Low
Suicide
Risk
Order
Set
(id
=
"low-suicide-risk-order-set")
<?xml version="1.0" encoding="UTF-8"?>
This order set helps ensure consistent application of appropriate orders for the care
of low suicide risk patients.
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.
:
Refer to outpatient mental health program for evaluation and treatment of mental health
conditions now
refer to primary care mental-health integrated care program for evaluation and treatment
of mental health conditions now
Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for
exception)
Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons
for exception)
Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons
for exception)
refer to primary care mental-health integrated care program for evaluation and treatment
of mental health conditions now
This order set helps ensure consistent application of appropriate orders for the care
of low suicide risk patients.
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.
Refer to outpatient mental health program for evaluation and treatment of mental health
conditions now
Code '261QM0850X' from SuicideRiskLogic."NUCC Provider Taxonomy" display 'Adult
Mental Health'
Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for
exception)
National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet,
film coated.
Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons
for exception)
Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons
for exception)
<?xml version="1.0" encoding="UTF-8"?>
<PlanDefinition xmlns="http://hl7.org/fhir"> <id value="low-suicide-risk-order-set"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="grid dict"> <tr> <td> <b> Id: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">PlanDefinition/low-suicide-risk-order-set</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Identifier: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <b> value: </b> <span> mmi:low-suicide-risk-order-set</span> </td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Title: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">Low Suicide Risk Order Set</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Status: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">draft</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Description: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;">Orders to be applied to a patient characterized as low suicide risk.</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Purpose: </b> </td> </tr> <tr> <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>
</tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Usage: </b> </td> </tr> <tr> <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>
</tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> age</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> https://meshb.nlm.nih.gov</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> D000328</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Adult</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> focus</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 87512008</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Mild major depression</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> focus</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 40379007</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Major depression, recurrent, mild</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> focus</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 394687007</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Low suicide risk</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> code: </b> <span> focus</span> </p> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> value: </b> <br/> <span> <span> <span> <span style="padding-left: 25px;"> <b> system: </b> <span> http://snomed.info/sct</span> <br/> </span> <span style="padding-left: 25px;"> <b> code: </b> <span> 225337009</span> <br/> </span> <span style="padding-left: 25px;"> <b> display: </b> <span> Suicide risk assessment</span> </span> </span> </span> </span> </p> </td> </tr> </table> <table class="grid dict"> <tr> <td> <b> Context: </b> </td> </tr> <tr style="vertical-align: top;"> <td style="padding-right: 25px;"> <p style="padding-left: 25px; margin-top: 5px; margin-bottom: 5px;"> <b> system: </b> <span> http://terminology.hl7.org/CodeSystem/usage-context-type</span> </p> <p style="padding-left: 25px; 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padding-right: 25px;"> <span> <b> text: </b> <span> Suicide risk assessment</span> </span> </td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Contributor: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <b> <span> author</span> : </b> </td> </tr> <tr> <td style="padding-left: 50px; padding-right: 25px;">Motive Medical Intelligence</td> </tr> </table> <p/> <table class="grid dict"> <tr> <td> <b> Library: </b> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <b> reference: </b> <span> Library/suiciderisk-orderset-logic</span> </td> </tr> <tr> <td style="padding-left: 25px; padding-right: 25px;"> <b> display: </b> <span> SuicideRiskLogic</span> </td> </tr> </table> <p/> <h2> Actions</h2> <p class="hierarchy" style="width: 100%;"> <span> <b> Step: </b> <br/> <span style="padding-left: 25px;"> <b> title: </b> <span> Suicide Risk Assessment and Outpatient Management</span> <br/> </span> <span style="padding-left: 25px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 50px;"> <b> title: </b> <span> Consults and Referrals</span> <br/> </span> <span style="padding-left: 50px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 75px;"> <b> text: </b> <span> Refer to outpatient mental health program for evaluation and treatment of mental
health conditions now</span>
