Opioid Abuse – Cook County Department of Public Health, 2019

This syndrome was created to monitor emergency room visits related to opioid abuse in Suburban Cook County, IL. It is adapted from CDC’s Opioid Overdose v2 syndrome, and expanded to include terms for opioid withdrawal, injection site infections, and patients with underlying opiate abuse or dependence disorders, as well as unintentional overdose with opioids. This definition excludes patients who are in remission for opioid abuse/dependence, and does not have inclusionary terms for cases of intentional overdose or suicide attempts with opioids, or use/side effects of clinically indicated prescription opioids. This syndrome definition was developed in ESSENCE (NSSP) and validated using manual review and correlation with hospital discharge data for the year 2017 (r=0.82). The definition is intended to query chief complaint and discharge diagnosis variables in emergency room data.

Surveillance System: 
ESSENCE (NSSP)
Syndrome Definition: 

(,(,^narcan^,or,^naloxo^,or,^her[oi][io]n^,andnot,(,^denie[sd] her[oi][io]n^,or,^deny her[oi][io]n^,or,^denying her[oi][io]n^,),or,^T40.0X1^,or,^T40.0X4^,or,^T40.1X1^,or,^T40.1X4^,or,^T40.2X1^,or,^T40.2X4^,or,^T40.3X1^,or,^T40.3X4^,or,^T40.4X1^,or,^T40.4X4^,or,^T40.601^,or,^T40.604^,or,^T40.691^,or,^T40.694^,or,^T400X1^,or,^T400X4^,or,^T401X1^,or,^T401X4^,or,^T402X1^,or,^T402X4^,or,^T403X1^,or,^T403X4^,or,^T404X1^,or,^T404X4^,or,^T40601^,or,^T40604^,or,^T40691^,or,^T40694^,or,^F11^,or,^75544000^,or,^191865004^,or,^191819002^,or,^191820008^,or,^426001001^,or,^23147703^,or,^231478008^,or,^231479000^,or,^724653003^,or,^1081000119105^,or,^231480002^,or,^191909007^,or,^145121000119106^,or,^191912005^,or,^191913000^,or,^295174006^,or,^295175007^,or,^295176008^,or,^295165009^,or,^242253008^,or,^297199006^,or,^295213004^,), andnot,(,^F11.21^,or,^F1121^,or,^F11.11^,or,^F1111^,),),or,(,(,(,^poison^,or,^verdo[se][se]^,or,^over dose^,or,^overose^,or,^nodding^,or,^ nod ^,or,^snort^,or,^in[gj]est^,or,(,^in[gj]ect^,andnot,^ster[oi][io]d^,),or,^intoxic^,or,^unresponsiv^,or,(,^loss of consciousness^, andnot,(,^no loss of consciousness^,or,^denie[sd] loss of consciousness^,or,^negative loss of consciousness^,or,^denies any loss of consciousness^,),),or,^syncop^,or,^altered mental status^,or,^abus^,or,^withdra^,or,^deto[xzsc]^,or,^dtox^,or,^cellulitis^,or,^celluitis^,or,^relaps^,or,^dopesick^,or,^dope sick^,or,^depend[ea]n^,or,^addict^,or,^shot up^,),and,(,^ hod ^,or,^speedball^,or,^speed ball^,or,^dope^,or,^opioid^,or,^op[io][oi]d^,or,^opiate^,or,^opate^,or,^op[iu][ui]m^,or,^opum^,or,^methadone^,or,^suboxone^,or,^oxyco^,or,^oxyi^,or,^ oxy ^,or,^percoc^,or,^vicod^,or,^fent^,or,^hydrocod^,or,^morphin^,or,^cod[ei][ie]n^,or,^codene^,or,^oxymor^,or,^dilaud^,or,^hydromor^,or,^tramad^,or,^suboxin^,or,^buprenorphine^,or,^Abstral^,or,^Actiq^,or,^Avinza^,or,^Butrans^,or,^Demer[oa]l^,or,^Dolophine^,or,^Duragesic^,or,^Hysingla^,or,^Methadose^,or,^Morphabond^,or,^Nucynta^,or,^Onsolis^,or,^Oramorph^,or,^Oxaydo^,or,^Roxanol^,or,^Sublimaze^,or,^Xtampza^,or,^Zohydro^,or,^Anexsia ^,or,^Co-Gesic^,or,^Embeda ^,or,^Exalgo^,or,^Hycet^,or,^Hycodan^,or,^Hydromet^,or,^Ibudone^,or,^Kadian^,or,^Liquicet^,or,^Lorcet^,or,^Lortab^,or,^Maxidone^,or,^ MS Contin ^,or,^Norco ^,or,^ Opana ^,or,^Oxycet^,or,^Palladone^,or,^Percodan^,or,^Reprexain^,or,^Rezira^,or,^Roxicet^,or,^Targiniq^,or,^TussiCaps^,or,^ Tussione ^,or,^Tuzistra^,or,^Vicoprofen^,or,^Vituz^,or,^Xartemis^,or,^Xodol^,or,^Zolvit^,or,^Zutripro^,or,^Zydone^,or,^Ultram^,),),andnot,(,^denie[sd] drug^,or,^deny drug^,or,^denying drug^,or,^denie[sd] any drug^, or,^ oxy sat ^,or,^ oxy state ^,or,^oxy high^,or,^oxy low^,or,^oxy mask ^,or,^oxy given^,or,^given oxy ^,or,^oxy clean^,or,^low oxy ^,or,^high oxy ^,or,^placed on oxy ^,or,^pulse oxy ^,or,^oxy deep cleaner^,or,^not enough oxy ^,or,^oxy level^,or,^sedat ^,or,^rec[ei][ie]ved fent^,or,^administered fent^,or,^given fent^,or,^fentanyl en route^,or,^fentanyl enroute^,or,^fentanyl enrt^,or,^fent en route^,or,^fentanyl given^,or,^fentynl given^,or,^gave fent^,or,^mcg fent^,or,^mcg of fent^,or,^fentanyl 75^,or,^fentanyl 50^,or,^50 fent^,or,^fentanyl 100^,or,^100 fent^,or,^fentanyl 150^,or,^intranasal fent^,or,^milligram fent^,or,^miligram of fent^,or,^ fenton ^,or,^fent pta^,or,^fentanyl pta^,or,^fentynl 100 ^,or,^fentynyl 100^,or,^fentynal 50^,or,^fentynl 50^,or,^fent 50^,or,^fent 100^,or,^fent 150^,or,^diffently^,or,^ given 50 ^,or,^ given 100 ^,or,^ given 150 ^,or,^ gave 50 ^,or,^ gave 100 ^,or,^ gave 150 ^,or,^ doses of fent^,),)

Attached Syntax Platform: 
ESSENCE
Submitting Author Organization: 
Cook County Department of Public Health
Submitting Author Email: 
hannah.steinberg@cookcountyhhs.org
Syndrome Category: 

March 28, 2019

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The National Syndromic Surveillance Program (NSSP) is a collaboration among states and public health jurisdictions that contribute data to the BioSense Platform, public health practitioners who use local syndromic surveillance systems, Center for Disease Control and Prevention programs, other federal agencies, partner organizations, hospitals, healthcare professionals, and academic institutions.

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