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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)
Low Suicide Risk Order Set
{ "resourceType" : "PlanDefinition", "id" : "low-suicide-risk-order-set", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Id: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">PlanDefinition/low-suicide-risk-order-set</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Identifier: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>value: </b>\n <span>mmi:low-suicide-risk-order-set</span>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Title: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">Low Suicide Risk Order Set</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Status: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">draft</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Description: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">Orders to be applied to a patient characterized as low suicide risk.</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Purpose: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Usage: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">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.</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>age</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>https://meshb.nlm.nih.gov</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>D000328</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Adult</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>87512008</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Mild major depression</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>40379007</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Mild recurrent major depression</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>394687007</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Low suicide risk</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>225337009</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Suicide risk assessment</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>user</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>309343006</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Physician</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>venue</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>440655000</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Outpatient environment</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Topic: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <span>\n <b>text: </b>\n <span>Suicide risk assessment</span>\n </span>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Contributor: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>\n <span>author</span>:\n </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 50px; padding-right: 25px;\">Motive Medical Intelligence</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Library: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>reference: </b>\n <span>Library/suiciderisk-orderset-logic</span>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>display: </b>\n <span>SuicideRiskLogic</span>\n </td>\n </tr>\n </table>\n <p/>\n <h2>Actions</h2>\n <p style=\"width: 100%;\" class=\"hierarchy\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 25px;\">\n <b>title: </b>\n <span>Suicide Risk Assessment and Outpatient Management</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 50px;\">\n <b>title: </b>\n <span>Consults and Referrals</span>\n <br/>\n </span>\n <span style=\"padding-left: 50px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 75px;\">\n <b>text: </b>\n <span>Refer to outpatient mental health program for evaluation and treatment of mental health conditions now</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\">\n <b>condition: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>reference: </b>\n <br/>\n <span style=\"padding-left: 125px;\">#referralToMentalHealthCare</span>\n <span>\n <span style=\"padding-left: 75px;\">\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>description: </b>\n <span>refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\">\n <b>category: </b>\n <span>referral</span>\n <br/>\n </span>\n </span>\n </span>\n </span>\n </span>\n <span style=\"padding-left: 50px;\"/>\n </span>\n </span>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 50px;\">\n <b>title: </b>\n <span>Medications</span>\n <br/>\n </span>\n <span style=\"padding-left: 50px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 75px;\">\n <b>title: </b>\n <span>First-Line Antidepressants</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>title: </b>\n <span>Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 125px;\">\n <b>condition: </b>\n <br/>\n <span style=\"padding-left: 150px;\">\n <b>reference: </b>\n <br/>\n <span style=\"padding-left: 175px;\">#citalopramPrescription</span>\n <span/>\n <span>\n <span style=\"padding-left: 125px;\">\n <br/>\n <span style=\"padding-left: 150px;\">\n <b>category: </b>\n <span>drug</span>\n <br/>\n </span>\n </span>\n </span>\n <span/>\n <span/>\n </span>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n </span>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>text: </b>\n <span>Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>text: </b>\n <span>Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n </span>\n </span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </div>" }, "contained" : [{ "resourceType" : "ActivityDefinition", "id" : "referralToMentalHealthCare", "status" : "draft", "description" : "refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now", "kind" : "ServiceRequest", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "306206005" }], "text" : "Referral to