FHIR Server FHIR Server Version n/a

Resource PlanDefinition/FHIR Server from package fhir.cdc.opioid-cds-r4#current (469 ms)

Package

fhir.cdc.opioid-cds-r4

Type

PlanDefinition

FHIR Version

Source

http://fhir.org/guides/cdc/opioid-cds/https://build.fhir.org/ig/cqframework/opioid-cds-r4/PlanDefinition-opioidcds-10-order-sign.html

Url

http://fhir.org/guides/cdc/opioid-cds/PlanDefinition/opioidcds-10-order-sign

Version

2022.1.0

Status

draft

Date

2025-04-24

Name

PlanDefinition_Recommendation_10_Order_Sign

Title

Recommendation #10 - Urine Drug Testing (order-sign)

Experimental

True

Realm

Authority

hl7

Description

When prescribing opioids for subacute or chronic pain, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances.

Purpose

The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain is intended to improve communication between clinicians and patients about the benefits and risks of pain treatments, including opioid therapy; improve the effectiveness and safety of pain treatment; mitigate pain; improve function and quality of life for patients with pain; and reduce risks associated with opioid pain therapy, including opioid use disorder, overdose, and death. The recommendations do not apply to pain related to sickle cell disease or cancer or to patients receiving palliative or end-of-life care.

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Id: opioidcds-10-order-sign

Url: Recommendation #10 - Urine Drug Testing (order-sign)

Version: 2022.1.0

Identifier:

value: cdc-opioid-guidance

Name: PlanDefinition_Recommendation_10_Order_Sign

Title: Recommendation #10 - Urine Drug Testing (order-sign)

Status: draft

Experimental: true

Type:

system: http://terminology.hl7.org/CodeSystem/plan-definition-type

code: eca-rule

display: ECA Rule

Date: 2025-04-24

Publisher: Centers for Disease Control and Prevention (CDC)

Description: When prescribing opioids for subacute or chronic pain, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances.

Logic Definitions:

Library Name

Name

sequence

OpioidCDSREC10OrderSign

Subacute or Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions

define "Subacute or Chronic Pain 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 )

Library Name

Name

sequence

OpioidCDSREC10OrderSign

Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential

define "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential":
  exists( "Subacute or Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions" )

Library Name

Name

sequence

OpioidCDSRoutines

Patient Age Less Than 18

define "Patient Age Less Than 18":
  if (Config."Age Less than 18 Years Is Enabled") then
    AgeInYearsAt(Today()) < 18
  else false

Library Name

Name

sequence

OpioidCDSRoutines

Condition Positive for Sickle Cell

define "Condition Positive for Sickle Cell":
  if (Config."Sickle Cell Check Enabled") then
    exists(
      Common."Positive Sickle Cell Condition"
    ) 
  else false

Library Name

Name

sequence

OpioidCDSRoutines

Is Active Cancer Treatment?

define "Is Active Cancer Treatment?":
  if (Config."Active Cancer Treatment Encounters Condition Is Enabled") 
    then "Has Two or More Encounters with Cancer Diagnosis During Encounter Period"
      or "Has Active Cancer Diagnosis on Problem List"
  else false

Library Name

Name

sequence

OpioidCDSRoutines

Conditions Likely Terminal for Opioid Prescribing

define "Conditions Likely Terminal for Opioid Prescribing":
  if (Config."End-Stage Disease Criteria Enabled") then
    exists (
      Common."US Core-Categorized Conditions" EOLC
        where EOLC.code in Common."Conditions likely terminal for opioid prescribing"
          // and EOLC.clinicalStatus in Common."Active Condition"
    )
  else false

Library Name

Name

sequence

OpioidCDSRoutines

Is Opioid Review Useful?

define "Is Opioid Review Useful?":
  not "Patient Age Less Than 18"
    and not "Condition Positive for Sickle Cell"
    and not "Is Active Cancer Treatment?"
    and not "Conditions Likely Terminal for Opioid Prescribing"

Library Name

Name

sequence

OpioidCDSREC10Common

Inclusion Criteria For UDS Recommendation

/*
@description: Determines whether an opioid review is appropriate for the patient and whether they had a UDS performed in the past year
*/
define "Inclusion Criteria For UDS Recommendation":
  Routines."Is Opioid Review Useful?"
    and not exists (
      if Config."Use Alternative UDS Lookback Period"
        then "All Opioid or Non-opioid UDS in Alternative Lookback Period"
      else "All Opioid or Non-opioid UDS in Lookback Period"
    )

Library Name

Name

sequence

OpioidCDSREC10OrderSign

Is Perform Drug Screen Recommendation Applicable?

define "Is Perform Drug Screen Recommendation Applicable?":
  "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
    and Rec10Common."Inclusion Criteria For UDS Recommendation"

Library Name

Name

sequence

OpioidCDSREC10Common

Amphetamine Simple Identifier

define "Amphetamine Simple Identifier": 'Amphetamine'

Library Name

Name

sequence

OpioidCDSREC10Common

UDS Lookback Period

// Constants

define "UDS Lookback Period":
  Interval[Today() - 12 months - 1 days, Today()]

Library Name

Name

sequence

OpioidCDSREC10Common

All Opioid or Non-opioid UDS in Lookback Period

define "All Opioid or Non-opioid UDS in Lookback Period":
  (
    [Observation: Common."All Drug Urine Screening"] Lab
      where date from Lab.effective in day of "UDS Lookback Period"
        and not (
          Lab.status in { 'unknown', 'entered-in-error', 'cancelled' }
        )
  ) X sort by date from effective desc

Library Name

Name

sequence

OpioidCDSREC10Common

Amphetamine Screenings In Lookback Period

// Amphetamines
define "Amphetamine Screenings In Lookback Period":
  "All Opioid or Non-opioid UDS in Lookback Period" Lab
    where Lab.code in Common."Amphetamine Urine Tests"

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Amphetamine Screenings In Lookback Period

define "Positive Amphetamine Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Amphetamine Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Amphetamine Screenings In Lookback Period

define "Negative Amphetamine Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Amphetamine Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Rx Lookback Period

define "Rx Lookback Period":
  Interval[Today() - 12 months - 31 days, Today()]

Library Name

Name

sequence

OpioidCDSREC10Common

Normalize Rx In Lookback Period

define "Normalize Rx In Lookback Period":
  Common."Get MedicationRequest Medication as Code"(
    [MedicationRequest: category in Common."Community"] Rx
      where Rx.status in { 'active', 'completed', 'stopped' }
        and Rx.intent = 'order'
        and Common."GetDateFromMedicationRequest"(Rx) in day of "Rx Lookback Period"
  )

Library Name

Name

sequence

OpioidCDSREC10Common

Amphetamine Rx In Lookback Period

define "Amphetamine Rx In Lookback Period":
  "Normalize Rx In Lookback Period" Rx
      where Rx.medication in Common."Amphetamine Medications"

Library Name

Name

sequence

OpioidCDSREC10Common

Barbiturate Simple Identifier

define "Barbiturate Simple Identifier": 'Barbiturate'

Library Name

Name

sequence

OpioidCDSREC10Common

Barbiturate Screenings In Lookback Period

// Barbiturates
define "Barbiturate Screenings In Lookback Period":
  "All Opioid or Non-opioid UDS in Lookback Period" Lab
    where Lab.code in Common."Barbiturate Urine Tests"

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Barbiturate Screenings In Lookback Period

define "Positive Barbiturate Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Barbiturate Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Barbiturate Screenings In Lookback Period

define "Negative Barbiturate Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Barbiturate Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Barbiturate Rx In Lookback Period

define "Barbiturate Rx In Lookback Period":
  "Normalize Rx In Lookback Period" Rx
      where Rx.medication in Common."Barbiturate Medications"

Library Name

Name

sequence

OpioidCDSREC10Common

Benzodiazepine Simple Identifier

define "Benzodiazepine Simple Identifier": 'Benzodiazepine'

Library Name

Name

sequence

OpioidCDSREC10Common

Benzodiazepine Screenings In Lookback Period

// Benzodiazepines
define "Benzodiazepine Screenings In Lookback Period":
  "All Opioid or Non-opioid UDS in Lookback Period" Lab
    where Lab.code in Common."Benzodiazepine Urine Tests"

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Benzodiazepine Screenings In Lookback Period

define "Positive Benzodiazepine Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Benzodiazepine Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Benzodiazepine Screenings In Lookback Period

define "Negative Benzodiazepine Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Benzodiazepine Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Benzodiazepine Rx In Lookback Period

define "Benzodiazepine Rx In Lookback Period":
  "Normalize Rx In Lookback Period" Rx
    where Rx.medication in Common."Benzodiazepine medications"

Library Name

Name

sequence

OpioidCDSREC10Common

Buprenorphine Simple Identifier

define "Buprenorphine Simple Identifier": 'Buprenorphine'

Library Name

Name

sequence

OpioidCDSREC10Common

Buprenorphine Screenings In Lookback Period

// Buprenorphine
define "Buprenorphine Screenings In Lookback Period":
  "All Opioid or Non-opioid UDS in Lookback Period" Lab
    where Lab.code in Common."Buprenorphine Urine Tests"

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Buprenorphine Screenings In Lookback Period

define "Positive Buprenorphine Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Buprenorphine Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Buprenorphine Screenings In Lookback Period

define "Negative Buprenorphine Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Buprenorphine Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Buprenorphine Rx In Lookback Period

define "Buprenorphine Rx In Lookback Period":
  "Normalize Rx In Lookback Period" Rx
    where Rx.medication in Common."Buprenorphine Medications"

Library Name

Name

sequence

OpioidCDSREC10Common

Cannabinoid Simple Identifier

define "Cannabinoid Simple Identifier": 'Cannabinoid'

Library Name

Name

sequence

OpioidCDSREC10Common

Cannabinoid Screenings In Lookback Period

// Cannabinoids
define "Cannabinoid Screenings In Lookback Period":
  if Config."Cannabinoid Urine Screening Check Enabled"
    then (
      "All Opioid or Non-opioid UDS in Lookback Period" Lab
        where Lab.code in Common."Cannabinoid Urine Tests"
    ) else null

Library Name

Name

sequence

OpioidCDSCommonConfig

Cannabinoid Urine Screening Check Enabled

define "Cannabinoid Urine Screening Check Enabled":
  false

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Cannabinoid Screenings In Lookback Period

define "Positive Cannabinoid Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Cannabinoid Screenings In Lookback Period", Config."Cannabinoid Urine Screening Check Enabled")

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Cannabinoid Screenings In Lookback Period

define "Negative Cannabinoid Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Cannabinoid Screenings In Lookback Period", Config."Cannabinoid Urine Screening Check Enabled")

Library Name

Name

sequence

OpioidCDSREC10Common

Cocaine Simple Identifier

define "Cocaine Simple Identifier": 'Cocaine'

Library Name

Name

sequence

OpioidCDSREC10Common

Cocaine Screenings In Lookback Period

// Cocaine
define "Cocaine Screenings In Lookback Period":
  "All Opioid or Non-opioid UDS in Lookback Period" Lab
    where Lab.code in Common."Cocaine Urine Tests"

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Cocaine Screenings In Lookback Period

define "Positive Cocaine Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Cocaine Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Cocaine Screenings In Lookback Period

define "Negative Cocaine Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Cocaine Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Fentanyl Simple Identifier

define "Fentanyl Simple Identifier": 'Fentanyl'

Library Name

Name

sequence

OpioidCDSREC10Common

Fentanyl Screenings In Lookback Period

// Fentanyl
define "Fentanyl Screenings In Lookback Period":
  if Config."Opiate Urine Screening Check Enabled"
  then (
    "All Opioid or Non-opioid UDS in Lookback Period" AllLabs
      where AllLabs.code in Common."Fentanyl Urine Tests"
  ) else null

Library Name

Name

sequence

OpioidCDSCommonConfig

Opiate Urine Screening Check Enabled

// Recommendation 10
define "Opiate Urine Screening Check Enabled":
  true

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Fentanyl Screenings In Lookback Period

define "Positive Fentanyl Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Fentanyl Screenings In Lookback Period", Config."Opiate Urine Screening Check Enabled")

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Fentanyl Screenings In Lookback Period

define "Negative Fentanyl Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Fentanyl Screenings In Lookback Period", Config."Opiate Urine Screening Check Enabled")

Library Name

Name

sequence

OpioidCDSREC10Common

Fentanyl Rx In Lookback Period

define "Fentanyl Rx In Lookback Period":
  "Normalize Rx In Lookback Period" Rx
    where Rx.medication in Common."Fentanyl Medications"

Library Name

Name

sequence

OpioidCDSREC10Common

Heroin Simple Identifier

define "Heroin Simple Identifier": 'Heroin (6-AM)'

Library Name

Name

sequence

OpioidCDSREC10Common

Heroin Screenings In Lookback Period

// Heroin
define "Heroin Screenings In Lookback Period":
  "All Opioid or Non-opioid UDS in Lookback Period" Lab
    where Lab.code in Common."Heroin Urine Tests"

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Heroin Screenings In Lookback Period

define "Positive Heroin Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Heroin Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Heroin Screenings In Lookback Period

define "Negative Heroin Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Heroin Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Methadone Simple Identifier

define "Methadone Simple Identifier": 'Methadone'

Library Name

Name

sequence

OpioidCDSREC10Common

Methadone Screenings In Lookback Period

// Methadone
define "Methadone Screenings In Lookback Period":
  "All Opioid or Non-opioid UDS in Lookback Period" Lab
    where Lab.code in Common."Methadone Urine Tests"

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Methadone Screenings In Lookback Period

define "Positive Methadone Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Methadone Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Methadone Screenings In Lookback Period

define "Negative Methadone Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Methadone Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Methadone Rx In Lookback Period

define "Methadone Rx In Lookback Period":
  "Normalize Rx In Lookback Period" Rx
    where Rx.medication in Common."Methadone Medications"

Library Name

Name

sequence

OpioidCDSREC10Common

Opiate Simple Identifier

define "Opiate Simple Identifier": 'Opiate'

Library Name

Name

sequence

OpioidCDSREC10Common

Opiate Screenings In Lookback Period

// Opiates
define "Opiate Screenings In Lookback Period":
  if Config."Opiate Urine Screening Check Enabled"
    then (
      "All Opioid or Non-opioid UDS in Lookback Period" Lab
        where Lab.code in Common."General Opiate Urine Tests"
    ) else null

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Opiate Screenings In Lookback Period

define "Positive Opiate Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Opiate Screenings In Lookback Period", Config."Opiate Urine Screening Check Enabled")

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Opiate Screenings In Lookback Period

define "Negative Opiate Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Opiate Screenings In Lookback Period", Config."Opiate Urine Screening Check Enabled")

Library Name

Name

sequence

OpioidCDSREC10Common

Opiate Rx In Lookback Period

define "Opiate Rx In Lookback Period":
  "Normalize Rx In Lookback Period" Rx
    where Rx.medication in Common."Opiate Medications"

Library Name

Name

sequence

OpioidCDSREC10Common

Oxycodone Simple Identifier

define "Oxycodone Simple Identifier": 'Oxycodone'

Library Name

Name

sequence

OpioidCDSREC10Common

Oxycodone Screenings In Lookback Period

// Oxycodone
define "Oxycodone Screenings In Lookback Period":
  if Config."Opiate Urine Screening Check Enabled"
    then (
      "All Opioid or Non-opioid UDS in Lookback Period" Lab
        where Lab.code in Common."Oxycodone Urine Tests"
    ) else null

