R6 Ballot (1st Draft)
WorkflowThis page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. 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: No defined compartments |
Raw XML (canonical form + also see XML Format Specification)
Activity definition to prescribe citalopram to a patient (id = "citalopramPrescription")
<?xml version="1.0" encoding="UTF-8"?> <ActivityDefinition xmlns="http://hl7.org/fhir"> <id value="citalopramPrescription"/> <text> <status value="extensions"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: ActivityDefinition</b> <a name="citalopramPrescription"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ActivityDefinition "citalopramPrescription" </p> </div> <p> <b> StructureDefinition Work Group</b> : cds</p> <p> <b> url</b> : <code> http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription</code> </p> <p> <b> identifier</b> : id: <a href="http://terminology.hl7.org/5.4.0/NamingSystem-uri.html">#</a> urn:oid:2.16.840.1.113883.4.642.19.6, id: citalopramPrescription (use: 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> : HL7 International / Clinical Decision Support</p> <p> <b> contact</b> : <a href="http://www.hl7.org/Special/committees/dss">http://www.hl7.org/Special/committees/dss</a> ,<a href="mailto:info@motivemi.com">info@motivemi.com</a> </p> <p> <b> description</b> : Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills</p> <h3> UseContexts</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Code</b> </td> <td> <b> Value[x]</b> </td> </tr> <tr> <td style="display: none">*</td> <td> Age Range (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code age = 'Age Range', stated as 'null')</td> <td> Adult <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (meshb.nlm.nih.gov#D000328)</span> </td> </tr> <tr> <td style="display: none">*</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')</td> <td> Mild major depression <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #87512008)</span> </td> </tr> <tr> <td style="display: none">*</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')</td> <td> Major depression, recurrent, mild <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #40379007)</span> </td> </tr> <tr> <td style="display: none">*</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')</td> <td> At risk for suicide (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #225444004)</span> </td> </tr> <tr> <td style="display: none">*</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')</td> <td> Referral to service (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #306206005)</span> </td> </tr> <tr> <td style="display: none">*</td> <td> User Type (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code user = 'User Type', stated as 'null')</td> <td> Physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #309343006)</span> </td> </tr> <tr> <td style="display: none">*</td> <td> Clinical Venue (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code venue = 'Clinical Venue', stated as 'null')</td> <td> Outpatient environment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #440655000)</span> </td> </tr> </table> <p> <b> jurisdiction</b> : United States of America <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a> #US)</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 style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> </p> <p> <b> author</b> : Motive Medical Intelligence: ph: 415-362-4007(WORK),<a href="mailto:info@motivemi.com">info@motivemi.com</a> </p> <blockquote> <p> <b> relatedArtifact</b> </p> <p> <b> type</b> : citation</p> <p> <b> display</b> : Practice Guideline for the Treatment of Patients with Major Depressive Disorder</p> <blockquote> <p> <b> document</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> relatedArtifact</b> </p> <p> <b> type</b> : composed-of</p> <p> <b> resource</b> : <code> #citalopramMedication</code> </p> </blockquote> <p> <b> kind</b> : MedicationRequest</p> <p> <b> product</b> : <a name="citalopramMedication"> </a> </p> <blockquote> <p/> <p> <a name="citalopramMedication"> </a> </p> <p> <b> code</b> : citalopram <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #200371)</span> </p> <p> <b> doseForm</b> : Tablet dose form <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385055001)</span> </p> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Reference</b> </td> </tr> <tr> <td style="display: none">*</td> <td> <a href="#citalopramSubstance">#citalopramSubstance</a> </td> </tr> </table> <p> <b> strength</b> : 20 mg/1 {tbl}</p> </blockquote> </blockquote> <blockquote> <p> <b> dosage</b> </p> <p> <b> text</b> : 1 tablet oral 1 time daily</p> <p> <b> timing</b> : Once per 1 days</p> <p> <b> route</b> : Oral route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ([not stated]#26643006)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> dynamicValue</b> </p> <p> <b> path</b> : dispenseRequest.numberOfRepeatsAllowed</p> <h3> Expressions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Description</b> </td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td style="display: none">*</td> <td> dispenseRequest.numberOfRepeatsAllowed is three (3)</td> <td> text/cql</td> <td> 3</td> </tr> </table> </blockquote> <blockquote> <p> <b> dynamicValue</b> </p> <p> <b> path</b> : dispenseRequest.quantity</p> <h3> Expressions</h3> <table class="grid"><tr> <td style="display: none">-</td> <td> <b> Description</b> </td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td