Plandefinition-opioidcds-04 - FHIR v6.0.0-ballot1

R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

Example PlanDefinition/opioidcds-04 (Narrative)

Clinical Decision Support Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: No defined compartments

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile PlanDefinition.

Generated Narrative: PlanDefinition

Resource PlanDefinition "opioidcds-04"

StructureDefinition Work Group: cds

url: http://hl7.org/fhir/ig/opioid-cds/PlanDefinition/opioidcds-04

identifier: id: #urn:oid:2.16.840.1.113883.4.642.11.4, id: cdc-opioid-guidance (use: OFFICIAL)

version: 0.1.0

name: Cdcopioid04

title: CDC Opioid Prescribing Guideline Recommendation #4

type: ECA Rule (PlanDefinitionType#eca-rule)

status: draft

date: 2018-03-19

publisher: HL7 International / Clinical Decision Support

contact:

description: When starting opioid therapy for chronic pain, clinicians should prescribe immediate-release opioids instead of extended-release/long-acting (ER/LA) opioids.

UseContexts

Code

Value[x]

Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus')

Medication requested (situation) (SNOMED CT#182888003)

Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'Clinical Focus')

Chronic pain (finding) (SNOMED CT#82423001)

jurisdiction: United States of America (ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code#US)

purpose: CDC’s Guideline for Prescribing Opioids for Chronic Pain is intended to improve communication between providers and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder and overdose. The Guideline is not intended for patients who are in active cancer treatment, palliative care, or end-of-life care.

usage: Providers should use caution when prescribing extended-release/long-acting (ER/LA) opioids as they carry a higher risk and negligible benefit compared to immediate-release opioids.

topic: Opioid Prescribing ()

author: Kensaku Kawamoto, MD, PhD, MHS: , Bryn Rhodes: , Floyd Eisenberg, MD, MPH: , Robert McClure, MD, MPH:

relatedArtifact
type: documentation
display: CDC guideline for prescribing opioids for chronic pain
document

relatedArtifact
type: documentation
display: MME Conversion Tables
document

library: http://example.org/fhir/Library/opioidcds-recommendation-04

action
title: Extended-release opioid prescription triggered.
description: Checking if the trigger prescription meets the inclusion criteria for recommendation #4 workflow.
documentation
type: documentation
document
Triggers
- Type Name
* named-event medication-prescribe
condition
kind: applicability
Expressions
- Description Language Expression
* Check whether the opioid prescription for the existing patient is extended-release without any opioids-with-abuse-potential prescribed in the past 90 days. text/cql Inclusion Criteria
groupingBehavior: visual-group
selectionBehavior: exactly-one
dynamicValue
path: action.title
Expressions
- Language Expression
* text/cql Get Summary
dynamicValue
path: action.description
Expressions
- Language Expression
* text/cql Get Detail
dynamicValue
path: activity.extension
Expressions
- Language Expression
* text/cql Get Indicator
Actions
- Description
* Will precribe immediate release
* Risk of overdose carefully considered and outweighed by benefit; snooze 3 mo
* N/A - see comment; snooze 3 mo

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.