ATTACHMENT 26 - Opiod Non Cancer Pain Assmt Doc Template KNART XML_2018-06-21.pdf

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57 </identifiers> 58 <title value="Mental Health: Chronic Noncancer Pain

Documentation Template KNART Validation Report"/> 59 </resource> 60 </resources> 61 </relatedResource> 62 </relatedResources> 64 <supportingEvidence> 65 <evidence> 66 <resources> 67 <resource> 68 <identifiers> 69 <identifier root="https://doi.org" extension=

"10.1037/ser0000099" identifierName="DOI"/> 70 <identifier root="LocalDocBook" extension="e1" identifierName="Oliva 2017"/> 71 </identifiers> 72 <title value="Development and applications of the Veterans

Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide"/>

73 <location value="https://doi.org/10.1037/ser0000099"/> 74 <citation 75 value="Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide.

Psychol Serv. 2017;14(1):34-49."

76 /> 77 </resource> 78 </resources> 79 </evidence> 80 <evidence> 81 <resources> 82 <resource> 83 <identifiers> 84 <identifier root="LocalDocBook" extension="e2" identifierName="Trafton 2017a"/> 85 </identifiers> 86 <title 87 value="Opioid risk stratification and mitigation tool:

supporting targeted efforts to encourage and track use of recommended strategies for prevention of adverse events in patients with opioid prescriptions or opioid use disorders"/>

88 <citation 89 value="J. Trafton. Opioid risk stratification and mitigation tool: supporting targeted efforts to encourage and track use of recommended strategies for prevention of adverse events in patients with opioid prescriptions or opioid use disorders (AAPM December 2015 panel presentation for clearance2" 90 /> 91 </resource> 92 </resources> 93 </evidence> 94 <evidence> 95 <resources> 96 <resource> 97 <identifiers> 98 <identifier root="LocalDocBook" extension="e3" identifierName="Sanders 2017"/> 99 </identifiers>

100 <title value="Opioid Therapy Risk Report patient details"/> 101 <citation 102 value="Opioid Therapy Risk Report patient details (Office of Health Informatics - Opioid KNARTs Harmonization Project

- OTRR Screenshots 20171222.docx; email communication and materials provided by William J. Sanders, December 22, 2017)."

103 /> 104 </resource> 105 </resources> 106 </evidence> 107 <evidence> 108 <resources> 109 <resource> 110 <identifiers> 111 <identifier root="LocalDocBook" extension="e4" identifierName="Robeck 2017a"/> 112 </identifiers> 113 <title value="PBM CPPO pain PhARMD template"/> 114 <citation value="PBM CPPO pain PhARMD template: frequently asked questions (PBM PAIN PhARMD TEMPLATE FAQ DOCUMENT2.pptx;

materials provided by Ilene R. Robeck, November 27, 2017"/>

115 </resource> 116 </resources> 117 </evidence> 118 <evidence> 119 <resources> 120 <resource> 121 <identifiers> 122 <identifier root="LocalDocBook" extension="e5" identifierName="Robeck 2017b"/> 123 </identifiers> 124 <title value="PBM PhARMD pain documentation template version 1"/> 125 <citation value="PBM PhARMD pain documentation template version

1: installation instructions, 28AUG2017 (PhARMD Pain Mgmt Note Template_Install Screenshots_28AUG2017.pptx; materials provided by Ilene R. Robeck, November 27, 2017)."

126 /> 127 </resource> 128 </resources> 129 </evidence> 130 <evidence> 131 <resources> 132 <resource> 133 <identifiers> 134 <identifier root="LocalDocBook" extension="e6" identifierName="Trafton 2017b"/> 135 </identifiers> 136 <title value="STORM: Patient Detail Dashboard: Stratification

Tool for Opioid Risk Mitigation"/> 137 <citation value="STORM: Patient Detail Dashboard:

Stratification Tool for Opioid Risk Mitigation (STORMde-idedscreenshot.png; materials provided by Jodie Trafton, December 12, 2017)."/>

138 </resource>

139 </resources> 140 </evidence> 141 <evidence> 142 <resources> 143 <resource> 144 <identifiers> 145 <identifier root="https://doi.org" extension=

"10.1093/pm/pnx203" identifierName="DOI"/> 146 <identifier root="LocalDocBook" extension="e7" identifierName="Rosenberg 2017"/> 147 </identifiers> 148 <title value="Opioid Therapy for Chronic Pain: Overview of the

2017 US Department of Veterans Affairs and US Department of Defense Clinical Practice Guideline."/>

149 <location value="https://www.ncbi.nlm.nih.gov/pubmed/29025128"/> 150 <citation value="Rosenberg JM, Bilka BM, Wilson SM, Spevak C.

Opioid Therapy for Chronic Pain: Overview of the 2017 US Department of Veterans Affairs and US Department of Defense Clinical Practice Guideline. Pain Med. 2017 Sep 1"/>

151 </resource> 152 </resources> 153 </evidence> 154 <evidence> 155 <resources> 156 <resource> 157 <identifiers> 158 <identifier root="https://www.va.gov" extension=

"vhapublications/ViewPublication.asp?pub_ID=3283"/> 159 <identifier root="LocalDocBook" extension="e8" identifierName="VA 2016"/> 160 </identifiers> 161 <title value="Querying State Prescription Drug Monitoring

Programs (PDMP)"/> 162 <location value=

"https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=32 83"/>

163 <citation 164 value="U.S. Department of Veterans Affairs; Veterans Health

Administration. Querying State Prescription Drug Monitoring Programs (PDMP). VHA Directive 1306. VHA Publications website.

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID =3283. Published October 19, 2016. Accessed February 8, 2018"

165 /> 166 </resource> 167 </resources> 168 </evidence> 169 <evidence> 170 <resources> 171 <resource> 172 <identifiers> 173 <identifier root="https://www.va.gov" extension=

"vhapublications/ViewPublication.asp?pub_ID=3005"/> 174 <identifier root="LocalDocBook" extension="e9" identifierName="VA 2014"/> 175 </identifiers> 176 <title value="Informed Consent for Long-Term Opioid Therapy for

Pain"/> 177 <location value=

"https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=30 05"/>

178 <citation 179 value="U.S. Department of Veterans Affairs; Veterans Health

Administration. Informed Consent for Long-Term Opioid Therapy for Pain. VHA Directive 1005. VHA Publications website.

