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Packagefhir.cdc.opioid-cds
Resource TypeValueSet
IdValueSet-general-opiate-urine-drug-screening-tests.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/security-rs/opioid-cds-r4/ValueSet-general-opiate-urine-drug-screening-tests.html
URLhttp://fhir.org/guides/cdc/opioid-cds/ValueSet/general-opiate-urine-drug-screening-tests
Version2022.1.1
Statusactive
Date2026-06-02T09:32:14-06:00
NameGENERAL_OPIATE_URINE_DRUG_SCREENING_TESTS
TitleGeneral opiate urine drug screening tests
Realmus
Authorityhl7
DescriptionPresumed general urine tests for naturally occurring opioids (i.e. opiates) that are not specific to a particular substance based upon the inclusion of the word 'opiates' in the long name.
PurposeIdentification of urine drug tests where results can be used when considering pain management therapy
Copyright© CDC 2016+.

Resources that use this resource

StructureDefinition
hl7.fhir.us.cdc-opioid-cpg#currentOpiateUrineDrugScreeningResultObservationOpiate Urine Drug Screening Result Observation Profile

Resources that this resource uses

CodeSystem
kl.dk.fhir.children#2.1.0loinc.orgLogical Observation Identifiers, Names and Codes (LOINC)

Narrative

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

Generated Narrative: ValueSet general-opiate-urine-drug-screening-tests

Expansion based on Loinc v2.82

This value set contains 23 concepts

SystemCodeDisplaystatus
http://loinc.org  17384-9Opiates [Mass/volume] in Urine by Confirmatory method
http://loinc.org  18390-5Opiates [Presence] in Urine by Confirmatory method
http://loinc.org  19138-7Opiates cutoff [Mass/volume] in Urine
http://loinc.org  19295-5Opiates [Presence] in Urine by Screen method
http://loinc.org  19296-3Opiates tested for in Urine by Screen method Nominal
http://loinc.org  19297-1Opiates tested for in Urine by Screen method Narrative
http://loinc.org  19298-9Opiates positive [Identifier] in Urine by Confirmatory method
http://loinc.org  19299-7Opiates cutoff [Mass/volume] in Urine for Screen method
http://loinc.org  19300-3Opiates cutoff [Mass/volume] in Urine for Confirmatory method
http://loinc.org  19301-1Opiates screen method [Identifier] in Urine
http://loinc.org  19302-9Opiates confirm method [Identifier] in Urine
http://loinc.org  21431-2Opiates [Presence] in Urine by Screen method >2000 ng/mL
http://loinc.org  3879-4Opiates [Presence] in Urine
http://loinc.org  41465-6Opiates/Creatinine [Mass Ratio] in Urine
http://loinc.org  52952-9Opiates [Moles/volume] in Urine
http://loinc.org  5706-7Opiates [Identifier] in Urine
http://loinc.org  5707-5Deprecated Opiates [Identifier] in UrineDEPRECATED
http://loinc.org  70150-8Opiates [Mass/volume] in Urine by Screen method
http://loinc.org  70151-6Opiates [Presence] in Urine by Screen method >300 ng/mL
http://loinc.org  8220-6Opiates [Mass/volume] in Urine
http://loinc.org  8221-4Opiates [Presence] in Urine by SAMHSA confirm method
http://loinc.org  8222-2Opiates [Presence] in Urine by SAMHSA screen method
http://loinc.org  106506-9Opiates panel - Urine by LC/MS/MS

