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
Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
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Opioid CDS Recommendation 11 Logic
@prefix fhir: <http://hl7.org/fhir/> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/sct/> . # - resource ------------------------------------------------------------------- [] a fhir:Library; fhir:Resource.id [ fhir:value "opioidcds-recommendation-11"]; fhir:Library.identifier [ fhir:index 0; fhir:Identifier.use [ fhir:value "official" ]; fhir:Identifier.value [ fhir:value "OpioidCDS_REC_11" ] ]; fhir:Library.version [ fhir:value "0.1.0"]; fhir:Library.title [ fhir:value "Opioid CDS Logic for recommendation #11"]; fhir:Library.status [ fhir:value "active"]; fhir:Library.experimental [ fhir:value "false"]; 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 "2018-03-25T13:49:09-06:00"]; fhir:Library.publisher [ fhir:value "Centers for Disease Control and Prevention (CDC)"]; fhir:Library.description [ fhir:value "Opioid decision support logic to avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible."]; 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.value [ a sct:182888003; 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.value [ a sct:82423001; 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 "urn:iso:std:iso:3166" ]; fhir:Coding.code [ fhir:value "US" ]; fhir:Coding.display [ fhir:value "United States of America" ] ] ]; fhir:Library.purpose [ fhir:value "The purpose of this library is to determine whether opioid pain medication and benzodiazepines have been prescribed concurrently."]; fhir:Library.usage [ fhir:value "This library is used to notify the prescriber/user to avoid prescribing opioid pain medication and benzodiazepines concurrently."]; 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://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420" ]; fhir:RelatedArtifact.document [ fhir:Attachment.url [ fhir:value "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420" ] ] ], [ fhir:index 1; fhir:RelatedArtifact.type [ fhir:value "depends-on" ]; fhir:RelatedArtifact.resource [ fhir:value "http://example.org/fhir/Library/opioidcds-common" ] ]; fhir:Library.dataRequirement [ fhir:index 0; fhir:DataRequirement.type [ fhir:value "MedicationRequest" ]; fhir:DataRequirement.codeFilter [ fhir:index 0; fhir:DataRequirement.path [ fhir:value "medicationCodeableConcept" ]; fhir:DataRequirement.valueSet [ fhir:value "http://example.org/fhir/ValueSet/benzodiazepines" ] ] ], [ fhir:index 1; fhir:DataRequirement.type [ fhir:value "MedicationRequest" ]; fhir:DataRequirement.codeFilter [ fhir:index 0; fhir:DataRequirement.path [ fhir:value "medicationCodeableConcept" ]; fhir:DataRequirement.valueSet [ fhir:value "http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care" ] ] ]; fhir:Library.content [ fhir:index 0; fhir:Attachment.contentType [ fhir:value "application/elm+xml" ]; fhir:Attachment.data [ fhir:value "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <annotation startLine="54" startChar="13" endLine="54" endChar="57" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="54" startChar="13" endLine="54" endChar="57" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="58" startChar="14" endLine="58" endChar="77" message="Could not resolve code path medicationCodeableConcept for the type of the retrieve FHIR.MedicationRequest." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <annotation startLine="58" startChar="14" endLine="58" endChar="77" message="Could not resolve membership operator for terminology target of the retrieve." errorType="semantic" errorSeverity="warning" xsi:type="a:CqlToElmError"/>
   <identifier id="OpioidCDS_STU4_REC_11" version="0.1.0"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.2.0"/>
   </usings>
   <includes>
      <def localIdentifier="Common" path="OpioidCDS_STU4_Common" version="0.1.0"/>
   </includes>
   <parameters>
      <def name="ContextPrescriptions" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="ListTypeSpecifier">
            <elementType name="fhir:MedicationRequest" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="Validate Trigger Event For Benzodiazepine" context="Patient" accessLevel="Public">
         <expression xsi:type="Exists">
            <operand xsi:type="Query">
               <source alias="triggerScript">
                  <expression name="ContextPrescriptions" xsi:type="ParameterRef"/>
               </source>
