ATTACHMENT 14 - Opiod Chronic Pain_OrderSet_ Terminology Svc Request_V1.1_20180524.xlsx

XLSX spreadsheet 192 KB Posted Aug 13, 2020

Attached to: R405--Clinical Decision Support CO: Matthew Klempay CS: Sharif Shabaz Ra-El
Solicitation number: 36C77620R0015
Issued by: Department of Veterans Affairs Technology Acquisition Center Austin

About this file

Written by GovTribe AI · Dec 29, 2023

This document provides notice of an upcoming solicitation for clinical decision support services. The Department of Veterans Affairs intends to award multiple indefinite delivery, indefinite quantity contracts with firm fixed pricing to small businesses. The scope includes subject matter expertise, policy guidance, and strategic recommendations regarding clinical decision support standards implementation for VA information technology systems. The solicitation will utilize full and open competition set aside for small businesses with a North American Industry Classification System code of 541611 and size standard of $16.5 million. The base period of performance is ten years with a total contract length of fifteen years. Questions must be submitted by August 11, 2018 to the points of contact listed, with responses to be posted on Federal Business Opportunities and the VA vendor portal on that date. Eligible vendors must register in the System for Award Management prior to award.

View the file

Other files

File	Type	Posted
36C77620R0015 0005.docx	DOCX document	Sep 11, 2020
ATTACHMENT I - QASP.docx	DOCX document	Aug 26, 2020
36C77620R0015 0004.docx	DOCX document	Aug 26, 2020
CONTRACTOR QUESTIONS CDS IDIQ RFP KBS responses_20200825.xlsx	XLSX spreadsheet	Aug 25, 2020
36C77620R0015 0003.docx	DOCX document	Aug 25, 2020
ATTACHMENT 11 CDS IDIQ TASK ORDER 1 PRICE SCHEDULE.xlsx	XLSX spreadsheet	Aug 24, 2020
ATTACHMENT 3 CDS_IDIQ_TO2_PWS.docx	DOCX document	Aug 24, 2020
ATTACHMENT 1 PWS CDS IDIQ_FINAL.docx	DOCX document	Aug 24, 2020
ATTACHMENT 10 IDIQ PRICE SCHEDULE.xlsx	XLSX spreadsheet	Aug 24, 2020
36C77620R0015 0002.docx	DOCX document	Aug 24, 2020
CONTRACTOR QUESTIONS CDS IDIQ RFP_KBS responses_20200824.xlsx	XLSX spreadsheet	Aug 24, 2020
ATTACHMENT H - BOE-SampleTask.xlsx	XLSX spreadsheet	Aug 24, 2020
ATTACHMENT 12 CDS IDIQ TASK ORDER 2 PRICE SCHEDULE.xlsx	XLSX spreadsheet	Aug 24, 2020
AMENDMENT 002.docx	DOCX document	Aug 24, 2020
ATTACHMENT 12 - CDS IDIQ - TASK ORDER 2 PRICE SCHEDULE v2.xlsx	XLSX spreadsheet	Aug 18, 2020
36C77620R0015 0001_1.docx	DOCX document	Aug 18, 2020
ATTACHMENT 11 - CDS IDIQ - TASK ORDER 1 PRICE SCHEDULE v2.xlsx	XLSX spreadsheet	Aug 18, 2020
ATTACHMENT F - Sample Conceptual Structure for Documentation Template.docx	DOCX document	Aug 13, 2020
ATTACHMENT 2 - CDS_IDIQ_TO1_PWS.docx	DOCX document	Aug 13, 2020
