Orderset-example.xml

Example of orderset (id = "example")

<OrderSet xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Low Suicide Risk Order Set...</div>
  </text>

  <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="active"/>
      <category value="request"/>
      <type>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://snomed.info/sct"/>  -->
          <code value="306206005"/>
        </coding>
      </type>
      <specialty>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <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>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <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"/>
            <periodUnit value="d"/>
          </repeat>
        </timing>
        <route>
          <coding>
            <!--   Error: Connection to http://localhost:960 refused   -->
            <!--  <system value="http://snomed.info/sct"/>  -->
            <code value="26643006"/>
            <display value="Oral route (qualifier value)"/>
          </coding>
          <text value="Oral route (qualifier value)"/>
        </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>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>  -->
          <code value="200371"/>
        </coding>
        <text value="citalopram"/>
      </code>
      <product>
        <form>
          <coding>
            <!--   Error: Connection to http://localhost:960 refused   -->
            <!--  <system value="http://snomed.info/sct"/>  -->
            <code value="385055001"/>
            <display value="Tablet dose form"/>
          </coding>
          <text value="Tablet dose form"/>
        </form>
        <ingredient>
          <itemReference>
            <reference value="#citalopramSubstance"/>
          </itemReference>
          <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>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>  -->
          <code value="2556"/>
        </coding>
        <text value="citalopram"/>
      </code>
    </Substance>
  </contained>
  
  <moduleMetadata>
    <identifier>
          <use value="official"/>
          <value value="mmi:low-suicide-risk-order-set"/>
    </identifier>
    <version value="1.0.0"/>
    <title value="Low Suicide Risk Order Set"/>
    <type value="order-set"/>
    <status value="draft"/>
    <description value="..."/>
    <publicationDate value="2015-08-15"/>
    <coverage>
      <focus><code value="patient-age-group"/></focus>
      <value>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://snomed.info/sct"/>  -->
          <code value="133936004"/>
          <display value="Adult"/>
        </coding>
      </value>
    </coverage>
    <coverage>
      <focus><code value="clinical-focus"/></focus>
      <value>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://snomed.info/sct"/>  -->
          <code value="87512008"/>
          <display value="Mild major depression"/>
        </coding>
      </value>
    </coverage>
    <coverage>
      <focus><code value="clinical-focus"/></focus>
      <value>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://snomed.info/sct"/>  -->
          <code value="40379007"/>
          <display value="Major depression, recurrent, mild"/>
        </coding>
      </value>
    </coverage>
    <coverage>
      <focus><code value="clinical-focus"/></focus>
      <value>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://snomed.info/sct"/>  -->
          <code value="394687007"/>
          <display value="Low suicide risk"/>
        </coding>
      </value>
    </coverage>
    <coverage>
      <focus><code value="clinical-focus"/></focus>
      <value>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://snomed.info/sct"/>  -->
          <code value="225337009"/>
          <display value="Suicide risk assessment"/>
        </coding>
      </value>
    </coverage>
    <coverage>
      <focus><code value="clinical-venue"/></focus>
      <value>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://snomed.info/sct"/>  -->
          <code value="440655000"/>
          <display value="Outpatient environment"/>
        </coding>
      </value>
    </coverage>
    <coverage>
      <focus><code value="target-user"/></focus>
      <value>
        <coding>
          <!--   Error: Connection to http://localhost:960 refused   -->
          <!--  <system value="http://snomed.info/sct"/>  -->
          <code value="309343006"/>
          <display value="Physician"/>
        </coding>
      </value>
    </coverage>
    <topic>
      <text value="Chlamydia Screeening"/>
    </topic>
    <contributor>
      <type value="author"/>
      <name value="Motive Medical Intelligence"/>
      <contact>
        <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>
      </contact>
    </contributor> 
    <publisher value="Motive Medical Intelligence"/>
    <contact>
      <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>
    </contact>
  </moduleMetadata>
  
  <library>
    <reference value="Library/mmi-suiciderisk-orderset-logic"/>
  </library>
  
