CodeSystem-DefaultMMEConversionFactors

Sourcecqf.fhir.cds4cpm#current:Clinical Decision Support for Chronic Pain Management and Shared Decision-Making IG (v4.0.1)
resourceTypeCodeSystem
idDefaultMMEConversionFactors
canonicalhttp://fhir.org/guides/cqf/cds4cpm/CodeSystem/DefaultMMEConversionFactors
version0.1.0
statusactive
publisherCQF
nameDefaultMMEConversionFactors
titleDefault MME Conversion Factors
date2023-03-30T17:12:37+00:00
experimentalfalse
descriptionThis Code System Supplement defines conversion factors for calculating Morphine Milligram Equivalence (MME) using conversion factors used by default for the CDS4CPM Project. The supplement defines conversions factors for ingredients in one of 3 ways: 1, as a direct conversion factor for the ingredient, 2, as a dose-form-specific conversion factor for the ingredient, and 3, as a dose-ranged conversion factor for the ingredient. See the descriptions for each property for information on how the values are represented for the different conversion factors. For a given ingredient, only one type of property will be present, and the properties will enable a unique conversion factor to be determined if the input is within the expected range. If the input is outside the expected range, implementations should indicate a conversion factor could not be determined from the supplied information. All conversion factors supplied in this supplement are in 'mg/d'.
jurisdictionsuv
caseSensitivefalse
contentsupplement
supplementshttp://www.nlm.nih.gov/research/umls/rxnorm
Usages(none)

Properties

This code system defines the following properties for its concepts

Code Type Description
conversion-factor decimal Defines the conversion factor for a specific ingredient, when the conversion factor is the same for all dose forms and dose amounts for the ingredient. The value of this property will be the decimal representation of the conversion factor.
dose-form-conversion-factor string Defines the conversion factor for an ingredient when the conversion factor varies by the dose form of the medication. The value of this property will be a string of the form <dose-form-code>:<conversion-factor>[@<doses-per-day>], e.g. 970789:130, where '970789' is the RxNorm dose form code, and '130' is the decimal representation of the conversion factor. An example of a per-day conversion factor is fentanyl, 316987:7200@0.33333333, where 316987 is RxNorm dose form code, 7200 is the conversion factor, and 0.33333333 is the dosesPerDay, expressed as a decimal with a maximum of 8 digits after the decimal.
dose-range-conversion-factor string Defines the conversion factor for an ingredient when the conversion factor varies by the overall dose of the medication. The value of this property will be a string of the form <low-value>-<high-value>:<conversion-factor>, e.g. 1-20:4. Note that the low-value or high-value may be a wildcard '*' to indicate the range continues (e.g. '61-*:12' indicates the range is 61 or greater).

Concepts

This code system http://fhir.org/guides/cqf/cds4cpm/CodeSystem/DefaultMMEConversionFactors defines properties on the following codes:

Code Display conversion-factor dose-form-conversion-factor dose-range-conversion-factor
1819 Buprenorphine 316987:12600@0.14285714, 970789:30, 317007:30, 316992:30, 858080:30, 2269578:30
1841 Butorphanol 7
2670 Codeine 0.15
23088 Dihydrocodeine 0.25
4337 Fentanyl 316987:7200@0.33333333, 1649574:300, 970789:130, 317007:130, 316992:130, 858080:180, 126542:160, 346163:160, 1797831:160
5489 Hydrocodone 1
3423 Hydromorphone 4 721656:20
237005 Levomethadyl acetate 8
6378 Loverphanol tartrate 11
6754 Meperidine 0.1
6813 Methadone 1-20:4, 21-40:8, 41-60:10, 61-*:12
7052 Morphine 1
7676 Opium 1
7804 Oxycodone 1.5
7814 Oxymorphone 3
8001 Pentazocine 0.37
787390 Tapentadol 0.4
10689 Tramadol 0.1

Produced 06 Apr 2023