ATTACHMENT 6 - TMS User Request.doc	DOC document	Aug 13, 2020
ATTACHMENT 29 - Opiod Non Cancer Pain Mgt Order Set_KNART XML_2018-06-25.pdf	PDF	Aug 13, 2020
ATTACHMENT 4 - QASP_CDS IDIQ 02.docx	DOCX document	Aug 13, 2020
ATTACHMENT 10 - IDIQ PRICE SCHEDULE.xlsx	XLSX spreadsheet	Aug 13, 2020
ATTACHMENT 19 - Suicide Risk (Suicidality)_CDS Content White Paper_2019-01-02.pdf	PDF	Aug 13, 2020
ATTACHMENT 25 - Opioid NonCancer Pain Mgt Order Set Conceptual Structure_2018-05-28.pdf	PDF	Aug 13, 2020
ATTACHMENT 17 - SuicideRisk Assessment Doc Template KNART_Terminology Svc Request_V1.4_20180425.xlsx	XLSX spreadsheet	Aug 13, 2020
ATTACHMENT C - Sample conceptual Structure for ECA Rule.docx	DOCX document	Aug 13, 2020
ATTACHMENT 24 - Opioid Non Cancer Pain Mgt_CDS Content White Paper_2018-12-18.pdf	PDF	Aug 13, 2020
ATTACHMENT 16 - Opioid ChronicPain Doc Template_Terminology Svc Request_V1.2_20180607.xlsx	XLSX spreadsheet	Aug 13, 2020
ATTACHMENT 28 - Suicide Risk Order Set KNART XML_2018-06-21.pdf	PDF	Aug 13, 2020
ATTACHMENT B - Process for Requesting New Terminology Artifacts.docx	DOCX document	Aug 13, 2020
ATTACHMENT 26 - Opiod Non Cancer Pain Assmt Doc Template KNART XML_2018-06-21.pdf	PDF	Aug 13, 2020
ATTACHMENT 7 - Contractor Personnel Change Form.doc	DOC document	Aug 13, 2020
ATTACHMENT 5 - Travel Authorization Request 02.docx	DOCX document	Aug 13, 2020
ATTACHMENT 30 - Suicide Risk Doc Template KNART XML_2018-06-21.pdf	PDF	Aug 13, 2020
ATTACHMENT E - Screenshots of Example Order Set Complexity.docx	DOCX document	Aug 13, 2020
ATTACHMENT 1 - PWS - CDS IDIQ - FINAL_plus kbs edits to section 6.docx	DOCX document	Aug 13, 2020
ATTACHMENT 12 - CDS IDIQ - TASK ORDER 2 PRICE SCHEDULE.xlsx	XLSX spreadsheet	Aug 13, 2020
ATTACHMENT 3 - CDS_IDIQ_TO2_PWS.docx	DOCX document	Aug 13, 2020
ATTACHMENT 22 - Mental Health Positive Suicide Risk Screening.pdf	PDF	Aug 13, 2020
ATTACHMENT 8 - Contractor Staff Roster.doc	DOC document	Aug 13, 2020
ATTACHMENT 21 - Mental Health Suicide Risk Assessment.pdf	PDF	Aug 13, 2020
ATTACHMENT 20 - Suicide Risk_Order Set_KNART Conceptual Structure_2018-06-21.pdf	PDF	Aug 13, 2020
ATTACHMENT 27 - Opiod Use Non Cancer Pain_OTTR-STORM Query_Doc Templt KNART XML_2018-06-21.pdf	PDF	Aug 13, 2020
ATTACHMENT G- Business Associate Agreement.doc	DOC document	Aug 13, 2020
ATTACHMENT 11 - CDS IDIQ - TASK ORDER 1 PRICE SCHEDULE .xlsx	XLSX spreadsheet	Aug 13, 2020
ATTACHMENT 18 - Opioid NonCancer Pain OTRR-STORM Doc Templt_Concept Structure_2018-06-06.pdf	PDF	Aug 13, 2020
ATTACHMENT D - Sample Conceptual Structure for Partial Order Set.docx	DOCX document	Aug 13, 2020
ATTACHMENT 9 - Labor Categories and Descriptions v2.xlsx	XLSX spreadsheet	Aug 13, 2020
ATTACHMENT 23 - Opiod NonCancer Pain Mgt Assmt Doc Templt_Concept Structure_2018-06-07.pdf	PDF	Aug 13, 2020

