedicationRequest , OpioidMisuseAssessmentProcedure , OpioidReviewUsefulPatient , OpioidReviewUsefulPatientEncounter , OpioidReviewUsefulPatientMedicationRequest , OxycodoneMedication , OxycodoneMedicationRequest , OxycodoneUrineDrugScreeningResultObservation , PAIN_MANAGEMENT_PROCEDURE , PAIN_TREATMENT_PLAN , PCPUrineDrugScreeningResultObservation , PDMPReviewObservation , PDMPReviewProcedure , PDMP_DATA_REVIEWED_FINDING , PDMP_REVIEW_PROCEDURE , PHENCYCLIDINE_URINE_DRUG_SCREENING_TESTS , PainManagementProcedure , PainTreatmentCarePlan , SICKLE_CELL_DISEASES , SickleCellEncounterDiagnosisCondition , SickleCellProblemListHealthConcernCondition , SubacuteOrChronicPainManagementMedicationRequest , SubacutePainManagementMedicationRequest and UrineDrugScreeningResultObservation
This material contains content from LOINC . LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license . LOINC® is a registered United States trademark of Regenstrief Institute, Inc. Show Usage
LOINC : AMPHETAMINE_URINE_DRUG_SCREENING_TESTS , AmphetamineUrineDrugScreeningResultObservation ... Show 37 more , BARBITURATE_URINE_DRUG_SCREENING_TESTS , BENZODIAZEPINE_URINE_DRUG_SCREENING_TESTS , BUPRENORPHINE_URINE_DRUG_SCREENING_TESTS , BarbiturateUrineDrugScreeningResultObservation , BenzodiazepineUrineDrugScreeningResultObservation , BuprenorphineUrineDrugScreeningResultObservation , CANNABINOID_URINE_DRUG_SCREENING_TESTS , COCAINE_URINE_DRUG_SCREENING_TESTS , CannabinoidUrineDrugScreeningResultObservation , CarePlan/pain-treatment , CocaineUrineDrugScreeningResultObservation , FENTANYL_TYPE_URINE_DRUG_SCREENING_TESTS , FentanylUrineDrugScreeningResultObservation , GENERAL_OPIATE_URINE_DRUG_SCREENING_TESTS , HEROIN_URINE_DRUG_SCREENING_TESTS , HeroinUrineDrugScreeningResultObservation , METHADONE_URINE_DRUG_SCREENING_TESTS , MethadoneUrineDrugScreeningResultObservation , OXYCODONE_URINE_DRUG_SCREENING_TESTS , Observation/amphetamine-urine-drug-screening-result , Observation/barbiturate-urine-drug-screening-result , Observation/benzodiazepine-urine-drug-screening-result , Observation/buprenorphine-urine-drug-screening-result , Observation/cannabinoid-urine-drug-screening-result , Observation/cocaine-urine-drug-screening-result , Observation/fentanyl-urine-drug-screening-result , Observation/heroin-urine-drug-screening-result , Observation/methadone-urine-drug-screening-result , Observation/opiate-urine-drug-screening-result , Observation/oxycodone-urine-drug-screening-result , Observation/pcp-urine-drug-screening-result , OpiateUrineDrugScreeningResultObservation , OxycodoneUrineDrugScreeningResultObservation , PAIN_TREATMENT_PLAN , PCPUrineDrugScreeningResultObservation , PHENCYCLIDINE_URINE_DRUG_SCREENING_TESTS and PainTreatmentCarePlan
This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org . Show Usage
SNOMED Clinical Terms® (SNOMED CT®) : CONDITIONS_LIKELY_TERMINAL_FOR_OPIOID_PRESCRIBING , Condition/end-of-life-diagnosis ... Show 20 more , Condition/end-of-life-problem-list , Condition/sickle-cell-encounter-diagnosis , Condition/sickle-cell-problem-list , EndOfLifeEncounterDiagnosis , EndOfLifeProblemsListHealthConcernCondition , OPIOID_MISUSE_ASSESSMENT_PROCEDURE , Observation/pdmp-review , OpioidMisuseAssessmentProcedure , PAIN_MANAGEMENT_PROCEDURE , PDMPReviewObservation , PDMPReviewProcedure , PDMP_DATA_REVIEWED_FINDING , PDMP_REVIEW_PROCEDURE , PainManagementProcedure , Procedure/opioid-misuse-assessment , Procedure/pain-management , Procedure/pdmp-review , SICKLE_CELL_DISEASES , SickleCellEncounterDiagnosisCondition and SickleCellProblemListHealthConcernCondition
This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html Show Usage
Condition Category Codes : ActiveCancerEncounterDiagnosisCondition , Condition/active-cancer-diagnosis ... Show 4 more , Condition/end-of-life-diagnosis , Condition/sickle-cell-encounter-diagnosis , EndOfLifeEncounterDiagnosis and SickleCellEncounterDiagnosisCondition
Condition Clinical Status Codes : Condition/active-cancer-diagnosis , Condition/active-cancer-problem-list ... Show 4 more , Condition/end-of-life-diagnosis , Condition/end-of-life-problem-list , Condition/sickle-cell-encounter-diagnosis and Condition/sickle-cell-problem-list
ConditionVerificationStatus : Condition/active-cancer-diagnosis , Condition/active-cancer-problem-list ... Show 4 more , Condition/end-of-life-diagnosis , Condition/end-of-life-problem-list , Condition/sickle-cell-encounter-diagnosis and Condition/sickle-cell-problem-list
