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Notes about utilizing CDC Clinical Practice Guideline Recommendation 10 CDS

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service in the staging CDS Hooks Sandbox

Use http, not https. Hence, use this URL http://cdshooks-sandbox.org/ instead of
• • Go to https://cdshooks-sandbox.org/
  • Go to the Rx Sign tab
If you do not see the
• • You should see “opioidcds-10-order-sign” service in the Select a Service dropdown window
, double-check the URL – you may find that you are on https, not http. If that is the case, remove the “s” from the URL, refresh the page, and try again.
• • as depicted below

• • You should be able to select the service.
  • The default patient is one who has not had a urine toxicology screen conducted in the past twelve months
  • If you see this patient, Daniel X. Adams, please clear your browser cache.

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• • Order an opioid medication. Be sure to select a particular dosage order instance for that medication. 

• • Then select a supply duration of 28 days or longer.

• • Sign the order by clicking the sign order button
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  • These actions should trigger an alert.

• To try a test patient who has had a urine screen with a positive result for cocaine follow these steps:change test patients
  • Go
  • To change the test patient, go to settings and select “Change Patient”

• • Click on the Select a Patient window and then select a patient from the dropdown list

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• • About the test patients
    • "example-opioidcds" is a patient who has not had a urine toxicology test conducted in the past twelve months
    • "
    Enter this test patient in the box below Enter a Patient ID:
    • example-rec-10-order-sign-illicit-POS-Cocaine-
    drugs 

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• • Select save.

• • • drugs" is a patient who has had at least one urine toxicology screen in the past twelve months that has a positive test result for cocaine
    • "unexpected-negative" is a patient who has had who has had at least one urine toxicology screen in the past twelve months with a negative result for substance that was prescribed to the patient within a thirty day window prior to the test

• • If you select the second patient, the The Rx Sign panel should then look like this:

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• • Then add an opioid medication to the medication box in the Rx Sign Panel and select a specific dosage.
  • Then add a supply duration of 28 days or more.
  • Sign the order.
  • These actions should trigger an alert for unexpected positive toxicology screen findings.
•  
  • To test a patient with unexpected negative toxicology screen findings go setting and select "Change Patient".
  • Enter this Patient ID: Select the "unexpected-negative" patient from the dropdown list.
  • The Rx Sign panel should look like this:

...

• • Then add an opioid medication to the medication box in the Rx Sign Panel and select a specific dosage.
  • Then add a supply duration of 28 days or more.
  • Sign the order.
  • These actions should trigger an alert for unexpected negative toxicology screen findings.

How to load a complete test case into the sandbox

• Go to https://github.com/cqframework/sandbox/wiki/User-Guide 
• Select a test case from this table

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• Click on the deep link and the test case will load into the sandbox
• Sign the order