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID

=3005. Published May 6, 2014. Accessed February 8, 2018."

180 /> 181 </resource> 182 </resources> 183 </evidence> 184 <evidence> 185 <resources> 186 <resource> 187 <identifiers> 188 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "fda/fdaDrugXsl.cfm?setid=0d75b27f-496e-495d-b788-0dd3c0f5a32 f"/>

189 <identifier root="LocalDocBook" extension="e10" identifierName="NLM 2016a"/>

190 </identifiers> 191 <title value="BENGAY GREASELESS PAIN RELIEVING- menthol, unspecified form and methyl salicylate cream"/> 192 <location value=

"https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=0 d75b27f-496e-495d-b788-0dd3c0f5a32f"/>

193 <citation 194 value="U.S. National Library of Medicine. BENGAY GREASELESS

PAIN RELIEVING- menthol, unspecified form and methyl salicylate cream [Johnson and Johnson Consumer Inc.].

DailyMed website.

https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?seti d=0d75b27f-496e-495d-b788-0dd3c0f5a32f. Revised April 2016"

195 /> 196 </resource> 197 </resources> 198 </evidence> 199 <evidence> 200 <resources> 201 <resource> 202 <identifiers> 203 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "drugInfo.cfm?setid=7c31736c-edaa-4390-a2fb-eab2fd495f7d"/>

204 <identifier root="LocalDocBook" extension="e11" identifierName="NLM 2015a"/>

205 </identifiers> 206 <title value="CAPSAICIN ARTHRITIS PAIN RELIEF CREAM-capsaicin cream"/> 207 <location value=

"https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7c31736 c-edaa-4390-a2fb-eab2fd495f7d"/>

208 <citation 209 value="U.S. National Library of Medicine. CAPSAICIN

ARTHRITIS PAIN RELIEF CREAM-capsaicin cream. [McCure Health Solutions Inc.]. DailyMed website.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7c31 736c-edaa-4390-a2fb-eab2fd495f7d. Revised April 2015."

210 /> 211 </resource> 212 </resources> 213 </evidence> 214 <evidence> 215 <resources> 216 <resource> 217 <identifiers> 218 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "drugInfo.cfm?setid=27d813ea-7798-09cb-734b-b970d7248f1f"/>

219 <identifier root="LocalDocBook" extension="e12" identifierName="NLM 2017a"/>

220 </identifiers>

221 <title value="CELECOXIB - celecoxib capsule [Jubilant Cadista Pharmaceuticals Inc.]."/>

222 <location value= "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=27d813e a-7798-09cb-734b-b970d7248f1f"/>

223 <citation 224 value="U.S. National Library of Medicine. CELECOXIB -celecoxib capsule [Jubilant Cadista Pharmaceuticals Inc.].

DailyMed website.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=27d8 13ea-7798-09cb-734b-b970d7248f1f. Revised April 2017."

225 /> 226 </resource> 227 </resources> 228 </evidence> 229 <evidence> 230 <resources> 231 <resource> 232 <identifiers> 233 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "drugInfo.cfm?setid=f64b68a5-d6d2-4e92-87e7-90af04c1f9db"/>

234 <identifier root="LocalDocBook" extension="e13" identifierName="NLM 2017b"/>

235 </identifiers> 236 <title value="DICLOFENAC SODIUM-diclofenac gel"/> 237 <location value=

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238 <citation 239 value="U.S. National Library of Medicine. DICLOFENAC

SODIUM-diclofenac gel. [Amneal Pharmaceuticals LLC].

DailyMed website.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f64b 68a5-d6d2-4e92-87e7-90af04c1f9db. Revised January 2017"

240 /> 241 </resource> 242 </resources> 243 </evidence> 244 <evidence> 245 <resources> 246 <resource> 247 <identifiers> 248 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "drugInfo.cfm?setid=24731405-219c-79b4-ecf0-7d5fbfda94ba"/>

249 <identifier root="LocalDocBook" extension="e14" identifierName="NLM 2016b"/>

250 </identifiers> 251 <title value="IBU-ibuprofen tablet [Dr. Reddy's Laboratories

Limited]"/> 252 <location value=

"https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=2473140 5-219c-79b4-ecf0-7d5fbfda94ba"/>

253 <citation 254 value="U.S. National Library of Medicine. IBU-ibuprofen tablet [Dr. Reddy's Laboratories Limited]. DailyMed website.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=2473 1405-219c-79b4-ecf0-7d5fbfda94ba. Revised October 2016."

255 /> 256 </resource> 257 </resources> 258 </evidence> 259 <evidence> 260 <resources> 261 <resource>

262 <identifiers> 263 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "drugInfo.cfm?setid=f1c40164-4626-4290-9012-c00e33420a33"/>

264 <identifier root="LocalDocBook" extension="e15" identifierName="NLM 2015b"/>

265 </identifiers> 266 <title value="LIDODERM-lidocaine patch [Endo Pharmaceuticals, Inc.]."/> 267 <location value=

"https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f1c4016 4-4626-4290-9012-c00e33420a33"/>

268 <citation 269 value="U.S. National Library of Medicine.

LIDODERM-lidocaine patch [Endo Pharmaceuticals, Inc.].

DailyMed website.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f1c4 0164-4626-4290-9012-c00e33420a33. Revised January 2015."

270 /> 271 </resource> 272 </resources> 273 </evidence> 274 <evidence> 275 <resources> 276 <resource> 277 <identifiers> 278 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129"/>

279 <identifier root="LocalDocBook" extension="e16" identifierName="NLM 2018"/>

280 </identifiers> 281 <title value="NAPROSYN-naproxen tablet; EC-NAPROSYN-naproxen tablet, delayed release; NAPROSYN-naproxen suspension;

ANAPROX-naproxen sodium tablet; ANAPROX DS-naproxen sodium tablet"/>

282 <location value= "https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6884821 7-03c9-4377-9be6-6f567e629129"/>

283 <citation 284 value="U.S. National Library of Medicine. NAPROSYN-naproxen tablet; EC-NAPROSYN-naproxen tablet, delayed release;

NAPROSYN-naproxen suspension; ANAPROX-naproxen sodium tablet; ANAPROX DS-naproxen sodium tablet. [Genentech, Inc.]. DailyMed website.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6884 8217-03c9-4377-9be6-6f567e629129. Revised January 2018."

