R4 Draft for Comment
WorkflowThis page is part of the FHIR Specification (v3.2.0: R4 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 
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| Clinical Decision Support Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Not linked to any defined compartments |
Activity definition to prescribe citalopram to a patient
{
"resourceType": "ActivityDefinition",
"id": "citalopramPrescription",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: citalopramPrescription</p><p><b>contained</b>: , </p><p><b>url</b>: <a>http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription</a></p><p><b>identifier</b>: citalopramPrescription (OFFICIAL)</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: CitalopramPrescription</p><p><b>title</b>: Citalopram Prescription</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 15/08/2015</p><p><b>publisher</b>: Motive Medical Intelligence</p><p><b>description</b>: Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills</p><p><b>purpose</b>: Defines a guideline supported prescription for the treatment of depressive disorders</p><p><b>usage</b>: This activity definition is used as part of various suicide risk order sets</p><p><b>approvalDate</b>: 12/03/2016</p><p><b>lastReviewDate</b>: 15/08/2016</p><p><b>effectivePeriod</b>: 01/01/2016 --> 31/12/2017</p><p><b>useContext</b>: , , , , , , </p><p><b>jurisdiction</b>: US <span>(Details : {urn:iso:std:iso:3166 code 'US' = 'US)</span></p><p><b>topic</b>: Mental Health Treatment <span>(Details )</span></p><p><b>contributor</b>: </p><p><b>contact</b>: </p><p><b>copyright</b>: © Copyright 2016 Motive Medical Intelligence. All rights reserved.</p><p><b>relatedArtifact</b>: , </p><p><b>kind</b>: MedicationRequest</p><p><b>product</b>: id: citalopramMedication; citalopram <span>(Details : {RxNorm code '200371' = 'citalopram 20 MG Oral Tablet)</span>; Tablet dose form <span>(Details : {SNOMED CT code '385055001' = 'Tablet', given as 'Tablet dose form'})</span></p><p><b>dosage</b>: </p><blockquote><p><b>dynamicValue</b></p><p><b>description</b>: dispenseRequest.numberOfRepeatsAllowed is three (3)</p><p><b>path</b>: dispenseRequest.numberOfRepeatsAllowed</p><p><b>language</b>: text/cql</p><p><b>expression</b>: 3</p></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>description</b>: dispenseRequest.quantity is thirty (30) tablets</p><p><b>path</b>: dispenseRequest.quantity</p><p><b>language</b>: text/cql</p><p><b>expression</b>: 30 '{tbl}'</p></blockquote></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "citalopramMedication",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "200371"
}
],
"text": "citalopram"
},
"form": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385055001",
"display": "Tablet dose form"
}
],
"text": "Tablet dose form"
},
"ingredient": [
{
"itemReference": {
"reference": "#citalopramSubstance"
},
"amount": {
"numerator": {
"value": 20,
"unit": "mg"
},
"denominator": {
"value": 1,
"unit": "{tbl}"
}
}
}
]
},
{
"resourceType": "Substance",
"id": "citalopramSubstance",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "2556"
}
],
"text": "citalopram"
}
}
],
"url": "http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription",
"identifier": [
{
"use": "official",
"system": "http://motivemi.com",
"value": "citalopramPrescription"
}
],
"version": "1.0.0",
"name": "CitalopramPrescription",
"title": "Citalopram Prescription",
"status": "active",
"experimental": true,
"date": "2015-08-15",
"publisher": "Motive Medical Intelligence",
"description": "Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills",
"purpose": "Defines a guideline supported prescription for the treatment of depressive disorders",
"usage": "This activity definition is used as part of various suicide risk order sets",
"approvalDate": "2016-03-12",
"lastReviewDate": "2016-08-15",
"effectivePeriod": {
"start": "2016-01-01",
"end": "2017-12-31"
},
"useContext": [
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "age"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://meshb.nlm.nih.gov",
"code": "D000328",
"display": "Adult"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "focus"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "87512008",
"display": "Mild major depression"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "focus"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "40379007",
"display": "Major depression, recurrent, mild"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "focus"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225444004",
"display": "At risk for suicide (finding)"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "focus"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "306206005",
"display": "Referral to service (procedure)"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "user"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "309343006",
"display": "Physician"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/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"
}
]
}
],
"topic": [
{
"text": "Mental Health Treatment"
}
],
"contributor": [
{
"type": "author",
"name": "Motive Medical Intelligence",
"contact": [
{
"telecom": [
{
"system": "phone",
"value": "415-362-4007",
"use": "work"
},
{
"system": "email",
"value": "info@motivemi.com",
"use": "work"
}
]
}
]
}
],
"contact": [
{
"telecom": [
{
"system": "phone",
"value": "415-362-4007",
"use": "work"
},
{
"system": "email",
"value": "info@motivemi.com",
"use": "work"
}
]
}
],
"copyright": "© Copyright 2016 Motive Medical Intelligence. All rights reserved.",
"relatedArtifact": [
{
"type": "citation",
"display": "Practice Guideline for the Treatment of Patients with Major Depressive Disorder",
"url": "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"
},
{
"type": "composed-of",
"resource": {
"reference": "#citalopramMedication"
}
}
],
"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)"
},
"doseQuantity": {
"value": 1,
"unit": "{tbl}"
}
}
],
"dynamicValue": [
{
"description": "dispenseRequest.numberOfRepeatsAllowed is three (3)",
"path": "dispenseRequest.numberOfRepeatsAllowed",
"language": "text/cql",
"expression": "3"
},
{
"description": "dispenseRequest.quantity is thirty (30) tablets",
"path": "dispenseRequest.quantity",
"language": "text/cql",
"expression": "30 '{tbl}'"
}
]
}
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 Release 4 Draft for Comment (Jan-2018 v3.2.0-12885) generated on Wed, Dec 20, 2017 15:56+1100. QA Page
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