This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.
Mmi-suiciderisk-orderset-example.xml

Raw XML (canonical form)
GuidanceArtifact used to define a suicide risk management Order Set (id = "mmi-suiciderisk-orderset-example")
<Basic xmlns="http://hl7.org/fhir">
  <!--   This example demonstrates the GuidanceArtifact structure used to represent a Suicide
   Risk Order Set   -->
  <!--   The content for this example was provided by Motive Medical Intelligence   -->
  <id value="mmi-suiciderisk-orderset-example"/>
  <meta>
    <!--   TODO: Should be able to claim conformance with only the guidance artifact, need derived
     profiles to work first   -->
    <profile value="http://hl7.org/fhir/StructureDefinition/cqif-knowledgemodule"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/cqif-guidanceartifact"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Low Suicide Risk Order Set...</div>
  </text>
  <contained>
    <Organization>
      <id value="organization1"/>
      <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>
      <address>
        <line value="580 California St #1925"/>
        <city value="San Francisco"/>
        <state value="CA"/>
        <postalCode value="94101"/>
        <country value="USA"/>
      </address>
    </Organization>
  </contained>
  <contained>
    <!--   The referral request here is only partially specified, additional information will be
     provided from context, see the action definition below   -->
    <ReferralRequest>
      <id value="referralRequest"/>
      <status value="requested"/>
      <type>
        <text value="TODO: Validation failure: term service connect denied"/>
        <!--   Validation Failure: term server connect denied?
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="306206005"/>
        </coding>
          -->
      </type>
      <specialty>
        <text value="TODO: Validation failure: not done yet?"/>
        <!--   Validation Failure: not done yet?
        <coding>
          <system value="urn:oid:2.16.840.1.113883.11.19465"/  --> <!--   NUCC Provider Codes   -->
          <!--  code value="261QM0850X"/>
        </coding>
          -->
      </specialty>
      <description value="refer to primary care-mental health integrated care program for evaluation and treatment
       of mental health conditions now"/>
      <serviceRequested>
        <text value="TODO: Validation failure: term service connect denied"/>
        <!--   Validation Failure: term server connect denied?
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385893007"/>
        </coding>
          -->
      </serviceRequested>
    </ReferralRequest>
  </contained>
  <contained>
    <MedicationOrder>
      <id value="citalopramPrescription"/>
      <medicationReference>
        <reference value="#citalopramMedication"/>
      </medicationReference>
      <dosageInstruction>
        <text value="1 tablet oral 1 time daily"/>
        <timing>
          <repeat>
            <frequency value="1"/>
            <period value="1"/>
            <periodUnits value="d"/>
          </repeat>
        </timing>
        <route>
          <text value="Oral route (qualifier value)"/>
          <!--   Validation Failure: Term server connect denied?
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="26643006"/>
            <display value="Oral route (qualifier value)"/>
          </coding>
            -->
        </route>
        <doseQuantity>
          <value value="1"/>
          <unit value="{tbl}"/>
        </doseQuantity>
      </dosageInstruction>
      <dispenseRequest>
        <numberOfRepeatsAllowed value="3"/>
        <quantity>
          <value value="30"/>
          <unit value="{tbl}"/>
        </quantity>
      </dispenseRequest>
    </MedicationOrder>
  </contained>
  <contained>
    <Medication>
      <id value="citalopramMedication"/>
      <code>
        <text value="citalopram"/>
        <!--   Validation Failure: Not done yet?
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="200371"/>
        </coding  -->
      </code>
      <product>
        <form>
          <text value="Tablet dose form"/>
          <!--   Validation Failure: Term server connect denied?
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="385055001"/>
            <display value="Tablet dose form"/>
          </coding>
            -->
        </form>
        <ingredient>
          <item>
            <reference value="#citalopramSubstance"/>
          </item>
          <amount>
            <numerator>
              <value value="20"/>
              <unit value="mg"/>
            </numerator>
            <denominator>
              <value value="1"/>
              <unit value="{tbl}"/>
            </denominator>
          </amount>
        </ingredient>
      </product>
    </Medication>
  </contained>
  <contained>
    <Substance>
      <id value="citalopramSubstance"/>
      <code>
        <text value="citalopram"/>
        <!--   Validation Failure: Not done yet?