Library Name

Name

sequence

OpioidCDSREC10Common

Positive Oxycodone Screenings In Lookback Period

define "Positive Oxycodone Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("Oxycodone Screenings In Lookback Period", Config."Opiate Urine Screening Check Enabled")

Library Name

Name

sequence

OpioidCDSREC10Common

Negative Oxycodone Screenings In Lookback Period

define "Negative Oxycodone Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("Oxycodone Screenings In Lookback Period", Config."Opiate Urine Screening Check Enabled")

Library Name

Name

sequence

OpioidCDSREC10Common

Oxycodone Rx In Lookback Period

define "Oxycodone Rx In Lookback Period":
  "Normalize Rx In Lookback Period" Rx
    where Rx.medication in Common."Oxycodone Medications"

Library Name

Name

sequence

OpioidCDSREC10Common

PCP Simple Identifier

define "PCP Simple Identifier": 'Phencyclidine (PCP)'

Library Name

Name

sequence

OpioidCDSREC10Common

PCP Screenings In Lookback Period

// PCP
define "PCP Screenings In Lookback Period":
  "All Opioid or Non-opioid UDS in Lookback Period" AllLabs
    where AllLabs.code in Common."PCP Urine Tests"

Library Name

Name

sequence

OpioidCDSREC10Common

Positive PCP Screenings In Lookback Period

define "Positive PCP Screenings In Lookback Period":
  GetPositiveLabsInLookbackPeriod("PCP Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Negative PCP Screenings In Lookback Period

define "Negative PCP Screenings In Lookback Period":
  GetNegativeLabsInLookbackPeriod("PCP Screenings In Lookback Period", true)

Library Name

Name

sequence

OpioidCDSREC10Common

Unexpected Details

// Details Logic

define "Unexpected Details":
  {
    CreateDetailWithPossibleUnexpectedNegative(
      "Amphetamine Simple Identifier", "Positive Amphetamine Screenings In Lookback Period", 
      "Negative Amphetamine Screenings In Lookback Period", "Amphetamine Rx In Lookback Period"
    ),
    CreateDetailWithPossibleUnexpectedNegative(
      "Barbiturate Simple Identifier", "Positive Barbiturate Screenings In Lookback Period", 
      "Negative Barbiturate Screenings In Lookback Period", "Barbiturate Rx In Lookback Period"
    ),
    CreateDetailWithPossibleUnexpectedNegative(
      "Benzodiazepine Simple Identifier", "Positive Benzodiazepine Screenings In Lookback Period", 
      "Negative Benzodiazepine Screenings In Lookback Period", "Benzodiazepine Rx In Lookback Period"
    ),
    CreateDetailWithPossibleUnexpectedNegative(
      "Buprenorphine Simple Identifier", "Positive Buprenorphine Screenings In Lookback Period", 
      "Negative Buprenorphine Screenings In Lookback Period", "Buprenorphine Rx In Lookback Period"
    ),
    CreateDetailWithoutPossibleUnexpectedNegative(
      "Cannabinoid Simple Identifier", "Positive Cannabinoid Screenings In Lookback Period", 
      "Negative Cannabinoid Screenings In Lookback Period"
    ),
    CreateDetailWithoutPossibleUnexpectedNegative(
      "Cocaine Simple Identifier", "Positive Cocaine Screenings In Lookback Period", 
      "Negative Cocaine Screenings In Lookback Period"
    ),
    CreateDetailWithPossibleUnexpectedNegative(
      "Fentanyl Simple Identifier", "Positive Fentanyl Screenings In Lookback Period", 
      "Negative Fentanyl Screenings In Lookback Period", "Fentanyl Rx In Lookback Period"
    ),
    CreateDetailWithoutPossibleUnexpectedNegative(
      "Heroin Simple Identifier", "Positive Heroin Screenings In Lookback Period", 
      "Negative Heroin Screenings In Lookback Period"
    ),
    CreateDetailWithPossibleUnexpectedNegative(
      "Methadone Simple Identifier", "Positive Methadone Screenings In Lookback Period", 
      "Negative Methadone Screenings In Lookback Period", "Methadone Rx In Lookback Period"
    ),
    CreateDetailWithPossibleUnexpectedNegative(
      "Opiate Simple Identifier", "Positive Opiate Screenings In Lookback Period", 
      "Negative Opiate Screenings In Lookback Period", "Opiate Rx In Lookback Period"
    ),
    CreateDetailWithPossibleUnexpectedNegative(
      "Oxycodone Simple Identifier", "Positive Oxycodone Screenings In Lookback Period", 
      "Negative Oxycodone Screenings In Lookback Period", "Oxycodone Rx In Lookback Period"
    ),
    CreateDetailWithoutPossibleUnexpectedNegative(
      "PCP Simple Identifier", "Positive PCP Screenings In Lookback Period", 
      "Negative PCP Screenings In Lookback Period"
    )
  }

Library Name

Name

sequence

OpioidCDSREC10Common

Remove Substances Without Positive or Negative Results

define "Remove Substances Without Positive or Negative Results":
  "Unexpected Details" Details
    where (Details.posDates is not null and Length(Details.posDates) != 0)
      or (Details.negDates is not null and Length(Details.negDates) != 0)

Library Name

Name

sequence

OpioidCDSREC10Common

Inclusion Criteria For Unexpected Results

define "Inclusion Criteria For Unexpected Results":
  Routines."Is Opioid Review Useful?"
  and AnyTrue(
    "Remove Substances Without Positive or Negative Results" Details
      return (exists Details.unexpectedPosDetails) or (exists Details.unexpectedNegDetails)
  )

Library Name

Name

sequence

OpioidCDSREC10OrderSign

Applicable Because of Unexpected Results

define "Applicable Because of Unexpected Results":
  "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
    and Rec10Common."Inclusion Criteria For Unexpected Results"

Library Name

Name

sequence

OpioidCDSCommon

Style Header

define "Style Header":
  '<style>\r\n  .alert-body {\r\n    width: 670px;\r\n    font-family: segoe-ui, sans-serif;\r\n    background-color: #FEFFF1;\r\n  }\r\n\r\n  .details-table {\r\n    border-collapse:collapse;\r\n    border-style: ridge;\r\n    background-color: #FEFFF1;\r\n    padding: 2px;\r\n  }\r\n\r\n  .details-caption {\r\n    border-style: ridge;\r\n    border-bottom: none;\r\n    background-color: #FEFFF1;\r\n    padding: 2px;\r\n  }\r\n\r\n  .details-table-header {\r\n    border-style: ridge;\r\n    padding: 5px;\r\n  }\r\n\r\n  .details-table-cell {\r\n    border-style: ridge;\r\n    padding: 5px;\r\n  }\r\n\r\n  .details-table-footer-cell {\r\n    border-style: ridge;\r\n    padding: 5px;\r\n    font-size: small;\r\n  }\r\n\r\n  .details-table-cell-unexpected {\r\n    border-style: ridge;\r\n    padding: 5px;\r\n    color: red;\r\n    font-weight: bold;\r\n  }\r\n\r\n  .more-text {\r\n    position: relative;\r\n    margin-bottom: 2em;\r\n  }\r\n  \r\n  .more {\r\n    display:none;\r\n  }\r\n\r\n  .show-more:checked + .more {\r\n    display:block;\r\n  }\r\n<\/style>'

Library Name

Name

sequence

OpioidCDSREC10Common

Unexpected Div Start

define "Unexpected Div Start":
  '<div class=\"alert-body\"><div><p>Patient may have <strong>unexpected urine toxicology test results<\/strong> in the past year.<\/p><\/div>'

Library Name

Name

sequence

OpioidCDSREC10Common

Table Start

define "Table Start":
  '<div><table class=\"details-table\"><caption class=\"details-caption\">Urine Toxicology Results<\/caption><tr><th class=\"details-table-header\">Substance<\/th>'

Library Name

Name

sequence

OpioidCDSREC10Common

All Lab Dates in Lookback Period

// Helpers  

define "All Lab Dates in Lookback Period":
  (
    "All Opioid or Non-opioid UDS in Lookback Period" Lab
      return date from Lab.effective
  ) X sort desc

Library Name

Name

sequence

OpioidCDSREC10Common

Table Headers

define "Table Headers":
  "All Lab Dates in Lookback Period" LabDate
    return '<th class=\"details-table-header\">' & ToString(LabDate) & '<\/th>'

Library Name

Name

sequence

OpioidCDSREC10Common

Generate Table Rows

define "Generate Table Rows":
  "Remove Substances Without Positive or Negative Results" BOT
    let row: ToString(IndexOf("Remove Substances Without Positive or Negative Results", BOT) + 1)
    return '<tr>' + GetExpectedColumn(BOT.ingredient) + Combine(
      "All Lab Dates in Lookback Period" LabDate
        let col: ToString(IndexOf("All Lab Dates in Lookback Period", LabDate) + 2)
        return all (
          if BOT.unexpectedPosDetails.date contains LabDate
            then GetUnexpectedColumn('pos', row & ':' & col)
          else if BOT.unexpectedNegDetails.udsDate contains LabDate
            then GetUnexpectedColumn('neg', row & ':' & col)
          else if BOT.posDates contains LabDate
            then GetExpectedColumn('pos*')
          else if BOT.negDates contains LabDate
            then GetExpectedColumn('neg*')
          else GetExpectedColumn('n/a')
        )
    ) + '<\/tr>'

Library Name

Name

sequence

OpioidCDSREC10Common

Generate Footer Rows

define "Generate Footer Rows":
  "Remove Substances Without Positive or Negative Results" BOT
      let row: ToString(IndexOf("Remove Substances Without Positive or Negative Results", BOT) + 1),
      colspan: Length("All Lab Dates in Lookback Period") + 1
      return Combine(
          "All Lab Dates in Lookback Period" LabDate
            let col: ToString(IndexOf("All Lab Dates in Lookback Period", LabDate) + 2)
            return all (
              if BOT.unexpectedPosDetails.date contains LabDate
                then Coalesce(
                  BOT.unexpectedPosDetails PosDetail
                    where PosDetail.date same day as LabDate
                      return '<tr>' & GetFooterColumn(colspan, row & ':' & col & ' - Possible unexpected substance found: ' & PosDetail.udsDetail) & '<\/tr>'
                )
              else if BOT.unexpectedNegDetails.udsDate contains LabDate
                then Coalesce(
                  BOT.unexpectedNegDetails NegDetail
                    where NegDetail.udsDate same day as LabDate
                      return '<tr>' & GetFooterColumn(colspan, row + ':' & col & ' - Possible unexpected negative result found: prescribed ' & NegDetail.rxDetail & ' on ' & ToString(NegDetail.rxDate)) & '<\/tr>'
                )
              else ''
            )
      )

Library Name

Name

sequence

OpioidCDSREC10Common

Table End

define "Table End":
  '<\/table><\/div>'

Library Name

Name

sequence

OpioidCDSREC10Common

Details Table

define "Details Table": 
  "Table Start" & Combine("Table Headers") 
    & '<tbody>' & Combine("Generate Table Rows") & '</tbody>' 
    & '<tfoot>' & Combine("Generate Footer Rows") & '<\/tfoot>' 
  & "Table End"

Library Name

Name

sequence

OpioidCDSREC10Common

Expected Result Footnote

define "Expected Result Footnote":
  '<div>* - These are expected results based on an analysis of the patient\'s medication list 30 days prior to the corresponding lab results.<\/div>'

Library Name

Name

sequence

OpioidCDSREC10Common

Details More Info

define "Details More Info":
  '<div id=\"box\">\r\n  <p>Note on false positives and unexpected negative results...<\/p>\r\n  <input type=\"checkbox\" class=\"show-more\"> Show more\r\n  <div class=\"more\">\r\n  <p>An unexpectedly negative test may be due to time since last dose, diversion, intermittent use, aberrant drug use behavior, or other factors, including a false negative result. Clinicians should interpret this result in the context of the overall treatment plan.<\/p>\r\n\r\n  <p>Positive results may be a false positives or could represent occasional use or possible substance use disorder.<br\/><br\/>For a review regarding interpreting possible false positive urine toxicology results, see <a target=\"_blank\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24986836\">http:\/\/pubmed.ncbi.nlm.nih.gov\/24986836<\/a>. It is unknown if the findings reported in this article can be extrapolated to other laboratory analyzers that were not used in the referenced studies.<br\/><br\/>For guidance regarding evaluating and addressing unexpected toxicology tests results, see <a target=\"_blank\" href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/71\/rr\/rr7103a1.htm#Recommendation10\">Recommendation 10 of the 22 CDC Clinical Practice Guideiline<\/a>.<\/p><\/div>\r\n<\/div>'

Library Name

Name

sequence

OpioidCDSREC10Common

Div End

define "Div End": '<\/div>'

Library Name

Name

sequence

OpioidCDSREC10Common

Get HTML Details

// HTML Generation

define "Get HTML Details":
  Common."Style Header" & "Unexpected Div Start" & "Details Table" & "Expected Result Footnote" & "Details More Info" & "Div End"

Library Name

Name

sequence

OpioidCDSREC10OrderSign

Detail

define "Detail":
  Rec10Common."Get HTML Details"

Library Name

Name

sequence

OpioidCDSCommon

Is Opioid Analgesic with Ambulatory Misuse Potential?

define function "Is Opioid Analgesic with Ambulatory Misuse Potential?"(value List<MedicationRequest>):
  ("Get MedicationRequest Medication as Code"(value)) Rx
    where Rx.medication in "Opioid analgesics with ambulatory misuse potential" 
      and Rx.category in "Community"

Library Name

Name

sequence

OpioidCDSCommon

Get MedicationRequest Medication as Code

define function "Get MedicationRequest Medication as Code"(value List<MedicationRequest>):
  value Rx
    let Med: 
      if Rx.medication is Reference then singleton from (
        [Medication] M
          where M.id = (Last(Split((Rx.medication as FHIR.Reference).reference, '/')))
      ) else null
    return 
      MedicationRequest {
        id: Rx.id,
        status: Rx.status,
        intent: Rx.intent,
        category: Rx.category,
        medication: if Rx.medication is Reference then Med.code else Rx.medication as CodeableConcept,
        subject: Rx.subject,
        authoredOn: Rx.authoredOn,
        recorder: Rx.recorder,
        dosageInstruction: Rx.dosageInstruction,
        dispenseRequest: Rx.dispenseRequest
      }

Library Name

Name

sequence

FHIRHelpers

ToConcept

define function ToConcept(concept FHIR.CodeableConcept):
    if concept is null then
        null
    else
        System.Concept {
            codes: concept.coding C return ToCode(C),
            display: concept.text.value
        }

Library Name

Name

sequence

OpioidCDSRoutines

Is Subacute or Chronic Pain Prescription?

