This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3
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Low Suicide Risk Order Set
@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 -------------------------------------------------------------------
[a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "low-suicide-risk-order-set"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Id: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">PlanDefinition/low-suicide-risk-order-set</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Identifier: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>value: </b>\n <span>mmi:low-suicide-risk-order-set</span>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Title: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">Low Suicide Risk Order Set</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Status: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">draft</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Description: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">Orders to be applied to a patient characterized as low suicide risk.</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Purpose: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Usage: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">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.</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>age</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>https://meshb.nlm.nih.gov</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>D000328</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Adult</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>87512008</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Mild major depression</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>40379007</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Major depression, recurrent, mild</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>394687007</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Low suicide risk</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>focus</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>225337009</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Suicide risk assessment</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>user</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>309343006</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Physician</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Context: </b>\n </td>\n </tr>\n <tr style=\"vertical-align: top;\">\n <td style=\"padding-right: 25px;\">\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>system: </b>\n <span>http://terminology.hl7.org/CodeSystem/usage-context-type</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>code: </b>\n <span>venue</span>\n </p>\n <p style=\"padding-left: 25px; margin-top: 5px; margin-bottom: 5px;\">\n <b>value: </b>\n <br/>\n <span>\n <span>\n <span>\n <span style=\"padding-left: 25px;\">\n <b>system: </b>\n <span>http://snomed.info/sct</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>code: </b>\n <span>440655000</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <b>display: </b>\n <span>Outpatient environment</span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Topic: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <span>\n <b>text: </b>\n <span>Suicide risk assessment</span>\n </span>\n </td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Contributor: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>\n <span>author</span>:\n </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 50px; padding-right: 25px;\">Motive Medical Intelligence</td>\n </tr>\n </table>\n <p/>\n <table class=\"grid dict\">\n <tr>\n <td>\n <b>Library: </b>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>reference: </b>\n <span>Library/suiciderisk-orderset-logic</span>\n </td>\n </tr>\n <tr>\n <td style=\"padding-left: 25px; padding-right: 25px;\">\n <b>display: </b>\n <span>SuicideRiskLogic</span>\n </td>\n </tr>\n </table>\n <p/>\n <h2>Actions</h2>\n <p style=\"width: 100%;\" class=\"hierarchy\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 25px;\">\n <b>title: </b>\n <span>Suicide Risk Assessment and Outpatient Management</span>\n <br/>\n </span>\n <span style=\"padding-left: 25px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 50px;\">\n <b>title: </b>\n <span>Consults and Referrals</span>\n <br/>\n </span>\n <span style=\"padding-left: 50px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 75px;\">\n <b>text: </b>\n <span>Refer to outpatient mental health program for evaluation and treatment of mental health conditions now</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\">\n <b>condition: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>reference: </b>\n <br/>\n <span style=\"padding-left: 125px;\">#referralToMentalHealthCare</span>\n <span>\n <span style=\"padding-left: 75px;\">\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>description: </b>\n <span>refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\">\n <b>category: </b>\n <span>referral</span>\n <br/>\n </span>\n </span>\n </span>\n </span>\n </span>\n <span style=\"padding-left: 50px;\"/>\n </span>\n </span>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 50px;\">\n <b>title: </b>\n <span>Medications</span>\n <br/>\n </span>\n <span style=\"padding-left: 50px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 75px;\">\n <b>title: </b>\n <span>First-Line Antidepressants</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>title: </b>\n <span>Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\">\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 125px;\">\n <b>condition: </b>\n <br/>\n <span style=\"padding-left: 150px;\">\n <b>reference: </b>\n <br/>\n <span style=\"padding-left: 175px;\">#citalopramPrescription</span>\n <span/>\n <span>\n <span style=\"padding-left: 125px;\">\n <br/>\n <span style=\"padding-left: 150px;\">\n <b>category: </b>\n <span>drug</span>\n <br/>\n </span>\n </span>\n </span>\n <span/>\n <span/>\n </span>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n </span>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 125px;\">\n <b>text: </b>\n <span>Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>text: </b>\n <span>Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 75px;\"/>\n </span>\n <span>\n <b>Step: </b>\n <br/>\n <span style=\"padding-left: 100px;\">\n <b>text: </b>\n <span>Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)</span>\n <br/>\n </span>\n <span style=\"padding-left: 100px;\"/>\n </span>\n </span>\n </span>\n </span>\n </span>\n </span>\n </span>\n </p>\n </div>"
] ; #
fhir:contained ( [
a fhir:ActivityDefinition ;
fhir:id [ fhir:v "referralToMentalHealthCare" ] ;
fhir:status [ fhir:v "draft" ] ;
fhir:description [ fhir:v "refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now" ] ;
fhir:kind [ fhir:v "ServiceRequest" ] ; # Kind indicates the type of resource that is defined by this activity, a ServiceRequest in this case
fhir:code [
fhir:coding ( [
a sct:306206005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "306206005" ]
] ) ;
fhir:text [ fhir:v "Referral to service (procedure)" ]
] ;
fhir:timing [
a fhir:Timing ;
fhir:event ( [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expression"^^xsd:anyURI ] ;
fhir:value [
a fhir:Expression ;
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Now()" ]
]
] ) # The expression here specifies the value for the timing of the resulting resource. In this case, referralRequest.fulfillmentTime.start
] )
] ;
fhir:participant ( [
fhir:type [ fhir:v "practitioner" ]
] )
] [
a fhir:ActivityDefinition ;
fhir:id [ fhir:v "citalopramPrescription" ] ;
fhir:status [ fhir:v "draft" ] ;
fhir:kind [ fhir:v "MedicationRequest" ] ;
fhir:product [
a fhir:Reference ;
fhir:reference [ fhir:v "#citalopramMedication" ]
] ;
fhir:dosage ( [
fhir:text [ fhir:v "1 tablet oral 1 time daily" ] ;
fhir:timing [
fhir:repeat [
fhir:frequency [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:period [ fhir:v "1"^^xsd:decimal ] ;
fhir:periodUnit [ fhir:v "d" ]
]
] ;
fhir:route [
fhir:coding ( [
fhir:code [ fhir:v "26643006" ] ;
fhir:display [ fhir:v "Oral route (qualifier value)" ]
] ) ;
fhir:text [ fhir:v "Oral route (qualifier value)" ]
] ;
fhir:doseAndRate ( [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/dose-rate-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ordered" ] ;
fhir:display [ fhir:v "Ordered" ]
] )
] ;
fhir:dose [
a fhir:Quantity ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "{tbl}" ]
]
] )
] ) ;
fhir:dynamicValue ( [
fhir:path [ fhir:v "dispenseRequest.numberOfRepeatsAllowed" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "3" ]
]
] [
fhir:path [ fhir:v "dispenseRequest.quantity" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "30 '{tbl}'" ]
]
] )
] [
a fhir:Medication ;
fhir:id [ fhir:v "citalopramMedication" ] ;
fhir:code [
fhir:coding ( [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "200371" ]
] ) ;
fhir:text [ fhir:v "citalopram" ]
] ;
fhir:doseForm [
fhir:coding ( [
a sct:385055001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "385055001" ] ;
fhir:display [ fhir:v "Tablet dose form" ]
] ) ;
fhir:text [ fhir:v "Tablet dose form" ]
] ;
fhir:ingredient ( [
fhir:item [
fhir:reference [
fhir:reference [ fhir:v "#citalopramSubstance" ]
]
] ;
fhir:strength [
a fhir:Ratio ;
fhir:numerator [
fhir:value [ fhir:v "20"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ]
] ;
fhir:denominator [
fhir:value [ fhir:v "1"^^xsd:decimal ] ;
