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Continued work on #188 refactor/redesign #191

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Jul 11, 2022
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Continued work on #188 refactor/redesign #191

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69d70ca
#188: converted data element tables to html ... added note to recomme…
c-schuler Jul 8, 2022
a4d3a00
Fix broken link
c-schuler Jul 8, 2022
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22 changes: 22 additions & 0 deletions input/includes/active-cancer-treatment-data-elements.html
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<table id="dataElements">
{% include data-elements-headers.html %}
<tr>
<td>Two office visits within the past 12 months?</td>
<td>No</td>
<td>Look for a minimum of two distinct encounters within 12 months of the date of the current visit for which each of the following is true:<br />
&#8226; the encounter diagnosis (primary or secondary or co-morbidity diagnosis) is listed in the CDC Malignant Cancer Conditions value set</td>
<td>Office Visit</td>
</tr>
<tr>
<td>Office visits with an oncology specialist present?</td>
<td>No</td>
<td>&#8226; The encounter is performed by an oncologist as defined in the oncology specialty designations using the National Uniform Claim <br />Committee (NUCC) classifications</td>
<td>Oncology specialty designations (NUCC)</td>
</tr>
<tr>
<td>Office visits including CDC malignant cancer condition?</td>
<td>No</td>
<td>&#8226; The encounter diagnosis (primary or secondary or co-morbidity diagnosis) is listed in the CDC Malignant Cancer Conditions value set</td>
<td>CDC malignant cancer conditions</td>
</tr>
</table>
4 changes: 2 additions & 2 deletions input/includes/active-cancer-treatment-definitions.html
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<img src="assets/images/ActiveCancerTreatment-subroutine.png" style="max-width: 100%;" />
<br />
<img src="assets/images/ActiveCancerTreatment-subroutine-definitions.png" style="max-width: 100%;" />
<p></p>
{% include active-cancer-treatment-data-elements.html %}
9 changes: 9 additions & 0 deletions input/includes/acute-pain-data-elements.html
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<table id="dataElements">
{% include data-elements-headers.html %}
<tr>
<td>Order for opioid analgesics with ambulatory misuse potential of duration &lt; 28 days</td>
<td>Yes</td>
<td>Look for an existing prescription (order) for opioid analgesics with ambulatory misuse potential of duration &lt; 28 days</td>
<td>Opioid analgesics with ambulatory misuse potential</td>
</tr>
</table>
9 changes: 9 additions & 0 deletions input/includes/chronic-pain-data-elements.html
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<table id="dataElements">
{% include data-elements-headers.html %}
<tr>
<td>Order for opioid analgesic with expected supply duration &ge; 28 days</td>
<td>Yes</td>
<td>Order for opioid analgesics with ambulatory misuse potential with a supply duration of &ge; 28 days</td>
<td>Opioid analgesics with ambulatory misuse potential</td>
</tr>
</table>
6 changes: 6 additions & 0 deletions input/includes/data-elements-acute-pain.html
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<tr>
<td>For acute pain?</td>
<td>Yes</td>
<td>See <a href="#for-acute-pain">For Acute Pain sub-routine</a></td>
<td></td>
</tr>
6 changes: 6 additions & 0 deletions input/includes/data-elements-chronic-pain.html
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<tr>
<td>Opioid order for chronic pain?</td>
<td>Yes</td>
<td>See <a href="#for-chronic-pain">For Chronic Pain sub-routine</a></td>
<td></td>
</tr>
6 changes: 6 additions & 0 deletions input/includes/data-elements-headers.html
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<tr>
<th>Definition</th>
<th>Answer to Proceed</th>
<th>Details</th>
<th>Data (Terminology) Requirement</th>
</tr>
1 change: 1 addition & 0 deletions input/includes/data-elements-intro.html
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<caption> The following table describes the flowchart decisions and sub-routines for the recommendation</caption>
6 changes: 6 additions & 0 deletions input/includes/data-elements-opioid-naive.html
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<tr>
<td>Opioid naïve?</td>
<td>Yes</td>
<td>See <a href="#opioid-naive">Opioid Naïve sub-routine</a></td>
<td></td>
</tr>