// End of Active Cancer Treatment Routine

/*
**  Routine #4
**  For Subacute or Chronic Pain Routine
**
**  Definition                  | Answer to Proceed   | Details                                        | Data (Terminology) Requirement
**  -----------------------------------------------------------------------------------------------------------------------------------
**  Order for opioid analgesic  | Yes                 | Order for opioid analgesics with ambulatory    | Opioid analgesics with
**  with expected supply        |                     | misuse potential with a supply duration of >=  | ambulatory misuse potential
**  duration >= 28 days         |                     | 28 days                                        |
**                              |                     |                                                |
**                              |                     | - Subacute definition = order for opioid       |
**                              |                     |   analgesics with ambulatory misuse            |
**                              |                     |   potential with a supply duration of one to   |
**                              |                     |   two months.                                  |
**                              |                     | - Chronic pain definition = order for opioid   |
**                              |                     |   analgesics with ambulatory misuse            |
**                              |                     |   potential with a supply duration of >= two   |
**                              |                     |   months.                                      |
**  -----------------------------------------------------------------------------------------------------------------------------------
**
*/

define function "Is Subacute or Chronic Pain Prescription?"(prescription FHIR.MedicationRequest):
  "Is Subacute or Chronic Pain Using Expected Supply Duration"(prescription)
    or "Is Subacute or Chronic Pain Using Validity Period"(prescription)

Library Name

Name

sequence

OpioidCDSRoutines

Is Subacute or Chronic Pain Using Expected Supply Duration

define function "Is Subacute or Chronic Pain Using Expected Supply Duration"(prescription FHIR.MedicationRequest):
  (
    prescription.dispenseRequest is not null
      and prescription.dispenseRequest.expectedSupplyDuration is not null
      and (
        Common.GetDurationInDays(prescription.dispenseRequest.expectedSupplyDuration) >= 28 days 
      )
  )

Library Name

Name

sequence

OpioidCDSCommon

GetDurationInDays

define function GetDurationInDays(value FHIR.Duration):
  if value is null then null
  else
    case
      when value.code.value ~ 'a' then System.Quantity{ value: value.value.value * 365.0, unit: 'days' }
      when value.code.value ~ 'mo' then System.Quantity{ value: value.value.value * 30.0, unit: 'days' }
      when value.code.value ~ 'wk' then System.Quantity{ value: value.value.value * 7.0, unit: 'days' }
      when value.code.value ~ 'd' then System.Quantity{ value: value.value.value, unit: 'days' }
      when value.code.value ~ 'h' then System.Quantity{ value: value.value.value / 24.0, unit: 'days' }
      when value.code.value ~ 'min' then System.Quantity{ value: value.value.value / 60.0 / 24.0, unit: 'days' }
      when value.code.value ~ 's' then System.Quantity{ value: value.value.value / 60.0 / 60.0 / 24.0, unit: 'days' }
      when value.code.value ~ 'ms' then System.Quantity{ value: value.value.value / 60.0 / 60.0 / 24.0 / 1000.0, unit: 'days' }
      when value.code.value is null then Message(1000, true, 'Undefined', 'Error', 'Duration unit code is null')
      else Message(1000, true, 'Undefined', 'Error', 'Unsupported duration unit code: ' + value.code.value)
end

Library Name

Name

sequence

OpioidCDSRoutines

Is Subacute or Chronic Pain Using Validity Period

define function "Is Subacute or Chronic Pain Using Validity Period"(prescription FHIR.MedicationRequest):
  (
    prescription.dispenseRequest is not null
      and prescription.dispenseRequest.validityPeriod is not null
      and (
        days between prescription.dispenseRequest.validityPeriod.start and prescription.dispenseRequest.validityPeriod.end >= 28 
      )
  )

Library Name

Name

sequence

FHIRHelpers

ToDateTime

define function ToDateTime(value dateTime): value.value

Library Name

Name

sequence

OpioidCDSREC10Common

CreateDetailWithPossibleUnexpectedNegative

define function CreateDetailWithPossibleUnexpectedNegative(TheSubstance String, ThePosLabs List<Observation>, TheNegLabs List<Observation>, TheMeds List<MedicationRequest>):
  {
    ingredient: TheSubstance,
    posDates: (
      ThePosLabs PosLab
        return date from PosLab.effective
    ),
    negDates: (
      TheNegLabs NegLab
        return date from NegLab.effective
    ),
    unexpectedPosDetails: (
      ThePosLabs PosLab
        where not exists (
          TheMeds Rx
            where Common.GetDateFromMedicationRequest(Rx)
              in day of Interval[
                date from PosLab.effective - 31 days,
                date from PosLab.effective - 1 days
              ]
        )
        return {
          date: date from PosLab.effective,
          udsDetail:
            if exists(PosLab.code.coding)
              then PosLab.code.coding[0].display
              else 'Unable to determine a detailed identifier'
        }
    ),
    unexpectedNegDetails: (
      from TheNegLabs NegLab,
        ( if exists(TheMeds) then TheMeds else { null as MedicationRequest } ) Rx
        let medDate: Common.GetDateFromMedicationRequest(Rx)
          where medDate in day of Interval[date from NegLab.effective - 31 days, date from NegLab.effective - 1 days]
          return {
            udsDate: date from NegLab.effective,
            udsDetail: if exists (NegLab.code.coding) then NegLab.code.coding[0].display else 'Unable to determine a detailed identifier',
            rxDate: medDate,
            rxDetail: 
              if Rx.medication.text is not null then Rx.medication.text
              else if exists (Rx.medication.coding) and Rx.medication.coding[0].display is not null then Rx.medication.coding[0].display 
              else 'Unable to determine a detailed identifier'
          }
    )
  }

Library Name

Name

sequence

OpioidCDSCommon

GetDateFromMedicationRequest

define function "GetDateFromMedicationRequest"(med FHIR.MedicationRequest):
  if med is null then
    null
  else if med.authoredOn is not null then
    date from med.authoredOn
  else
    Max(
      med.dosageInstruction DI
        return Coalesce(
          // If there are timing events, take the latest.
          Max(DI.timing.event E return date from E),
          // Otherwise, if there's a Period, use its start.
          if DI.timing.repeat is not null
             and DI.timing.repeat.bounds is FHIR.Period
          then
            date from start of FHIRHelpers.ToInterval(DI.timing.repeat.bounds as FHIR.Period)
          else
            null
        )
    )

Library Name

Name

sequence

OpioidCDSREC10Common

GetPositiveLabsInLookbackPeriod

define function GetPositiveLabsInLookbackPeriod(Labs List<FHIR.Observation>, Enabled Boolean):
  if Enabled
    then Labs Lab
     where StartsWith(Lower(Lab.value as FHIR.string), 'pos')
  else {}

Library Name

Name

sequence

FHIRHelpers

ToString

100

define function ToString(value ObservationStatus): value.value

Library Name

Name

sequence

OpioidCDSREC10Common

GetNegativeLabsInLookbackPeriod

101

define function GetNegativeLabsInLookbackPeriod(Labs List<FHIR.Observation>, Enabled Boolean):
  if Enabled
    then Labs Lab
     where StartsWith(Lower(Lab.value as FHIR.string), 'neg')
  else {}

Library Name

Name

sequence

OpioidCDSREC10Common

CreateDetailWithoutPossibleUnexpectedNegative

102

define function CreateDetailWithoutPossibleUnexpectedNegative(TheSubstance String, ThePosLabs List<Observation>, TheNegLabs List<Observation>):
  {
    ingredient: TheSubstance,
    posDates: (
      ThePosLabs PosLab
        return date from PosLab.effective
    ),
    negDates: (
      TheNegLabs NegLab
        return date from NegLab.effective
    ),
    unexpectedPosDetails: (
      ThePosLabs PosLab
        return {
          date: date from PosLab.effective,
          udsDetail: if exists (PosLab.code.coding) then PosLab.code.coding[0].display else 'Unable to determine a detailed identifier'
        }
    ),
    unexpectedNegDetails: {
      null as Tuple{ udsDate System.Date, udsDetail System.String, rxDate System.Date, rxDetail System.String }
    }
  }

Library Name

Name

sequence

OpioidCDSREC10Common

GetExpectedColumn

103

define function GetExpectedColumn(Content String):
  '<td class=\"details-table-cell\">' & Content & '<\/td>'

Knowledge Capability: shareable computable executable publishable

Use Context:

code

value

display

focus

182888003

Medication requested (situation)

focus

82423001

Chronic pain (finding)

focus

Purpose:

Usage: Before starting opioids and periodically (at least annually) during opioid therapy, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed opioids and other prescription and nonprescription controlled substances that increase risk for overdose when combined with opioids, including nonprescribed and illicit opioids and benzodiazepines.

Copyright:

Related Artifacts:

Documentation

2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain

Libraries:

Library - Recommendation #10 - Urine Drug Testing

Actions:

Consider the Benefits and Risks of Conducting a Urine Toxicology Screen: Consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances. For guidance regarding utilizing toxicology tests when prescribing opioids, see [Recommendation 10 of the 2022 CDC Clinical Practice Guideline](https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm#Recommendation10).
When: Named Event: order-sign
If: Applicability: Patient has not had a urine screening in the past 12 months (Is Perform Drug Screen Recommendation Applicable?)
Then:

:
Then:

Patient May Have Unexpected Toxicology Test Results: Patient may have unexpected urine toxicology test results in the past year
When: Named Event: order-sign
If: Applicability: Patient may have unexpected urine toxicology test results in the past year (Applicable Because of Unexpected Results)
Then:

:
Then:

