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Notes about utilizing CDC Clinical Practice Guideline Recommendation 10 CDS service in the staging CDS Hooks Sandbox

• • Go to https://cdshooks-sandbox.org/
  • Go to the Rx Sign tab
  • You should see “opioidcds-10-order-sign” service in the Select a Service dropdown window 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 change test patients
  • Go to settings and select “Change Patient”

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

• • About the test patients
    • "example-opioidcds" is a patient who has not had a urine toxicology test conducted in the past twelve months
    • "example-rec-10-order-sign-illicit-POS-Cocaine-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 Rx Sign panel should then 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 positive toxicology screen findings.
•  
  • To test a patient with unexpected negative toxicology screen findings go setting and select "Change Patient".
  • 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

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