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TSR Submission Details

Version	The version of this TSR template	1.0
Submitted on	Date TSR was submitted to terminology team.	5/18/18
Submitted by	Person who submitted the TSR	Joey Coyle
Referenced KNART identifier	The KNART that is the source of the request	O21
Model version	The anf model version	urn:solor.io:anf-model:1.0
Reviewed on	Date TSR was reviewed by CDS content team
Reviewed by	Person who reviewed the TSR
Rejected on	Date TSR was rejected by terminology team
Rejected by	Person on terminology team that rejected the TSR
Item(s) rejected	Columns rejected
Rejection reason	Reason for rejection
TERMINOLOGY TEAM
Intake Assessment Date	5/21/18
Assessed by	Kirsten Haake
Final review by	Deb Konicek
Completed date	5/24/18
Returned to JIRA date	5/24/18

Standards used	Name	Version
Lab Orders	SNOMED CT	United States Edition 20180301
Radiology Orders	SNOMED CT	United States Edition 20180301
Other Procedure Orders	SNOMED CT	United States Edition 20180301
Medication (Generic)	RXNorm IN/MIN Codes	7-May-18
Medication (Specified)	RXNorm SCD Codes	7-May-18
Medication Classes	SNOMED CT	United States Edition 20180301

UUID Generator	Version 4 UUID Generator
KBS Terminology Team Disclaimer:

This TSR was completed to the best of our knowledge, based on the concept model, the current understanding of the Informatics Architecture Analysis Normal Form guidance and the information given with the instance requests. No assumptions were made.

https://www.uuidgenerator.net/version4 Performance

Instance Request	Type	Textual Representation
statementId	UUID	unique id for this item
statementType	LogicalExpression	the kind of statement, request, performance
METADATA: model fit comments
VA CDS Team IR Review Rating		1. Perfect fit of model and terminology with the use case.

2. Meets the use case within the constraints of the model.

3. Some specificity of the use case is lost, secondary to limitations of terminology modeling.

4. There are significant errors that require correction.

VA CDS Team Reviewer Initials subjectOfInformation LogicalExpression relationship such as 'mother', 'brother', 'sibling', 'relative', 'donor' topic LogicalExpression

unstructured	String
unstructured	String

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

timing.lowerBound	float
timing.upperBound	float
timing.includeLowerBound	boolean
timing.includeLowerBound	boolean
timing.resolution	float (optional)
timing.measureSemantic	Logical Expression
purpose	Logical Expression
purpose	Logical Expression
purpose	Logical Expression

result.lowerBound	float	Lower value of range
result.upperBound	float	Upper value of range
result.includeLowerBound	boolean	true or false
result.includeUpperBound	boolean	true or false
result.resolution	float (optional)	value of precision
result.measureSemantic	LogicalExpression	unit of measure
Below use healthRisk for ObservationResults and use status for InterventionResults
result.healthRisk	LogicalExpression (optional)
result.status	LogicalExpression

Request

Instance Request

Type

Textual Representation

Ibuprofen 200 mg tablet oral every 4 to 6 hours as needed for pain 100 tablets 2 refills

Naproxen 250 mg tablet oral 2 times daily as needed for pain 100 tablets 2 refills

Acetaminophen 325 mg tablet oral 2 tablets every 6 hours as needed for pain; may increase dose frequency to 2 tablets every 4 hours; do not take more than 10 tablets per day 100 tablets 2 refills

Celecoxib 100 mg capsule oral 2 times a day 60 capsules 2 refills

Ibuprofen 400 mg tablet oral every 4 to 6 hours as needed for pain 100 tablets 2 refills

Naproxen 375 mg tablet oral 2 times daily as needed for pain 100 tablets 2 refills

Celecoxib 200 mg capsule oral 2 times a day 60 capsules 2 refills

Ibuprofen 600 mg tablet oral every 6 hours as needed for pain 100 tablets 2 refills

Naproxen 500 mg tablet oral 2 times daily as needed for pain 100 tablets 2 refills

