Release 4B
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. 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 |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Low Suicide Risk Order Set
@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:PlanDefinition;
fhir:Resource.id [ fhir:value "low-suicide-risk-order-set"], [ fhir:value "referralToMentalHealthCare"], [ fhir:value "citalopramPrescription"], [ fhir:value "citalopramMedication"], [ fhir:value "citalopramSubstance"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ]
];
fhir:PlanDefinition.url [ fhir:value "http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set"];
fhir:PlanDefinition.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.system [ fhir:value "http://motivemi.com/artifacts" ];
fhir:Identifier.value [ fhir:value "mmi:low-suicide-risk-order-set" ]
];
fhir:PlanDefinition.version [ fhir:value "1.0.0"];
fhir:PlanDefinition.name [ fhir:value "LowSuicideRiskOrderSet"];
fhir:PlanDefinition.title [ fhir:value "Low Suicide Risk Order Set"];
fhir:PlanDefinition.status [ fhir:value "active"];
fhir:PlanDefinition.experimental [ fhir:value "true"];
fhir:PlanDefinition.date [ fhir:value "2015-08-15"];
fhir:PlanDefinition.publisher [ fhir:value "Motive Medical Intelligence"];
fhir:PlanDefinition.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:PlanDefinition.description [ fhir:value "Orders to be applied to a patient characterized as low suicide risk."];
fhir:PlanDefinition.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:394687007;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:394687007;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "394687007" ];
fhir:Coding.display [ fhir:value "Low suicide risk" ]
]
]
], [
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:225337009;
fhir:CodeableConcept.coding [
fhir:index 0;
a sct:225337009;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
fhir:Coding.code [ fhir:value "225337009" ];
fhir:Coding.display [ fhir:value "Suicide risk assessment" ]
]
]
], [
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:PlanDefinition.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:PlanDefinition.purpose [ fhir:value "This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients."];
fhir:PlanDefinition.usage [ fhir:value "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."];
fhir:PlanDefinition.copyright [ fhir:value "© Copyright 2016 Motive Medical Intelligence. All rights reserved."];
fhir:PlanDefinition.approvalDate [ fhir:value "2016-03-12"];
fhir:PlanDefinition.lastReviewDate [ fhir:value "2016-08-15"];
fhir:PlanDefinition.effectivePeriod [
fhir:Period.start [ fhir:value "2016-01-01" ];
fhir:Period.end [ fhir:value "2017-12-31" ]
];
fhir:PlanDefinition.topic [
fhir:index 0;
fhir:CodeableConcept.text [ fhir:value "Suicide risk assessment" ]
];
fhir:PlanDefinition.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:PlanDefinition.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "derived-from" ];
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 "http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth" ]
], [
fhir:index 2;
fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
fhir:RelatedArtifact.resource [ fhir:value "http://example.org/fhir/ActivityDefinition/citalopramPrescription" ]
];
fhir:PlanDefinition.library [
fhir:value "http://example.org/fhir/Library/suiciderisk-orderset-logic";
fhir:index 0
];
fhir:PlanDefinition.action [
fhir:index 0;
fhir:PlanDefinition.title [ fhir:value "Suicide Risk Assessment and Outpatient Management" ];
fhir:PlanDefinition.action [
fhir:index 0;
fhir:PlanDefinition.title [ fhir:value "Consults and Referrals" ];
fhir:PlanDefinition.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.selectionBehavior [ fhir:value "any" ];
fhir:PlanDefinition.action [
fhir:index 0;
fhir:PlanDefinition.textEquivalent [ fhir:value "Refer to outpatient mental health program for evaluation and treatment of mental health conditions now" ];
fhir:PlanDefinition.definition [ fhir:value "#referralToMentalHealthCare" ];
fhir:PlanDefinition.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.path [ fhir:value "timing.event" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "Now()" ]
]
], [
fhir:index 1;
fhir:PlanDefinition.path [ fhir:value "specialty" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "Code '261QM0850X' from SuicideRiskLogic.\"NUCC Provider Taxonomy\" display 'Adult Mental Health'" ]
]
], [
fhir:index 2;
