<status value="active"/><experimental value="true"/><date value="2015-08-15"/><publisher value="HL7 International / Clinical Decision Support"/><contact><telecom><system value="url"/><value value="http://www.hl7.org/Special/committees/dss"/></telecom></contact><description value="Orders to be applied to a patient characterized as low suicide risk."/><useContext><code><system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/><code value="age"/></code><valueCodeableConcept><coding><system value="https://meshb.nlm.nih.gov"/><code value="D000328"/><display value="Adult"/></coding></valueCodeableConcept></useContext><useContext><code><system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/><code value="focus"/></code><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="87512008"/><display value="Mild major depression"/></coding></valueCodeableConcept></useContext><useContext><code><system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/><code value="focus"/></code><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="40379007"/><display value="Mild recurrent major depression"/></coding></valueCodeableConcept></useContext><useContext><code><system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/><code value="focus"/></code><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="394687007"/><display value="Low suicide risk"/></coding></valueCodeableConcept></useContext><useContext><code><system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/><code value="focus"/></code><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="225337009"/><display value="Suicide risk assessment"/></coding></valueCodeableConcept></useContext><useContext><code><system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/><code value="user"/></code><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="309343006"/><display value="Physician"/></coding></valueCodeableConcept></useContext><useContext><code><system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/><code value="venue"/></code><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="440655000"/><display value="Outpatient environment"/></coding></valueCodeableConcept></useContext><jurisdiction><coding><system value="urn:iso:std:iso:3166"/><code value="US"/></coding></jurisdiction><purpose value="This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients."/><usage value="This order set should be applied after assessing a patient for suicide risk, when the findings of that assessment indicate the patient has low suicide risk."/><copyright value="© Copyright 2016 Motive Medical Intelligence. 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Id:

PlanDefinition/low-suicide-risk-order-set

Identifier:

value: mmi:low-suicide-risk-order-set

Title:

Low Suicide Risk Order Set

Status:

draft

Description:

Orders to be applied to a patient characterized as low suicide risk.

Purpose:

This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.

Usage:

This order set should be applied after assessing a patient for suicide risk, when the findings of that assessment indicate the patient has low suicide risk.

Context:

system: http://terminology.hl7.org/CodeSystem/usage-context-type

code: age

value:
system: https://meshb.nlm.nih.gov
code: D000328
display: Adult

Context:

system: http://terminology.hl7.org/CodeSystem/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 87512008
display: Mild major depression

Context:

system: http://terminology.hl7.org/CodeSystem/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 40379007
display: Mild recurrent major depression

Context:

system: http://terminology.hl7.org/CodeSystem/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 394687007
display: Low suicide risk

Context:

system: http://terminology.hl7.org/CodeSystem/usage-context-type

code: focus

value:
system: http://snomed.info/sct
code: 225337009
display: Suicide risk assessment

Context:

system: http://terminology.hl7.org/CodeSystem/usage-context-type

code: user

value:
system: http://snomed.info/sct
code: 309343006
display: Physician

Context:

system: http://terminology.hl7.org/CodeSystem/usage-context-type

code: venue

value:
system: http://snomed.info/sct
code: 440655000
display: Outpatient environment

Topic:

text: Suicide risk assessment

Contributor:

author:

Motive Medical Intelligence

Library:

reference: Library/suiciderisk-orderset-logic

display: SuicideRiskLogic

Actions

Step:
title: Suicide Risk Assessment and Outpatient Management
Step:
title: Consults and Referrals
Step:
text: Refer to outpatient mental health program for evaluation and treatment of mental health conditions now
condition:
reference:
#referralToMentalHealthCare
description: refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now
category: referral
Step:
title: Medications
Step:
title: First-Line Antidepressants
Step:
title: Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)
Step:
text: citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)
condition:
reference:
#citalopramPrescription
category: drug
Step:
text: escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)
Step:
text: paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)
Step:
text: Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)
Step:
text: Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)
Step:
text: Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)