285 /> 286 </resource> 287 </resources> 288 </evidence> 289 <evidence> 290 <resources> 291 <resource> 292 <identifiers> 293 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "drugInfo.cfm?setid=45eb33f0-71e2-11d5-e054-00144ff88e88"/>

294 <identifier root="LocalDocBook" extension="e17" identifierName="NLM 2017c"/>

295 </identifiers> 296 <title value="REDICARE IBUPROFEN- ibuprofen 200mg tablet, film coated"/> 297 <location value=

"https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=45eb33f 0-71e2-11d5-e054-00144ff88e88"/>

298 <citation

299 value="U.S. National Library of Medicine. REDICARE IBUPROFEN- ibuprofen 200mg tablet, film coated. [Redicare LLC]. DailyMed website.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=45eb 33f0-71e2-11d5-e054-00144ff88e88. Revised January 2017."

300 /> 301 </resource> 302 </resources> 303 </evidence> 304 <evidence> 305 <resources> 306 <resource> 307 <identifiers> 308 <identifier root="https://dailymed.nlm.nih.gov/dailymed" extension= "drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7"/>

309 <identifier root="LocalDocBook" extension="e18" identifierName="NLM 2016c"/>

310 </identifiers> 311 <title value="TYLENOL REGULAR STRENGTH- acetaminophen tablet"/> 312 <location value=

"https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f69 4-4d63-4c56-8737-fae31f0ecfb7"/>

313 <citation 314 value="U.S. National Library of Medicine. TYLENOL REGULAR

STRENGTH- acetaminophen tablet [Johnson and Johnson Consumer Inc., McNeil Consumer Healthcare Division].

DailyMed Website.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622 f694-4d63-4c56-8737-fae31f0ecfb7. Revised October 2016."

315 /> 316 </resource> 317 </resources> 318 </evidence> 319 </supportingEvidence> 321 <applicability> 322 <coverage> 323 <focus value="TargetUser"/> 324 <description value="Primary Care Provider (PCP)"/> 325 <value code="453231000124104 |Primary care provider (occupation)|" codeSystem="SNOMED CT"/> 326 </coverage> 327 <coverage> 328 <focus value="PatientAgeGroup"/> 329 <description value="Adult"/> 330 <value code="133936004 |Adult (person)|" codeSystem="SNOMED CT"/> 331 </coverage> 332 <coverage> 333 <focus value="ClinicalVenue"/> 334 <description value="Primary Care"/> 335 <value code="5351000124100 |Primary care clinic (environment)|" codeSystem="SNOMED CT"/> 336 </coverage> 337 <coverage> 338 <focus value="ClinicalVenue"/> 339 <description value="Outpatient"/> 340 <value code="33022008 |Hospital-based outpatient department

(environment)|" codeSystem="SNOMED CT"/> 341 </coverage> 342 </applicability> 344 <status value="Active"/> 346 <eventHistory> 347 <artifactLifeCycleEvent> 348 <eventType value="Published"/>

349 <eventDateTime value="20180618"/> 350 <!-- Completed rework. --> 351 </artifactLifeCycleEvent> 352 <artifactLifeCycleEvent> 353 <eventType value="Published"/> 354 <eventDateTime value="20180607"/> 355 </artifactLifeCycleEvent> 356 <artifactLifeCycleEvent> 357 <eventType value="Reviewed"/> 358 <eventDateTime value="20180607"/> 359 </artifactLifeCycleEvent> 360 <artifactLifeCycleEvent> 361 <eventType value="Created"/> 362 <eventDateTime value="20170810"/> 363 </artifactLifeCycleEvent> 364 <artifactLifeCycleEvent> 365 <eventType value="Pre-published"/> 366 <eventDateTime value="20180301"/> 367 </artifactLifeCycleEvent> 368 </eventHistory> 370 <contributions> 371 <contribution> 372 <contributor xsi:type="Person"> 373 <name> 374 <dt:part type="GIV" value="Ilene "/> 375 <dt:part type="FAM" value="Robeck"/> 376 <dt:part type="TITLE" value="Physician"/> 377 </name> 378 <affiliation> 379 <name value="Physician, Richmond VA Medical Center (VAMC), Richmond, VA"/> 380 </affiliation> 381 </contributor> 382 <role value="Author"/> 383 </contribution> 384 <contribution> 385 <contributor xsi:type="Person"> 386 <name> 387 <dt:part type="GIV" value="Jodie"/> 388 <dt:part type="FAM" value="Trafton"/> 389 <dt:part type="TITLE" value="Director"/> 390 </name> 391 <affiliation> 392 <name value="Director, VA Program Evaluation and Resource

Center, VA Palo Alto Health Care System, Menlo Park, CA"/> 393 </affiliation> 394 </contributor> 395 <role value="Author"/> 396 </contribution> 397 <contribution> 398 <contributor xsi:type="Person"> 399 <name> 400 <dt:part type="GIV" value="Friedhelm"/> 401 <dt:part type="FAM" value="Sandbrink"/> 402 <dt:part type="TITLE" value="Acting Director of Pain Management

Program Office"/> 403 </name> 404 <affiliation> 405 <name value="Acting Director of Pain Management Program Office, Department of VA, Washington, DC"/> 406 </affiliation> 407 </contributor> 408 <role value="Author"/> 409 </contribution> 410 <contribution> 411 <contributor xsi:type="Person">

412 <name> 413 <dt:part type="GIV" value="Elizabeth"/> 414 <dt:part type="FAM" value="Oliva"/> 415 <dt:part type="TITLE" value="OEND Coordinator"/> 416 </name> 417 <affiliation> 418 <name value="VA National Opioid Overdose Education and Naloxone

Distribution (OEND) Coordinator, VA Palo Alto Health Care System, Menlo Park, CA"/>

419 </affiliation> 420 </contributor> 421 <role value="Author"/> 422 </contribution> 423 <contribution> 424 <contributor xsi:type="Person"> 425 <name> 426 <dt:part type="GIV" value="Eleanor"/> 427 <dt:part type="FAM" value="Lewis"/> 428 <dt:part type="TITLE" value="Research Health Science Specialist"

429 </name> 430 <affiliation> 431 <name value="Research Health Science Specialist, VA Palo Alto

