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Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
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Low Suicide Risk Order Set
{ "resourceType": "PlanDefinition", "id": "low-suicide-risk-order-set", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Id: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">PlanDefinition/low-suicide-risk-order-set</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Identifier: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>value: </b>\n <span>mmi:low-suicide-risk-order-set</span>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Title: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">Low Suicide Risk Order Set</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Status: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">draft</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Description: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">Orders to be applied to a patient characterized as low suicide risk.</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Purpose: </b>\n </td>\n </tr>\n <tr>\n <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>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Usage: </b>\n </td>\n </tr>\n <tr>\n <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>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>age</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>https://meshb.nlm.nih.gov</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>D000328</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Adult</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>87512008</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Mild major depression</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>40379007</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Major depression, recurrent, mild</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>394687007</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Low suicide risk</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>225337009</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Suicide risk assessment</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>user</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>309343006</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Physician</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>venue</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>440655000</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Outpatient environment</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Topic: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <span>\n <b>text: </b>\n <span>Suicide risk assessment</span>\n </span>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Contributor: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>\n <span>author</span>:\n </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 50px; padding-right: 25px;\">Motive Medical Intelligence</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Library: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>reference: </b>\n <span>Library/suiciderisk-orderset-logic</span>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>display: </b>\n <span>SuicideRiskLogic</span>\n </td>\n </tr>\n </table>\n <p/>\n <h2>Actions</h2>\n <p style=\"width: 100%;\" class=\"hierarchy\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 25px;\">\n <b>title: </b>\n <span>Suicide Risk Assessment and Outpatient Management</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 50px;\">\n <b>title: </b>\n <span>Consults and Referrals</span>\n <br/>\n </span>\n <span style=\"padding-left: 50px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 75px;\">\n <b>text: </b>\n <span>Refer to outpatient mental health program for evaluation and treatment of mental health conditions now</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\">\n <b>condition: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>reference: </b>\n <br/>\n <span style=\"padding-left: 125px;\">#referralToMentalHealthCare</span>\n <span>\n <span style=\"padding-left: 75px;\">\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>description: </b>\n <span>refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\">\n <b>category: </b>\n <span>referral</span>\n <br/>\n </span>\n </span>\n </span>\n </span>\n </span>\n <span style=\"padding-left: 50px;\"/>\n </span>\n </span>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 50px;\">\n <b>title: </b>\n <span>Medications</span>\n <br/>\n </span>\n <span style=\"padding-left: 50px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 75px;\">\n <b>title: </b>\n <span>First-Line Antidepressants</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>title: </b>\n <span>Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 125px;\">\n <b>condition: </b>\n <br/>\n <span style=\"padding-left: 150px;\">\n <b>reference: </b>\n <br/>\n <span style=\"padding-left: 175px;\">#citalopramPrescription</span>\n <span/>\n <span>\n <span style=\"padding-left: 125px;\">\n <br/>\n <span style=\"padding-left: 150px;\">\n <b>category: </b>\n <span>drug</span>\n <br/>\n </span>\n </span>\n </span>\n <span/>\n <span/>\n </span>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n </span>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>text: </b>\n <span>Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>text: </b>\n <span>Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n </span>\n </span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </div>" }, "contained": [ { "resourceType": "ActivityDefinition", "id": "referralToMentalHealthCare", "status": "draft", "description": "refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now", "kind": "ServiceRequest", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "306206005" } ], "text": "Referral to service (procedure)" }, "timingTiming": { "_event": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression", "valueExpression": { "language": "text/cql", "expression": "Now()" } } ] } ] }, "participant": [ { "type": "practitioner" } ] }, { "resourceType": "ActivityDefinition", "id": "citalopramPrescription", "status": "draft", "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)" }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseQuantity": { "value": 1, "unit": "{tbl}" } } ] } ], "dynamicValue": [ { "path": "dispenseRequest.numberOfRepeatsAllowed", "expression": { "language": "text/cql", "expression": "3" } }, { "path": "dispenseRequest.quantity", "expression": { "language": "text/cql", "expression": "30 '{tbl}'" } } ] }, { "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" } } ] }, { "resourceType": "Substance", "id": "citalopramSubstance", "code": { "coding": [ { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "2556" } ], "text": "citalopram" } } ], "url": "http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set", "identifier": [ { "use": "official", "system": "http://motivemi.com/artifacts", "value": "mmi:low-suicide-risk-order-set" } ], "version": "1.0.0", "name": "LowSuicideRiskOrderSet", "title": "Low Suicide Risk Order Set", "status": "active", "experimental": true, "date": "2015-08-15", "publisher": "Motive Medical Intelligence", "contact": [ { "telecom": [ { "system": "phone", "value": "415-362-4007", "use": "work" }, { "system": "email", "value": "info@motivemi.com", "use": "work" } ] } ], "description": "Orders to be applied to a patient characterized as low suicide risk.", "useContext": [ { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "age" }, "valueCodeableConcept": { "coding": [ { "system": "https://meshb.nlm.nih.gov", "code": "D000328", "display": "Adult" } ] } }, { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "focus" }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "87512008", "display": "Mild major depression" } ] } }, { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "focus" }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "40379007", "display": "Major depression, recurrent, mild" } ] } }, { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "focus" }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "394687007", "display": "Low suicide risk" } ] } }, { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "focus" }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "225337009", "display": "Suicide risk assessment" } ] } }, { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "user" }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "309343006", "display": "Physician" } ] } }, { "code": { "system": "http://terminology.hl7.org/CodeSystem/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" } ] } ], "purpose": "This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.", "usage": "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": "© Copyright 2016 Motive Medical Intelligence. All rights reserved.", "approvalDate": "2016-03-12", "lastReviewDate": "2016-08-15", "effectivePeriod": { "start": "2016-01-01", "end": "2017-12-31" }, "topic": [ { "text": "Suicide risk assessment" } ], "author": [ { "name": "Motive Medical Intelligence", "telecom": [ { "system": "phone", "value": "415-362-4007", "use": "work" }, { "system": "email", "value": "info@motivemi.com", "use": "work" } ] } ], "relatedArtifact": [ { "type": "derived-from", "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": "http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth" }, { "type": "composed-of", "resource": "http://example.org/fhir/ActivityDefinition/citalopramPrescription" } ], "library": [ "http://example.org/fhir/Library/suiciderisk-orderset-logic" ], "action": [ { "title": "Suicide Risk Assessment and Outpatient Management", "action": [ { "title": "Consults and Referrals", "groupingBehavior": "logical-group", "selectionBehavior": "any", "action": [ { "textEquivalent": "Refer to outpatient mental health program for evaluation and treatment of mental health conditions now", "definitionCanonical": "#referralToMentalHealthCare", "dynamicValue": [ { "path": "timing.event", "expression": { "language": "text/cql", "expression": "Now()" } }, { "path": "specialty", "expression": { "language": "text/cql", "expression": "Code '261QM0850X' from SuicideRiskLogic.\"NUCC Provider Taxonomy\" display 'Adult Mental Health'" } }, { "path": "occurrenceDateTime", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.ServiceRequestFulfillmentTime" } }, { "path": "subject", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.Patient" } }, { "path": "requester.agent", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.Practitioner" } }, { "path": "reasonCode", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.RiskAssessmentScore" } }, { "path": "reasonReference", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.RiskAssessment" } } ] } ] }, { "title": "Medications", "groupingBehavior": "logical-group", "selectionBehavior": "at-most-one", "action": [ { "title": "First-Line Antidepressants", "documentation": [ { "type": "citation", "document": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/evidence-quality", "code": "high" } ], "text": "High Quality" } } ], "contentType": "text/html", "url": "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf", "title": "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" } } ], "groupingBehavior": "logical-group", "selectionBehavior": "at-most-one", "action": [ { "title": "Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)", "documentation": [ { "type": "citation", "document": { "contentType": "text/html", "url": "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01", "title": "National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet, film coated." } } ], "groupingBehavior": "logical-group", "selectionBehavior": "at-most-one", "action": [ { "textEquivalent": "citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)", "definitionCanonical": "#citalopramPrescription", "dynamicValue": [ { "path": "status", "expression": { "language": "text/cql", "expression": "'draft'" } }, { "path": "patient", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.Patient" } }, { "path": "prescriber", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.Practitioner" } }, { "path": "reasonCode", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.RiskAssessmentScore" } }, { "path": "reasonReference", "expression": { "language": "text/cql", "expression": "SuicideRiskLogic.RiskAssessment" } } ] }, { "textEquivalent": "escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" }, { "textEquivalent": "fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)" }, { "textEquivalent": "paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" }, { "textEquivalent": "sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" } ] }, { "textEquivalent": "Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)" }, { "textEquivalent": "Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)" }, { "textEquivalent": "Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)" } ] } ] } ] } ] }
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.