Data Exchange Profiles for 2022 CDC Clinical Practice Guideline for Prescribing Opioids
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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

Artifacts Summary

Page standards status: Informative

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Active Cancer Encounter Diagnosis Condition Profile

Defines the essential criteria for a Condition resource with an encounter diagnosis for active cancer.
Active Cancer Problem List Health Concern Condition Profile

Defines the essential criteria for a problem list item or health concern depicting an active cancer condition.
Acute Pain Management MedicationRequest Profile

Defines the essential criteria for a MedicationRequest intended for acute pain management, with a duration of under 28 days.
Amphetamine Medication Profile

Defines an Amphetamine class medication.
Amphetamine MedicationRequest Profile

Defines the essential criteria for an Amphetamine class medication request.
Amphetamine Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Amphetamines class.
Barbiturate Medication Profile

Defines an Barbiturate class medication.
Barbiturate MedicationRequest Profile

Defines the essential criteria for an Barbiturate class medication request.
Barbiturate Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Barbiturate class.
Benzodiazepine Medication Profile

Defines an Benzodiazepine class medication.
Benzodiazepine MedicationRequest Profile

Defines the essential criteria for an Benzodiazepine class medication request.
Benzodiazepine Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Benzodiazepine class.
Buprenorphine Medication Profile

Defines an Buprenorphine class medication.
Buprenorphine MedicationRequest Profile

Defines the essential criteria for an Buprenorphine class medication request.
Buprenorphine Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Buprenorphine class.
CNS Depressant Medication Profile

Defines a central nervous system depressant medication.
CNS Depressant MedicationRequest Profile

Defines the essential criteria for a central nervous system depressant medication request.
Cannabinoid Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Cannabinoid class.
Chronic Pain Management MedicationRequest Profile

Defines the essential criteria for a MedicationRequest intended for chronic pain management, with a duration of more than 56 days.
Cocaine Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Cocaine class.
End of Life Encounter Diagnosis Profile

Defines the essential criteria for an end-of-life care diagnosis in context of an encounter.
End of Life Problem List Health Concern Condition Profile

Defines the essential criteria for a problem list item or health concern depicting an end-of-life care condition.
Extended Release Opioid Medication Profile

Defines an extended release opioid analgesic Medication that presents a risk of misuse in an ambulatory (outpatient) setting.
Extended Release Opioid MedicationRequest Profile

Defines the essential criteria for an extended release opioid analgesic MedicationRequest that presents a risk of misuse in an ambulatory (outpatient) setting.
Fentanyl Medication Profile

Defines an Fentanyl class medication.
Fentanyl MedicationRequest Profile

Defines the essential criteria for an Fentanyl class medication request.
Fentanyl Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Fentanyl class.
Heroin Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Heroin class.
MME MedicationRequest Profile

Defines the minimum expectations for a MedicationRequest that can be used to successfully calculate Morphine Milligram Equivalent (MME)/day according to the 2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide.
Methadone Medication Profile

Defines an Methadone class medication.
Methadone MedicationRequest Profile

Defines the essential criteria for an Methadone class medication request.
Methadone Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Methadone class.
Naloxone Medication Profile

Defines an Naloxone class medication.
Naloxone MedicationRequest Profile

Defines the essential criteria for an Naloxone class medication request.
Opiate Medication Profile

Defines an Opiate class medication.
Opiate MedicationRequest Profile

Defines the essential criteria for an Opiate class medication request.
Opiate Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Opiate class.
Opioid Medication Profile

Defines an opioid analgesic Medication that presents a risk of misuse in an ambulatory (outpatient) setting.
Opioid MedicationRequest Profile

Defines the essential criteria for an opioid analgesic MedicationRequest that presents a risk of misuse in an ambulatory (outpatient) setting.
Opioid Misuse Assessment Procedure Profile

Specifies the essential criteria for representing whether an opioid misuse assessment has been performed.
Opioid Review Useful Patient Encounter Encounter Profile

Defines the essential criteria for an Encounter with an opioid review useful Patient.
Opioid Review Useful Patient MedicationRequest Profile