style="display: none">*</td> <td> dispenseRequest.quantity is thirty (30) tablets</td> <td> text/cql</td> <td> 30 '{tbl}'</td> </tr> </table> </blockquote> </div> </text> <contained> <Medication> <id value="citalopramMedication"/> <code> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="200371"/> </coding> <text value="citalopram"/> </code> <doseForm> <coding> <system value="http://snomed.info/sct"/> <code value="385055001"/> <display value="Tablet dose form"/> </coding> <text value="Tablet dose form"/> </doseForm> <ingredient> <item> <reference> <reference value="#citalopramSubstance"/> </reference> </item> <strengthRatio> <numerator> <value value="20"/> <unit value="mg"/> </numerator> <denominator> <value value="1"/> <unit value="{tbl}"/> </denominator> </strengthRatio> </ingredient> </Medication> </contained> <contained> <Substance> <id value="citalopramSubstance"/> <instance value="false"/> <code> <concept> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="2556"/> </coding> <text value="citalopram"/> </concept> </code> </Substance> </contained> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="cds"/> </extension> <url value="http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.19.6"/> </identifier> <identifier> <use value="official"/> <system value="http://motivemi.com"/> <value value="citalopramPrescription"/> </identifier> <version value="1.0.0"/> <name value="CitalopramPrescription"/> <title value="Citalopram Prescription"/> <status value="active"/> <experimental value="true"/> <date value="2015-08-15"/> <publisher value="HL7 International / Clinical Decision Support"/> <contact> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/dss"/> <use value="work"/> </telecom> <telecom> <system value="email"/> <value value="info@motivemi.com"/> <use value="work"/> </telecom> </contact> <description value="Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills"/> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="age"/> </code> <valueCodeableConcept> <coding> <system value="https://meshb.nlm.nih.gov"/> <code value="D000328"/> <display value="Adult"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="87512008"/> <display value="Mild major depression"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="40379007"/> <display value="Major depression, recurrent, mild"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="225444004"/> <display value="At risk for suicide (finding)"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="focus"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="306206005"/> <display value="Referral to service (procedure)"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="user"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="309343006"/> <display value="Physician"/> </coding> </valueCodeableConcept> </useContext> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/> <code value="venue"/> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="440655000"/> <display value="Outpatient environment"/> </coding> </valueCodeableConcept> </useContext> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <purpose value="Defines a guideline supported prescription for the treatment of depressive disorders"/> <usage value="This activity definition is used as part of various suicide risk order sets"/> <copyright value="© Copyright 2016 Motive Medical Intelligence. All rights reserved."/> <approvalDate value="2016-03-12"/> <lastReviewDate value="2016-08-15"/> <effectivePeriod> <start value="2016-01-01"/> <end value="2017-12-31"/> </effectivePeriod> <topic> <text value="Mental Health Treatment"/> </topic> <author> <name value="Motive Medical Intelligence"/> <telecom> <system value="phone"/> <value value="415-362-4007"/> <use value="work"/> </telecom> <telecom> <system value="email"/> <value value="info@motivemi.com"/> <use value="work"/> </telecom> </author> <relatedArtifact> <type value="citation"/> <display value="Practice Guideline for the Treatment of Patients with Major Depressive Disorder"/> <document> <url value="http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"/> </document> </relatedArtifact> <relatedArtifact> <type value="composed-of"/> <resource value="#citalopramMedication"/> </relatedArtifact> <kind value="MedicationRequest"/> <productReference> <reference value="#citalopramMedication"/> </productReference> <dosage> <text value="1 tablet oral 1 time daily"/> <timing> <repeat> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <route> <coding> <code value="26643006"/> <display value="Oral route (qualifier value)"/> </coding> <text value="Oral route (qualifier value)"/> </route> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="ordered"/> <display value="Ordered"/> </coding> </type> <doseQuantity> <value value="1"/> <unit value="{tbl}"/> </doseQuantity> </doseAndRate> </dosage> <dynamicValue> <path value="dispenseRequest.numberOfRepeatsAllowed"/> <expression> <description value="dispenseRequest.numberOfRepeatsAllowed is three (3)"/> <language value="text/cql"/> <expression value="3"/> </expression> </dynamicValue> <dynamicValue> <path value="dispenseRequest.quantity"/> <expression> <description value="dispenseRequest.quantity is thirty (30) tablets"/> <language value="text/cql"/> <expression value="30 '{tbl}'"/> </expression> </dynamicValue> </ActivityDefinition>
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-ballot1 generated on Mon, Dec 18, 2023 15:16+1100.
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