<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>

Generated Narrative: ActivityDefinition

Resource ActivityDefinition "citalopramPrescription"

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

identifier: id: urn:oid:2.16.840.1.113883.4.642.19.6, id: citalopramPrescription (use: OFFICIAL)

version: 1.0.0

name: CitalopramPrescription

title: Citalopram Prescription

status: active

experimental: true

date: 2015-08-15

publisher: Motive Medical Intelligence

contact: ph: 415-362-4007(WORK),info@motivemi.com

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

UseContexts

Code

Value[x]

Age Range (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code age = 'Age Range', stated as 'null')

Adult (meshb.nlm.nih.gov#D000328)

Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')

Mild major depression (SNOMED CT#87512008)

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)

Clinical Focus (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code focus = 'Clinical Focus', stated as 'null')

At risk for suicide (finding) (SNOMED CT#225444004)

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)

User Type (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code user = 'User Type', stated as 'null')

Physician (SNOMED CT#309343006)

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

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),info@motivemi.com

relatedArtifact
type: citation
display: Practice Guideline for the Treatment of Patients with Major Depressive Disorder
document

relatedArtifact
type: composed-of
resource: #citalopramMedication

kind: MedicationRequest

product:

code: citalopram (RxNorm#200371)
doseForm: Tablet dose form (SNOMED CT#385055001)
ingredient
Items
- Reference
* #citalopramSubstance
strength: 20 mg/1 {tbl}

dosage
text: 1 tablet oral 1 time daily
timing: Once per 1 days
route: Oral route (qualifier value) ([not stated]#26643006)
doseAndRate

dynamicValue
path: dispenseRequest.numberOfRepeatsAllowed
Expressions
- Description Language Expression
* dispenseRequest.numberOfRepeatsAllowed is three (3) text/cql 3

dynamicValue
path: dispenseRequest.quantity
Expressions
- Description Language Expression
* dispenseRequest.quantity is thirty (30) tablets text/cql 30 '{tbl}'