fhir:PlanDefinition.path [ fhir:value "occurrenceDateTime" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.ServiceRequestFulfillmentTime" ]
]
], [
fhir:index 3;
fhir:PlanDefinition.path [ fhir:value "subject" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Patient" ]
]
], [
fhir:index 4;
fhir:PlanDefinition.path [ fhir:value "requester.agent" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Practitioner" ]
]
], [
fhir:index 5;
fhir:PlanDefinition.path [ fhir:value "reasonCode" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessmentScore" ]
]
], [
fhir:index 6;
fhir:PlanDefinition.path [ fhir:value "reasonReference" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessment" ]
]
]
]
], [
fhir:index 1;
fhir:PlanDefinition.title [ fhir:value "Medications" ];
fhir:PlanDefinition.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.action [
fhir:index 0;
fhir:PlanDefinition.title [ fhir:value "First-Line Antidepressants" ];
fhir:PlanDefinition.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "citation" ];
fhir:RelatedArtifact.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ];
fhir:RelatedArtifact.document [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence" ];
fhir:Extension.value [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/evidence-quality" ];
fhir:Coding.code [ fhir:value "high" ]
];
fhir:CodeableConcept.text [ fhir:value "High Quality" ]
]
];
fhir:Attachment.contentType [ fhir:value "text/html" ];
fhir:Attachment.url [ fhir:value "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf" ];
fhir:Attachment.title [ fhir:value "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ]
]
];
fhir:PlanDefinition.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.action [
fhir:index 0;
fhir:PlanDefinition.title [ fhir:value "Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)" ];
fhir:PlanDefinition.documentation [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "citation" ];
fhir:RelatedArtifact.url [ fhir:value "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01" ];
fhir:RelatedArtifact.document [
fhir:Attachment.contentType [ fhir:value "text/html" ];
fhir:Attachment.url [ fhir:value "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01" ];
fhir:Attachment.title [ fhir:value "National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet, film coated." ]
]
];
fhir:PlanDefinition.groupingBehavior [ fhir:value "logical-group" ];
fhir:PlanDefinition.selectionBehavior [ fhir:value "at-most-one" ];
fhir:PlanDefinition.action [
fhir:index 0;
fhir:PlanDefinition.textEquivalent [ fhir:value "citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)" ];
fhir:PlanDefinition.definition [ fhir:value "#citalopramPrescription" ];
fhir:PlanDefinition.dynamicValue [
fhir:index 0;
fhir:PlanDefinition.path [ fhir:value "status" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "'draft'" ]
]
], [
fhir:index 1;
fhir:PlanDefinition.path [ fhir:value "patient" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Patient" ]
]
], [
fhir:index 2;
fhir:PlanDefinition.path [ fhir:value "prescriber" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.Practitioner" ]
]
], [
fhir:index 3;
fhir:PlanDefinition.path [ fhir:value "reasonCode" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessmentScore" ]
]
], [
fhir:index 4;
fhir:PlanDefinition.path [ fhir:value "reasonReference" ];
fhir:PlanDefinition.expression [
fhir:Expression.language [ fhir:value "text/cql" ];
fhir:Expression.expression [ fhir:value "SuicideRiskLogic.RiskAssessment" ]
]
]
], [
fhir:index 1;
fhir:PlanDefinition.textEquivalent [ fhir:value "escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 2;
fhir:PlanDefinition.textEquivalent [ fhir:value "fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 3;
fhir:PlanDefinition.textEquivalent [ fhir:value "paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
], [
fhir:index 4;
fhir:PlanDefinition.textEquivalent [ fhir:value "sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
]
], [
fhir:index 1;
fhir:PlanDefinition.textEquivalent [ fhir:value "Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)" ]
], [
fhir:index 2;
fhir:PlanDefinition.textEquivalent [ fhir:value "Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)" ]
], [
fhir:index 3;
fhir:PlanDefinition.textEquivalent [ fhir:value "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 Release 4B (v4.3.0) hl7.fhir.r4b.core#4.3.0 generated on Sat, May 28, 2022 12:56+1000.
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