Health Care System, Menlo Park, CA"/> 432 </affiliation> 433 </contributor> 434 <role value="Author"/> 435 </contribution> 436 <contribution> 437 <contributor xsi:type="Person"> 438 <name> 439 <dt:part type="GIV" value="Kendall"/> 440 <dt:part type="FAM" value="Browne"/> 441 <dt:part type="TITLE" value="Clinical Psychologist"/> 442 </name> 443 <affiliation> 444 <name value="Clinical Psychologist, Seattle Puget Sound Health

Care System, Seattle, WA"/> 445 </affiliation> 446 </contributor> 447 <role value="Author"/> 448 </contribution> 449 <contribution> 450 <contributor xsi:type="Person"> 451 <name> 452 <dt:part type="GIV" value="Alicia"/> 453 <dt:part type="FAM" value="Heapy"/> 454 <dt:part type="TITLE" value="Mental Health"/> 455 </name> 456 <affiliation> 457 <name value="Mental Health, VA New England Healthcare System, West Haven, CT"/> 458 </affiliation> 459 </contributor> 460 <role value="Author"/> 461 </contribution> 462 <contribution> 463 <contributor xsi:type="Person"> 464 <name> 465 <dt:part type="GIV" value="Karen"/> 466 <dt:part type="FAM" value="Drexler"/> 467 <dt:part type="TITLE" value="National Mental Health Program

Director"/> 468 </name> 469 <affiliation> 470 <name value="National Mental Health Program Director, Substance

Use Disorders, VA Central Office, Atlanta, GA"/>

471 </affiliation> 472 </contributor> 473 <role value="Author"/> 474 </contribution> 475 <contribution> 476 <contributor xsi:type="Person"> 477 <name> 478 <dt:part type="GIV" value="Andrew"/> 479 <dt:part type="FAM" value="Saxon"/> 480 <dt:part type="TITLE" value="Physician"/> 481 </name> 482 <affiliation> 483 <name value="Physician, Seattle Health Care System, Seattle, WA"

484 </affiliation> 485 </contributor> 486 <role value="Author"/> 487 </contribution> 488 <contribution> 489 <contributor xsi:type="Person"> 490 <name> 491 <dt:part type="GIV" value="Melissa"/> 492 <dt:part type="FAM" value="Christopher"/> 493 <dt:part type="TITLE" value="National Director"/> 494 </name> 495 <affiliation> 496 <name value="National Director, Academic Detailing VACO

Pharmacy Benefits Management (PBM), Mission Valley Annex VISN 22, San Diego, CA"/>

497 </affiliation> 498 </contributor> 499 <role value="Author"/> 500 </contribution> 501 <contribution> 502 <contributor xsi:type="Person"> 503 <name> 504 <dt:part type="GIV" value="Daina"/> 505 <dt:part type="FAM" value="Wells"/> 506 </name> 507 <affiliation> 508 <name value="United States"/> 509 </affiliation> 510 </contributor> 511 <role value="Author"/> 512 </contribution> 513 <contribution> 514 <contributor xsi:type="Person"> 515 <name> 516 <dt:part type="GIV" value="Lucille"/> 517 <dt:part type="FAM" value="Burgo"/> 518 <dt:part type="TITLE" value="Firm Chief, Primary Care"/> 519 </name> 520 <affiliation> 521 <name value="Firm Chief, Primary Care, VA New England

Healthcare System, West Haven, CT"/> 522 </affiliation> 523 </contributor> 524 <role value="Author"/> 525 </contribution> 526 <contribution> 527 <contributor xsi:type="Person"> 528 <name> 529 <dt:part type="GIV" value="Julianne"/> 530 <dt:part type="FAM" value="Himstreet"/> 531 <dt:part type="TITLE" value="Pharmacist"/> 532 </name> 533 <affiliation>

534 <name value="Pharmacist, Eugene, OR"/> 535 </affiliation> 536 </contributor> 537 <role value="Author"/> 538 </contribution> 539 </contributions> 541 <publishers> 542 <publisher xsi:type="Organization"> 543 <name value="Department of Veterans Affairs"/> 544 </publisher> 545 </publishers> 547 <usageTerms> 548 <rightsDeclaration> 549 <assertedRights 550 value="Copyright 2018 B3 Group, Inc.

551 NOTICE OF GOVERNMENT COPYRIGHT LICENSE AND UNLIMITED RIGHTS LICENSE

552 Licensed under the Apache License, Version 2.0 (the

&quot;License&quot;); you may not use this file except in compliance with the License.

553 You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0

554 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.

555 Portions of this content are derivative works from content produced by Cognitive Medical Systems, Inc. licensed under the Apache License, Version 2.0.

556 Additional portions of this content are derivative works from content contributed by Motive Medical Intelligence Inc., under Creative Commons Attribution-ShareAlike 4.0.

557 Contributions from 2013-2018 were performed either by US Government employees, or under US Veterans Health Administration contracts.

558 US Veterans Health Administration contributions by government employees are work of the U.S. Government and are not subject to copyright protection in the United States. Portions contributed by government employees are USGovWork (17USC §105). Not subject to copyright.

559 See: https://www.usa.gov/government-works 560 Contribution by contractors to the US Veterans Health

Administration during this period are contractually contributed under the Apache License, Version 2.0 and US Government sponsorship is acknowledged under Contract VA118-16-D-1008, Task Order

VA11817F10080007."/>

561 <rightsHolder xsi:type="Organization"> 562 <addresses> 563 <address> 564 <dt:part type="AL" value="10156 Tapestry Ct"/> 565 <dt:part type="ADL" value=""/> 566 <dt:part type="CTY" value="Fairfax"/> 567 <dt:part type="STA" value="VA"/> 568 <dt:part type="ZIP" value="22032"/> 569 </address> 570 </addresses> 571 <name value="B3 Group, Inc."/> 572 </rightsHolder> 573 </rightsDeclaration> 574 <rightsDeclaration> 575 <assertedRights 576 value="Copyright 2018 Cognitive Medical Systems, Inc.

577 Licensed under the Apache License, Version 2.0 (the

&quot;License&quot;); you may not use this file except in compliance with the License.

578 You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 579 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.

580 This and related content produced by Cognitive Medical Systems, Inc. licensed under the Apache License, Version 2.0 is available at: https://bitbucket.org/cogmedsys/hl7-kas-examples

581 Additional portions of this content are derivative works from content contributed by Motive Medical Intelligence Inc., under Creative Commons Attribution-ShareAlike 4.0.

https://bitbucket.org/cogmedsys/kas-source-material

582 Contributions from 2013-2018 were performed either by US Government employees, or under US Veterans Health Administration contracts.

