{
  "resourceType": "Library",
  "id": "opioidcds-recommendation-11",
  "identifier": [
    {
      "use": "official",
      "value": "OpioidCDS_REC_11"
    }
  ],
  "version": "0.1.0",
  "title": "Opioid CDS Logic for recommendation #11",
  "status": "active",
  "experimental": false,
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/library-type",
        "code": "logic-library",
        "display": "Logic Library"
      }
    ]
  },
  "date": "2018-03-25T13:49:09-06:00",
  "publisher": "Centers for Disease Control and Prevention (CDC)",
  "description": "Opioid decision support logic to avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible.",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus",
        "display": "Clinical Focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "182888003",
            "display": "Medication requested (situation)"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus",
        "display": "Clinical Focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "82423001",
            "display": "Chronic pain (finding)"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "purpose": "The purpose of this library is to determine whether opioid pain medication and benzodiazepines have been prescribed concurrently.",
  "usage": "This library is used to notify the prescriber/user to avoid prescribing opioid pain medication and benzodiazepines concurrently.",
  "copyright": "© CDC 2016+.",
  "topic": [
    {
      "text": "Opioid Prescribing"
    }
  ],
  "author": [
    {
      "name": "Kensaku Kawamoto, MD, PhD, MHS"
    },
    {
      "name": "Bryn Rhodes"
    },
    {
      "name": "Floyd Eisenberg, MD, MPH"
    },
    {
      "name": "Robert McClure, MD, MPH"
    }
  ],
  "relatedArtifact": [
    {
      "type": "documentation",
      "display": "CDC guideline for prescribing opioids for chronic pain",
      "url": "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"
    },
    {
      "type": "depends-on",
      "resource": "Library/opioidcds-common"
    }
  ],
  "dataRequirement": [
    {
      "type": "MedicationRequest",
      "codeFilter": [
        {
          "path": "medicationCodeableConcept",
          "valueSet": "http://example.org/fhir/ValueSet/benzodiazepines"
        }
      ]
    },
    {
      "type": "MedicationRequest",
      "codeFilter": [
        {
          "path": "medicationCodeableConcept",
          "valueSet": "http://example.org/fhir/ValueSet/opioids-abused-in-ambulatory-care"
        }
      ]
    }
  ],
  "content": [
    {
      "contentType": "application/elm+xml",
      "data": "<?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>
"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}