FHIR Implementation Guide for NJSAMS
1.0.0 - release
1.0.0 - release
NJSAMS - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.njsams.rutgers.edu/NJSAMS-fhir/Questionnaire/OpioidUseDisordersQuestionnaire | Version: 1.0.0 | |||
| Draft as of 2022-08-31 | Computable Name: | |||
Criteria for Opioid Use Disorder
Generated Narrative: Questionnaire OpioidUseDisordersQuestionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Criteria for Opioid Use Disorder | Questionnaire | https://fhir.njsams.rutgers.edu/NJSAMS-fhir/Questionnaire/OpioidUseDisordersQuestionnaire#1.0.0 | |
  OpioidDisSymptoms | null | 0..1 | group | |
  OpioidDisSymptoms.451 | 451. Opioids are often taken in larger amounts or over a longer period than was intended. | 0..1 | boolean | |
| OpioidDisSymptoms.452 | 452. There is a persistent desire or unsuccessful efforts to cut down or control opioid use. | 0..1 | boolean | |
| OpioidDisSymptoms.453 | 453. A great deal of time is spent in activities necessary to obtain the opioid, use the opioid, or recover from its effects. | 0..1 | boolean | |
| OpioidDisSymptoms.454 | 454. Craving, or a strong desire or urge to use opioids. | 0..1 | boolean | |
| OpioidDisSymptoms.455 | 455. Recurrent opioid use resulting in a failure to fulfill major role obligations at work, school, or home. | 0..1 | boolean | |
| OpioidDisSymptoms.456 | 456. Continued opioid use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of opioids. | 0..1 | boolean | |
| OpioidDisSymptoms.457 | 457. Important social, occupational, or recreational activities are given up or reduced because of opioid use. | 0..1 | boolean | |
| OpioidDisSymptoms.458 | 458. Recurrent opioid use in situations in which it is physically hazardous. | 0..1 | boolean | |
| OpioidDisSymptoms.459 | 459. Opioid use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance. | 0..1 | boolean | |
| Tolerance | Tolerance, as defined by either of the following: | 0..1 | group | |
| OpioidDisSymptoms.Tolerance.461 | 461. A need for markedly increased amounts of opioids to achieve intoxication or desired effect. | 0..1 | boolean | |
 OpioidDisSymptoms.Tolerance.462 | 462. A markedly diminished effect with continued use of the same amount of an opioid. | 0..1 | boolean | |
| Withdrawal | Withdrawal, as manifested by either of the following: | 0..1 | group | |
 OpioidDisSymptoms.Withdrawal.464 | 464. The characteristic opioid withdrawal syndrome [refer to Criteria A and B of the criteria set for opiod withdrawal, pp. 259-260] | 0..1 | boolean | |
| OpioidDisSymptoms.Withdrawal.465 | 465. Opiods [or a closely related substance] are taken to relieve or avoid withdrawal symptoms. | 0..1 | boolean | |
| OpioidIntoxSymptoms | null | 0..1 | group | |
| OpioidIntoxSymptoms.467 | 467. Recent use of an opioid | 0..1 | boolean | |
| OpioidIntoxSymptoms.468 | 468. Clinically significant problematic behavioral or psychological changes[e.q., initial euphoria followed by an apathy, dysphoria, psychomotor agitation or retardation, impaired judgement] that developed during, or shortly after, opioid use | 0..1 | boolean | |
| SignsOrSymptoms | Pupillary constriction [or pupillary dilation due to anoxia from severe overdose] and one [or more] of the following signs or symptoms developing during, or shortly after, opioid use: | 0..1 | group | |
| OpioidIntoxSymptoms.SignsOrSymptoms.470 | 470. Drowsiness or coma | 0..1 | boolean | |
| OpioidIntoxSymptoms.SignsOrSymptoms.471 | 471. Slurred speech | 0..1 | boolean | |
| OpioidIntoxSymptoms.SignsOrSymptoms.474 | 474. Impairment in attention or memory | 0..1 | boolean | |
| OpioidIntoxSymptoms.476 | 476. The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication with another substance. | 0..1 | boolean | |
| OpioidWithdrawSymptoms | null | 0..1 | group | |
| OpioidWithdrawSymptoms.479 | 479. Presence of either of the following: 1. Cessation of [or reduction in] opioid use that has been heavy and prolonged[i.e., several weeks or longer] 2. Administration of an opioid antagonist after a period of opioid use | 0..1 | boolean | |
| SideEffects | Three [or more] of the following developing within minutes to several days after Criterion A: | 0..1 | group | |
| OpioidWithdrawSymptoms.SideEffects.483 | 483. Dysphoric mood | 0..1 | boolean | |
| OpioidWithdrawSymptoms.SideEffects.484 | 484. Nausea or vomiting | 0..1 | boolean | |
| OpioidWithdrawSymptoms.SideEffects.485 | 485. Muscle aches | 0..1 | boolean | |
| OpioidWithdrawSymptoms.SideEffects.486 | 486. Lacrimation or rhinorrhea | 0..1 | boolean | |
| OpioidWithdrawSymptoms.SideEffects.487 | 487. Pupillary dilation. piloerection, or sweating | 0..1 | boolean | |
| OpioidWithdrawSymptoms.SideEffects.488 | 488. Diarrhea | 0..1 | boolean | |
| OpioidWithdrawSymptoms.SideEffects.489 | 489. Yawning | 0..1 | boolean | |
| OpioidWithdrawSymptoms.SideEffects.490 | 490. Fever | 0..1 | boolean | |
| OpioidWithdrawSymptoms.SideEffects.491 | 491. Insomnia | 0..1 | boolean | |
| OpioidWithdrawSymptoms.492 | 492. The signs or symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. | 0..1 | boolean | |
| OpioidWithdrawSymptoms.493 | 493. The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication or withdrawal from another substance. | 0..1 | boolean | |
| OpioidUnspecifiedSymptoms | null | 0..1 | group | |
| OpioidUnspecifiedSymptoms.495 | 495. This category applies to presentations in which symptoms characteristic of an opioid-related disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any specific opioid-related disorder or any of the disorders in the substance-related and addictive disorders diagnostic class. | 0..1 | boolean | |
| meetsOpioidIntoxCriteria | null | 0..1 | group | |
| meetsOpioidIntoxCriteria.1 | Meets Criteria for Opioid Intoxication Diagnosis? | 0..1 | boolean | |
| Documentation for this format | ||||