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narratives.r4.examples.plandefinition.low-suicide-risk.json Maven / Gradle / Ivy
{
"resourceType": "PlanDefinition",
"id": "example",
"contained": [
{
"resourceType": "ActivityDefinition",
"id": "referralToMentalHealthCare",
"status": "draft",
"description": "refer to primary care mental-health integrated care program for evaluation and treatment of mental health conditions now",
"category": "referral",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "306206005"
}
],
"text": "Referral to service (procedure)"
},
"timingTiming": {
"event": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqif-cqlExpression",
"valueString": "Now()"
}
]
}
]
},
"participantType": [
"practitioner"
]
},
{
"resourceType": "ActivityDefinition",
"id": "citalopramPrescription",
"status": "draft",
"category": "drug",
"productReference": {
"reference": "#citalopramMedication"
},
"dosageInstruction": [
{
"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)"
},
"doseQuantity": {
"value": 1,
"unit": "{tbl}"
}
}
],
"dynamicValue": [
{
"path": "dispenseRequest.numberOfRepeatsAllowed",
"expression": "3"
},
{
"path": "dispenseRequest.quantity",
"expression": "30 '{tbl}'"
}
]
},
{
"resourceType": "Medication",
"id": "citalopramMedication",
"code": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "200371"
}
],
"text": "citalopram"
},
"product": {
"form": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385055001",
"display": "Tablet dose form"
}
],
"text": "Tablet dose form"
},
"ingredient": [
{
"itemReference": {
"reference": "#citalopramSubstance"
},
"amount": {
"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"
}
}
],
"identifier": [
{
"use": "official",
"value": "mmi:low-suicide-risk-order-set"
}
],
"version": "1.0.0",
"title": "Low Suicide Risk Order Set",
"status": "draft",
"date": "2015-08-15",
"description": "Orders to be applied to a patient characterized as low suicide risk.",
"purpose": "This order set helps ensure consistent application of appropriate orders for the care of low suicide risk patients.",
"usage": "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.",
"approvalDate": "2016-03-12",
"lastReviewDate": "2016-08-15",
"effectivePeriod": {
"start": "2016-01-01",
"end": "2017-12-31"
},
"useContext": [
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "age"
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://meshb.nlm.nih.gov",
"code": "D000328",
"display": "Adult"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "focus"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "87512008",
"display": "Mild major depression"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "focus"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "40379007",
"display": "Major depression, recurrent, mild"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "focus"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394687007",
"display": "Low suicide risk"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "focus"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "225337009",
"display": "Suicide risk assessment"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "user"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "309343006",
"display": "Physician"
}
]
}
},
{
"code": {
"system": "http://hl7.org/fhir/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"
}
]
}
],
"topic": [
{
"text": "Suicide risk assessment"
}
],
"contributor": [
{
"type": "author",
"name": "Motive Medical Intelligence",
"contact": [
{
"telecom": [
{
"system": "phone",
"value": "415-362-4007",
"use": "work"
},
{
"system": "email",
"value": "[email protected] ",
"use": "work"
}
]
}
]
}
],
"publisher": "Motive Medical Intelligence",
"contact": [
{
"telecom": [
{
"system": "phone",
"value": "415-362-4007",
"use": "work"
},
{
"system": "email",
"value": "[email protected] ",
"use": "work"
}
]
}
],
"library": [
{
"reference": "Library/mmi-suiciderisk-orderset-logic",
"display": "SuicideRiskLogic"
}
],
"actionDefinition": [
{
"title": "Suicide Risk Assessment and Outpatient Management",
"actionDefinition": [
{
"title": "Consults and Referrals",
"groupingBehavior": "logical-group",
"selectionBehavior": "any",
"actionDefinition": [
{
"textEquivalent": "Refer to outpatient mental health program for evaluation and treatment of mental health conditions now",
"activityDefinition": {
"reference": "#referralToMentalHealthCare"
},
"dynamicValue": [
{
"path": "timing.event",
"expression": "Now()"
},
{
"path": "specialty",
"expression": "Code '261QM0850X' from SuicideRiskLogic.\"NPI Taxonomy\""
},
{
"path": "fulfillmentTime",
"expression": "SuicideRiskLogic.ReferralRequestFulfillmentTime"
},
{
"path": "patient",
"expression": "SuicideRiskLogic.Patient"
},
{
"path": "requester",
"expression": "SuicideRiskLogic.Practitioner"
},
{
"path": "reason",
"expression": "SuicideRiskLogic.RiskAssessmentScore"
},
{
"path": "supportingInformation",
"expression": "SuicideRiskLogic.RiskAssessment"
}
]
}
]
},
{
"title": "Medications",
"groupingBehavior": "logical-group",
"selectionBehavior": "at-most-one",
"actionDefinition": [
{
"title": "First-Line Antidepressants",
"documentation": [
{
"type": "justification",
"document": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqif-qualityOfEvidence",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/evidence-quality",
"code": "high"
}
],
"text": "High Quality"
}
}
],
"contentType": "text/html",
"url": "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf",
"title": "Practice Guideline for the Treatment of Patients with Major Depressive Disorder"
}
}
],
"groupingBehavior": "logical-group",
"selectionBehavior": "at-most-one",
"actionDefinition": [
{
"title": "Selective Serotonin Reuptake Inhibitors (Choose a mazimum of one or document reasons for exception)",
"documentation": [
{
"type": "justification",
"document": {
"contentType": "text/html",
"url": "http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=6daeb45c-451d-b135-bf8f-2d6dff4b6b01",
"title": "National Library of Medicine. DailyMed website. CITALOPRAM- citalopram hydrobromide tablet, film coated."
}
}
],
"groupingBehavior": "logical-group",
"selectionBehavior": "at-most-one",
"actionDefinition": [
{
"textEquivalent": "citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills)",
"activityDefinition": {
"reference": "#citalopramPrescription"
},
"dynamicValue": [
{
"path": "status",
"expression": "'draft'"
},
{
"path": "patient",
"expression": "SuicideRiskLogic.Patient"
},
{
"path": "prescriber",
"expression": "SuicideRiskLogic.Practitioner"
},
{
"path": "reasonCode",
"expression": "SuicideRiskLogic.RiskAssessmentScore"
},
{
"path": "reasonReference",
"expression": "SuicideRiskLogic.RiskAssessment"
}
]
},
{
"textEquivalent": "escitalopram 10 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"
},
{
"textEquivalent": "fluoxetine 20 mg capsule 1 capsule oral 1 time daily now (30 tablet; 3 refills)"
},
{
"textEquivalent": "paroxetine 20 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"
},
{
"textEquivalent": "sertraline 50 mg tablet 1 tablet oral 1 time daily now (30 tablet; 3 refills)"
}
]
},
{
"textEquivalent": "Dopamine Norepinephrine Reuptake Inhibitors (Choose a maximum of one or document reasons for exception)"
},
{
"textEquivalent": "Serotonin Norepinephrine Reuptake Inhibitors (Choose a maximum of one or doument reasons for exception)"
},
{
"textEquivalent": "Norepinephrine-Serotonin Modulators (Choose a maximum of one or document reasons for exception)"
}
]
}
]
}
]
}
]
}