583 US Veterans Health Administration contributions by government employees are work of the U.S. Government and are not subject to copyright protection in the United States. Portions contributed by government employees are USGovWork (17USC §105). Not subject to copyright. See: https://www.usa.gov/government-works

584 Contribution by contractors to the US Veterans Health Administration during this period are contractually contributed under the Apache License, Version 2.0 and US Government sponsorship is acknowledged under Contract VA118-16-D-1008-0007."/>

585 <rightsHolder xsi:type="Organization"> 586 <addresses> 587 <address> 588 <dt:part type="AL" value="9444 Waples Street"/> 589 <dt:part type="ADL" value="Suite 300"/> 590 <dt:part type="CTY" value="San Diego"/> 591 <dt:part type="STA" value="CA"/> 592 <dt:part type="ZIP" value="92121"/> 593 </address> 594 </addresses> 595 <name value="Cognitive Medical Systems, Inc."/> 596 </rightsHolder> 597 </rightsDeclaration> 598 </usageTerms> 599 </metadata> 600 <externalData> 601 <codesystem name="SNOMED CT" id="2.16.840.1.113883.6.96" version="United States

Edition 20180301"/> 602 <def name="Pertinent Surgical History"> 603 <elm:expression xsi:type="elm:SingletonFrom"> 604 <elm:operand xsi:type="elm:Query"> 605 <elm:source alias="query"> 606 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 607 <elm:element name="statementType"> 608 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

609 <elm:system name="SNOMED CT"/> 610 </elm:value> 611 </elm:element> 612 <elm:element name="topic"> 613 <elm:value xsi:type="elm:Code" code="TSR-NoCode" display

="Precoordinated Expression"> 614 <elm:system name="SNOMED CT"/> 615 </elm:value> 616 </elm:element> 617 </elm:expression> 618 </elm:source> 619 </elm:operand> 620 </elm:expression> 621 </def> 622 <def name="Medications">

623 <elm:expression xsi:type="elm:SingletonFrom"> 624 <elm:operand xsi:type="elm:Query"> 625 <elm:source alias="query"> 626 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 627 <elm:element name="statementType"> 628 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

629 <elm:system name="SNOMED CT"/> 630 </elm:value> 631 </elm:element> 632 <elm:element name="topic"> 633 <elm:value xsi:type="elm:Code" code="TSR-NoCode" display

="Precoordinated Expression"> 634 <elm:system name="SNOMED CT"/> 635 </elm:value> 636 </elm:element> 637 </elm:expression> 638 </elm:source> 639 </elm:operand> 640 </elm:expression> 641 </def> 642 <def name="Current Medications"> 643 <elm:expression xsi:type="elm:SingletonFrom"> 644 <elm:operand xsi:type="elm:Query"> 645 <elm:source alias="query"> 646 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 647 <elm:element name="statementType"> 648 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

649 <elm:system name="SNOMED CT"/> 650 </elm:value> 651 </elm:element> 652 <elm:element name="topic"> 653 <elm:value xsi:type="elm:Code" code="TSR-NoCode" display

="Precoordinated Expression"> 654 <elm:system name="SNOMED CT"/> 655 </elm:value> 656 </elm:element> 657 </elm:expression> 658 </elm:source> 659 </elm:operand> 660 </elm:expression> 661 </def> 662 <def name="Complete Blood Count"> 663 <elm:expression xsi:type="elm:SingletonFrom"> 664 <elm:operand xsi:type="elm:Query"> 665 <elm:source alias="query"> 666 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 667 <elm:element name="statementType"> 668 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

669 <elm:system name="SNOMED CT"/> 670 </elm:value> 671 </elm:element> 672 <elm:element name="topic"> 673 <elm:value xsi:type="elm:Code" code="26604007 |Complete blood count (procedure)|" display="Precoordinated Expression">

674 <elm:system name="SNOMED CT"/> 675 </elm:value> 676 </elm:element>

677 </elm:expression> 678 </elm:source> 679 </elm:operand> 680 </elm:expression> 681 </def> 682 <def name="Comprehensive Metabolic Panel"> 683 <elm:expression xsi:type="elm:SingletonFrom"> 684 <elm:operand xsi:type="elm:Query"> 685 <elm:source alias="query"> 686 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 687 <elm:element name="statementType"> 688 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

689 <elm:system name="SNOMED CT"/> 690 </elm:value> 691 </elm:element> 692 <elm:element name="topic"> 693 <elm:value xsi:type="elm:Code" code="1411000205104

|Comprehensive metabolic panel (procedure)|" display= "Precoordinated Expression">

694 <elm:system name="SNOMED CT"/> 695 </elm:value> 696 </elm:element> 697 </elm:expression> 698 </elm:source> 699 </elm:operand> 700 </elm:expression> 701 </def> 702 <def name="Hemoglobin A1c"> 703 <elm:expression xsi:type="elm:SingletonFrom"> 704 <elm:operand xsi:type="elm:Query"> 705 <elm:source alias="query"> 706 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 707 <elm:element name="statementType"> 708 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

709 <elm:system name="SNOMED CT"/> 710 </elm:value> 711 </elm:element> 712 <elm:element name="topic"> 713 <elm:value xsi:type="elm:Code" code="43396009

|Hemoglobin A1c measurement (procedure)|" display= "Precoordinated Expression">

714 <elm:system name="SNOMED CT"/> 715 </elm:value> 716 </elm:element> 717 </elm:expression> 718 </elm:source> 719 </elm:operand> 720 </elm:expression> 721 </def> 722 <def name="Toxicology Screen"> 723 <elm:expression xsi:type="elm:SingletonFrom"> 724 <elm:operand xsi:type="elm:Query"> 725 <elm:source alias="query"> 726 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 727 <elm:element name="statementType"> 728 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

729 <elm:system name="SNOMED CT"/> 730 </elm:value>

731 </elm:element> 732 <elm:element name="topic"> 733 <elm:value xsi:type="elm:Code" code="314076009

|Toxicology screening test (procedure)|" display= "Precoordinated Expression">

734 <elm:system name="SNOMED CT"/> 735 </elm:value> 736 </elm:element> 737 </elm:expression> 738 </elm:source> 739 </elm:operand> 740 </elm:expression> 741 </def> 742 <def name="25-hydroxyvitamin D"> 743 <elm:expression xsi:type="elm:SingletonFrom"> 744 <elm:operand xsi:type="elm:Query"> 745 <elm:source alias="query"> 746 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 747 <elm:element name="statementType"> 748 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

