Release 5 Draft Ballot
WorkflowThis page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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
| Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw XML (canonical form + also see XML Format Specification)
Low Suicide Risk Order Set (id = "low-suicide-risk-order-set")
<?xml version="1.0" encoding="UTF-8"?> <PlanDefinition xmlns="http://hl7.org/fhir"> <id value="low-suicide-risk-order-set"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="grid dict"> <tr> <td> <b> Id: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">PlanDefinition/low-suicide-risk-order-set</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Identifier: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <b> value: </b> <span> mmi:low-suicide-risk-order-set</span> </td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Title: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">Low Suicide Risk Order Set</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Status: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">draft</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Description: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">Orders to be applied to a patient characterized as low suicide risk.</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Purpose: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Usage: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">This order set should be applied after assessing a patient for suicide risk, when the findings of that assessment indicate the patient has low suicide risk.</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> age</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> https://meshb.nlm.nih.gov</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> D000328</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Adult</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> focus</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 87512008</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Mild major depression</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> focus</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 40379007</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Major depression, recurrent, mild</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> focus</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 394687007</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Low suicide risk</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> focus</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 225337009</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Suicide risk assessment</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> user</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 309343006</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Physician</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> venue</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 440655000</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Outpatient environment</span> </span> </span> </span> </span> </p> </td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Topic: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <span> <b> text: </b> <span> Suicide risk assessment</span> </span> </td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Contributor: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <b> <span> author</span> : </b> </td> </tr> <tr> <td style="padding-left: 50px; padding-right: 25px;">Motive Medical Intelligence</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Library: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <b> reference: </b> <span> Library/suiciderisk-orderset-logic</span> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <b> display: </b> <span> SuicideRiskLogic</span> </td> </tr> </table> <p/> <h2> Actions</h2> <p class="hierarchy" style="width: 100%;"> <span> <b> Step: </b> <br/> <span style="padding-left: 25px;"> <b> title: </b> <span> Suicide Risk Assessment and Outpatient Management</span> <br/> </span> <span style="padding-left: 25px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 50px;"> <b> title: </b> <span> Consults and Referrals</span> <br/> </span> <span style="padding-left: 50px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 75px;"> <b> text: </b> <span> Refer to outpatient mental health program for evaluation and treatment of mental health conditions now</span> <br/> </span> <span style="padding-left: 75px;"> <b> condition: </b> <br/> <span style="padding-left: 100px;"> <b> reference: </b> <br/> <span style="padding-left: 125px;">#referralToMentalHealthCare</span> <span> <span style="padding-left: 75px;"> <br/> <span style="padding-left: 100px;"> <b> description: </b> <span> refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now</span> <br/> </span> <span style="padding-left: 100px;"> <b> category: </b> <span> referral</span> <br/> </span> </span> </span> </span> </span> <span style="padding-left: 50px;"/> </span> </span> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 50px;"> <b> title: </b> <span> Medications</span> <br/> </span> <span style="padding-left: 50px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 75px;"> <b> title: </b> <span> First-Line Antidepressants</span> <br/> </span> <span style="padding-left: 75px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 100px;"> <b> title: </b> <span> Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)</span> <br/> </span> <span style="padding-left: 100px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)</span> <br/> </span> <span style="padding-left: 125px;"> <b> condition: </b> <br/> <span style="padding-left: 150px;"> <b> reference: </b> <br/> <span style="padding-left: 175px;">#citalopramPrescription</span> <span/> <span> <span style="padding-left: 125px;"> <br/> <span style="padding-left: 150px;"> <b> category: </b> <span> drug</span> <br/> </span> </span> </span> <span/> <span/> </span> </span> <span style="padding-left: 100px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> </span> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)</span> <br/> </span> <span style="padding-left: 75px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 100px;"> <b> text: </b> <span> Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)</span> <br/> </span> <span style="padding-left: 75px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 100px;"> <b> text: </b> <span> Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> </span> </span> </span> </span> </span> </span> </p> </div> </text> <!