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Fix opiate drug screening #213

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Fix opiate drug screening #213

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3c857cd
change of opiate drug screening valueset used
bryantaustin13 Sep 20, 2022
43d4919
updated cql, including OR fix and updated hook requests
bryantaustin13 Sep 21, 2022
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1 change: 1 addition & 0 deletions input/pagecontent/cql/OpioidCDSCommon.cql
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Expand Up @@ -34,6 +34,7 @@ valueset "Non-opioid drug urine screening": 'http://fhir.org/guides/cdc/opioid-c
valueset "Naloxone medications": 'http://fhir.org/guides/cdc/opioid-cds/ValueSet/naloxone-medications'
valueset "Opioid misuse assessment procedure": 'http://fhir.org/guides/cdc/opioid-cds/ValueSet/opioid-misuse-assessment-procedure'
valueset "Opioid drug urine screening": 'http://fhir.org/guides/cdc/opioid-cds/ValueSet/opioid-drug-urine-screening'
valueset "Opiate drug urine screening": 'http://fhir.org/guides/cdc/opioid-cds/ValueSet/opiate-specific-urine-drug-screening-tests'
valueset "Hospice Disposition": 'http://fhir.org/guides/cdc/opioid-cds/ValueSet/hospice-disposition' // Harvested from VSAC - OID: 2.16.840.1.113762.1.4.1108.15
valueset "Hospice Finding Codes": 'http://fhir.org/guides/cdc/opioid-cds/ValueSet/hospice-finding'
valueset "Hospice Procedure Codes": 'http://fhir.org/guides/cdc/opioid-cds/ValueSet/hospice-procedure'
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2 changes: 1 addition & 1 deletion input/pagecontent/cql/OpioidCDSCommonConfig.cql
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Expand Up @@ -53,7 +53,7 @@ define "PDMP Data Not Reviewed in Past 90 Days Criteria Enabled":

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

// Recommendation 12
define "Evidence Based Treatment Criteria For Opioid Use Disorder":
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4 changes: 2 additions & 2 deletions input/pagecontent/cql/OpioidCDSREC10Common.cql
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Expand Up @@ -71,7 +71,7 @@ define "Patient had Urine Screening in Last 12 Months":
or exists ("Cocaine Screenings")
or exists ("PCP Screenings")
)
and
or
if Config."Opiate Urine Screening Check Enabled" then
exists ("Opiate Screenings")
else
Expand All @@ -87,7 +87,7 @@ define "Non-opioid Screenings":

define "Opiate Screenings":
GetRelevantScreenings("Laboratory Observations" LabObservations
where (LabObservations.code in Common."Opioid drug urine screening")
where (LabObservations.code in Common."Opiate drug urine screening")
)

define "Cocaine Screenings":
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6 changes: 3 additions & 3 deletions ...equests/OpioidCDSREC10/request-example-rec-10-illicit-drugs-POS-Opiate-non-synthetic.json
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Expand Up @@ -286,9 +286,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
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18 changes: 9 additions & 9 deletions .../pagecontent/requests/OpioidCDSREC10/request-example-rec-10-illicit-drugs-POS-Opiate.json
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Expand Up @@ -244,9 +244,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
Expand Down Expand Up @@ -306,9 +306,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
Expand Down Expand Up @@ -368,9 +368,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
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18 changes: 9 additions & 9 deletions ...s/OpioidCDSREC10OrderSign/request-example-rec-10-order-sign-illicit-drugs-POS-Opiate.json
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Expand Up @@ -241,9 +241,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
Expand Down Expand Up @@ -303,9 +303,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
Expand Down Expand Up @@ -365,9 +365,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
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6 changes: 3 additions & 3 deletions ...quests/OpioidCDSREC10PatientView/request-example-rec-10-patient-view-2-illicit-drugs.json
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Expand Up @@ -404,9 +404,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
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6 changes: 3 additions & 3 deletions ...t/requests/OpioidCDSREC10PatientView/request-example-rec-10-patient-view-POS-Cocaine.json
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Expand Up @@ -290,7 +290,7 @@
"subject": {
"reference": "Patient/example-rec-10-patient-view-POS-Cocaine-drugs"
},
"effectiveDateTime": "2021-04-29",
"effectiveDateTime": "2022-04-29",
"valueString": "POS",
"interpretation": [
{
Expand Down Expand Up @@ -351,7 +351,7 @@
"subject": {
"reference": "Patient/example-rec-10-patient-view-POS-Cocaine-drugs"
},
"effectiveDateTime": "2021-06-06",
"effectiveDateTime": "2022-06-06",
"valueString": "NEG",
"interpretation": [
{
Expand Down Expand Up @@ -474,7 +474,7 @@
"subject": {
"reference": "Patient/example-rec-10-patient-view-POS-Cocaine-drugs"
},
"effectiveDateTime": "2021-05-31",
"effectiveDateTime": "2022-05-31",
"valueString": "POS",
"interpretation": [
{
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6 changes: 3 additions & 3 deletions ...ioidCDSREC10PatientView/request-example-rec-10-patient-view-illicit-drugs-POS-Opiate.json
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Expand Up @@ -146,9 +146,9 @@
"coding": [
{
"system": "http://loinc.org",
"version": "2.68",
"code": "11246-6",
"display": "oxyCODONE (U) [Mass/Vol]"
"version": "2.72",
"code": "19600-6",
"display": "Morphine cutoff [Mass/volume] in Urine for Confirmatory method"
}
]
},
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11 changes: 10 additions & 1 deletion ...requests/OpioidCDSREC10PatientView/request-example-rec-10-patient-view-illicit-drugs.json
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Expand Up @@ -264,7 +264,16 @@
}
],
"status": "final",
"code": {
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
], "code": {
"coding": [
{
"system": "http://loinc.org",
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