fhir:unit [ fhir:v "{tbl}" ]
]
]
] )
] [
a fhir:Substance ;
fhir:id [ fhir:v "citalopramSubstance" ] ;
fhir:instance [ fhir:v "false"^^xsd:boolean ] ;
fhir:code [
fhir:concept [
fhir:coding ( [
fhir:system [ fhir:v "http://www.nlm.nih.gov/research/umls/rxnorm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2556" ]
] ) ;
fhir:text [ fhir:v "citalopram" ]
]
]
] ) ; #
fhir:url [ fhir:v "http://motivemi.com/artifacts/PlanDefinition/low-suicide-risk-order-set"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.11.7" ]
] [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://motivemi.com/artifacts"^^xsd:anyURI ] ;
fhir:value [ fhir:v "mmi:low-suicide-risk-order-set" ]
] ) ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "LowSuicideRiskOrderSet"] ; #
fhir:title [ fhir:v "Low Suicide Risk Order Set"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v "true"^^xsd:boolean] ; #
fhir:date [ fhir:v "2015年08月15日"^^xsd:date] ; #
fhir:publisher [ fhir:v "Motive Medical Intelligence"] ; #
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "415-362-4007" ] ;
fhir:use [ fhir:v "work" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "info@motivemi.com" ] ;
fhir:use [ fhir:v "work" ]
] )
] ) ; #
fhir:description [ fhir:v "Orders to be applied to a patient characterized as low suicide risk."] ; #
fhir:useContext ( [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "age" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
fhir:system [ fhir:v "https://meshb.nlm.nih.gov"^^xsd:anyURI ] ;
fhir:code [ fhir:v "D000328" ] ;
fhir:display [ fhir:v "Adult" ]
] )
]
] [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "focus" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:87512008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "87512008" ] ;
fhir:display [ fhir:v "Mild major depression" ]
] )
]
] [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "focus" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:40379007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "40379007" ] ;
fhir:display [ fhir:v "Major depression, recurrent, mild" ]
] )
]
] [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "focus" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:394687007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "394687007" ] ;
fhir:display [ fhir:v "Low suicide risk" ]
] )
]
] [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "focus" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:225337009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "225337009" ] ;
fhir:display [ fhir:v "Suicide risk assessment" ]
] )
]
] [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "user" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:309343006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "309343006" ] ;
fhir:display [ fhir:v "Physician" ]
] )
]
] [
fhir:code [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "venue" ]
] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
a sct:440655000 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "440655000" ] ;
fhir:display [ fhir:v "Outpatient environment" ]
] )
]
] ) ; #
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]
] )
] ) ; #
fhir:purpose [ fhir:v "This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients."] ; #
fhir:usage [ fhir:v "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:copyright [ fhir:v "© Copyright 2016 Motive Medical Intelligence. All rights reserved."] ; #
fhir:approvalDate [ fhir:v "2016年03月12日"^^xsd:date] ; #
fhir:lastReviewDate [ fhir:v "2016年08月15日"^^xsd:date] ; #
fhir:effectivePeriod [
fhir:start [ fhir:v "2016年01月01日"^^xsd:date ] ;
fhir:end [ fhir:v "2017年12月31日"^^xsd:date ]
] ; #
fhir:topic ( [
fhir:text [ fhir:v "Suicide risk assessment" ]
] ) ; #
fhir:author ( [
fhir:name [ fhir:v "Motive Medical Intelligence" ] ;
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "415-362-4007" ] ;
fhir:use [ fhir:v "work" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "info@motivemi.com" ] ;
fhir:use [ fhir:v "work" ]
] )
] ) ; #
fhir:relatedArtifact ( [
fhir:type [ fhir:v "derived-from" ] ;
fhir:display [ fhir:v "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ] ;
fhir:document [
fhir:url [ fhir:v "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"^^xsd:anyURI ]
]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:resource [
fhir:v "http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth"^^xsd:anyURI ;
fhir:link <http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth>
]
] [
fhir:type [ fhir:v "composed-of" ] ;
fhir:resource [
fhir:v "http://example.org/fhir/ActivityDefinition/citalopramPrescription"^^xsd:anyURI ;
fhir:link <http://example.org/fhir/ActivityDefinition/citalopramPrescription>
]
] ) ; #
fhir:library ( [
fhir:v "http://example.org/fhir/Library/suiciderisk-orderset-logic"^^xsd:anyURI ;