-- The referral and medication requests here are only partially specified, additional information will be provided from context, see the action definitions in the body of the plan definition below --> <contained> <ActivityDefinition> <id value="referralToMentalHealthCare"/> <status value="draft"/> <description value="refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now"/> <!-- Kind indicates the type of resource that is defined by this activity, a ServiceRequest in this case --> <kind value="ServiceRequest"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306206005"/> </coding> <text value="Referral to service (procedure)"/> </code> <timingTiming> <event> <!-- The expression here specifies the value for the timing of the resulting resource. In this case, referralRequest.fulfillmentTime.start --> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <valueExpression> <language value="text/cql"/> <expression value="Now()"/> </valueExpression> </extension> </event> </timingTiming> <participant> <type value="practitioner"/> </participant> </ActivityDefinition> </contained> <contained> <ActivityDefinition> <id value="citalopramPrescription"/> <status value="draft"/> <kind value="MedicationRequest"/> <productReference> <reference value="#citalopramMedication"/> </productReference> <dosage> <text value="1 tablet oral 1 time daily"/> <timing> <repeat> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <route> <coding> <code value="26643006"/> <display value="Oral route (qualifier value)"/> </coding> <text value="Oral route (qualifier value)"/> </route> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="ordered"/> <display value="Ordered"/> </coding> </type> <doseQuantity> <value value="1"/> <unit value="{tbl}"/> </doseQuantity> </doseAndRate> </dosage> <dynamicValue> <path value="dispenseRequest.numberOfRepeatsAllowed"/> <expression> <language value="text/cql"/> <expression value="3"/> </expression> </dynamicValue> <dynamicValue> <path value="dispenseRequest.quantity"/> <expression> <language value="text/cql"/> <expression value="30 '{tbl}'"/> </expression> </dynamicValue> </ActivityDefinition> </contained> <contained> <Medication> <id value="citalopramMedication"/> <code> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="200371"/> </coding> <text value="citalopram"/> </code> <doseForm> <coding> <system value="http://snomed.info/sct"/> <code value="385055001"/> <display value="Tablet dose form"/> </coding> <text value="Tablet dose form"/> </doseForm> <ingredient> <item> <reference> <reference value="#citalopramSubstance"/> </reference> </item> <strengthRatio> <numerator> <value value="20"/> <unit value="mg"/> </numerator> <denominator> <value value="1"/> <unit value="{tbl}"/> </denominator> </strengthRatio> </ingredient> </Medication> </contained> <contained> <Substance> <id value="citalopramSubstance"/> <instance value="false"/> <code> <concept> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="2556"/> </coding> <text value="citalopram"/> </concept> </code> </Substance> </contained> <url value="http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set"/> <identifier> <use value="official"/> <system value="http://motivemi.com/artifacts"/> <value value="mmi:low-suicide-risk-order-set"/> </identifier> <version value="1.0.0"/> <name value="LowSuicideRiskOrderSet"/> <title value="Low Suicide Risk Order Set"/> <status value="active"/> <experimental value="true"/> <date value="2015-08-15"/> <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> <description value="Orders to be applied to a patient characterized as low suicide risk."/> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="age"/> </code> <valueCodeableConcept> <coding> <system value="https://meshb.nlm.nih.gov"/> <code value="D000328"/> <display value="Adult"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="87512008"/> <display value="Mild major depression"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="40379007"/> <display value="Major depression, recurrent, mild"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="394687007"/> <display value="Low suicide risk"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="225337009"/> <display value="Suicide risk assessment"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="user"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="309343006"/> <display value="Physician"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="venue"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="440655000"/> <display value="Outpatient environment"/> </coding> </valueCodeableConcept> </useContext> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <purpose value="This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients."/> <usage value="This order set should be applied after assessing a patient for suicide risk, when the findings of that assessment indicate the patient has low suicide risk."/> <copyright value="© Copyright 2016 Motive Medical Intelligence. All rights reserved."