Id: OpioidCDSREC03 Url: Library - Recommendation #3 - Opioid Immediate Release Form When Starting Opioid Therapy Version: 2022.1.0 Name: OpioidCDSREC03 Title: Library - Recommendation #3 - Opioid Immediate Release Form When Starting Opioid Therapy Status: active Experimental: false Type: system: http://terminology.hl7.org/CodeSystem/library-type code: logic-library Date: 2026-03-18 16:10:11+1100 Publisher: CDC / Security Risk Solutions, Inc. (SRS) Copyright: Centers for Disease Control and Prevention (CDC) Related Artifacts: Dependencies http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1 FHIR Helpersversion: null4.0.1) Library - OpioidCDS Commonversion: null2022.1.0) Library - OpioidCDS Common Configurationversion: null2022.1.0) Library - OpioidCDS Routinesversion: null2022.1.0) Parameters: Name Type Min Max In/Out ContextPrescriptions MedicationRequest 0 * In Patient Patient 0 1 Out Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Potential Prescriptions MedicationRequest 0 * Out Patient Is Being Prescribed Extended Release Opioid Analgesic with Ambulatory Misuse Potential boolean 0 1 Out Inclusion Criteria boolean 0 1 Out Exclusion Criteria boolean 0 1 Out Is Recommendation Applicable? boolean 0 1 Out Data Requirements: Type Profile MS Code Filter Patient http://hl7.org/fhir/StructureDefinition/Patient Content: text/cql library OpioidCDSREC03 version '2022.1.0' using FHIR version '4.0.1' include FHIRHelpers version '4.0.1' called FHIRHelpers include OpioidCDSCommon version '2022.1.0' called Common include OpioidCDSCommonConfig version '2022.1.0' called Config include OpioidCDSRoutines version '2022.1.0' called Routines /* ** Recommendation #3 ** When starting opioid therapy for acute, subacute, or chronic pain, clinicians should ** prescribe immediate-release opioids instead of extended-release and long-acting (ER/LA) ** opioids (recommendation category: A; evidence type: 4). ** ** When ** Provider is prescribing an extended release opioid analgesic with ambulatory misuse potential in the outpatient setting ** CDC 2022 guideline general inclusion criteria met for this patient: ** Patient is 18 or over ** Patient does not have evidence of sickle cell disease ** Patient does not have findings indicating limited life expectancy ** Patient does not have orders for therapies indicating end of life care ** Patient is not undergoing active cancer treatment: ** Patient has had at least 2 office visits within the past 12 months with an oncology specialist present, or ** Patient has had at least 2 office visits within the past 12 months with a CDC malignant cancer condition diagnosis ** Patient does not have conditions likely terminal for opioid prescribing present ** Patient is opioid naive: ** No indication of opioid use in the past 90 days from a prescription, self report (for future implementation), or a dispensing event (for future implementation) ** Then ** When Initiating Opioid Therapy, Utilize Immediate Release Opioids: ** Document - Will prescribe immediate release opioid ** Snooze - Benefits outweigh risks, snooze 3 months ** Snooze - N/A see comment, snooze 3 months ** */ // META: Plan Definition: http://fhir.org/guides/cdc/opioid-cds-r4/PlanDefinition/opioid-cds-03 parameter ContextPrescriptions List<MedicationRequest> context Patient define "Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Potential Prescriptions": ( Common."Is Opioid Analgesic with Ambulatory Misuse Potential?"( ContextPrescriptions ) ) AmbulatoryOpioidPrescription where Routines."Is Subacute or Chronic Pain Prescription?"( AmbulatoryOpioidPrescription ) and AmbulatoryOpioidPrescription.medication in Common."Extended release opioid with ambulatory misuse potential" define "Patient Is Being Prescribed Extended Release Opioid Analgesic with Ambulatory Misuse Potential": exists( "Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" ) define "Inclusion Criteria": "Patient Is Being Prescribed Extended Release Opioid Analgesic with Ambulatory Misuse Potential" and Routines."CDC 2022 Guideline General Inclusion Criteria" and Routines."Is Opioid Naive?" define "Exclusion Criteria": Common."End of Life Assessment" define "Is Recommendation Applicable?": "Inclusion Criteria" and not "Exclusion Criteria" Content: application/elm+xml Encoded data (21800 characters) Content: application/elm+json Encoded data (35080 characters)
Library - Recommendation #3 - Opioid Immediate Release Form When Starting Opioid Therapy
CDC / Security Risk Solutions, Inc. (SRS)
Centers for Disease Control and Prevention (CDC)
Chronic Pain Extended Release Opioid Analgesic with Ambulatory Misuse Potential Prescriptions
Patient Is Being Prescribed Extended Release Opioid Analgesic with Ambulatory Misuse Potential