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- Notes about utilizing CDC Clinical Practice Guideline Recommendation 10 CDS serve in the staging CDS Hooks Sandbox
- Use http, not https. Hence, use this URL http://cdshooks-sandbox.org/ instead of https://cdshooks-sandbox.org/
- Go to the Rx Sign tab
- If you do not see the “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.
![](/wiki/download/attachments/330727579/image-2024-1-31_11-49-9-1.png?version=1&modificationDate=1706720509341&api=v2)
- 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
![](/wiki/download/attachments/330727579/image-2024-1-31_11-49-59-1.png?version=1&modificationDate=1706720509330&api=v2)
- If you see this patient, Daniel X. Adams, please clear your browser cache.
.![](/wiki/download/attachments/330727579/image-2024-4-9_17-13-44.png?version=1&modificationDate=1712697220389&api=v2)
- Order an opioid medication. Be sure to select a particular dosage order instance for that medication.
![](/wiki/download/attachments/330727579/image-2024-1-31_11-50-47-1.png?version=1&modificationDate=1706720509318&api=v2)
- Then select a supply duration of 28 days or longer.
![](/wiki/download/attachments/330727579/image-2024-1-31_11-52-54.png?version=1&modificationDate=1706720509296&api=v2)
- 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:
- To change the test patient, go to settings and select “Change Patient”
![](/wiki/download/attachments/330727579/image-2024-1-31_11-54-51-1.png?version=1&modificationDate=1706720509284&api=v2)
- Enter this test patient in the box below Enter a Patient ID: example-rec-10-order-sign-illicit-POS-Cocaine-drugs
![](/wiki/download/attachments/330727579/image-2024-1-31_11-58-20.png?version=1&modificationDate=1706720509270&api=v2)
- The Rx Sign panel should then look like this:
![](/wiki/download/attachments/330727579/image-2024-1-31_12-0-19-1.png?version=1&modificationDate=1706720509252&api=v2)
- 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.
- 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: unexpected-negative.
- The Rx Sign panel should look like this:
![](/wiki/download/attachments/330727579/image-2024-4-30_18-25-56.png?version=1&modificationDate=1714515954668&api=v2)
- 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.
- These actions should trigger an alert for unexpected negative toxicology screen findings.