Defines the essential criteria for an Opioid Review Useful Patient MedicationRequest.
Opioid Review Useful Patient Profile

Defines the essential criteria for determining whether an opioid review should be conducted for a patient.
Oxycodone Medication Profile

Defines an Oxycodone class medication.
Oxycodone MedicationRequest Profile

Defines the essential criteria for an Oxycodone class medication request.
Oxycodone Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the Oxycodone class.
PCP Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening for substances in the PCP class.
PDMP Review Observation Profile

Specifies the essential criteria for documentation that a PDMP review took place.
PDMP Review Procedure Profile

Specifies the essential criteria for representing a PDMP review procedure.
Pain Management Procedure Profile

Specifies the essential criteria for representing a pain management with patients discussing the realistic benefits and known risks of opioid therapy.
Pain Treatment CarePlan Profile

Specifies the essential criteria for representing a pain treatment plan. Ideally the plan should maximize use of nonpharmacologic and nonopioid pharmacologic therapies as appropriate for the specific condition and patient and only consider initiating opioid therapy if expected benefits for pain and function are anticipated to outweigh risks to the patient.
Sickle Cell Encounter Diagnosis Condition Profile

Defines the essential criteria for a Condition resource with an encounter diagnosis for Sickle Cell disease.
Sickle Cell Problem List Health Concern Condition Profile

Defines the essential criteria for a Sickle Cell disease Condition present on the problem list or flagged as a potential health concern.
Subacute Pain Management MedicationRequest Profile

Defines the essential criteria for a MedicationRequest prescribed for subacute pain management with a treatment duration of 28 to 56 days
Subacute or Chronic Pain Management MedicationRequest Profile

Defines the essential criteria for a MedicationRequest prescribed for subacute or chronic pain management with a treatment duration of 28 days or more.
Urine Drug Screening Result Observation Profile

Specifies the essential criteria for interpreting the results of a urine drug screening.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Amphetamine class medications

Amphetamine class medications based upon the mapping of SNOMED CT drug class to ingredient then linked to RXNorm
Amphetamine-class drugs and metabolite urine tests

Urine tests, both quantitative and qualitative, including confirmatory, that detect Amphetamine-class drugs and metabolites
Barbiturate Medications

All Barbiturate medications
Barbiturate urine drug screening tests

Presumed general urine tests for barbiturates that are not specific to a particular substance.
Benzodiazepine medications

All benzodiazepine clinical drugs
Benzodiazepine urine drug screening tests

Presumed general urine tests for benzodiazepines that are not specific to a particular substance.
Buprenorphine Medications

All Buprenorphine medications
Buprenorphine urine drug screening tests

Presumed general urine tests for buprenorphine.
CDC malignant cancer conditions

All neoplastic and malignant conditions, including pain due to neoplasm.
CNS depressant medications

Medications considered to have an ingredient considered to be a CNS depressant, some of which may be mild. Removed from this set are cough medications and bowl transit modifiers.
Cannabinoid class urine drug screening

Cannabinoid, including synthetic and THC, urine tests
Cocaine urine drug screening tests

Urine tests for cocaine and cocaine metabolites
Conditions likely terminal for opioid prescribing

Conditions that generally are thought to have terminal prognosis
Extended release opioid with ambulatory misuse potential

All opioid clinical drugs except those restricted to surgical use only, and that are in an extended release dose form code
Fentanyl-type medications

Fentanyl and similar medications (sufentanil, alfentanil, remifentanil)
Fentanyl-type urine drug screening tests

Urine tests for fentanyl-type drugs and metabolites
General opiate urine drug screening tests

Presumed general urine tests for naturally occurring opioids (i.e. opiates) that are not specific to a particular substance based upon the inclusion of the word 'opiates' in the long name.
Heroin urine drug screening tests

Presumed general urine tests for heroin and metabolites.
Methadone medications

Medication codes representing methadone medications
Methadone urine drug screening tests

Urine tests to identify methadone and metabolites
Naloxone medications

All naloxone medications
Non-synthetic opioid medications

Medications derived from the opium plant that are not synthetically created . All metabolize to morphine.
Opioid analgesics with ambulatory misuse potential