Capsaicin 0.1% cream topical 3 times a day apply to affected area 1 tube 0 refills routine

Diclofenac sodium 1% 2 g gel topical 4 times a day apply to affected area 1 tube 0 refills routine

Lidocaine 5% patch topical apply to intact skin to cover most painful area; apply prescribed number of patches (maximum of 3); apply only 1 time for a maximum of 12 hours within a 24-hour period 30 patches 0 refills routine

Menthol 10%/methyl salicylate 15% cream topical 3 times a day apply to affected area 1 tube 0 refills routine

Complete blood count 1 time routine

Comprehensive metabolic panel 1 time routine

Hemoglobin A1c 1 time routine

Toxicology screen 1 time routine

25-hydroxyvitamin D 1 time routine

Erythrocyte sedimentation rate 1 time routine

C-reactive protein 1 time routine

Referral care management services evaluate needs related to chronic pain routine

Referral social services evaluate for needs related to chronic pain routine

Referral clinical nurse specialist evaluate for chronic pain routine

Referral mental health evaluate for mental health interventions related to chronic pain routine

Referral mental health evaluate for psychotherapy related to chronic pain routine

Referral mental health evaluate for cognitive behavioral therapy related to chronic pain routine

Referral mental health evaluate for acceptance and commitment therapy related to chronic pain routine

Referral addiction evaluate for substance use disorder with chronic pain routine

Referral addiction evaluate for tobacco cessation with chronic pain routine

Referral pain management evaluate for chronic pain routine

Referral pain management evaluate for opioid management with chronic pain routine

Referral pharmacy evaluate for needs related to chronic pain routine

Referral physical therapy evaluate for chronic pain routine

Referral acupuncture evaluate for chronic pain routine

Referral tai chi evaluate for chronic pain routine

Referral mindfulness evaluate for chronic pain routine

Referral meditation evaluate for chronic pain routine

Referral guided imagery evaluate for chronic pain routine

Referral hypnotherapy evaluate for chronic pain routine

Referral biofeedback evaluate for chronic pain routine

Chronic pain management education routine

statementId

UUID

unique id for this item

statementType

LogicalExpression

the kind of statement, request, performance

385644000 |Requested (qualifier value)|

METADATA: model fit comments

VA CDS Team IR Review Rating

1. Perfect fit of model and terminology with the use case.

2. Meets the use case within the constraints of the model.

3. Some specificity of the use case is lost, secondary to limitations of terminology modeling.

4. There are significant errors that require correction.	2	2	2	2	2	2	2	2	2	2	2	2	2	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1	1
	VA CDS Team Reviewer Initials			sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw	sdw

->(410675002 \|Route of administration (attribute))->[6064005 \|Topical route (qualifier value)]	26604007 \|Complete blood count (procedure)\|	85acf077-d744-48bc-b57a-fa3b5ce12d97 \|Comprehensive metabolic panel (procedure)\|	43396009 \|Hemoglobin A1c measurement (procedure)\|	314076009 \|Toxicology screening test (procedure)\|	12199005 \|Vitamin D, 25-hydroxy measurement (procedure)\|	416838001 \|Erythrocyte sedimentation rate measurement (procedure)\|	55235003 \|C-reactive protein measurement (procedure)\|	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[392134007 \|Care regimes management (procedure)]	306238000 \|Referral to Social Services (procedure)\|	306320001 \|Referral to clinical nurse specialist (procedure)\|	390866009 \|Referral to mental health team (procedure)\|	[390866009 \|Referral to mental health team (procedure)]
->(363702006 \|Has focus (attribute))->[45392008 \|Psychologic evaluation or test procedure (procedure)]	[390866009 \|Referral to mental health team (procedure)]
->(363702006 \|Has focus (attribute))->[704072009 \|Cognitive behavior therapy care management (procedure)]	[390866009 \|Referral to mental health team (procedure)]
->(363702006 \|Has focus (attribute))->[710137005 \|Promotion of acceptance of health status (procedure)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[266707007 \|Drug addiction therapy (regime/therapy)]	449861000124107 \|Referral to tobacco use cessation counseling program (procedure)\|	306109009 \|Referral to pain management service (procedure)\|	[306109009 \|Referral to pain management service (procedure)]
->(363702006 \|Has focus (attribute))->[b6216dfc-5b5f-4823-9bc8-ce9c79d67709 \|Management of opioid therapy (procedure)]	306179008 \|Referral to pharmacy service (procedure)\|	444831000124102 \|Referral for physical therapy (procedure)\|	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[44868003 \|Acupuncture (procedure)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[229223006 \|Participation in Tai Chi (regime/therapy)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[05257e84-e247-4f2e-bb83-dccd395d56a8 \|Mindfulness therapy (procedure)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[386365008 \|Meditation facilitation (procedure)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[228565006 \|Imagery technique (regime/therapy)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[19997007 \|Hypnotherapy (regime/therapy)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[28150003 \|Biofeedback procedure (regime/therapy)]	408956004 \|Chronic pain control education (procedure)\|

