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Example ActivityDefinition/citalopramPrescription (XML)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: No defined compartments

Raw XML (canonical form + also see XML Format Specification)

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Activity definition to prescribe citalopram to a patient (id = "citalopramPrescription")

<?xml version="1.0" encoding="UTF-8"?>

<ActivityDefinition xmlns="http://hl7.org/fhir">
  <id value="citalopramPrescription"/> 
  <text> <status value="extensions"/> <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 &quot;citalopramPrescription&quot; </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.t
        xt 

This 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: 

Note 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.

This 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 (use: OFFICIAL)</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 --&gt; 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 &quot;Tablet (basic dose form)&quot;)</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 &quot;Tablet (basic dose form)&quot;)</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> </text> <contained> 
    <Medication> 
      <id value="citalopramMedication"/> 
      <code> 
        <coding> 
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
          <code value="200371"/> 
        </coding> 
        <text value="citalopram"/> 
      </code> 
        <doseForm> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="385055001"/> 
            <display value="Tablet (basic dose form)"/> 
          </coding> 
          <text value="Tablet dose form"/> 
        </doseForm> 
        <ingredient> 
          <item> 
            <reference> 
            <reference value="#citalopramSubstance"/> 
            </reference> 
          </item> 
          <strengthRatio> 
            <numerator> 
              <value value="20"/> 
              <unit value="mg"/> 
            </numerator> 
            <denominator> 
              <value value="1"/> 
              <unit value="{tbl}"/> 
            </denominator> 
          </strengthRatio> 
        </ingredient> 
    </Medication> 
  </contained> 
  <contained> 
    <Substance> 
      <id value="citalopramSubstance"/> 
      <instance value="false"/> 
      <code> 
        <concept> 
          <coding> 
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
            <code value="2556"/> 
          </coding> 
          <text value="citalopram"/> 
        </concept> 
      </code> 
    </Substance> 
  </contained> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="cds"/> </extension> 
  <url value="http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.19.6"/> 
  </identifier> 
  <identifier> 
    <use value="official"/> 
    <system value="http://motivemi.com"/> 
    <value value="citalopramPrescription"/> 
  </identifier> 
  <version value="1.0.0"/> 
  <name value="CitalopramPrescription"/> 
  <title value="Citalopram Prescription"/> 
  <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"/> 
      <use value="work"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="info@motivemi.com"/> 
      <use value="work"/> 
    </telecom> 
  </contact> 
  <description value="Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills"/> 
  <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="225444004"/> 
        <display value="At risk for suicide (finding)"/> 
      </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="306206005"/> 
        <display value="Referral to service (procedure)"/> 
      </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="Defines a guideline supported prescription for the treatment of depressive disorders"/> 
  <usage value="This activity definition is used as part of various suicide risk order sets"/> 
  <copyright value="© Copyright 2016 Motive Medical Intelligence. All rights reserved."/> 
  <approvalDate value="2016-03-12"/> 
  <lastReviewDate value="2016-08-15"/> 
  <effectivePeriod> 
    <start value="2016-01-01"/> 
    <end value="2017-12-31"/> 
  </effectivePeriod> 
  <topic> 
    <text value="Mental Health Treatment"/> 
  </topic> 
  <author> 
    <name value="Motive Medical Intelligence"/> 
    <telecom> 
    <system value="phone"/> 
    <value value="415-362-4007"/> 
    <use value="work"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
    <value value="info@motivemi.com"/> 
    <use value="work"/> 
    </telecom> 
  </author> 
    <relatedArtifact> 
      <type value="citation"/> 
      <display value="Practice Guideline for the Treatment of Patients with Major Depressive Disorder"/> 
      <document> 
        <url value="http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"/> 
      </document> 
  </relatedArtifact> 
  <relatedArtifact> 
      <type value="composed-of"/> 
      <resource value="#citalopramMedication"/> 
  </relatedArtifact> 
  <kind value="MedicationRequest"/> 
  <productReference> 
    <reference value="#citalopramMedication"/> 
  </productReference> 
  <dosage> 
    <text value="1 tablet oral 1 time daily"/> 
    <timing> 
      <repeat> 
        <frequency value="1"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
      </repeat> 
    </timing> 
    <route> 
      <coding> 
        <code value="26643006"/> 
        <display value="Oral route (qualifier value)"/> 
      </coding> 
      <text value="Oral route (qualifier value)"/> 
    </route> 
    <doseAndRate> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
          <code value="ordered"/> 
          <display value="Ordered"/> 
        </coding> 
      </type> 
      <doseQuantity> 
        <value value="1"/> 
        <unit value="{tbl}"/> 
      </doseQuantity> 
    </doseAndRate> 
  </dosage> 
  <dynamicValue> 
    <path value="dispenseRequest.numberOfRepeatsAllowed"/> 
    <expression> 
      <description value="dispenseRequest.numberOfRepeatsAllowed is three (3)"/> 
      <language value="text/cql"/> 
      <expression value="3"/> 
    </expression> 
  </dynamicValue> 
  <dynamicValue> 
    <path value="dispenseRequest.quantity"/> 
    <expression> 
      <description value="dispenseRequest.quantity is thirty (30) tablets"/> 
      <language value="text/cql"/> 
      <expression value="30 '{tbl}'"/> 
    </expression> 
  </dynamicValue> 
</ActivityDefinition> 

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.