fhir:link <http://example.org/fhir/Library/suiciderisk-orderset-logic>
] ) ; #
fhir:action ( [
fhir:title [ fhir:v "Suicide Risk Assessment and Outpatient Management" ] ;
fhir:action ( [
fhir:title [ fhir:v "Consults and Referrals" ] ;
fhir:groupingBehavior [ fhir:v "logical-group" ] ;
fhir:selectionBehavior [ fhir:v "any" ] ;
fhir:action ( [
fhir:textEquivalent [ fhir:v "Refer to outpatient mental health program for evaluation and treatment of mental health conditions now" ] ;
fhir:definition [ fhir:v "#referralToMentalHealthCare"^^xsd:anyURI ] ;
fhir:dynamicValue ( [
fhir:path [ fhir:v "timing.event" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Now()" ]
]
] [
fhir:path [ fhir:v "specialty" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "Code '261QM0850X' from SuicideRiskLogic.\"NUCC Provider Taxonomy\" display 'Adult Mental Health'" ]
] # This expression is code selector syntax in CQL, returning the code from the NPI provider taxonomy
] [
fhir:path [ fhir:v "occurrenceDateTime" ] ; # The fulfillmentTime element of the resulting ServiceRequest will be set to the result of the ServiceRequestFulfillmentTime expression defined in the SuicideRiskLogic library
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.ServiceRequestFulfillmentTime" ]
]
] [
fhir:path [ fhir:v "subject" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.Patient" ]
]
] [
fhir:path [ fhir:v "requester.agent" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.Practitioner" ]
]
] [
fhir:path [ fhir:v "reasonCode" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.RiskAssessmentScore" ]
]
] [
fhir:path [ fhir:v "reasonReference" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.RiskAssessment" ]
]
] ) # These expressions will be evaluated with the library referenced above as an include
] )
] [
fhir:title [ fhir:v "Medications" ] ;
fhir:groupingBehavior [ fhir:v "logical-group" ] ;
fhir:selectionBehavior [ fhir:v "at-most-one" ] ;
fhir:action ( [
fhir:title [ fhir:v "First-Line Antidepressants" ] ;
fhir:documentation ( [
fhir:type [ fhir:v "citation" ] ;
fhir:document [
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-qualityOfEvidence"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/evidence-quality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "high" ]
] ) ;
fhir:text [ fhir:v "High Quality" ]
]
] ) ;
fhir:contentType [ fhir:v "text/html" ] ;
fhir:url [ fhir:v "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"^^xsd:anyURI ] ;
fhir:title [ fhir:v "Practice Guideline for the Treatment of Patients with Major Depressive Disorder" ]
]
] ) ;
fhir:groupingBehavior [ fhir:v "logical-group" ] ;
fhir:selectionBehavior [ fhir:v "at-most-one" ] ;
fhir:action ( [
fhir:title [ fhir:v "Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)" ] ;
fhir:documentation ( [
fhir:type [ fhir:v "citation" ] ;
fhir:document [
fhir:contentType [ fhir:v "text/html" ] ;
fhir:url [ fhir:v "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01"^^xsd:anyURI ] ;
fhir:title [ fhir:v "National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet, film coated." ]
]
] ) ;
fhir:groupingBehavior [ fhir:v "logical-group" ] ;
fhir:selectionBehavior [ fhir:v "at-most-one" ] ;
fhir:action ( [
fhir:textEquivalent [ fhir:v "citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)" ] ;
fhir:definition [ fhir:v "#citalopramPrescription"^^xsd:anyURI ] ;
fhir:dynamicValue ( [
fhir:path [ fhir:v "status" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "'draft'" ]
]
] [
fhir:path [ fhir:v "patient" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.Patient" ]
]
] [
fhir:path [ fhir:v "prescriber" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.Practitioner" ]
]
] [
fhir:path [ fhir:v "reasonCode" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.RiskAssessmentScore" ]
]
] [
fhir:path [ fhir:v "reasonReference" ] ;
fhir:expression [
fhir:language [ fhir:v "text/cql" ] ;
fhir:expression [ fhir:v "SuicideRiskLogic.RiskAssessment" ]
]
] )
] [
fhir:textEquivalent [ fhir:v "escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
] [
fhir:textEquivalent [ fhir:v "fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)" ]
] [
fhir:textEquivalent [ fhir:v "paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
] [
fhir:textEquivalent [ fhir:v "sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)" ]
] )
] [
fhir:textEquivalent [ fhir:v "Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)" ]
] [
fhir:textEquivalent [ fhir:v "Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)" ]
] [
fhir:textEquivalent [ fhir:v "Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)" ]
] )
] )
] )
] )] . # Actions
# -------------------------------------------------------------------------------------
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.