DefaultMMEConversionFactors
type: CodeSystem
node role: treeRoot
resource.id:
  value: DefaultMMEConversionFactors
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-shareablecodesystem
    index: 0
    link: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-shareablecodesystem
  meta.profile:
    value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishablecodesystem
    index: 1
    link: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishablecodesystem
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Properties Code URL Description Type conversion-factor Defines the conversion factor for a specific ingredient, when the conversion factor is the same for all dose forms and dose amounts for the ingredient. The value of this property will be the decimal representation of the conversion factor. decimal dose-form-conversion-factor Defines the conversion factor for an ingredient when the conversion factor varies by the dose form of the medication. The value of this property will be a string of the form <dose-form-code>:<conversion-factor>[@<doses-per-day>], e.g. 970789:130, where '970789' is the RxNorm dose form code, and '130' is the decimal representation of the conversion factor. An example of a per-day conversion factor is fentanyl, 316987:7200@0.33333333, where 316987 is RxNorm dose form code, 7200 is the conversion factor, and 0.33333333 is the dosesPerDay, expressed as a decimal with a maximum of 8 digits after the decimal. string dose-range-conversion-factor Defines the conversion factor for an ingredient when the conversion factor varies by the overall dose of the medication. The value of this property will be a string of the form <low-value>-<high-value>:<conversion-factor>, e.g. 1-20:4. Note that the low-value or high-value may be a wildcard '*' to indicate the range continues (e.g. '61-*:12' indicates the range is 61 or greater). string Code Display 1819 Buprenorphine 1841 Butorphanol 2670 Codeine 23088 Dihydrocodeine 4337 Fentanyl 5489 Hydrocodone 3423 Hydromorphone 237005 Levomethadyl acetate 6378 Loverphanol tartrate 6754 Meperidine 6813 Methadone 7052 Morphine 7676 Opium 7804 Oxycodone 7814 Oxymorphone 8001 Pentazocine 787390 Tapentadol 10689 Tramadol
domain resource.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
  extension.value code:
    value: shareable
domain resource.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
  extension.value code:
    value: publishable
domain resource.extension:
  index: 2
  extension.url:
    value: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel
  extension.value code:
    value: structured
code system.url:
  value: http://fhir.org/guides/cqf/cds4cpm/CodeSystem/DefaultMMEConversionFactors
code system.version:
  value: 0.1.0
code system.name:
  value: DefaultMMEConversionFactors
code system.title:
  value: Default MME Conversion Factors
code system.status:
  value: active
code system.experimental:
  value: false
code system.date:
  value: 2021-05-13T17:33:00+00:00
code system.publisher:
  value: CQF
code system.contact:
  index: 0
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: http://fhir.org/guides/cqf/cds4cpm/ImplementationGuide/cqf.fhir.cds4cpm
code system.description:
  value: This Code System Supplement defines conversion factors for calculating Morphine Milligram Equivalence (MME) using conversion factors used by default for the CDS4CPM Project. The supplement defines conversions factors for ingredients in one of 3 ways: 1, as a direct conversion factor for the ingredient, 2, as a dose-form-specific conversion factor for the ingredient, and 3, as a dose-ranged conversion factor for the ingredient. See the descriptions for each property for information on how the values are represented for the different conversion factors. For a given ingredient, only one type of property will be present, and the properties will enable a unique conversion factor to be determined if the input is within the expected range. If the input is outside the expected range, implementations should indicate a conversion factor could not be determined from the supplied information. All conversion factors supplied in this supplement are in 'mg/d'.
code system.use context:
  index: 0
  usage context.code:
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/usage-context-type
    coding.code:
      value: focus
    coding.display:
      value: Clinical Focus
  usage context.value codeable concept:
    codeable concept.coding: http://snomed.info/id/182888003
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 182888003
      coding.display:
        value: Medication requested (situation)
code system.use context:
  index: 1
  usage context.code:
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/usage-context-type
    coding.code:
      value: focus
    coding.display:
      value: Clinical Focus
  usage context.value codeable concept:
    codeable concept.coding: http://snomed.info/id/82423001
      index: 0
      coding.system:
        value: http://snomed.info/sct
      coding.code:
        value: 82423001
      coding.display:
        value: Chronic pain (finding)
code system.use context:
  index: 2
  usage context.code:
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/usage-context-type
    coding.code:
      value: task
    coding.display:
      value: Task
  usage context.value codeable concept:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://fhir.org/guides/cdc/opioid-mme-r4/CodeSystem/CDCMMEUsageContextCodes
      coding.code:
        value: mme-calculation
      coding.display:
        value: MME Calculation
code system.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://unstats.un.org/unsd/methods/m49/m49.htm
    coding.code:
      value: 001
code system.case sensitive:
  value: false
code system.content:
  value: supplement
code system.supplements:
  value: http://www.nlm.nih.gov/research/umls/rxnorm
  link: http://www.nlm.nih.gov/research/umls/rxnorm
code system.property:
  index: 0
  code system.property.code:
    value: conversion-factor
  code system.property.description:
    value: Defines the conversion factor for a specific ingredient, when the conversion factor is the same for all dose forms and dose amounts for the ingredient. The value of this property will be the decimal representation of the conversion factor.
  code system.property.type:
    value: decimal
code system.property:
  index: 1
  code system.property.code:
    value: dose-form-conversion-factor
  code system.property.description:
    value: Defines the conversion factor for an ingredient when the conversion factor varies by the dose form of the medication. The value of this property will be a string of the form <dose-form-code>:<conversion-factor>[@<doses-per-day>], e.g. 970789:130, where '970789' is the RxNorm dose form code, and '130' is the decimal representation of the conversion factor. An example of a per-day conversion factor is fentanyl, 316987:7200@0.33333333, where 316987 is RxNorm dose form code, 7200 is the conversion factor, and 0.33333333 is the dosesPerDay, expressed as a decimal with a maximum of 8 digits after the decimal.
  code system.property.type:
    value: string
code system.property:
  index: 2
  code system.property.code:
    value: dose-range-conversion-factor
  code system.property.description:
    value: Defines the conversion factor for an ingredient when the conversion factor varies by the overall dose of the medication. The value of this property will be a string of the form <low-value>-<high-value>:<conversion-factor>, e.g. 1-20:4. Note that the low-value or high-value may be a wildcard '*' to indicate the range continues (e.g. '61-*:12' indicates the range is 61 or greater).
  code system.property.type:
    value: string
code system.concept:
  index: 0
  code system.concept.code:
    value: 1819
  code system.concept.display:
    value: Buprenorphine
  code system.concept.property:
    index: 0
    code system.concept.property.code:
      value: dose-form-conversion-factor
    code system.concept.property.value string:
      value: 316987:12600@0.14285714
  code system.concept.property:
    index: 1
    code system.concept.property.code:
      value: dose-form-conversion-factor
    code system.concept.property.value string:
      value: 970789:30
  code system.concept.property:
    index: 2
    code system.concept.property.code:
      value: dose-form-conversion-factor
    code system.concept.property.value string:
      value: 317007:30
  code system.concept.property:
    index: 3
    code system.concept.property.code:
      value: dose-form-conversion-factor
    code system.concept.property.value string:
      value: 316992:30
  code system.concept.property:
    index: 4
    code system.concept.property.code:
      value: dose-form-conversion-factor
    code system.concept.property.value string:
      value: 858080:30
  code system.concept.property:
    index: 5
    code system.concept.property.code:
      value: dose-form-conversion-factor
    code system.concept.property.value string:
      value: 2269578:30
code system.concept:
  index: 1
  code system.concept.code:
    value: 1841
  code system.concept.display:
    value: Butorphanol

