Release 4B

This page is part of the FHIR Specification (v4.3.0: R4B - STU). 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

Activitydefinition-medicationorder-example.ttl

Clinical Decision Support Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

Raw Turtle (+ also see Turtle/RDF Format Specification)

Activity definition to prescribe citalopram to a patient

@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/sct/> .

# - resource -------------------------------------------------------------------

[] a fhir:ActivityDefinition;
  fhir:Resource.id [ fhir:value "citalopramPrescription"], [ fhir:value "citalopramMedication"], [ fhir:value "citalopramSubstance"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:ActivityDefinition.url [ fhir:value "http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription"];
  fhir:ActivityDefinition.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://motivemi.com" ];
     fhir:Identifier.value [ fhir:value "citalopramPrescription" ]
  ];
  fhir:ActivityDefinition.version [ fhir:value "1.0.0"];
  fhir:ActivityDefinition.name [ fhir:value "CitalopramPrescription"];
  fhir:ActivityDefinition.title [ fhir:value "Citalopram Prescription"];
  fhir:ActivityDefinition.status [ fhir:value "active"];
  fhir:ActivityDefinition.experimental [ fhir:value "true"];
  fhir:ActivityDefinition.date [ fhir:value "2015-08-15"];
  fhir:ActivityDefinition.publisher [ fhir:value "Motive Medical Intelligence"];
  fhir:ActivityDefinition.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:ActivityDefinition.description [ fhir:value "Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills"];
  fhir:ActivityDefinition.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.value [
       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.value [
       a sct:87512008;
       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.value [
       a sct:40379007;
       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.value [
       a sct:225444004;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:225444004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "225444004" ];
         fhir:Coding.display [ fhir:value "At risk for suicide (finding)" ]
       ]
     ]
  ], [
     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.value [
       a sct:306206005;
       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:Coding.display [ fhir:value "Referral to service (procedure)" ]
       ]
     ]
  ], [
     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.value [
       a sct:309343006;
       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.value [
       a sct:440655000;
       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:ActivityDefinition.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:ActivityDefinition.purpose [ fhir:value "Defines a guideline supported prescription for the treatment of depressive disorders"];
  fhir:ActivityDefinition.usage [ fhir:value "This activity definition is used as part of various suicide risk order sets"];
  fhir:ActivityDefinition.copyright [ fhir:value "© Copyright 2016 Motive Medical Intelligence. All rights reserved."];
  fhir:ActivityDefinition.approvalDate [ fhir:value "2016-03-12"];
  fhir:ActivityDefinition.lastReviewDate [ fhir:value "2016-08-15"];
  fhir:ActivityDefinition.effectivePeriod [
     fhir:Period.start [ fhir:value "2016-01-01" ];
     fhir:Period.end [ fhir:value "2017-12-31" ]
  ];
  fhir:ActivityDefinition.topic [
     fhir:index 0;
     fhir:CodeableConcept.text [ fhir:value "Mental Health Treatment" ]
  ];
  fhir:ActivityDefinition.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:ActivityDefinition.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "citation" ];
     fhir:RelatedArtifact.display [ fhir:value "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ];
     fhir:RelatedArtifact.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ];
     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 "#citalopramMedication" ]
  ];
  fhir:ActivityDefinition.kind [ fhir:value "MedicationRequest"];
  fhir:ActivityDefinition.product [
     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.frequency [ fhir:value "1" ];
         fhir:Timing.period [ fhir:value "1" ];
         fhir:Timing.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.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.dose [
         fhir:Quantity.value [ fhir:value "1" ];
         fhir:Quantity.unit [ fhir:value "{tbl}" ]
       ]
     ]
  ];
  fhir:ActivityDefinition.dynamicValue [
     fhir:index 0;
     fhir:ActivityDefinition.path [ fhir:value "dispenseRequest.numberOfRepeatsAllowed" ];
     fhir:ActivityDefinition.expression [
       fhir:Expression.description [ fhir:value "dispenseRequest.numberOfRepeatsAllowed is three (3)" ];
       fhir:Expression.language [ fhir:value "text/cql" ];
       fhir:Expression.expression [ fhir:value "3" ]
     ]
  ], [
     fhir:index 1;
     fhir:ActivityDefinition.path [ fhir:value "dispenseRequest.quantity" ];
     fhir:ActivityDefinition.expression [
       fhir:Expression.description [ fhir:value "dispenseRequest.quantity is thirty (30) tablets" ];
       fhir:Expression.language [ fhir:value "text/cql" ];
       fhir:Expression.expression [ fhir:value "30 '{tbl}'" ]
     ]
  ] .

# -------------------------------------------------------------------------------------


Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.