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Resource CodeSystem/FHIR Server from package fhir.cdc.opioid-mme-r4#3.0.0 (62 ms)

Package fhir.cdc.opioid-mme-r4
Type CodeSystem
Id Id
FHIR Version R4
Source http://fhir.org/guides/cdc/opioid-mme-r4/http://fhir.org/guides/cdc/opioid-mme-r4/3.0.0/CodeSystem-CDCMMEClinicalConversionFactors.html
Url http://fhir.org/guides/cdc/opioid-mme-r4/CodeSystem/CDCMMEClinicalConversionFactors
Version 3.0.0
Status active
Date 2021-11-25T15:13:44+11:00
Name CDCMMEClinicalConversionFactors
Title CDC MME Clinical Conversion Factors
Experimental False
Realm us
Authority hl7
Description This Code System Supplement defines clinical conversion factors for calculating Morphine Milligram Equivalence (MME), as described in the CDC Opioid Prescribing Guideline. The supplement defines conversions factors for ingredients in one of 3 ways: 1, as a direct conversion factor for the ingredient, 2, as a dose-form-specific conversion factor for the ingredient, and 3, as a dose-quantity-ranged conversion factor for the ingredient. See the descriptions for each property for information on how the values are represented for the different conversion factors. For a given ingredient, only one of 'dose-form' or 'dose-range' will be present, with or without an ingredient-specific conversion factor. The properties together will enable a unique conversion factor to be determined if the input is within the expected range. If the input is outside the expected range, and there is no ingredient-specific conversion-factor specified, implementations should indicate a conversion factor could not be determined from the supplied information. All conversion factors supplied in this supplement are in 'mg/d'.
Copyright Copyright 2019+ Centers for Disease Control and Prevention (CDC)
Content supplement
Supplements http://www.nlm.nih.gov/research/umls/rxnorm

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
http://www.nlm.nih.gov/research/umls/rxnorm RxNorm


Narrative

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

Properties

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

CodeDisplayconversion-factordose-form-conversion-factordose-range-conversion-factor
2670 Codeine0.15
4337 Fentanyl316987:7200@0.33333333
5489 Hydrocodone1
3423 Hydromorphone4
6813 Methadone1-20:4, 21-40:8, 41-60:10, 61-*:12
7052 Morphine1
7804 Oxycodone1.5
7814 Oxymorphone3


