FHIR Clincal Guidelines (v0.1.0) (STU1 Ballot)

This page is part of the Clinical Guidelines (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

OpioidCDS_R4_Recommendation_05

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Library;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "opioidcds-r4-recommendation-05"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: opioidcds-r4-recommendation-05</p><p><b>url</b>: <a href=\"http://fhir.org/guides/cdc/opioid-cds/Library/opioidcds-r4-recommendation-05\">http://fhir.org/guides/cdc/opioid-cds/Library/opioidcds-r4-recommendation-05</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: OpioidCDS_R4_Recommendation_05</p><p><b>title</b>: Opioid CDS R4 Logic for recommendation #5</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>type</b>: Logic Library <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/library-type code 'logic-library' = 'Logic Library', given as 'Logic Library'})</span></p><p><b>date</b>: Apr 15, 2018 3:49:09 PM</p><p><b>publisher</b>: Centers for Disease Control and Prevention (CDC)</p><p><b>description</b>: Opioid Decision Support Logic for use in implementing CDC Opioid Prescribing Guidelines.</p><p><b>useContext</b>: , </p><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow\">(Details : {http://unstats.un.org/unsd/methods/m49/m49.htm code '001' = 'World', given as 'World'})</span></p><p><b>purpose</b>: This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution.</p><p><b>usage</b>: This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME.</p><p><b>copyright</b>: © CDC 2016+.</p><p><b>topic</b>: Opioid Prescribing <span style=\"background: LightGoldenRodYellow\">(Details )</span></p><p><b>author</b>: , , , </p><p><b>relatedArtifact</b>: , , </p><p><b>dataRequirement</b>: </p><p><b>content</b>: , </p></div>"
  ];
  fhir:Library.url [ fhir:value "http://fhir.org/guides/cdc/opioid-cds/Library/opioidcds-r4-recommendation-05"];
  fhir:Library.version [ fhir:value "0.1.0"];
  fhir:Library.name [ fhir:value "OpioidCDS_R4_Recommendation_05"];
  fhir:Library.title [ fhir:value "Opioid CDS R4 Logic for recommendation #5"];
  fhir:Library.status [ fhir:value "active"];
  fhir:Library.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Library.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ];
       fhir:Coding.code [ fhir:value "logic-library" ];
       fhir:Coding.display [ fhir:value "Logic Library" ]     ]
  ];
  fhir:Library.date [ fhir:value "2018-04-15T15:49:09-04:00"^^xsd:dateTime];
  fhir:Library.publisher [ fhir:value "Centers for Disease Control and Prevention (CDC)"];
  fhir:Library.description [ fhir:value "Opioid Decision Support Logic for use in implementing CDC Opioid Prescribing Guidelines."];
  fhir:Library.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ];
       fhir:Coding.display [ fhir:value "Clinical Focus" ]     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:182888003;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "182888003" ];
         fhir:Coding.display [ fhir:value "Medication requested (situation)" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ];
       fhir:Coding.display [ fhir:value "Clinical Focus" ]     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:82423001;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "82423001" ];
         fhir:Coding.display [ fhir:value "Chronic pain (finding)" ]       ]     ]
  ];
  fhir:Library.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
       fhir:Coding.code [ fhir:value "001" ];
       fhir:Coding.display [ fhir:value "World" ]     ]
  ];
  fhir:Library.purpose [ fhir:value "This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution."];
  fhir:Library.usage [ fhir:value "This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME."];
  fhir:Library.copyright [ fhir:value "© CDC 2016+."];
  fhir:Library.topic [
     fhir:index 0;
     fhir:CodeableConcept.text [ fhir:value "Opioid Prescribing" ]
  ];
  fhir:Library.author [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "Kensaku Kawamoto, MD, PhD, MHS" ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.name [ fhir:value "Bryn Rhodes" ]
  ], [
     fhir:index 2;
     fhir:ContactDetail.name [ fhir:value "Floyd Eisenberg, MD, MPH" ]
  ], [
     fhir:index 3;
     fhir:ContactDetail.name [ fhir:value "Robert McClure, MD, MPH" ]
  ];
  fhir:Library.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.display [ fhir:value "CDC guideline for prescribing opioids for chronic pain" ];
     fhir:RelatedArtifact.url [ fhir:value "https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fmmwr%2Fvolumes%2F65%2Frr%2Frr6501e1er.htm" ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [ fhir:value "Library/opioidcds-r4-common" ]
  ], [
     fhir:index 2;
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.display [ fhir:value "MME Conversion Tables" ];
     fhir:RelatedArtifact.url [ fhir:value "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf" ]
  ];
  fhir:Library.dataRequirement [
     fhir:index 0;
     fhir:Element.id [ fhir:value "medications" ];
     fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "status" ];
       fhir:DataRequirement.codeFilter.code [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medication-request-status" ];
         fhir:Coding.code [ fhir:value "active" ]       ]     ], [
       fhir:index 1;
       fhir:DataRequirement.codeFilter.path [ fhir:value "category" ];
       fhir:DataRequirement.codeFilter.code [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medication-request-category" ];
         fhir:Coding.code [ fhir:value "outpatient" ]       ]     ]
  ];
  fhir:Library.content [
     fhir:index 0;
     fhir:Attachment.contentType [ fhir:value "application/elm+xml" ];
     fhir:Attachment.data [ fhir:value "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"^^xsd:base64Binary ];
     fhir:Attachment.title [ fhir:value "STU3 logic" ]
  ], [
     fhir:index 1;
     fhir:Attachment.contentType [ fhir:value "application/elm+xml" ];
     fhir:Attachment.data [ fhir:value "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"^^xsd:base64Binary ];
     fhir:Attachment.title [ fhir:value "DSTU2 logic" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.