749 <elm:system name="SNOMED CT"/> 750 </elm:value> 751 </elm:element> 752 <elm:element name="topic"> 753 <elm:value xsi:type="elm:Code" code="447678008

|Measurement of 25-hydroxyergocalciferol (procedure)|" display="Precoordinated Expression">

754 <elm:system name="SNOMED CT"/> 755 </elm:value> 756 </elm:element> 757 </elm:expression> 758 </elm:source> 759 </elm:operand> 760 </elm:expression> 761 </def> 762 <def name="Pain diagnoses"> 763 <elm:expression xsi:type="elm:SingletonFrom"> 764 <elm:operand xsi:type="elm:Query"> 765 <elm:source alias="query"> 766 <elm:expression xsi:type="elm:Instance" classType=

"anf:ClinicalStatement"> 767 <elm:element name="statementType"> 768 <elm:value xsi:type="elm:Code" code="398166005

|Performed (qualifier value)|" display="Precoordinated Expression">

769 <elm:system name="SNOMED CT"/> 770 </elm:value> 771 </elm:element> 772 <elm:element name="topic"> 773 <elm:value xsi:type="elm:Code" code="TSR-NoCode" display

="Precoordinated Expression"> 774 <elm:system name="SNOMED CT"/> 775 </elm:value> 776 </elm:element> 777 </elm:expression> 778 </elm:source> 779 </elm:operand> 780 </elm:expression> 781 </def> 782 </externalData> 783 <actionGroup> 784 <subElements> 785 <actionGroup> 786 <behaviors>

787 <behavior xsi:type="GroupSelectionBehavior" value="Any"/> 788 </behaviors> 789 <title value="Visit Information"/> 790 <subElements> 791 <simpleAction xsi:type="CollectInformationAction"> 792 <documentationConcept> 793 <prompt value="Telehealth encounter; patient gave verbal consent for telehealth"/> 794 <responseDataType value="Boolean"/> 795 </documentationConcept> 796 </simpleAction> 797 <simpleAction xsi:type="CollectInformationAction"> 798 <documentationConcept> 799 <prompt value="Patient Name"/> 800 <responseDataType value="String"/> 801 </documentationConcept> 802 </simpleAction> 803 <simpleAction xsi:type="CollectInformationAction"> 804 <documentationConcept> 805 <prompt value="Patient Age"/> 806 <responseDataType value="Integer"/> 807 </documentationConcept> 808 </simpleAction> 809 <simpleAction xsi:type="CollectInformationAction"> 810 <documentationConcept> 811 <prompt value="Patient Race"/> 812 <responseDataType value="Code"/> 813 </documentationConcept> 814 </simpleAction> 815 <simpleAction xsi:type="CollectInformationAction"> 816 <documentationConcept> 817 <prompt value="Patient Gender"/> 818 <responseDataType value="Code"/> 819 </documentationConcept> 820 </simpleAction> 821 <simpleAction xsi:type="CollectInformationAction"> 822 <documentationConcept> 823 <prompt value="Subjective and objective description of patient's current active medical problems"/> 824 <responseDataType value="String"/> 825 </documentationConcept> 826 </simpleAction> 827 <actionGroup> 828 <subElements> 829 <simpleAction xsi:type="CollectInformationAction"> 830 <documentationConcept> 831 <prompt value="Initial Visit"/> 832 <responseDataType value="EntityName"/> 833 </documentationConcept> 834 </simpleAction> 835 <simpleAction xsi:type="CollectInformationAction"> 836 <documentationConcept> 837 <prompt value="Follow-up Visit"/> 838 <responseDataType value="EntityName"/> 839 </documentationConcept> 840 <responseBinding property="FollowUpVisitForProblems"/> 841 </simpleAction> 842 <actionGroup> 843 <conditions> 844 <condition> 845 <logic xsi:type="elm:Property" path=

"FollowUpVisitForProblems"> 846 <elm:source xsi:type="elm:ParameterRef" name

="Responses"/> 847 </logic> 848 <conditionRole value="ApplicableScenario"/> 849 </condition>

850 </conditions> 851 <subElements> 852 <simpleAction xsi:type="CollectInformationAction"> 853 <documentationConcept> 854 <prompt value="If follow-up visit, describe focus"/> 855 <responseDataType value="String"/> 856 </documentationConcept> 857 </simpleAction> 858 </subElements> 859 </actionGroup> 860 </subElements> 861 </actionGroup> 862 <actionGroup> 863 <behaviors> 864 <behavior xsi:type="CardinalityBehavior" value="Multiple"/> 865 </behaviors> 866 <subElements> 867 <simpleAction xsi:type="CollectInformationAction"> 868 <documentationConcept> 869 <prompt value="Pertinent Surgical History"/> 870 <responseDataType value="Tuple"/> 871 </documentationConcept> 872 <initialValue xsi:type="elm:ExpressionRef" name=

"Pertinent Surgical History"/> 873 </simpleAction> 874 </subElements> 875 </actionGroup> 876 <actionGroup> 877 <behaviors> 878 <behavior xsi:type="CardinalityBehavior" value="Multiple"/> 879 </behaviors> 880 <subElements> 881 <simpleAction xsi:type="CollectInformationAction"> 882 <documentationConcept> 883 <prompt value="Medications"/> 884 <responseDataType value="Code"/> 885 </documentationConcept> 886 <initialValue xsi:type="elm:ExpressionRef" name=

"Medications"/> 887 </simpleAction> 888 </subElements> 889 </actionGroup> 890 </subElements> 891 </actionGroup> 892 <actionGroup> 893 <behaviors> 894 <behavior xsi:type="GroupSelectionBehavior" value="OneOrMore"/> 895 </behaviors> 896 <title value="Physical Exam"/> 897 <subElements> 898 <simpleAction xsi:type="CollectInformationAction"> 899 <documentationConcept> 900 <prompt value="Relevant findings on current physical exam"/> 901 <responseDataType value="String"/> 902 </documentationConcept> 903 </simpleAction> 904 </subElements> 905 </actionGroup> 906 <actionGroup> 907 <behaviors> 908 <behavior xsi:type="GroupSelectionBehavior" value="OneOrMore"/> 909 </behaviors> 910 <title value="Pain Description"/> 911 <subElements> 912 <actionGroup> 913 <title value="Impact of pain on function"/>

