Snapshot 3: Connectathon 32 Base
WorkflowThis is Snapshot #3 for FHIR R5, released to support Connectathon 32. For a full list of available versions, see the Directory of published versions.
| Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw Turtle (+ also see Turtle/RDF Format Specification)
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 -------------------------------------------------------------------
[a fhir:PlanDefinition;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "low-suicide-risk-order-set"]; #
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
]; #
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.kind [ fhir:value "ServiceRequest" ]; # Kind indicates the type of resource that is defined by this activity, a ServiceRequest in this case
fhir:ActivityDefinition.code [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:306206005;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "306206005" ]
];
fhir:CodeableConcept.text [ fhir:value "Referral to service (procedure)" ]
];
fhir:ActivityDefinition.timingTiming [
fhir:Timing.event [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-expression" ];
fhir:Extension.valueExpression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "Now()" ]
]
] # The expression here specifies the value for the timing of the resulting resource. In this case, referralRequest.fulfillmentTime.start
]
];
fhir:ActivityDefinition.participant [
fhir:index 0;
fhir:ActivityDefinition.participant.type [ fhir:value "practitioner" ]
]
], [
a fhir:ActivityDefinition;
fhir:index 1;
fhir:Resource.id [ fhir:value "citalopramPrescription" ];
fhir:ActivityDefinition.status [ fhir:value "draft" ];
fhir:ActivityDefinition.kind [ fhir:value "MedicationRequest" ];
fhir:ActivityDefinition.productReference [
fhir:Reference.reference [ fhir:value "#citalopramMedication" ]
];
fhir:ActivityDefinition.dosage [
fhir:index 0;
fhir:Dosage.text [ fhir:value "1 tablet oral 1 time daily" ];
fhir:Dosage.timing [
fhir:Timing.repeat [
fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ];
fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ];
fhir:Timing.repeat.periodUnit [ fhir:value "d" ]
]
];
fhir:Dosage.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:Dosage.doseAndRate [
fhir:index 0;
fhir:Dosage.doseAndRate.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ];
fhir:Coding.code [ fhir:value "ordered" ];
fhir:Coding.display [ fhir:value "Ordered" ]
]
];
fhir:Dosage.doseAndRate.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:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "3" ]
]
], [
fhir:index 1;
fhir:ActivityDefinition.dynamicValue.path [ fhir:value "dispenseRequest.quantity" ];
fhir:ActivityDefinition.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.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.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "200371" ]
];
fhir:CodeableConcept.text [ fhir:value "citalopram" ]
];
fhir:Medication.doseForm [
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:385055001;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "385055001" ];
fhir:Coding.display [ fhir:value "Tablet dose form" ]
];
fhir:CodeableConcept.text [ fhir:value "Tablet dose form" ]
];
fhir:Medication.ingredient [
fhir:index 0;
fhir:Medication.ingredient.item [
fhir:CodeableReference.reference [
fhir:Reference.reference [ fhir:value "#citalopramSubstance" ]
]
];
fhir:Medication.ingredient.strengthRatio [
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.instance [ fhir:value "false"^^xsd:boolean ];
fhir:Substance.code [
fhir:CodeableReference.concept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ];
fhir:Coding.code [ fhir:value "2556" ]
];
fhir:CodeableConcept.text [ fhir:value "citalopram" ]
]
]
]; #
fhir:PlanDefinition.url [ fhir:value "http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set"]; #
fhir:PlanDefinition.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.11.7" ]
], [
fhir:index 1;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.system [ fhir:value "http://motivemi.com/artifacts" ];
fhir:Identifier.value [ fhir:value "mmi:low-suicide-risk-order-set" ]
]; #
fhir:PlanDefinition.version [ fhir:value "1.0.0"]; #
fhir:PlanDefinition.name [ fhir:value "LowSuicideRiskOrderSet"]; #
fhir:PlanDefinition.title [ fhir:value "Low Suicide Risk Order Set"]; #
fhir:PlanDefinition.status [ fhir:value "active"]; #
fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean]; #
fhir:PlanDefinition.date [ fhir:value "2015-08-15"^^xsd:date]; #
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.description [ fhir:value "Orders to be applied to a patient characterized as low suicide risk."]; #
fhir:PlanDefinition.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "age" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "https://meshb.nlm.nih.gov" ];
fhir:Coding.code [ fhir:value "D000328" ];
fhir:Coding.display [ fhir:value "Adult" ]
]
]
], [
fhir:index 1;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a 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://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a 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://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a 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://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a 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://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "user" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a 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://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "venue" ]
];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
a 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.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
fhir:Coding.code [ fhir:value "US" ]
]
]; #
fhir:PlanDefinition.purpose [ fhir:value "This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients."]; #
fhir:PlanDefinition.usage [ fhir: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."]; #
fhir:PlanDefinition.copyright [ fhir:value "© Copyright 2016 Motive Medical Intelligence. All rights reserved."]; #
fhir:PlanDefinition.approvalDate [ fhir:value "2016-03-12"^^xsd:date]; #
fhir:PlanDefinition.lastReviewDate [ fhir:value "2016-08-15"^^xsd:date]; #
fhir:PlanDefinition.effectivePeriod [