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="2556"/>
        </coding>
          -->
      </code>
    </Substance>
  </contained>
  <!--   Version   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-moduleVersion">
    <valueString value="1.0.0"/>
  </extension  -->
  <!--   Title   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-title">
    <valueCode value="Low Suicide Risk Order Set"/>
  </extension  -->
  <!--   Description   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-description">
    <valueString value="..."/>
  </extension  -->
  <!--   PublicationDate   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-publicationDate">
    <valueDate value="2015-08-15"/>
  </extension  -->
  <!--   Coverage   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#focus">
      <valueCode value="patient-age-group"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="133936004"/>
          <display value="Adult"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#focus">
      <valueCode value="clinical-focus"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="87512008"/>
          <display value="Mild major depression"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#focus">
      <valueCode value="clinical-focus"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="40379007"/>
          <display value="Major depression, recurrent, mild"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#focus">
      <valueCode value="clinical-focus"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="394687007"/>
          <display value="Low suicide risk"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#focus">
      <valueCode value="clinical-focus"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="225337009"/>
          <display value="Suicide risk assessment"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#focus">
      <valueCode value="clinical-venue"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="440655000"/>
          <display value="Outpatient environment"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#focus">
      <valueCode value="target-user"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-coverage#value">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="309343006"/>
          <display value="Physician"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension  -->
  <!--   Contributor   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-contributor">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-contributor#type">
      <valueCode value="author"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-contributor#party">
      <valueReference>
        <reference value="#organization1"/>
        <display value="Motive Medical Intelligence"/>
      </valueReference>
    </extension>
  </extension  -->
  <!--   Publisher   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-publisher">
    <valueReference>
      <reference value="#organization1"/>
      <display value="Motive Medical Intelligence"/>
    </valueReference>
  </extension  -->
  <!--   Content   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-content">
    <valueAttachment>
      <contentType value="application/x-elm+xml"/>
      <url value="mmi-suiciderisk-orderset-logic.xml"/>
      <title value="Suicide Risk Order Set Logic"/>
    </valueAttachment>
  </extension  -->
  <!--   Actions   -->
  <!--   Suicide Risk Assessment and Outpatient Management   -->
  <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action">
    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#title">
      <valueString value="Suicide Risk Assessment and Outpatient Management"/>
    </extension  -->
    <!--   Consults and Referrals   -->
    <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
      <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#title">
          <valueString value="Consults and Referrals"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefintion/cqif-basic-action#groupingBehavior">
          <valueCode value="logical-group"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#selectionBehavior">
          <valueCode value="any"/>
        </extension  -->
        <!--   Refer to outpatient mental health program for evaluation and treatment of mental health
   conditions now   -->
        <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action">
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#textEquivalent">
              <valueString value="Refer to outpatient mental health program for evaluation and
   treatment of mental health conditions now"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#resource">
              <valueReference>
                <reference value="#referralRequest"/>
              </valueReference>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.path"
  >
                <valueString value="fulfillmentTime"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.expre
  ssion">
                <valueString value="ReferralRequestFulfillmentTime"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.path"
  >
                <valueString value="patient"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.expre
  ssion">
                <valueString value="Patient"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.path"
  >
                <valueString value="requester"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.expre
  ssion">
                <valueString value="Practitioner"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.path"
  >
                <valueString value="reason"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.expre
  ssion">
                <valueString value="RiskAssessmentScore"/>
              </extension>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.path"
  >
                <valueString value="supportingInformation"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#customization.expre
  ssion">
                <valueString value="RiskAssessment"/>
              </extension>
            </extension>
          </extension>
        </extension>
      </extension>
    </extension  -->
    <!--   Medications   -->
    <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
      <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#title">
