Library-opioidcds-recommendation-05.xml

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"/> 
   <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : opioidcds-recommendation-05</p> <p> <b> identifier</b> : OpioidCDS_REC_05 (OFFICIAL)</p> <p> <b> version</b> : 0.1.0</p> <p> <b> title</b> : Opioid CDS Logic for recommendation #5</p> <p> <b> status</b> : active</p> <p> <b> experimental</b> : false</p> <p> <b> type</b> : Logic Library <span> (Details : {http://terminology.hl7.org/CodeSystem/library-type code 'logic-library' =
           'Logic Library', given as 'Logic Library'})</span> </p> <p> <b> date</b> : 25 Mar. 2018, 1:49:09 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> : United States of America <span> (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United
           States of America'})</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> (Details )</span> </p> <p> <b> author</b> : , , , </p> <p> <b> relatedArtifact</b> : , , </p> <p> <b> dataRequirement</b> : </p> <p> <b> content</b> : </p> </div> </text> <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"/> 
   </relatedArtifact> 
   <relatedArtifact> 
      <type value="depends-on"/> 
      <resource value="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"/> 
   </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>