Source

{
  "resourceType" : "PlanDefinition",
  "id" : "opioidcds-10-order-sign",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-recommendationdefinition",
      "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishableplandefinition"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">opioidcds-10-order-sign</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-opioidcds-10-order-sign.html\">Recommendation #10 - Urine Drug Testing (order-sign)</a></td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">2022.1.0</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Identifier: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                <p style=\"margin-bottom: 5px;\">\n                    <b>value: </b> <span>cdc-opioid-guidance</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">PlanDefinition_Recommendation_10_Order_Sign</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Recommendation #10 - Urine Drug Testing (order-sign)</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/6.4.0/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>eca-rule</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>ECA Rule</span>\n                        </p>\n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2025-04-24</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Centers for Disease Control and Prevention (CDC)</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\">When prescribing opioids for subacute or chronic pain, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances.</td>\n        </tr>\n        \n        \n            <tr>\n                <th scope=\"row\"><a name=\"effective-data-requirements\"> </a><b>Logic Definitions: </b></th>\n                <td style=\"padding-left: 4px;\">\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10OrderSign</td>\n                                \n                                \n                                    <td>Subacute or Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions</td>\n                                \n                                \n                                    <td>0</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Subacute or Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions&quot;:\n  ( Common.&quot;Is Opioid Analgesic with Ambulatory Misuse Potential?&quot;( ContextPrescriptions ) ) AmbulatoryOpioidPrescription\n    where Routines.&quot;Is Subacute or Chronic Pain Prescription?&quot;( AmbulatoryOpioidPrescription )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10OrderSign</td>\n                                \n                                \n                                    <td>Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential</td>\n                                \n                                \n                                    <td>1</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential&quot;:\n  exists( &quot;Subacute or Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions&quot; )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSRoutines</td>\n                                \n                                \n                                    <td>Patient Age Less Than 18</td>\n                                \n                                \n                                    <td>2</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Patient Age Less Than 18&quot;:\n  if (Config.&quot;Age Less than 18 Years Is Enabled&quot;) then\n    AgeInYearsAt(Today()) &lt; 18\n  else false</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSRoutines</td>\n                                \n                                \n                                    <td>Condition Positive for Sickle Cell</td>\n                                \n                                \n                                    <td>3</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Condition Positive for Sickle Cell&quot;:\n  if (Config.&quot;Sickle Cell Check Enabled&quot;) then\n    exists(\n      Common.&quot;Positive Sickle Cell Condition&quot;\n    ) \n  else false</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSRoutines</td>\n                                \n                                \n                                    <td>Is Active Cancer Treatment?</td>\n                                \n                                \n                                    <td>4</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Is Active Cancer Treatment?&quot;:\n  if (Config.&quot;Active Cancer Treatment Encounters Condition Is Enabled&quot;) \n    then &quot;Has Two or More Encounters with Cancer Diagnosis During Encounter Period&quot;\n      or &quot;Has Active Cancer Diagnosis on Problem List&quot;\n  else false</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSRoutines</td>\n                                \n                                \n                                    <td>Conditions Likely Terminal for Opioid Prescribing</td>\n                                \n                                \n                                    <td>5</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Conditions Likely Terminal for Opioid Prescribing&quot;:\n  if (Config.&quot;End-Stage Disease Criteria Enabled&quot;) then\n    exists (\n      Common.&quot;US Core-Categorized Conditions&quot; EOLC\n        where EOLC.code in Common.&quot;Conditions likely terminal for opioid prescribing&quot;\n          // and EOLC.clinicalStatus in Common.&quot;Active Condition&quot;\n    )\n  else false</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSRoutines</td>\n                                \n                                \n                                    <td>Is Opioid Review Useful?</td>\n                                \n                                \n                                    <td>6</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Is Opioid Review Useful?&quot;:\n  not &quot;Patient Age Less Than 18&quot;\n    and not &quot;Condition Positive for Sickle Cell&quot;\n    and not &quot;Is Active Cancer Treatment?&quot;\n    and not &quot;Conditions Likely Terminal for Opioid Prescribing&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Inclusion Criteria For UDS Recommendation</td>\n                                \n                                \n                                    <td>7</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">/*\n@description: Determines whether an opioid review is appropriate for the patient and whether they had a UDS performed in the past year\n*/\ndefine &quot;Inclusion Criteria For UDS Recommendation&quot;:\n  Routines.&quot;Is Opioid Review Useful?&quot;\n    and not exists (\n      if Config.&quot;Use Alternative UDS Lookback Period&quot;\n        then &quot;All Opioid or Non-opioid UDS in Alternative Lookback Period&quot;\n      else &quot;All Opioid or Non-opioid UDS in Lookback Period&quot;\n    )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10OrderSign</td>\n                                \n                                \n                                    <td>Is Perform Drug Screen Recommendation Applicable?</td>\n                                \n                                \n                                    <td>8</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Is Perform Drug Screen Recommendation Applicable?&quot;:\n  &quot;Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential&quot;\n    and Rec10Common.&quot;Inclusion Criteria For UDS Recommendation&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Amphetamine Simple Identifier</td>\n                                \n                                \n                                    <td>9</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Amphetamine Simple Identifier&quot;: 'Amphetamine'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>UDS Lookback Period</td>\n                                \n                                \n                                    <td>10</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Constants\n\ndefine &quot;UDS Lookback Period&quot;:\n  Interval[Today() - 12 months - 1 days, Today()]</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>All Opioid or Non-opioid UDS in Lookback Period</td>\n                                \n                                \n                                    <td>11</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;All Opioid or Non-opioid UDS in Lookback Period&quot;:\n  (\n    [Observation: Common.&quot;All Drug Urine Screening&quot;] Lab\n      where date from Lab.effective in day of &quot;UDS Lookback Period&quot;\n        and not (\n          Lab.status in { 'unknown', 'entered-in-error', 'cancelled' }\n        )\n  ) X sort by date from effective desc</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Amphetamine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>12</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Amphetamines\ndefine &quot;Amphetamine Screenings In Lookback Period&quot;:\n  &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n    where Lab.code in Common.&quot;Amphetamine Urine Tests&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Amphetamine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>13</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Amphetamine Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Amphetamine Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Amphetamine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>14</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Amphetamine Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Amphetamine Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Rx Lookback Period</td>\n                                \n                                \n                                    <td>15</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Rx Lookback Period&quot;:\n  Interval[Today() - 12 months - 31 days, Today()]</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Normalize Rx In Lookback Period</td>\n                                \n                                \n                                    <td>16</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Normalize Rx In Lookback Period&quot;:\n  Common.&quot;Get MedicationRequest Medication as Code&quot;(\n    [MedicationRequest: category in Common.&quot;Community&quot;] Rx\n      where Rx.status in { 'active', 'completed', 'stopped' }\n        and Rx.intent = 'order'\n        and Common.&quot;GetDateFromMedicationRequest&quot;(Rx) in day of &quot;Rx Lookback Period&quot;\n  )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Amphetamine Rx In Lookback Period</td>\n                                \n                                \n                                    <td>17</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Amphetamine Rx In Lookback Period&quot;:\n  &quot;Normalize Rx In Lookback Period&quot; Rx\n      where Rx.medication in Common.&quot;Amphetamine Medications&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Barbiturate Simple Identifier</td>\n                                \n                                \n                                    <td>18</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Barbiturate Simple Identifier&quot;: 'Barbiturate'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Barbiturate Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>19</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Barbiturates\ndefine &quot;Barbiturate Screenings In Lookback Period&quot;:\n  &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n    where Lab.code in Common.&quot;Barbiturate Urine Tests&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Barbiturate Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>20</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Barbiturate Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Barbiturate Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Barbiturate Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>21</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Barbiturate Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Barbiturate Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Barbiturate Rx In Lookback Period</td>\n                                \n                                \n                                    <td>22</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Barbiturate Rx In Lookback Period&quot;:\n  &quot;Normalize Rx In Lookback Period&quot; Rx\n      where Rx.medication in Common.&quot;Barbiturate Medications&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Benzodiazepine Simple Identifier</td>\n                                \n                                \n                                    <td>23</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Benzodiazepine Simple Identifier&quot;: 'Benzodiazepine'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Benzodiazepine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>24</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Benzodiazepines\ndefine &quot;Benzodiazepine Screenings In Lookback Period&quot;:\n  &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n    where Lab.code in Common.&quot;Benzodiazepine Urine Tests&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Benzodiazepine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>25</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Benzodiazepine Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Benzodiazepine Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Benzodiazepine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>26</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Benzodiazepine Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Benzodiazepine Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Benzodiazepine Rx In Lookback Period</td>\n                                \n                                \n                                    <td>27</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Benzodiazepine Rx In Lookback Period&quot;:\n  &quot;Normalize Rx In Lookback Period&quot; Rx\n    where Rx.medication in Common.&quot;Benzodiazepine medications&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Buprenorphine Simple Identifier</td>\n                                \n                                \n                                    <td>28</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Buprenorphine Simple Identifier&quot;: 'Buprenorphine'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Buprenorphine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>29</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Buprenorphine\ndefine &quot;Buprenorphine Screenings In Lookback Period&quot;:\n  &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n    where Lab.code in Common.&quot;Buprenorphine Urine Tests&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Buprenorphine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>30</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Buprenorphine Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Buprenorphine Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Buprenorphine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>31</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Buprenorphine Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Buprenorphine Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Buprenorphine Rx In Lookback Period</td>\n                                \n                                \n                                    <td>32</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Buprenorphine Rx In Lookback Period&quot;:\n  &quot;Normalize Rx In Lookback Period&quot; Rx\n    where Rx.medication in Common.&quot;Buprenorphine Medications&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Cannabinoid Simple Identifier</td>\n                                \n                                \n                                    <td>33</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Cannabinoid Simple Identifier&quot;: 'Cannabinoid'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Cannabinoid Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>34</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Cannabinoids\ndefine &quot;Cannabinoid Screenings In Lookback Period&quot;:\n  if Config.&quot;Cannabinoid Urine Screening Check Enabled&quot;\n    then (\n      &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n        where Lab.code in Common.&quot;Cannabinoid Urine Tests&quot;\n    ) else null</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSCommonConfig</td>\n                                \n                                \n                                    <td>Cannabinoid Urine Screening Check Enabled</td>\n                                \n                                \n                                    <td>35</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Cannabinoid Urine Screening Check Enabled&quot;:\n  false</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Cannabinoid Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>36</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Cannabinoid Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Cannabinoid Screenings In Lookback Period&quot;, Config.&quot;Cannabinoid Urine Screening Check Enabled&quot;)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Cannabinoid Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>37</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Cannabinoid Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Cannabinoid Screenings In Lookback Period&quot;, Config.&quot;Cannabinoid Urine Screening Check Enabled&quot;)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Cocaine Simple Identifier</td>\n                                \n                                \n                                    <td>38</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Cocaine Simple Identifier&quot;: 'Cocaine'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Cocaine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>39</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Cocaine\ndefine &quot;Cocaine Screenings In Lookback Period&quot;:\n  &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n    where Lab.code in Common.&quot;Cocaine Urine Tests&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Cocaine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>40</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Cocaine Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Cocaine Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Cocaine Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>41</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Cocaine Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Cocaine Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Fentanyl Simple Identifier</td>\n                                \n                                \n                                    <td>42</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Fentanyl Simple Identifier&quot;: 'Fentanyl'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Fentanyl Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>43</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Fentanyl\ndefine &quot;Fentanyl Screenings In Lookback Period&quot;:\n  if Config.&quot;Opiate Urine Screening Check Enabled&quot;\n  then (\n    &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; AllLabs\n      where AllLabs.code in Common.&quot;Fentanyl Urine Tests&quot;\n  ) else null</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSCommonConfig</td>\n                                \n                                \n                                    <td>Opiate Urine Screening Check Enabled</td>\n                                \n                                \n                                    <td>44</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Recommendation 10\ndefine &quot;Opiate Urine Screening Check Enabled&quot;:\n  true</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Fentanyl Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>45</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Fentanyl Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Fentanyl Screenings In Lookback Period&quot;, Config.&quot;Opiate Urine Screening Check Enabled&quot;)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Fentanyl Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>46</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Fentanyl Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Fentanyl Screenings In Lookback Period&quot;, Config.&quot;Opiate Urine Screening Check Enabled&quot;)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Fentanyl Rx In Lookback Period</td>\n                                \n                                \n                                    <td>47</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Fentanyl Rx In Lookback Period&quot;:\n  &quot;Normalize Rx In Lookback Period&quot; Rx\n    where Rx.medication in Common.&quot;Fentanyl Medications&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Heroin Simple Identifier</td>\n                                \n                                \n                                    <td>48</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Heroin Simple Identifier&quot;: 'Heroin (6-AM)'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Heroin Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>49</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Heroin\ndefine &quot;Heroin Screenings In Lookback Period&quot;:\n  &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n    where Lab.code in Common.&quot;Heroin Urine Tests&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Heroin Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>50</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Heroin Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Heroin Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Heroin Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>51</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Heroin Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Heroin Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Methadone Simple Identifier</td>\n                                \n                                \n                                    <td>52</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Methadone Simple Identifier&quot;: 'Methadone'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Methadone Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>53</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Methadone\ndefine &quot;Methadone Screenings In Lookback Period&quot;:\n  &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n    where Lab.code in Common.