MedicationRequest Course of Therapy Codes : AcutePainManagementMedicationRequest , ChronicPainManagementMedicationRequest ... Show 18 more , ExtendedReleaseOpioidMedicationRequest , MedicationRequest/acute-pain-management , MedicationRequest/amphetamine , MedicationRequest/barbiturate , MedicationRequest/benzodiazepine , MedicationRequest/buprenorphine , MedicationRequest/chronic-pain-management , MedicationRequest/cns-depressant , MedicationRequest/extended-release-opioid , MedicationRequest/fentanyl , MedicationRequest/methadone , MedicationRequest/mme , MedicationRequest/naloxone , MedicationRequest/opiate , MedicationRequest/opioid , MedicationRequest/opioid-review-useful-patient , MedicationRequest/oxycodone and SubacuteOrChronicPainManagementMedicationRequest
Observation Category Codes : AmphetamineUrineDrugScreeningResultObservation , BarbiturateUrineDrugScreeningResultObservation ... Show 24 more , BenzodiazepineUrineDrugScreeningResultObservation , BuprenorphineUrineDrugScreeningResultObservation , CannabinoidUrineDrugScreeningResultObservation , CocaineUrineDrugScreeningResultObservation , FentanylUrineDrugScreeningResultObservation , HeroinUrineDrugScreeningResultObservation , MethadoneUrineDrugScreeningResultObservation , Observation/amphetamine-urine-drug-screening-result , Observation/barbiturate-urine-drug-screening-result , Observation/benzodiazepine-urine-drug-screening-result , Observation/buprenorphine-urine-drug-screening-result , Observation/cannabinoid-urine-drug-screening-result , Observation/cocaine-urine-drug-screening-result , Observation/fentanyl-urine-drug-screening-result , Observation/heroin-urine-drug-screening-result , Observation/methadone-urine-drug-screening-result , Observation/opiate-urine-drug-screening-result , Observation/oxycodone-urine-drug-screening-result , Observation/pcp-urine-drug-screening-result , Observation/pdmp-review , OpiateUrineDrugScreeningResultObservation , OxycodoneUrineDrugScreeningResultObservation , PCPUrineDrugScreeningResultObservation and UrineDrugScreeningResultObservation
identifierType : Patient/opioid-review-useful
ActCode : Encounter/opioid-review-useful-patient
Orderable Drug Form : MedicationRequest/amphetamine , MedicationRequest/barbiturate ... Show 11 more , MedicationRequest/benzodiazepine , MedicationRequest/buprenorphine , MedicationRequest/cns-depressant , MedicationRequest/fentanyl , MedicationRequest/methadone , MedicationRequest/mme , MedicationRequest/naloxone , MedicationRequest/opiate , MedicationRequest/opioid , MedicationRequest/opioid-review-useful-patient and MedicationRequest/oxycodone
Used by permission of HL7 International, all rights reserved Creative Commons License Show Usage
Using RxNorm codes of type SAB=RXNORM as this specification describes does not require a UMLS license. Access to the full set of RxNorm definitions, and/or additional use of other RxNorm structures and information requires a UMLS license. The use of RxNorm in this specification is pursuant to HL7's status as a licensee of the NLM UMLS. HL7's license does not convey the right to use RxNorm to any users of this specification; implementers must acquire a license to use RxNorm in their own right. Show Usage
RxNorm : AMPHETAMINES_CLASS_MEDICATIONS , AmphetamineMedication ... Show 50 more , AmphetamineMedicationRequest , BARBITURATE_MEDICATIONS , BENZODIAZEPINE_MEDICATIONS , BUPRENORPHINE_MEDICATIONS , BarbiturateMedication , BarbiturateMedicationRequest , BenzodiazepineMedication , BenzodiazepineMedicationRequest , BuprenorphineMedication , BuprenorphineMedicationRequest , CNSDepressantMedication , CNSDepressantMedicationRequest , CNS_DEPRESSANT_MEDICATIONS , EXTENDED_RELEASE_OPIOID_WITH_AMBULATORY_MISUSE_POTENTIAL , ExtendedReleaseOpioidMedication , ExtendedReleaseOpioidMedicationRequest , FENTANYL_TYPE_MEDICATIONS , FentanylMedication , FentanylMedicationRequest , METHADONE_MEDICATIONS , Medication/amphetamine , Medication/barbiturate , Medication/benzodiazepine , Medication/buprenorphine , Medication/cns-depressant , Medication/extended-release-opioid , Medication/fentanyl , Medication/methadone , Medication/naloxone , Medication/opiate , Medication/opioid , Medication/oxycodone , MedicationRequest/acute-pain-management , MedicationRequest/chronic-pain-management , MedicationRequest/mme , MedicationRequest/subacute-pain-management , MethadoneMedication , MethadoneMedicationRequest , NALOXONE_MEDICATIONS , NON_SYNTHETIC_OPIOID_MEDICATIONS , NaloxoneMedication , NaloxoneMedicationRequest , OPIOID_ANALGESICS_WITH_AMBULATORY_MISUSE_POTENTIAL , OXYCODONE_MEDICATIONS , OpiateMedication , OpiateMedicationRequest , OpioidMedication , OpioidMedicationRequest , OxycodoneMedication and OxycodoneMedicationRequest