CQL Library that defines functions to convert between FHIR data types and CQL system-defined types, as well as functions to support FHIRPath implementation
Nonpharmacologic therapy and nonopioid pharmacologic therapy are preferred for chronic pain. Clinicians should consider opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient.
- If opioids are used, they should be combined with nonpharmacologic therapy and nonopioid pharmacologic therapy, as appropriate (recommendation category: A, evidence type: 3).
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+ Nonpharmacologic therapy and nonopioid pharmacologic therapy are preferred for chronic pain. Clinicians should consider opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient.
+ If opioids are used, they should be combined with nonpharmacologic therapy and nonopioid pharmacologic therapy, as appropriate (recommendation category: A, evidence type: 3).
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Functional Description
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- {% include recommendation01-functional-description.html %}
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+ {% include recommendation01-functional-description.html %}
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Content
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The following artifacts formalize the description of the logic and behavior defined by this recommendation.
Defines the data requirements to support evaluation of recommendation #1
+ {% include common-libraries.html %}
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Example Data/Requests
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Example Data/Requests
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Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored “Today” as well as a Medication Statement 95 days prior to today which will result in recommendation inclusion in addition to Opioid Naive & Opioid Review Useful inclusion. Patients "Dosage Instructions" are 1 Film per day for 30 days. This should result in a summary message: "Recommend use of nonpharmacologic therapy and nonopioid pharmacologic therapy as alternative."
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Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored "Today" as well as a Medication Statement 95 days prior to today which will result in recommendation inclusion in addition to Opioid Naive & Opioid Review Useful inclusion. Patients "Dosage Instructions" are 1 Film per day for 30 days. This should result in a summary message: "Recommend use of nonpharmacologic therapy and nonopioid pharmacologic therapy as alternative."
Patient is 18 years or older and has an inpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603). Patients “Dosage Instructions” are 1 Film per day for 30 days. This will result in an empty set of cards due to the Medication Request being inpatient.
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Patient is 18 years or older and has an inpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603). Patients "Dosage Instructions" are 1 Film per day for 30 days. This will result in an empty set of cards due to the Medication Request being inpatient.
diff --git a/input/pagecontent/recommendation-02.xml b/input/pagecontent/recommendation-02.xml
index 4530545c..4fde5f96 100644
--- a/input/pagecontent/recommendation-02.xml
+++ b/input/pagecontent/recommendation-02.xml
@@ -5,105 +5,101 @@
not outweigh risks. Clinicians should continue opioid therapy only if there is clinically meaningful improvement in pain and function that outweighs risks to patient safety (recommendation category: A, evidence type: 4).
Defines the data requirements to support evaluation of recommendation #2
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Example Data/Requests
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Description
Bundle
CDS Hooks Request
Expected Response
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Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored “Today” as well as an Opioid Treatment Care Plan updated 89 days prior to today. Patients “Dosage Instructions” are 1 Film per day for 30 days. This patient will not trigger any cards and there should not be a recommendation message.This will result in a summary message: “Recommend creation, review or update of opioid treatment plan.” CarePlan.category.code needs to be Common.”Opioid Treatment Plan…”
Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored “Today” as well as a Care Plan most recently updated 120 days prior to today. Patients “Dosage Instructions” are 1 Film per day for 30 days. Due to the most recent review of the Care Plan having been conducted more than 89 days prior to today this will result in a summary message: “Recommend creation, review or update of opioid treatment plan. CarePlan.category.code needs to be Common.”Opioid Treatment Plan…”
Defines the data requirements to support evaluation of recommendation #2
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+ {% include common-libraries.html %}
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Example Data/Requests
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Description
Bundle
CDS Hooks Request
Expected Response
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Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored "Today" as well as an Opioid Treatment Care Plan updated 89 days prior to today. Patients "Dosage Instructions" are 1 Film per day for 30 days. This patient will not trigger any cards and there should not be a recommendation message. This will result in a summary message: "Recommend creation, review or update of opioid treatment plan." CarePlan.category.code needs to be Common."Opioid Treatment Plan…"
Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored "Today" as well as a Care Plan most recently updated 120 days prior to today. Patients "Dosage Instructions" are 1 Film per day for 30 days. Due to the most recent review of the Care Plan having been conducted more than 89 days prior to today this will result in a summary message: "Recommend creation, review or update of opioid treatment plan. CarePlan.category.code needs to be Common."Opioid Treatment Plan…"
Defines the data requirements to support evaluation of recommendation #3
+ {% include common-libraries.html %}
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Example Data/Requests
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Example Data/Requests
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Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored “Today” and a “documented discussion of opioid harms and risks” procedure completed 91 days prior to today. Patients “Dosage Instructions” are 1 Film per day for 30 days. This will result in a summer message: “Recommend counseling regarding potential opioid harms and risks”
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Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored "Today" and a "documented discussion of opioid harms and risks" procedure completed 91 days prior to today. Patients "Dosage Instructions" are 1 Film per day for 30 days. This will result in a summer message: "Recommend counseling regarding potential opioid harms and risks"
Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored “Today” and a “documented discussion of opioid harms and risks” procedure completed 88 days prior to today. Patients “Dosage Instructions” are 1 Film per day for 30 days. This will not result in any recommendation messages.
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Patient is 18 years or older and has an outpatient Medication Request of Suboxone 2 MG / 0.5 MG Sublingual Film (RXNorm 1010603) authored "Today" and a "documented discussion of opioid harms and risks" procedure completed 88 days prior to today. Patients "Dosage Instructions" are 1 Film per day for 30 days. This will not result in any recommendation messages.