<br/> </span> <span style="padding-left: 75px;"> <b> condition: </b> <br/> <span style="padding-left: 100px;"> <b> reference: </b> <br/> <span style="padding-left: 125px;">#referralToMentalHealthCare</span> <span> <span style="padding-left: 75px;"> <br/> <span style="padding-left: 100px;"> <b> description: </b> <span> refer to primary care mental-health integrated care program for evaluation and
treatment of mental health conditions now</span>
<br/> </span> <span style="padding-left: 100px;"> <b> category: </b> <span> referral</span> <br/> </span> </span> </span> </span> </span> <span style="padding-left: 50px;"/> </span> </span> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 50px;"> <b> title: </b> <span> Medications</span> <br/> </span> <span style="padding-left: 50px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 75px;"> <b> title: </b> <span> First-Line Antidepressants</span> <br/> </span> <span style="padding-left: 75px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 100px;"> <b> title: </b> <span> Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons
for exception)</span>
<br/> </span> <span style="padding-left: 100px;"> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)</span> <br/> </span> <span style="padding-left: 125px;"> <b> condition: </b> <br/> <span style="padding-left: 150px;"> <b> reference: </b> <br/> <span style="padding-left: 175px;">#citalopramPrescription</span> <span/> <span> <span style="padding-left: 125px;"> <br/> <span style="padding-left: 150px;"> <b> category: </b> <span> drug</span> <br/> </span> </span> </span> <span/> <span/> </span> </span> <span style="padding-left: 100px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)</span> <br/> </span> <span style="padding-left: 100px;"/> </span> </span> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 125px;"> <b> text: </b> <span> Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document
reasons for exception)</span>
<br/> </span> <span style="padding-left: 75px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 100px;"> <b> text: </b> <span> Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument
reasons for exception)</span>
<br/> </span> <span style="padding-left: 75px;"/> </span> <span> <b> Step: </b> <br/> <span style="padding-left: 100px;"> <b> text: </b> <span> Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons
for exception)</span>
<br/> </span> <span style="padding-left: 100px;"/> </span> </span> </span> </span> </span> </span> </span> </p> </div> </text>
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treatment of mental health conditions now"/>
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care of low suicide risk patients."/>
<usage 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."/>
<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="Suicide risk assessment"/> </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="derived-from"/> <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="http://example.org/fhir/ActivityDefinition/referralPrimaryCareMentalHealth"/> </relatedArtifact> <relatedArtifact> <type value="composed-of"/> <resource value="http://example.org/fhir/ActivityDefinition/citalopramPrescription"/> </relatedArtifact> <library value="http://example.org/fhir/Library/suiciderisk-orderset-logic"/> <action> <title value="Suicide Risk Assessment and Outpatient Management"/> <action> <title value="Consults and Referrals"/> <groupingBehavior value="logical-group"/> <selectionBehavior value="any"/> <action> <textEquivalent value="Refer to outpatient mental health program for evaluation and treatment of mental
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<expression> <language value="text/cql"/> <expression value="Code '261QM0850X' from SuicideRiskLogic."NUCC Provider Taxonomy" display
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</expression> </dynamicValue> <dynamicValue>
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<documentation> <type value="citation"/> <document> <contentType value="text/html"/> <url value="http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01"/> <title value="National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide
tablet, film coated."/>
</document> </documentation> <groupingBehavior value="logical-group"/> <selectionBehavior value="at-most-one"/> <action> <textEquivalent value="citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)"/> <definitionCanonical value="#citalopramPrescription"/> <dynamicValue> <path value="status"/> <expression> <language value="text/cql"/> <expression value="'draft'"/> </expression> </dynamicValue> <dynamicValue> <path value="patient"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.Patient"/> </expression> </dynamicValue> <dynamicValue> <path value="prescriber"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.Practitioner"/> </expression> </dynamicValue> <dynamicValue> <path value="reasonCode"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.RiskAssessmentScore"/> </expression> </dynamicValue> <dynamicValue> <path value="reasonReference"/> <expression> <language value="text/cql"/> <expression value="SuicideRiskLogic.RiskAssessment"/> </expression> </dynamicValue> </action> <action> <textEquivalent value="escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/> </action> <action> <textEquivalent value="fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)"/> </action> <action> <textEquivalent value="paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/> </action> <action> <textEquivalent value="sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"/> </action> </action> <action> <textEquivalent value="Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document
reasons for exception)"/>
</action> <action> <textEquivalent value="Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument
reasons for exception)"/>
</action> <action> <textEquivalent value="Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons
for exception)"/>
</action> </action> </action> </action>
</
PlanDefinition
>
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