STU3 Candidate
Clinical ReasoningThis page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4 R3
Low Suicide Risk Order Set
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/PlanDefinition/example> a fhir:PlanDefinition;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "example"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Low Suicide Risk Order Set...</div>"
];
fhir:DomainResource.contained [
a fhir:ActivityDefinition;
fhir:index 0;
fhir:Resource.id [ fhir:value "referralToMentalHealthCare" ];
fhir:ActivityDefinition.status [ fhir:value "draft" ];
fhir:ActivityDefinition.description [ fhir:value "refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now" ];
fhir:ActivityDefinition.category [ fhir:value "referral" ];
fhir:ActivityDefinition.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "306206005" ]
]
];
fhir:ActivityDefinition.timingTiming [
fhir:Timing.event [
fhir:index 0;
fhir:extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqif-basic-cqlExpression" ];
fhir:Extension.valueString [ fhir:value "Now()" ]
]
]
];
fhir:ActivityDefinition.participantType [
fhir:value "practitioner";
fhir:index 0
]
], [
a fhir:ActivityDefinition;
fhir:index 1;
fhir:Resource.id [ fhir:value "citalopramPrescription" ];
fhir:ActivityDefinition.status [ fhir:value "draft" ];
fhir:ActivityDefinition.category [ fhir:value "drug" ];
fhir:ActivityDefinition.productReference [
fhir:Reference.reference [ fhir:value "#citalopramMedication" ]
];
fhir:ActivityDefinition.dosageInstruction [
fhir:index 0;
fhir:DosageInstruction.text [ fhir:value "1 tablet oral 1 time daily" ];
fhir:DosageInstruction.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:int ];
fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
fhir:Timing.repeat.periodUnit [ fhir:value "d" ]
]
];
fhir:DosageInstruction.route [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "26643006" ];
fhir:Coding.display [ fhir:value "Oral route (qualifier value)" ]
];
fhir:CodeableConcept.text [ fhir:value "Oral route (qualifier value)" ]
];
fhir:DosageInstruction.doseQuantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "{tbl}" ]
]
];
fhir:ActivityDefinition.dynamicValue [
fhir:index 0;
fhir:ActivityDefinition.dynamicValue.path [ fhir:value "dispenseRequest.numberOfRepeatsAllowed" ];
fhir:ActivityDefinition.dynamicValue.expression [ fhir:value "3" ]
], [
fhir:index 1;
fhir:ActivityDefinition.dynamicValue.path [ fhir:value "dispenseRequest.quantity" ];
fhir:ActivityDefinition.dynamicValue.expression [ fhir:value "30 '{tbl}'" ]
]
], [
a fhir:Medication;
fhir:index 2;
fhir:Resource.id [ fhir:value "citalopramMedication" ];
fhir:Medication.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "200371" ]
];
fhir:CodeableConcept.text [ fhir:value "citalopram" ]
];
fhir:Medication.product [
fhir:Medication.product.form [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "385055001" ];
fhir:Coding.display [ fhir:value "Tablet dose form" ]
];
fhir:CodeableConcept.text [ fhir:value "Tablet dose form" ]
];
fhir:Medication.product.ingredient [
fhir:index 0;
fhir:Medication.product.ingredient.itemReference [
fhir:Reference.reference [ fhir:value "#citalopramSubstance" ]
];
fhir:Medication.product.ingredient.amount [
fhir:Ratio.numerator [
fhir:Quantity.value [ fhir:value "20"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "mg" ]
];
fhir:Ratio.denominator [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "{tbl}" ]
]
]
]
]
], [
a fhir:Substance;
fhir:index 3;
fhir:Resource.id [ fhir:value "citalopramSubstance" ];
fhir:Substance.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "2556" ]
];
fhir:CodeableConcept.text [ fhir:value "citalopram" ]
]
];
fhir:PlanDefinition.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.value [ fhir:value "mmi:low-suicide-risk-order-set" ]
];
fhir:PlanDefinition.version [ fhir:value "1.0.0"];
fhir:PlanDefinition.title [ fhir:value "Low Suicide Risk Order Set"];
fhir:PlanDefinition.status [ fhir:value "draft"];
fhir:PlanDefinition.date [ fhir:value "2015-08-15"^^xsd:date];
fhir:PlanDefinition.description [ fhir:value "..."];
fhir:PlanDefinition.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "gender" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:concept sct:133936004;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "133936004" ];
fhir:Coding.display [ fhir:value "Adult" ]
]
]
], [
fhir:index 1;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:concept sct:87512008;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "87512008" ];
fhir:Coding.display [ fhir:value "Mild major depression" ]
]
]
], [
fhir:index 2;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:concept sct:40379007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "40379007" ];
fhir:Coding.display [ fhir:value "Major depression, recurrent, mild" ]
]
]
], [
fhir:index 3;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:concept sct:394687007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "394687007" ];
fhir:Coding.display [ fhir:value "Low suicide risk" ]
]
]
], [
fhir:index 4;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:concept sct:225337009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "225337009" ];
fhir:Coding.display [ fhir:value "Suicide risk assessment" ]
]
]
], [
fhir:index 5;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "user" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:concept sct:309343006;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "309343006" ];
fhir:Coding.display [ fhir:value "Physician" ]
]
]
], [
fhir:index 6;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "venue" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:concept sct:440655000;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "440655000" ];
fhir:Coding.display [ fhir:value "Outpatient environment" ]
]
]
];
fhir:PlanDefinition.topic [
fhir:index 0;
fhir:CodeableConcept.text [ fhir:value "Suicide risk assessment" ]
];
fhir:PlanDefinition.contributor [
fhir:index 0;
fhir:Contributor.type [ fhir:value "author" ];
fhir:Contributor.name [ fhir:value "Motive Medical Intelligence" ];
fhir:Contributor.contact [
fhir:index 0;
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "415-362-4007" ];
fhir:ContactPoint.use [ fhir:value "work" ]
], [
fhir:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "info@motivemi.com" ];
