R6 Ballot (2nd Draft)
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| Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: No defined compartments |
Raw JSON (canonical form + also see JSON Format Specification)
Low Suicide Risk Order Set
{
"resourceType" : "PlanDefinition",
"id" : "low-suicide-risk-order-set",
"text" : {
"status" : "generated",
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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; 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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; 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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>"
},
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},
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},
{
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"strengthRatio" : {
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},
{
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"url" : "http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set",
"identifier" : [{
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"value" : "urn:oid:2.16.840.1.113883.4.642.11.7"
},
{
"use" : "official",
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"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" : "HL7 International / Clinical Decision Support",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/dss"
}]
}],
"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" : {
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"code" : "D000328",
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{
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{
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"valueCodeableConcept" : {
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},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "user"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
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},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "venue"
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"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",
"document" : {
"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" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence",
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/evidence-quality",
"code" : "high"
}],
"text" : "High Quality"
}
}],
"title" : "First-Line Antidepressants",
"documentation" : [{
"type" : "citation",
"document" : {
"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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Mon, Aug 12, 2024 16:59+0800.
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