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Abstract

Patients on prescription opioids for pain can develop opioid use disorder (OUD) from extended use. Such patients are at increased risk for opioid overdose deaths contributing to the national opioid crisis. The CDC's opioid prescribing guidelines has recommendations for the primary care providers (PCPs) to consider OUD risk before and periodically during ongoing prescribing of long-term opioids for patients with chronic, non-cancer pain. However, the process is relatively complex, requiring PCPs to integrate disparate patient-specific data from multiple sources. Further, recent initiatives and plans to address opioid misuse and use disorder require that data be computable to meet the triple aim of improving practice, enabling research and informing policy. This work is a novel attempt to incorporate PCPs' knowledge and experience into a framework for defining the gaps between information needs of the PCPs and readiness of the electronic health record (EHR) for assessing patients' OUD risk.

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