Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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

Activitydefinition-medicationorder-example.xml

Example ActivityDefinition/citalopramPrescription (XML)

Clinical Decision Support Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any No defined compartments

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

Activity definition to prescribe citalopram to a patient (id = "citalopramPrescription") 

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
      
      
        
          
          
        
        
      
        
          
            
            
            
          
          
        
        
          
            
          
          
            
              
              
            
            
              
              
            
          
        
    
  
  
    
      
      
        
          
          
        
        
      
    
  
  
  
    
    
    
  
  
  
  
  
  
  
  
  
    
      
      
      
    
    
      
      
      
    
  
  
  
    
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
    
    
      
        
        
        
      
    
  
  
    
      
      
    
  
  
  
  
  
  
  
    
    
  
  
    
  
  
    
    
    
    
    
    
    
      
    
    
    
  
    
      
      
      
  
  
      
      
  
  
  
    
  
  
    
    
      
        
        
        
      
    
    
      
        
        
      
      
    
    
      
        
          
          
          
        
      
      
        
        
      
    
  
  
    
    
      
      
      
    
  
  
    
    
      
      
      
    
  

<ActivityDefinition xmlns="http://hl7.org/fhir">
  <id value="citalopramPrescription"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: ActivityDefinition</b> <a name="citalopramPrescription"> </a> </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 ActivityDefinition &quot;citalopramPrescription&quot; </p> </div> <p> <b> url</b> : <code> http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription</code> </p> <p> <b> identifier</b> : id: urn:oid:2.16.840.1.113883.4.642.19.6, id: citalopramPrescription (use: 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> <h3> UseContexts</h3> <table class="grid"><tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Value[x]</b> </td> </tr> <tr> <td> *</td> <td> Age Range (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code
             age = 'Age Range', stated as 'null')</td> <td> Adult <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (meshb.nlm.nih.gov#D000328)</span> </td> </tr> <tr> <td> *</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code focus = 'Clinical Focus', stated as 'null')</td> <td> Mild major depression <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #87512008)</span> </td> </tr> <tr> <td> *</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code focus = 'Clinical Focus', stated as 'null')</td> <td> Major depression, recurrent, mild <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #40379007)</span> </td> </tr> <tr> <td> *</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code focus = 'Clinical Focus', stated as 'null')</td> <td> At risk for suicide (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #225444004)</span> </td> </tr> <tr> <td> *</td> <td> Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code focus = 'Clinical Focus', stated as 'null')</td> <td> Referral to service (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #306206005)</span> </td> </tr> <tr> <td> *</td> <td> User Type (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code
             user = 'User Type', stated as 'null')</td> <td> Physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #309343006)</span> </td> </tr> <tr> <td> *</td> <td> Clinical Venue (Details: http://terminology.hl7.org/CodeSystem/usage-context-type
             code venue = 'Clinical Venue', stated as 'null')</td> <td> Outpatient environment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #440655000)</span> </td> </tr> </table> <p> <b> jurisdiction</b> : United States of America <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions
             — Part 1: Country code</a> #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 --&gt; 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> <blockquote> <p> <b> relatedArtifact</b> </p> <p> <b> type</b> : citation</p> <p> <b> display</b> : Practice Guideline for the Treatment of Patients with Major Depressive Disorder</p> <blockquote> <p> <b> document</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> relatedArtifact</b> </p> <p> <b> type</b> : composed-of</p> <p> <b> resource</b> : <code> #citalopramMedication</code> </p> </blockquote> <p> <b> kind</b> : MedicationRequest</p> <p> <b> product</b> : <a name="citalopramMedication"> </a> </p> <blockquote> <p/>  <p> <a name="citalopramMedication"> </a> </p> <p> <b> code</b> : citalopram <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #200371)</span> </p> <p> <b> doseForm</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> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <a href="#citalopramSubstance">#citalopramSubstance</a> </td> </tr> </table> <p> <b> strength</b> : 20 mg/1 {tbl}</p> </blockquote> </blockquote> <blockquote> <p> <b> dosage</b> </p> <p> <b> text</b> : 1 tablet oral 1 time daily</p> <p> <b> timing</b> : Once per 1 days</p> <p> <b> route</b> : Oral route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ([not stated]#26643006)</span> </p> <blockquote> <p> <b> doseAndRate</b> </p> </blockquote> </blockquote> <blockquote> <p> <b> dynamicValue</b> </p> <p> <b> path</b> : dispenseRequest.numberOfRepeatsAllowed</p> <h3> Expressions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Description</b> </td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td> *</td> <td> dispenseRequest.numberOfRepeatsAllowed is three (3)</td> <td> text/cql</td> <td> 3</td> </tr> </table> </blockquote> <blockquote> <p> <b> dynamicValue</b> </p> <p> <b> path</b> : dispenseRequest.quantity</p> <h3> Expressions</h3> <table class="grid"><tr> <td> -</td> <td> <b> Description</b> </td> <td> <b> Language</b> </td> <td> <b> Expression</b> </td> </tr> <tr> <td> *</td> <td> dispenseRequest.quantity is thirty (30) tablets</td> <td> text/cql</td> <td> 30 '{tbl}'</td> </tr> </table> </blockquote> </div> </text> <contained> 