Source

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  "id" : "CDCMMEClinicalConversionFactors",
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    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>conversion-factor</td><td>decimal</td><td>Defines the conversion factor for a specific ingredient, when the conversion factor is the same for all dose forms and dose amounts for the ingredient. The value of this property will be the decimal representation of the conversion factor.</td></tr><tr><td>dose-form-conversion-factor</td><td>string</td><td>Defines the conversion factor for an ingredient when the conversion factor varies by the dose form of the medication. The value of this property will be a string of the form &lt;dose-form-code&gt;:&lt;conversion-factor&gt;[@&lt;doses-per-day&gt;], e.g. 970789:130, where '970789' is the RxNorm dose form code, and '130' is the decimal representation of the conversion factor. An example of a per-day conversion factor is fentanyl, 316987:7200@0.33333333, where 316987 is RxNorm dose form code, 7200 is the conversion factor, and 0.33333333 is the dosesPerDay, expressed as a decimal with a maximum of 8 digits after the decimal.</td></tr><tr><td>dose-range-conversion-factor</td><td>string</td><td>Defines the conversion factor for an ingredient when the conversion factor varies by the overall dose of the medication. The value of this property will be a string of the form &lt;low-value&gt;-&lt;high-value&gt;:&lt;conversion-factor&gt;, e.g. 1-20:4. Note that the low-value or high-value may be a wildcard '*' to indicate the range continues (e.g. '61-*:12' indicates the range is 61 or greater).</td></tr></table><p/><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>conversion-factor</b></td><td><b>dose-form-conversion-factor</b></td><td><b>dose-range-conversion-factor</b></td></tr><tr><td><a style=\"white-space:nowrap\" href=\"https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&amp;searchTerm=2670\">2670</a><a name=\"CDCMMEClinicalConversionFactors-2670\"> </a></td><td>Codeine</td><td>0.15</td><td/><td/></tr><tr><td><a style=\"white-space:nowrap\" href=\"https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&amp;searchTerm=4337\">4337</a><a name=\"CDCMMEClinicalConversionFactors-4337\"> </a></td><td>Fentanyl</td><td/><td>316987:7200@0.33333333</td><td/></tr><tr><td><a style=\"white-space:nowrap\" href=\"https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&amp;searchTerm=5489\">5489</a><a name=\"CDCMMEClinicalConversionFactors-5489\"> </a></td><td>Hydrocodone</td><td>1</td><td/><td/></tr><tr><td><a style=\"white-space:nowrap\" href=\"https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&amp;searchTerm=3423\">3423</a><a name=\"CDCMMEClinicalConversionFactors-3423\"> </a></td><td>Hydromorphone</td><td>4</td><td/><td/></tr><tr><td><a style=\"white-space:nowrap\" href=\"https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&amp;searchTerm=6813\">6813</a><a name=\"CDCMMEClinicalConversionFactors-6813\"> </a></td><td>Methadone</td><td/><td/><td>1-20:4, 21-40:8, 41-60:10, 61-*:12</td></tr><tr><td><a style=\"white-space:nowrap\" href=\"https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&amp;searchTerm=7052\">7052</a><a name=\"CDCMMEClinicalConversionFactors-7052\"> </a></td><td>Morphine</td><td>1</td><td/><td/></tr><tr><td><a style=\"white-space:nowrap\" href=\"https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&amp;searchTerm=7804\">7804</a><a name=\"CDCMMEClinicalConversionFactors-7804\"> </a></td><td>Oxycodone</td><td>1.5</td><td/><td/></tr><tr><td><a style=\"white-space:nowrap\" href=\"https://mor.nlm.nih.gov/RxNav/search?searchBy=RXCUI&amp;searchTerm=7814\">7814</a><a name=\"CDCMMEClinicalConversionFactors-7814\"> </a></td><td>Oxymorphone</td><td>3</td><td/><td/></tr></table></div>"
  },
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      "valueCode" : "publishable"
    },
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    {
      "url" : "http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference",
      "valueUri" : "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/codesystem-author",
      "valueString" : "Floyd Eisenberg, MD, MPH"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/codesystem-author",
      "valueString" : "Kensaku Kawamoto, MD, PhD, MHS"
    },
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      "valueString" : "Robert McClure, MD"
    },
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      "url" : "http://hl7.org/fhir/StructureDefinition/codesystem-author",
      "valueString" : "Bryn Rhodes"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-topic",
      "valueCodeableConcept" : {
        "text" : "Opioid Prescribing"
      }
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      "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-topic",
      "valueCodeableConcept" : {
        "text" : "Morphine Milligram Equivalent (MME)"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/codesystem-warning",
      "valueMarkdown" : "NOTE: Do not use the calculated dose in MMEs to determine dosage for converting one opioid to another—the new opioid should be lower to avoid unintentional overdose caused by incomplete cross-tolerance and individual differences in opioid pharmacokinetics. Consult the medication label."
    },
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      "valueRelatedArtifact" : {
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        "label" : "RxNORM",
        "display" : "This product uses publicly available data courtesy of the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services; NLM is not responsible for the product and does not endorse or recommend this or any other product.",
        "citation" : "Nelson SJ, Zeng K, Kilbourne J, Powell T, Moore R. Normalized names for clinical drugs: RxNorm at 6 years.<br/>J Am Med Inform Assoc. 2011 Jul-Aug;18(4)441-8. doi: 10.1136/amiajnl-2011-000116.<br/>Epub 2011 Apr 21. PubMed PMID: 21515544; PubMed Central PMCID: PMC3128404.<br/>[Full Text](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3128404/)",
