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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
![](/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)
- Sign the order by clicking the sign order button
-
![](/wiki/download/thumbnails/330727579/image-2024-6-11_14-43-33.png?version=1&modificationDate=1718131412807&api=v2)
- These actions should trigger an alert
- To change test patients
- 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)
- Click on the Select a Patient window and then select a patient from the drop-down list
![](/wiki/download/attachments/330727579/image-2024-6-11_14-28-33.png?version=1&modificationDate=1718130512615&api=v2)
- 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 and 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:
![](/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.
- 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 "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.
- 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
![](/wiki/download/attachments/330727579/image-2024-6-11_14-40-30-1.png?version=1&modificationDate=1718131229778&api=v2)
- Double click on the deep link and the test case will load into the sandbox
- Sign the order