R4 Draft for Comment
WorkflowThis page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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 | Ballot Status: Informative | Compartments: Not linked to any defined compartments |
Activity definition to prescribe citalopram to a patient
@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 -------------------------------------------------------------------
<http://hl7.org/fhir/ActivityDefinition/citalopramPrescription> a fhir:ActivityDefinition;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "citalopramPrescription"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: citalopramPrescription</p><p><b>contained</b>: , </p><p><b>url</b>: <a>http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription</a></p><p><b>identifier</b>: citalopramPrescription (OFFICIAL)</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: CitalopramPrescription</p><p><b>title</b>: Citalopram Prescription</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 15/08/2015</p><p><b>publisher</b>: Motive Medical Intelligence</p><p><b>description</b>: Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills</p><p><b>purpose</b>: Defines a guideline supported prescription for the treatment of depressive disorders</p><p><b>usage</b>: This activity definition is used as part of various suicide risk order sets</p><p><b>approvalDate</b>: 12/03/2016</p><p><b>lastReviewDate</b>: 15/08/2016</p><p><b>effectivePeriod</b>: 01/01/2016 --> 31/12/2017</p><p><b>useContext</b>: , , , , , , </p><p><b>jurisdiction</b>: US <span>(Details : {urn:iso:std:iso:3166 code 'US' = 'US)</span></p><p><b>topic</b>: Mental Health Treatment <span>(Details )</span></p><p><b>contributor</b>: </p><p><b>contact</b>: </p><p><b>copyright</b>: © Copyright 2016 Motive Medical Intelligence. All rights reserved.</p><p><b>relatedArtifact</b>: , </p><p><b>kind</b>: MedicationRequest</p><p><b>product</b>: id: citalopramMedication; citalopram <span>(Details : {RxNorm code '200371' = 'citalopram 20 MG Oral Tablet)</span>; Tablet dose form <span>(Details : {SNOMED CT code '385055001' = 'Tablet', given as 'Tablet dose form'})</span></p><p><b>dosage</b>: </p><blockquote><p><b>dynamicValue</b></p><p><b>description</b>: dispenseRequest.numberOfRepeatsAllowed is three (3)</p><p><b>path</b>: dispenseRequest.numberOfRepeatsAllowed</p><p><b>language</b>: text/cql</p><p><b>expression</b>: 3</p></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>description</b>: dispenseRequest.quantity is thirty (30) tablets</p><p><b>path</b>: dispenseRequest.quantity</p><p><b>language</b>: text/cql</p><p><b>expression</b>: 30 '{tbl}'</p></blockquote></div>"
];
fhir:DomainResource.contained [
a fhir:Medication;
fhir:index 0;
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.form [
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.itemReference [
fhir:Reference.reference [ fhir:value "#citalopramSubstance" ]
];
fhir:Medication.ingredient.amount [
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 1;
fhir:Resource.id [ fhir:value "citalopramSubstance" ];
fhir:Substance.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 "2556" ]
];
fhir:CodeableConcept.text [ fhir:value "citalopram" ]
]
];
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"^^xsd:boolean];
fhir:ActivityDefinition.date [ fhir:value "2015-08-15"^^xsd:date];
fhir:ActivityDefinition.publisher [ fhir:value "Motive Medical Intelligence"];
fhir:ActivityDefinition.description [ fhir:value "Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills"];
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.approvalDate [ fhir:value "2016-03-12"^^xsd:date];
fhir:ActivityDefinition.lastReviewDate [ fhir:value "2016-08-15"^^xsd:date];
fhir:ActivityDefinition.effectivePeriod [
fhir:Period.start [ fhir:value "2016-01-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2017-12-31"^^xsd:date ]
];
fhir:ActivityDefinition.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/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://hl7.org/fhir/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://hl7.org/fhir/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://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
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://hl7.org/fhir/usage-context-type" ];
fhir:Coding.code [ fhir:value "focus" ]
];
fhir:UsageContext.valueCodeableConcept [
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://hl7.org/fhir/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://hl7.org/fhir/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: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.topic [
fhir:index 0;
fhir:CodeableConcept.text [ fhir:value "Mental Health Treatment" ]
];
fhir:ActivityDefinition.contributor [
fhir:index 0;
fhir:Contributor.type [ fhir:value "author" ];
fhir:Contributor.name [ fhir:value "Motive Medical Intelligence" ];
fhir:Contributor.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.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.copyright [ fhir:value "© Copyright 2016 Motive Medical Intelligence. All rights reserved."];
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:index 1;
fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
fhir:RelatedArtifact.resource [
fhir:Reference.reference [ fhir:value "#citalopramMedication" ]
]
];
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:integer ];
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.doseQuantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.unit [ fhir:value "{tbl}" ]
]
];
fhir:ActivityDefinition.dynamicValue [
fhir:index 0;
fhir:ActivityDefinition.dynamicValue.description [ fhir:value "dispenseRequest.numberOfRepeatsAllowed is three (3)" ];
fhir:ActivityDefinition.dynamicValue.path [ fhir:value "dispenseRequest.numberOfRepeatsAllowed" ];
fhir:ActivityDefinition.dynamicValue.language [ fhir:value "text/cql" ];
fhir:ActivityDefinition.dynamicValue.expression [ fhir:value "3" ]
], [
fhir:index 1;
fhir:ActivityDefinition.dynamicValue.description [ fhir:value "dispenseRequest.quantity is thirty (30) tablets" ];
fhir:ActivityDefinition.dynamicValue.path [ fhir:value "dispenseRequest.quantity" ];
fhir:ActivityDefinition.dynamicValue.language [ fhir:value "text/cql" ];
fhir:ActivityDefinition.dynamicValue.expression [ fhir:value "30 '{tbl}'" ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ActivityDefinition/citalopramPrescription.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/ActivityDefinition/citalopramPrescription.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.
®© HL7.org 2011+. FHIR Release 4 Draft for Comment (Jan-2018 v3.2.0-12885) generated on Wed, Dec 20, 2017 15:56+1100. QA Page
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