Evidence status: DATED NEW MEXICO HEALTH-SYSTEM IMPLEMENTATION RECORD. Presbyterian Healthcare Services published a chronic-opioid-therapy clinical pathway documenting how its system implemented New Mexico’s written-agreement requirement. The public document is dated 2019 and is preserved here with that date boundary.
Controlled Medication Treatment Agreement
The Presbyterian clinical pathway states that, under New Mexico Medical Board Rule 16.10.14.9, the chronic-pain patient and prescribing practitioner enter into a written agreement outlining patient responsibilities when controlled substances are prescribed for pain therapy.
How Presbyterian operationalized the agreement
- The provider and RN team nurse review the agreement and its responsibilities with the patient.
- The signed agreement is scanned into the medical record.
- The Epic electronic health record uses a Controlled Substance Care Plan, Controlled Substance Flow Sheet, and Controlled Substance Snapshot to document agreements, violations, risk assessment, and prescribing information.
- The pathway links the agreement to ongoing chronic-opioid monitoring, risk assessment, functional goals, and opioid-safety practices.
Why this record matters
This document shows that the New Mexico rule was implemented inside a major statewide health system as a structured EHR workflow, not merely as a paper form. It also gives a concrete institutional example of how agreement status and alleged violations can become durable medical-record data.
Date boundary
The public Presbyterian document is a 2019 clinical pathway. This page does not claim that every workflow field or clinical recommendation remains unchanged in 2026. It is retained as documented institutional implementation of the state agreement mandate.
Source
Reviewed: October 4, 2026.