Release 4B
WorkflowThis 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
| Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw JSON (canonical form + also see JSON Format Specification)
Activity definition to prescribe citalopram to a patient
{
"resourceType" : "ActivityDefinition",
"id" : "citalopramPrescription",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 "citalopramPrescription" </p></div><p><b>url</b>: <code>http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription</code></p><p><b>identifier</b>: id: 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>: ph: 415-362-4007(WORK),<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><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#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><p><b>kind</b>: MedicationRequest</p><p><b>product</b>: <a name=\"citalopramMedication\"> </a></p><blockquote><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 "citalopramMedication" </p></div><p><b>code</b>: citalopram <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#200371)</span></p><p><b>form</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><h3>Ingredients</h3><table class=\"grid\"><tr><td>-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td>*</td><td><a href=\"#citalopramSubstance\">#citalopramSubstance</a></td><td>20 mg/1 {tbl}</td></tr></table></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.numberOfRepeatsAllowed</p></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.quantity</p></blockquote></div>"
},
"contained" : [{
"resourceType" : "Medication",
"id" : "citalopramMedication",
"code" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "200371"
}],
"text" : "citalopram"
},
"form" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385055001",
"display" : "Tablet dose form"
}],
"text" : "Tablet dose form"
},
"ingredient" : [{
"itemReference" : {
"reference" : "#citalopramSubstance"
},
"strength" : {
"numerator" : {
"value" : 20,
"unit" : "mg"
},
"denominator" : {
"value" : 1,
"unit" : "{tbl}"
}
}
}]
},
{
"resourceType" : "Substance",
"id" : "citalopramSubstance",
"code" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "2556"
}],
"text" : "citalopram"
}
}],
"url" : "http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription",
"identifier" : [{
"use" : "official",
"system" : "http://motivemi.com",
"value" : "citalopramPrescription"
}],
"version" : "1.0.0",
"name" : "CitalopramPrescription",
"title" : "Citalopram Prescription",
"status" : "active",
"experimental" : true,
"date" : "2015-08-15",
"publisher" : "Motive Medical Intelligence",
"contact" : [{
"telecom" : [{
"system" : "phone",
"value" : "415-362-4007",
"use" : "work"
},
{
"system" : "email",
"value" : "info@motivemi.com",
"use" : "work"
}]
}],
"description" : "Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills",
"useContext" : [{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "age"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "https://meshb.nlm.nih.gov",
"code" : "D000328",
"display" : "Adult"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "87512008",
"display" : "Mild major depression"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "40379007",
"display" : "Major depression, recurrent, mild"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "225444004",
"display" : "At risk for suicide (finding)"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "focus"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "306206005",
"display" : "Referral to service (procedure)"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "user"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "309343006",
"display" : "Physician"
}]
}
},
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "venue"
},
"valueCodeableConcept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "440655000",
"display" : "Outpatient environment"
}]
}
}],
"jurisdiction" : [{
"coding" : [{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}]
}],
"purpose" : "Defines a guideline supported prescription for the treatment of depressive disorders",
"usage" : "This activity definition is used as part of various suicide risk order sets",
"copyright" : "© Copyright 2016 Motive Medical Intelligence. All rights reserved.",
"approvalDate" : "2016-03-12",
"lastReviewDate" : "2016-08-15",
"effectivePeriod" : {
"start" : "2016-01-01",
"end" : "2017-12-31"
},
"topic" : [{
"text" : "Mental Health Treatment"
}],
"author" : [{
"name" : "Motive Medical Intelligence",
"telecom" : [{
"system" : "phone",
"value" : "415-362-4007",
"use" : "work"
},
{
"system" : "email",
"value" : "info@motivemi.com",
"use" : "work"
}]
}],
"relatedArtifact" : [{
"type" : "citation",
"display" : "Practice Guideline for the Treatment of Patients with Major Depressive Disorder",
"url" : "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf",
"document" : {
"url" : "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"
}
},
{
"type" : "composed-of",
"resource" : "#citalopramMedication"
}],
"kind" : "MedicationRequest",
"productReference" : {
"reference" : "#citalopramMedication"
},
"dosage" : [{
"text" : "1 tablet oral 1 time daily",
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [{
"code" : "26643006",
"display" : "Oral route (qualifier value)"
}],
"text" : "Oral route (qualifier value)"
},
"doseAndRate" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
"code" : "ordered",
"display" : "Ordered"
}]
},
"doseQuantity" : {
"value" : 1,
"unit" : "{tbl}"
}
}]
}],
"dynamicValue" : [{
"path" : "dispenseRequest.numberOfRepeatsAllowed",
"expression" : {
"description" : "dispenseRequest.numberOfRepeatsAllowed is three (3)",
"language" : "text/cql",
"expression" : "3"
}
},
{
"path" : "dispenseRequest.quantity",
"expression" : {
"description" : "dispenseRequest.quantity is thirty (30) tablets",
"language" : "text/cql",
"expression" : "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.
FHIR ®© HL7.org 2011+. FHIR Release 4B (v4.3.0) hl7.fhir.r4b.core#4.3.0 generated on Sat, May 28, 2022 12:53+1000.
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