914 <subElements> 915 <simpleAction xsi:type="CollectInformationAction"> 916 <documentationConcept> 917 <prompt value="Functional impact of pain"/> 918 <responseDataType value="String"/> 919 </documentationConcept> 920 </simpleAction> 921 <simpleAction xsi:type="CollectInformationAction"> 922 <documentationConcept> 923 <prompt value="Functional impact of treatment for pain (positive or negative impact)"/> 924 <responseDataType value="String"/> 925 </documentationConcept> 926 </simpleAction> 927 </subElements> 928 </actionGroup> 929 <actionGroup> 930 <behaviors> 931 <behavior xsi:type="GroupSelectionBehavior" value=

"OneOrMore"/> 932 </behaviors> 933 <title value="Type of pain"/> 934 <subElements> 935 <simpleAction xsi:type="CollectInformationAction"> 936 <documentationConcept> 937 <prompt value="Neuropathic pain"/> 938 <itemCodes> 939 <itemCode code=

"[a997cc03-3e99-40eb-833a-6374c7750a3a |Observation procedure (procedure)]

940 ->(363702006 |Has focus (attribute))->[247398009 |Neuropathic pain (finding)]"

941 codeSystem="SNOMED CT"> 942 <dt:displayName value="Postcoordinated

Expression"/> 943 </itemCode> 944 </itemCodes> 945 <responseDataType value="Boolean"/> 946 </documentationConcept> 947 </simpleAction> 948 <simpleAction xsi:type="CollectInformationAction"> 949 <documentationConcept> 950 <prompt value="Somatic pain"/> 951 <itemCodes> 952 <itemCode code=

"[a997cc03-3e99-40eb-833a-6374c7750a3a |Observation procedure (procedure)]

953 ->(363702006 |Has focus (attribute))->[48429009 |Somatic pain (finding)]"

954 codeSystem="SNOMED CT"> 955 <dt:displayName value="Postcoordinated

Expression"/> 956 </itemCode> 957 </itemCodes> 958 <responseDataType value="Boolean"/> 959 </documentationConcept> 960 </simpleAction> 961 <simpleAction xsi:type="CollectInformationAction"> 962 <documentationConcept> 963 <prompt value="Other type of pain (describe details)"/> 964 <responseDataType value="String"/> 965 </documentationConcept> 966 </simpleAction> 967 </subElements>

968 </actionGroup> 969 <actionGroup> 970 <behaviors> 971 <behavior xsi:type="GroupSelectionBehavior" value=

"OneOrMore"/> 972 </behaviors> 973 <title value="Pain location"/> 974 <subElements> 975 <simpleAction xsi:type="CollectInformationAction"> 976 <documentationConcept> 977 <prompt value="Back"/> 978 <itemCodes> 979 <itemCode code=

"[a997cc03-3e99-40eb-833a-6374c7750a3a |Observation procedure (procedure)]

980 ->(363702006 |Has focus (attribute))->[161891005 |Backache (finding)]"

981 codeSystem="SNOMED CT"> 982 <dt:displayName value="Postcoordinated

Expression"/> 983 </itemCode> 984 </itemCodes> 985 <responseDataType value="Boolean"/> 986 </documentationConcept> 987 <responseBinding property="BackPain"/> 988 </simpleAction> 989 <actionGroup> 990 <behaviors> 991 <behavior xsi:type="GroupSelectionBehavior" value=

"OneOrMore"/> 992 </behaviors> 993 <conditions> 994 <condition> 995 <logic xsi:type="elm:Property" path="BackPain"> 996 <elm:source xsi:type="elm:ParameterRef" name

="Responses"/> 997 </logic> 998 <conditionRole value="ApplicableScenario"/> 999 </condition>

1000 </conditions> 1001 <title value="Location of pain: Select all that apply

(at least one)"/> 1002 <subElements> 1003 <simpleAction xsi:type="CollectInformationAction"> 1004 <documentationConcept> 1005 <prompt value="Lower"/> 1006 <itemCodes> 1007 <itemCode 1008 code=

"[a997cc03-3e99-40eb-833a-6374c7750a3 a |Observation procedure (procedure)]

1009 ->(363702006 |Has focus (attribute))->[279039007 |Low back pain (finding)]"

1010 codeSystem="SNOMED CT"> 1011 <dt:displayName value=

"Postcoordinated Expression"/> 1012 </itemCode> 1013 </itemCodes> 1014 <responseDataType value="Boolean"/> 1015 </documentationConcept> 1016 </simpleAction> 1017 <simpleAction xsi:type="CollectInformationAction"> 1018 <documentationConcept> 1019 <prompt value="Middle"/> 1020 <itemCodes>

1021 <itemCode 1022 code=

"[a997cc03-3e99-40eb-833a-6374c7750a3 a |Observation procedure (procedure)]

1023 ->(363702006 |Has focus (attribute))->[279038004 |Thoracic back pain (finding)]"

1024 codeSystem="SNOMED CT"> 1025 <dt:displayName value=

"Postcoordinated Expression"/> 1026 </itemCode> 1027 </itemCodes> 1028 <responseDataType value="Boolean"/> 1029 </documentationConcept> 1030 </simpleAction> 1031 <simpleAction xsi:type="CollectInformationAction"> 1032 <documentationConcept> 1033 <prompt value="Upper"/> 1034 <itemCodes> 1035 <itemCode 1036 code=

"[a997cc03-3e99-40eb-833a-6374c7750a3 a |Observation procedure (procedure)]

1037 ->(363702006 |Has focus (attribute))->[161896000 |Complaining of upper back ache (finding)]"

1038 codeSystem="SNOMED CT"> 1039 <dt:displayName value=

"Postcoordinated Expression"/> 1040 </itemCode> 1041 </itemCodes> 1042 <responseDataType value="Boolean"/> 1043 </documentationConcept> 1044 </simpleAction> 1045 </subElements> 1046 </actionGroup> 1047 <simpleAction xsi:type="CollectInformationAction"> 1048 <documentationConcept> 1049 <prompt value="Neck"/> 1050 <itemCodes> 1051 <itemCode code=

