{"approvalDate":"2016-03-12","author":[{"name":"Motive Medical Intelligence","telecom":[{"system":"phone","use":"work","value":"415-362-4007"},{"system":"email","use":"work","value":"info@motivemi.com"}]}],"contact":[{"telecom":[{"system":"phone","use":"work","value":"415-362-4007"},{"system":"email","use":"work","value":"info@motivemi.com"}]}],"contained":[{"code":{"coding":[{"code":"200371","system":"http://www.nlm.nih.gov/research/umls/rxnorm"}],"text":"citalopram"},"doseForm":{"coding":[{"code":"385055001","display":"Tablet dose form","system":"http://snomed.info/sct"}],"text":"Tablet dose form"},"id":"citalopramMedication","ingredient":[{"item":{"reference":{"reference":"#citalopramSubstance"}},"strengthRatio":{"denominator":{"unit":"{tbl}","value":1},"numerator":{"unit":"mg","value":20}}}],"resourceType":"Medication"},{"code":{"concept":{"coding":[{"code":"2556","system":"http://www.nlm.nih.gov/research/umls/rxnorm"}],"text":"citalopram"}},"id":"citalopramSubstance","instance":false,"resourceType":"Substance"}],"copyright":"© Copyright 2016 Motive Medical Intelligence. All rights reserved.","date":"2015-08-15","description":"Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills","dosage":[{"doseAndRate":[{"doseQuantity":{"unit":"{tbl}","value":1},"type":{"coding":[{"code":"ordered","display":"Ordered","system":"http://terminology.hl7.org/CodeSystem/dose-rate-type"}]}}],"route":{"coding":[{"code":"26643006","display":"Oral route (qualifier value)"}],"text":"Oral route (qualifier value)"},"text":"1 tablet oral 1 time daily","timing":{"repeat":{"frequency":1,"period":1,"periodUnit":"d"}}}],"dynamicValue":[{"expression":{"description":"dispenseRequest.numberOfRepeatsAllowed is three (3)","expression":"3","language":"text/cql"},"path":"dispenseRequest.numberOfRepeatsAllowed"},{"expression":{"description":"dispenseRequest.quantity is thirty (30) tablets","expression":"30 '{tbl}'","language":"text/cql"},"path":"dispenseRequest.quantity"}],"effectivePeriod":{"end":"2017-12-31","start":"2016-01-01"},"experimental":true,"id":"citalopramPrescription","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.19.6"},{"system":"http://motivemi.com","use":"official","value":"citalopramPrescription"}],"jurisdiction":[{"coding":[{"code":"US","system":"urn:iso:std:iso:3166"}]}],"kind":"MedicationRequest","lastReviewDate":"2016-08-15","name":"CitalopramPrescription","productReference":{"reference":"#citalopramMedication"},"publisher":"Motive Medical Intelligence","purpose":"Defines a guideline supported prescription for the treatment of depressive disorders","relatedArtifact":[{"display":"Practice Guideline for the Treatment of Patients with Major Depressive Disorder","document":{"url":"http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"},"type":"citation"},{"resource":"#citalopramMedication","type":"composed-of"}],"resourceType":"ActivityDefinition","status":"active","text":{"div":"<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:\u00a0urn:oid:2.16.840.1.113883.4.642.19.6, id:\u00a0citalopramPrescription\u00a0(use:\u00a0OFFICIAL)</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>","status":"generated"},"title":"Citalopram Prescription","topic":[{"text":"Mental Health Treatment"}],"url":"http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription","usage":"This activity definition is used as part of various suicide risk order sets","useContext":[{"code":{"code":"age","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"D000328","display":"Adult","system":"https://meshb.nlm.nih.gov"}]}},{"code":{"code":"focus","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"87512008","display":"Mild major depression","system":"http://snomed.info/sct"}]}},{"code":{"code":"focus","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"40379007","display":"Major depression, recurrent, mild","system":"http://snomed.info/sct"}]}},{"code":{"code":"focus","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"225444004","display":"At risk for suicide (finding)","system":"http://snomed.info/sct"}]}},{"code":{"code":"focus","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"306206005","display":"Referral to service (procedure)","system":"http://snomed.info/sct"}]}},{"code":{"code":"user","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"309343006","display":"Physician","system":"http://snomed.info/sct"}]}},{"code":{"code":"venue","system":"http://terminology.hl7.org/CodeSystem/usage-context-type"},"valueCodeableConcept":{"coding":[{"code":"440655000","display":"Outpatient environment","system":"http://snomed.info/sct"}]}}],"version":"1.0.0"}