/> <approvalDate value="2016-03-12"/> <lastReviewDate value="2016-08-15"/> <effectivePeriod> <start value="2016-01-01"/> <end value="2017-12-31"/> </effectivePeriod> <topic> <text value="Suicide risk assessment"/> </topic> <author> <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> </author> <relatedArtifact> <type value="derived-from"/> <display value="Practice Guideline for the Treatment of Patients with Major Depressive Disorder"/> <url value="http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"/> </relatedArtifact> <relatedArtifact> <type value="composed-of"/> <resource value="http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth"/> </relatedArtifact> <relatedArtifact> <type value="composed-of"/> <resource value="http://example.org/fhir/ActivityDefinition/citalopramPrescription"/> </relatedArtifact> <library value="http://example.org/fhir/Library/suiciderisk-orderset-logic"/> <!-- Actions --> <action> <title value="Suicide Risk Assessment and Outpatient Management"/> <action> <title value="Consults and Referrals"/> <groupingBehavior value="logical-group"/> <selectionBehavior value="any"/> <action> <textEquivalent value="Refer to outpatient mental health program for evaluation and treatment of mental health conditions now"/> <definitionCanonical value="#referralToMentalHealthCare"/> <!-- These expressions will be evaluated with the library referenced above as an include --> <dynamicValue> <path value="timing.event"/> <expression> <language value="text/cql"/> <expression value="Now()"/> </expression> </dynamicValue> <dynamicValue> <path value="specialty"/> <!-- This expression is code selector syntax in CQL, returning the code from the NPI provider taxonomy --> <expression> <language value="text/cql"/> <expression value="Code '261QM0850X' from SuicideRiskLogic."NUCC Provider Taxonomy" display 'Adult Mental Health'"/> </expression> </dynamicValue> <dynamicValue> <!-- The fulfillmentTime element of the resulting ServiceRequest will be set to the result of the ServiceRequestFulfillmentTime expression defined in the SuicideRiskLogic library --> <path value="occurrenceDateTime"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.ServiceRequestFulfillmentTime"/> </expression> </dynamicValue> <dynamicValue> <path value="subject"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.Patient"/> </expression> </dynamicValue> <dynamicValue> <path value="requester.agent"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.Practitioner"/> </expression> </dynamicValue> <dynamicValue> <path value="reasonCode"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.RiskAssessmentScore"/> </expression> </dynamicValue> <dynamicValue> <path value="reasonReference"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.RiskAssessment"/> </expression> </dynamicValue> </action> </action> <action> <title value="Medications"/> <groupingBehavior value="logical-group"/> <selectionBehavior value="at-most-one"/> <action> <title value="First-Line Antidepressants"/> <documentation> <type value="citation"/> <document> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/evidence-quality"/> <code value="high"/> </coding> <text value="High Quality"/> </valueCodeableConcept> </extension> <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"/> </document> </documentation> <groupingBehavior value="logical-group"/> <selectionBehavior value="at-most-one"/> <action> <title value="Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)"/> <documentation> <type value="citation"/> <document> <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."/> </document> </documentation> <groupingBehavior value="logical-group"/> <selectionBehavior value="at-most-one"/> <action> <textEquivalent value="citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)"/> <definitionCanonical value="#citalopramPrescription"/> <dynamicValue> <path value="status"/> <expression> <language value="text/cql"/> <expression value="'draft'"/> </expression> </dynamicValue> <dynamicValue> <path value="patient"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.Patient"/> </expression> </dynamicValue> <dynamicValue> <path value="prescriber"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.Practitioner"/> </expression> </dynamicValue> <dynamicValue> <path value="reasonCode"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.RiskAssessmentScore"/> </expression> </dynamicValue> <dynamicValue> <path value="reasonReference"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.RiskAssessment"/> </expression> </dynamicValue> </action> <action> <textEquivalent value="escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/> <!-- Follows pattern established above --> </action> <action> <textEquivalent value="fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)"/> <!-- Follows pattern established above --> </action> <action> <textEquivalent value="paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/> <!-- Follows pattern established above --> </action> <action> <textEquivalent value="sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/> <!-- Follows pattern established above --> </action> </action> <action> <textEquivalent value="Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)"/> <!-- Follows pattern established above --> </action> <action> <textEquivalent value="Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)"/> <!-- Follows pattern established above --> </action> <action> <textEquivalent value="Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)"/> <!-- Follows pattern established above --> </action> </action> </action> </action> </PlanDefinition>
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.
FHIR ®© HL7.org 2011+. FHIR R5 Draft Ballot hl7.fhir.core#4.6.0 generated on Thu, Apr 15, 2021 12:29+1000.
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