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Example PlanDefinition/low-suicide-risk-order-set (JSON)

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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",
      "use" : "work"
    },
    {
      "system" : "email",
      "value" : "info@motivemi.com",
      "use" : "work"
    }]
  }],
  "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" : [{
        "title" : "First-Line Antidepressants",
        "documentation" : [{
          "type" : "citation",
          "document" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence",
              "valueCodeableConcept" : {
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/evidence-quality",
                  "code" : "high"
                }],
                "text" : "High Quality"
              }
            }],
            "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.