Comments (7)
c-schuler
commented on June 25, 2024
Yes, I have refactored the CDS Hooks request resolution. We were using standardized CQL expressions, but it was discovered that they don't scale well for more complex operations. I was hoping I could get some documentation up before it impacted anyone.
Anyway, sorry about that!
See the example cdc-opioid-guidance PlanDefinition changes - note the dynamicValues.
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c-schuler
commented on June 25, 2024
I will be pushing some documentation to the wiki shortly.
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jeffeastman
commented on June 25, 2024
Happy to be helping?
BTW we’re going to be using this server (http://54.165.182.195:8080/cqf-ruler/tester/home <http://54.165.182.195:8080/cqf-ruler/tester/home>) for a big ONC Hackathon next week (6th-7th) so I’ll want to have it stabilized by this weekend. I’ll be adding more tests and test data to it and will send them on to you too.
Jeff
… On Nov 30, 2017, at 3:14 PM, c-schuler ***@***.***> wrote:
I will pushing some documentation to the wiki shortly.
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c-schuler
commented on June 25, 2024
Yes, your testing has been invaluable Jeff. I am very appreciative and I apologize for throwing this monkey wrench into your efforts.
I will be working to stabilize the process and am happy to help in anyway I can.
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jeffeastman
commented on June 25, 2024
Thanks Chris,
I’m glad to be helping. Let me know if you have any specific tests that would help. I understand this is a moving target.
Jeff
… On Nov 30, 2017, at 3:33 PM, c-schuler ***@***.***> wrote:
Yes, your testing has been invaluable Jeff. I am very appreciative and I apologize for throwing this monkey wrench into your efforts.
I will be working to stabilize the process and am happy to help in anyway I can.
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c-schuler
commented on June 25, 2024
Here's what I am getting:
hookFentaNYLPrefetchFentaNYL:
{
"cards": [
{
"links": [
{
"label": "CDC guideline for prescribing opioids for chronic pain",
"url": "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"
},
{
"label": "MME Conversion Tables",
"url": "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"
}
]
},
{
"summary": "High risk for opioid overdose - taper now",
"indicator": "warning",
"detail": "Total morphine milligram equivalent (MME) is 504.000mg/d. Taper to less than 50."
}
]
}
hookOxyCODONE15mgPrefetchFentaNYL:
{
"cards": [
{
"links": [
{
"label": "CDC guideline for prescribing opioids for chronic pain",
"url": "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"
},
{
"label": "MME Conversion Tables",
"url": "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"
}
]
},
{
"summary": "High risk for opioid overdose - taper now",
"indicator": "warning",
"detail": "Total morphine milligram equivalent (MME) is 624.000mg/d. Taper to less than 50."
}
]
}
hookFentaNYLNoPrefetch:
{
"cards": [
{
"links": [
{
"label": "CDC guideline for prescribing opioids for chronic pain",
"url": "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"
},
{
"label": "MME Conversion Tables",
"url": "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"
}
]
},
{
"summary": "High risk for opioid overdose - taper now",
"indicator": "warning",
"detail": "Total morphine milligram equivalent (MME) is 504.000mg/d. Taper to less than 50."
}
]
}
hookOxyCODONE80mgPrefetchFentaNYL:
{
"cards": [
{
"links": [
{
"label": "CDC guideline for prescribing opioids for chronic pain",
"url": "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"
},
{
"label": "MME Conversion Tables",
"url": "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"
}
]
},
{
"summary": "High risk for opioid overdose - taper now",
"indicator": "warning",
"detail": "Total morphine milligram equivalent (MME) is 624.000mg/d. Taper to less than 50."
}
]
}
hookCODONE15mgPrefix3RxOxyCODONE15mg:
{
"cards": [
{
"links": [
{
"label": "CDC guideline for prescribing opioids for chronic pain",
"url": "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"
},
{
"label": "MME Conversion Tables",
"url": "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"
}
]
},
{
"summary": "Success",
"indicator": "info",
"detail": "Prescription satisfies recommendation #5 of the cdc opioid guidance."
}
]
}
hookOxyCODONE80mgNoPrefix:
{
"cards": [
{
"links": [
{
"label": "CDC guideline for prescribing opioids for chronic pain",
"url": "https://guidelines.gov/summaries/summary/50153/cdc-guideline-for-prescribing-opioids-for-chronic-pain---united-states-2016#420"
},
{
"label": "MME Conversion Tables",
"url": "https://www.cdc.gov/drugoverdose/pdf/calculating_total_daily_dose-a.pdf"
}
]
},
{
"summary": "High risk for opioid overdose - taper now",
"indicator": "warning",
"detail": "Total morphine milligram equivalent (MME) is 120.00mg/d. Taper to less than 50."
}
]
}
If you aren't getting these results, try reloading the decision support artifacts
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jeffeastman
commented on June 25, 2024
Agreed. I wasn't properly parsing the links field and the new artifacts fix the missing MME. I'm still suspicious of the calculations, but thats another issue. Closing this one.
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Related Issues (20)
- Implement the $ra.resolve-coding-gaps operation (replace existing) HOT 4
- Release 0.7.1 Ruler
- Ruler Release 0.8.0
- Ruler Release 0.8.1
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