unstructured

String

100 tablets 2 refills

60 capsules 2 refills

100 tablets 2 refills

60 capsules 2 refills

100 tablets 2 refills

1 tube, 0 refills

30 patches, 0 refills

1 tube 0 refills

unstructured

String

as needed

as needed; may increase dose frequency to 2 tablets every 4 hours; do not take more than 10 tablets per day

as needed

apply to affected area

apply to intact skin to cover most painful area; apply prescribed number of patches (maximum of 3); apply only 1 time for a maximum of 12 hours within a 24-hour period

apply to affected area

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

	timing.lowerBound	float
	timing.upperBound	float
	timing.includeLowerBound	boolean
	timing.includeLowerBound	boolean
	timing.resolution	float (optional)
	timing.measureSemantic	Logical Expression
	purpose	Logical Expression	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]		[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]		[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]				[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]-

->(363702006 |Has focus (attribute))->[66214007 |Substance abuse (disorder)]-

->(42752001 \|Due to (attribute))->[82423001 \|Chronic pain (finding)];	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)408955000 \|Chronic pain control assessment (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]

->(363702006 |Has focus (attribute))->[408954001 |Chronic pain control (procedure)]

purpose	Logical Expression
purpose	Logical Expression

requestedResult.lowerBound

float

Lower value of range

requestedResult.upperBound

float

Upper value of range

requestedResult.includeLowerBound

boolean

true or false

TRUE

requestedResult.includeUpperBound

boolean

true or false

TRUE

requestedResult.resolution

float (optional)

value of precision

requestedResult.measureSemantic

LogicalExpression

unit of measure

421026006 |Oral tablet (qualifier value)|

420692007 |Conventional release oral capsule (dose form)|

421026006 |Oral tablet (qualifier value)|

420692007 |Conventional release oral capsule (dose form)|

421026006 |Oral tablet (qualifier value)|

425753008 |Conventional release cutaneous ointment (dose form)|

739003001 |Patch (basic dose form)|

425753008 |Conventional release cutaneous ointment (dose form)|

Below use healthRisk for ObservationResults and use status for InterventionResults

requestedResult.healthRisk

LogicalExpression (optional)

requestedResult.status

LogicalExpression

conditionalTrigger.semantic	LogicalExpression
conditionalTrigger.statementId	UUID

conditionalTrigger.semantic	LogicalExpression
conditionalTrigger.statementId	UUID

conditionalTrigger.semantic	LogicalExpression
conditionalTrigger.statementId	UUID

priority Logical Expression 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)| 50811001 |Routine (qualifier value)|

repetition.periodStart.lowerBound

float

[NOW,NOW] relative to statement time

repetition.periodStart.upperBound

float

repetition.periodStart.includeLowerBound

boolean

repetition.periodStart.includeUpperBound

boolean

repetition.periodStart.resolution

float (optional)