  <!--   Actions   -->
  <!--   Suicide Risk Assessment and Outpatient Management   -->
  <action>
    <title value="Suicide Risk Assessment and Outpatient Management"/>
    <!--   Consults and Referrals   -->
    <action>
      <title value="Consults and Referrals"/>
      <behavior>
        <type><code value="grouping-behavior"/></type>
        <value><code value="logical-group"/></value>
      </behavior>
      <behavior>
        <type><code value="selection-behavior"/></type>
        <value><code value="any"/></value>
      </behavior>
      <action>
        <!--   Refer to outpatient mental health program for evaluation and treatment of mental health
         conditions now   -->
        <textEquivalent value="Refer to outpatient mental health program for evaluation and treatment of mental health
         conditions now"/>
        <resource>
          <reference value="#referralRequest"/>
        </resource>
        <customization>
          <path value="fulfillmentTime"/>
          <expression value="ReferralRequestFulfillmentTime"/>
        </customization>
        <customization>
          <path value="patient"/>
          <expression value="Patient"/>
        </customization>
        <customization>
          <path value="requester"/>
          <expression value="Practitioner"/>
        </customization>
        <customization>
          <path value="reason"/>
          <expression value="RiskAssessmentScore"/>
        </customization>
        <customization>
          <path value="supportingInformation"/>
          <expression value="RiskAssessment"/>
        </customization>
      </action>
    </action>
    <!--   Medications   -->
    <action>
      <title value="Medications"/>
      <behavior>
        <type><code value="grouping-behavior"/></type>
        <value><code value="logical-group"/></value>
      </behavior>
      <behavior>
        <type><code value="selection-behavior"/></type>
        <value><code value="at-most-one"/></value>
      </behavior>
      <action>

        <!--   First-Line Antidepressants   -->
        <title value="First-Line Antidepressants"/>
        <supportingEvidence>
          <contentType value="text/html"/>
          <url value="http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"/>
          <title value="Practice Guideline for the Treatment of Patients with Major Depressive Disorder"/>
        </supportingEvidence>
        <behavior>
          <type><code value="grouping-behavior"/></type>
          <value><code value="logical-group"/></value>
        </behavior>
        <behavior>
          <type><code value="selection-behavior"/></type>
          <value><code value="at-most-one"/></value>
        </behavior>
        <action>
          <!--   Selective Serotonin Reuptake Inhibitors (Choose a maximum of one or document reasons
           for exception)   -->
          <title value="Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for
           exception)"/>
          <documentation>
            <contentType value="text/html"/>
            <url value="http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01"/>
            <title value="National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet,
             film coated."/>
          </documentation>
          <behavior>
            <type><code value="grouping-behavior"/></type>
            <value><code value="logical-group"/></value>
          </behavior>
          <behavior>
            <type><code value="selection-behavior"/></type>
            <value><code value="at-most-one"/></value>
          </behavior>
          <action>
            <!--   citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)   -->
            <textEquivalent value="citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)"/>
            <resource>
              <reference value="#citalopramPrescription"/>
            </resource>
          </action>
          <action>
            <!--   escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)   -->
            <textEquivalent value="escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/>
            <!--   Follows pattern established above   -->
          </action>
          <action>
            <!--   fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)   -->
            <textEquivalent value="fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)"/>
            <!--   Follows pattern established above   -->
          </action>
          <action>
            <!--   paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)   -->
            <textEquivalent value="paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/>
            <!--   Follows pattern established above   -->
          </action>
          <action>
            <!--   sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)   -->
            <textEquivalent value="sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/>
            <!--   Follows pattern established above   -->
          </action>
        </action>
        <action>
          <!--   Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons
           for exception)   -->
          <textEquivalent value="Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons
           for exception)"/>
          <!--   Follows pattern established above   -->
        </action>
        <action>
          <!--   Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons
           for exception)   -->
          <textEquivalent value="Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons
           for exception)"/>
          <!--   Follows pattern established above   -->
        </action>
        <action>
          <!--   Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for
           exception)   -->
          <textEquivalent value="Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)"/>
          <!--   Follows pattern established above   -->
        </action>
      </action>
    </action>
  </action>
</OrderSet>