{
  "resourceType": "Library",
  "id": "opioidcds-recommendation-05",
  "identifier": [
    {
      "use": "official",
      "value": "OpioidCDS_REC_05"
    }
  ],
  "version": "0.1.0",
  "title": "Opioid CDS Logic for recommendation #5",
  "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 for use in implementing CDC Opioid Prescribing Guidelines.",
  "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": "This library works in concert with the OMTK logic library to provide decision support for Morphine Milligram Equivalence calculations and dynamic value resolution.",
  "usage": "This library is to notify the prescriber/user whether the current prescription exceeds the recommended MME.",
  "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"
    },
    {
      "type": "documentation",
      "display": "MME Conversion Tables",
      "url": "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"
    }
  ],
  "dataRequirement": [
    {
      "id": "medications",
      "type": "MedicationRequest",
      "codeFilter": [
        {
          "path": "status",
          "code": [
            {
              "code": "active"
            }
          ]
        },
        {
          "path": "category",
          "code": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
              "code": "outpatient"
            }
          ]
        }
      ]
    }
  ],
  "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">
   <identifier id="OpioidCDS_STU4" 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="MMECommon" path="OpioidCDS_STU4_Common" version="0.1.0"/>
   </includes>
   <parameters>
      <def name="UserID" accessLevel="Public">
         <parameterTypeSpecifier name="t:String" xsi:type="NamedTypeSpecifier"/>
      </def>
      <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="Get Active Prescriptions" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="activeRx">
               <expression dataType="fhir:MedicationRequest" xsi:type="Retrieve"/>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand path="value" xsi:type="Property">
                     <source path="status" scope="activeRx" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="active" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="Equal">
                  <operand path="value" xsi:type="Property">
                     <source path="code" xsi:type="Property">
                        <source xsi:type="Indexer">
                           <operand xsi:type="Flatten">
                              <operand xsi:type="Query">
                                 <source alias="$this">
                                    <expression path="category" scope="activeRx" xsi:type="Property"/>
                                 </source>
                                 <where xsi:type="Not">
                                    <operand xsi:type="IsNull">
                                       <operand path="coding" xsi:type="Property">
                                          <source name="$this" xsi:type="AliasRef"/>
                                       </operand>
                                    </operand>
                                 </where>
                                 <return>
                                    <expression path="coding" xsi:type="Property">
                                       <source name="$this" xsi:type="AliasRef"/>
                                    </expression>
                                 </return>
                              </operand>
                           </operand>
                           <operand valueType="t:Integer" value="0" xsi:type="Literal"/>
                        </source>
                     </source>
                  </operand>
                  <operand valueType="t:String" value="outpatient" xsi:type="Literal"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Total MME" context="Patient" accessLevel="Public">
         <expression name="TotalMME" libraryName="MMECommon" xsi:type="FunctionRef">
            <operand xsi:type="Union">
               <operand name="ContextPrescriptions" xsi:type="ParameterRef"/>
               <operand name="Get Active Prescriptions" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Is MME 50 Or More?" context="Patient" accessLevel="Public">
         <expression xsi:type="GreaterOrEqual">
            <operand name="Total MME" xsi:type="ExpressionRef"/>
            <operand value="50" unit="mg/d" xsi:type="Quantity"/>
         </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 xsi:type="Concatenate">
            <operand valueType="t:String" value="High risk for opioid overdose - " xsi:type="Literal"/>
            <operand xsi:type="Case">
               <caseItem>
                  <when xsi:type="GreaterOrEqual">
                     <operand path="value" xsi:type="Property">
                        <source name="Total MME" xsi:type="ExpressionRef"/>
                     </operand>
                     <operand xsi:type="ToDecimal">
                        <operand valueType="t:Integer" value="90" xsi:type="Literal"/>
                     </operand>
                  </when>
                  <then valueType="t:String" value="taper now" xsi:type="Literal"/>
               </caseItem>
               <else valueType="t:String" value="consider tapering" xsi:type="Literal"/>
            </operand>
         </expression>
      </def>
      <def name="Get Detail" context="Patient" accessLevel="Public">
         <expression xsi:type="Concatenate">
            <operand xsi:type="Concatenate">
               <operand valueType="t:String" value="Total morphine milligram equivalent (MME) is " xsi:type="Literal"/>
               <operand xsi:type="ToString">
                  <operand name="Total MME" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand valueType="t:String" value=". Taper to less than 50." xsi:type="Literal"/>
         </expression>
      </def>
   </statements>
</library>
"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}