6 changes: 6 additions & 0 deletions input/includes/data-elements-opioid-review-useful.html
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<tr>
<td>Opioid review useful?</td>
<td>Yes</td>
<td>See <a href="#opioid-review-useful">Opioid Review Useful sub-routine</a></td>
<td></td>
</tr>
4 changes: 2 additions & 2 deletions input/includes/for-acute-pain-definitions.html
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<img src="assets/images/ForAcutePain-subroutine.png" style="max-width: 100%;" />
<br />
<img src="assets/images/ForAcutePain-subroutine-definitions.png" style="max-width: 100%;" />
<p></p>
{% include acute-pain-data-elements.html %}
4 changes: 2 additions & 2 deletions input/includes/for-chronic-pain-definitions.html
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<img src="assets/images/ForChronicPain-subroutine.png" style="max-width: 100%;" />
<br />
<img src="assets/images/ForChronicPain-subroutine-definitions.png" style="max-width: 100%;" />
<p></p>
{% include chronic-pain-data-elements.html %}
1 change: 1 addition & 0 deletions input/includes/multiple-variation-note.html
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<p id="multipleVariation"><em>Note that this recommendation is represented in multiple variations where each variation corresponds to the CDS Hook by which it was meant to be triggered/evaluated. Use the tabs below to navigate to each variation.</em></p>
21 changes: 21 additions & 0 deletions input/includes/opioid-naive-data-elements.html
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<table id="dataElements">
{% include data-elements-headers.html %}
<tr>
<td>Opioid analgesics with ambulatory misuse potential prescription in past 90 days excluding the last 24 hours?</td>
<td>No</td>
<td>Look for an existing prescription (order) for opioid that is in the value set for opioid with ambulatory <br />misuse potential authored within the past 90 days (excluding the last 24 hours)</td>
<td>Opioid analgesics with ambulatory misuse potential</td>
</tr>
<tr>
<td>Opioid analgesics with ambulatory misuse potential reported as being taken excluding the last 24 hours?</td>
<td>No</td>
<td>Look for evidence of active medication on the medication list that is in the value set for opioid with <br />ambulatory care misuse potential (excluding the last 24 hours)</td>
<td>Opioid analgesics with ambulatory misuse potential</td>
</tr>
<tr>
<td>Opioid analgesics with ambulatory misuse potential dispensing event in past 90 days excluding the last 24 hours?</td>
<td>No</td>
<td>Look for evidence of a dispensing event for medication that is in the value set for opioid with ambulatory <br />use potential occurring within the past 90 days (excluding the last 24 hours)</td>
<td>Opioid analgesics with ambulatory misuse potential</td>
</tr>
</table>
4 changes: 2 additions & 2 deletions input/includes/opioid-naive-definitions.html
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<img src="assets/images/OpioidNaive-subroutine.png" style="max-width: 100%;" />
<br />
<img src="assets/images/OpioidNaive-subroutine-definitions.png" style="max-width: 100%;" />
<p></p>
{% include opioid-naive-data-elements.html %}
33 changes: 33 additions & 0 deletions input/includes/opioid-review-useful-data-elements.html
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<table id="dataElements">
{% include data-elements-headers.html %}
<tr>
<td>Age &lt; 18 years?</td>
<td>No</td>
<td>Calculate age from date of birth; exclude patients with age less than 18 years at the time of the prescription</td>
<td>Date of birth</td>
</tr>
<tr>
<td>Limited life expectancy conditions present?</td>
<td>No</td>
<td>Look for documented findings consistent with those listed in the limited life expectancy value set (terminal illness, bad prognosis, pre-terminal)</td>
<td>Limited life expectancy conditions</td>
</tr>
<tr>
<td>Order for therapies indicating end of life care in past 90 days?</td>
<td>No</td>
<td>Look for patients with an existing order for therapies indicating end of life care written within past 90 days</td>
<td>Therapies indicating end of life care</td>
</tr>
<tr>
<td>Active cancer treatment?</td>
<td>No</td>
<td>See Active Cancer Treatment sub-routine</td>
<td>See Active Cancer Treatment sub-routine</td>
</tr>
<tr>
<td>Conditions Likely Terminal for opioid prescribing present?</td>
<td>No</td>
<td>Look for patients with <em>active</em> conditions in the value set end-of-life-conditions</td>
