<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}'