Source1

{
  "resourceType": "ValueSet",
  "id": "general-opiate-urine-drug-screening-tests",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computablevalueset",
      "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-executablevalueset"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-clinical-focus",
      "valueString": "Presumed general urine tests for naturally occurring opioids (i.e. opiates) that are not specific to a particular substance based upon the inclusion of the word 'opiates' in the long name."
    },
    {
      "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-dataelement-scope",
      "valueString": "Urine test"
    },
    {
      "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-inclusion-criteria",
      "valueString": "Codes"
    },
    {
      "url": "http://fhir.org/guides/cdc/opioid-cds/StructureDefinition/cdc-valueset-exclusion-criteria",
      "valueString": "None"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail": {
        "name": "MD Partners, Inc.",
        "telecom": [
          {
            "system": "email",
            "value": "info@mdpartners.com"
          }
        ]
      }
    },
    {
      "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-usageWarning",
      "valueString": "This value set contains a point-in-time expansion enumerating the codes that meet the value set intent. As new versions of the code systems used by the value set are released, the contents of this expansion will need to be updated to incorporate newly defined codes that meet the value set intent. Before, and periodically during production use, the value set expansion contents SHOULD be updated. The value set expansion specifies the timestamp when the expansion was produced, SHOULD contain the parameters used for the expansion, and SHALL contain the codes that are obtained by evaluating the value set definition. If this is ONLY an executable value set, a distributable definition of the value set must be obtained to compute the updated expansion."
    },
    {
      "extension": [
        {
          "url": "type",
          "valueCode": "documentation"
        },
        {
          "url": "text",
          "valueMarkdown": "Maintenance search expression: `multiaxial_descendantsof:(LP14565-3 OR LP135742-7) AND system:urine`. The compose anchors at two trunk LP codes - LP14565-3 and LP135742-7 - using `concept is-a` filters scoped to SYSTEM=LP7681-2 (urine) and CLASSTYPE=1 (lab test). To regenerate: re-run the search expression as a LOINC hierarchy query, add any newly-discovered trunk LP code as another is-a filter, then re-expand."
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-artifactComment"
    }
  ],
  "url": "http://fhir.org/guides/cdc/opioid-cds/ValueSet/general-opiate-urine-drug-screening-tests",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.114222.48.16"
    }
  ],
  "version": "2022.1.1",
  "name": "GENERAL_OPIATE_URINE_DRUG_SCREENING_TESTS",
  "title": "General opiate urine drug screening tests",
  "status": "active",
  "experimental": false,
  "date": "2026-06-02T09:32:14-06:00",
  "publisher": "CDC / Security Risk Solutions, Inc. (SRS)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.securityrisksolutions.com"
        }
      ]
    }
  ],
  "description": "Presumed general urine tests for naturally occurring opioids (i.e. opiates) that are not specific to a particular substance based upon the inclusion of the word 'opiates' in the long name.",
  "purpose": "Identification of urine drug tests where results can be used when considering pain management therapy",
  "copyright": "© CDC 2016+.",
  "compose": {
    "include": [
      {
        "system": "http://loinc.org",
        "filter": [
          {
            "property": "concept",
            "op": "is-a",
            "value": "LP14565-3"
          },
          {
            "property": "SYSTEM",
            "op": "=",
            "value": "LP7681-2"
          },
          {
            "property": "CLASSTYPE",
            "op": "=",
            "value": "1"
          }
        ]
      },
      {
        "system": "http://loinc.org",
        "filter": [
          {
            "property": "concept",
            "op": "is-a",
            "value": "LP135742-7"
          },
          {
            "property": "SYSTEM",
            "op": "=",
            "value": "LP7681-2"
          },
          {
            "property": "CLASSTYPE",
            "op": "=",
            "value": "1"
          }
        ]
      }
    ]
  },
  "expansion": {
    "extension": [
      {
        "extension": [
          {
            "url": "code",
            "valueCode": "status"
          },
          {
            "url": "uri",
            "valueUri": "http://hl7.org/fhir/concept-properties#status"
          }
        ],
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.property"
      }
    ],
    "identifier": "urn:uuid:fecde73a-b86b-434b-bf55-e90f706d1949",
    "timestamp": "2026-06-02T15:32:14.317Z",
    "total": 23,
    "parameter": [
      {
        "name": "used-codesystem",
        "valueUri": "http://loinc.org|2.82"
      },
      {
        "name": "version",
        "valueUri": "http://loinc.org|2.82"
      }
    ],
    "contains": [
      {
        "system": "http://loinc.org",
        "code": "17384-9",
        "display": "Opiates [Mass/volume] in Urine by Confirmatory method"
      },
      {
        "system": "http://loinc.org",
        "code": "18390-5",
        "display": "Opiates [Presence] in Urine by Confirmatory method"
      },
      {
        "system": "http://loinc.org",
        "code": "19138-7",
        "display": "Opiates cutoff [Mass/volume] in Urine"
      },
      {
        "system": "http://loinc.org",
        "code": "19295-5",
        "display": "Opiates [Presence] in Urine by Screen method"
      },
      {
        "system": "http://loinc.org",
        "code": "19296-3",
        "display": "Opiates tested for in Urine by Screen method Nominal"
      },
      {
        "system": "http://loinc.org",
        "code": "19297-1",
        "display": "Opiates tested for in Urine by Screen method Narrative"
      },
      {
        "system": "http://loinc.org",
        "code": "19298-9",
        "display": "Opiates positive [Identifier] in Urine by Confirmatory method"
      },
      {
        "system": "http://loinc.org",
        "code": "19299-7",
        "display": "Opiates cutoff [Mass/volume] in Urine for Screen method"
      },
      {
        "system": "http://loinc.org",
        "code": "19300-3",
        "display": "Opiates cutoff [Mass/volume] in Urine for Confirmatory method"
      },
      {
        "system": "http://loinc.org",
        "code": "19301-1",
        "display": "Opiates screen method [Identifier] in Urine"
      },
      {
        "system": "http://loinc.org",
        "code": "19302-9",
        "display": "Opiates confirm method [Identifier] in Urine"
      },
      {
        "system": "http://loinc.org",
        "code": "21431-2",
        "display": "Opiates [Presence] in Urine by Screen method >2000 ng/mL"
      },
      {
        "system": "http://loinc.org",
        "code": "3879-4",
        "display": "Opiates [Presence] in Urine"
      },
      {
        "system": "http://loinc.org",
        "code": "41465-6",
        "display": "Opiates/Creatinine [Mass Ratio] in Urine"
      },
      {
        "system": "http://loinc.org",
        "code": "52952-9",
        "display": "Opiates [Moles/volume] in Urine"
      },
      {
        "system": "http://loinc.org",
        "code": "5706-7",
        "display": "Opiates [Identifier] in Urine"
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "status"
              },
              {
                "url": "value",
                "valueCode": "DEPRECATED"
              }
            ],
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property"
          }
        ],
        "system": "http://loinc.org",
        "code": "5707-5",
        "display": "Deprecated Opiates [Identifier] in Urine"
      },
      {
        "system": "http://loinc.org",
        "code": "70150-8",
        "display": "Opiates [Mass/volume] in Urine by Screen method"
      },
      {
        "system": "http://loinc.org",
        "code": "70151-6",
        "display": "Opiates [Presence] in Urine by Screen method >300 ng/mL"
      },
      {
        "system": "http://loinc.org",
        "code": "8220-6",
        "display": "Opiates [Mass/volume] in Urine"
      },
      {
        "system": "http://loinc.org",
        "code": "8221-4",
        "display": "Opiates [Presence] in Urine by SAMHSA confirm method"
      },
      {
        "system": "http://loinc.org",
        "code": "8222-2",
        "display": "Opiates [Presence] in Urine by SAMHSA screen method"
      },
      {
        "system": "http://loinc.org",
        "code": "106506-9",
        "display": "Opiates panel - Urine by LC/MS/MS"
      }
    ]
  }
}