repetition.periodStart.measureSemantic

Logical Expression

repetition.periodDuration.lowerBound

float

repetition.periodDuration.upperBound

float

150

37.5

150

repetition.periodDuration.includeLowerBound

boolean

TRUE

repetition.periodDuration.includeUpperBound

boolean

TRUE

repetition.periodDuration.resolution

float (optional)

repetition.periodDuration.measureSemantic

Logical Expression

258703001 |day (qualifier value)|

repetition.eventFrequency.lowerBound

float

repetition.eventFrequency.upperBound

float

repetition.eventFrequency.includeLowerBound

boolean

TRUE

repetition.eventFrequency.includeUpperBound

boolean

TRUE

repetition.eventFrequency.resolution

float (optional)

repetition.eventFrequency.measureSemantic

Logical Expression

258702006 |hour (qualifier value)|

258703001 |day (qualifier value)|

258702006 |hour (qualifier value)|

258703001 |day (qualifier value)|

258702006 |hour (qualifier value)|

258703001 |day (qualifier value)|

258702006 |hour (qualifier value)|

258703001 |day (qualifier value)|

repetition.eventSeparation.lowerBound

float

repetition.eventSeparation.upperBound

float

repetition.eventSeparation.includeLowerBound

boolean

repetition.eventSeparation.includeUpperBound

boolean

repetition.eventSeparation.resolution

float (optional)

repetition.eventSeparation.measureSemantic

Logical Expression

repetition.eventDuration.lowerBound

float

repetition.eventDuration.upperBound

float

repetition.eventDuration.includeLowerBound

boolean

repetition.eventDuration.includeUpperBound

boolean

repetition.eventDuration.resolution

float (optional)

repetition.eventDuration.measureSemantic

Logical Expression

repetition.periodStart.lowerBound	float
repetition.periodStart.upperBound	float
repetition.periodStart.includeLowerBound	boolean
repetition.periodStart.includeUpperBound	boolean
repetition.periodStart.resolution	float (optional)
repetition.periodStart.measureSemantic	Logical Expression
repetition.periodDuration.lowerBound	float
repetition.periodDuration.upperBound	float
repetition.periodDuration.includeLowerBound	boolean
repetition.periodDuration.includeUpperBound	boolean
repetition.periodDuration.resolution	float (optional)
repetition.periodDuration.measureSemantic	Logical Expression
repetition.eventFrequency.lowerBound	float
repetition.eventFrequency.upperBound	float
repetition.eventFrequency.includeLowerBound	boolean
repetition.eventFrequency.includeUpperBound	boolean
repetition.eventFrequency.resolution	float (optional)
repetition.eventFrequency.measureSemantic	Logical Expression
repetition.eventSeparation.lowerBound	float
repetition.eventSeparation.upperBound	float
repetition.eventSeparation.includeLowerBound	boolean
repetition.eventSeparation.includeUpperBound	boolean
repetition.eventSeparation.resolution	float (optional)
repetition.eventSeparation.measureSemantic	Logical Expression
repetition.eventDuration.lowerBound	float
repetition.eventDuration.upperBound	float
repetition.eventDuration.includeLowerBound	boolean
repetition.eventDuration.includeUpperBound	boolean
repetition.eventDuration.resolution	float (optional)
repetition.eventDuration.measureSemantic	Logical Expression