index: 0
code system.concept.property.code:
  value: conversion-factor
code system.concept.property.value decimal:
  value: 7

index: 2
code system.concept.code:
  value: 2670
code system.concept.display:
  value: Codeine
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 0.15

index: 3
code system.concept.code:
  value: 23088
code system.concept.display:
  value: Dihydrocodeine
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 0.25

index: 4
code system.concept.code:
  value: 4337
code system.concept.display:
  value: Fentanyl
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 316987:7200@0.33333333
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 1649574:300
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 970789:130
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 317007:130
code system.concept.property:
  index: 4
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 316992:130
code system.concept.property:
  index: 5
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 858080:180
code system.concept.property:
  index: 6
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 126542:160
code system.concept.property:
  index: 7
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 346163:160
code system.concept.property:
  index: 8
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 1797831:160

index: 5
code system.concept.code:
  value: 5489
code system.concept.display:
  value: Hydrocodone
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 1

index: 6
code system.concept.code:
  value: 3423
code system.concept.display:
  value: Hydromorphone
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 4
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: dose-form-conversion-factor
  code system.concept.property.value string:
    value: 721656:20

index: 7
code system.concept.code:
  value: 237005
code system.concept.display:
  value: Levomethadyl acetate
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 8

index: 8
code system.concept.code:
  value: 6378
code system.concept.display:
  value: Loverphanol tartrate
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 11

index: 9
code system.concept.code:
  value: 6754
code system.concept.display:
  value: Meperidine
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 0.1

index: 10
code system.concept.code:
  value: 6813
code system.concept.display:
  value: Methadone
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: dose-range-conversion-factor
  code system.concept.property.value string:
    value: 1-20:4
code system.concept.property:
  index: 1
  code system.concept.property.code:
    value: dose-range-conversion-factor
  code system.concept.property.value string:
    value: 21-40:8
code system.concept.property:
  index: 2
  code system.concept.property.code:
    value: dose-range-conversion-factor
  code system.concept.property.value string:
    value: 41-60:10
code system.concept.property:
  index: 3
  code system.concept.property.code:
    value: dose-range-conversion-factor
  code system.concept.property.value string:
    value: 61-*:12

index: 11
code system.concept.code:
  value: 7052
code system.concept.display:
  value: Morphine
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 1

index: 12
code system.concept.code:
  value: 7676
code system.concept.display:
  value: Opium
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 1

index: 13
code system.concept.code:
  value: 7804
code system.concept.display:
  value: Oxycodone
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 1.5

index: 14
code system.concept.code:
  value: 7814
code system.concept.display:
  value: Oxymorphone
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 3

index: 15
code system.concept.code:
  value: 8001
code system.concept.display:
  value: Pentazocine
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 0.37

index: 16
code system.concept.code:
  value: 787390
code system.concept.display:
  value: Tapentadol
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 0.4

index: 17
code system.concept.code:
  value: 10689
code system.concept.display:
  value: Tramadol
code system.concept.property:
  index: 0
  code system.concept.property.code:
    value: conversion-factor
  code system.concept.property.value decimal:
    value: 0.1