This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4
Library-opioidcds-recommendation-08.xml

Clinical Decision Support Work Group
Maturity Level: N/A
Standards Status: Informative
Compartments: Not linked to any defined compartments
Raw XML (canonical form + also see XML Format Specification)
Opioid CDS Recommendation 8 Logic (id = "opioidcds-recommendation-08")
<?xml version="1.0" encoding="UTF-8"?>

<Library xmlns="http://hl7.org/fhir">
  <id value="opioidcds-recommendation-08"/> 
  <identifier> 
    <use value="official"/> 
    <value value="OpioidCDS_REC_04"/> 
  </identifier> 
  <version value="0.1.0"/> 
  <title value="Opioid CDS Logic for recommendation #4"/> 
  <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 to consider offering Naloxone when factors that increase
   risk for opioid overdose are present."/> 
  <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="The purpose of this library is to determine whether increased risks for opioid overdose
   are present."/> 
  <usage value="This library is used to recommend the prescriber/user to consider offering Naloxone when
   increased risks for opioid overdose are present."/> 
  <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"/> 
    <document> 
      <url value="https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pai
      n---united-states-2016#420"/> 
    </document> 
  </relatedArtifact> 
  <relatedArtifact> 
    <type value="depends-on"/> 
    <resource value="http://example.org/fhir/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"/> 
    <document> 
      <url value="https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"/> 
    </document> 
  </relatedArtifact> 
  <dataRequirement> 
    <type value="MedicationRequest"/> 
    <codeFilter> 
      <path value="medicationCodeableConcept"/> 
      <valueSet value="http://example.org/fhir/ValueSet/naloxone"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="MedicationRequest"/> 
    <codeFilter> 
      <path value="medicationCodeableConcept"/> 
      <valueSet value="http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="MedicationRequest"/> 
    <codeFilter> 
      <path value="medicationCodeableConcept"/> 
      <valueSet value="http://example.org/fhir/ValueSet/benzodiazepines"/> 
    </codeFilter> 
  </dataRequirement> 
  <dataRequirement> 
    <type value="Condition"/> 
    <codeFilter> 
      <path value="code"/> 
      <valueSet value="http://example.org/fhir/ValueSet/substance-abuse"/> 
    </codeFilter> 
  </dataRequirement> 
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  </content> 
</Library>
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.