repetition.periodStart.lowerBound	float
repetition.periodStart.upperBound	float
repetition.periodStart.includeLowerBound	boolean
repetition.periodStart.includeUpperBound	boolean
repetition.periodStart.resolution	float (optional)
repetition.periodStart.measureSemantic	Logical Expression
repetition.periodDuration.lowerBound	float
repetition.periodDuration.upperBound	float
repetition.periodDuration.includeLowerBound	boolean
repetition.periodDuration.includeUpperBound	boolean
repetition.periodDuration.resolution	float (optional)
repetition.periodDuration.measureSemantic	Logical Expression
repetition.eventFrequency.lowerBound	float
repetition.eventFrequency.upperBound	float
repetition.eventFrequency.includeLowerBound	boolean
repetition.eventFrequency.includeUpperBound	boolean
repetition.eventFrequency.resolution	float (optional)
repetition.eventFrequency.measureSemantic	Logical Expression
repetition.eventSeparation.lowerBound	float
repetition.eventSeparation.upperBound	float
repetition.eventSeparation.includeLowerBound	boolean
repetition.eventSeparation.includeUpperBound	boolean
repetition.eventSeparation.resolution	float (optional)
repetition.eventSeparation.measureSemantic	Logical Expression
repetition.eventDuration.lowerBound	float
repetition.eventDuration.upperBound	float
repetition.eventDuration.includeLowerBound	boolean
repetition.eventDuration.includeUpperBound	boolean
repetition.eventDuration.resolution	float (optional)
repetition.eventDuration.measureSemantic	Logical Expression

Unstructured

Instance Request	Type	Textual Representation
statementId	UUID	unique id for this item
statementType	LogicalExpression	the kind of statement, request, performance
METADATA: model fit
METADATA: model fit comments

subjectOfInformation LogicalExpression relationship such as 'mother', 'brother', 'sibling', 'relative', 'donor' topic LogicalExpression

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

statementAssociation.semantic	LogicalExpression
statementAssociation.statementId	UUID

timing.lowerBound	float
timing.upperBound	float
timing.includeLowerBound	boolean
timing.includeLowerBound	boolean
timing.resolution	float (optional)
timing.measureSemantic	Logical Expression
purpose	Logical Expression
purpose	Logical Expression
purpose	Logical Expression

unstructuredText String Free Text

Concepts

Issues

Tab	Opened by	Instance Request	Issue	Reply	Status
Request	Kirsten Haake	Capsaicin 0.1% cream topical 3 times a day apply to affected area 1 tube 0 refills routine	RxNorm has different unites for strengh; used 646333 Capsaicin 1 MG/ML Topical Cream; please, confirm	Joey: Confirmed	Closed
Request	Kirsten Haake	Diclofenac sodium 1% 2 g gel topical 4 times a day apply to affected area 1 tube 0 refills routine	RxNorm has different unites for strengh; used 1043479 Diclofenac Sodium 10 MG/ML Topical Cream; please, confirm	Joey: Confirmed	Closed
Request	Kirsten Haake	Lidocaine 5% patch topical apply to intact skin to cover most painful area; apply prescribed number of patches (maximum of 3); apply only 1 time for a maximum of 12 hours within a 24-hour period 30 patches 0 refills routine	RxNorm has different unites for strengh; used 1745091 Lidocaine 0.05 MG/MG Medicated Patch; please, confirm	Joey: Confirmed	Closed
Request	Kirsten Haake	Menthol 10%/methyl salicylate 15% cream topical 3 times a day apply to affected area 1 tube 0 refills routine	RxNorm has different unites for strengh; used 311498 Menthol 100 MG/ML / methyl salicylate 150 MG/ML Topical Cream; please, confirm	Joey: Confirmed	Closed
Request	Kirsten Haake	Referral addiction evaluate for substance use disorder with chronic pain routine	Please, clarify "referral addiction" meaning	Joey: Change to "Referral addiction services"	Closed
Request	Kirsten Haake	Referral addiction evaluate for tobacco cessation with chronic pain routine	Please, clarify "referral addiction" meaning	Joey: Change to "Referral addiction services"	Closed
Request	Kirsten Haake	Referral acupuncture evaluate for chronic pain routine	I don't believe, this is a referral to a service or specialist. It looks more like a recommendation. But then I have trouble to understand the "evaluate for chronic pain" part here. Please, clarify	Joey: Cognitive says If the SMEs put it in, I presume it’s possible…

Let’s change by adding “services” to each item.