fhir:Period.start [ fhir:value "2016-01-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2017-12-31"^^xsd:date ]
]; #
fhir:PlanDefinition.topic [
fhir:index 0;
fhir:CodeableConcept.text [ fhir:value "Suicide risk assessment" ]
]; #
fhir:PlanDefinition.author [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "Motive Medical Intelligence" ];
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.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "derived-from" ];
fhir:RelatedArtifact.display [ fhir:value "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ];
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ]
]
], [
fhir:index 1;
fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
fhir:RelatedArtifact.resource [
fhir:value "http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth";
fhir:link <http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth>
]
], [
fhir:index 2;
fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
fhir:RelatedArtifact.resource [
fhir:value "http://example.org/fhir/ActivityDefinition/citalopramPrescription";
fhir:link <http://example.org/fhir/ActivityDefinition/citalopramPrescription>
]
]; #
fhir:PlanDefinition.library [
fhir:value "http://example.org/fhir/Library/suiciderisk-orderset-logic";
fhir:index 0;
fhir:link <http://example.org/fhir/Library/suiciderisk-orderset-logic>
]; #
fhir:PlanDefinition.action [
fhir:index 0;
fhir:PlanDefinition.action.title [ fhir:value "Suicide Risk Assessment and Outpatient Management" ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:PlanDefinition.action.title [ fhir:value "Consults and Referrals" ];
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "any" ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "Refer to outpatient mental health program for evaluation and treatment of mental health conditions now" ];
fhir:PlanDefinition.action.definitionCanonical [ fhir:value "#referralToMentalHealthCare" ];
fhir:PlanDefinition.action.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "timing.event" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "Now()" ]
]
], [
fhir:index 1;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "specialty" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "Code '261QM0850X' from SuicideRiskLogic.\"NUCC Provider Taxonomy\" display 'Adult Mental Health'" ]
] # This expression is code selector syntax in CQL, returning the code from the NPI provider taxonomy
], [
fhir:index 2;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "occurrenceDateTime" ]; # The fulfillmentTime element of the resulting ServiceRequest will be set to the result of the ServiceRequestFulfillmentTime expression defined in the SuicideRiskLogic library
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.ServiceRequestFulfillmentTime" ]
]
], [
fhir:index 3;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "subject" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Patient" ]
]
], [
fhir:index 4;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "requester.agent" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Practitioner" ]
]
], [
fhir:index 5;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "reasonCode" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessmentScore" ]
]
], [
fhir:index 6;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "reasonReference" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessment" ]
]
] # These expressions will be evaluated with the library referenced above as an include
]
], [
fhir:index 1;
fhir:PlanDefinition.action.title [ fhir:value "Medications" ];
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:PlanDefinition.action.title [ fhir:value "First-Line Antidepressants" ];
fhir:PlanDefinition.action.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "citation" ];
fhir:RelatedArtifact.document [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/evidence-quality" ];
fhir:Coding.code [ fhir:value "high" ]
];
fhir:CodeableConcept.text [ fhir:value "High Quality" ]
]
];
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.action.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:PlanDefinition.action.title [ fhir:value "Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)" ];
fhir:PlanDefinition.action.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "citation" ];
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.action.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.action.action [
fhir:index 0;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)" ];
fhir:PlanDefinition.action.definitionCanonical [ fhir:value "#citalopramPrescription" ];
fhir:PlanDefinition.action.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "status" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "'draft'" ]
]
], [
fhir:index 1;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "patient" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Patient" ]
]
], [
fhir:index 2;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "prescriber" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Practitioner" ]
]
], [
fhir:index 3;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "reasonCode" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessmentScore" ]
]
], [
fhir:index 4;
fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "reasonReference" ];
fhir:PlanDefinition.action.dynamicValue.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessment" ]
]
]
], [
fhir:index 1;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 2;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 3;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 4;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
]
], [
fhir:index 1;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)" ]
], [
fhir:index 2;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)" ]
], [
fhir:index 3;
fhir:PlanDefinition.action.textEquivalent [ fhir:value "Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)" ]
]
]
]
]] . # Actions
# - ontology header ------------------------------------------------------------
[a owl:Ontology;
owl:imports fhir:fhir.ttl] .
# -------------------------------------------------------------------------------------
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 Ballot hl7.fhir.core#5.0.0-snapshot3 generated on Wed, Dec 14, 2022 07:17+1100.
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