    <Medication>       <id value="citalopramMedication"/>       <code>         <coding>           <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>           <code value="200371"/>         </coding>         <text value="citalopram"/>       </code>         <doseForm>           <coding>             <system value="http://snomed.info/sct"/>             <code value="385055001"/>             <display value="Tablet dose form"/>           </coding>           <text value="Tablet dose form"/>         </doseForm>         <ingredient>           <item>             <reference>             <reference value="#citalopramSubstance"/>             </reference>           </item>           <strengthRatio>             <numerator>               <value value="20"/>               <unit value="mg"/>             </numerator>             <denominator>               <value value="1"/>               <unit value="{tbl}"/>             </denominator>           </strengthRatio>         </ingredient>     </Medication>   </contained>   <contained>     <Substance>       <id value="citalopramSubstance"/>       <instance value="false"/>       <code>         <concept>           <coding>             <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>             <code value="2556"/>           </coding>           <text value="citalopram"/>         </concept>       </code>     </Substance>   </contained>   <url value="http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription"/>   <identifier>     <system value="urn:ietf:rfc:3986"/>     <value value="urn:oid:2.16.840.1.113883.4.642.19.6"/>   </identifier>   <identifier>     <use value="official"/>     <system value="http://motivemi.com"/>     <value value="citalopramPrescription"/>   </identifier>   <version value="1.0.0"/>   <name value="CitalopramPrescription"/>   <title value="Citalopram Prescription"/>   <status value="active"/>   <experimental value="true"/>   <date value="2015-08-15"/>   <publisher value="Motive Medical Intelligence"/>   <contact>     <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>   </contact>   <description value="Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills"/>   <useContext>     <code>       <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>       <code value="age"/>     </code>     <valueCodeableConcept>       <coding>         <system value="https://meshb.nlm.nih.gov"/>         <code value="D000328"/>         <display value="Adult"/>       </coding>     </valueCodeableConcept>   </useContext>   <useContext>     <code>       <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>       <code value="focus"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://snomed.info/sct"/>         <code value="87512008"/>         <display value="Mild major depression"/>       </coding>     </valueCodeableConcept>   </useContext>   <useContext>     <code>       <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>       <code value="focus"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://snomed.info/sct"/>         <code value="40379007"/>         <display value="Major depression, recurrent, mild"/>       </coding>     </valueCodeableConcept>   </useContext>   <useContext>     <code>       <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>       <code value="focus"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://snomed.info/sct"/>         <code value="225444004"/>         <display value="At risk for suicide (finding)"/>       </coding>     </valueCodeableConcept>   </useContext>   <useContext>     <code>       <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>       <code value="focus"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://snomed.info/sct"/>         <code value="306206005"/>         <display value="Referral to service (procedure)"/>       </coding>     </valueCodeableConcept>   </useContext>   <useContext>     <code>       <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>       <code value="user"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://snomed.info/sct"/>         <code value="309343006"/>         <display value="Physician"/>       </coding>     </valueCodeableConcept>   </useContext>   <useContext>     <code>       <system value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>       <code value="venue"/>     </code>     <valueCodeableConcept>       <coding>         <system value="http://snomed.info/sct"/>         <code value="440655000"/>         <display value="Outpatient environment"/>       </coding>     </valueCodeableConcept>   </useContext>   <jurisdiction>     <coding>       <system value="urn:iso:std:iso:3166"/>       <code value="US"/>     </coding>   </jurisdiction>   <purpose value="Defines a guideline supported prescription for the treatment of depressive disorders"/>   <usage value="This activity definition is used as part of various suicide risk order sets"/>   <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="Mental Health Treatment"/>   </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="citation"/>       <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="#citalopramMedication"/>   </relatedArtifact>   <kind value="MedicationRequest"/>   <productReference>     <reference value="#citalopramMedication"/>   </productReference>   <dosage>     <text value="1 tablet oral 1 time daily"/>     <timing>       <repeat>         <frequency value="1"/>         <period value="1"/>         <periodUnit value="d"/>       </repeat>     </timing>     <route>       <coding>         <code value="26643006"/>         <display value="Oral route (qualifier value)"/>       </coding>       <text value="Oral route (qualifier value)"/>     </route>     <doseAndRate>       <type>         <coding>           <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>           <code value="ordered"/>           <display value="Ordered"/>         </coding>       </type>       <doseQuantity>         <value value="1"/>         <unit value="{tbl}"/>       </doseQuantity>     </doseAndRate>   </dosage>   <dynamicValue>     <path value="dispenseRequest.numberOfRepeatsAllowed"/>     <expression>       <description value="dispenseRequest.numberOfRepeatsAllowed is three (3)"/>       <language value="text/cql"/>       <expression value="3"/>     </expression>   </dynamicValue>   <dynamicValue>     <path value="dispenseRequest.quantity"/>     <expression>       <description value="dispenseRequest.quantity is thirty (30) tablets"/>       <language value="text/cql"/>       <expression value="30 '{tbl}'"/>     </expression>   </dynamicValue> 


</

ActivityDefinition

>

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.