All opioid clinical drugs except cough medications, antispasmodics, or those restricted to surgical use only as identified by those using an injectable form.
Opioid misuse assessment procedure

Procedure to assess the risk of opioid abuse occurring by a patient
Oxycodone Medications

All Oxycodone medications
Oxycodone urine drug screening tests

Presumed general urine tests for oxycodone.
PDMP data reviewed finding

Finding indicating that the Prescription Drug Monitoring Program (PDMP) data was reviewed
PDMP review procedure

Procedure for Prescription Drug Monitoring Program (PDMP) review
Pain management procedure

Procedure for subacute or chronic pain control management
Pain treatment plan

A Pain medicine Plan of care note
Phencyclidine urine drug screening tests

Urine tests for phencyclidine
Sickle-cell diseases

Sickle-cell disorders that cause painful crisis

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Active Cancer Diagnosis Condition Example

This is an active cancer diagnosis condition example for the Active Cancer Diagnosis Condition Profile.
Active Cancer Health Concern Condition Example

This is an active cancer health concern condition example for the Active Cancer Problem List Health Concern Condition Profile.
Acute Pain Management MedicationRequest Example

This is an acute pain management MedicationRequest example for the Acute Pain Management MedicationRequest Profile.
Amphetamine Medication Example

This is an amphetamine Medication example for the Amphetamine Medication Profile.
Amphetamine MedicationRequest Example

This is an amphetamine MedicationRequest example for the Amphetamine MedicationRequest Profile.
Amphetamine Urine Drug Screening Result Observation Example

This is an amphetamine UDS result example for the Amphetamine Urine Drug Screening Result Observation Profile.
Barbiturate Medication Example

This is a barbiturate Medication example for the Barbiturate Medication Profile.
Barbiturate MedicationRequest Example

This is a barbiturate MedicationRequest example for the Barbiturate MedicationRequest Profile.
Barbiturate Urine Drug Screening Result Observation Example

This is a barbiturate UDS result example for the Barbiturate Urine Drug Screening Result Observation Profile.
Benzodiazepine Medication Example

This is a benzodiazepine Medication example for the Benzodiazepine Medication Profile.
Benzodiazepine MedicationRequest Example

This is a benzodiazepine MedicationRequest example for the Benzodiazepine MedicationRequest Profile.
Benzodiazepine Urine Drug Screening Result Observation Example

This is a benzodiazepine UDS result example for the Benzodiazepine Urine Drug Screening Result Observation Profile.
Buprenorphine Medication Example

This is a buprenorphine Medication example for the Buprenorphine Medication Profile.
Buprenorphine MedicationRequest Example

This is a buprenorphine MedicationRequest example for the Buprenorphine MedicationRequest Profile.
Buprenorphine Urine Drug Screening Result Observation Example

This is a buprenorphine UDS result example for the Buprenorphine Urine Drug Screening Result Observation Profile.
Cannabinoid Urine Drug Screening Result Observation Example

This is a cannabinoid UDS result example for the Cannabinoid Urine Drug Screening Result Observation Profile.
Central Nervous System Depressant Medication Example

This is a cns depressant Medication example for the CNSDepressant Medication Profile.
Central Nervous System Depressant MedicationRequest Example

This is a CNS depressant MedicationRequest example for the CNSDepressant MedicationRequest Profile.
Chronic Pain Management MedicationRequest Example

This is a chronic pain management MedicationRequest example for the Chronic Pain Management MedicationRequest Profile.
Cocaine Urine Drug Screening Result Observation Example

This is a cocaine UDS result example for the Cocaine Urine Drug Screening Result Observation Profile.
End of Life Diagnosis Example

This is an end of life diagnosis example for the End of Life Diagnosis Condition Profile.
End of Life Problem List Example

This is an end of life problem list example for the End of Life Problem List Condition Profile.
Extended Release Opioid Medication Example

This is an extended release opioid Medication example for the Extended Release Opioid Medication Profile.
Extended Release Opioid MedicationRequest Example

