Release 5 R6 Ballot (3rd Draft)
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Example ActivityDefinition/citalopramPrescription (Narrative)

Clinical Decision Support Work Group Maturity Level : N/A Standards Status : Informative Compartments : No defined compartments

This is the narrative for the resource. See also the XML , JSON or Turtle format. This example conforms to the profile ActivityDefinition .

Generated Narrative: ActivityDefinition citalopramPrescription

Resource ActivityDefinition "citalopramPrescription"

StructureDefinition Work Group : cds

url : http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription

identifier : id: urn:oid:2.16.840.1.113883.4.642.19.6, id: citalopramPrescription (use: OFFICIAL) Uniform Resource Identifier (URI) /urn:oid:2.16.840.1.113883.4.642.19.6, http://motivemi.com /citalopramPrescription (use: official, )

version : 1.0.0

name : CitalopramPrescription

title : Citalopram Prescription

status : active

experimental : true

date : 2015-08-15

publisher : Motive Medical Intelligence HL7 International / Clinical Decision Support

contact : ph: 415-362-4007(WORK), info@motivemi.com http://www.hl7.org/Special/committees/dss

description :

Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills

UseContexts

- Code Value[x]
* UsageContextType age : Age Range (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code age = 'Age Range', stated as 'null') Adult (meshb.nlm.nih.gov#D000328)
* UsageContextType focus : Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null') Mild major depression ( SNOMED CT #87512008)
* UsageContextType focus : Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null') Major depression, recurrent, mild ( SNOMED CT #40379007) Mild recurrent major depression
* UsageContextType focus : Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null') At increased risk for suicide (finding) ( SNOMED CT #225444004)
* UsageContextType focus : Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null') Referral to service (procedure) ( SNOMED CT #306206005)
* UsageContextType user : User Type (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code user = 'User Type', stated as 'null') Physician ( SNOMED CT #309343006)
* UsageContextType venue : Clinical Venue (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code venue = 'Clinical Venue', stated as 'null') Outpatient environment ( SNOMED CT #440655000)

jurisdiction : United States of America ( ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country 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 : 2016-01-01 --> 2017-12-31

topic : Mental Health Treatment ()

author : Motive Medical Intelligence: ph: 415-362-4007(WORK), 415-362-4007(work), info@motivemi.com

relatedArtifact

type : citation

display : Practice Guideline for the Treatment of Patients with Major Depressive Disorder

Documents

- document Url
* http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf

relatedArtifact

type : composed-of

resource : #citalopramMedication Medication citalopram 20 MG Oral Tablet

kind : MedicationRequest

product : Medication citalopram 20 MG Oral Tablet

dosage

code text : citalopram ( RxNorm #200371) 1 tablet oral 1 time daily

doseForm timing : Tablet dose form ( SNOMED CT #385055001) Once per 1 day

ingredient route : Oral route (qualifier value)

Items DoseAndRates

- Reference Type Dose[x]
* #citalopramSubstance Ordered 1 {tbl}
strength : 20 mg/1 {tbl}

dosage dynamicValue

text path : 1 tablet oral 1 time daily dispenseRequest.numberOfRepeatsAllowed

Expressions

timing : Once per 1 days
- route : Oral route (qualifier value) ([not stated]#26643006) Description Language doseAndRate Expression
* dispenseRequest.numberOfRepeatsAllowed is three (3) text/cql 3

dynamicValue

path : dispenseRequest.numberOfRepeatsAllowed dispenseRequest.quantity

Expressions

- Description Language Expression
* dispenseRequest.numberOfRepeatsAllowed dispenseRequest.quantity is three (3) thirty (30) tablets text/cql 3 30 '{tbl}'

dynamicValue Generated Narrative: Medication #citalopramMedication

code : citalopram

path doseForm : dispenseRequest.quantity Tablet dose form

ingredient

Expressions Items

- Description Reference
* Substance citalopram

Language strength : 20 mg/1 {tbl}

Generated Narrative: Substance #citalopramSubstance

Codes

- Expression Concept
* dispenseRequest.quantity is thirty (30) tablets text/cql citalopram 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.