Overview
Perform a comprehensive opioid risk assessment by pulling all active opioid prescriptions, calculating total daily morphine milligram equivalents (MME), applying Opioid Risk Tool (ORT) scoring criteria, and evaluating against CDC 2022 Clinical Practice Guideline thresholds. Flag MME >50 (caution), MME >90 (high risk), concurrent benzodiazepine use, concurrent gabapentinoid use, and absence of naloxone co-prescription. Include CAGE-AID screening questions for substance use risk assessment.
FHIR Resources Used
| Resource | Purpose | Key Fields |
|---|
| MedicationRequest | Active opioid prescriptions with dosing | status, medicationCodeableConcept, dosageInstruction, dispenseRequest |
| MedicationStatement | Patient-reported opioid and concurrent substance use | status, medicationCodeableConcept, dosage |
| MedicationDispense | Opioid fill history for pattern analysis | status, medicationCodeableConcept, quantity, daysSupply, whenHandedOver |