&quot;Methadone Urine Tests&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Methadone Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>54</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Methadone Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Methadone Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Methadone Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>55</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Methadone Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Methadone Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Methadone Rx In Lookback Period</td>\n                                \n                                \n                                    <td>56</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Methadone Rx In Lookback Period&quot;:\n  &quot;Normalize Rx In Lookback Period&quot; Rx\n    where Rx.medication in Common.&quot;Methadone Medications&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Opiate Simple Identifier</td>\n                                \n                                \n                                    <td>57</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Opiate Simple Identifier&quot;: 'Opiate'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Opiate Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>58</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Opiates\ndefine &quot;Opiate Screenings In Lookback Period&quot;:\n  if Config.&quot;Opiate Urine Screening Check Enabled&quot;\n    then (\n      &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n        where Lab.code in Common.&quot;General Opiate Urine Tests&quot;\n    ) else null</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Opiate Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>59</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Opiate Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Opiate Screenings In Lookback Period&quot;, Config.&quot;Opiate Urine Screening Check Enabled&quot;)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Opiate Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>60</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Opiate Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Opiate Screenings In Lookback Period&quot;, Config.&quot;Opiate Urine Screening Check Enabled&quot;)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Opiate Rx In Lookback Period</td>\n                                \n                                \n                                    <td>61</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Opiate Rx In Lookback Period&quot;:\n  &quot;Normalize Rx In Lookback Period&quot; Rx\n    where Rx.medication in Common.&quot;Opiate Medications&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Oxycodone Simple Identifier</td>\n                                \n                                \n                                    <td>62</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Oxycodone Simple Identifier&quot;: 'Oxycodone'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Oxycodone Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>63</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Oxycodone\ndefine &quot;Oxycodone Screenings In Lookback Period&quot;:\n  if Config.&quot;Opiate Urine Screening Check Enabled&quot;\n    then (\n      &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n        where Lab.code in Common.&quot;Oxycodone Urine Tests&quot;\n    ) else null</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive Oxycodone Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>64</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive Oxycodone Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;Oxycodone Screenings In Lookback Period&quot;, Config.&quot;Opiate Urine Screening Check Enabled&quot;)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative Oxycodone Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>65</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative Oxycodone Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;Oxycodone Screenings In Lookback Period&quot;, Config.&quot;Opiate Urine Screening Check Enabled&quot;)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Oxycodone Rx In Lookback Period</td>\n                                \n                                \n                                    <td>66</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Oxycodone Rx In Lookback Period&quot;:\n  &quot;Normalize Rx In Lookback Period&quot; Rx\n    where Rx.medication in Common.&quot;Oxycodone Medications&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>PCP Simple Identifier</td>\n                                \n                                \n                                    <td>67</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;PCP Simple Identifier&quot;: 'Phencyclidine (PCP)'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>PCP Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>68</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// PCP\ndefine &quot;PCP Screenings In Lookback Period&quot;:\n  &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; AllLabs\n    where AllLabs.code in Common.&quot;PCP Urine Tests&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Positive PCP Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>69</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Positive PCP Screenings In Lookback Period&quot;:\n  GetPositiveLabsInLookbackPeriod(&quot;PCP Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Negative PCP Screenings In Lookback Period</td>\n                                \n                                \n                                    <td>70</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Negative PCP Screenings In Lookback Period&quot;:\n  GetNegativeLabsInLookbackPeriod(&quot;PCP Screenings In Lookback Period&quot;, true)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Unexpected Details</td>\n                                \n                                \n                                    <td>71</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Details Logic\n\ndefine &quot;Unexpected Details&quot;:\n  {\n    CreateDetailWithPossibleUnexpectedNegative(\n      &quot;Amphetamine Simple Identifier&quot;, &quot;Positive Amphetamine Screenings In Lookback Period&quot;, \n      &quot;Negative Amphetamine Screenings In Lookback Period&quot;, &quot;Amphetamine Rx In Lookback Period&quot;\n    ),\n    CreateDetailWithPossibleUnexpectedNegative(\n      &quot;Barbiturate Simple Identifier&quot;, &quot;Positive Barbiturate Screenings In Lookback Period&quot;, \n      &quot;Negative Barbiturate Screenings In Lookback Period&quot;, &quot;Barbiturate Rx In Lookback Period&quot;\n    ),\n    CreateDetailWithPossibleUnexpectedNegative(\n      &quot;Benzodiazepine Simple Identifier&quot;, &quot;Positive Benzodiazepine Screenings In Lookback Period&quot;, \n      &quot;Negative Benzodiazepine Screenings In Lookback Period&quot;, &quot;Benzodiazepine Rx In Lookback Period&quot;\n    ),\n    CreateDetailWithPossibleUnexpectedNegative(\n      &quot;Buprenorphine Simple Identifier&quot;, &quot;Positive Buprenorphine Screenings In Lookback Period&quot;, \n      &quot;Negative Buprenorphine Screenings In Lookback Period&quot;, &quot;Buprenorphine Rx In Lookback Period&quot;\n    ),\n    CreateDetailWithoutPossibleUnexpectedNegative(\n      &quot;Cannabinoid Simple Identifier&quot;, &quot;Positive Cannabinoid Screenings In Lookback Period&quot;, \n      &quot;Negative Cannabinoid Screenings In Lookback Period&quot;\n    ),\n    CreateDetailWithoutPossibleUnexpectedNegative(\n      &quot;Cocaine Simple Identifier&quot;, &quot;Positive Cocaine Screenings In Lookback Period&quot;, \n      &quot;Negative Cocaine Screenings In Lookback Period&quot;\n    ),\n    CreateDetailWithPossibleUnexpectedNegative(\n      &quot;Fentanyl Simple Identifier&quot;, &quot;Positive Fentanyl Screenings In Lookback Period&quot;, \n      &quot;Negative Fentanyl Screenings In Lookback Period&quot;, &quot;Fentanyl Rx In Lookback Period&quot;\n    ),\n    CreateDetailWithoutPossibleUnexpectedNegative(\n      &quot;Heroin Simple Identifier&quot;, &quot;Positive Heroin Screenings In Lookback Period&quot;, \n      &quot;Negative Heroin Screenings In Lookback Period&quot;\n    ),\n    CreateDetailWithPossibleUnexpectedNegative(\n      &quot;Methadone Simple Identifier&quot;, &quot;Positive Methadone Screenings In Lookback Period&quot;, \n      &quot;Negative Methadone Screenings In Lookback Period&quot;, &quot;Methadone Rx In Lookback Period&quot;\n    ),\n    CreateDetailWithPossibleUnexpectedNegative(\n      &quot;Opiate Simple Identifier&quot;, &quot;Positive Opiate Screenings In Lookback Period&quot;, \n      &quot;Negative Opiate Screenings In Lookback Period&quot;, &quot;Opiate Rx In Lookback Period&quot;\n    ),\n    CreateDetailWithPossibleUnexpectedNegative(\n      &quot;Oxycodone Simple Identifier&quot;, &quot;Positive Oxycodone Screenings In Lookback Period&quot;, \n      &quot;Negative Oxycodone Screenings In Lookback Period&quot;, &quot;Oxycodone Rx In Lookback Period&quot;\n    ),\n    CreateDetailWithoutPossibleUnexpectedNegative(\n      &quot;PCP Simple Identifier&quot;, &quot;Positive PCP Screenings In Lookback Period&quot;, \n      &quot;Negative PCP Screenings In Lookback Period&quot;\n    )\n  }</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Remove Substances Without Positive or Negative Results</td>\n                                \n                                \n                                    <td>72</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Remove Substances Without Positive or Negative Results&quot;:\n  &quot;Unexpected Details&quot; Details\n    where (Details.posDates is not null and Length(Details.posDates) != 0)\n      or (Details.negDates is not null and Length(Details.negDates) != 0)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Inclusion Criteria For Unexpected Results</td>\n                                \n                                \n                                    <td>73</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Inclusion Criteria For Unexpected Results&quot;:\n  Routines.&quot;Is Opioid Review Useful?&quot;\n  and AnyTrue(\n    &quot;Remove Substances Without Positive or Negative Results&quot; Details\n      return (exists Details.unexpectedPosDetails) or (exists Details.unexpectedNegDetails)\n  )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10OrderSign</td>\n                                \n                                \n                                    <td>Applicable Because of Unexpected Results</td>\n                                \n                                \n                                    <td>74</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Applicable Because of Unexpected Results&quot;:\n  &quot;Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential&quot;\n    and Rec10Common.&quot;Inclusion Criteria For Unexpected Results&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSCommon</td>\n                                \n                                \n                                    <td>Style Header</td>\n                                \n                                \n                                    <td>75</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Style Header&quot;:\n  '&lt;style&gt;\\r\\n  .alert-body {\\r\\n    width: 670px;\\r\\n    font-family: segoe-ui, sans-serif;\\r\\n    background-color: #FEFFF1;\\r\\n  }\\r\\n\\r\\n  .details-table {\\r\\n    border-collapse:collapse;\\r\\n    border-style: ridge;\\r\\n    background-color: #FEFFF1;\\r\\n    padding: 2px;\\r\\n  }\\r\\n\\r\\n  .details-caption {\\r\\n    border-style: ridge;\\r\\n    border-bottom: none;\\r\\n    background-color: #FEFFF1;\\r\\n    padding: 2px;\\r\\n  }\\r\\n\\r\\n  .details-table-header {\\r\\n    border-style: ridge;\\r\\n    padding: 5px;\\r\\n  }\\r\\n\\r\\n  .details-table-cell {\\r\\n    border-style: ridge;\\r\\n    padding: 5px;\\r\\n  }\\r\\n\\r\\n  .details-table-footer-cell {\\r\\n    border-style: ridge;\\r\\n    padding: 5px;\\r\\n    font-size: small;\\r\\n  }\\r\\n\\r\\n  .details-table-cell-unexpected {\\r\\n    border-style: ridge;\\r\\n    padding: 5px;\\r\\n    color: red;\\r\\n    font-weight: bold;\\r\\n  }\\r\\n\\r\\n  .more-text {\\r\\n    position: relative;\\r\\n    margin-bottom: 2em;\\r\\n  }\\r\\n  \\r\\n  .more {\\r\\n    display:none;\\r\\n  }\\r\\n\\r\\n  .show-more:checked + .more {\\r\\n    display:block;\\r\\n  }\\r\\n&lt;\\/style&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Unexpected Div Start</td>\n                                \n                                \n                                    <td>76</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Unexpected Div Start&quot;:\n  '&lt;div class=\\&quot;alert-body\\&quot;&gt;&lt;div&gt;&lt;p&gt;Patient may have &lt;strong&gt;unexpected urine toxicology test results&lt;\\/strong&gt; in the past year.&lt;\\/p&gt;&lt;\\/div&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Table Start</td>\n                                \n                                \n                                    <td>77</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Table Start&quot;:\n  '&lt;div&gt;&lt;table class=\\&quot;details-table\\&quot;&gt;&lt;caption class=\\&quot;details-caption\\&quot;&gt;Urine Toxicology Results&lt;\\/caption&gt;&lt;tr&gt;&lt;th class=\\&quot;details-table-header\\&quot;&gt;Substance&lt;\\/th&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>All Lab Dates in Lookback Period</td>\n                                \n                                \n                                    <td>78</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// Helpers  \n\ndefine &quot;All Lab Dates in Lookback Period&quot;:\n  (\n    &quot;All Opioid or Non-opioid UDS in Lookback Period&quot; Lab\n      return date from Lab.effective\n  ) X sort desc</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Table Headers</td>\n                                \n                                \n                                    <td>79</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Table Headers&quot;:\n  &quot;All Lab Dates in Lookback Period&quot; LabDate\n    return '&lt;th class=\\&quot;details-table-header\\&quot;&gt;' &amp; ToString(LabDate) &amp; '&lt;\\/th&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Generate Table Rows</td>\n                                \n                                \n                                    <td>80</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Generate Table Rows&quot;:\n  &quot;Remove Substances Without Positive or Negative Results&quot; BOT\n    let row: ToString(IndexOf(&quot;Remove Substances Without Positive or Negative Results&quot;, BOT) + 1)\n    return '&lt;tr&gt;' + GetExpectedColumn(BOT.ingredient) + Combine(\n      &quot;All Lab Dates in Lookback Period&quot; LabDate\n        let col: ToString(IndexOf(&quot;All Lab Dates in Lookback Period&quot;, LabDate) + 2)\n        return all (\n          if BOT.unexpectedPosDetails.date contains LabDate\n            then GetUnexpectedColumn('pos', row &amp; ':' &amp; col)\n          else if BOT.unexpectedNegDetails.udsDate contains LabDate\n            then GetUnexpectedColumn('neg', row &amp; ':' &amp; col)\n          else if BOT.posDates contains LabDate\n            then GetExpectedColumn('pos*')\n          else if BOT.negDates contains LabDate\n            then GetExpectedColumn('neg*')\n          else GetExpectedColumn('n/a')\n        )\n    ) + '&lt;\\/tr&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Generate Footer Rows</td>\n                                \n                                \n                                    <td>81</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Generate Footer Rows&quot;:\n  &quot;Remove Substances Without Positive or Negative Results&quot; BOT\n      let row: ToString(IndexOf(&quot;Remove Substances Without Positive or Negative Results&quot;, BOT) + 1),\n      colspan: Length(&quot;All Lab Dates in Lookback Period&quot;) + 1\n      return Combine(\n          &quot;All Lab Dates in Lookback Period&quot; LabDate\n            let col: ToString(IndexOf(&quot;All Lab Dates in Lookback Period&quot;, LabDate) + 2)\n            return all (\n              if BOT.unexpectedPosDetails.date contains LabDate\n                then Coalesce(\n                  BOT.unexpectedPosDetails PosDetail\n                    where PosDetail.date same day as LabDate\n                      return '&lt;tr&gt;' &amp; GetFooterColumn(colspan, row &amp; ':' &amp; col &amp; ' - Possible unexpected substance found: ' &amp; PosDetail.udsDetail) &amp; '&lt;\\/tr&gt;'\n                )\n              else if BOT.unexpectedNegDetails.udsDate contains LabDate\n                then Coalesce(\n                  BOT.unexpectedNegDetails NegDetail\n                    where NegDetail.udsDate same day as LabDate\n                      return '&lt;tr&gt;' &amp; GetFooterColumn(colspan, row + ':' &amp; col &amp; ' - Possible unexpected negative result found: prescribed ' &amp; NegDetail.rxDetail &amp; ' on ' &amp; ToString(NegDetail.rxDate)) &amp; '&lt;\\/tr&gt;'\n                )\n              else ''\n            )\n      )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Table End</td>\n                                \n                                \n                                    <td>82</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Table End&quot;:\n  '&lt;\\/table&gt;&lt;\\/div&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Details Table</td>\n                                \n                                \n                                    <td>83</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Details Table&quot;: \n  &quot;Table Start&quot; &amp; Combine(&quot;Table Headers&quot;) \n    &amp; '&lt;tbody&gt;' &amp; Combine(&quot;Generate Table Rows&quot;) &amp; '&lt;/tbody&gt;' \n    &amp; '&lt;tfoot&gt;' &amp; Combine(&quot;Generate Footer Rows&quot;) &amp; '&lt;\\/tfoot&gt;' \n  &amp; &quot;Table End&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Expected Result Footnote</td>\n                                \n                                \n                                    <td>84</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Expected Result Footnote&quot;:\n  '&lt;div&gt;* - These are expected results based on an analysis of the patient\\'s medication list 30 days prior to the corresponding lab results.&lt;\\/div&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Details More Info</td>\n                                \n                                \n                                    <td>85</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Details More Info&quot;:\n  '&lt;div id=\\&quot;box\\&quot;&gt;\\r\\n  &lt;p&gt;Note on false positives and unexpected negative results...&lt;\\/p&gt;\\r\\n  &lt;input type=\\&quot;checkbox\\&quot; class=\\&quot;show-more\\&quot;&gt; Show more\\r\\n  &lt;div class=\\&quot;more\\&quot;&gt;\\r\\n  &lt;p&gt;An unexpectedly negative test may be due to time since last dose, diversion, intermittent use, aberrant drug use behavior, or other factors, including a false negative result. Clinicians should interpret this result in the context of the overall treatment plan.&lt;\\/p&gt;\\r\\n\\r\\n  &lt;p&gt;Positive results may be a false positives or could represent occasional use or possible substance use disorder.&lt;br\\/&gt;&lt;br\\/&gt;For a review regarding interpreting possible false positive urine toxicology results, see &lt;a target=\\&quot;_blank\\&quot; href=\\&quot;https:\\/\\/pubmed.ncbi.nlm.nih.gov\\/24986836\\&quot;&gt;http:\\/\\/pubmed.ncbi.nlm.nih.gov\\/24986836&lt;\\/a&gt;. It is unknown if the findings reported in this article can be extrapolated to other laboratory analyzers that were not used in the referenced studies.&lt;br\\/&gt;&lt;br\\/&gt;For guidance regarding evaluating and addressing unexpected toxicology tests results, see &lt;a target=\\&quot;_blank\\&quot; href=\\&quot;https:\\/\\/www.cdc.gov\\/mmwr\\/volumes\\/71\\/rr\\/rr7103a1.htm#Recommendation10\\&quot;&gt;Recommendation 10 of the 22 CDC Clinical Practice Guideiline&lt;\\/a&gt;.&lt;\\/p&gt;&lt;\\/div&gt;\\r\\n&lt;\\/div&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Div End</td>\n                                \n                                \n                                    <td>86</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Div End&quot;: '&lt;\\/div&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>Get HTML Details</td>\n                                \n                                \n                                    <td>87</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// HTML Generation\n\ndefine &quot;Get HTML Details&quot;:\n  Common.&quot;Style Header&quot; &amp; &quot;Unexpected Div Start&quot; &amp; &quot;Details Table&quot; &amp; &quot;Expected Result Footnote&quot; &amp; &quot;Details More Info&quot; &amp; &quot;Div End&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10OrderSign</td>\n                                \n                                \n                                    <td>Detail</td>\n                                \n                                \n                                    <td>88</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define &quot;Detail&quot;:\n  Rec10Common.&quot;Get HTML Details&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSCommon</td>\n                                \n                                \n                                    <td>Is Opioid Analgesic with Ambulatory Misuse Potential?</td>\n                                \n                                \n                                    <td>89</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function &quot;Is Opioid Analgesic with Ambulatory Misuse Potential?&quot;(value List&lt;MedicationRequest&gt;):\n  (&quot;Get MedicationRequest Medication as Code&quot;(value)) Rx\n    where Rx.medication in &quot;Opioid analgesics with ambulatory misuse potential&quot; \n      and Rx.category in &quot;Community&quot;</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSCommon</td>\n                                \n                                \n                                    <td>Get MedicationRequest Medication as Code</td>\n                                \n                                \n                                    <td>90</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function &quot;Get MedicationRequest Medication as Code&quot;(value List&lt;MedicationRequest&gt;):\n  value Rx\n    let Med: \n      if Rx.medication is Reference then singleton from (\n        [Medication] M\n          where M.id = (Last(Split((Rx.medication as FHIR.Reference).reference, '/')))\n      ) else null\n    return \n      MedicationRequest {\n        id: Rx.id,\n        status: Rx.status,\n        intent: Rx.intent,\n        category: Rx.category,\n        medication: if Rx.medication is Reference then Med.code else Rx.medication as CodeableConcept,\n        subject: Rx.subject,\n        authoredOn: Rx.authoredOn,\n        recorder: Rx.recorder,\n        dosageInstruction: Rx.dosageInstruction,\n        dispenseRequest: Rx.dispenseRequest\n      }</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>FHIRHelpers</td>\n                                \n                                \n                                    <td>ToConcept</td>\n                                \n                                \n                                    <td>91</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSRoutines</td>\n                                \n                                \n                                    <td>Is Subacute or Chronic Pain Prescription?