fhir:ContactPoint.use [ fhir:value "work" ]
]
]
];
fhir:PlanDefinition.publisher [ fhir:value "Motive Medical Intelligence"];
fhir:PlanDefinition.contact [
fhir:index 0;
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "phone" ];
fhir:ContactPoint.value [ fhir:value "415-362-4007" ];
fhir:ContactPoint.use [ fhir:value "work" ]
], [
fhir:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "info@motivemi.com" ];
fhir:ContactPoint.use [ fhir:value "work" ]
]
];
fhir:PlanDefinition.library [
fhir:index 0;
fhir:link <http://hl7.org/fhir/Library/mmi-suiciderisk-orderset-logic>;
fhir:Reference.reference [ fhir:value "Library/mmi-suiciderisk-orderset-logic" ]
];
fhir:PlanDefinition.actionDefinition [
fhir:index 0;
fhir:PlanDefinition.actionDefinition.title [ fhir:value "Suicide Risk Assessment and Outpatient Management" ];
fhir:PlanDefinition.actionDefinition.actionDefinition [
fhir:index 0;
fhir:PlanDefinition.actionDefinition.title [ fhir:value "Consults and Referrals" ];
fhir:PlanDefinition.actionDefinition.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.actionDefinition.selectionBehavior [ fhir:value "any" ];
fhir:PlanDefinition.actionDefinition.actionDefinition [
fhir:index 0;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "Refer to outpatient mental health program for evaluation and treatment of mental health conditions now" ];
fhir:PlanDefinition.actionDefinition.activityDefinition [
fhir:Reference.reference [ fhir:value "#referralToMentalHealthCare" ]
];
fhir:PlanDefinition.actionDefinition.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "timing.event" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "Now()" ]
], [
fhir:index 1;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "specialty" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "Code '261QM0850X' from \"urn:oid:2.16.840.1.113883.11.19462\"" ]
], [
fhir:index 2;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "fulfillmentTime" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "ReferralRequestFulfillmentTime" ]
], [
fhir:index 3;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "patient" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "Patient" ]
], [
fhir:index 4;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "requester" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "Practitioner" ]
], [
fhir:index 5;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "reason" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "RiskAssessmentScore" ]
], [
fhir:index 6;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "supportingInformation" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "RiskAssessment" ]
]
]
], [
fhir:index 1;
fhir:PlanDefinition.actionDefinition.title [ fhir:value "Medications" ];
fhir:PlanDefinition.actionDefinition.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.actionDefinition.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.actionDefinition.actionDefinition [
fhir:index 0;
fhir:PlanDefinition.actionDefinition.title [ fhir:value "First-Line Antidepressants" ];
fhir:PlanDefinition.actionDefinition.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "justification" ];
fhir:RelatedArtifact.document [
fhir:Attachment.contentType [ fhir:value "text/html" ];
fhir:Attachment.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ];
fhir:Attachment.title [ fhir:value "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ]
]
];
fhir:PlanDefinition.actionDefinition.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.actionDefinition.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.actionDefinition.actionDefinition [
fhir:index 0;
fhir:PlanDefinition.actionDefinition.title [ fhir:value "Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)" ];
fhir:PlanDefinition.actionDefinition.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "justification" ];
fhir:RelatedArtifact.document [
fhir:Attachment.contentType [ fhir:value "text/html" ];
fhir:Attachment.url [ fhir:value "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01" ];
fhir:Attachment.title [ fhir:value "National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet, film coated." ]
]
];
fhir:PlanDefinition.actionDefinition.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.actionDefinition.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.actionDefinition.actionDefinition [
fhir:index 0;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)" ];
fhir:PlanDefinition.actionDefinition.activityDefinition [
fhir:Reference.reference [ fhir:value "#citalopramPrescription" ]
];
fhir:PlanDefinition.actionDefinition.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "status" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "'draft'" ]
], [
fhir:index 1;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "patient" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "Patient" ]
], [
fhir:index 2;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "prescriber" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "Practitioner" ]
], [
fhir:index 3;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "reasonCode" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "RiskAssessmentScore" ]
], [
fhir:index 4;
fhir:PlanDefinition.actionDefinition.dynamicValue.path [ fhir:value "reasonReference" ];
fhir:PlanDefinition.actionDefinition.dynamicValue.expression [ fhir:value "RiskAssessment" ]
]
], [
fhir:index 1;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 2;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 3;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 4;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
]
], [
fhir:index 1;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)" ]
], [
fhir:index 2;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)" ]
], [
fhir:index 3;
fhir:PlanDefinition.actionDefinition.textEquivalent [ fhir:value "Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)" ]
]
]
]
] .
<http://hl7.org/fhir/Library/mmi-suiciderisk-orderset-logic> a fhir:Library .
# -------------------------------------------------------------------------------------
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.
© HL7.org 2011+. FHIR STU3 Candidate (v1.8.0-10521) generated on Tue, Dec 6, 2016 12:26+1100. QA Page
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