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| Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: No defined compartments |
Raw JSON (canonical form + also see JSON Format Specification)
Activity definition to prescribe citalopram to a patient
{
"resourceType" : "ActivityDefinition",
"id" : "citalopramPrescription",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ActivityDefinition</b><a name=\"citalopramPrescription\"> </a><a name=\"hccitalopramPrescription\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ActivityDefinition "citalopramPrescription" </p></div><p><b>StructureDefinition Work Group</b>: cds</p><p><b>url</b>: <code>http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription</code></p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:oid:2.16.840.1.113883.4.642.19.6, <code>http://motivemi.com</code>/citalopramPrescription\u00a0(use:\u00a0OFFICIAL)</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: CitalopramPrescription</p><p><b>title</b>: Citalopram Prescription</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2015-08-15</p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: <a href=\"http://www.hl7.org/Special/committees/dss\">http://www.hl7.org/Special/committees/dss</a>,<a href=\"mailto:info@motivemi.com\">info@motivemi.com</a></p><p><b>description</b>: Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills</p><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Age Range (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code age = 'Age Range', stated as 'null')</td><td>Adult <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (meshb.nlm.nih.gov#D000328)</span></td></tr><tr><td style=\"display: none\">*</td><td>Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')</td><td>Mild major depression <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#87512008)</span></td></tr><tr><td style=\"display: none\">*</td><td>Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')</td><td>Mild recurrent major depression <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#40379007)</span></td></tr><tr><td style=\"display: none\">*</td><td>Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')</td><td>At risk for suicide (finding) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#225444004)</span></td></tr><tr><td style=\"display: none\">*</td><td>Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')</td><td>Referral to service (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#306206005)</span></td></tr><tr><td style=\"display: none\">*</td><td>User Type (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code user = 'User Type', stated as 'null')</td><td>Physician <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#309343006)</span></td></tr><tr><td style=\"display: none\">*</td><td>Clinical Venue (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code venue = 'Clinical Venue', stated as 'null')</td><td>Outpatient environment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#440655000)</span></td></tr></table><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-ISO3166Part1.html\">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#US)</span></p><p><b>purpose</b>: Defines a guideline supported prescription for the treatment of depressive disorders</p><p><b>usage</b>: This activity definition is used as part of various suicide risk order sets</p><p><b>copyright</b>: © Copyright 2016 Motive Medical Intelligence. All rights reserved.</p><p><b>approvalDate</b>: 2016-03-12</p><p><b>lastReviewDate</b>: 2016-08-15</p><p><b>effectivePeriod</b>: 2016-01-01 --> 2017-12-31</p><p><b>topic</b>: Mental Health Treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>author</b>: Motive Medical Intelligence: ph: 415-362-4007(WORK),<a href=\"mailto:info@motivemi.com\">info@motivemi.com</a></p><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: citation</p><p><b>display</b>: Practice Guideline for the Treatment of Patients with Major Depressive Disorder</p><blockquote><p><b>document</b></p></blockquote></blockquote><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: composed-of</p><p><b>resource</b>: <code>#citalopramMedication</code></p></blockquote><p><b>kind</b>: MedicationRequest</p><p><b>product</b>: <a name=\"hccitalopramMedication\"> </a></p><blockquote><p/><p><a name=\"citalopramMedication\"> </a></p><p><a name=\"hccitalopramMedication\"> </a></p><p><b>code</b>: citalopram <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#200371)</span></p><p><b>doseForm</b>: Tablet dose form <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385055001 "Tablet (basic dose form)")</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#hccitalopramSubstance\">#citalopramSubstance</a></td></tr></table><p><b>strength</b>: 20 mg/1 {tbl}</p></blockquote></blockquote><blockquote><p><b>dosage</b></p><p><b>text</b>: 1 tablet oral 1 time daily</p><p><b>timing</b>: Once per 1 days</p><p><b>route</b>: Oral route (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#26643006)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.numberOfRepeatsAllowed</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>dispenseRequest.numberOfRepeatsAllowed is three (3)</td><td>text/cql</td><td>3</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.quantity</p><h3>Expressions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Description</b></td><td><b>Language</b></td><td><b>Expression</b></td></tr><tr><td style=\"display: none\">*</td><td>dispenseRequest.quantity is thirty (30) tablets</td><td>text/cql</td><td>30 '{tbl}'</td></tr></table></blockquote><hr/><blockquote><p><b>Generated Narrative: Medication #citalopramMedication</b><a name=\"citalopramMedication\"> </a><a name=\"hccitalopramMedication\"> </a></p><p><b>code</b>: citalopram <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#200371)</span></p><p><b>doseForm</b>: Tablet dose form <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385055001 "Tablet (basic dose form)")</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#hccitalopramSubstance\">#citalopramSubstance</a></td></tr></table><p><b>strength</b>: 20 mg/1 {tbl}</p></blockquote></blockquote><hr/><blockquote><p><b>Generated Narrative: Substance #citalopramSubstance</b><a name=\"citalopramSubstance\"> </a><a name=\"hccitalopramSubstance\"> </a></p><p><b>instance</b>: false</p><h3>Codes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>citalopram <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#2556)</span></td></tr></table></blockquote></div>"
},
"contained" : [{
"resourceType" : "Medication",
"id" : "citalopramMedication",
"code" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "200371"
}],
"text" : "citalopram"
},
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385055001",
"display" : "Tablet (basic dose form)"
}],
"text" : "Tablet dose form"
},
"ingredient" : [{
"item" : {
"reference" : {
"reference" : "#citalopramSubstance"
}
},
"strengthRatio" : {
"numerator" : {
"value" : 20,
"unit" : "mg"
},
"denominator" : {
"value" : 1,
"unit" : "{tbl}"
}
}
}]
},
{
"resourceType" : "Substance",
"id" : "citalopramSubstance",
"instance" : false,
"code" : {
"concept" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "2556"
}],
"text" : "citalopram"
}
}
}],
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "cds"
}],
"url" : "http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription",
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.19.6"
},
{
"use" : "official",
"system" : "http://motivemi.com",
"value" : "citalopramPrescription"
}],
"version" : "1.0.0",
"name" : "CitalopramPrescription",
"title" : "Citalopram Prescription",
"status" : "active",
"experimental" : true,
"date" : "2015-08-15",
"publisher" : "HL7 International / Clinical Decision Support",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/dss",
"use" : "work"
},
{
"system" : "email",
"value" : "info@motivemi.com",
"use" : "work"
}]
}],
"description" : "Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills",
"useContext" : [{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "age"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "https://meshb.nlm.nih.gov",
"code" : "D000328",
"display" : "Adult"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "87512008",
"display" : "Mild major depression"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "40379007",
"display" : "Mild recurrent major depression"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "225444004",
"display" : "At risk for suicide (finding)"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "306206005",
"display" : "Referral to service (procedure)"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "user"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "309343006",
"display" : "Physician"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "venue"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "440655000",
"display" : "Outpatient environment"
}]
}
}],
"jurisdiction" : [{
"coding" : [{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}]
}],
"purpose" : "Defines a guideline supported prescription for the treatment of depressive disorders",
"usage" : "This activity definition is used as part of various suicide risk order sets",
"copyright" : "© Copyright 2016 Motive Medical Intelligence. All rights reserved.",
"approvalDate" : "2016-03-12",
"lastReviewDate" : "2016-08-15",
"effectivePeriod" : {
"start" : "2016-01-01",
"end" : "2017-12-31"
},
"topic" : [{
"text" : "Mental Health Treatment"
}],
"author" : [{
"name" : "Motive Medical Intelligence",
"telecom" : [{
"system" : "phone",
"value" : "415-362-4007",
"use" : "work"
},
{
"system" : "email",
"value" : "info@motivemi.com",
"use" : "work"
}]
}],
"relatedArtifact" : [{
"type" : "citation",
"display" : "Practice Guideline for the Treatment of Patients with Major Depressive Disorder",
"document" : {
"url" : "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"
}
},
{
"type" : "composed-of",
"resource" : "#citalopramMedication"
}],
"kind" : "MedicationRequest",
"productReference" : {
"reference" : "#citalopramMedication"
},
"dosage" : [{
"text" : "1 tablet oral 1 time daily",
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [{
"code" : "26643006",
"display" : "Oral route (qualifier value)"
}],
"text" : "Oral route (qualifier value)"
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"doseQuantity" : {
"value" : 1,
"unit" : "{tbl}"
}
}]
}],
"dynamicValue" : [{
"path" : "dispenseRequest.numberOfRepeatsAllowed",
"expression" : {
"description" : "dispenseRequest.numberOfRepeatsAllowed is three (3)",
"language" : "text/cql",
"expression" : "3"
}
},
{
"path" : "dispenseRequest.quantity",
"expression" : {
"description" : "dispenseRequest.quantity is thirty (30) tablets",
"language" : "text/cql",
"expression" : "30 '{tbl}'"
}
}]
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-cibuild generated on Fri, Apr 19, 2024 18:24+0000.
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