</td>\n                                \n                                \n                                    <td>92</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">// End of Active Cancer Treatment Routine\n\n/*\n**  Routine #4\n**  For Subacute or Chronic Pain Routine\n**\n**  Definition                  | Answer to Proceed   | Details                                        | Data (Terminology) Requirement\n**  -----------------------------------------------------------------------------------------------------------------------------------\n**  Order for opioid analgesic  | Yes                 | Order for opioid analgesics with ambulatory    | Opioid analgesics with\n**  with expected supply        |                     | misuse potential with a supply duration of &gt;=  | ambulatory misuse potential\n**  duration &gt;= 28 days         |                     | 28 days                                        |\n**                              |                     |                                                |\n**                              |                     | - Subacute definition = order for opioid       |\n**                              |                     |   analgesics with ambulatory misuse            |\n**                              |                     |   potential with a supply duration of one to   |\n**                              |                     |   two months.                                  |\n**                              |                     | - Chronic pain definition = order for opioid   |\n**                              |                     |   analgesics with ambulatory misuse            |\n**                              |                     |   potential with a supply duration of &gt;= two   |\n**                              |                     |   months.                                      |\n**  -----------------------------------------------------------------------------------------------------------------------------------\n**\n*/\n\ndefine function &quot;Is Subacute or Chronic Pain Prescription?&quot;(prescription FHIR.MedicationRequest):\n  &quot;Is Subacute or Chronic Pain Using Expected Supply Duration&quot;(prescription)\n    or &quot;Is Subacute or Chronic Pain Using Validity Period&quot;(prescription)</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSRoutines</td>\n                                \n                                \n                                    <td>Is Subacute or Chronic Pain Using Expected Supply Duration</td>\n                                \n                                \n                                    <td>93</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function &quot;Is Subacute or Chronic Pain Using Expected Supply Duration&quot;(prescription FHIR.MedicationRequest):\n  (\n    prescription.dispenseRequest is not null\n      and prescription.dispenseRequest.expectedSupplyDuration is not null\n      and (\n        Common.GetDurationInDays(prescription.dispenseRequest.expectedSupplyDuration) &gt;= 28 days \n      )\n  )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSCommon</td>\n                                \n                                \n                                    <td>GetDurationInDays</td>\n                                \n                                \n                                    <td>94</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function GetDurationInDays(value FHIR.Duration):\n  if value is null then null\n  else\n    case\n      when value.code.value ~ 'a' then System.Quantity{ value: value.value.value * 365.0, unit: 'days' }\n      when value.code.value ~ 'mo' then System.Quantity{ value: value.value.value * 30.0, unit: 'days' }\n      when value.code.value ~ 'wk' then System.Quantity{ value: value.value.value * 7.0, unit: 'days' }\n      when value.code.value ~ 'd' then System.Quantity{ value: value.value.value, unit: 'days' }\n      when value.code.value ~ 'h' then System.Quantity{ value: value.value.value / 24.0, unit: 'days' }\n      when value.code.value ~ 'min' then System.Quantity{ value: value.value.value / 60.0 / 24.0, unit: 'days' }\n      when value.code.value ~ 's' then System.Quantity{ value: value.value.value / 60.0 / 60.0 / 24.0, unit: 'days' }\n      when value.code.value ~ 'ms' then System.Quantity{ value: value.value.value / 60.0 / 60.0 / 24.0 / 1000.0, unit: 'days' }\n      when value.code.value is null then Message(1000, true, 'Undefined', 'Error', 'Duration unit code is null')\n      else Message(1000, true, 'Undefined', 'Error', 'Unsupported duration unit code: ' + value.code.value)\nend</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSRoutines</td>\n                                \n                                \n                                    <td>Is Subacute or Chronic Pain Using Validity Period</td>\n                                \n                                \n                                    <td>95</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function &quot;Is Subacute or Chronic Pain Using Validity Period&quot;(prescription FHIR.MedicationRequest):\n  (\n    prescription.dispenseRequest is not null\n      and prescription.dispenseRequest.validityPeriod is not null\n      and (\n        days between prescription.dispenseRequest.validityPeriod.start and prescription.dispenseRequest.validityPeriod.end &gt;= 28 \n      )\n  )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>FHIRHelpers</td>\n                                \n                                \n                                    <td>ToDateTime</td>\n                                \n                                \n                                    <td>96</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function ToDateTime(value dateTime): value.value</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>CreateDetailWithPossibleUnexpectedNegative</td>\n                                \n                                \n                                    <td>97</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function CreateDetailWithPossibleUnexpectedNegative(TheSubstance String, ThePosLabs List&lt;Observation&gt;, TheNegLabs List&lt;Observation&gt;, TheMeds List&lt;MedicationRequest&gt;):\n  {\n    ingredient: TheSubstance,\n    posDates: (\n      ThePosLabs PosLab\n        return date from PosLab.effective\n    ),\n    negDates: (\n      TheNegLabs NegLab\n        return date from NegLab.effective\n    ),\n    unexpectedPosDetails: (\n      ThePosLabs PosLab\n        where not exists (\n          TheMeds Rx\n            where Common.GetDateFromMedicationRequest(Rx)\n              in day of Interval[\n                date from PosLab.effective - 31 days,\n                date from PosLab.effective - 1 days\n              ]\n        )\n        return {\n          date: date from PosLab.effective,\n          udsDetail:\n            if exists(PosLab.code.coding)\n              then PosLab.code.coding[0].display\n              else 'Unable to determine a detailed identifier'\n        }\n    ),\n    unexpectedNegDetails: (\n      from TheNegLabs NegLab,\n        ( if exists(TheMeds) then TheMeds else { null as MedicationRequest } ) Rx\n        let medDate: Common.GetDateFromMedicationRequest(Rx)\n          where medDate in day of Interval[date from NegLab.effective - 31 days, date from NegLab.effective - 1 days]\n          return {\n            udsDate: date from NegLab.effective,\n            udsDetail: if exists (NegLab.code.coding) then NegLab.code.coding[0].display else 'Unable to determine a detailed identifier',\n            rxDate: medDate,\n            rxDetail: \n              if Rx.medication.text is not null then Rx.medication.text\n              else if exists (Rx.medication.coding) and Rx.medication.coding[0].display is not null then Rx.medication.coding[0].display \n              else 'Unable to determine a detailed identifier'\n          }\n    )\n  }</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSCommon</td>\n                                \n                                \n                                    <td>GetDateFromMedicationRequest</td>\n                                \n                                \n                                    <td>98</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function &quot;GetDateFromMedicationRequest&quot;(med FHIR.MedicationRequest):\n  if med is null then\n    null\n  else if med.authoredOn is not null then\n    date from med.authoredOn\n  else\n    Max(\n      med.dosageInstruction DI\n        return Coalesce(\n          // If there are timing events, take the latest.\n          Max(DI.timing.event E return date from E),\n          // Otherwise, if there's a Period, use its start.\n          if DI.timing.repeat is not null\n             and DI.timing.repeat.bounds is FHIR.Period\n          then\n            date from start of FHIRHelpers.ToInterval(DI.timing.repeat.bounds as FHIR.Period)\n          else\n            null\n        )\n    )</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>GetPositiveLabsInLookbackPeriod</td>\n                                \n                                \n                                    <td>99</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function GetPositiveLabsInLookbackPeriod(Labs List&lt;FHIR.Observation&gt;, Enabled Boolean):\n  if Enabled\n    then Labs Lab\n     where StartsWith(Lower(Lab.value as FHIR.string), 'pos')\n  else {}</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>FHIRHelpers</td>\n                                \n                                \n                                    <td>ToString</td>\n                                \n                                \n                                    <td>100</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function ToString(value ObservationStatus): value.value</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>GetNegativeLabsInLookbackPeriod</td>\n                                \n                                \n                                    <td>101</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function GetNegativeLabsInLookbackPeriod(Labs List&lt;FHIR.Observation&gt;, Enabled Boolean):\n  if Enabled\n    then Labs Lab\n     where StartsWith(Lower(Lab.value as FHIR.string), 'neg')\n  else {}</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>CreateDetailWithoutPossibleUnexpectedNegative</td>\n                                \n                                \n                                    <td>102</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function CreateDetailWithoutPossibleUnexpectedNegative(TheSubstance String, ThePosLabs List&lt;Observation&gt;, TheNegLabs List&lt;Observation&gt;):\n  {\n    ingredient: TheSubstance,\n    posDates: (\n      ThePosLabs PosLab\n        return date from PosLab.effective\n    ),\n    negDates: (\n      TheNegLabs NegLab\n        return date from NegLab.effective\n    ),\n    unexpectedPosDetails: (\n      ThePosLabs PosLab\n        return {\n          date: date from PosLab.effective,\n          udsDetail: if exists (PosLab.code.coding) then PosLab.code.coding[0].display else 'Unable to determine a detailed identifier'\n        }\n    ),\n    unexpectedNegDetails: {\n      null as Tuple{ udsDate System.Date, udsDetail System.String, rxDate System.Date, rxDetail System.String }\n    }\n  }</code></pre>\n                        \n                        <br/><br/>\n                    \n                        <table class=\"grid-dict\">\n                            <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                            <tr>\n                                \n                                    <td>OpioidCDSREC10Common</td>\n                                \n                                \n                                    <td>GetExpectedColumn</td>\n                                \n                                \n                                    <td>103</td>\n                                \n                            </tr>\n                        </table>\n                        \n                            <pre style=\"max-width: 990px;\"><code class=\"language-cql\">define function GetExpectedColumn(Content String):\n  '&lt;td class=\\&quot;details-table-cell\\&quot;&gt;' &amp; Content &amp; '&lt;\\/td&gt;'</code></pre>\n                        \n                        <br/><br/>\n                    \n                </td>\n            </tr>\n        \n        \n        <tr>\n          <th scope=\"row\"><b>Knowledge Capability: </b></th>\n          <td style=\"padding-left: 4px;\">\n            shareable computable executable publishable \n          </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Use Context: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    <tr><th><b>code</b></th><th><b>value</b></th><th><b>display</b></th></tr>\n                    \n                      <tr>\n                        <td>focus</td>\n                        <td>182888003</td>\n                        <td>Medication requested (situation)</td>\n                      </tr>\n                    \n                      <tr>\n                        <td>focus</td>\n                        <td>82423001</td>\n                        <td>Chronic pain (finding)</td>\n                      </tr>\n                    \n                      <tr>\n                        <td>focus</td>\n                        <td/>\n                        <td/>\n                      </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Purpose: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain is intended to improve communication between clinicians and patients about the benefits and risks of pain treatments, including opioid therapy; improve the effectiveness and safety of pain treatment; mitigate pain; improve function and quality of life for patients with pain; and reduce risks associated with opioid pain therapy, including opioid use disorder, overdose, and death. The recommendations do not apply to pain related to sickle cell disease or cancer or to patients receiving palliative or end-of-life care.</p>\n</div></td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Usage: </b></th>\n            <td style=\"padding-left: 4px;\">Before starting opioids and periodically (at least annually) during opioid therapy, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed opioids and other prescription and nonprescription controlled substances that increase risk for overdose when combined with opioids, including nonprescribed and illicit opioids and benzodiazepines.</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Copyright: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>© CDC 2016+.</p>\n</div></td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        <tr>\n          <th scope=\"row\"><b>Related Artifacts: </b></th>\n          <td style=\"padding-left: 4px;\">\n            \n            <p><b>Documentation</b></p>\n            <ul>\n              \n                  <li>\n                    <a href=\"https://www.cdc.gov/mmwr/volumes/71/rr/pdfs/rr7103a1-H.pdf\"> 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain</a>\n                  </li>\n              \n            </ul>\n            \n            \n            \n            \n            \n            \n            \n          </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Libraries: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              \n                <tr><td><a href=\"Library-OpioidCDSREC10OrderSign.html\">Library - Recommendation #10 - Urine Drug Testing</a></td></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Actions: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              \n                <tr>\n                  <td>\n                    <b> Consider the Benefits and Risks of Conducting a Urine Toxicology Screen:</b> Consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances.\r\n\r\nFor guidance regarding utilizing toxicology tests when prescribing opioids, see [Recommendation 10 of the 2022 CDC Clinical Practice Guideline](https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm#Recommendation10).<br/>\n                    <b>When:</b> <i>Named Event:</i> order-sign<br/>\n                    <b>If:</b> <i>Applicability:</i> Patient has not had a urine screening in the past 12 months <i>(Is Perform Drug Screen Recommendation Applicable?)</i><br/>\n                    <b>Then:</b>\n                    \n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              <b> :</b> <br/>\n                              \n                              \n                              <b>Then:</b>\n                              \n                                \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              <b> :</b> <br/>\n                              \n                              \n                              <b>Then:</b>\n                              \n                                \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              <b> :</b> <br/>\n                              \n                              \n                              <b>Then:</b>\n                              \n                                \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              <b> :</b> <br/>\n                              \n                              \n                              <b>Then:</b>\n                              \n                                \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                      </table>\n                    \n                  </td>\n                </tr>\n              \n                <tr>\n                  <td>\n                    <b> Patient May Have Unexpected Toxicology Test Results:</b> Patient may have unexpected urine toxicology test results in the past year<br/>\n                    <b>When:</b> <i>Named Event:</i> order-sign<br/>\n                    <b>If:</b> <i>Applicability:</i> Patient may have unexpected urine toxicology test results in the past year <i>(Applicable Because of Unexpected Results)</i><br/>\n                    <b>Then:</b>\n                    \n                      <table class=\"grid-dict\">\n                        \n                          <tr>\n                            <td>\n                              <b> :</b> <br/>\n                              \n                              \n                              <b>Then:</b>\n                              \n                                \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              <b> :</b> <br/>\n                              \n                              \n                              <b>Then:</b>\n                              \n                                \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                          <tr>\n                            <td>\n                              <b> :</b> <br/>\n                              \n                              \n                              <b>Then:</b>\n                              \n                                \n                                \n                              \n                            </td>\n                          </tr>\n                        \n                      </table>\n                    \n                  </td>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n    </table>\n</div>"
  },
  "contained" : [
    {
      "resourceType" : "Library",
      "id" : "effective-data-requirements",
      "name" : "EffectiveDataRequirements",
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/library-type",
            "code" : "module-definition"
          }
        ]
      },
      "relatedArtifact" : [
        {
          "type" : "depends-on",
          "display" : "Library Common",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommon|2022.1.0"
        },
        {
          "type" : "depends-on",
          "display" : "Library FHIRHelpers",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/Library/FHIRHelpers|4.0.1"
        },
        {
          "type" : "depends-on",
          "display" : "Library Routines",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSRoutines|2022.1.0"
        },
        {
          "type" : "depends-on",
          "display" : "Library Rec10Common",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSREC10Common|2022.1.0"
        },
        {
          "type" : "depends-on",
          "display" : "Library Config",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSCommonConfig|2022.1.0"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Opioid analgesics with ambulatory misuse potential",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/opioid-analgesics-with-ambulatory-misuse-potential"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Community",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/medicationrequest-category-community"
        },
        {
          "type" : "depends-on",