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        "citation" : "Schadow G, McDonald CJ. The Unified Code for Units of Measure. Regenstrief Institute, Inc. and the UCUM Organization, 2017. Version 2.1, Revision 442. http://unitsofmeasure.org",
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      "valueRelatedArtifact" : {
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        "label" : "Conversion Factors",
        "display" : "Conversion Factors",
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  "version" : "3.0.0",
  "name" : "CDCMMEClinicalConversionFactors",
  "title" : "CDC MME Clinical Conversion Factors",
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  "date" : "2021-11-25T15:13:44+11:00",
  "publisher" : "Alphora",
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  "description" : "This Code System Supplement defines clinical conversion factors for calculating Morphine Milligram Equivalence (MME), as described in the CDC Opioid Prescribing Guideline. The supplement defines conversions factors for ingredients in one of 3 ways: 1, as a direct conversion factor for the ingredient, 2, as a dose-form-specific conversion factor for the ingredient, and 3, as a dose-quantity-ranged conversion factor for the ingredient. See the descriptions for each property for information on how the values are represented for the different conversion factors. For a given ingredient, only one of 'dose-form' or 'dose-range' will be present, with or without an ingredient-specific conversion factor. The properties together will enable a unique conversion factor to be determined if the input is within the expected range. If the input is outside the expected range, and there is no ingredient-specific conversion-factor specified, implementations should indicate a conversion factor could not be determined from the supplied information. All conversion factors supplied in this supplement are in 'mg/d'.",
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      "valueCodeableConcept" : {
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  "jurisdiction" : [
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      "coding" : [
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  "copyright" : "Copyright 2019+ Centers for Disease Control and Prevention (CDC)",
  "content" : "supplement",
  "supplements" : "http://www.nlm.nih.gov/research/umls/rxnorm",
  "property" : [
    {
      "code" : "conversion-factor",
      "description" : "Defines the conversion factor for a specific ingredient, when the conversion factor is the same for all dose forms and dose amounts for the ingredient. The value of this property will be the decimal representation of the conversion factor.",
      "type" : "decimal"
    },
    {
      "code" : "dose-form-conversion-factor",
      "description" : "Defines the conversion factor for an ingredient when the conversion factor varies by the dose form of the medication. The value of this property will be a string of the form <dose-form-code>:<conversion-factor>[@<doses-per-day>], e.g. 970789:130, where '970789' is the RxNorm dose form code, and '130' is the decimal representation of the conversion factor. An example of a per-day conversion factor is fentanyl, 316987:7200@0.33333333, where 316987 is RxNorm dose form code, 7200 is the conversion factor, and 0.33333333 is the dosesPerDay, expressed as a decimal with a maximum of 8 digits after the decimal.",
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    {
      "code" : "dose-range-conversion-factor",
      "description" : "Defines the conversion factor for an ingredient when the conversion factor varies by the overall dose of the medication. The value of this property will be a string of the form <low-value>-<high-value>:<conversion-factor>, e.g. 1-20:4. Note that the low-value or high-value may be a wildcard '*' to indicate the range continues (e.g. '61-*:12' indicates the range is 61 or greater).",
      "type" : "string"
    }
  ],
  "concept" : [
    {
      "code" : "2670",
      "display" : "Codeine",
      "property" : [
        {
          "code" : "conversion-factor",
          "valueDecimal" : 0.15
        }
      ]
    },
    {
      "code" : "4337",
      "display" : "Fentanyl",
      "property" : [
        {
          "code" : "dose-form-conversion-factor",
          "valueString" : "316987:7200@0.33333333"
        }
      ]
    },
    {
      "code" : "5489",
      "display" : "Hydrocodone",
      "property" : [
        {
          "code" : "conversion-factor",
          "valueDecimal" : 1
        }
      ]
    },
    {
      "code" : "3423",
      "display" : "Hydromorphone",
      "property" : [
        {
          "code" : "conversion-factor",
          "valueDecimal" : 4
        }
      ]
    },
    {
      "code" : "6813",
      "display" : "Methadone",
      "property" : [
        {
          "code" : "dose-range-conversion-factor",
          "valueString" : "1-20:4"
        },
        {
          "code" : "dose-range-conversion-factor",
          "valueString" : "21-40:8"
        },
        {
          "code" : "dose-range-conversion-factor",
          "valueString" : "41-60:10"
        },
        {
          "code" : "dose-range-conversion-factor",
          "valueString" : "61-*:12"
        }
      ]
    },
    {
      "code" : "7052",
      "display" : "Morphine",
      "property" : [
        {
          "code" : "conversion-factor",
          "valueDecimal" : 1
        }
      ]
    },
    {
      "code" : "7804",
      "display" : "Oxycodone",
      "property" : [
        {
          "code" : "conversion-factor",
          "valueDecimal" : 1.5
        }
      ]
    },
    {
      "code" : "7814",
      "display" : "Oxymorphone",
      "property" : [
        {
          "code" : "conversion-factor",
          "valueDecimal" : 3
        }
      ]
    }
  ]
}

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