5/24/2018 Kirsten: Created the necessary "therapies" and post-coordinated.	Closed
	Request	Kirsten Haake	Referral tai chi evaluate for chronic pain routine	see above	Joey: as above	Closed
	Request	Kirsten Haake	Referral mindfulness evaluate for chronic pain routine	see above	Joey: as above	Closed
	Request	Kirsten Haake	Referral meditation evaluate for chronic pain routine	see above	Joey: as above	Closed
	Request	Kirsten Haake	Referral guided imagery evaluate for chronic pain routine	see above	Joey: as above	Closed
	Request	Kirsten Haake	Referral hypnotherapy evaluate for chronic pain routine	see above	Joey: as above	Closed
	Request	Kirsten Haake	Referral biofeedback evaluate for chronic pain routine	see above	Joey: as above	Closed

File details come from the government source that posted it. Updated Aug 14, 2020.

->(410675002 \|Route of administration (attribute))->[6064005 \|Topical route (qualifier value)]	26604007 \|Complete blood count (procedure)\|	85acf077-d744-48bc-b57a-fa3b5ce12d97 \|Comprehensive metabolic panel (procedure)\|	43396009 \|Hemoglobin A1c measurement (procedure)\|	314076009 \|Toxicology screening test (procedure)\|	12199005 \|Vitamin D, 25-hydroxy measurement (procedure)\|	416838001 \|Erythrocyte sedimentation rate measurement (procedure)\|	55235003 \|C-reactive protein measurement (procedure)\|	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[392134007 \|Care regimes management (procedure)]	306238000 \|Referral to Social Services (procedure)\|	306320001 \|Referral to clinical nurse specialist (procedure)\|	390866009 \|Referral to mental health team (procedure)\|	[390866009 \|Referral to mental health team (procedure)]
->(363702006 \|Has focus (attribute))->[45392008 \|Psychologic evaluation or test procedure (procedure)]	[390866009 \|Referral to mental health team (procedure)]
->(363702006 \|Has focus (attribute))->[704072009 \|Cognitive behavior therapy care management (procedure)]	[390866009 \|Referral to mental health team (procedure)]
->(363702006 \|Has focus (attribute))->[710137005 \|Promotion of acceptance of health status (procedure)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[266707007 \|Drug addiction therapy (regime/therapy)]	449861000124107 \|Referral to tobacco use cessation counseling program (procedure)\|	306109009 \|Referral to pain management service (procedure)\|	[306109009 \|Referral to pain management service (procedure)]
->(363702006 \|Has focus (attribute))->[b6216dfc-5b5f-4823-9bc8-ce9c79d67709 \|Management of opioid therapy (procedure)]	306179008 \|Referral to pharmacy service (procedure)\|	444831000124102 \|Referral for physical therapy (procedure)\|	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[44868003 \|Acupuncture (procedure)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[229223006 \|Participation in Tai Chi (regime/therapy)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[05257e84-e247-4f2e-bb83-dccd395d56a8 \|Mindfulness therapy (procedure)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[386365008 \|Meditation facilitation (procedure)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[228565006 \|Imagery technique (regime/therapy)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[19997007 \|Hypnotherapy (regime/therapy)]	[3457005 \|Patient referral (procedure)]
->(363702006 \|Has focus (attribute))->[28150003 \|Biofeedback procedure (regime/therapy)]	408956004 \|Chronic pain control education (procedure)\|

	timing.lowerBound	float
	timing.upperBound	float
	timing.includeLowerBound	boolean
	timing.includeLowerBound	boolean
	timing.resolution	float (optional)
	timing.measureSemantic	Logical Expression
	purpose	Logical Expression	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]		[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]		[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]	[277132007 \|Therapeutic procedure (procedure)]
->(363702006 \|Has focus (attribute))->[22253000 \|Pain (finding)]				[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]-

->(42752001 \|Due to (attribute))->[82423001 \|Chronic pain (finding)];	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)408955000 \|Chronic pain control assessment (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]
->(363702006 \|Has focus (attribute))->[408954001 \|Chronic pain control (procedure)]	[386053000 \|Evaluation procedure (procedure)]