          "display" : "Value set All Drug Urine Screening",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/all-urine-drug-screening-tests"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Amphetamine Urine Tests",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/amphetamine-urine-drug-screening-tests"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Amphetamine Medications",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/amphetamines-class-medications"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Barbiturate Urine Tests",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/barbiturate-urine-drug-screening-tests"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Barbiturate Medications",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/barbiturate-medications"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Benzodiazepine Urine Tests",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/benzodiazepine-urine-drug-screening-tests"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Benzodiazepine medications",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/benzodiazepine-medications"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Buprenorphine Urine Tests",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/buprenorphine-urine-drug-screening-tests"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Buprenorphine Medications",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/buprenorphine-medications"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Cocaine Urine Tests",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/cocaine-urine-drug-screening-tests"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Fentanyl Medications",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/fentanyl-type-medications"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Heroin Urine Tests",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/heroin-urine-drug-screening-tests"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Methadone Urine Tests",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/methadone-urine-drug-screening-tests"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Methadone Medications",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/methadone-medications"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Opiate Medications",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/non-synthetic-opioid-medications"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Oxycodone Medications",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/oxycodone-medications"
        },
        {
          "type" : "depends-on",
          "display" : "Value set PCP Urine Tests",
          "resource" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/phencyclidine-urine-drug-screening-tests"
        }
      ],
      "parameter" : [
        {
          "name" : "ContextPrescriptions",
          "use" : "in",
          "min" : 0,
          "max" : "*",
          "type" : "MedicationRequest"
        },
        {
          "name" : "Is Perform Drug Screen Recommendation Applicable?",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        },
        {
          "name" : "Applicable Because of Unexpected Results",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "boolean"
        },
        {
          "name" : "Detail",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "string"
        }
      ],
      "dataRequirement" : [
        {
          "type" : "Observation",
          "profile" : [
            "http://hl7.org/fhir/StructureDefinition/Observation"
          ],
          "mustSupport" : [
            "code",
            "effective",
            "status"
          ],
          "codeFilter" : [
            {
              "path" : "code",
              "valueSet" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/all-urine-drug-screening-tests"
            }
          ]
        },
        {
          "type" : "MedicationRequest",
          "profile" : [
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
          ],
          "mustSupport" : [
            "category",
            "status",
            "intent",
            "id",
            "subject",
            "authoredOn",
            "recorder",
            "dosageInstruction",
            "dispenseRequest",
            "medication"
          ],
          "codeFilter" : [
            {
              "path" : "category",
              "valueSet" : "http://fhir.org/guides/cdc/opioid-cds/ValueSet/medicationrequest-category-community"
            }
          ]
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode" : "shareable"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode" : "computable"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode" : "executable"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
      "valueCode" : "publishable"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10OrderSign"
        },
        {
          "url" : "name",
          "valueString" : "Subacute or Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Subacute or Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions\":\n  ( Common.\"Is Opioid Analgesic with Ambulatory Misuse Potential?\"( ContextPrescriptions ) ) AmbulatoryOpioidPrescription\n    where Routines.\"Is Subacute or Chronic Pain Prescription?\"( AmbulatoryOpioidPrescription )"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 0
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10OrderSign"
        },
        {
          "url" : "name",
          "valueString" : "Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential\":\n  exists( \"Subacute or Chronic Pain Opioid Analgesic with Ambulatory Misuse Potential Prescriptions\" )"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 1
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSRoutines"
        },
        {
          "url" : "name",
          "valueString" : "Patient Age Less Than 18"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Patient Age Less Than 18\":\n  if (Config.\"Age Less than 18 Years Is Enabled\") then\n    AgeInYearsAt(Today()) < 18\n  else false"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 2
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSRoutines"
        },
        {
          "url" : "name",
          "valueString" : "Condition Positive for Sickle Cell"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Condition Positive for Sickle Cell\":\n  if (Config.\"Sickle Cell Check Enabled\") then\n    exists(\n      Common.\"Positive Sickle Cell Condition\"\n    ) \n  else false"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 3
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSRoutines"
        },
        {
          "url" : "name",
          "valueString" : "Is Active Cancer Treatment?"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Is Active Cancer Treatment?\":\n  if (Config.\"Active Cancer Treatment Encounters Condition Is Enabled\") \n    then \"Has Two or More Encounters with Cancer Diagnosis During Encounter Period\"\n      or \"Has Active Cancer Diagnosis on Problem List\"\n  else false"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 4
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSRoutines"
        },
        {
          "url" : "name",
          "valueString" : "Conditions Likely Terminal for Opioid Prescribing"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Conditions Likely Terminal for Opioid Prescribing\":\n  if (Config.\"End-Stage Disease Criteria Enabled\") then\n    exists (\n      Common.\"US Core-Categorized Conditions\" EOLC\n        where EOLC.code in Common.\"Conditions likely terminal for opioid prescribing\"\n          // and EOLC.clinicalStatus in Common.\"Active Condition\"\n    )\n  else false"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 5
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSRoutines"
        },
        {
          "url" : "name",
          "valueString" : "Is Opioid Review Useful?"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Is Opioid Review Useful?\":\n  not \"Patient Age Less Than 18\"\n    and not \"Condition Positive for Sickle Cell\"\n    and not \"Is Active Cancer Treatment?\"\n    and not \"Conditions Likely Terminal for Opioid Prescribing\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 6
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Inclusion Criteria For UDS Recommendation"
        },
        {
          "url" : "statement",
          "valueString" : "/*\n@description: Determines whether an opioid review is appropriate for the patient and whether they had a UDS performed in the past year\n*/\ndefine \"Inclusion Criteria For UDS Recommendation\":\n  Routines.\"Is Opioid Review Useful?\"\n    and not exists (\n      if Config.\"Use Alternative UDS Lookback Period\"\n        then \"All Opioid or Non-opioid UDS in Alternative Lookback Period\"\n      else \"All Opioid or Non-opioid UDS in Lookback Period\"\n    )"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 7
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10OrderSign"
        },
        {
          "url" : "name",
          "valueString" : "Is Perform Drug Screen Recommendation Applicable?"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Is Perform Drug Screen Recommendation Applicable?\":\n  \"Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential\"\n    and Rec10Common.\"Inclusion Criteria For UDS Recommendation\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 8
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Amphetamine Simple Identifier"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Amphetamine Simple Identifier\": 'Amphetamine'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 9
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "UDS Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "// Constants\n\ndefine \"UDS Lookback Period\":\n  Interval[Today() - 12 months - 1 days, Today()]"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 10
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "All Opioid or Non-opioid UDS in Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"All Opioid or Non-opioid UDS in Lookback Period\":\n  (\n    [Observation: Common.\"All Drug Urine Screening\"] Lab\n      where date from Lab.effective in day of \"UDS Lookback Period\"\n        and not (\n          Lab.status in { 'unknown', 'entered-in-error', 'cancelled' }\n        )\n  ) X sort by date from effective desc"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 11
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Amphetamine Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "// Amphetamines\ndefine \"Amphetamine Screenings In Lookback Period\":\n  \"All Opioid or Non-opioid UDS in Lookback Period\" Lab\n    where Lab.code in Common.\"Amphetamine Urine Tests\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 12
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Positive Amphetamine Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Positive Amphetamine Screenings In Lookback Period\":\n  GetPositiveLabsInLookbackPeriod(\"Amphetamine Screenings In Lookback Period\", true)"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 13
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Negative Amphetamine Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Negative Amphetamine Screenings In Lookback Period\":\n  GetNegativeLabsInLookbackPeriod(\"Amphetamine Screenings In Lookback Period\", true)"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 14
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Rx Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Rx Lookback Period\":\n  Interval[Today() - 12 months - 31 days, Today()]"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 15
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Normalize Rx In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Normalize Rx In Lookback Period\":\n  Common.\"Get MedicationRequest Medication as Code\"(\n    [MedicationRequest: category in Common.\"Community\"] Rx\n      where Rx.status in { 'active', 'completed', 'stopped' }\n        and Rx.intent = 'order'\n        and Common.\"GetDateFromMedicationRequest\"(Rx) in day of \"Rx Lookback Period\"\n  )"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 16
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Amphetamine Rx In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Amphetamine Rx In Lookback Period\":\n  \"Normalize Rx In Lookback Period\" Rx\n      where Rx.medication in Common.\"Amphetamine Medications\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 17
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Barbiturate Simple Identifier"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Barbiturate Simple Identifier\": 'Barbiturate'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 18
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Barbiturate Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "// Barbiturates\ndefine \"Barbiturate Screenings In Lookback Period\":\n  \"All Opioid or Non-opioid UDS in Lookback Period\" Lab\n    where Lab.code in Common.\"Barbiturate Urine Tests\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 19
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Positive Barbiturate Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Positive Barbiturate Screenings In Lookback Period\":\n  GetPositiveLabsInLookbackPeriod(\"Barbiturate Screenings In Lookback Period\", true)"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 20
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Negative Barbiturate Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Negative Barbiturate Screenings In Lookback Period\":\n  GetNegativeLabsInLookbackPeriod(\"Barbiturate Screenings In Lookback Period\", true)"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 21
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Barbiturate Rx In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Barbiturate Rx In Lookback Period\":\n  \"Normalize Rx In Lookback Period\" Rx\n      where Rx.medication in Common.\"Barbiturate Medications\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 22
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Benzodiazepine Simple Identifier"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Benzodiazepine Simple Identifier\": 'Benzodiazepine'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 23
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Benzodiazepine Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "// Benzodiazepines\ndefine \"Benzodiazepine Screenings In Lookback Period\":\n  \"All Opioid or Non-opioid UDS in Lookback Period\" Lab\n    where Lab.code in Common.\"Benzodiazepine Urine Tests\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 24
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Positive Benzodiazepine Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Positive Benzodiazepine Screenings In Lookback Period\":\n  GetPositiveLabsInLookbackPeriod(\"Benzodiazepine Screenings In Lookback Period\", true)"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 25
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Negative Benzodiazepine Screenings In Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Negative Benzodiazepine Screenings In Lookback Period\":\n  GetNegativeLabsInLookbackPeriod(\"Benzodiazepine Screenings In Lookback Period\", true)"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 26
        }
 &       "valueString" : "OpioidCDSREC10OrderSign"
        },
        {
          "url" : "name",
          "valueString" : "Applicable Because of Unexpected Results"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Applicable Because of Unexpected Results\":\n  \"Patient Is Being Prescribed Opioid Analgesic with Ambulatory Misuse Potential\"\n    and Rec10Common.\"Inclusion Criteria For Unexpected Results\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 74
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSCommon"
        },
        {
          "url" : "name",
          "valueString" : "Style Header"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Style Header\":\n  '<style>\\r\\n  .alert-body {\\r\\n    width: 670px;\\r\\n    font-family: segoe-ui, sans-serif;\\r\\n    background-color: #FEFFF1;\\r\\n  }\\r\\n\\r\\n  .details-table {\\r\\n    border-collapse:collapse;\\r\\n    border-style: ridge;\\r\\n    background-color: #FEFFF1;\\r\\n    padding: 2px;\\r\\n  }\\r\\n\\r\\n  .details-caption {\\r\\n    border-style: ridge;\\r\\n    border-bottom: none;\\r\\n    background-color: #FEFFF1;\\r\\n    padding: 2px;\\r\\n  }\\r\\n\\r\\n  .details-table-header {\\r\\n    border-style: ridge;\\r\\n    padding: 5px;\\r\\n  }\\r\\n\\r\\n  .details-table-cell {\\r\\n    border-style: ridge;\\r\\n    padding: 5px;\\r\\n  }\\r\\n\\r\\n  .details-table-footer-cell {\\r\\n    border-style: ridge;\\r\\n    padding: 5px;\\r\\n    font-size: small;\\r\\n  }\\r\\n\\r\\n  .details-table-cell-unexpected {\\r\\n    border-style: ridge;\\r\\n    padding: 5px;\\r\\n    color: red;\\r\\n    font-weight: bold;\\r\\n  }\\r\\n\\r\\n  .more-text {\\r\\n    position: relative;\\r\\n    margin-bottom: 2em;\\r\\n  }\\r\\n  \\r\\n  .more {\\r\\n    display:none;\\r\\n  }\\r\\n\\r\\n  .show-more:checked + .more {\\r\\n    display:block;\\r\\n  }\\r\\n<\\/style>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 75
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Unexpected Div Start"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Unexpected Div Start\":\n  '<div class=\\\"alert-body\\\"><div><p>Patient may have <strong>unexpected urine toxicology test results<\\/strong> in the past year.<\\/p><\\/div>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 76
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Table Start"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Table Start\":\n  '<div><table class=\\\"details-table\\\"><caption class=\\\"details-caption\\\">Urine Toxicology Results<\\/caption><tr><th class=\\\"details-table-header\\\">Substance<\\/th>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 77
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "All Lab Dates in Lookback Period"
        },
        {
          "url" : "statement",
          "valueString" : "// Helpers  \n\ndefine \"All Lab Dates in Lookback Period\":\n  (\n    \"All Opioid or Non-opioid UDS in Lookback Period\" Lab\n      return date from Lab.effective\n  ) X sort desc"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 78
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Table Headers"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Table Headers\":\n  \"All Lab Dates in Lookback Period\" LabDate\n    return '<th class=\\\"details-table-header\\\">' & ToString(LabDate) & '<\\/th>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 79
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Generate Table Rows"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Generate Table Rows\":\n  \"Remove Substances Without Positive or Negative Results\" BOT\n    let row: ToString(IndexOf(\"Remove Substances Without Positive or Negative Results\", BOT) + 1)\n    return '<tr>' + GetExpectedColumn(BOT.ingredient) + Combine(\n      \"All Lab Dates in Lookback Period\" LabDate\n        let col: ToString(IndexOf(\"All Lab Dates in Lookback Period\", LabDate) + 2)\n        return all (\n          if BOT.unexpectedPosDetails.date contains LabDate\n            then GetUnexpectedColumn('pos', row & ':' & col)\n          else if BOT.unexpectedNegDetails.udsDate contains LabDate\n            then GetUnexpectedColumn('neg', row & ':' & col)\n          else if BOT.posDates contains LabDate\n            then GetExpectedColumn('pos*')\n          else if BOT.negDates contains LabDate\n            then GetExpectedColumn('neg*')\n          else GetExpectedColumn('n/a')\n        )\n    ) + '<\\/tr>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 80
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Generate Footer Rows"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Generate Footer Rows\":\n  \"Remove Substances Without Positive or Negative Results\" BOT\n      let row: ToString(IndexOf(\"Remove Substances Without Positive or Negative Results\", BOT) + 1),\n      colspan: Length(\"All Lab Dates in Lookback Period\") + 1\n      return Combine(\n          \"All Lab Dates in Lookback Period\" LabDate\n            let col: ToString(IndexOf(\"All Lab Dates in Lookback Period\", LabDate) + 2)\n            return all (\n              if BOT.unexpectedPosDetails.date contains LabDate\n                then Coalesce(\n                  BOT.unexpectedPosDetails PosDetail\n                    where PosDetail.date same day as LabDate\n                      return '<tr>' & GetFooterColumn(colspan, row & ':' & col & ' - Possible unexpected substance found: ' & PosDetail.udsDetail) & '<\\/tr>'\n                )\n              else if BOT.unexpectedNegDetails.udsDate contains LabDate\n                then Coalesce(\n                  BOT.unexpectedNegDetails NegDetail\n                    where NegDetail.udsDate same day as LabDate\n                      return '<tr>' & GetFooterColumn(colspan, row + ':' & col & ' - Possible unexpected negative result found: prescribed ' & NegDetail.rxDetail & ' on ' & ToString(NegDetail.rxDate)) & '<\\/tr>'\n                )\n              else ''\n            )\n      )"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 81
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Table End"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Table End\":\n  '<\\/table><\\/div>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 82
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Details Table"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Details Table\": \n  \"Table Start\" & Combine(\"Table Headers\") \n    & '<tbody>' & Combine(\"Generate Table Rows\") & '</tbody>' \n    & '<tfoot>' & Combine(\"Generate Footer Rows\") & '<\\/tfoot>' \n  & \"Table End\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 83
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Expected Result Footnote"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Expected Result Footnote\":\n  '<div>* - These are expected results based on an analysis of the patient\\'s medication list 30 days prior to the corresponding lab results.<\\/div>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 84
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Details More Info"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Details More Info\":\n  '<div id=\\\"box\\\">\\r\\n  <p>Note on false positives and unexpected negative results...<\\/p>\\r\\n  <input type=\\\"checkbox\\\" class=\\\"show-more\\\"> Show more\\r\\n  <div class=\\\"more\\\">\\r\\n  <p>An unexpectedly negative test may be due to time since last dose, diversion, intermittent use, aberrant drug use behavior, or other factors, including a false negative result. Clinicians should interpret this result in the context of the overall treatment plan.<\\/p>\\r\\n\\r\\n  <p>Positive results may be a false positives or could represent occasional use or possible substance use disorder.<br\\/><br\\/>For a review regarding interpreting possible false positive urine toxicology results, see <a target=\\\"_blank\\\" href=\\\"https:\\/\\/pubmed.ncbi.nlm.nih.gov\\/24986836\\\">http:\\/\\/pubmed.ncbi.nlm.nih.gov\\/24986836<\\/a>. It is unknown if the findings reported in this article can be extrapolated to other laboratory analyzers that were not used in the referenced studies.<br\\/><br\\/>For guidance regarding evaluating and addressing unexpected toxicology tests results, see <a target=\\\"_blank\\\" href=\\\"https:\\/\\/www.cdc.gov\\/mmwr\\/volumes\\/71\\/rr\\/rr7103a1.htm#Recommendation10\\\">Recommendation 10 of the 22 CDC Clinical Practice Guideiline<\\/a>.<\\/p><\\/div>\\r\\n<\\/div>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 85