"[a997cc03-3e99-40eb-833a-6374c7750a3a |Observation procedure (procedure)]

1052 ->(363702006 |Has focus (attribute))->[81680005 |Neck pain (finding)]"

1053 codeSystem="SNOMED CT"> 1054 <dt:displayName value="Postcoordinated

Expression"/> 1055 </itemCode> 1056 </itemCodes> 1057 <responseDataType value="Boolean"/> 1058 </documentationConcept> 1059 </simpleAction> 1060 <simpleAction xsi:type="CollectInformationAction"> 1061 <documentationConcept> 1062 <prompt value="Joints"/> 1063 <itemCodes> 1064 <itemCode code=

"[a997cc03-3e99-40eb-833a-6374c7750a3a |Observation procedure (procedure)]

1065 ->(363702006 |Has focus (attribute))->[57676002 |Joint pain (finding)]"

1066 codeSystem="SNOMED CT"> 1067 <dt:displayName value="Postcoordinated

Expression"/> 1068 </itemCode> 1069 </itemCodes> 1070 <responseDataType value="Boolean"/> 1071 </documentationConcept> 1072 <responseBinding property="JointPain"/> 1073 </simpleAction> 1074 <actionGroup> 1075 <behaviors> 1076 <behavior xsi:type="GroupSelectionBehavior" value=

"OneOrMore"/> 1077 </behaviors> 1078 <conditions> 1079 <condition> 1080 <logic xsi:type="elm:Property" path="JointPain"> 1081 <elm:source xsi:type="elm:ParameterRef" name

="Responses"/> 1082 </logic> 1083 <conditionRole value="ApplicableScenario"/> 1084 </condition> 1085 </conditions> 1086 <title value="Location of pain: Select all that apply

(at least one)"/> 1087 <subElements> 1088 <simpleAction xsi:type="CollectInformationAction"> 1089 <documentationConcept> 1090 <prompt value="Knee"/> 1091 <itemCodes> 1092 <itemCode 1093 code=

"[a997cc03-3e99-40eb-833a-6374c7750a3 a |Observation procedure (procedure)]

1094 ->(363702006 |Has focus (attribute))->[30989003 |Knee pain (finding)]"

1095 codeSystem="SNOMED CT"> 1096 <dt:displayName value=

"Postcoordinated Expression"/> 1097 </itemCode> 1098 </itemCodes> 1099 <responseDataType value="Boolean"/> 1100 </documentationConcept> 1101 </simpleAction> 1102 <simpleAction xsi:type="CollectInformationAction"> 1103 <documentationConcept> 1104 <prompt value="Hip"/> 1105 <itemCodes> 1106 <itemCode 1107 code=

"[a997cc03-3e99-40eb-833a-6374c7750a3 a |Observation procedure (procedure)]

1108 ->(363702006 |Has focus (attribute))->[49218002 |Hip pain (finding)]"

1109 codeSystem="SNOMED CT"> 1110 <dt:displayName value=

"Postcoordinated Expression"/> 1111 </itemCode> 1112 </itemCodes> 1113 <responseDataType value="Boolean"/> 1114 </documentationConcept> 1115 </simpleAction> 1116 <simpleAction xsi:type="CollectInformationAction"> 1117 <documentationConcept> 1118 <prompt value="Shoulder"/> 1119 <itemCodes> 1120 <itemCode

1121 code= "[a997cc03-3e99-40eb-833a-6374c7750a3 a |Observation procedure (procedure)]

1122 ->(363702006 |Has focus (attribute))->[45326000 |Shoulder pain (finding)]"

1123 codeSystem="SNOMED CT"> 1124 <dt:displayName value=

"Postcoordinated Expression"/> 1125 </itemCode> 1126 </itemCodes> 1127 <responseDataType value="Boolean"/> 1128 </documentationConcept> 1129 </simpleAction> 1130 <simpleAction xsi:type="CollectInformationAction"> 1131 <documentationConcept> 1132 <prompt value="Other (describe details)"/> 1133 <responseDataType value="String"/> 1134 </documentationConcept> 1135 </simpleAction> 1136 </subElements> 1137 </actionGroup> 1138 <simpleAction xsi:type="CollectInformationAction"> 1139 <documentationConcept> 1140 <prompt value="Abdominal"/> 1141 <itemCodes> 1142 <itemCode code=

"[a997cc03-3e99-40eb-833a-6374c7750a3a |Observation procedure (procedure)]

1143 ->(363702006 |Has focus (attribute))->[21522001 |Abdominal pain (finding)]"

1144 codeSystem="SNOMED CT"> 1145 <dt:displayName value="Postcoordinated

Expression"/> 1146 </itemCode> 1147 </itemCodes> 1148 <responseDataType value="Boolean"/> 1149 </documentationConcept> 1150 </simpleAction> 1151 <simpleAction xsi:type="CollectInformationAction"> 1152 <documentationConcept> 1153 <prompt value="Other location of pain (describe details)"/> 1154 <responseDataType value="String"/> 1155 </documentationConcept> 1156 </simpleAction> 1157 </subElements> 1158 </actionGroup> 1160 <actionGroup> 1161 <behaviors> 1162 <behavior xsi:type="GroupSelectionBehavior" value="Any"/> 1163 </behaviors> 1164 <title value="Aggrevating factors"/> 1165 <subElements> 1166 <simpleAction xsi:type="CollectInformationAction"> 1167 <documentationConcept> 1168 <prompt value="Cold weather"/> 1169 <!-- Change made due to terminology impact --> 1170 <itemCodes> 1171 <itemCode 1172 code="[a997cc03-3e99-40eb-833a-6374c7750a3a

|Observation procedure (procedure)] 1173 ->(363702006 |Has focus

(attribute))->[200c9d89-dee9-4f0e-903f-53f77f bf5bd6 |Pain aggravated by cold weather

(finding)]" 1174 codeSystem="SNOMED CT"> 1175 <dt:displayName value="Postcoordinated

Expression"/> 1176 </itemCode> 1177 </itemCodes> 1178 <responseDataType value="Boolean"/> 1179 </documentationConcept> 1180 </simpleAction> 1181 <simpleAction xsi:type="CollectInformationAction"> 1182 <documentationConcept> 1183 <prompt value="Climate change"/> 1184 <itemCodes> 1185 <itemCode 1186 code="[a997cc03-3e99-40eb-833a-6374c7750a3a

|Observation procedure…