service (procedure)" }, "timingTiming" : { "_event" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression", "valueExpression" : { "language" : "text/cql", "expression" : "Now()" } }] }] }, "participant" : [{ "type" : "practitioner" }] }, { "resourceType" : "ActivityDefinition", "id" : "citalopramPrescription", "status" : "draft", "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" : { "language" : "text/cql", "expression" : "3" } }, { "path" : "dispenseRequest.quantity", "expression" : { "language" : "text/cql", "expression" : "30 '{tbl}'" } }] }, { "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/PlanDefinition/low-suicide-risk-order-set", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.4.642.11.7" }, { "use" : "official", "system" : "http://motivemi.com/artifacts", "value" : "mmi:low-suicide-risk-order-set" }], "version" : "1.0.0", "name" : "LowSuicideRiskOrderSet", "title" : "Low Suicide Risk Order Set", "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" }] }], "description" : "Orders to be applied to a patient characterized as low suicide risk.", "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" : "394687007", "display" : "Low suicide risk" }] } }, { "code" : { "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type", "code" : "focus" }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "225337009", "display" : "Suicide risk assessment" }] } }, { "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" : "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.", "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" : "Suicide risk assessment" }], "author" : [{ "name" : "Motive Medical Intelligence", "telecom" : [{ "system" : "phone", "value" : "415-362-4007", "use" : "work" }, { "system" : "email", "value" : "info@motivemi.com", "use" : "work" }] }], "relatedArtifact" : [{ "type" : "derived-from", "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" : "http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth" }, { "type" : "composed-of", "resource" : "http://example.org/fhir/ActivityDefinition/citalopramPrescription" }], "library" : ["http://example.org/fhir/Library/suiciderisk-orderset-logic"], "action" : [{ "title" : "Suicide Risk Assessment and Outpatient Management", "action" : [{ "title" : "Consults and Referrals", "groupingBehavior" : "logical-group", "selectionBehavior" : "any", "action" : [{ "textEquivalent" : "Refer to outpatient mental health program for evaluation and treatment of mental health conditions now", "definitionCanonical" : "#referralToMentalHealthCare", "dynamicValue" : [{ "path" : "timing.event", "expression" : { "language" : "text/cql", "expression" : "Now()" } }, { "path" : "specialty", "expression" : { "language" : "text/cql", "expression" : "Code '261QM0850X' from SuicideRiskLogic.\"NUCC Provider Taxonomy\" display 'Adult Mental Health'" } }, { "path" : "occurrenceDateTime", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.ServiceRequestFulfillmentTime" } }, { "path" : "subject", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.Patient" } }, { "path" : "requester.agent", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.Practitioner" } }, { "path" : "reasonCode", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.RiskAssessmentScore" } }, { "path" : "reasonReference", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.RiskAssessment" } }] }] }, { "title" : "Medications", "groupingBehavior" : "logical-group", "selectionBehavior" : "at-most-one", "action" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/evidence-quality", "code" : "high" }], "text" : "High Quality" } }], "title" : "First-Line Antidepressants", "documentation" : [{ "type" : "citation", "document" : { "contentType" : "text/html", "url" : "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf", "title" : "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" } }], "groupingBehavior" : "logical-group", "selectionBehavior" : "at-most-one", "action" : [{ "title" : "Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)", "documentation" : [{ "type" : "citation", "document" : { "contentType" : "text/html", "url" : "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01", "title" : "National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet, film coated." } }], "groupingBehavior" : "logical-group", "selectionBehavior" : "at-most-one", "action" : [{ "textEquivalent" : "citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)", "definitionCanonical" : "#citalopramPrescription", "dynamicValue" : [{ "path" : "status", "expression" : { "language" : "text/cql", "expression" : "'draft'" } }, { "path" : "patient", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.Patient" } }, { "path" : "prescriber", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.Practitioner" } }, { "path" : "reasonCode", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.RiskAssessmentScore" } }, { "path" : "reasonReference", "expression" : { "language" : "text/cql", "expression" : "SuicideRiskLogic.RiskAssessment" } }] }, { "textEquivalent" : "escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" }, { "textEquivalent" : "fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)" }, { "textEquivalent" : "paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" }, { "textEquivalent" : "sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" }] }, { "textEquivalent" : "Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)" }, { "textEquivalent" : "Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)" }, { "textEquivalent" : "Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)" }] }] }] }] }
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-ballot2 generated on Wed, Oct 2, 2024 17:58+0000.
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