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Div End"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Div End\": '<\\/div>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 86
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "Get HTML Details"
        },
        {
          "url" : "statement",
          "valueString" : "// HTML Generation\n\ndefine \"Get HTML Details\":\n  Common.\"Style Header\" & \"Unexpected Div Start\" & \"Details Table\" & \"Expected Result Footnote\" & \"Details More Info\" & \"Div End\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 87
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10OrderSign"
        },
        {
          "url" : "name",
          "valueString" : "Detail"
        },
        {
          "url" : "statement",
          "valueString" : "define \"Detail\":\n  Rec10Common.\"Get HTML Details\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 88
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSCommon"
        },
        {
          "url" : "name",
          "valueString" : "Is Opioid Analgesic with Ambulatory Misuse Potential?"
        },
        {
          "url" : "statement",
          "valueString" : "define function \"Is Opioid Analgesic with Ambulatory Misuse Potential?\"(value List<MedicationRequest>):\n  (\"Get MedicationRequest Medication as Code\"(value)) Rx\n    where Rx.medication in \"Opioid analgesics with ambulatory misuse potential\" \n      and Rx.category in \"Community\""
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 89
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSCommon"
        },
        {
          "url" : "name",
          "valueString" : "Get MedicationRequest Medication as Code"
        },
        {
          "url" : "statement",
          "valueString" : "define function \"Get MedicationRequest Medication as Code\"(value List<MedicationRequest>):\n  value Rx\n    let Med: \n      if Rx.medication is Reference then singleton from (\n        [Medication] M\n          where M.id = (Last(Split((Rx.medication as FHIR.Reference).reference, '/')))\n      ) else null\n    return \n      MedicationRequest {\n        id: Rx.id,\n        status: Rx.status,\n        intent: Rx.intent,\n        category: Rx.category,\n        medication: if Rx.medication is Reference then Med.code else Rx.medication as CodeableConcept,\n        subject: Rx.subject,\n        authoredOn: Rx.authoredOn,\n        recorder: Rx.recorder,\n        dosageInstruction: Rx.dosageInstruction,\n        dispenseRequest: Rx.dispenseRequest\n      }"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 90
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "FHIRHelpers"
        },
        {
          "url" : "name",
          "valueString" : "ToConcept"
        },
        {
          "url" : "statement",
          "valueString" : "define function ToConcept(concept FHIR.CodeableConcept):\n    if concept is null then\n        null\n    else\n        System.Concept {\n            codes: concept.coding C return ToCode(C),\n            display: concept.text.value\n        }"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 91
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSRoutines"
        },
        {
          "url" : "name",
          "valueString" : "Is Subacute or Chronic Pain Prescription?"
        },
        {
          "url" : "statement",
          "valueString" : "// End of Active Cancer Treatment Routine\n\n/*\n**  Routine #4\n**  For Subacute or Chronic Pain Routine\n**\n**  Definition                  | Answer to Proceed   | Details                                        | Data (Terminology) Requirement\n**  -----------------------------------------------------------------------------------------------------------------------------------\n**  Order for opioid analgesic  | Yes                 | Order for opioid analgesics with ambulatory    | Opioid analgesics with\n**  with expected supply        |                     | misuse potential with a supply duration of >=  | ambulatory misuse potential\n**  duration >= 28 days         |                     | 28 days                                        |\n**                              |                     |                                                |\n**                              |                     | - Subacute definition = order for opioid       |\n**                              |                     |   analgesics with ambulatory misuse            |\n**                              |                     |   potential with a supply duration of one to   |\n**                              |                     |   two months.                                  |\n**                              |                     | - Chronic pain definition = order for opioid   |\n**                              |                     |   analgesics with ambulatory misuse            |\n**                              |                     |   potential with a supply duration of >= two   |\n**                              |                     |   months.                                      |\n**  -----------------------------------------------------------------------------------------------------------------------------------\n**\n*/\n\ndefine function \"Is Subacute or Chronic Pain Prescription?\"(prescription FHIR.MedicationRequest):\n  \"Is Subacute or Chronic Pain Using Expected Supply Duration\"(prescription)\n    or \"Is Subacute or Chronic Pain Using Validity Period\"(prescription)"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 92
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSRoutines"
        },
        {
          "url" : "name",
          "valueString" : "Is Subacute or Chronic Pain Using Expected Supply Duration"
        },
        {
          "url" : "statement",
          "valueString" : "define function \"Is Subacute or Chronic Pain Using Expected Supply Duration\"(prescription FHIR.MedicationRequest):\n  (\n    prescription.dispenseRequest is not null\n      and prescription.dispenseRequest.expectedSupplyDuration is not null\n      and (\n        Common.GetDurationInDays(prescription.dispenseRequest.expectedSupplyDuration) >= 28 days \n      )\n  )"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 93
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSCommon"
        },
        {
          "url" : "name",
          "valueString" : "GetDurationInDays"
        },
        {
          "url" : "statement",
          "valueString" : "define function GetDurationInDays(value FHIR.Duration):\n  if value is null then null\n  else\n    case\n      when value.code.value ~ 'a' then System.Quantity{ value: value.value.value * 365.0, unit: 'days' }\n      when value.code.value ~ 'mo' then System.Quantity{ value: value.value.value * 30.0, unit: 'days' }\n      when value.code.value ~ 'wk' then System.Quantity{ value: value.value.value * 7.0, unit: 'days' }\n      when value.code.value ~ 'd' then System.Quantity{ value: value.value.value, unit: 'days' }\n      when value.code.value ~ 'h' then System.Quantity{ value: value.value.value / 24.0, unit: 'days' }\n      when value.code.value ~ 'min' then System.Quantity{ value: value.value.value / 60.0 / 24.0, unit: 'days' }\n      when value.code.value ~ 's' then System.Quantity{ value: value.value.value / 60.0 / 60.0 / 24.0, unit: 'days' }\n      when value.code.value ~ 'ms' then System.Quantity{ value: value.value.value / 60.0 / 60.0 / 24.0 / 1000.0, unit: 'days' }\n      when value.code.value is null then Message(1000, true, 'Undefined', 'Error', 'Duration unit code is null')\n      else Message(1000, true, 'Undefined', 'Error', 'Unsupported duration unit code: ' + value.code.value)\nend"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 94
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSRoutines"
        },
        {
          "url" : "name",
          "valueString" : "Is Subacute or Chronic Pain Using Validity Period"
        },
        {
          "url" : "statement",
          "valueString" : "define function \"Is Subacute or Chronic Pain Using Validity Period\"(prescription FHIR.MedicationRequest):\n  (\n    prescription.dispenseRequest is not null\n      and prescription.dispenseRequest.validityPeriod is not null\n      and (\n        days between prescription.dispenseRequest.validityPeriod.start and prescription.dispenseRequest.validityPeriod.end >= 28 \n      )\n  )"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 95
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "FHIRHelpers"
        },
        {
          "url" : "name",
          "valueString" : "ToDateTime"
        },
        {
          "url" : "statement",
          "valueString" : "define function ToDateTime(value dateTime): value.value"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 96
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "CreateDetailWithPossibleUnexpectedNegative"
        },
        {
          "url" : "statement",
          "valueString" : "define function CreateDetailWithPossibleUnexpectedNegative(TheSubstance String, ThePosLabs List<Observation>, TheNegLabs List<Observation>, TheMeds List<MedicationRequest>):\n  {\n    ingredient: TheSubstance,\n    posDates: (\n      ThePosLabs PosLab\n        return date from PosLab.effective\n    ),\n    negDates: (\n      TheNegLabs NegLab\n        return date from NegLab.effective\n    ),\n    unexpectedPosDetails: (\n      ThePosLabs PosLab\n        where not exists (\n          TheMeds Rx\n            where Common.GetDateFromMedicationRequest(Rx)\n              in day of Interval[\n                date from PosLab.effective - 31 days,\n                date from PosLab.effective - 1 days\n              ]\n        )\n        return {\n          date: date from PosLab.effective,\n          udsDetail:\n            if exists(PosLab.code.coding)\n              then PosLab.code.coding[0].display\n              else 'Unable to determine a detailed identifier'\n        }\n    ),\n    unexpectedNegDetails: (\n      from TheNegLabs NegLab,\n        ( if exists(TheMeds) then TheMeds else { null as MedicationRequest } ) Rx\n        let medDate: Common.GetDateFromMedicationRequest(Rx)\n          where medDate in day of Interval[date from NegLab.effective - 31 days, date from NegLab.effective - 1 days]\n          return {\n            udsDate: date from NegLab.effective,\n            udsDetail: if exists (NegLab.code.coding) then NegLab.code.coding[0].display else 'Unable to determine a detailed identifier',\n            rxDate: medDate,\n            rxDetail: \n              if Rx.medication.text is not null then Rx.medication.text\n              else if exists (Rx.medication.coding) and Rx.medication.coding[0].display is not null then Rx.medication.coding[0].display \n              else 'Unable to determine a detailed identifier'\n          }\n    )\n  }"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 97
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSCommon"
        },
        {
          "url" : "name",
          "valueString" : "GetDateFromMedicationRequest"
        },
        {
          "url" : "statement",
          "valueString" : "define function \"GetDateFromMedicationRequest\"(med FHIR.MedicationRequest):\n  if med is null then\n    null\n  else if med.authoredOn is not null then\n    date from med.authoredOn\n  else\n    Max(\n      med.dosageInstruction DI\n        return Coalesce(\n          // If there are timing events, take the latest.\n          Max(DI.timing.event E return date from E),\n          // Otherwise, if there's a Period, use its start.\n          if DI.timing.repeat is not null\n             and DI.timing.repeat.bounds is FHIR.Period\n          then\n            date from start of FHIRHelpers.ToInterval(DI.timing.repeat.bounds as FHIR.Period)\n          else\n            null\n        )\n    )"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 98
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "GetPositiveLabsInLookbackPeriod"
        },
        {
          "url" : "statement",
          "valueString" : "define function GetPositiveLabsInLookbackPeriod(Labs List<FHIR.Observation>, Enabled Boolean):\n  if Enabled\n    then Labs Lab\n     where StartsWith(Lower(Lab.value as FHIR.string), 'pos')\n  else {}"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 99
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "FHIRHelpers"
        },
        {
          "url" : "name",
          "valueString" : "ToString"
        },
        {
          "url" : "statement",
          "valueString" : "define function ToString(value ObservationStatus): value.value"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 100
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "GetNegativeLabsInLookbackPeriod"
        },
        {
          "url" : "statement",
          "valueString" : "define function GetNegativeLabsInLookbackPeriod(Labs List<FHIR.Observation>, Enabled Boolean):\n  if Enabled\n    then Labs Lab\n     where StartsWith(Lower(Lab.value as FHIR.string), 'neg')\n  else {}"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 101
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "CreateDetailWithoutPossibleUnexpectedNegative"
        },
        {
          "url" : "statement",
          "valueString" : "define function CreateDetailWithoutPossibleUnexpectedNegative(TheSubstance String, ThePosLabs List<Observation>, TheNegLabs List<Observation>):\n  {\n    ingredient: TheSubstance,\n    posDates: (\n      ThePosLabs PosLab\n        return date from PosLab.effective\n    ),\n    negDates: (\n      TheNegLabs NegLab\n        return date from NegLab.effective\n    ),\n    unexpectedPosDetails: (\n      ThePosLabs PosLab\n        return {\n          date: date from PosLab.effective,\n          udsDetail: if exists (PosLab.code.coding) then PosLab.code.coding[0].display else 'Unable to determine a detailed identifier'\n        }\n    ),\n    unexpectedNegDetails: {\n      null as Tuple{ udsDate System.Date, udsDetail System.String, rxDate System.Date, rxDetail System.String }\n    }\n  }"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 102
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [
        {
          "url" : "libraryName",
          "valueString" : "OpioidCDSREC10Common"
        },
        {
          "url" : "name",
          "valueString" : "GetExpectedColumn"
        },
        {
          "url" : "statement",
          "valueString" : "define function GetExpectedColumn(Content String):\n  '<td class=\\\"details-table-cell\\\">' & Content & '<\\/td>'"
        },
        {
          "url" : "displaySequence",
          "valueInteger" : 103
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "id" : "effective-data-requirements",
      "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
      "valueCanonical" : "#effective-data-requirements"
    }
  ],
  "url" : "http://fhir.org/guides/cdc/opioid-cds/PlanDefinition/opioidcds-10-order-sign",
  "identifier" : [
    {
      "use" : "official",
      "value" : "cdc-opioid-guidance"
    }
  ],
  "version" : "2022.1.0",
  "name" : "PlanDefinition_Recommendation_10_Order_Sign",
  "title" : "Recommendation #10 - Urine Drug Testing (order-sign)",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule",
        "display" : "ECA Rule"
      }
    ]
  },
  "status" : "draft",
  "experimental" : true,
  "date" : "2025-04-24",
  "publisher" : "Centers for Disease Control and Prevention (CDC)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.cdc.gov"
        }
      ]
    }
  ],
  "description" : "When prescribing opioids for subacute or chronic pain, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances.",
  "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)"
          }
        ]
      }
    },
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus",
        "display" : "Clinical Focus"
      },
      "valueCodeableConcept" : {
        "text" : "Subacute pain"
      }
    }
  ],
  "purpose" : "The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain is intended to improve communication between clinicians and patients about the benefits and risks of pain treatments, including opioid therapy; improve the effectiveness and safety of pain treatment; mitigate pain; improve function and quality of life for patients with pain; and reduce risks associated with opioid pain therapy, including opioid use disorder, overdose, and death. The recommendations do not apply to pain related to sickle cell disease or cancer or to patients receiving palliative or end-of-life care.",
  "usage" : "Before starting opioids and periodically (at least annually) during opioid therapy, clinicians should consider the benefits and risks of toxicology testing to assess for prescribed opioids and other prescription and nonprescription controlled substances that increase risk for overdose when combined with opioids, including nonprescribed and illicit opioids and benzodiazepines.",
  "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" : "2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain",
      "url" : "https://www.cdc.gov/mmwr/volumes/71/rr/pdfs/rr7103a1-H.pdf",
      "document" : {
        "contentType" : "application/pdf",
        "language" : "en-US",
        "url" : "https://www.cdc.gov/mmwr/volumes/71/rr/pdfs/rr7103a1-H.pdf"
      }
    }
  ],
  "library" : [
    "http://fhir.org/guides/cdc/opioid-cds/Library/OpioidCDSREC10OrderSign"
  ],
  "action" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/recommendation-strength",
                "code" : "weak",
                "display" : "Weak"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/evidence-quality",
                "code" : "very-low",
                "display" : "Very Low quality"
              }
            ]
          }
        }
      ],
      "title" : "Consider the Benefits and Risks of Conducting a Urine Toxicology Screen",
      "description" : "Consider the benefits and risks of toxicology testing to assess for prescribed medications as well as other prescribed and nonprescribed controlled substances.\r\n\r\nFor guidance regarding utilizing toxicology tests when prescribing opioids, see [Recommendation 10 of the 2022 CDC Clinical Practice Guideline](https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm#Recommendation10).",
      "priority" : "urgent",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "order-sign"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Patient has not had a urine screening in the past 12 months",
            "language" : "text/cql.identifier",
            "expression" : "Is Perform Drug Screen Recommendation Applicable?"
          }
        }
      ],
      "action" : [
        {
          "reason" : [
            {
              "coding" : [
                {
                  "system" : "http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons",
                  "code" : "UToxAccepted",
                  "display" : "Action Taken"
                }
              ],
              "text" : "Document - Ordered toxicology screen"
            }
          ]
        },
        {
          "reason" : [
            {
              "coding" : [
                {
                  "system" : "http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons",
                  "code" : "UToxNA",
                  "display" : "Alert not appropriate"
                }
              ],
              "text" : "Document - Risks outweigh benefits"
            }
          ]
        },
        {
          "reason" : [
            {
              "coding" : [
                {
                  "system" : "http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons",
                  "code" : "UToxPDeclined",
                  "display" : "Action not taken"
                }
              ],
              "text" : "Snooze - N/A see comment, snooze 3 months"
            }
          ]
        },
        {
          "reason" : [
            {
              "coding" : [
                {
                  "system" : "http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons",
                  "code" : "UToxWrongProvider",
                  "display" : "Wrong clinician"
                }
              ],
              "text" : "Snooze - N/A see comment, snooze 1 year"
            }
          ]
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-strengthOfRecommendation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/recommendation-strength",
                "code" : "weak",
                "display" : "Weak"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/evidence-quality",
                "code" : "very-low",
                "display" : "Very Low quality"
              }
            ]
          }
        }
      ],
      "title" : "Patient May Have Unexpected Toxicology Test Results",
      "description" : "Patient may have unexpected urine toxicology test results in the past year",
      "priority" : "urgent",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "order-sign"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "description" : "Patient may have unexpected urine toxicology test results in the past year",
            "language" : "text/cql.identifier",
            "expression" : "Applicable Because of Unexpected Results"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "action.description",
          "expression" : {
            "language" : "text/cql.identifier",
            "expression" : "Detail"
          }
        }
      ],
      "action" : [
        {
          "reason" : [
            {
              "coding" : [
                {
                  "system" : "http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons",
                  "code" : "UnExptResultAccepted",
                  "display" : "Action Taken"
                }
              ],
              "text" : "Document - Will repeat urine drug screen more frequently"
            }
          ]
        },
        {
          "reason" : [
            {
              "coding" : [
                {
                  "system" : "http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons",
                  "code" : "UnExptResultNA",
                  "display" : "Alert not appropriate"
                }
              ],
              "text" : "The suggestion provided by the service has been declined"
            }
          ]
        },
        {
          "reason" : [
            {
              "coding" : [
                {
                  "system" : "http://fhir.org/guides/cdc/opioid-cds/CodeSystem/opioidcds-overrideReasons",
                  "code" : "UnExptResultWrongProvider",
                  "display" : "Wrong clinician"
                }
              ],
              "text" : "Snooze* - N/A snooze for 1 year"
            }
          ]
        }
      ]
    }
  ]
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.