               <where name="IsBenzodiazepine" libraryName="Common" xsi:type="FunctionRef">
                  <operand name="ToCode" libraryName="Common" xsi:type="FunctionRef">
                     <operand xsi:type="Indexer">
                        <operand path="coding" xsi:type="Property">
                           <source path="medication" scope="triggerScript" xsi:type="Property"/>
                        </operand>
                        <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                     </operand>
                  </operand>
               </where>
            </operand>
         </expression>
      </def>
      <def name="Validate Trigger Event For Ambulatory Care Abuse Potential" context="Patient" accessLevel="Public">
         <expression xsi:type="Exists">
            <operand xsi:type="Query">
               <source alias="triggerScript">
                  <expression name="ContextPrescriptions" xsi:type="ParameterRef"/>
               </source>
               <where name="IsOpioidWithAmbulatoryAbusePotential" libraryName="Common" xsi:type="FunctionRef">
                  <operand name="ToCode" libraryName="Common" xsi:type="FunctionRef">
                     <operand xsi:type="Indexer">
                        <operand path="coding" xsi:type="Property">
                           <source path="medication" scope="triggerScript" xsi:type="Property"/>
                        </operand>
                        <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                     </operand>
                  </operand>
               </where>
            </operand>
         </expression>
      </def>
      <def name="On Benzodiazepine" context="Patient" accessLevel="Public">
         <expression xsi:type="Or">
            <operand name="Validate Trigger Event For Benzodiazepine" xsi:type="ExpressionRef"/>
            <operand xsi:type="Exists">
               <operand dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">
                  <codes name="Benzodiazepines" libraryName="Common" xsi:type="ValueSetRef"/>
               </operand>
            </operand>
         </expression>
      </def>
      <def name="Opioid with Ambulatory Care Abuse Potential" context="Patient" accessLevel="Public">
         <expression xsi:type="Or">
            <operand name="Validate Trigger Event For Ambulatory Care Abuse Potential" xsi:type="ExpressionRef"/>
            <operand xsi:type="Exists">
               <operand dataType="fhir:MedicationRequest" codeProperty="medicationCodeableConcept" xsi:type="Retrieve">
                  <codes name="Ambulatory Abuse Potential Opioids" libraryName="Common" xsi:type="ValueSetRef"/>
               </operand>
            </operand>
         </expression>
      </def>
      <def name="Inclusion Criteria" context="Patient" accessLevel="Public">
         <expression xsi:type="And">
            <operand xsi:type="And">
               <operand xsi:type="Or">
                  <operand name="Validate Trigger Event For Benzodiazepine" xsi:type="ExpressionRef"/>
                  <operand name="Validate Trigger Event For Ambulatory Care Abuse Potential" xsi:type="ExpressionRef"/>
               </operand>
               <operand name="On Benzodiazepine" xsi:type="ExpressionRef"/>
            </operand>
            <operand name="Opioid with Ambulatory Care Abuse Potential" xsi:type="ExpressionRef"/>
         </expression>
      </def>
      <def name="Get Indicator" context="Patient" accessLevel="Public">
         <expression valueType="t:String" value="warning" xsi:type="Literal"/>
      </def>
      <def name="Get Summary" context="Patient" accessLevel="Public">
         <expression valueType="t:String" value="Avoid prescribing opioid pain medication and benzodiazepine concurrently whenever possible." xsi:type="Literal"/>
      </def>
      <def name="Get Detail" context="Patient" accessLevel="Public">
         <expression xsi:type="If">
            <condition asType="t:Boolean" xsi:type="As">
               <operand name="Validate Trigger Event For Benzodiazepine" xsi:type="ExpressionRef"/>
            </condition>
            <then valueType="t:String" value="The benzodiazepine prescription request is concurrent with an active opioid prescription" xsi:type="Literal"/>
            <else valueType="t:String" value="The opioid prescription request is concurrent with an active benzodiazepine prescription" xsi:type="Literal"/>
         </expression>
      </def>
   </statements>
</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.