          <valueString value="Medications"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefintion/cqif-basic-action#groupingBehavior">
          <valueCode value="logical-group"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#selectionBehavior">
          <valueCode value="at-most-one"/>
        </extension  -->
        <!--   First-Line Antidepressants   -->
        <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
          <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action">
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#title">
              <valueString value="First-Line Antidepressants"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#supportingEvidence">
              <valueAttachment>
                <contentType value="text/html"/>
                <url value="http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guideline
  s/mdd.pdf"/>
                <title value="Practice Guideline for the Treatment of Patients with Major Depressive
   Disorder"/>
              </valueAttachment>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefintion/cqif-basic-action#groupingBehavior">
              <valueCode value="logical-group"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#selectionBehavior">
              <valueCode value="at-most-one"/>
            </extension  -->
            <!--   Selective Serotonin Reuptake Inhibitors (Choose a maximum of one or document reasons
   for exception)   -->
            <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action">
                <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#title">
                  <valueString value="Selective Serotonin Reuptake Inhibitors (Choose a maximum
   of one or document reasons for exception)"/>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#documentation">
                  <valueAttachment>
                    <contentType value="text/html"/>
                    <url value="http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8
  f-2d6dff4b6b01"/>
                    <title value="National Library of Medicine. DailyMed website. CITALOPRAM- citalopram
   hydrobromide tablet, film coated."/>
                  </valueAttachment>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefintion/cqif-basic-action#groupingBehavior">
                  <valueCode value="logical-group"/>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#selectionBehavior"
  >
                  <valueCode value="at-most-one"/>
                </extension  -->
                <!--   citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)   -->
                <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action">
                    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#textEquivalent">
                      <valueString value="citalopram 20 mg tablet 1 tablet oral 1 time daily now
   (30 table; 3 refills)"/>
                    </extension>
                    <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#resource">
                      <valueReference>
                        <reference value="#citalopramPrescription"/>
                      </valueReference>
                    </extension>
                  </extension>
                </extension  -->
                <!--   escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)   -->
                <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action"  -->
                    <!--   Follows pattern established above   -->
                  <!--  /extension>
                </extension  -->
                <!--   fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)   -->
                <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action"  -->
                    <!--   Follows pattern established above   -->
                  <!--  /extension>
                </extension  -->
                <!--   paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)   -->
                <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action"  -->
                    <!--   Follows pattern established above   -->
                  <!--  /extension>
                </extension  -->
                <!--   sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)   -->
                <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
                  <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action"  -->
                    <!--   Follows pattern established above   -->
                  <!--  /extension>
                </extension>
              </extension>
            </extension  -->
            <!--   Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons
   for exception)   -->
            <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action"  -->
                <!--   Follows pattern established above   -->
              <!--  /extension>
            </extension  -->
            <!--   Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons
   for exception)   -->
            <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action"  -->
                <!--   Follows pattern established above   -->
              <!--  /extension>
            </extension  -->
            <!--   Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for
   exception)   -->
            <!--  extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action#actions">
              <extension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-action"  -->
                <!--   Follows pattern established above   -->
              <!--  /extension>
            </extension>
          </extension>
        </extension>
      </extension>
    </extension>
  </extension  -->
  <!--   Status   -->
  <modifierExtension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-moduleStatus">
    <valueCode value="draft"/>
  </modifierExtension>
  <!--   Evaluation Supported   -->
  <modifierExtension url="http://hl7.org/fhir/StructureDefinition/cqif-basic-evaluationSupported">
    <valueBoolean value="true"/>
  </modifierExtension>
  <!--   Identifier   -->
  <identifier>
    <use value="official"/>
    <value value="mmi:low-suicide-risk-order-set"/>
  </identifier>
  <!--   Code   -->
  <code>
    <coding>
      <code value="order-set"/>
    </coding>
  </code>
</Basic>
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.