Activitydefinition-medicationorder-example.json

Activity definition to prescribe citalopram to a patient

{
  "resourceType": "ActivityDefinition",
  "id": "citalopramPrescription",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: citalopramPrescription</p><p><b>contained</b>: , </p><p><b>url</b>: <b>http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription</b></p><p><b>identifier</b>: citalopramPrescription (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>: Aug 15, 2015</p><p><b>publisher</b>: Motive Medical Intelligence</p><p><b>contact</b>: </p><p><b>description</b>: Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills</p><p><b>useContext</b>: , , , , , , </p><p><b>jurisdiction</b>: United States of America <span>(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America)</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>: Mar 12, 2016</p><p><b>lastReviewDate</b>: Aug 15, 2016</p><p><b>effectivePeriod</b>: Jan 1, 2016 --&gt; Dec 31, 2017</p><p><b>topic</b>: Mental Health Treatment <span>(Details )</span></p><p><b>author</b>: </p><p><b>relatedArtifact</b>: , </p><p><b>kind</b>: MedicationRequest</p><p><b>product</b>: id: citalopramMedication; citalopram <span>(Details : {RxNorm code '200371' = 'citalopram 20 MG Oral Tablet)</span>; Tablet dose form <span>(Details : {SNOMED CT code '385055001' = 'Tablet', given as 'Tablet dose form'})</span></p><p><b>dosage</b>: </p><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.numberOfRepeatsAllowed</p><p><b>expression</b>: </p></blockquote><blockquote><p><b>dynamicValue</b></p><p><b>path</b>: dispenseRequest.quantity</p><p><b>expression</b>: </p></blockquote></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "citalopramMedication",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "200371"
          }
        ],
        "text": "citalopram"
      },
      "form": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385055001",
            "display": "Tablet dose form"
          }
        ],
        "text": "Tablet dose form"
      },
      "ingredient": [
        {
          "itemReference": {
            "reference": "#citalopramSubstance"
          },
          "strength": {
            "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"
      }
    }
  ],
  "url": "http://motivemi.com/artifacts/ActivityDefinition/citalopramPrescription",
  "identifier": [
    {
      "use": "official",
      "system": "http://motivemi.com",
      "value": "citalopramPrescription"
    }
  ],
  "version": "1.0.0",
  "name": "CitalopramPrescription",
  "title": "Citalopram Prescription",
  "status": "active",
  "experimental": true,
  "date": "2015-08-15",
  "publisher": "Motive Medical Intelligence",
  "contact": [
    {
      "telecom": [
        {
          "system": "phone",
          "value": "415-362-4007",
          "use": "work"
        },
        {
          "system": "email",
          "value": "info@motivemi.com",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Citalopram 20 mg tablet 1 tablet oral 1 time daily now (30 table; 3 refills",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "age"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://meshb.nlm.nih.gov",
            "code": "D000328",
            "display": "Adult"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "87512008",
            "display": "Mild major depression"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "40379007",
            "display": "Major depression, recurrent, mild"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "225444004",
            "display": "At risk for suicide (finding)"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "306206005",
            "display": "Referral to service (procedure)"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "user"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "309343006",
            "display": "Physician"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/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"
        }
      ]
    }
  ],
  "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",
  "copyright": "© Copyright 2016 Motive Medical Intelligence. All rights reserved.",
  "approvalDate": "2016-03-12",
  "lastReviewDate": "2016-08-15",
  "effectivePeriod": {
    "start": "2016-01-01",
    "end": "2017-12-31"
  },
  "topic": [
    {
      "text": "Mental Health Treatment"
    }
  ],
  "author": [
    {
      "name": "Motive Medical Intelligence",
      "telecom": [
        {
          "system": "phone",
          "value": "415-362-4007",
          "use": "work"
        },
        {
          "system": "email",
          "value": "info@motivemi.com",
          "use": "work"
        }
      ]
    }
  ],
  "relatedArtifact": [
    {
      "type": "citation",
      "display": "Practice Guideline for the Treatment of Patients with Major Depressive Disorder",
      "url": "http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/mdd.pdf"
    },
    {
      "type": "composed-of",
      "resource": "#citalopramMedication"
    }
  ],
  "kind": "MedicationRequest",
  "productReference": {
    "reference": "#citalopramMedication"
  },
  "dosage": [
    {
      "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)"
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 1,
            "unit": "{tbl}"
          }
        }
      ]
    }
  ],
  "dynamicValue": [
    {
      "path": "dispenseRequest.numberOfRepeatsAllowed",
      "expression": {
        "description": "dispenseRequest.numberOfRepeatsAllowed is three (3)",
        "language": "text/cql",
        "expression": "3"
      }
    },
    {
      "path": "dispenseRequest.quantity",
      "expression": {
        "description": "dispenseRequest.quantity is thirty (30) tablets",
        "language": "text/cql",
        "expression": "30 '{tbl}'"
      }
    }
  ]
}