<td>Conditions likely terminal for opioid prescribing</td>
</tr>
</table>
6 changes: 3 additions & 3 deletions input/includes/opioid-review-useful-definitions.html
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<img src="assets/images/OpioidReviewUseful-subroutine.png" style="max-width: 100%;" />
<br />
<img src="assets/images/OpioidReviewUseful-subroutine-definitions.png" style="max-width: 100%;" />

<p></p>
{% include opioid-review-useful-data-elements.html %}
<p></p>
{% include active-cancer-treatment-definitions.html %}
7 changes: 7 additions & 0 deletions input/includes/recommendation01-data-elements.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
{% include data-elements-chronic-pain.html %}
{% include data-elements-opioid-review-useful.html %}
{% include data-elements-opioid-naive.html %}
</table>
23 changes: 23 additions & 0 deletions input/includes/recommendation02-data-elements.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
{% include data-elements-chronic-pain.html %}
{% include data-elements-opioid-review-useful.html %}
{% include data-elements-opioid-naive.html %}
<tr>
<td>Pain treatment plan created or edited in past 90 days?</td>
<td>No</td>
<td>Look for a pain treatment plan that has been established or edited within the past 90 days (including the day of the visit). <br />
The following criteria should be met: <br />
&#8226; the treatment plan has an initiation date or an edited date within the past 90 days <br />
&#8226; the treatment plan should have been created or reviewed within the past 90 days by the same individual who is writing the new prescription
</td>
<td>Pain treatment plan</td>
</tr>
<tr>
<td>Pain management procedure in past 90 days?</td>
<td>No</td>
<td>&#8226; Look for a pain management procedure (including the procedure to review a pain management treatment plan that occurred within the past 90 days (including the day of the visit).</td>
<td>Pain management procedure</td>
</tr>
</table>
13 changes: 13 additions & 0 deletions input/includes/recommendation03-data-elements.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
{% include data-elements-chronic-pain.html %}
{% include data-elements-opioid-review-useful.html %}
<tr>
<td>Opioid counseling procedure in past 90 days (including today)?</td>
<td>No</td>
<td>Search for presence in last 90 days of:<br />
&#8226; Opioid counseling procedure for discussion of opioid harms and risks</td>
<td>Opioid counseling procedure</td>
</tr>
</table>
19 changes: 19 additions & 0 deletions input/includes/recommendation04-data-elements-order-sign.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
<tr>
<td>Is this order for extended release opioid analgesics with ambulatory misuse potential?</td>
<td>Yes</td>
<td>Look for a new prescription for extended release opioids. [Ideally the order should be selected prior to being committed to the system]</td>
<td>Extended release opioid analgesics with ambulatory misuse potential</td>
</tr>
{% include data-elements-chronic-pain.html %}
{% include data-elements-opioid-review-useful.html %}
{% include data-elements-opioid-naive.html %}
<tr>
<td>Immediate release opioid analgesic with ambulatory misuse potential</td>
<td>N/A</td>
<td>Recommend changing order to an immediate release opioid</td>
<td>Immediate release opioid analgesics with ambulatory misuse potential</td>
</tr>
</table>
18 changes: 18 additions & 0 deletions input/includes/recommendation04-data-elements-patient-view.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
<tr>
<td>Order exists for extended release opioid analgesics with ambulatory misuse potential?</td>
<td>Yes</td>
<td>Look for an existing prescription for extended release opioids</td>
<td>Extended release opioid analgesics with ambulatory misuse potential</td>
</tr>
{% include data-elements-opioid-review-useful.html %}
{% include data-elements-opioid-naive.html %}
<tr>
<td>Immediate release opioid analgesic with ambulatory misuse potential</td>
<td>N/A</td>
<td>Recommend changing order to an immediate release opioid</td>
<td>Immediate release opioid analgesics with ambulatory misuse potential</td>
</tr>
</table>
26 changes: 26 additions & 0 deletions input/includes/recommendation05-data-elements.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
{% include data-elements-chronic-pain.html %}
{% include data-elements-opioid-review-useful.html %}
<tr>
<td>Calculate MME for prescription + active opioids</td>
