Review IG for updates related to the 2022 Guideline

[gregoryawhite]

1. Update references to 2022 and 2016 Guideline as appropriate

2.       Full Name - 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain 
         Short Name - 2022 CDC Clinical Practice Guideline
    If specifically referencing the 2016 Guideline, please use:
         Full Name - CDC 2016 Guideline for Prescribing Opioids for Chronic Pain 
         Short Name - CDC 2016 Guideline
   

3. Update links to the 2022 Guideline as appropriate

4. Update the Recommendation 5 example, as the 2022 Recommendation 5 implementation is different from the 2016 version.

Consider possibly -

The MME calculator is expressed using Clinical Quality Language (CQL) and can be applied to Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR). A use case for this calculator is the 2022 CDC Clinical Practice Guideline Recommendation #8, which suggests that providers incorporate strategies to mitigate opioid therapy risks, including offering naloxone, when overdose risk such as “patients taking higher dosages of opioids (e.g., ≥50 MME/day)” is identified.

6. Update conversion factors link used here - http://build.fhir.org/ig/cqframework/opioid-mme-r4/mme-calculator.html#:~:text=This%20results%20in,the%20specific%20drug to this link https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm?s_cid=rr7103a1_w#:~:text=TABLE.%20Morphine%20milligram%20equivalent%20doses%20for%20commonly%20prescribed%20opioids%20for%20pain%20management

7. Update this narrative on the conversion factors page Section 3.1 “Usage” line 3 “Using the hard-coded conversion factors returned by the GetConversionFactor function, which are the same as the clinical conversion factors, including conversion factors for methadone (on a sliding scale by dose quantity) and transdermal fentanyl (given as a daily factor, specified with a standard patch duration of 3 days).” as a sliding scale is no longer used in the 2022 Guideline for methadone.

8. Review the OMTK Data Processing page content to ensure that it is current http://build.fhir.org/ig/cqframework/opioid-mme-r4/omtkdata-processing.html

9. Review the Code System Supplement description here - http://build.fhir.org/ig/cqframework/opioid-mme-r4/CodeSystem-CDCMMEClinicalConversionFactors.html to ensure that it is current and appropriate