moderate_opioid_pain_reliever.json

{
  "name": "Moderate Opioid Pain Reliever",
  "remarks": [
    "This submodule prescribes a moderate opioid pain reliever for acute pain. ",
    "For example, after a major surgery or injury. Medications prescribed ",
    "in this module are accurate for the current year of the simulation. ",
    "If a patient is not eligible for an opioid pain reliever (for example, ",
    "if they are already taking one, or if they are a young child), none is prescribed.",
    "All medications prescribed in this module are assigned to the attribute ",
    "'opioid_prescription'. It is the responsibility of the Opioid Addiction module ",
    "to end this medication.",
    "Availability dates for different drugs came from the FDA: ",
    "http://www.accessdata.fda.gov/scripts/cder/daf/",
    "Dosage information came from FDA reference sheets available at: ",
    "https://www.drugs.com/dosage/",
    "The following medications are prescribed in this module. Most opioids were invented ",
    "during or prior to WWII, but did not become widely available until after the war:",
    "1. Meperidine (Demerol)                      available after 1945      ",
    "2. Hydrocodone/Acetaminophen (Vicondin)      available after 1943      ",
    "3. Oxycodone/Acetaminophen (Percocet)        available after 1920 (est)"
  ],
  "states": {
    "Initial": {
      "type": "Initial",
      "conditional_transition": [
        {
          "condition": {
            "condition_type": "And",
            "conditions": [
              {
                "condition_type": "Attribute",
                "attribute": "opioid_prescription",
                "operator": "is nil"
              },
              {
                "condition_type": "Age",
                "operator": ">=",
                "quantity": 12,
                "unit": "years"
              }
            ]
          },
          "transition": "Prescribe_Moderate_Opioid"
        },
        {
          "transition": "Moderate_Opioid_Terminal"
        }
      ]
    },
    "Prescribe_Moderate_Opioid": {
      "type": "Simple",
      "complex_transition": [
        {
          "condition": {
            "condition_type": "Date",
            "operator": "<",
            "year": 1920
          },
          "distributions": [
            {
              "distribution": 1,
              "transition": "Moderate_Opioid_Terminal"
            }
          ]
        },
        {
          "condition": {
            "condition_type": "Date",
            "operator": "<",
            "year": 1945
          },
          "distributions": [
            {
              "distribution": 1,
              "transition": "Prescribe_Oxycodone_Acetaminophen"
            }
          ]
        },
        {
          "distributions": [
            {
              "distribution": 0.4,
              "transition": "Prescribe_Meperidine"
            },
            {
              "distribution": 0.3,
              "transition": "Prescribe_Oxycodone_Acetaminophen"
            },
            {
              "distribution": 0.3,
              "transition": "Prescribe_Hydrocodone_Acetaminophen"
            }
          ]
        }
      ]
    },
    "Prescribe_Meperidine": {
      "type": "MedicationOrder",
      "assign_to_attribute": "opioid_prescription",
      "codes": [
        {
          "system": "RxNorm",
          "code": "861467",
          "display": "Meperidine Hydrochloride 50 MG Oral Tablet"
        }
      ],
      "prescription": {
        "dosage": {
          "amount": 1,
          "frequency": 1,
          "period": 4,
          "unit": "hours"
        },
        "duration": {
          "quantity": 2,
          "unit": "weeks"
        }
      },
      "direct_transition": "Moderate_Opioid_Terminal"
    },
    "Prescribe_Oxycodone_Acetaminophen": {
      "type": "MedicationOrder",
      "assign_to_attribute": "opioid_prescription",
      "codes": [
        {
          "system": "RxNorm",
          "code": "1049221",
          "display": "Acetaminophen 325 MG / oxyCODONE Hydrochloride 5 MG Oral Tablet"
        }
      ],
      "prescription": {
        "dosage": {
          "amount": 1,
          "frequency": 1,
          "period": 6,
          "unit": "hours"
        },
        "duration": {
          "quantity": 2,
          "unit": "weeks"
        }
      },
      "direct_transition": "Moderate_Opioid_Terminal"
    },
    "Prescribe_Hydrocodone_Acetaminophen": {
      "type": "MedicationOrder",
      "assign_to_attribute": "opioid_prescription",
      "codes": [
        {
          "system": "RxNorm",
          "code": "857005",
          "display": "Acetaminophen 325 MG / HYDROcodone Bitartrate 7.5 MG Oral Tablet"
        }
      ],
      "prescription": {
        "dosage": {
          "amount": 1,
          "frequency": 1,
          "period": 6,
          "unit": "hours"
        },
        "duration": {
          "quantity": 2,
          "unit": "weeks"
        }
      },
      "direct_transition": "Moderate_Opioid_Terminal"
    },
    "Moderate_Opioid_Terminal": {
      "type": "Terminal"
    }
  },
  "gmf_version": 1
}