Mmi-suiciderisk-orderset-example.xml

GuidanceArtifact used to define a suicide risk management Order Set (id = "mmi-suiciderisk-orderset-example")

Raw XML

<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>