This is an extended release opioid MedicationRequest example for the Extended Release Opioid MedicationRequest Profile.
Fentanyl Medication Example

This is a fentanyl Medication example for the Fentanyl Medication Profile.
Fentanyl MedicationRequest Example

This is a fentanyl MedicationRequest example for the Fentanyl MedicationRequest Profile.
Fentanyl Urine Drug Screening Result Observation Example

This is a fentanyl UDS result example for the Fentanyl Urine Drug Screening Result Observation Profile.
Heroine Urine Drug Screening Result Observation Example

This is a heroin UDS result example for the Heroine Urine Drug Screening Result Observation Profile.
Methadone Medication Example

This is a methadone Medication example for the Methadone Medication Profile.
Methadone MedicationRequest Example

This is a methadone MedicationRequest example for the Methadone MedicationRequest Profile.
Methadone Urine Drug Screening Result Observation Example

This is a methadone UDS result example for the Methadone Urine Drug Screening Result Observation Profile.
Milligram Morphine Equivalence MedicationRequest Example

This is a milligram morphine equivalence MedicationRequest example for the MME MedicationRequest Profile.
Naloxone Medication Example

This is a naloxone Medication example for the Naloxone Medication Profile.
Naloxone MedicationRequest Example

This is a naloxone MedicationRequest example for the Naloxone MedicationRequest Profile.
Opiate Medication Example

This is an opiate Medication example for the Opiate Medication Profile.
Opiate MedicationRequest Example

This is an opiate MedicationRequest example for the Opiate MedicationRequest Profile.
Opiate Urine Drug Screening Result Observation Example

This is an opiate UDS result example for the Opiate Urine Drug Screening Result Observation Profile.
Opioid Medication Example

This is an opioid Medication example for the Opioid Medication Profile.
Opioid MedicationRequest Example

This is an opioid MedicationRequest example for the Opioid MedicationRequest Profile.
Opioid Misuse Assessment Procedure Example

This is an opioid misuse assessment Procedure example for the Opioid Misuse Assessment Procedure Profile.
Opioid Review Useful Patient Encounter Example

This is an opioid review useful patient encounter example for the Opioid Review Useful Patient Encounter Profile.
Opioid Review Useful Patient Example

This is an opioid review useful patient example for the Opioid Review Useful Patient Profile.
Opioid Review Useful Patient MedicationRequest Example

This is an opioid review useful patient MedicationRequest example for the Opioid Review Useful Patient MedicationRequest Profile.
Oxycodone Medication Example

This is an oxycodone Medication example for the Oxycodone Medication Profile.
Oxycodone MedicationRequest Example

This is an oxycodone MedicationRequest example for the Oxycodone MedicationRequest Profile.
Oxycodone Urine Drug Screening Result Observation Example

This is an oxycodone UDS result example for the Oxycodone Urine Drug Screening Result Observation Profile.
PDMP Review Observation Example

This is a PDMP review Observation example for the PDMP Review Observation Profile.
PDMP Review Procedure Example

This is a PDMP review Procedure example for the PDMP Review Procedure Profile.
Pain Management Procedure Example

This is a pain management Procedure example for the Pain Management Procedure Profile.
Pain Treatment Careplan Example

This is a pain treatment CarePlan example for the Pain Treatment CarePlan Profile.
Phencyclidine Urine Drug Screening Result Observation Example

This is a phencyclidine UDS result example for the PCP Urine Drug Screening Result Observation Profile.
Sickle Cell Encounter Diagnosis Example

This is a sickle cell encounter diagnosis example for the Sickle Cell Encounter Diagnosis Condition Profile.
Sickle Cell Problem List Example

This is a sickle cell problem list example for the Sickle Cell Problem List Condition Profile.
Subacute Pain Management MedicationRequest Example

This is a subacute pain management MedicationRequest example for the Subacute Pain Management MedicationRequest Profile.
US Core Practitioner Example

This is a Practitioner example for the US Core Practitioner Profile.

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

CDCOpioidCPG Manifest

This Manifest is used to manage and resolve canonical resource versions within the CDCOpioidCPG.