<td>N/A</td>
<td>Current calculation uses known order (prescription) data. Note - for as needed (PRN) medication, the daily
dose assumes the maximum dose the patient may take any given day if a range is present. Ideally, dispensed data
could be used to determine the medication dispensed to the patient</td>
<td></td>
</tr>
<tr>
<td>MME&ge;50?</td>
<td>Yes</td>
<td>MME result is &ge; 50</td>
<td></td>
</tr>
<tr>
<td>MME&ge;90?</td>
<td>Yes</td>
<td>MME result is &ge; 90</td>
<td></td>
</tr>
</table>
24 changes: 24 additions & 0 deletions input/includes/recommendation06-data-elements.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
<tr>
<td>Order for opioid analgesics with with ambulatory misuse potential?</td>
<td>Yes</td>
<td>Trigger based on a new prescription (order) for opioids in the relevant value set - ideally the prescription should be selected prior to being committed to the system</td>
<td>Opioid analgesics with ambulatory misuse potential</td>
</tr>
{% include data-elements-acute-pain.html %}
{% include data-elements-opioid-review-useful.html %}
<tr>
<td>Order for extended release opioid analgesics with ambulatory misuse potential?</td>
<td>Yes</td>
<td>Determine if the new prescription (order) Extended release opioid for analgesics with ambulatory misuse potential</td>
<td>Extended release opioid analgesics with ambulatory misuse potential</td>
</tr>
<tr>
<td>Order for opioid analgesics with ambulatory misuse potential for &gt; 7 days?</td>
<td>Yes</td>
<td>Determine if the new prescription (order) has an intended duration of &gt; 7 days</td>
<td>Opioid analgesics with ambulatory misuse potential</td>
</tr>
</table>
12 changes: 12 additions & 0 deletions input/includes/recommendation07-data-elements.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
{% include data-elements-chronic-pain.html %}
{% include data-elements-opioid-review-useful.html %}
<tr>
<td>Opioid misuse assessment procedure not performed in last 90 days?</td>
<td>Yes</td>
<td>Absence of an opioid misuse assessment procedure in the last 90 days</td>
<td>Opioid misuse assessment procedure</td>
</tr>
</table>
30 changes: 30 additions & 0 deletions input/includes/recommendation08-data-elements.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
{% include data-elements-chronic-pain.html %}
{% include data-elements-opioid-review-useful.html %}
<tr>
<td>No evidence of current naloxone medications?</td>
<td>Yes</td>
<td>Find evidence of naloxone medication prescription (An active medication order for naloxone)</td>
<td>Naloxone medications</td>
</tr>
<tr>
<td>Currently receiving benzodiazepine medications?</td>
<td>Yes</td>
<td>Find evidence of benzodiazepine prescription (An active medication order for benzodiazepine)</td>
<td>Benzodiazepine medications</td>
</tr>
<tr>
<td>MME (morphine milligram equivalents &gt; 50)</td>
<td>Yes</td>
<td>Determine MME from existing active prescriptions (<a href="recommendation-05.html">recommendation 5</a>), or future scope; dispensed medications, or patient-recorded medications</td>
<td></td>
</tr>
<tr>
<td>History of conditions documenting substance misuse disorder?</td>
<td>Yes</td>
<td>Find evidence conditions documenting substance misuse in problem list or past medical history</td>
<td>Conditions documenting substance misuse disorder</td>
</tr>
</table>
20 changes: 20 additions & 0 deletions input/includes/recommendation09-data-elements.html
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<table id="dataElements">
{% include data-elements-intro.html %}
{% include data-elements-headers.html %}
{% include data-elements-chronic-pain.html %}
{% include data-elements-opioid-review-useful.html %}
<tr>
<td>PDMP review procedure in past 90 days?</td>
<td>No</td>
<td>Look for evidence of a prescription drug monitoring program (PDMP) review procedure (may need to modify time
interval for review based on local practice / regulation) [Evidence for the PDMP review procedure may potentially originate in
a PDMP Smart App that provides the code once PDMP review procedure has been completed]</td>
<td>PDMP review procedure</td>
</tr>
<tr>
<td>PDMP data reviewed finding in past 90 days?</td>
<td>No</td>
<td>Documentation (i.e., a finding that PDMP review has occurred) in last 90 days (may need to modify time interval for review based on local practice / regulation)</td>
<td>PDMP data reviewed finding</td>
</tr>
</table>
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