This page is part of the FHIR Specification (v4.2.0: R5 Preview #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 | Standards Status: Informative | Compartments: Not linked to any defined compartments |
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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>: 2015-08-15</p><p><b>publisher</b>: Motive Medical Intelligence</p><p><b>contact</b>: </p><p><b>description</b>: Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills</p><p><b>useContext</b>: , , , , , , </p><p><b>jurisdiction</b>: United States of America <span>(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America)</span></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>copyright</b>: © Copyright 2016 Motive Medical Intelligence. All rights reserved.</p><p><b>approvalDate</b>: 2016-03-12</p><p><b>lastReviewDate</b>: 2016-08-15</p><p><b>effectivePeriod</b>: 2016-01-01 --> 2017-12-31</p><p><b>topic</b>: Mental Health Treatment <span>(Details )</span></p><p><b>author</b>: </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>path</b>: dispenseRequest.numberOfRepeatsAllowed</p><p><b>expression</b>: </p></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.quantity</p><p><b>expression</b>: </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.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.itemReference [ 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 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.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.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: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.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://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: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"^^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.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:index 1; fhir:RelatedArtifact.type [ fhir:value "composed-of" ]; fhir:RelatedArtifact.resource [ 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: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.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.dynamicValue.path [ fhir:value "dispenseRequest.quantity" ]; fhir:ActivityDefinition.dynamicValue.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}'" ] ] ] . # - 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.